TYPES OF MEDICARE FRAUD When an individual or organization seeks to collect Medicare health care reimbursement under false pretenses, it is Medicare fraud. The fraud is usually carried out in one of the following three ways: Phantom Billing: The medical provider bills Medicare for unnecessary procedures, medical test, or procedures OR procedures or tests are [...]
Be aware that www.MyMedicare.com is not the same as www.MyMedicare.gov. Both sites can be useful, but make sure you know the difference. www.MyMedicare.com MyMedicare.com (also, www.My Medicare.com) is a private site that provides visitors with information regarding medicare plans, medicare eligibility, and other resources pertaining to medicare. One of the primary purposes of the site [...]
Image by Daquella manera via Flickr WHAT IS COVERED? Medicare Part B covers the rental or purchase of a manual or power wheelchair or scooter for use primarily at home or a facility that is used like a home. Equipment may be used outside the home, but improving mobility for activities that take place in [...]
Medicare makes changes every year. Recipients should check annually to understand what is new. DEADLINE IS EARLIER The New Deadline for signing up is from October 15, 2011 – December 7 , 2011, earlier than in previous years. Anyone can join, switch or drop a Medicare Advantage Plan during this time as well. Part A [...]
Medicare Part D helps pay for prescription drug coverage which is not offered in Parts A and B (Original Medicare). Medicare Part D is optional. You have to enroll to get it. If you wait to get Part D coverage you you may have to pay a penalty. Only private insurance companies offer Part D. Plans [...]
CUTS TAKING EFFECT 1/1/2012 Beginning the 1st of January, 2012, new Texas budget cuts take effect that will likely make it harder for seniors who solely rely up Medicare or Medicaid to obtain medical treatment. Cuts then go into effect that reduces reimbursements paid to medical practitioners treating those covered by Medicare and Medicaid. REDUCING [...]
A Medicare Advantage Plan is also known as Medicare Part C (Medicare C). This video was created for insurance agents to help them understand Medicare Advantage Plans and educate their clients. It provides good detail but does not cover any of the downside to an Advantage Plan. Advantage Plans are private insurance plans funded through [...]
Getting started in the Medicare process can be confusing. Just pick up one piece of information at a time. These ten tips should help: 1. Original Medicare (Part A and B) is offered through the Federal Government. 2. Part D (Prescription Drug Coverage) must be added on to Parts A and B as a stand-alone [...]
This video explains the differences between Medicare Part A and Medicare Part B (the original Medicare components).
If you do not know anything about Medicare, start here. This short, clear video from Humana does a good job of explaining it in the most basic terms. It covers Medicare Parts A, B, C, and D. It also differentiates Medicare from Medicaid. EDITORS NOTE: Long-Term Care is not covered in this post. Anytime Medicare [...]
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