Medicare Advantage and Medicare-Medicaid Plans

Posted by:  :  Category: Medicare

Medicare-Medicaid enrollees are among the nation’s most chronically ill and resource-intensive patients. Most dual-eligible beneficiaries receive their care in uncoordinated systems, which often results in poor quality of care and unnecessarily high costs.
Source: amerihealthcaritas.com

Medicare Insurance Plans, Medicare Advantage, Medicare Supplemental Insurance and Medigap Coverage

Medicare Supplement plans are not connected with or endorsed by the U.S. Government or the federal Medicare program. Policies can be canceled for non-payment of premium or material misrepresentation. This is a limited policy designed to cover only those expenses which Medicare does not cover.
Source: medicaresolutions.com

Medicare Advantage Quality Improvement Program

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

Compare Medicare Advantage Plans

If you are under age 65 and you receive Social Security disability, you qualify for Medicare in the 25th month after you begin receiving your Social Security benefits.  You may enroll in a Medicare Advantage plan three months before your month of eligibility, during the month of eligibility, and three months after the month of eligibility. For example, if your Medicare Part A and B coverage begins in May, your Medicare Advantage IEP is February through August.
Source: clearmedicaresolutions.com

Healthcare business news, research, data and events from Modern Healthcare

An HHS report released late Tuesday paints a grim picture of the rising health insurance premiums under the Affordable Care Act. But health policy experts explained that while premiums may have gone up since the ACA was implemented, consumers are also getting more bang for their buck.
Source: modernhealthcare.com

What is covered by Medicare?

Posted by:  :  Category: Medicare

Medicare is the basis of Australia’s health care system and covers many health care costs. You can choose whether to have Medicare cover only, or a combination of Medicare and private health insurance. Citizens and most permanent Australian residents are eligible for Medicare.
Source: gov.au

Coordination of Medicare and FEHB Benefits

If Medicare was the primary payer prior to the onset of End Stage Renal Disease, Medicare will continue to be primary during the 30-month coordination period. However, if Medicare was secondary prior to the onset of End Stage Renal Disease, it will continue to be secondary until the 30-month coordination period has expired. After the 30-month coordination period has expired, Medicare will be primary regardless of your employment status.
Source: opm.gov

What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

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

How to compare Medigap policies

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Source: medicare.gov

Medicare Supplemental Plans, Medicare Supplement

Plans F and G are the only Medicare Supplement insurance plans that cover costs known as Medicare Part B excess charges. An excess charge is the difference between what a doctor or provider charges and the amount Medicare will pay. These plans will help protect you from additional out-of-pocket expenses should you need treatment that exceeds what Medicare will approve. Plan F also has a high-deductible option*. Plans F and G cover 100% of the Medicare Part B excess charges.
Source: humana.com

Medicare Supplement Plans

To be eligible to enroll in a Medicare Supplement plan, you must be enrolled in both Medicare Part A and Part B. A good time to enroll in a plan is generally during the Medigap Open Enrollment Period, which begins on the first day of the month that you are both age 65 or older and enrolled in Part B, and lasts for six months. During this period, you have the guaranteed-issue right to join any Medicare Supplement plan available where you live. You may not be denied coverage based on any pre-existing conditions during this enrollment period (although a waiting period may apply). If you miss this enrollment period and attempt to enroll in the future, you may be denied coverage or charged a higher premium based on your medical history. In some states, you may be able to enroll in a Medigap plan before the age of 65.
Source: ehealthinsurance.com

Michigan Medicare Supplemental Plans

Medicare Advantage plans are popular but they’re not your only choice. Don’t want to have to write a check every time you get care? Our other plan options may interest you. You pay a monthly premium for these plans. They pay most of the costs you share with Original Medicare. They may include other benefits too, like coverage for emergency care when you’re traveling.
Source: bcbsm.com

