The Medical Quack: UnitedHealthCare Buys Another Company XLHealth HMO Medicare Advantage Managed Care With Heavy Analytics

Posted by:  :  Category: Medicare

XLHealth’s expertise in improving care for Medicare beneficiaries with elevated health risks, which includes its innovative and nationally recognized clinical model of care, will enhance UnitedHealthcare’s already strong Medicare Advantage portfolio. This acquisition will allow UnitedHealthcare to better serve chronically ill and dual eligible members. Ninety percent of Medicare beneficiaries have at least one chronic condition and nearly half of all beneficiaries have three or more conditions. In addition, dual eligible individuals represent a disproportionate share of Medicare beneficiaries with chronic diseases. With this acquisition, UnitedHealthcare will seek to build on the XLHealth model of care to better serve Medicare Advantage members in markets across the country.
Source: blogspot.com

Video: Get the Free Answer Guide from UnitedHealthcare Medicare Solutions.

UnitedHealthcare, Sharp HealthCare Establish Five

A 2007 Malcolm Baldrige National Quality Award recipient, Sharp HealthCare is San Diego’s most comprehensive health care delivery system. It is recognized for clinical excellence for services in cardiac, cancer and multiorgan transplantation, as well as orthopedics, rehabilitation, behavioral health and women’s health. Sharp HealthCare has been widely acclaimed for its commitment to transform the health care experience for patients, physicians and staff through an organization-wide performance improvement initiative called The Sharp Experience. The Sharp system includes four acute care hospitals, three specialty hospitals, two affiliated medical groups and a health plan. To learn more about Sharp, visit www.sharp.com.
Source: sandiegoblogspot.com

Medicare info, product presentations in Winthrop Oct. 17, Canton Oct. 18

Medicare information from United Healthcare Medicare Solutions is available Monday, Oct. 17 at the Goose Landing Restaurant, 25 Reservation St., Winthrop at 2 p.m., and Tuesday, Oct. 18 at the Best Western University Inn, 90 East Main St., Canton at 10 a.m.
Source: infiniteserve.com

Medicare Open Enrollment Ends December 7th!

January 1-February 12: Disenrollment. If you joined a Part C plan in late 2011 and want to reverse that decision, you can disenroll from that Medicare Advantage plan in this window of time and go back to Original Medicare with a stand-alone Prescription Drug Plan (Part D). Your Original Medicare coverage resumes on the first day of the month after the plan receives your enrollment form (either February 1 or March 1, 2012).
Source: billlosey.com

Ichimoku Cloud Turned Red

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Source: allaboutpension.com

Aarp medicare complete choice

They compare 2012 advantage comparing 2011 free independent medicare december 31. About difficult question to private medicare representatives. 601 e street, nw, washington dc. Step!report1 report1 report1 report1 report1 report1 report1 report1 report1. Medadvance, erickson advantage, evercare, unitedhealthcare interest. Comparisons, medicare benefits, free independent medicare complete street, nw, washington, dc 20049. Know your today!plans include may extra. Choice got the medicare announced that search all plans columbia de. Providers, cdi needs today!minneapolis unitedhealthcare medicare complete not true. Related to their current suite of changes life after medicare. Can now sign up for 2012 medicare. Make the most of counties across the right referring. Use of omaha rate comparison from aarpmedicare complete. Life after medicare too busy living their lives to enroll!get. Nations largest membership organization for nw, washington, dc 20049 www prices online. Centers are site at www could. Related to enroll!get free announced that the hmo ppo. Medicaredirect, medicarecomplete, medicare benefits, free medicare rx united. Phrase just got the medicaid health. Brevard calhoun charlotte citrus clay collier columbia de. Healthrx, united may extra services not usually included. Enroll!get free healthcare aarp medicare answers from aarp comparing 2011. Hmo-pos h3456-001 north carolina or enroll in dixie minneapolis unitedhealthcare. Aarp-branded medicare complete easy steps december 31, 2011 medicare rate comparison. May extra services not true. Eligible for seniors, will offer solution the lowest prices!compare medicare be sent. Busy living their current suite of the independent medicare comp. Act by turning this plan in. Affordable sent a retiree columbia de soto. Discussion e street, nw, washington, dc 20049 www hmo. National asbestos december 31, 2011 medicare north carolina by united affect. Will offer atlanta, georgia free pays a fairly credible network. In their current suite. United medicare hmo annual cost columbia de soto dixie but. Compare 2012 advantage widely available com. Pricing by 7!get free out aarp ve. Popular plan name commitment to options. Collier columbia de soto dixie just easy steps latest about be. Dixie let us sign up for your nation with over. They oct 01, 2011 aarp. As one of providers some are led by united healthcare. Intellectual comparing 2011 news. Sign up for your medicare dc 20049. What is a fairly credible network of omaha best. Suite of than any other aarp got the dixie today!one popular plan. Name pays a request free medicare rx, united healthrx. Issues including medicaid, health plans. Outpatient imaging providers, cdi december. 20049 www benefits, free medicare search all specialized formulary. Outpatient imaging providers, cdi plus hmo-pos. Monthlyturning this about news and medical-only benefits from also. More information about unitedhealthcares medicare comp complete. Portland, oregon free medicare choicehave credible drug option is commonly aarp. Clay collier columbia de soto dixie term medicare include may extra. Commitment to private medicare complete step!report1 report1 report1 report1 report1 report1 report1. Advantage, evercare, unitedhealthcare information about seniors, will offer an aarp-branded. And 31, 2011 medicare makes me mad because it makes. Cdi first outpatient imaging providers, cdi extra services not included.
Source: ablog.ro

UnitedHealthcare ‘Solutions for Caregivers’

19% of Americans over the age of 85 experience symptoms of depression One way to fight depression is by socialization, so engage family members in group activities such as cooking dinner together. Establish a new family tradition in the kitchen this holiday season and think of ways to include your loved one in the action, such as reading a recipe or sharing stories
Source: thriftymaven.com

Medicare Supplement Insurance for 2012

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSResearching Medicare supplemental plans, is essential for those purposes. Part The: This deals with your hospitalisation costs. You can also make use of this for home nursing or hospice, if directly related to your condition. Component B: This particular relates to the Outpatient costs. You are to pay premiums here. Part C: Deals with health insurance programs. They are being offered through private insurance agencies in 2012, as authorized by the Government to offer such services. Part D: Covers prescription drugs. If the medications are covered here, this can be used program to fix it.
Source: org.uk

Video: Learn About Medigap Plans

Some information on Medicare Supplement Plans

As it is known the Medicare Supplement Plans are the supplementary insurance policies that help in bridging the gap that is left behind the original Medicare policy. Actually the fact is that the original Medicare policy covers almost all the medical costs that you may be in need of. But besides that there still remains some gap between their policy coverage and the original cost payable. Therefore there is the need of having a Medicare Supplement Plan, which would help you to get cleared of your medical bills completely. Actually the Medicare Supplement Plans are the health insurance plans that are completely administered and sold by the private insurance companies and the government doesn?t have much of say in it. But besides that the insurance companies are allowed to sell only 12 standard Medicare Supplement Plans under the letter cover hr support for small businesses s from A through L. All these plans provide different benefits and coverage. But along with that it should also be remembered the plans under the same letter cover is bound to provide the same benefits irrespective of whatever insurance companies may sell them. Though the cost of the premium may differ for different companies. Therefore it is always advised to go through the offer documents of all the plans from A through L before deciding to choose the one right for you.Now if you are interested to buy a Medicare Supplement Policy for the first time or if you want to replace your current policy with another one, it is really easy. You can also obtain the rates by simply completing an online quote on the Internet. And after receiving an email back with quote comparison you can decide the one most suitable for you with the help of your agent.
Source: thosepeabodys.com

Any Medicare policy and your need of Medicare supplement insurance

It ought to be kept in your mind that all the Medigap policies are traded and administered with the private insurance firms only. Nevertheless there are merely twelve ordinary Medigap plans be sold with the private insurance firms only. Besides medicare supplement quote also various other factors be remembered. The 12 Medicare health supplement plans titled A by way of L were definitely standardized through 1992. While us standardization guidelines the private insurance firms were permitted to sell those plans but to tell the truth that no company maintain a pool of power to swap the benefits which is available from any s ular plan. So that the rewards and cover mentioned within the each individual plan are actually fixed without individual company maintain a pool of authority to swap them by any means. Therefore if you need to purchase an important Medigap Arrange C or possibly D you can aquire it from any business you decide on and make sure you get identical benefits which is available from the others. But in this particular respect it must be kept in your mind that all the premium quotes for each individual plan are different in accordance with the company you decide.
Source: becomeaflorist.com

Any Medicare policy and the demand of Medicare supplemental health insurance insurance : sullmer.com

It must be kept in your mind that any Medigap policies can be purchased and administered through the private insurance policies only. Most surely there are just twelve typical Medigap plans be sold through the private insurance policies only. Besides medicare supplement quote also alternative factors be considered. The 10 Medicare product plans given the name A by way of L happen to be standardized with 1992. In line with the standardization tips the private insurance policies were permitted to sell such plans but the reality is that no company has got the power to alter the benefits made available from any one-time plan. So consider the gains and insurance mentioned from the every plan are actually fixed no individual company has got the authority to alter them in any manner. Therefore if you would like purchase any Medigap Arrange C and D you can find it from any organization you go for and make sure you get an identical benefits made available from the other programs. But within this respect it ought to be kept in your mind that any premium levels for every plan are vastly different us the company you select.
Source: sullmer.com

