Medicare Information and Plan Comparisons

Posted by:  :  Category: Medicare

While health care was not central to the 2016 Presidential campaign, the election’s outcome will be a major determining factor in the country’s future health care policy. A number of issues have garnered media attention, including the future of the Affordable Care Act (ACA), rising prescription drug costs, and the opioid epidemic.
Source: medicare.org

Financial Security of Elderly Americans at Risk: Proposed changes to Social Security and Medicare could make a majority of seniors ‘economically vulnerable’

To better measure the economic vulnerability of older adults, they suggest using the Elder Economic Security Standard Index (Elder Index) developed by Wider Opportunities for Women (WOW). The Elder Index estimates how much it costs seniors to live in different communities across the country, accounting for an elder household’s housing type, transportation type, health status, and geography-specific cost of living. The index is more comprehensive than the SPM in its appraisal of costs, including food, housing, healthcare, and transportation costs, as well as miscellaneous expenses such as telephone, clothing, and personal care costs and relevant sales taxes. At the time we began our analysis, the measure had only been produced for 17 states, and therefore could not be used to assess elderly vulnerability nationwide. However, when we compared the index’s state-level thresholds to SPM thresholds for those same areas, we found a measurable pattern: The Elder Economic Security Standard Index threshold (the line below which the elderly are considered economically insecure) is roughly 200 percent of, or twice, the SPM threshold, on average. (Note that WOW has since released Elder Index values for states, counties, and cities throughout the United States; the data are available at www.basiceconomicsecurity.org/EI)
Source: epi.org

Medicare Advantage 2015 Data Spotlight: Overview of Plan Changes

When SNPs were authorized, there were few requirements beyond those otherwise required of other Medicare Advantage plans. The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 established additional requirements for SNPs, including requiring all SNPs to provide a care management plan to document how care would be provided for enrollees and requiring C-SNPs to limit enrollment to beneficiaries with specific diagnoses or conditions. As a result of the new MIPPA requirements, the number of SNPs declined in 2010. The ACA required D-SNPs to have a contract with the Medicaid agency for every state in which the plan operates, beginning in 2013. Additionally, in 2013, joint federal-state financial alignment demonstrations to improve the coordination of Medicare and Medicaid for dually eligible beneficiaries began to enroll beneficiaries. Today, financial alignment demonstrations are underway in 12 states: California, Colorado, Illinois, Massachusetts, Michigan, Minnesota, New York, Ohio, South Carolina, Texas, Virginia, and Washington. The financial alignment demonstrations could influence the availability of D-SNPs in these states, either increasing or decreasing the availability of SNPs, depending on the design of the demonstration.
Source: kff.org

Medicare Fee, Payment, Procedure code, ICD, Denial: June 2011

Do you want to avoid the 1% Medicare Part B payment adjustment on claims in 2012? *  Send at least 10 e-prescriptions for Medicare Part B patient visits which include one of the e-prescribing denominator codes* AND *  Send your 10 claims to Medicare Part B with the denominator code* and code G8553 before 6/30/2011 OR * Send one (1) claim to Medicare Part B with the denominator code and one of the Hardship codes before 6/30/2011 G8642: The eligible professional practices in a rural area without sufficient high speed internet access and requests a hardship exemption from the application of the payment adjustment under section 1848(a)(5)(A) of the Social Security Act G8643: The eligible professional practices in an area without sufficient available pharmacies for electronic prescribing and requests a hardship exemption from the application of the payment adjustment under section 1848(a)(5)(A) of the Social Security Act G8644: the eligible professional does not have prescribing privileges
Source: medicarepaymentandreimbursement.com

Medicare Flu Shot Codes: Q2035, Q2036, Q2037, Q2038

The Centers for Medicare & Medicaid Services (CMS) no longer recognizes and does not reimburse CPT Code 90658 Influenza Virus Vaccine, Split Virus for flu shots. CMS has established six separate influenza vaccine HCPCS codes to distinguish between the brand-names of influenza vaccines for governmental tracking purposes. Make sure to use these new codes in your medical billing.
Source: capturebilling.com

Medicare Coverage Database – Centers for Medicare & Medicaid Services

Posted by:  :  Category: Medicare

01/12/2017: CMS has determined that the Medicare Administrative Contractors (MACs) in Jurisdictions 5, 6, 8 and 15 will not be further consolidated. It is anticipated that for these four (4) jurisdictions, their LCDs and Articles details pages will be updated in late April 2017 to reflect their numbered jurisdiction. The display on the document detail pages will be changed from “N/A” to the specific jurisdiction number  in the Jurisdiction Column.  Currently, other MAC jurisdictions have their lettered jurisdiction displayed in this field.
Source: cms.gov

Mental health care (outpatient)

Part B covers outpatient mental health services, including services that are usually provided outside a hospital (like in a clinic, doctor’s office, or therapist’s office) and services provided in a hospital’s outpatient department. Part B also covers outpatient mental health services for treatment of inappropriate alcohol and drug use. Part B helps pay for these covered outpatient services:
Source: medicare.gov

