...Pay your bills with Medicare supplement plans Many a times when people tend to get sick and visit the hospital, the series of tests which are prescribed by the doctors tend to leave the patients in a worse shape than before, however, while knowing that they are fine, there is one exception which is about to change that and that is the medical bills which are a huge bomb on the patients visiting without insurance. The reason why they cannot afford insurance is quite simple, companies tend to charge a lot of ridiculous sums that they cannot pay, however, to reach out to these customers and provide them with an option to pay, the brand new Medicare supplement plans have now been introduced that allow people to visit the hospitals more confidently...
Words: 1501 - Pages: 7
...CENTERS FOR MEDICARE & MEDICAID SERVICES Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare This official government guide has important information about: • What is a Medicare Supplement Insurance (Medigap) policy • What Medigap policies cover • Your rights to buy a Medigap policy • How to buy a Medigap policy This guide can help if you’re thinking about buying a Medigap policy or already have one. 2013 Developed jointly by the Centers for Medicare & Medicaid Services (CMS) and the National Association of Insurance Commissioners (NAIC) How to use this guide There are 2 ways to find the information you need: 1. The “Table of Contents” on pages 3–4 can help you find the sections you need. 2. The “List of Topics” on pages 53–56 lists topics in this guide and the page number of where to find them. Who should read this guide? This guide helps people with Medicare understand “Medicare Supplement Insurance” policies (also called Medigap). A Medigap policy is a type of private insurance that helps you pay for some of the costs that Original Medicare doesn’t cover. Table of Contents Section 1: Medicare Basics 3 5 A brief look at Medicare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 What is Medicare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 The different parts of Medicare . . . . . . . . . . . . . . . . . ...
Words: 13813 - Pages: 56
...Chapter 9 health and disability insurance |CHAPTER OVERVIEW | Planning a health insurance program needs careful study because the protection should be shaped to the needs of the individual or the family. However, the task is simplified for many families because a foundation for their coverage is already provided by group health insurance at work. We begin the chapter by recognizing the importance of health insurance in financial planning and define health insurance. Then we analyze the benefits and limitations of the various types of health insurance coverage. Private and governmental sources of health insurance and health care are presented next, with a complete coverage of health maintenance organizations (HMOs). Then, we discuss the importance of disability insurance in financial planning and identify its resources. Finally, we explore why the costs of health insurance and health care have been increasing and what is being done to curtail them. |LEARNING OBJECTIVES |CHAPTER SUMMARY | After studying this chapter, students will be able to: |Obj. 1 |Recognize the importance of health |Health insurance is protection that provides payments of benefits for a covered sickness | | |insurance in financial planning. |or injury. Health insurance should be a part of your overall insurance program to | | ...
Words: 8147 - Pages: 33
...sponsor of the medicine, and used to identify patient populations for the medicine. ii. Establishes dormant therapy designation for medicine that addresses unmet needs, 15 years of data exclusivity. iii. Directs IOM study on intellectual property laws." 3. Clinical Trials f. Establishment of a Rare Disease Ombudsman within HHS. iv. Provide recommendations to the Secretary regarding guidelines on appeals and grievance processes and protections that ensure patients with rare disorders receive access to high quality treatment. v. Review and advise the Secretary regarding design features critical to patients with rare disorders and unmet medical needs, including, but not limited to, access to prescription drugs, out of pocket costs, and network adequacy. vi. Serve as a single point of contact for patients with rare diseases to address unique issues that impact access to care. vii. Play a role in ensuring that rare disease patients are accessing the necessary care through insurance plans offered under the state marketplaces. g. "Enable the FDA to use “real-world evidence” for certain products as a supplement or potentially as a replacement for randomized controlled trials, as...