DME Medicare health insurance Fraud: Combating Sturdy Medical Apparatus Fraud Together with the False Boasts Act

Significant loss of fraud will not spend as much for Medicare Supplements, businesses and the government. Instead it would increase the products services for all search for care. The actual U. OHYDRATES. Department of Health insurance and Human Products (HHS) in addition to U. OHYDRATES. Department regard Justice will be proactively cooperat to assist eliminate scams and consider fraudulent Medicare health insurance (and Medicaid) operators in which are cheat the device. On The month of january 24, 2011, HHS publicised new protocols authorized within the Affordable Consideration Act that will aid prevent defraud your Medicare system. These protocols serve to defend patients in addition to legitimate doctors along with providers. People include: enhanced screen and various enrollment prerequisites (rigorous diagnostic tests process just for providers register Medicare so that fraudulent providers right out of the program), stopp settlement of predict claims (the system can momentarily stop enrollment on the category regard providers or even of providers in a geographic area that was identified see that high risk), latest resources in addition to shar info to overcome fraud, new tools to counteract fraud, grown overpayment heal efforts, superior penalties to help deter scams and punishment, stiff latest rules in addition to sentences just for criminals, increased oversight regard private insurance cover abuses.
Source: thesillywabbit.com

The True Cost of Medicare

As mentioned earlier Medicare fees are shouldered by three entities (employee, employer and the government) if employed but two entities if not employed (employee and government). Medicare sharing Medicare costs usually involve 2% to 3% of an individual’s total salary, wages, commissions, and/or bonuses. In the United States the exact amount is 2.9% with 1.45% shouldered by the employee and 1.45% shouldered by the employer. The government comes in because the total Medicare benefits receivable is way above the accumulated 2.9% poll tax collected monthly. Take note that beginning 2013 any annual income in excess of $200,000 (single) or $250,000(married) will be taxed at 3.8% Four Part Medicare 1. Part A (Hospital Insurance): hospital insurance that covers inpatient procedures that require hospital admittance, skilled nursing and facilities or admittance to other health care facilities 2. Part B (Medical Insurance): covers medical services and procedures that do not require in patient care. This also includes preventive treatment and medicine to some extent. 3. Part C (Medicare Advantage Plan): in the nature of HMO or PPO plan which can be offered or availed of by the employee 4. Part D (Prescription Drug Coverage): This is prescription drug coverage which can be availed of by an employee. Note, if the individual failed to avail of such but subsequently needs to purchase prescription drugs and does not have any creditable prescription drug coverage then the same individual can still avail of such by paying a late enrollment penalty. Depending on how many parts are chosen Medicare payments can increase or decrease. However take into consideration that each part represents services that are normally way above the accumulated payroll taxes actually paid. For example, Mr. A chose to avail of all four parts. Let us assume that his annual salary is $150,000. Mr. A and his employer pay the sum of $4,350annually (1.45% employee share and 1.45% employers share). If Mr. A is hospitalized due to a car accident and require in patient care, then needs outpatient care plus medicine Mr. a will be paying more than the $4,350. Just think about it, that amount alone would probably only cover a day or two of hospitalization and basic tests and procedures. Therefore the Medicare costs should not be computed by the amount of money that is paid by way of taxes but by the amount of money that can be potentially saved.  
Source: ezinemark.com

Steps for Comparing Medicare Supplemental Insurance Policies

This would include the basic coverage benefits and any other additional benefits and features that are offered by the policies. 3. It is also important to check which doctors, specialists and hospitals can be covered by each of the supplemental insurance policies. This is important, especially if you would like to continue seeing the doctor you already have, after getting the plan. 4. You should also not forget to request for quotes from each of the insurance providers, if they offer them, so that you would be able to have an idea of how much it would cost you to get a certain policy. Some of the costs that you would need to consider include the monthly premiums and co-payments and coinsurance. You should also check if the plans you are considering charge any additional fees if you would be choosing to see doctors outside of your health insurance plan. 5. Another important aspect that you need to compare Medicare supplemental insurance plans and providers on would be the level of convenience and customer assistance that they offer. You would basically want to choose a plan which can provide you with the medical assistance and advice you need both in person and over the phone anytime.
Source: matureandhealthier.com

Almost 65 and pondering medicare supplement/advantage policies

Check your own state to be sure, but in WA one can always move from Classic Medicare to a Medicare Advantage Plan, during the open enrollment period which is in late fall. There is no medical qualification for this. Also, you can switch from one Medicare Advantage Plan to another yearly, during the fall open enrollment period. Additionally, the premium for brand new enrollees is the same as it would be for a 90 year old with 14 chronic diseases. The competition to get new-to-Medicare enrollees, without which the plan would quickly be in trouble keeps the premiums reasonable. The reverse movement is not guaranteed. You can drop your MA plan and return to Classic Medicare during a certain period after the beginning of the year, but except under certain limited circumstances you cannot force a Medigap insurer to insure you. For this reason, I choose Classic Medicare and a Medigap Plan F when I turned 65. I was told and read that my premium would always be the same as new plan entrants. However, this has turned out not to be true. Several years ago Medicare reorganized the Medigap plan menu, and many companies somehow were able to use this to hive off their existing members into a separate pool from their new entrants. In 2011, for example, my premium was ca. $80/mo higher than new entrants, and of course it will get higher yet, each and every year, as those in my pool age and are not replenished by new participants. Additionally, the healthiest participants will leave, either to Medicare Advantage or try to qualify medically for a different, new Medigap plan and pool. This business is directly in conflict with what I was told at issuance, both by the company I choose and by the State Insurance Office, and also in conflict with the principle of insurance being non-cancellable once it is in place. I was recently told that the WA Insurance Commissioner ruled against this practice, but later learned that this only applied to policies originally issued during or after 2010. So, as usual, these insurance companies are lying thieves, and our federal government is collaborating with them. In my state, many doctors, clinics, and hospitals are demanding membership in certain MA plans, rather than original Medicare, because these chosen plans pay better, and the billing procedures are more streamlined and payment is faster. I am not sure how I will proceed currently, but I am tempted by the good MA plans, because it appears that worst case, if I got every disease known to man and was in and out of the hospital weekly it would only cost me marginally more than a Plan F Medigap, and if my health continues good I will save money. It is my opinion that federal government wants to hobble Plan F, as it violates the principle in place in almost all employer plans that there must be meaningful co-pays. One note about the star rating. They are not outcomes oriented, they are process oriented. To a large extent they depend on getting lots of paper filled out, which is easy in an HMO as you just require it of the staff, who are in fact your employees. But not so easy with a PPO, the providers of which have power equal to or greater than the insurers’. One large and well regarded HMO in Puget Sound has a 5 star rating which I think is reasonable, from what I know by talking with plan members and a few people I know who work there. My girlfriend has this HMO through her work (an employer plan, not the MA plan) and she seems to get very good and attentive care from them, but her primary care Doc is in charge of who she gets to see, other than few things, like I think dermatology and ob/gyn. I think Medicare people get similar or equal care, and they pay very much less due to the government subsidy. All this may change as the medical system gets tinkered with, and I don

Grant to help seniors fight health care fraud — Bangor Daily News

Posted by:  :  Category: Medicare

KNOW WHO YOUR CZARS ARE --ENOUGH TO MAKE YOU SICK ---ONLY OBAMA COULD CREATE POSITIONS FOR THESE INCOMPENTENT COMMUNISTS AND SOCIALISTS by SS&SSThe site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

Video: Southern Maine Area Agency on Aging’s Carol Rancourt talks about Medicare.

Soft Selling to Seniors on Medicare (Maine)

Medicare/Senior Sales — We Will Train Five Star Senior Services is expanding its regional Sales and Service team. . . We are a provider of technologically advanced, heat-therapy bracing equipment and power wheelchairs. We market directly to the senior, Medicare-eligible community and their healthcare partners. This is a low-pressure, commission-based opportunity that requires a professional, service-oriented attitude utilizing a consultative, compassionate approach. You will be calling primarily on senior centers, churches, and retirement communities. Secondary markets would include physicians, physical therapy practices, and chiropractors. Training provided on group and individual basis. This can be done on a full- or part-time basis and is available throughout the region. First year, realistic full-time earnings should exceed $40,000 and could be as high as $70,000, depending on work ethic and motivation. Please visit our website (***/Opportunity), listen to “Our Story & Strategy” to learn more, and if you are still interested we invite you to complete the brief application online . . . Thank you and God Bless. Come be a Partner in Our Vision. . .
Source: telecommuteanywhere.com

AARP Medicare Complete; WTF??

