Compare Medicare Advantage & Supplemental Plans

Posted by:  :  Category: Medicare

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

Medicare Supplement Options

* Network restrictions apply. ** Policy forms UWMSP(A)-2010, UWMSP(F)-2010, UWMSP(F-HD)-2010, UWMSP(G)-2010, UWMSP(K)-2010, UWMSP(L)-2010, UWMSP(N)-2010, UWMSP-SEL(F)-2010, UWMSP-SEL(G)-2010, UWMSP-SEL(K)-2010, UWMSP-SEL(L)-2010, UWMSP-SEL(N)-2010.
Source: bcbstx.com

What’s Medicare Supplement Insurance (Medigap)?

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

Medicare Supplement Plan F

*A benefit period begins on the first day you receive services as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. ** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
Source: bcbstx.com

Medicare Help and Resources

A: It is most beneficial to enroll in a Medicare supplement insurance plan during your open enrollment period, which lasts for 6 months and begins on the first day of the month in which you’re both at least age 65 or older AND enrolled in Medicare Part B, because your acceptance is guaranteed and you’re eligible to receive benefits even if you have a pre-existing condition.* You may also select any plan that is available in your state. Some states have ongoing open enrollment, while other states offer additional open enrollment periods.** *A pre-existing condition is a health problem you have before the date a new insurance policy starts. No Medicare supplement insurance may exclude pre-existing condition coverage for more than six months.
Source: aarpmedicaresupplement.com

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

Posted by:  :  Category: Medicare

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

Risk Adjustment Documentation and Coding Boot Camp Online

Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, is the director of HIM and coding for HCPro. She oversees all of the Certified Coder Boot Camp programs. McCall developed the Certified Coder Boot Camp®—Inpatient Version and the Evaluation and Management Boot Camp™; most recently, she collaborated with the CDI team to develop the Risk Adjustment Documentation and Coding Boot Camp. McCall works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related custom education sessions. She was also one of the first Association of Clinical Documentation Improvement Specialists (ACDIS) Advisory Board members.
Source: hcmarketplace.com

Florida Department of Children and Families

Posted by:  :  Category: Medicare

This may result in fines of up to $250,000, a prison term or both, if you are convicted of public assistance fraud. In addition you will not be able to get benefits for 12 months the first time, 24 months the second time, and permanently the third time that you provide false or inaccurate information.
Source: myflorida.com

Claims: Contact information

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Source: fcso.com

Medicare Nursing Home Compare Results

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Source: medicare.gov

Get Medicare Part D Quotes in Seconds

Posted by:  :  Category: Medicare

As could be expected, prices for Humana policies rocketed for the 2015 calendar year. Mean premiums for Humana Part D jumped from $21.80 to $38.70. Medicare Part D is priced at $41.55 and Part D Medicare comes in at the slightly lower price of $38.80. Humana’s standalone market share coverage has dropped to 18.6% whereas their Medicare Part D policies have increased to a market share of 12.8%.
Source: medicareaide.com

American Continental Insurance Company

An Advantage plan offers more choice (hence it is often referred to as Medicare + Choice or Medicare Part C). With one of these versatile plans, you can tailor your insurance to suit your individual requirements. They can be more costly than other Medicare options, sure, but depending on your circumstances, they can save you a lot of money in the long run. Medicare Advantage Plans have almost doubled in popularity since 2007, with 8 million citizens opting for one of these plans which can cover you for dental care, vision services, travel insurance and a whole lot more besides.
Source: bestmedicaresupplement.com

SilverSneakers Medicare Programs

So, what exactly is SilverSneakers?  SilverSneakers is essentially a gym membership or fitness club membership to participating centers across the country.  You can find participating gyms by going to www.silversneakers.com and typing in your zip code.  You can find out if your Medicare plan offers Silver Sneakers by calling 1-888-423-4632.  Here are some of the features offered by SilverSneakers.
Source: medicare-plans.net

Health Insurance Plans for Individuals & Families, Employers, Medicare

UnitedHealthcare offers health insurance plans to meet the needs of individuals and employers. Plus we offer dental, vision and many other insurance plans to help keep you and your family healthy. 
Source: uhc.com

New Era Medicare Supplement Insurance Plans

To obtain the latest quotes on New Era Medicare Supplement Plans, we advise you to make use of an independent brokerage such as Best Medicare Supplement. You can also compare and contrast various insurance plans with its help. Best Medicare Supplement provides you Medicare quotes from leading insurance providers and helps in choosing the best plan for you in an unbiased manner. Run a Medicare Supplement quote on our website and you will get all the help that you need to source your ideal plan!
Source: bestmedicaresupplement.com

Medicare Supplement Plan F

* A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. **This high deductible plan pays the same or offers the same benefits as Plan F after you have paid a calendar year $2110 deductible. Benefits from the high deductible Plan F will not begin until out-of-pocket expenses are $2110. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductibles for Part A and Part B, but does not include the plan’s separate foreign travel emergency deductible.
Source: medigap360.com

