Information concerning coverage through Medicare, Medicaid, Federal Insurance, and Social Security

 

MEDICARE, MEDICAID, TRICARE, VA, ETC

 

1. Medicare - Official U.S. Government Medicare Site

Medicare.gov is a consumer beneficiary Website that provides access to information about Medicare, Medicare health plans, contact information and publications, as well as information about health care fraud and abuse...
http://www.medicare.gov/

 

2.  Medicare Prescription Drug Discount Cards  You can get a Medicare-approved drug discount card if

If you’re enrolled in a state pharmacy assistance program (not Medicaid), you can still get a card.

If you already have prescription drug coverage through your current health insurance, or you already get discounts on your prescriptions, review your coverage closely to see if this discount card will save you more money on your prescriptions. Find all the Medicare Drug Discount Cards available

for your area.

 

3. Medicare Participating Physician Directory 

The Participating Physician Directory enables users to search by specialty and location among the 90 percent of all U.S. physicians who accept Medicare payment rates and charge beneficiaries only the standard, 20 percent coinsurance rate (known as "participating providers").

 

4. Medicare Health Plans - Compare

Medicare Health Plan Compare helps you obtain detailed information on Medicare's health plan options. By "comparison shopping," you can find the plans that are best for you. Different comparisons you can make for plans include:

- Cost and Benefits covered

- Quality of the plans in keeping members healthy or treating them when sick

- Information on people leaving managed care plans

http://www.medicare.gov/MPPF/Include/DataSection/Questions/SearchOptions.asp

 

5. Medicare Health Plans - Compare in Spanish

This Spanish-language version of Medicare Health Plan Compare includes all information on plan benefits, costs, quality, member satisfaction, and dis-enrollment rates, as well as assistance in navigating the website. 

http://www.medicare.gov/MPPF/Include/DataSection/Questions/SearchOptions.asp?language=Spanish

 

6. Medicare’s Nursing Home Compare 

Users can get information on the last three surveys for each of the 16,500 nursing homes participating in Medicare and Medicaid, allowing them to compare performance over time.  The site also includes information on the number and type of residents, facility ownership, staffing levels and mix, and ratings of each facility in comparison to State and national averages.  

 

7. Medicare Rights Center

The Medicare Rights Center (MRC) is a not-for-profit organization dedicated to ensuring that older adults and people with disabilities with Medicare get good, affordable health care.

http://www.medicarerights.org/ 

 

8. Medicaid

Medicaid is a jointly funded, Federal-State health insurance program for certain low-income and needy people. It covers approximately 36 million individuals including children, the aged, blind, and/or disabled, and people who are eligible to receive federally assisted income maintenance payments. This site provides a program overview and state specific information and contacts.  http://www.cms.hhs.gov/MedicaidGenInfo 

 

9. MedPac (Medicare Payment Advisory Commission)

The Medicare Payment Advisory Commission (MedPAC) is an independent federal body to advise the U.S. Congress on issues affecting the Medicare program. In addition to advising the Congress on payments to health plans participating in the Medicare+Choice program and providers in Medicare’s traditional fee-for-service program, MedPAC is also tasked with analyzing access to care, quality of care, and other issues affecting Medicare.

http://www.medpac.gov/ 

 

10. Centers for Medicare & Medicaid Services (formerly HCFA)

The Health Care Financing Administration (HCFA) administers Medicare, Medicaid and the State Children's Health Insurance Program (SCHIP). In addition to providing health insurance, HCFA also performs a number of quality-focused activities, including regulation of laboratory testing (CLIA), development of coverage policies, and quality-of-care improvement. HCFA maintains oversight of the survey and certification of nursing homes and continuing care providers (including home health agencies, intermediate care facilities for the mentally retarded, and hospitals).

http://cms.hhs.gov/

 

 

11. Medicare Intermediary-Carrier Directory

Names, addresses, and other contact information for Medicare Part A Intermediaries and

Part B Carriers

Section I: Part A Intermediaries and Part B Carriers by State

Section II: Part A Intermediaries and Part B Carriers

Section III: Commercial and Independents - Parts A & B

Section IV: Regional Home Health Intermediaries, Durable Medical Equipment Regional

                   Carriers, Common Working File Host Contractors, Rural Health Clinics

 

12. Medicare Coverage Rules- Durable Medical Equipment

 This site provides detailed information on Medicare rules governing coverage for the following  forms of durable medical equipment:

 - White Cane For Use By A Blind Person,

 - Home Use Of Oxygen,

 - Power-Operated Vehicles That May Be Used As Wheelchairs,

 - Specially Sized Wheelchairs,

 - Self-Contained Pacemaker Monitors,

 - Seat Lift,

 - Home Blood Glucose Monitors,

 - Infusion Pumps, Safety Roller,

 - Pneumatic Compression Devices (Used For Lymphedema),

 - Continuous Positive Airway Pressure (Cpap), Hospital Beds,

 - Air-Fluidized Bed,

 - Transcutaneous Electrical Nerve Stimulators (Tens),

 - Intrapulmonary Percussive Ventilator (Ipv),

 - Vagus Nerve Stimulation For Treatment Of Seizures,

 - Speech Generating Devices,

 - Non-Implantable Pelvic Floor Electrical Stimulator,

 - Hydrophilic Contact Lenses,

 - Electrical Continence Aid,

 - Scleral Shell,

 - Carotid Sinus Nerve Stimulator,

 - Electronic Speech Aids,

 - Cardiac Pacemakers,

 - Intraocular Lenses (Iols),

 - Electrical Nerve Stimulators,

 - Parenteral Nutrition Therapy,

 - Enteral Nutrition Therapy,

 - Nutritional Supplementation,

 - Phrenic Nerve Stimulator,

 - Cochlear Implantation,

 - Artificial Hearts And Related Devices,

 - Tracheostomy Speaking Valve,

 - Urinary Drainage Bags

 

13. How To Choose a Health Plan
Here's a ton of information to help you make an informed health plan choice:

Choosing and Using a Health Plan, presents information to help make sense of your health insurance choices, and how to get the most out of your health plan.