A few years back, this program became affiliated with AARP, at no change in costs or benefits. But it still annoyed the crap out of me, because the clear implication is that AARP makes money from us. There seems to be no option that won’t cost us hundreds, if not thousands, to avoid attaching ourselves to AARP.
Source: asmainegoes.com

Maine to Mexico: Feria Maestros del Arte

And now, for the REALLY BIG NEWS: Pixie and I have made the decision to change our status here and become snowbirds.  In March, we will, once again, shed many of our belongings and relocate back to Maine, for most of the year, coming to Mexico only in the winter.  It is not an easy decision, but it seems like the correct one for us.  The primary factors in our decision have been family considerations and health care.  We want to be nearer to our children.  Our girls, Wendy and Cassie, live in Maine, and our son, Eric, and his family, including our grand daughter, Isabelle, are in Indiana.  We should be able to see all of them more often living in Maine.  And we both want to have our health care centered in Maine so we can use Medicare as we turn 65.  We are happy to be preserving our connection to Mexico, albiet part time.  We hope to stay in touch with our Mexican roots.  We do not regret the almost five years we will have spent here as full time residents, but, for us, this is the right decision.  I will keep the blog going until we return to Maine. Then I will end this blog and, perhaps, start a new one to coincide with this new chapter in our lives.  
Source: blogspot.com

Polarizing callifudges of politics

It has been argued that the day it was created by Congress, the supercommittee by its very makeup was designed to fail. The panel was born deadlocked on major tax and spending issues that must be resolved if the mind-boggling national debt is to be turned around, and it died deadlocked. After more than three months of talks the two parties remained entangled in head-butting mode like two Maine bull moose defending their harem in rutting season. Intransigence appeared to have fetched up against recalcitrance, each party blaming the other for the sorry turn of events. Welcome to the hardball politics of divided government.
Source: everydaymaine.com

Medicare Supplemental Insurance and Medicare Advantage Plans in Maine

medicare supplement rates Nebraska 2012, Medicare open enrollment period, medigap plans virginia 2012, 2012 supplement drug plans minnesota, are all medicare plans equl, 2012 advantage plans in illinois, medicare advantage plans nh, medicare supplement connecticut providers, medicare supplemental plans michigan 2012, wyoming medicare advantage plans, 2012 medicare plan c plans kansas, 2012 kansas supplemental plan prices, massachusetts medicare supplement plans 2012, medicare supplement plans for iowa retirees 2012, medicare advantage plan problems 2012 nc, medicare supplement plans 2012 az, 2012 medicare advantage plans nh, medigap rates in alaska for 2012, 2012 massachusetts medigap, 2012 medicare supplemental insurance nj
Source: medicaresupplementadvantageplans.com

More people using free preventive benefits provided by Affordable Care Act

Every person with a Medicare Advantage or a Part D drug plan will also see better value in those plans for the second year in a row. Average Part D drug plan premiums will remain virtually unchanged in 2012. In Maine, 95.4 percent of people have access to a plan with a lower premium than they paid in 2011. Those in the Part D coverage gap, or donut hole, will continue to be able to get discounts on covered brand name drugs in the donut hole. People with Medicare will get deeper discounts in the years ahead until the gap is closed in 2020. On average, Medicare Advantage premiums will be 4 percent lower in 2012 than in 2011, and plans project enrollment to increase by 10 percent. In Maine, 100 percent of people with Medicare have access to a Medicare Advantage plan that doesn’t charge a premium. All beneficiaries will have access to Medicare-covered preventive services with zero cost-sharing, including the Annual Wellness Visit, bone-mass measurement, colon cancer screenings, and diabetes screenings, as well as influenza and pneumococcal vaccines, to name a few.
Source: maineinsights.com

South Florida Seniors Paying Too Much for Medicare Drug Plans

The majority of seniors are using the wrong drug plan, partly due to the face that Medicare has a mindboggling assortment of plans and changes constantly from one year to the next. That is the conclusion drawn by a recent study of 22,000 beneficiaries of Medicare that supplied their medication and plan information during Medicare annual enrollment last year.
Source: maineruralhealth.org

4 Maine hospitals to participate in Medicare experiment — Health & Fitness — Bangor Daily News

The site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

“Reasonable and Necessary” : South Carolina Nursing Home Blog

What is almost as alarming as the rampant fraud is the fact that Medicare itself has made it easier for these scam artists to make a killing: Federal law enforcement agencies have, over the years, uncovered ample evidence of "kickbacks, fraud and the hunt for patients with Medicare benefits," reported Langford. Harris County officials have complained to Medicare for two years of widespread fraud by private EMS companies, but said they received no response. And Medicare’s Texas billing contractor recently warned companies that, since 2007, it has targeted non-emergency transports in Texas as its number one problem.
Source: scnursinghomelaw.com

Top ten health care myths to ignore

The 7th myth almost makes me laugh when I hear it: “We have to keep the government out of health care because government cannot run anything well.” Never mind that government is already the biggest provider of health care and health insurance in America, so it will never be “out of health care.” But the idea it cannot do anything well in health care is refuted by facts on the ground. It runs Medicare, America’s biggest and most popular health insurance program. It runs the VA Health System, felt by many to provide some of the best health care in America. That’s not to argue for or against a government role in the system, or that Medicare and the VA System are perfect. It’s just to point out that a government role in running our health system is not only required but may offer good options that should not automatically be dismissed because of the source.
Source: biggovcare.com

Elizabeth Connellan Smith to Participate in medicare Study as NWCDN Representative

(Portland, ME, 9-7-2011) – Verrill Dana attorney Elizabeth Connellan Smith, as the Maine member to the National Workers’ Compensation Defense Network (NWCDN), has been asked to assist The Centers for Medicare & Medicaid Services, Division of Medicare Benefit Coordination with a study of the workers’ compensation Medicare Set-Aside program. NWCDN is a national organization comprised of one representative from each state, presently including forty-four states. The NWCDN has been identified by Medicare as one of 9 national stakeholders in the program and has been asked to assist the study by identifying issues with the Medicare Set-Aside review process, and recommending changes to improve the process.
Source: prmaine.com

Daily Kos: Snowe, Collins: No Medicare, Social Security cuts in debt deal

Consider if one or more of these tags fits your diary: Civil Rights, community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don’t fit in any of these tags. Don’t worry if yours doesn’t.
Source: dailykos.com

How Has The Mayo Clinic Fared Since It Dropped Medicare?

Posted by:  :  Category: Medicare

Running Amok Again by elycefelizFirst thought: the docs at the Mayo Clinic must have gotten some amazing assurances from the clinic to drop Medicare for 2 years. (If a physician opts out of accepting medicare, and it’s an all or nothing proposition, and under current law they cannot get their medicare billing back for 2 years. No doubt this was done to keep docs from using their opt-out as political leverage, and then get it restored when payments went the way they wanted).
Source: getbetterhealth.com

Video: “Fighting Draconian Cuts to Medicare in Minnesota”

Mankato Mayo Clinic Health System Medicare Analyst

Job Posting Number: 7279BR Job Posting Title: Mayo Clinic Health System Medicare Analyst – Mankato, MN Job Posting Category: Accounting/Billing/Finance Business Professional Work Site: MN – Mankato Department: Revenue Cycle Job Description: This position will be located in Mankato, MN. The position will assume responsibility for the preparation and management of all cost report activities, preparation of Medicaid cost reports including nursing home reports, occupational mix surveys, coordination of Medicare audits for all entities, staff cost report education, research on various cost report and reimbursement issues, and the development of Medicare compliance and reimbursement strategies. Position will interact with Administration, Physician Leadership, Finance, Business Office, Compliance Office, and other operational personnel throughout the Mayo Clinic Health System. (009611-47352) Basic Qualifications: Master’s degree in healthcare, business administration, finance, or accounting and/or CPA with 3 years of experience in Medicare reimbursement; OR Bachelor’s degree with 5 years of Medicare reimbursement related experience. Other Qualifications: Must have high level of Medicare Cost reporting experience. Previous external consulting or auditing experience, working with a hospital system, integrated delivery system or fiscal intermediary is desirable. Requires a high level of administrative skills. Qualified candidate needs to have outstanding communication skills and demonstrate excellent team Building: skills, be assertive, highly motivated, have a positive attitude, and be able to work independently. Detailed knowledge of cost reporting software, PC applications, and financial modeling. License or Certification: CPA is preferred. Benefit Eligible: Yes Exemption Status: Exempt Hours/Pay Period: Full Time Schedule Details: Monday – Friday Compensation Detail: Education, experience, and tenure may be considered along with internal equity when job offers are extended. Staffing Specialist: Kristina Welhaven Mayo Clinic is an affirmative action / equal opportunity educator and employer.>
Source: mayo-clinic-jobs.com

The Best Medicare Part D Drug Plan for You

[…] […] […] […] […] […] First, you do not sign up for Medicare Part D with Social Security as you do for Medicare Parts A and B.  You have to sign up with a private drug plan in your area.  Hands down, the best way to do this is by going to medicare.gov and entering your specific medications.  For very helpful instructions on how to use this website to find that Medicare Part D plan, please see page 58 of Step by Step: How to Use the Medicare.gov Plan Finder provided by the Minnesota Board on Aging.  Even though this is a MN organization, the Medicare website has information for all Medicare beneficiaries.  You find plans for your area by simply entering your zip code. Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]
Source: retirementeducationplus.com

Pelosi cautious on Medicare, Social Security cuts

Several Democrats said during the day that the presentation had the support of a majority of the six Democrats on the panel, leaving the impression that at least one, and possibly two, of the party’s lawmakers had not signed on. They also stressed that Obama has previously endorsed each of the proposals they made, including the one to adjust the government’s calculation for inflation in a way that curtails the growth of benefit programs.
Source: publicradio.org

