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  Consumer Links Premums Can you buy medi-care if you don't qualify?

Medicare is a Health Insurance Program for people 65 years of age and older..., it's the nation's largest health insurance program and  covers nearly 40 million Americans.   

Part A (Hospital Insurance) Helps pay for care in hospitals as an inpatient,... skilled nursing facilities, hospice care, and some home health care, but not Long Term Care.   Most people get Part A automatically when they turn age 65 at no charge, since they or a spouse paid Medicare taxes while they were working. Click here for Pamphlet on Medicare Benefits. For even more detail click on Your Medicare Coverage Medicare & You You need to sign up close to your 65th birthday, even if you will not be retired by that time. (If you are getting Social Security benefits when you turn 65, your Medicare Hospital Benefits - Part A - start automatically.)

 

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Part B (Medical Insurance) Helps Pay For Doctors' services, outpatient hospital care, and some other medical services that Part A does not cover, such as the services of physical and occupational therapists, and some home health care, but not Long Term Care. Part B helps pay for these covered services and supplies when they are medically necessary. Click here for more information The premium is $88.50 per month in 2006You can sign up by contacting your local Social Security office

Part C Medicare Advantage Managed Care Plans (like HMOs), and Medicare Private Fee-for-Service Plans

Part D Prescriptions. 

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Medicare & You 2010  120 Pages 
Medicare & You 2010

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Travel (health care needed when traveling outside the United States)

Medicare generally doesn’t cover health care while you are traveling outside the U.S. (the "U.S." includes the 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa). There are some exceptions including some cases where Medicare may pay for services that you get while on board a ship within the territorial waters adjoining the land areas of the U.S. In rare cases, Medicare may pay for inpatient hospital, doctor, or ambulance services you get in a foreign country in the following situations:

1) If an emergency arose within the U.S. and the foreign hospital is closer than the nearest U.S. hospital that can treat your medical condition

2) If you are traveling through Canada without unreasonable delay by the most direct route between Alaska and another state when a medical emergency occurs and the Canadian hospital is closer than the nearest U.S. hospital that can treat the emergency

3) If you live in the U.S. and the foreign hospital is closer to your home than the nearest U.S. hospital that can treat your medical condition, regardless of whether an emergency exists

You pay 20% of the Medicare-approved amount, and the Part B deductible applies.

Medicare.gov/
How does Medicare pay when you're out of the USA?
Travel Policies?
 

 

Medicare FAQ's 

Will I get Medicare at age 65 if I'm not yet eligible for Social Security?

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Technical & Research Links

Medicare Physician Fee Schedule Resource-Based Relative Value Scale (RBRVS)  The Medicare RBRVS physician fee schedule replaced the Medicare physician payment system of "customary, prevailing, and reasonable"

ASC Fee Schedule ZIP  files CMS Site,  .pdf West Virginia.com

Medicare Learning Network - Very technical for Doctors & Professionals

BC Advantage Health Net MAPD BS Advantage Medi Gap BC BS Medi Gap Health Net Medi Gap Part D - Rx Under 65 Long Term Care Medicare Social Security More Information!!! Senior Dental Site Map

 


  Question
  Do I have to pay for Medicare Part A (Hospital Insurance)?

  Answer
  You will not have to pay for Medicare Part A if you (or your spouse) worked and paid Medicare taxes for at least 10 years. If you (or your spouse) did not pay Medicare taxes while you worked and you are age 65 or older, you may be able to buy Part A. Call the Social Security Administration at 1-800-772-1213 for more information about buying Medicare Part A.
http://questions.medicare.gov/ Medicare & You 2010

The following is a listing of the Medicare premium, deductible, and coinsurance rates that will be in effect in 2009:

Medicare Premiums for 2009:

Part A: (Hospital Insurance) Premium

  • Most people do not pay a monthly Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.
  • The Part A premium is $244.00 per month for people having 30-39 quarters of Medicare-covered employment.
  • The Part A premium is $443.00 per month for people who are not otherwise eligible for premium-free hospital insurance and have less than 30 quarters of Medicare-covered employment.

Part B: (Medical Insurance) Premium

$96.40 per month*

http://questions.medicare.gov/

How to Enroll in Medicare


Coverage while you are waiting to get into Medicare
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Steve Shorr, President,
CPCU, REBC, RHU

Established   1981

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