Agency for Healthcare Research and Quality (AHRQ), a part of the U.S. Department of Health and Human Services, is the lead agency charged with supporting research designed to improve the quality of health care, reduce its cost, and broaden access to essential services. AHCPR's broad programs of research bring practical, science-based information to medical practitioners and to consumers and other health care purchasers.

TRICARE Help Page provides links to beneficiary information, answers to frequently asked questions about the TRICARE program, as well as information on how to file a claim under this program.

Department of Defense Military Health System’s Web site provides comprehensive information on TRICARE, a health care program for members of the uniformed services and their families, and survivors and retired members and their families.

Department of Labor  is charged with preparing the American workforce for new and better jobs, and ensuring the adequacy of America's workplaces. It is responsible for the administration and enforcement of over 180 Federal statutes. These legislative mandates and the regulations produced to implement them cover a wide variety of workplace activities for nearly 10 million employers and well over 100 million workers, including protecting workers' wages, health and safety, employment and pension rights; promoting equal employment opportunity; administering job training, unemployment insurance and workers' compensation programs; strengthening free collective bargaining and collecting, analyzing and publishing labor and economic statistics.

Medicare Publications Online You can view, print, or order many publications (listed) online or by calling 1-800-MEDICARE   (1-800-633-4227). The fastest way to get a publication is to view and print it from this website. If you order online (or through 1-800-MEDICARE), you will receive your order within 3 weeks.

All of the publications are Adobe Acrobat version 5.0 accessible or in text only format. You will need Adobe Reader software to view the Adobe Acrobat PDF files.

Centers for Medicare & Medicaid Services (formerly HCFA) is the Federal agency that administers the Medicare, Medicaid, and Child Health Insurance programs. Through these three programs, the Health Care Financing Administration provides insurance for over 74 million Americans.

Show Me My Choices! lists all Federal Employee Health Insurance Benefits plans by state and includes plan-specific information on benefits, rates, and quality indicators.

Guide to Federal Employees Health Benefit Plans helps users who are eligible to participate in the Federal Employee Health Insurance Benefits insurance program narrow their list of health plan choices and will rank plans based on stated preferences.

Put Me on the Fast Track! allows users who are eligible to participate in the Federal Employee Health Insurance Benefits insurance program the opportunity to download individual health plan brochures and the Federal Employee Health Insurance Benefits guide.

 

14.  BenefitsCheckUp from NCOA

This site is the home of BenefitsCheckUp, a free, easy-to-use service to identify federal and state assistance programs to which you specifically may be entitled. Here's how it works: You take 10 or 15 minutes to enter information about your financial situation into an online questionnaire. Then, BenefitsCheckUp explains what benefit programs you may be eligible for and how to apply for them.
http://www.benefitscheckup.org/

 

 

SOCIAL SECURITY, SSD, SSI, ETC

 

1.Social Security Online

This is the official web site of the Social Security Administration with information on retirement, disability, survivors and supplemental security income benefits.

2. Social Security Retirement Benefits

Information on retirement benefits, including retirement age(s), benefits options, applications and documents needed.  Also includes a  Retirement Planner which allows you to explore a variety of retirement scenarios using a range of assumptions about your future earnings or when you stop working. The Planner not only tells you how to qualify for Social Security benefits, but it also includes Benefit Calculators that help you calculate your own benefit estimates.

http://www.ssa.gov/retirement/

 

3. SSD (Social Security Disability) Benefits

Social Security Disability Insurance pays benefits to you and certain members of your family if you are "insured" meaning that you worked long enough and paid Social Security taxes.

http://www.ssa.gov/dibplan/index.htm

 

4. SSI (Supplemental Security Income) Benefits

SSI is a Federal income supplement program funded by general tax revenues (not Social Security taxes).  It is designed to help aged, blind, and disabled people, who have little or no income; and it provides cash to meet basic needs for food, clothing, and shelter.

http://www.ssa.gov/notices/supplemental-security-income/

 

5. Disability Evaluation (Medical) Disability Evaluation Under Social Security

(Also known as The Blue Book), this site discusses the medical criteria for evaluating Social Security disability claims. This publication includes Adult and Childhood Listings of Impairments. These listings are just part of how Social Security decides if someone is disabled. Past work experience, severity of medical conditions, age, education and work skills are also considered..

http://www.ssa.gov/disability/professionals/bluebook/

 

6. Disability Criteria for Respiratory Impairments

This site lists and discusses all the respiratory impairments that may medically qualify one for disability.  It also lists all the specific medical criteria that are acceptable as qualifying disability for each category of impairment. 

http://www.ssa.gov/disability/professionals/bluebook/3.00-Respiratory-Adult.htm

 

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