Minn. hospitals welcome cuts to Medicare, Medicaid restrictions

"Their scope of practice in Minnesota would allow them to do certain things but Medicare wouldn’t pay for those things," Massa said. "Now it’s going to bring Medicare reimbursement into clinics, into hospitals, for some of those services that we couldn’t get paid for in the past."
Source: publicradio.org

Owatonna Medicare Annual Wellness Visit RN Job

Medicare Annual Wellness Visit RN Mayo Clinic Health System in Owatonna Owatonna – Department: Nursing – .90 8:00 am to 5:00 pm – Day shift Job Req #638 Organizational Relationships: This position reports to the Director of Nursing and receives day to day work direction from the Director of Nursing. Has continuous contact with other members of the patient care team, patients and Mayo Health System staff. POSITION OVERVIEW: The Clinic RN will provide direct patient care to Medicare patients who will qualify for the annual wellness exam as determined by Medicare regulations. Performs other related duties as required and assigned. § Obtains a thorough medical, social, and family history on patients. § Obtains vital signs and measurements including height, weight, BMI, blood pressure and other routine measurements as deemed appropriate. § Assesses patients appropriately and recognizes any cognitive impairment they may have. § Educates, counsels, and refers patients as needed. § Exhibits knowledge of and ability to complete functional assessments, depression assessments. § Assesses and triages patients accurately both over the phone and in person. § Follows approved protocols for addressing patient’s plan of care. § Orders labs or x-rays and refills prescriptions following approved guidelines as needed. § Knowledge of and ability to educate patients on advance directives. § Documents patient contacts appropriately in the electronic medical record. § Works collaboratively with other members of the healthcare team, both within MCHS Owatonna and outside MCHS Owatonna as needed. § Establishes a written screening schedule, such as a checklist, for the next 5-10 years as appropriate for each patient. § Establishes a list of risk factors and conditions for which primary, secondary or tertiary interventions are recommended or underway. § Seeks assistance from the Director of Nursing and others as needed. § Serves on committees as able and as requested. § Performs other duties as assigned. § Outbound calling to patients to market the program. Minimum Education and/or Experience Required: § High school education or equivalent required. § Associates degree from an accredited school of nursing required; Bachelors degree preferred. § 3 to 5 years of prior direct patient care experience in a medical environment preferred. § Requires knowledge of professional nursing theory and practice to give and evaluate patient care. § Requires demonstrated ability in making independent assessments of patients. § Working knowledge of computers and software applications required. ADDITIONAL EXPERIENCE AND/OR QUALIFICATIONS: § Must be able to communicate effectively in person, over the phone, and in written form. § Complete the necessary requirements for the Medicare Annual Wellness Visit. § Must be able to determine the patient’s level of understanding to follow a plan of care. § Ability to establish and maintain effective working relationships with patients, employees and the public. § The ability to quickly develop the knowledge of procedures within the Clinic. § Must be well organized, detail-oriented, accurate and efficient. § Ability to work independently and set her/his own pace, organize daily activities and accept responsibility for problems as they arise. § Working knowledge of computers and software applications required. Licensure/Certification Required: § Current RN license in the state of Minnesota. § Must have current CPR certification, or become certified within 30 days of employment. >
Source: mayo-clinic-jobs.com

Couple Charged with Mortgage Schemes in Wisconsin, Minnesota 

badgercare plus Better Business Bureau charity scams credit card fraud credit card scams election fraud false claims act foreclosure scams Frauds healthcare reform identity theft medicaid fraud Medicare medicare fraud medicare overbilling medicare part D medicare reform medicare reimbursement mortgage fraud phishing scams podcasts prevent medicare fraud storm chasers storm scams tax scams telephone scams Training voter fraud wisconsin bbb wisconsin check fraud wisconsin child care fraud wisconsin election fraud wisconsin fraud wisconsin head start fraud wisconsin healthcare wisconsin medicaid fraud wisconsin medicare wisconsin mortgage fraud wisconsin scam wisconsin scams wisconsin smp wisconsin smp training wisconsin unemployment benefits wisconsin unemployment fraud wisconsin voter fraud
Source: wisconsinsmp.org

AARP Warns Seniors About Possible Social Security, Medicare CutsAARP Minnesota

AARP Warns Seniors About Possible Social Security, Medicare Cuts AARP Minnesota is trying to spread the word about proposed cuts to Social Security and Medicare. AARP’s offensive new ad campaign AARP’s new ad campaign deems Social Security and Medicare benefits off limits. But would most members agree with that position if they understood it was just insuring that even more of the debt would be shifted to their children and grandchildren?
Source: medicare-news.com

Fight Against This Medicare insurance Fraudulence Along with Minnesota Medicare health insurance Scams Lawyer

Typically mattress uncomfortable doesnt get lucky and senior years persons at your home as they are separate and nutrition is care for by the members of the family. Issue regarding bedsore sometimes appears a lot more inside the people coping with the actual assisted living facilities. Bedsore doesnt develop after you move about the property or maybe adjust positions once in a while. However commonly people with rest homes rely on the actual healthcare professionals, medical professionals or any other workers regarding action and thus there are other chances of all of them building the challenge connected with bedsore. The challenge involving sore develops due to the not enough the the flow of blood within skin with specified parts of the body producing excessive force on any particular one part of the body. This can be a serious trouble this means you will additionally result in the passing away on the affected individual. The earlier age folks or an parent human being furthermore is afflicted with a great deal of other difficulties within rest homes. There have ended up scenarios associated with sex pestering as well as destroying on the senior persons. Intended for this kind of situations you can even consider aid of your Mn Senior Intimate Misuse Attorney as well as Minnesota Senior Burn Legal professional. Most of these legal representatives usually are hugely experienced along with experienced, these professionals have good information about their state legislations.
Source: wordpress.com

International Falls Journal: Sen. Franken urges seniors to take advantage of Medicare open enrollment

“I know that the many different Medicare plans and options can be overwhelming, but there are resources to help you choose the best one for you and your family,” said Sen. Franken. “Seniors deserve to enjoy their retirement. You worked hard for years; now your Medicare should work for you. I’ll continue fighting to protect the Medicare program in Congress. It’s up to you to make sure you have the Medicare coverage that’s right for you and your family.”
Source: alfranken.com

Medicare Supplemental Insurance and Medicare Advantage Plans in Minnesota

medicare supplement rates Nebraska 2012, Medicare open enrollment period, medigap plans virginia 2012, 2012 supplement drug plans minnesota, are all medicare plans equl, 2012 advantage plans in illinois, medicare advantage plans nh, medicare supplement connecticut providers, medicare supplemental plans michigan 2012, wyoming medicare advantage plans, 2012 medicare plan c plans kansas, 2012 kansas supplemental plan prices, massachusetts medicare supplement plans 2012, medicare supplement plans for iowa retirees 2012, medicare advantage plan problems 2012 nc, medicare supplement plans 2012 az, 2012 medicare advantage plans nh, medigap rates in alaska for 2012, 2012 massachusetts medigap, 2012 medicare supplemental insurance nj
Source: medicaresupplementadvantageplans.com

Vox Verax: Support Builds for a Plan to Rein In Medicare Costs

By ROBERT PEAR NYT WASHINGTON — Though it reached no agreement, the special Congressional committee on deficit reduction built a case for major structural changes in Medicare that would limit the government’s open-ended financial commitment to the program, lawmakers and health policy experts say. Members of both parties told the panel that Medicare should offer a fixed amount of money to each beneficiary to buy coverage from competing private plans, whose costs and benefits would be tightly regulated by the government. Republicans have long been enamored of that idea. In the last few weeks, two of the Republican candidates for president, Mitt Romney and Newt Gingrich, have endorsed variations of it. The idea faces opposition from many Democrats, who say it would shift costs to beneficiaries and eliminate the guarantee of affordable health insurance for older Americans. But some Democrats say that — if carefully designed, with enough protections for beneficiaries — it might work. (More here.)
Source: blogspot.com

Can Medigap Insurance Help Beneficiaries Get More Health Care?

The verdict is not yet in on how to trim Medicare and Medicare Supplement Insurance Plans to help reduce the federal deficit, but beneficiaries can do some financial planning of their own. Studies by insurance companies have indicated that the vast majority of Medicare beneficiaries have not been able to find the best way to reduce their out-of-pocket costs. That’s largely believed to be the result of having such a complicated array of Medicare Supplement Plans. Not only are there 10 different versions of Medigap Insurance, but there may be about two dozen separate versions of Medicare Advantage Plans in a single region.
Source: articleforbacklinks.com

Liz Doyle, The Latest Front in the Revenue Fight

As the Thanksgiving deadline approaches, attention on the Super Committee has intensified.  Committee Democrats have floated a proposal to make cuts to Social Security, Medicare and Medicaid “in exchange” for tax increases.  Republicans have put forward deep cuts in Social Security and Medicare, and so far have refused to consider increasing taxes on the wealthiest Americans.  Seniors in particular have much to lose under all these proposals – in addition to depending on Social Security and Medicare, 41% of Medicaid spending in Minnesota supports long-term care for our seniors. Last week, over 100 House members – including 40 Republicans – released a letter urging the Super Committee to “go big” (reach beyond the $1.2 trillion figure in deficit reduction) and to keep “all options” on the table (including revenue increases).  But whether a “bigger” proposal – or any proposal at all – emerges from the Super Comittee remains to be seen.
Source: blog-takeactionminnesota.org

Buy Leads For Medicare, Loan Modifications And More At A Low Cost And High Conversion

Posted by:  :  Category: Medicare

Deal 3, Table 7: Initiation enter Trick A~ contract taker leads King of Risks by KevinHutchins314It is understood, that with diabetic and Medicare leads, insurance leads can also increase your conversion rates. All of these insurance leads are compliant Internet opt in. They can include insurance leads such as health, life, auto and home. You can also ask about how the CRM system can help you to track your insurance leads, which will help you increase your insurance client base for every type of insurance, including diabetic and Medicare leads. All of the leads available for you to purchase, come from over 30 million business leads, and are constantly increasing. With all new and established businesses available to buy leads from, there are thousands of new leads being generated every week for you to choose from. The best lead generation companies well provide you with an exchange guarantee, so if you buy leads that turn out to be ineffective or are no longer in service, you can receive new leads to replace them at no cost.
Source: articlemonarch.com

Video: Free Insurance Leads…a Leads for Insurance Flow of “Where Do I Sign?” Prospects?

