Medicare

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The structure of the services index and definitions of the terms contained herein were originally published in A Taxonomy of Human Services: A Conceptual Framework with Standardized Terminology and Definitions for the Field by the Information and Referral Federation of Los Angeles County, Inc., 3035 Tyler Ave., El Monte, CA 91731; Copyright (c) 1983, 1987, 1991. No part of this listing of human services terms and definitions may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electrical, mechanical, photocopying, recording or otherwise without the prior written permission of the Information and Referral Federation of Los Angeles County, Inc.

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Taxonomy Code: NS-8000.5000

A federally funded health insurance program administered by the Centers for Medicare & Medicaid Services (CMS) under the U.S. Department of Health and Human Services for people age 65 and older; for individuals with disabilities younger than age 65 who have received or been determined eligible for Social Security Disability benefits for at least 24 consecutive months; and for insured workers and their dependents who have end stage renal disease and need dialysis or a kidney transplant. As with ESRD, the 24-month waiting period is waived for disability beneficiaries diagnosed with Amyotrophic Lateral Sclerosis (ALS, also called Lou Gehrig's disease). Premiums, deductibles and co-payments or out-of-pocket costs apply to Medicare coverage for most people. Special programs that assist with paying some or all of these costs are available for low income individuals who qualify. Medicare has four parts, but not every Medicare beneficiary has every part. Medicare Part A (Hospital Insurance) covers inpatient hospital stays, care in a skilled nursing facility, hospice care and home health care that meets the program eligibility criteria. Medicare Part B (Medical Insurance) covers services from doctors and other health care providers, outpatient care, home health care, durable medical equipment, preventive services and more. Together, Medicare Part A and Part B are called Original Medicare. Medicare Part C enables private insurance companies to offer Medicare Advantage (MA) Plans under contract with CMS that provide all Part A and Part B benefits to plan enrollees. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans and Medicare Medical Savings Account Plans. Some plans offer extra benefits and services that aren't covered by Original Medicare, sometimes for an extra cost; and most (but not all) include Medicare prescription drug coverage. Medicare Part D (Medicare prescription drug coverage) is an optional benefit that helps beneficiaries cover the cost of prescription drugs. The plans are offered by insurance companies and other private companies approved by Medicare and add prescription drug coverage to Original Medicare, some Medicare Private-Fee-for-Service Plans and Medicare Medical Savings Account Plans.