Learn What to do If you Already Have Medicare Health Coverage

Yes. Coverage from an employer through the SHOP Marketplace is treated the same as coverage from any job-based health plan. If you’re getting health coverage from an employer through the SHOP Marketplace based on your or your spouse’s current job, Medicare Secondary Payer rules apply.
Source: healthcare.gov

Medicare Coverage of Home Health Care

If you are interested in home health care after a stay in the hospital, or as an alternative to a stay in a hospital or nursing facility, contact a home health care agency recommended by your doctor or the hospital discharge planner. The discharge planner can even contact an agency for you. You may also get help in locating home health care agencies from a community health organization, visiting nurses association, United Way, Red Cross, or neighborhood senior center. Medicare.gov lists home health care agencies in your area and allows you to compare the quality of their service depending on past performance.
Source: nolo.com

Medicare Information and Plan Comparisons

Posted by:  :  Category: Medicare

While health care was not central to the 2016 Presidential campaign, the election’s outcome will be a major determining factor in the country’s future health care policy. A number of issues have garnered media attention, including the future of the Affordable Care Act (ACA), rising prescription drug costs, and the opioid epidemic.
Source: medicare.org

Compare Medicare Advantage & Supplemental Plans

Medicare supplement plans offer benefits in addition to the benefits offered by Original Medicare Parts A and B, and they are offered by private insurance companies. There are several different types of Medicare supplement plans available, including Plan A, Plan C, Plan F, Plan M and Plan N. Medicare supplement plans and Medicare Advantage plans are not complementary, so it is important to understand which type of policy makes the most sense for you. Our licensed sales agents are standing by to walk you through a comparison of the costs and benefits of each type of plan, and to help you choose a Medicare supplement plan that best meets your needs.
Source: medicaresolutions.com

Welcome to Medicare Health & Living. Medela Ireland distributor, Medela breast pumps and breast feeding accessories, BellyBra, maternity support, Doomoo Seat, My Brest Friend Ireland. Mother and baby shop, Stem Cell Preservation. Sleep apnea disorders, cp

We are one of Ireland’s leading companies providing equipment and supplies for use in hospitals and homes. Medicare Health & Living Ltd is one of the first companies in the country to recognise that mothers, respiratory patients and carers often require equipment and support to maintain their wellbeing and the comfort of those in their care, in a home environment. The company has well established associations and good working relationships with all of the country’s major hospitals.
Source: medicare.ie

Medicare drug plans: rating and reviews.

Part D Medicare prescription drug plan ratings and reviews to help you evaluate and find the best Medicare drug plan for 2016. Compare costs of Medicare Part D plans to save money. You can also rate and review your Medicare prescription drug plan to help others learn from your drug plan experience. On our forums, read comments, complaints, and suggestions about Medicare plans, the coverage gap (the “doughnut hole”) and low-cost medications from reputable online pharmacies. To find ratings and compare plans, click your state on the map below.
Source: medicaredrugplans.com

What is Medicare Tax? definition and meaning

Posted by:  :  Category: Medicare

Tax deducted from the wages of every legally working American that is used to pay for the Medicare program provided to individuals over the age of 65. This is typically another line item included on an employee’s paystub. At the end of year, the employer will provide the employee with a W-2 and this will include the total amount deducted from the individual’s paycheck for the Medicare tax. The tax was implemented under the Federal Insurance Contributions Act.
Source: investorwords.com

What You Should Know about the Additional Medicare Tax

The Additional Medicare Tax is 0.9 percent. It applies to the amount of your wages, self-employment income and railroad retirement (RRTA) compensation that is more than a threshold amount. The threshold amount that applies to you is based on your filing status. If you’re married and file a joint return, you must combine your spouse’s wages, compensation, or self-employment income with yours to determine if you exceed the “married filing jointly” threshold.
Source: irs.gov

Federal Withholding Tax Table

Update your payroll tax rates with these useful tables from IRS Publication 15, (Circular E), Employer’s Tax Guide. The charts include federal withholding (income tax), FICA tax, Medicare tax and FUTA taxes.
Source: suburbancomputer.com

Additional Medicare Tax – What You Need to Know

Income Subject to Tax.  The tax applies to the amount of certain income that is more than a threshold amount. The types of income include your Medicare wages, self-employment income and railroad retirement (RRTA) compensation. You must combine your wages and self-employment income to figure the tax. You do not consider a loss from self-employment purposes of this tax. You compare RRTA compensation separately to the threshold. See the instructions for Form 8959, Additional Medicare Tax, for more on these rules.
Source: irs.gov

ACA Repeal Would Lavish Medicare Tax Cuts on 400 Highest

Before health reform, Medicare taxes applied only to wage and salary and self-employment income, not to unearned income from wealth.  For low- and moderate-income working families, which have little unearned income, this meant that Medicare taxes applied to virtually all of their income.  In contrast, the wealthiest taxpayers owed no Medicare taxes on their unearned income, which represents a significant share of their income.
Source: cbpp.org

Medicare Summary Notice (MSN)