Words: 1062 - Pages: 5
...University of Phoenix Material Insurance Worksheet Directions: Match the following words with the correct definition. Enter the letter of the correct definition in the Answer column. | |Term |Answer |Definition | |1. |Premium |E |The set amount that a policyholder must pay before benefits are paid under an insurance policy | |2. |Deductible |A |A network of participating medical providers who have contracted to provide services for certain | | | | |fees. You can receive care from providers outside of your network, but it will be at a higher | | | | |fee. | |3. |Copayment |F |Federally funded health insurance program available primarily to people over 65 or those with a | | | | |disability. Additional insurance may be purchased to supplement coverage. | |4. |Coverage |H |Health plan that provides a wide range of services for a fixed monthly premium. Preventive ...
Words: 1088 - Pages: 5
...Provider Reference Supplement [pic] HP Enterprise Services, Arkansas Title XIX Document Date: 5/12/2010 HP Enterprise Services Arkansas Title XIX Account 500 President Clinton Avenue, Suite 400 Little Rock, Arkansas 72201 (501) 374-6608 HP Enterprise Services and the HP Enterprise Services logo are registered trademarks of HP Enterprise Services. All other logos, trademarks or service marks used herein are the property of their respective owners. HP Enterprise Services is an equal opportunity employer and values the diversity of its people. © 2010 HP Enterprise Services. All rights reserved. Contents Introduction 3 Eligibility 4 Restricted Aid Categories 4 All Arkansas Medicaid Aid Categories 6 Therapy Benefits 10 Program Coverage 12 Prior Authorization Request Procedures for Augmentative Communication Device (ACD) 15 Evaluation 15 Contact List for Reviews, Managed Care and Authorizations 16 National Place of Service Codes 18 Quick Tips for Submitting Claims 19 Introduction to Billing 19 CMS-1500 Billing Procedures - Occupational, Physical, Speech Therapy Procedure Codes 19 Augmentative Communication Device (ACD) Évaluation 22 Billing Instructions - Paper Only 22 Completion of the CMS-1500 Claim Form 22 Special Billing Procedures 29 Common Billing Errors 30 Brief Overview of Benefits 31 Contact Information 32 Introduction This Billing Tips document serves as a training supplement for Arkansas Medicaid...
Words: 6485 - Pages: 26
...Instructions for Form W-3 . . . . . . . . . . . . . General Instructions for Forms W-2c and W-3c . . . . Special Situations for Forms W-2c and W-3c . . . . . Specific Instructions for Form W-2c . . . . . . . . . . . . Specific Instructions for Form W-3c . . . . . . . . . . . . Form W-2 Reference Guide for Box 12 Codes . . . . Form W-2 Box 13 Retirement Plan Checkbox Decision Chart . . . . . . . . . . . . . . . . . . . . . . . . Nonqualified Deferred Compensation Reporting Example Chart . . . . . . . . . . . . . . . . . . . . . . . . Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section references are to the Internal Revenue Code unless otherwise noted. 1 3 4 4 4 6 12 13 20 22 23 24 25 27 Additionally, Forms W-2 and W-2c electronic and paper wage reports for household employers will be returned under the following conditions: The sum of social security wages and social security tips is less than the minimum yearly earnings subject to social security and Medicare tax withholding for a household employee, and The Medicare wages and tips are less than the minimum yearly earnings subject to social security and Medicare...
Words: 29772 - Pages: 120
...APPLYING FOR TEMPORARY CASH ASSISTANCE, FOOD SUPPLEMENT PROGRAM (FORMERLY FOOD STAMPS) AND MEDICAL ASSISTANCE Social Security Numbers ← You must give us a social security number for each family member who wants benefits. ← If a person who wants benefits does not have a social security number, that person must apply for a number. We can help applicants get their numbers. ← If a family member has applied for a social security number, we will not delay your application while you wait for the number. ← We use social security numbers to prove income. We do not give numbers to other agencies like Immigration and Naturalization. Citizenship and Immigration Status ← You must tell us about the citizenship and immigration status for each family member who wants benefits. Information ← If a family member will not tell us about citizenship, immigration status or social security number, that person will not get benefits. ← They must still give us proof of income, expenses and other things. ← The other family members who give us their information will get benefits if they meet the rules. Emergency Medical Assistance ← Immigrants who are not eligible for other kinds of medical assistance and apply only for emergency medical assistance do not have to tell us their social security number, immigration or citizenship status. Time Limits ← Temporary Cash Assistance has time limits. ← The Food Supplement Program (formerly Food Stamps) and Medical...