Medicare.gov: the official U.S. government site for Medicare

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

MedicareAgentTraining.com

Posted by:  :  Category: Medicare

We have the BEST Medicare Supplement quote engine – included with your membership! This is a $150 per-month value, and it is no extra cost. See all of the companies, rate increase history, company financials, and more.
Source: medicareagenttraining.com

Medicare Eligibility, Age, Qualifications And Requirements

You can also qualify for premium-free Part A benefits on your spouse’s work record if he or she is at least age 62 and you are at least age 65. You also may qualify on the work record of a divorced or deceased spouse. Following the Supreme Court’s 2015 ruling, people in same-sex marriages can qualify for Medicare on their spouse’s work record, regardless of where they live or where they were married.
Source: aarp.org

Understanding Medicare Part A, Part B, Part C and Part D

But as complicated as all that sounds, there’s a single key choice at the core of all your decision-making: Will you go with the Original Medicare plan, which is run by the federal government and consists of Parts A and B, or a Medicare Advantage plan (also called Part C) that is offered by a private insurer and approved by Medicare? Medicare Part A — Your Hospital Coverage When you apply to Medicare, you are automatically enrolled in the Part A plan. Part A is your hospital insurance plan. It covers nursing care and hospital stays, although not doctors’ fees. Part A also covers some home health services, skilled nursing care after a hospital stay and hospice care. You likely won’t have to pay a monthly premium for Medicare Part A, thanks in part to all the payroll taxes you paid while you were employed. You must, however, pay a yearly deductible before Medicare will cover any hospitalization costs. For 2011, the Part A deductible is $1,132.
Source: aarp.org

Comparison Chart of All 10 Medicare Supplement Plans & Policies

To view a more detailed description of benefits for a specific plan, select an option below: Medicare Supplement Plan A Medicare Supplement Plan B Medicare Supplement Plan C Medicare Supplement Plan D Medicare Supplement Plan E (no longer offered) Medicare Supplement Plan F Medicare Supplement Plan G Medicare Supplement Plan H (no longer offered) Medicare Supplement Plan I (no longer offered) Medicare Supplement Plan J (no longer ofered) Medicare Supplement Plan K Medicare Supplement Plan L Medicare Supplement Plan M Medicare Supplement Plan N
Source: medicaresupplementsolutions.com

California Health Advocates

Posted by:  :  Category: Medicare

We provide accurate, unbiased information about Medicare benefits and long-term care for Californians. Learn how Medicare works, ways to supplement your coverage, about low-income programs, prescription drugs and your long-term care options.
Source: cahealthadvocates.org

Medicare Supplement and Advantage Health Plans

Medicare has neither reviewed nor endorsed this information. Blue Shield of California is an HMO and PDP plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal.
Source: blueshieldca.com

Medicare Supplement Insurance Plans

Plan K is a basic Medicare Supplement Plan that provides coverage for Medicare Part A coinsurance and a portion of Part B coinsurance, plus 50 percent of the Medicare Part A deductible and more. The calendar-year maximum copayment for Plan K is $4,940.
Source: blueshieldca.com

Medicare.gov: the official U.S. government site for Medicare

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

Licensed Professional Counselors Association of North Carolina

The NC General Assembly’s Joint Legislative Administrative Procedure Oversight Committee (APO) is considering a proposal to consolidate certain North Carolina behavioral healthcare licensing boards, Bill Draft 2015-TQz-40 (v.7) (03/15). The NC Board of Licensed Professional Counselors (NCBLPC) is among those being considered for consolidation.  One of the proposals considered by the APO is to consolidate the Licensed Substance Abuse Counselors (LSAC) Board and the Licensed Marriage and Family Therapy (LMFT) Board under the LPC Licensing Board.
Source: lpcanc.org