Medicare Supplemental Plans, Medicare Supplement

Coverage may be limited to Medicare-eligible expenses. Benefits vary by plan and the premium will vary with the amount of benefits selected. Depending on the plan chosen you may be responsible for deductibles and coinsurance before benefits are payable. These policies have exclusions and limitations; please call your agent/producer or Humana for complete details of coverage and costs.
Source: humana.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

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

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

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

SSI or SS Disability Application & Benefits

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Experience really does matter. We have been doing Social Security application advocacy exclusively for over 15 years, and have learned a lot along the way. We have grown to one of the largest and most successful disability offices in the country. We handle all paperwork out of our offices in Utah, and have full-time advocate representatives all over the country to represent our clients at hearing when necessary. This process allows for great efficiency for our clients and quicker and more successful results. Because our representatives live locally, you get the service of a local rep, who knows the local judges, but the efficiency and knowledge base of a large nationwide office.
Source: ssdisabilityapplication.com

Compare Medicare Advantage & Supplemental Plans

Medicare supplement plans offer benefits in addition to the benefits offered by 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

Getting Parts A & B automatically for disability

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Source: medicare.gov

Fidelis Care Online Medicare Application

Unknown Error At this time, Fidelis Care does not offer any Medicare plans in the chosen county. You must select a plan before you can continue. You must select a month to begin coverage. “First Name” is required. “Last Name” is required. “Title” is required. “Birth Date” must be in a valid format. “Birth Date” is invalid. Please verify the information entered and correct any mistakes. “Gender” is required “Home Phone No.” is required. “Home Phone No.” is invalid. Please verify the information entered and correct any mistakes. “Email Address” is invalid. Please verify the information entered and correct any mistakes. “Street Address” is required. “City” is required. “State” is required. “Zip Code” is required. “Emergency Email Address” is invalid. Please verify the information entered and correct any mistakes. “Emergency Phone No.” is invalid. Please verify the information entered and correct any mistakes. “Medicare Name” is required. “Medicare Claim No.” is required. “Medicare Claim No.” is invalid. Please verify the information entered and correct any mistakes. “Medicare Gender” is required. “Medicare Hospital (Part A)” must be in a valid format. “Medicare Hospital (Part A)” is invalid. Please verify the information entered and correct any mistakes. “Medicare Medical (Part B)” must be in a valid format. “Medicare Medical (Part B)” is invalid. Please verify the information entered and correct any mistakes. “Medicare Drug (Part D)” is invalid. Please verify the information entered and correct any mistakes. “Zip Code” is invalid. Please verify the information entered and correct any mistakes. “Mailing Zip Code” is invalid. Please verify the information entered and correct any mistakes. “Social Security No.” is invalid. Please verify the information entered and correct any mistakes. You must select a premium payment option. You must read the disclaimer and check the email confirmation box. Question 1 is required. Question 2 is required. You must enter name, ID number and group number for any addtional drug coverage. (Question 2) Question 3 is required. Unfortunately you are ineligible for Medicare Advantage and cannot proceed with the application. For more information, please call 1-888-FIDELIS (1-888-343-3547). You have selected Dual Advantage Flex, this requires you to be enrolled in a State Medicaid Program. Question 4 is required. You must enter Medicaid number. (Question 4) Medicaid number is invalid. Please verify the information entered and correct any mistakes. Question 5 is required. You must make a choice on choosing a provider. Please choose one of the three provided options. Provider information is required. Please use the search tool to locate a provider. No plans available for the chosen year. Thank you! Your application has been submitted. Here is your confirmation number: You must choose one of the senarios that best describes your situation. You must provide a description for your situation. Name is required Phone Number is required Relationship to Enrollee is required Address is required City is required State is required Zip is required Sales Rep. is required. Please select at least one option from the reasons for enrollment. Please enter a valid date for all fields requiring one.
Source: fideliscare.org