Words: 5614 - Pages: 23
...Principles of Healthcare Reimbursement Anne B. Casto, RHIA, CCS Elizabeth Layman, PhD, RHIA, CCS, FAHIMA Copyright ©2006 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher. ISBN 1-58426-070-X AHIMA Product No. AB202006 Ken Zielske, Director of Publications Susan Hull, MPH, RHIA, CCS, CCS-P, Technical Reviewer Marcia Loellbach, MS, Project Editor Elizabeth Lund, Assistant Editor Melissa Ulbricht, Editorial/Production Coordinator All information contained within this book, including Web sites and regulatory information, was current and valid as of the date of publication. However, Web page addresses and the information on them may change or disappear at any time and for any number of reasons. The user is encouraged to perform his or her own general Web searches to locate any site addresses listed here that are no longer valid. AHIMA strives to recognize the value of people from every racial and ethnic background as well as all genders, age groups, and sexual orientations by building its membership and leadership resources to reflect the rich diversity of the American population. AHIMA encourages the celebration and promotion of human diversity through education, mentoring, recognition, leadership, and other programs. American...
Words: 9820 - Pages: 40
...Ever Life Insurance Company 2 Mid America Plaza, Suite 200 Oakbrook Terrace, Illinois 60181 (800) 621-9215 Administrative Office: c/o Worldwide Insurance Services, One Radnor Corporate Center, Suite 100, Radnor, Pennsylvania 19087 Certificate of Coverage Global Citizens Association Navigator Group Short Term Medical Coverage Non-Renewable Certificate of Coverage Number: 4EL-5007-14 Effective Date: July 1, 2014 The Insurance Coverage Area is any place that is anywhere in the world. The benefits provided by this Certificate are not subject to the guaranteed renewability and portability provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Insured Person may not purchase insurance for a period longer than the current Period of Coverage. Table of Contents I. Introduction Page 2 II. Who is eligible for coverage? Page 8 III. Definitions Page 11 IV. How the Plan Works Page 21 V. Benefits: What the Plan Pays Page 23 VI. Exclusions and Limitations: What the Plan does not pay for Page 29 VII. Prescription Drug Benefits Page 31 VIII. General Provisions Page 34 Limited Benefit, Please Read Carefully 1 Form 54.1403 I. Introduction About This Plan This Certificate of Coverage is issued by 4 Ever Life Insurance Company (“Insurer”) through a policy issued to the Global Citizen Association. In this Plan, “Insurer” means the 4 Ever Life Insurance Company...
Words: 29573 - Pages: 119
...United States Main article: Health care reform in the United States Health care reform in the United States Healthcare reform in the US Debate over reform History Latest enacted legislation Patient Protection and Affordable Care Act (Senate bill - H.R. 3590) Health Care and Education Reconciliation Act of 2010 (H.R. 4872) preceding legislation Social Security Amendments of 1965 Emergency Medical Treatment and Active Labor Act (1986) Health Insurance Portability and Accountability Act (1996) Medicare Prescription Drug, Improvement, and Modernization Act (2003) Patient Safety and Quality Improvement Act (2005) [show] More information -------------------------------------------------------------------------------- This box: view· talk· edit See also: Patient Protection and Affordable Care Act Maximum Out-of-Pocket Premium as Percentage of Family Income (Source: CRS) In the United States, the debate regarding healthcare reform includes questions of a right to health care, access, fairness, sustainability, quality and amounts spent by government. The mixed public-private health care system in the United States is the most expensive in the world, with health care costing more per person than in any other nation, and a greater portion of gross domestic product (GDP) is spent on it than in any other United Nations member state except...