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There are 22 matching records.
Service NameDescriptionLocationProgramAgency
Generations of Indian Valley - Apprise CounselingApprise Counseling provides medical insurance counseling information about Medicare health care choices.MontgomerySenior Adult Activity Center of Indian Valley - Montgomery; SoudertonGenerations of Indian Valley
Holy Redeemer Health System - Saint Joseph's ManorOlder adults requiring long-term care will find our private resident rooms and spacious, sun-filled living areas are designed to to maximize privacy, safety and social opportunities. And, our close proximity to Holy Redeemer Hospital and Medical Center and its physician offices offers convenience and peace of mind for residents. Our nurses and staff care for residents and help them to function. Manor staff subscribe to the Eden Philosophy of care - a belief that emotional, intellectual and spiritual growth are lifelong processes. St. Joseph's Manor offers each resident opportunity for community, creativity and self-reliance. The Manor is Medicare and Medicaid Certified.MontgomerySaint Joseph's ManorHoly Redeemer Health System
MedicareAdministers the Medicare program and monitors the Medicaid programs offered by each state. Individuals can go online or call to ask questions about Medicare benefits and/or claims, get help comparing health plans, Medigap policies, and prescription drug plans, order publications, receive referrals to state agencies and participating providers or get assistance finding and comparing hospitals, home health agencies, nursing homes, and dialysis facilities anywhere in the country.Centers for Medicare and Medicaid ServicesUnited States Department of Health and Human Services
Personal Health Care - Medicare ServicesMedicare covers home health care services when a client meets the following criteria: -The care must be deemed medically necessary by the physician -The client must be under the regular care of a physician and the physician must certify and sign a Medicare plan of treatment -The patient must have a need for skilled nursing or physical therapy in order to receive home health aide services -The patient must be essentially homebound -The care delivered would be on an intermittent basisMontgomeryPersonal Health Care, Inc. - Montgomery; PhoenixvillePersonal Health Care
Social Security Administration - AllentownA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.LehighUnited States Social Security Administration - AllentownUnited States Social Security Administration
Social Security Administration - BerksA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers Medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.BerksSocial Security Administration - BerksUnited States Social Security Administration
Social Security Administration - BethlehemA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.NorthamptonUnited States Social Security Administration - BethlehemUnited States Social Security Administration
Social Security Administration - CarbonA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.CarbonUnited States Social Security Administration - CarbonUnited States Social Security Administration
Social Security Administration - EastonA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.NorthamptonUnited States Social Security Administration - EastonUnited States Social Security Administration
Social Security Administration - LancasterProvides the following services: - Processes and makes determination on all types of applications for Social Security retirement, survivors disability, and Medicare benefits - Processes claims for Supplemental Security Income (SSI) benefits - Informs employers, employees, and self-employed persons of their rights and responsibilities under the Social Security program - Assists beneficiaries with necessary reporting of events which might affect continuing eligibility - Accepts applications for original and duplicate social security numbers - Explains the right to the appeal process to dissatisfied clients - Investigates possible collusion, impersonation, misrepresentation, or fraud in connection with claims under the Social Security Act - Maintains an informational resource file and makes appropriate referrals - Accepts initial applications for Black Lung Benefits - Burial Benefits: $255 if the person who dies has worked enough quarters to qualify for social security benefits in his/her name and there is a surviving spouse or a child who is eligible to receive benefits from deceased person's social security Services available from Social Security Online include: - Replacement copy of benefits statement - Copy of earnings record - How to file a claim for retirement or disability benefits - Apply for, replace or change your name on your Social Security card LancasterSocial Security Administration - LancasterUnited States Social Security Administration
Social Security Administration - LebanonProvides the following services: - Processes and makes determination on all types of applications for Social Security retirement, survivors disability, and Medicare benefits - Processes claims for Supplemental Security Income (SSI) benefits - Informs employers, employees, and self-employed persons of their rights and responsibilities under the Social Security program - Assists beneficiaries with necessary reporting of events which might affect continuing eligibility - Accepts applications for original and duplicate social security numbers - Explains the right to the appeal process to dissatisfied clients - Investigates possible collusion, impersonation, misrepresentation, or fraud in connection with claims under the Social Security Act - Maintains an informational resource file and makes appropriate referrals - Accepts initial applications for Black Lung Benefits - Burial Benefits: $255 if the person who dies has worked enough quarters to qualify for social security benefits in his/her name and there is a surviving spouse or a child who is eligible to receive benefits from deceased person's social security Services available from Social Security Online include: - Replacement copy of benefits statement - Copy of earnings record - How to file a claim for retirement or disability benefits - Apply for, replace or change your name on your Social Security card LebanonSocial Security Administration - LebanonUnited States Social Security Administration
Social Security Administration - SchuylkillProvides the following services: - Processes and makes determination on all types of applications for Social Security retirement, survivors disability, and Medicare benefits - Processes claims for Supplemental Security Income (SSI) benefits - Informs employers, employees, and self-employed persons of their rights and responsibilities under the Social Security program - Assists beneficiaries with necessary reporting of events which might affect continuing eligibility - Accepts applications for original and duplicate social security numbers - Explains the right to the appeal process to dissatisfied clients - Investigates possible collusion, impersonation, misrepresentation, or fraud in connection with claims under the Social Security Act - Maintains an informational resource file and makes appropriate referrals - Accepts initial applications for Black Lung Benefits - Burial Benefits: $255 if the person who dies has worked enough quarters to qualify for social security benefits in his/her name and there is a surviving spouse or a child who is eligible to receive benefits from deceased person's social security Services available from Social Security Online include: - Replacement copy of benefits statement - Copy of earnings record - How to file a claim for retirement or disability benefits - Apply for, replace or change your name on your Social Security card SchuylkillSocial Security Administration - SchuylkillUnited States Social Security Administration
Social Security Administration - SelinsgroveA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.SnyderUnited States Social Security Administration - SelinsgroveUnited States Social Security Administration
Social Security Administration - YorkRetirement benefits Medicare- health insurance to those over 65 years or disabled SSI- assistance to those over 65, blind, or disabled Disability benefits Survivor benefits Black lung benefits - birth certificate, social security card, physical exam required To report suspected fraud call (800) 269-0271.YorkSocial Security Administration - YorkUnited States Social Security Administration
United States Social Security Administration - Cattaraugus County OfficeA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.United States Social Security Administration - Cattaraugus County OfficeUnited States Social Security Administration
United States Social Security Administration - Chautauqua County OfficeA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.United States Social Security Administration - Chautauqua County OfficeUnited States Social Security Administration
United States Social Security Administration - Clearfield County OfficeA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.ClearfieldUnited States Social Security Administration - Clearfield County OfficeUnited States Social Security Administration
United States Social Security Administration - Crawford County OfficeA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.CrawfordUnited States Social Security Administration - Crawford County OfficeUnited States Social Security Administration
United States Social Security Administration - Erie County OfficeA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.ErieUnited States Social Security Administration - Erie County OfficeUnited States Social Security Administration
United States Social Security Administration - Venango County OfficeA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.VenangoUnited States Social Security Administration - Venango County OfficeUnited States Social Security Administration
United States Social Security Administration - Williamsport OfficeA national program of contributory social insurance. Employees, employers and the self-employed pay contributions that are pooled in special trust funds. These funds provide income to workers and dependents in the event of retirement, disability or death. SSA also administers medicare and the Supplemental Security Income (SSI) program for the aged, blind and disabled. Local offices accept applications, determine eligibility, hear appeals and are available to assist individuals trying to access benefits.LycomingUnited States Social Security Administration - Williamsport OfficeUnited States Social Security Administration
Welfare Information HelplineWelfare information about public assistance programs including cash, medical assistance, food stamps, and LIHEAP (Low Income Home Energy Assistance Program)DauphinWelfare Information HelplineWelfare Information Helpline

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