Posted by:  :  Category: Medicare

MSNs are usually mailed four times a year and contain information about submitted charges, the amount that Medicare paid, and the amount you are responsible for. Note that you may receive an MSN more often if you are being reimbursed for a bill you paid. You can also access your MSN online at www.mymedicare.gov. This site allows you to look at electronic versions of your MSNs and print copies from your own computer whenever you would like (but it does not replace the paper MSN).
Source: medicareinteractive.org

Get your Medicare Summary Notices (MSNs) electronically

Did you know you can now get your MSNs electronically? You can view and print your MSNs online at MyMedicare.gov by signing up for electronic MSNs (eMSNs). With eMSNs, you won’t have to wait 3 months to get your paper MSNs. You’ll get an email each month letting you know that your eMSNs are ready to view and print.
Source: medicare.gov

Prescription Drug Coverage

Posted by:  :  Category: Medicare

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

Medicare Part D Prescription Drug Coverage

A copayment/coinsurance: This is the amount you pay out of pocket each time you buy a prescription; it’s your share of the cost after Medicare has paid its part and you’ve reached your plan’s deductible (if any). A copayment is typically a flat amount that you pay (for example, you may pay a $10 copayment when you fill a prescription), while a coinsurance is a percentage you may owe (for example, you might pay a 10% coinsurance for generic medications). These costs can vary from plan to plan, and also vary depending on drug tiers and which stage of the benefit you are in at the time that you fill the prescription. Medicare Prescription Drug Plans and Medicare Advantage plans with prescription drug coverage place covered medications into different cost tiers, and the prescription drugs in higher tiers tend to cost more than those in lower tiers.
Source: medicare.com

Remittance Advice Remark Codes

Posted by:  :  Category: Medicare

The law permits exceptions to the refund requirement in two cases: – If you did not know, and could not have reasonably been expected to know, that we would not pay for this service; or – If you notified the patient in writing before providing the service that you believed that we were likely to deny the service, and the patient signed a statement agreeing to pay for the service. If you come within either exception, or if you believe the carrier was wrong in its determination that we do not pay for this service, you should request appeal of this determination within 30 days of the date of this notice. Your request for review should include any additional information necessary to support your position. If you request an appeal within 30 days of receiving this notice, you may delay refunding the amount to the patient until you receive the results of the review. If the review decision is favorable to you, you do not need to make any refund. If, however, the review is unfavorable, the law specifies that you must make the refund within 15 days of receiving the unfavorable review decision. The law also permits you to request an appeal at any time within 120 days of the date you receive this notice. However, an appeal request that is received more than 30 days after the date of this notice, does not permit you to delay making the refund. Regardless of when a review is requested, the patient will be notified that you have requested one, and will receive a copy of the determination. The patient has received a separate notice of this denial decision. The notice advises that he/she may be entitled to a refund of any amounts paid, if you should have known that we would not pay and did not tell him/her. It also instructs the patient to contact our office if he/she does not hear anything about a refund within 30 days
Source: wpc-edi.com

Centers for Medicare & Medicaid Services

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

Utah Health Insurance: Individual and Family Plans, Short

Posted by:  :  Category: Medicare

ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । SelectHealth Advantage: 1-855-442-9900 (TTY: 711)/ SelectHealth: 1-800-538-5038 मा फोन गर्नुहोस्।
Source: selecthealth.org

Compare Bupa Health Insurance : Private Health Insurance Cover

BUPA’s objective has always been “to help people lead longer, healthier, happier lives” and they strive to achieve this by offering a range of medical and healthcare services for the whole of life. BUPA is committed to making quality, patient-centred private healthcare accessible and affordable. This commitment is shown in that Bupa have 35 world class hospitals around the UK so patients should never have too far to travel when they need medical care. This also means that visiting friends and family will likewise not need to incur the costs of overnight stays.
Source: uk.healthcare

Medicare & Cost of Hospice

Posted by:  :  Category: Medicare

VITAS hospice patients who meet those qualifications will have their hospice care covered by Medicare. For care unrelated to a patient’s terminal illness, Medicare and Medicaid continue to provide their usual benefits. Since each private insurance company has its own policies regarding hospice coverage, VITAS can contact the patient’s insurer to ask about coverage provided. However, VITAS is committed to admitting and caring for all hospice-appropriate patients who are referred to us, regardless of their insurance coverage or ability to pay.
Source: vitas.com

Medicare coverage of hospice care

. The third benefit period begins on day 180 of hospice. After that, you must continue to have face-to-face meetings with a hospice doctor or nurse practitioner before the start of each following 60-day benefit period. The meeting must take place no earlier than 30 days before the new benefit period to confirm you still qualify for hospice care.
Source: medicareinteractive.org

What Part A & Part B doesn’t cover

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare Part A, Part B, Part C, Part D, Ohio, Medicare Supplement Quote

Offers health plan options run by Medicare-approved private insurance companies. Medicare Advantage Plans are a way to get the benefits and services covered under Part A and Part B. Most Medicare Advantage Plans cover Medicare prescription drug coverage (Part D). Some Medicare Advantage Plans may include extra benefits for an extra cost.
Source: medicareohiohelp.com