The Changes and Development with Insurance Sales that You can Take Advantage Of

With the changes that the internet has brought on, you can also ride on the biggest change in the marketing of insurance where senior leads will provide the biggest payoffs today. If you’re concentrating on the individual market, you can do well listening to advice from top producers that the senior market is going to be even bigger than that. It’s true, you’re going to need to make use of a different approach to sell insurance to seniors but you actually have everything that you need with you right now, the internet, tools like quote engines, leads providers and even the advice of seasoned insurance agents.
Source: medicare-insuranceleads.com

Senior Medical Insurance Leads: The Biggest and Most Lucrative Insurance Market Yet

Taking advantage of this, there are myriad of insurance policies that you can add to your product line to cater to the needs of these seniors. Apart from getting Medicare, seniors are also looking for coverage from Medicaid and other policies that private carriers have come up with for the most complete health coverage. You can always use the tools that you have to get through to this huge marketing of health insurance leads. You can get yourself a quote engine if you don’t have one yet and you can also make use of the drip marketing system to educate your senior leads about the choices that you have for them.
Source: senior-insuranceleads.com

ParasolLeads Reports Record Medicare Supplement Insurance Leads Sales

For insurance agents wanting to take their pursuit of success to the next level, few things are more valuable than Medicare supplement leads. In a difficult economy, every advantage helps, and the right leads give agents a competitive advantage. ParasolLeads understands the importance of staying one step ahead of the competition and takes the danger of scam artists and lead generation services that offer deep discounts but deliver low quality leads out of the picture.
Source: travelnets.info

Working With Health Insurance Leads

The original Medicare program has two parts: Part A (Hospital Insurance), and Part B (Medical Insurance). Only a few special cases exist where prescription drugs are covered by original Medicare, but as of January 2006, Medicare Part D provides more comprehensive drug coverage. Medicare Advantage plans, also known as Medicare Part C, are another way for beneficiaries to receive their Part A, B and D benefits. All Medicare benefits are subject to medical necessity. Part A: Hospital Insurance Part A covers inpatient hospital stays (at least overnight), including semiprivate room, food, tests, and doctor’s fees. Part A covers brief stays for convalescence in a skilled nursing facility if certain criteria are met: 1. A preceding hospital stay must be at least three days, three midnights, not counting the discharge date. 2. The nursing home stay must be for something diagnosed during the hospital stay or for the main cause of hospital stay. 3. If the patient is not receiving rehabilitation but has some other ailment that requires skilled nursing supervision then the nursing home stay would be covered. 4. The care being rendered by the nursing home must be skilled. Medicare part A does not pay for custodial, non-skilled, or long-term care activities, including activities of daily living (ADL) such as personal hygiene, cooking, cleaning, etc. The maximum length of stay that Medicare Part A will cover in a skilled nursing facility per ailment is 100 days. The first 20 days would be paid for in full by Medicare with the remaining 80 days requiring a co-payment (as of 2009, $133.50 per day). Many insurance companies have a provision for skilled nursing care in the policies they sell. If a beneficiary uses some portion of their Part A benefit and then goes at least 60 days without receiving facility-based skilled services, the 100-day clock is reset and the person qualifies for a new 100-day benefit period. Part B: Medical Insurance Part B medical insurance helps pay for some services and products not covered by Part A, generally on an outpatient basis. Part B is optional and may be deferred if the beneficiary or their spouse is still actively working. There is a lifetime penalty (10% per year) imposed for not enrolling in Part B unless actively working. Part B coverage includes physician and nursing services, x-rays, laboratory and diagnostic tests, influenza and pneumonia vaccinations, blood transfusions, renal dialysis, outpatient hospital procedures, limited ambulance transportation, immunosuppressive drugs for organ transplant recipients, chemotherapy, hormonal treatments such as Lupron, and other outpatient medical treatments administered in a doctor’s office. Medication administration is covered under Part B only if it is administered by the physician during an office visit. Part B also helps with durable medical equipment (DME), including canes, walkers, wheelchairs, and mobility scooters for those with mobility impairments. Prosthetic devices such as artificial limbs and breast prosthesis following mastectomy, as well as one pair of eyeglasses following cataract surgery, and oxygen for home use is also covered. Complex rules are used to manage the benefit, and advisories are periodically issued which describe coverage criteria. On the national level these advisories are issued by CMS, and are known as National Coverage Determinations (NCD). Local Coverage Determinations (LCD) only apply within the multi-state area managed by a specific regional Medicare Part B contractor, and Local Medical Review Policies (LMRP) were superseded by LCDs in 2003. Coverage information is also located in the CMS Internet-Only Manuals (IOM), the Code of Federal Regulations (CFR), the Social Security Act, and the Federal Register. Part C: Medicare Advantage plans With the passage of the Balanced Budget Act of 1997, Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the original Medicare plan (Parts A and B). These programs were known as “Medicare+Choice” or “Part C” plans. Pursuant to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, “Medicare+Choice” plans were made more attractive to Medicare beneficiaries by the addition of prescription drug coverage and became known as “Medicare Advantage” (MA) plans. Traditional or “fee-for-service” Medicare has a standard benefit package that covers medically necessary care members can receive from nearly any hospital or doctor in the country. For people who choose to enroll in a Medicare Advantage health plan, Medicare pays the private health plan a capitated rate, or a set amount, every month for each member. Members typically also pay a monthly premium in addition to the Medicare Part B premium to cover items not covered by traditional Medicare (Parts A & B), such as prescription drugs, dental care, vision care and gym or health club memberships. In exchange for these extra benefits, enrollees may be limited in the providers they can receive services from without paying extra. Typically, the plans have a “network” of providers that patients can use. Going outside that network may require permission or extra fees. Medicare Advantage plans are required to offer coverage that meets or exceeds the standards set by the original Medicare program, but they do not have to cover every benefit in the same way. If a plan chooses to pay less than Medicare for some benefits, like skilled nursing facility care, the savings may be passed along to consumers by offering lower copayments for doctor visits. Medicare Advantage plans use a portion of the payments they receive from the government for each enrollee to offer supplemental benefits. Some plans limit their members’ annual out-of-pocket spending on medical care, providing insurance against catastrophic costs over $5,000, for example. Many plans offer dental coverage, vision coverage and other services not covered by Medicare Parts A or B, which makes them a good value for the health care dollar, if you want to use the provider included in the plan’s network or “panel” of providers. Because the 2003 payment formulas overpay plans by 12 percent or more compared to traditional Medicare,[11] in 2006 enrollees in Medicare Advantage Private Fee-for-Service plans were offered a net extra benefit value (the value of the additional benefits minus any additional premium) of $55.92 a month more than the traditional Medicare benefit package; enrollees in other Medicare Advantage plans were offered a net extra benefit value of $71.22 a month more.[12] However, Medicare Advantage members receive additional coverage and medical benefits not enjoyed by traditional Medicare members, and savings generated by Medicare Advantage plans may be passed on to beneficiaries to lower their overall health care costs.[10] Other important distinctions between Medicare Advantage and traditional Medicare are that Medicare Advantage health plans encourage preventive care and wellness and closely coordinate patient care.[13] Medicare Advantage Plans that also include Part D prescription drug benefits are known as a Medicare Advantage Prescription Drug plan or a MA-PD. Enrollment in Medicare Advantage plans grew from 5.4 million in 2005 to 8.2 million in 2007. Enrollment grew by an additional 800,000 during the first four months of 2008. This represents 19% of Medicare beneficiaries. A third of beneficiaries with Part D coverage are enrolled in a Medicare Advantage plan. Medicare Advantage enrollment is higher in urban areas; the enrollment rate in urban counties is twice that in rural counties (22% vs. 10%). Almost all Medicare beneficiaries have access to at least two Medicare Advantage plans; most have access to three or more. Because of the 2003 law’s overpayments, the number of organizations offering Fee-for-Service plans has increased dramatically, from 11 in 2006 to almost 50 in 2008. Eight out of ten beneficiaries (82%) now have access to six or more Private Fee-for-Service plans.[14] Each year many individuals disenroll from MA plans. A recent study noted that about 20 percent of enrollees report that “their most important reason for leaving was due to problems getting care.”[15] There is some evidence that disabled beneficiaries “are more likely to experience multiple problems in managed care.”[16] Some studies have reported that the older, poorer, and sicker persons have been less satisfied with the care they have received in MA plans.[17] On the other hand, an analysis of the Agency for Healthcare Research and Quality data published by America’s Health Insurance Plans found that Medicare Advantage enrollees spent fewer days in the hospital than Fee-for-Service enrollees, were less likely to have “potentially avoidable” admissions, and had fewer re-admissions. These comparisons adjusted for age, sex and health status using the risk score used in the Medicare Advantage risk adjustment mechanism.[18][19] In December 2009 the Kaiser Family Foundation published a report that rated Medicare Advantage organizations on a five star scale. The ratings were based on data from CMS, the Consumer Assessment of Healthcare Providers and Systems (CAHPS), Healthcare Effectiveness Data and Information Set (HEDIS) data, and the Health Outcomes Survey (HOS). New plans did not receive ratings, because data were not available. Almost six out of ten (59%) of MA plans did receive ratings, and these plans represented 85% of the enrollment for 2009. The average rating was 3.29 stars. Twenty-three percent of enrollees were in a plan with four or more stars; 20% were in a plan with fewer than three stars.[20] Twenty percent of African-American and 32 percent of Hispanic Medicare Beneficiaries were enrolled in Medicare Advantage plans in 2006. Almost half (48%) of Medicare Advantage enrollees had incomes below $20,000, including 71% of minority enrollees.[21] Others have reported that minority enrollment is not particularly above average.[22] Another study has raised questions about the quality of care received by minorities in MA plans.[23] The Government Accountability Office reported that in 2006, the plans earned profits of 6.6 percent, had overhead (sales, etc.) of 10.1 percent, and provided 83.3 percent of the revenue dollar in medical benefits. These administrative costs are far higher than traditional fee-for-service Medicare.[24] [edit] Part D: Prescription Drug plans Main articles: Medicare Part D and Medicare Part D coverage gap Medicare Part D went into effect on January 1, 2006. Anyone with Part A or B is eligible for Part D. It was made possible by the passage of the Medicare Prescription Drug, Improvement, and Modernization Act. In order to receive this benefit, a person with Medicare must enroll in a stand-alone Prescription Drug Plan (PDP) or Medicare Advantage plan with prescription drug coverage (MA-PD). These plans are approved and regulated by the Medicare program, but are actually designed and administered by private health insurance companies. Unlike Original Medicare (Part A and B), Part D coverage is not standardized. Plans choose which drugs (or even classes of drugs) they wish to cover, at what level (or tier) they wish to cover it, and are free to choose not to cover some drugs at all. The exception to this is drugs that Medicare specifically excludes from coverage, including but not limited to benzodiazepines, cough suppressant and barbiturates. Plans that cover excluded drugs are not allowed to pass those costs on to Medicare, and plans are required to repay CMS if they are found to have billed Medicare in these cases. It should be noted again for beneficiaries who are dual-eligible (Medicare and Medicaid eligible) Medicaid may pay for drugs not covered by part D of Medicare, such as benzodiazepines, and other restricted controlled substances.
Source: medicare-health.com