Medicare and Social Security Disability

Medicare Part D is the part of your Social Security Disability benefits that covers your prescription drug costs. Like Medicare Part B, you will need to pay a premium for Medicare Part D. If you choose not to enroll in Medicare Part D now, but decide to later, you will have to pay a penalty and will continue to pay this penalty for as long as you keep your Medicare Part D coverage. When enrolling in Medicare Part D it is important to understand that not all of the cost of your medications will be covered. You will need to pay a co-pay and if you enter the “gap” period you will be responsible for all of your prescription costs until you are out of that gap. The Medicare Part D gap occurs when you have reached total prescription drug costs of $2,830 (for 2010). Once that happens, you will be responsible for all of your medication costs until you have reached a total out-of-pocket expense of $4,550. At that point you will be out of the gap and your prescription coverage will begin again.
Source: disability-benefits-help.org

Medicare Advantage Plans cover all Medicare services

Posted by:  :  Category: Medicare

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

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

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

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Source: medicare.gov

Providence Medicare Advantage Plans

Providence Health Assurance is a part of Providence Health & Services, so our members will continue to benefit from 160 years of health care experience and innovation. With our expansive resources, our members can enjoy modern convenience, like video visits with a nurse practitioner or doctor, and integrated systems that make it simpler for those we serve to get the very best care possible.
Source: providence.org

What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

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

Supplements & other insurance

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Source: medicare.gov

Medicare Supplemental Plans, Medicare Supplement

**Humana also offers a High Deductible Plan F and may offer a Medicare Select Plan F in your area. Coverage may be limited to Medicare-eligible expenses. Benefits vary by plan and the premium will vary with the amount of benefits selected. Depending on the plan chosen you may be responsible for deductibles and coinsurance before benefits are payable. These policies have exclusions and limitations; please call your agent/producer or Humana for complete details of coverage and costs.
Source: humana.com

Medicare Supplement Plans

To be eligible to enroll in a Medicare Supplement plan, you must be enrolled in both Medicare Part A and Part B. A good time to enroll in a plan is generally during the Medigap Open Enrollment Period, which begins on the first day of the month that you are both age 65 or older and enrolled in Part B, and lasts for six months. During this period, you have the guaranteed-issue right to join any Medicare Supplement plan available where you live. You may not be denied coverage based on any pre-existing conditions during this enrollment period (although a waiting period may apply). If you miss this enrollment period and attempt to enroll in the future, you may be denied coverage or charged a higher premium based on your medical history. In some states, you may be able to enroll in a Medigap plan before the age of 65.
Source: ehealthinsurance.com

AARP® Medicare Supplemental Insurance by United Healthcare

Licensed insurance agents/producers are authorized to offer AARP Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company. If you’re considering a Medicare supplement plan, talking to an agent/producer may offer the direct assistance you’re looking for.
Source: aarpmedicaresupplement.com

Medicare Supplement Plans Overview 

Now that you know more about Medicare Supplement plans, you may be wondering if one of these plans may be right for you. I always enjoy helping people figure this out. If you’d like to start out by getting some more information in front of you, use the links below, which let you schedule a phone appointment or have me email you information about plans. To take a look at all available Medicare plans right now, use the Compare Plans buttons on this page. To get to know me better, take a look at my photo and profile below (see my profile by clicking on the “View profile” link). Or, if you need assistance right away, just call me or another licensed insurance agent at the contact details below.
Source: medicare.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

Medicare Information and Plan Comparisons

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

Medicare – Health Care Professionals

Any health care professional who prescribes drugs to patients with Part D plans must now enroll in the Medicare program or opt out. If you do not enroll or opt out, Medicare Part D may no longer cover these drugs as of February 1, 2017. Please try to enroll or opt out by November 1, 2016. This will allow time for application processing and ensure that patients get their prescriptions without disruption.
Source: aetna.com

MyMedicare.gov: Secure Sign In

Posted by:  :  Category: Medicare

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Source: mymedicare.gov

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

Centers for Medicare and Medicaid Services

The Centers for Medicare & Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children’s Health Insurance Program (SCHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov.
Source: wikipedia.org