North Carolina Community Health Center Association

The North Carolina Community Health Center Association (NCCHCA) was formed in 1978 by the leadership of community health centers, NCCHCA is comprised of membership from 37 health center grantees (including one migrant voucher program) and 1 Look-Alike organization (membership of 3 new start organizations is pending). NCCHCA is singularly focused on the success of health centers. NCCHCA is the HRSA funded state Primary Care Association (PCA). The non-profit, consumer-governed Federally Qualified Health Centers (FQHCs) we represent provide integrated medical, dental, pharmacy, behavioral health, and enabling services to nearly one-half million patients in North Carolina. FQHCs receive federal assistance to provide sliding-fee services to assure no one is denied access to care. NCCHCA represents FQHCs to state and federal officials and provides training and technical assistance on clinical, operational, financial, administrative, and governance issues. NCCHCA is also a HRSA Health Center Controlled Network (HCCN) grantee. Participating in the HCCN – Carolina Medical Home Network (CMHN) -health centers have the opportunity to work together on quality improvement and operational system redesign initiatives and engage in payment reform models through the Independent Practice Association (IPA) and Accountable Care Organization (ACO) initiatives. NCCHCA is the sponsor and managing partner of Carolina Medical Home Network (CMHN), which serves as the clinical and operational performance improvement organization of NCCHCA and member health centers. CMHN is a 33 member HRSA funded Health Center Controlled Network (HCCN) currently in the second three-year grant cycle. All members are NC health centers. CMHN provides its members with data analytics, quality improvement, and Health Information Exchange connectivity to improve cost, quality, and outcomes of care. Carolina Medical Home Network – Accountable Care Organization (CMHN-ACO) is a partnership of 8 NC health centers that have entered into the Medicare Shared Savings Program (one-sided model). Currently in Program Year 3, CMHN-ACO received funding from the Center for Medicaid and Medicare Services (CMS) for ACO Investment Model (AIM) to support care coordination efforts at ACO member health centers and network administrative services. NCCHCA launched a Data-Informed Outreach project in collaboration with CMHN that supports community health workers in health centers to augment care coordination efforts. CMHN-ACO serves as the pilot for identification of population health strategies to scale up to the larger CMHN network. For 2017, two additional CHCs will join the ACO. Carolina Medical Home Network – Independent Practice Association (CMHN-IPA) is a network of 27 NC health centers striving towards clinical integration with the goal of leveraging size, scope and coordinated performance improvement in third-party payer negotiations. The IPA couples CMHN-ACO tested methods with business strategies to develop advantageous network-level contracts with payers.
Source: ncchca.org

Florida Blue Medicare Advantage Plans for 2017

Posted by:  :  Category: Medicare

Are you a Florida senior citizen who is trying to maximize your Medicare benefits? Just as each senior citizen has her own unique needs and preferences, insurers offer a variety of different ways to enjoy these hard-earned health benefits and even help you plan for medical expenses that original Medicare does not completely cover. At Secure Health Options, we want to help all Floridians find the right plan that assures them of convenient and affordable access to the best medical providers. You can request information on 2017 Medicare Advantage plans and Florida Medicare supplemental insurance in your own local area by entering your home ZIP code in the box at the top of this page. If you have questions or would like help signing up, be sure to give us a call.
Source: floridamedicareadvantageplans.com

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

Compare Florida Medicare Advantage Plans

Have you looked at Florida Blue Medicare plans? If not, you should know that this company rose from Blue Cross, the oldest health insurance company in the United States. Florida Blue also offers one of the largest provider network in the state, so you can be sure to find good doctors and hospitals. You can begin comparing quotes and plans by entering your ZIP code in our online system at any time. If you have questions, you are welcome to call us and ask to speak with a licensed Florida agent.
Source: floridamedicareadvantageplans.com

Medicare Advantage Plans cover all Medicare services

to make sure a service is medically necessary and will be covered. If the plan won’t pay for a service you think you need, you’ll have to pay all of the costs if you didn’t ask for an advance coverage decision. Get your plan’s contact information from a Personalized Search (under General Search), or search by plan name.
Source: medicare.gov

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 launches revamp for treatments of heart attacks, hip fractures

Posted by:  :  Category: Medicare

PBS NewsHour allows open commenting for all registered users, and encourages discussion amongst you, our audience. However, if a commenter violates our terms of use or abuses the commenting forum, their comment may go into moderation or be removed entirely. We reserve the right to remove posts that do not follow these basic guidelines: comments must be relevant to the topic of the post; may not include profanity, personal attacks or hate speech; may not promote a business or raise money; may not be spam. Anything you post should be your own work. The PBS NewsHour reserves the right to read on the air and/or publish on its website or in any medium now known or unknown the comments or emails that we receive. By submitting comments, you agree to the PBS Terms of Use and Privacy Policy, which include more details.
Source: pbs.org

Complication Rate for Hip/Knee Replacement Patients

To assign hospitals to performance categories, the hospital’s interval estimate is compared to the national hip/knee complication rate. If the interval estimate includes the national observed hip/knee complication rate, the hospital’s performance is in the “no different than national rate” category. If the entire interval estimate is below the national observed hip/knee complication rate, then the hospital is performing “better than national rate.” If the entire interval estimate is above the national observed hip/knee complication rate, its performance is “worse than national rate.” Hospitals with fewer than 25 eligible cases are placed into a separate category that indicates that the hospital doesn’t have enough cases to reliably tell how well the hospital is performing.
Source: medicare.gov

EmblemHealth: Family & Individual Health Insurance Plans In New York

If you need help determining the best place to seek care, call our toll-free Nurse Advice Line at 1-877-444-7988 to speak with a registered nurse without waiting for a call back. A registered nurse can guide you to the help you need now. This service is available 24 hours a day, seven days a week.
Source: emblemhealth.com

Medicare.gov: the official U.S. government site for Medicare

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Source: medicare.gov