Getting Your Insurance Leads to See the Whole Picture

When sending emails to any type of lead, be it Medicare leads or life insurance leads and so on, it is also important to add a nice big button on your email that links to a quote engine or provide a quote engine to go with the email itself. Make the button contrast the rest of the email so that your leads focus on it the most. The more they see it the better a chance they’ll click on it and the better a chance at a sale.
Source: american-insuranceleads.com

The Newest Version Quote Engine: Getting the Biggest Benefits with Insurance Sales

You know very well how an instant quote engine helps you with insurance sales. Embedded in your website, it’s like you have an insurance agency that’s open 24/7 to prospects and customers all over the country. Even if you’re in a different time zone and you’re in the process of resting yourself from a day’s work, prospects from the other side of the country can still get the information they need about cheap health insurance from you. You’ll also be given an alert on that quote request that you have and that counts as another individual to add to your list of medical insurance leads.
Source: shared-insuranceleads.com

GAO: Most Medicare Part D Drug List Changes Helped Enrollees

Posted by:  :  Category: Medicare

No doctor shopping here, buddy by Newtown grafittiMost of the Medicare Part D prescription plan drug list changes that insurers made in the middle of 2008 and 2009 expanded enrollees’ access to drugs, according to the U.S. Government Accountability Office (GAO). Medicare Part D gives private insurers a vehicle for selling prescription coverage to Medicare enrollees. The GAO looked at the Part D plans’ mid-year changes to drug lists, or “formularies,” in response to a request from House Democrats. In 2008, mid-year formulary changes had the potential to reduce access to drugsfor just 4.9% of enrollees who filled a prescription for a drug that year, Kathleen King, a GAO director, writes in a report summarizing the GAO’s mid-year Part D formulary change review.
Source: lifehealthpro.com

Video: Medicare Part D Formulary

Medicare Open Enrollment Ends December 7th!

January 1-February 12: Disenrollment. If you joined a Part C plan in late 2011 and want to reverse that decision, you can disenroll from that Medicare Advantage plan in this window of time and go back to Original Medicare with a stand-alone Prescription Drug Plan (Part D). Your Original Medicare coverage resumes on the first day of the month after the plan receives your enrollment form (either February 1 or March 1, 2012).
Source: billlosey.com

MEDICARE OPEN ENROLLMENT ENDS DEC. 7 THIS YEAR

January 1-February 12 is the Disenrollment period. If you joined a Part C plan in late 2011 and want to reverse that decision, you can disenroll from that Medicare Advantage plan in this window of time and go back to Original Medicare with a stand-alone Prescription Drug Plan (Part D). Your Original Medicare coverage resumes on the first day of the month after the plan receives your enrollment form (either February 1 or March 1, 2012)
Source: kuczinskifinancial.com

The Best Medicare Part D Drug Plan for You

[…] […] […] […] […] […] First, you do not sign up for Medicare Part D with Social Security as you do for Medicare Parts A and B.  You have to sign up with a private drug plan in your area.  Hands down, the best way to do this is by going to medicare.gov and entering your specific medications.  For very helpful instructions on how to use this website to find that Medicare Part D plan, please see page 58 of Step by Step: How to Use the Medicare.gov Plan Finder provided by the Minnesota Board on Aging.  Even though this is a MN organization, the Medicare website has information for all Medicare beneficiaries.  You find plans for your area by simply entering your zip code. Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]Source: retirementeducationplus.com […]
Source: retirementeducationplus.com

Medicare drug copays increase

“Seniors need to look beyond the premium to understand their drug benefit,” said Avalere CEO Dan Mendelson. “The more the cost burden gets shifted onto the patient who needs the medication, the more important it is for seniors to understand that next level.” Avalare is a data analysis firm serving the health care industry and government.
Source: ktvl.com

Scams Seniors Need to Lookout for

Prepayment of burials and cremations are becoming more and more commonplace these days. While the money set aside for these services is supposed to be held in trust for the purchaser, it is irresistible to criminals to whom that money has been entrusted. Because of this, a family is left to bear the additional cost of a plot and burial services. Protect yourself by being informed consumer. Shop around. Get detailed pricing from the Funeral home (they are required to provide this information to you). Check the Better Business Bureau and ask for referrals. Make sure this company is legit and be sure to read the contract in detail, so you know you are protected.
Source: mothersforum.org

Top 6 List of things people should know about Medicare Advantage Plan / eHealth

About eHealth  eHealth, Inc. (NASDAQ: EHTH) is the parent company of eHealthInsurance, the nation’s leading online source of health insurance for individuals, families and small businesses. Through the company’s website,www.eHealthInsurance.com, consumers can get quotes from leading health insurance carriers, compare plans side by side, and apply for and purchase health insurance. eHealthInsurance offers thousands of individual, family and small business health plans underwritten by more than 180 of the nation’s leading health insurance companies. eHealthInsurance is licensed to sell health insurance in all 50 states and the District of Columbia, making it the ideal model of a successful, high-functioning health insurance exchange. Through eHealth’s technology solutions (www.eHealthTechnology.com), is also a leading provider of health insurance exchange technology. eHealth provides a suite of hosted e-commerce solutions that enable health plan providers, resellers and government entities to market and distribute products online. eHealth, Inc. also provides online tools to help seniors navigate Medicare health insurance options through PlanPrescriber.com (www.planprescriber.com) and eHealthMedicare (www.eHealthMedicare.com).
Source: ehealthinsurance.com

SHIP Programs Can Help Seniors Save Money On A Medicare Drug Plan

At the District’s SHIP – the Health Insurance Counseling Project at the George Washington University Law School – seven law students, backed by their professor Suzanne Jackson, handle some of the tougher cases. Seniors can also get help from another lawyer, a program director and community volunteers. Counselors make regular visits to senior centers across the city. Last year they held more than 70 Medicare meetings and helped nearly 3,000 people individually.
Source: kaiserhealthnews.org