Words: 3815 - Pages: 16
...UnitedHealthCare A deep dive into United States’ largest health carrier Report by : Guo F. Deng Jiarui Li Malavika Verma Srikanth S. Perinkulam : December’06, 2013 Published on afafaafa United Health Care Contents Company Profile and History ........................................................................................................................ 3 Financial Statement Analysis ........................................................................................................................ 5 Major Acquisitions ...................................................................................................................................... 11 Major Litigations and Public News.............................................................................................................. 13 The Patient Protection and Affordable Care Act (PPACA) .......................................................................... 15 Strategies and Foresight ............................................................................................................................. 18 Bibliography ................................................................................................................................................ 20 2 United Health Care Company Profile and History UnitedHealth Group is one of the largest health care companies in the United States. UnitedHealth Group is currently made of three entities which are UnitedHealthcare...
Words: 5427 - Pages: 22
...Economics and Aging Jennifer Burns GRO 330 Social Policy & Aging Instructor: Yvonne Lozano August 5, 2013 Economics and Aging Due to advancements in medicine, and nutrition our nation is living longer. As our nation gets older the last thing anyone wants to worry about is how to afford to live a life that is considered comfortable. The projections for the future are always estimated, and for seniors, their financial status at times is less then secure. The older population faces lower income levels, elevated medical expenses, lowering home values, and an unstable Social Security system. Along with worrying about income, seniors today think about where they are going to live and their failing health. The methods used for planning and saving for a retirement in prior generations are no longer economically sound and would not work in today's global market. The world has changed significantly since this current generation began planning for this stage of their lives. This creates countless financial problems for seniors looking to retire and having money that will last becomes more of a burden rather then enjoyment that is usually associated with retirement. Financial problems occur when retirees do not adjust their lifestyle to fit the new income restrictions. They must prepare emotionally for retirement and be aware of their limitations to steer clear of any financial problems (Carr, 2009). AARP recommends that one should contemplate downsizing...
Words: 1366 - Pages: 6
...Trays_____________________________________ 7 Vending Machines_____________________________ 7 Cafeteria________________________________________ 7 Financial Expectations for Admissions________ 7 Wireless Internet Access_______________________ 7 Valuables_______________________________________ 8 TV_______________________________________________ 8 Television Channel Listings____________________ 8 Your Privacy & Information___________15 Do You Have Pain? ________________________16 Don’t Leave Until… ________________ 17-18 Preparing for Discharge ________________19 Going Home _________________________________ 19 Billing ________________________________________ 19 Coordination of Benefits (COB) _____________ 19 Medicare _____________________________________ 19 Commercial Insurance ______________________ 19 For Self-Pay Patients ________________________...
Words: 18290 - Pages: 74
...QUARTERLY NEWS AND TOOLS FROM TIAA-CREF | SPRING 2005 Three Steps To Improve Your Financial Planning Understand your savings and investment habits Create a winning budget Find the right retirement product for your needs What’s the future of Medicare? COMMENT BERT SCOTT Designing Products to Meet Your Financial Needs T hroughout our 87-year history, TIAA-CREF has been an innovator in the retirement investment field. We created the variable annuity, pioneered the use of real estate and foreign investing in pension plans and helped bring inflation-linked bonds to America. But stay tuned; there’s more to come. As the leader of TIAA-CREF’s Product Management area, I am proud to be part of the team that will be bringing you our newest products and services. At Product Management, TIAACREF’s “manufacturing” center, top-notch professionals develop new investment and insurance products and make sure those we already offer are still working for you. In a continually changing financial services marketplace, our mission remains simple: to provide the tools you need to help reach your financial goals. A large part of our work involves listening to you. This enables us to know what you need now, and what you may need down the road. So we begin the product design process by asking questions: What do you, our clients, want to accomplish? ■ How will those goals change over time? ■ What do you like about what’s currently available to you? ■ What do you need that we don’t offer...
Words: 18154 - Pages: 73