The True Cost of Medicare

As mentioned earlier Medicare fees are shouldered by three entities (employee, employer and the government) if employed but two entities if not employed (employee and government). Medicare sharing Medicare costs usually involve 2% to 3% of an individual’s total salary, wages, commissions, and/or bonuses. In the United States the exact amount is 2.9% with 1.45% shouldered by the employee and 1.45% shouldered by the employer. The government comes in because the total Medicare benefits receivable is way above the accumulated 2.9% poll tax collected monthly. Take note that beginning 2013 any annual income in excess of $200,000 (single) or $250,000(married) will be taxed at 3.8% Four Part Medicare 1. Part A (Hospital Insurance): hospital insurance that covers inpatient procedures that require hospital admittance, skilled nursing and facilities or admittance to other health care facilities 2. Part B (Medical Insurance): covers medical services and procedures that do not require in patient care. This also includes preventive treatment and medicine to some extent. 3. Part C (Medicare Advantage Plan): in the nature of HMO or PPO plan which can be offered or availed of by the employee 4. Part D (Prescription Drug Coverage): This is prescription drug coverage which can be availed of by an employee. Note, if the individual failed to avail of such but subsequently needs to purchase prescription drugs and does not have any creditable prescription drug coverage then the same individual can still avail of such by paying a late enrollment penalty. Depending on how many parts are chosen Medicare payments can increase or decrease. However take into consideration that each part represents services that are normally way above the accumulated payroll taxes actually paid. For example, Mr. A chose to avail of all four parts. Let us assume that his annual salary is $150,000. Mr. A and his employer pay the sum of $4,350annually (1.45% employee share and 1.45% employers share). If Mr. A is hospitalized due to a car accident and require in patient care, then needs outpatient care plus medicine Mr. a will be paying more than the $4,350. Just think about it, that amount alone would probably only cover a day or two of hospitalization and basic tests and procedures. Therefore the Medicare costs should not be computed by the amount of money that is paid by way of taxes but by the amount of money that can be potentially saved.  
Source: ezinemark.com

Medicare Part D Offers Prescription Drug Plans: Optional Medicare Policies Can Help Cover High Drug Costs

Unlike Medicare Part A and Part B benefits, which are set, benefits vary between Part D plans and beneficiaries can choose and join the plan that best meets their needs. Someone who has just turned age 65 can join a drug plan at the same time as enrolling in Medicare; in most cases, beneficiaries who don’t join a Part D plan when they first are eligible must wait until the next Medicare drug plan "open season," which occurs between November 15th and December 31st each year.
Source: suite101.com

Comparing Medicare Part D Plans

Comparing plans that offer Medicare Part D coverage is essential if you want to make sure that the plan you would be getting would suit your needs and your budget. To help you get started, here is a guide on how to compare Medicare Part D plans that you can use. The first thing you need to do would be to make a list of the medications that you are taking and how much you are spending on them every year. This is important, as this would help you in determining how much coverage you need to get with the plan. You should then look for providers of Medicare Part D plans. The best way to do this would be to go online, as many Medicare Part D Prescription Drug Plan providers have websites where they are able to offer information about how Medicare Part D works and the plans that they have. Make sure that as you go through the different providers, you would also be conducting a background research on each of them so that you can be certain that the ones you would be considering to get a plan from are reputable, established and have had a lot of experience in providing individuals like yourself with the prescription drug coverage and the assistance you may need later on.
Source: worldhealthtalk.net

Medicare Supplement Providers

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSMedicare Supplement insurance provider Medicare National in the third quarter and is hungry for more growth from its senior business, which also includes Medicare supplement coverage. Department of Health and Human Services was in Pueblo on Wednesday to urge seniors to think now about their Medicare supplement plans and to take advantage of some new preventive services that now are free. For people who are more than the age of 65 and at the moment enrolled in an eligible Medicare plan, Medicare supplement insurance (which could also be referred to as Medigap) could possibly be a beneficial selection.
Source: yinzcam.org

Video: Choosing a Medicare Supplement Provider Made Easy

Medicare Supplement Insurance for 2012

Researching Medicare supplemental plans, is essential for those purposes. Part The: This deals with your hospitalisation costs. You can also make use of this for home nursing or hospice, if directly related to your condition. Component B: This particular relates to the Outpatient costs. You are to pay premiums here. Part C: Deals with health insurance programs. They are being offered through private insurance agencies in 2012, as authorized by the Government to offer such services. Part D: Covers prescription drugs. If the medications are covered here, this can be used program to fix it.
Source: org.uk

Medicare Supplement Insurance for 2012

Turning to Medicare supplemental plans, it is divided into 4 parts. Part A: This deals with your hospitalisation costs. You can also use this for home nursing or hospice, in the event that directly related for your condition. Component B: This particular relates to the Outpatient costs. You are to pay premiums here. Part C: Deals with health insurance programs. They are being offered by private insurance firms, as approved by the Government to provide such providers. Part Deb: Covers prescription medications. If the medications are protected here, this can be used program to fix it.
Source: carinsurance-ohio.com

Medicare Supplement Insurance for 2012

Learning about 2012 Medicare advantage plans, is essential for all purposes. Part A: This deals with your hospitalisation expenses. You can also make use of this for house nursing or even hospice, if directly related to your condition. Part B: This particular relates to the Outpatient expenses. You are to pay for premiums right here. Part D: Deals with health insurance programs. They are being offered through private insurance agencies in 2012, as approved by the Government to provide such services. Part Deb: Covers prescription medications. If the medications are covered here, you can use this program to repair it.
Source: 10kadayonline.com

Medicare Supplement Insurance for 2012

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Source: vancouverfinder.org

Medicare Supplement Insurance for 2012

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Source: corporateinsurancex.com

Medicare Supplement Providers

Medicare Supplement insurance provider Medicare National in the third quarter and is hungry for more growth from its senior business, which also includes Medicare supplement coverage. Department of Health and Human Services was in Pueblo on Wednesday to urge seniors to think now about their Medicare supplement plans and to take advantage of some new preventive services that now are free. For people who are more than the age of 65 and at the moment enrolled in an eligible Medicare plan, Medicare supplement insurance (which could also be referred to as Medigap) could possibly be a beneficial selection.
Source: cdsolo.com

Medicare Provider Cigna Buys Medicare Carrier Health Spring

Health insurer Cigna Corp., the fifth-largest U.S. insurer, intends to buy HealthSpring Inc to boost its business selling Medicare plans as more and more Americans seniors become eligible. Medicare managed-care plans are among the fastest-growing products for health insurers as the baby-boom generation ages. The entry of the postwar baby boom generation into retirement is expected to further increase the demand for privately run Medicare Advantage plans, which currently account for 25 percent of Medicare enrollment.
Source: medicareadvantagesupplementplans.com

The Pros and Cons Of Medicare Supplement Insurance

An adviser can enlighten you about the policies of the Medicare Supplement plans provided by the various companies and also can advice you about the plan that fits best according to your need. You should understand the best Medicare Supplement plan for you because the need differs from one to another, from a healthy individual to a sick person. You can come across a number of Medicare supplement Insurance companies those offer attractive Medicare supplement insurance plans, and then you can choose the most suitable Medicare supplement plan for you. You may enquire for clarity before the shopping what the coverage is and what is not under a specific Medicare Supplement plan. Some plans do not hold any premium pay service; however those do not cover much facility. Again, the plans that have a premium to pay cover more.
Source: kidumatar.com

Comprehension Medicare Health Insurance And Medigap

Medicare supplemental health insurance insurance plan nutritional supplements tend to be every exclusive and definately will wish to be picked out based on involve the person. For example, clientele who are required benefit copayment as well as insurance deductibles regarding fundamental positive aspects would want to select Medicare supplemental insurance strategy The for anyone will be the items which it can help include. This is appealing correctly may be the lowest priced strategy offered and it is acknowledged simply by most physicians whom acknowledge Medicare health insurance. Disadvantages have just about every strategy accessible. The main problem with program The is it addresses standard essentials instead of goods like long lasting attention, experienced nursing jobs, perspective proper care amidst other key aspects of price.
Source: ocidentalismo.org

Acquiring To the Bottom Of Medicare Supplement Rates

Of specific note is the reality that despite the fact that Medicare supplement insurance plans are standardized. Because of this, although insurance companies are entitled to pick which plans are offered, the plans themselves can not deviate from the normal plans outlined. Across the board, these plans will supply exactly the same simple range of advantages specific to the individual plan, regardless of which insurance business is offering the policies. Many policy holders can also access discounts by picking a strategy that may be a lot more limited in scope, but still offers the individual with coverage for their demands.
Source: selling-medicare-supplements.com

Almost 65 and pondering medicare supplement/advantage policies

Check your own state to be sure, but in WA one can always move from Classic Medicare to a Medicare Advantage Plan, during the open enrollment period which is in late fall. There is no medical qualification for this. Also, you can switch from one Medicare Advantage Plan to another yearly, during the fall open enrollment period. Additionally, the premium for brand new enrollees is the same as it would be for a 90 year old with 14 chronic diseases. The competition to get new-to-Medicare enrollees, without which the plan would quickly be in trouble keeps the premiums reasonable. The reverse movement is not guaranteed. You can drop your MA plan and return to Classic Medicare during a certain period after the beginning of the year, but except under certain limited circumstances you cannot force a Medigap insurer to insure you. For this reason, I choose Classic Medicare and a Medigap Plan F when I turned 65. I was told and read that my premium would always be the same as new plan entrants. However, this has turned out not to be true. Several years ago Medicare reorganized the Medigap plan menu, and many companies somehow were able to use this to hive off their existing members into a separate pool from their new entrants. In 2011, for example, my premium was ca. $80/mo higher than new entrants, and of course it will get higher yet, each and every year, as those in my pool age and are not replenished by new participants. Additionally, the healthiest participants will leave, either to Medicare Advantage or try to qualify medically for a different, new Medigap plan and pool. This business is directly in conflict with what I was told at issuance, both by the company I choose and by the State Insurance Office, and also in conflict with the principle of insurance being non-cancellable once it is in place. I was recently told that the WA Insurance Commissioner ruled against this practice, but later learned that this only applied to policies originally issued during or after 2010. So, as usual, these insurance companies are lying thieves, and our federal government is collaborating with them. In my state, many doctors, clinics, and hospitals are demanding membership in certain MA plans, rather than original Medicare, because these chosen plans pay better, and the billing procedures are more streamlined and payment is faster. I am not sure how I will proceed currently, but I am tempted by the good MA plans, because it appears that worst case, if I got every disease known to man and was in and out of the hospital weekly it would only cost me marginally more than a Plan F Medigap, and if my health continues good I will save money. It is my opinion that federal government wants to hobble Plan F, as it violates the principle in place in almost all employer plans that there must be meaningful co-pays. One note about the star rating. They are not outcomes oriented, they are process oriented. To a large extent they depend on getting lots of paper filled out, which is easy in an HMO as you just require it of the staff, who are in fact your employees. But not so easy with a PPO, the providers of which have power equal to or greater than the insurers’. One large and well regarded HMO in Puget Sound has a 5 star rating which I think is reasonable, from what I know by talking with plan members and a few people I know who work there. My girlfriend has this HMO through her work (an employer plan, not the MA plan) and she seems to get very good and attentive care from them, but her primary care Doc is in charge of who she gets to see, other than few things, like I think dermatology and ob/gyn. I think Medicare people get similar or equal care, and they pay very much less due to the government subsidy. All this may change as the medical system gets tinkered with, and I don

Comprehension Medicare Health Insurance And Medigap

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSMedicare supplemental health insurance insurance plan nutritional supplements tend to be every exclusive and definately will wish to be picked out based on involve the person. For example, clientele who are required benefit copayment as well as insurance deductibles regarding fundamental positive aspects would want to select Medicare supplemental insurance strategy The for anyone will be the items which it can help include. This is appealing correctly may be the lowest priced strategy offered and it is acknowledged simply by most physicians whom acknowledge Medicare health insurance. Disadvantages have just about every strategy accessible. The main problem with program The is it addresses standard essentials instead of goods like long lasting attention, experienced nursing jobs, perspective proper care amidst other key aspects of price.
Source: ocidentalismo.org

Video: New Port Richey’s Advanced Medicare

Medicare Supplemental Insurance Plans

With some supplemental policies beginning at $0 dollars, there is certainly a belief for everyone. However, researching all the different policies, companies, and doing note comparisons can often be intimidating to most seniors. Insurance companies, though suitable, will often act in their best interests rather than yours when helping you decide Medicare Supplemental Insurance Plans. The suggested route to accumulate is to have an experienced insurance broker guide you through the difficult shopping process and work with you to choose the most cost effective policy with the specifically tailored coverage you need.
Source: medicaresupplementalinsurances.org

AffordableONE Insurance Wants Local Residents to Start the New Year Right With Florida Medicare Supplemental Insurance : e Yugoslavia

One common goal among older Americans is to save money whenever possible, and one of the biggest expenses for individuals in this age range is medical care. That’s why the team at AffordableONE Insurance wants local residents to take advantage of this time to purchase Florida Medicare supplemental insurance, which can help them save money on the health care expenses that Medicare Parts A and B do not cover.
Source: eyugoslavia.com

Medicare Supplemental Insurance Comparison

It really is critical to know if your physician accepts Medicare’s pre-accredited sum. Medical doctors might charge a lot more for a treatment than Medicare will pay. When Medicare handles eighty% of a pre-accredited amount, Medigap handles 20% of the same pre-approved sum. Your medical professional could charge a great deal much more than Medicare’s pre-authorized quantity and depart you to make up the difference. Medigap Program G pays for eighty% of any medical doctor charges above what Medicare will spend.
Source: syncop.org

DME Medicare health insurance Fraud: Combating Sturdy Medical Apparatus Fraud Together with the False Boasts Act

Significant loss of fraud will not spend as much for Medicare Supplements, businesses and the government. Instead it would increase the products services for all search for care. The actual U. OHYDRATES. Department of Health insurance and Human Products (HHS) in addition to U. OHYDRATES. Department regard Justice will be proactively cooperat to assist eliminate scams and consider fraudulent Medicare health insurance (and Medicaid) operators in which are cheat the device. On The month of january 24, 2011, HHS publicised new protocols authorized within the Affordable Consideration Act that will aid prevent defraud your Medicare system. These protocols serve to defend patients in addition to legitimate doctors along with providers. People include: enhanced screen and various enrollment prerequisites (rigorous diagnostic tests process just for providers register Medicare so that fraudulent providers right out of the program), stopp settlement of predict claims (the system can momentarily stop enrollment on the category regard providers or even of providers in a geographic area that was identified see that high risk), latest resources in addition to shar info to overcome fraud, new tools to counteract fraud, grown overpayment heal efforts, superior penalties to help deter scams and punishment, stiff latest rules in addition to sentences just for criminals, increased oversight regard private insurance cover abuses.
Source: thesillywabbit.com

Colorado Medicare Supplement Insurance

For people who are more than the age of 65 and at the moment enrolled in an eligible Medicare plan, Colorado Medicare supplement insurance (which could also be referred to as Medigap) could possibly be a beneficial selection. Medicare supplement insurance, also called Medigap coverage is obtainable in each and every state, although Medicare supplement rates can differ widely. Medicare Supplemental insurance is the policy which is designed to enhance the protection that is afforded by the original Medicare program. Although most of the plans that are there in the original Medicare cover most of the expenses yet there are some gaps that remain in the policy that make the Medicare supplement insurance mandatory for the people to take them. The Best Medicare Supplement Insurance is the one that offers the beneficiary maximum amount of profit or returns on the insurance. Medicare Supplemental Insurance is an option that is available with the people who want to satisfy their insurance related needs in a very detailed manner. It is not that the health related problems will not occur to people in the long run, they obviously will occur but the main thing is that is these problems arise in front of the people then it would be very easy for the people to cope up with the expenditure on their health because of the presence of Medicare supplemental insurance.
Source: yesha.org

Medicare Supplement Insurance for 2012

Learning about 2012 Medicare advantage plans, is essential for all purposes. Part A: This deals with your hospitalisation expenses. You can also make use of this for house nursing or even hospice, if directly related to your condition. Part B: This particular relates to the Outpatient expenses. You are to pay for premiums right here. Part D: Deals with health insurance programs. They are being offered through private insurance agencies in 2012, as approved by the Government to provide such services. Part Deb: Covers prescription medications. If the medications are covered here, you can use this program to repair it.
Source: 10kadayonline.com

Medicare Supplement Insurance Coverage

You don’t want to feel shorthanded financially. To do this, find an agent that deals directly with Medicare. Give him or her your pertinent and accurate information so as not to confuse the types and rates of the plans. Accurate information will yield accurate price quotations. Make sure that the agent or agency you come into contact with is an independent one. You don’t want someone loyal to a single company to give you quotations. His quotations may be biased in favor of the company he or she works for. Once you get hold of this information, it is now time to compare the prices and rates of the plans you wish to enroll in. You have a few plans to choose from. Some of the more famous ones are Plans F,G, and N. Plan F offers the most all-inclusive plan. By saying all-inclusive, we mean that you don’t have to take out money from your pocket in the event of medical need. The company pays for everything. They have you covered on all sides. The second plan, Plan G, is a notch below Plan F. The difference between Plans F and G are minimal only. Finally, the Plan N is of the lowest level between the three. It is designed to be an alternative to Medical Advantage plans for those who want a cheaper alternative. The cheaper price does not necessarily mean less coverage. It is now up to you to make a decision as to the plan you choose to augment your Part A and B Medicare Plan. Choose wisely.
Source: ezinemark.com

Ad Opportunity: Medicare Open Enrollment Period and Health Insurance Companies

[…] This survey was conducted by Extend Health, which helps seniors review the types of supplemental plans available to them. Extend Health CEO Bryce Williams confirms that the willingness of seniors to change plans shows that they are “being responsible consumers of health plan products. That pays dividends by promoting competition among carriers, which helps keep prices down.”Source: mediasalestoday.com […]
Source: mediasalestoday.com

Is your child taking too many meds? Are you?

Posted by:  :  Category: Medicare

OBAMA: THE SOCIALIST/MARXIST/COMMUNIST -- UNMASKED FOR ALL TO SEE by SS&SSOne problem is that as a society we are increasingly relying on medications, drugs if you will, to fix all our problems. Despite all our programs to get people off drugs, there are countless commercials that try to convince us to go to the local drug store and get some pills to cure all that ills us. Try counting the number of pro drug ads on the television on any given night and then tell me that we as a society are opposed to drugs. In this country we love drugs so much, are so convinced there is a chemical that can cure whatever is wrong with us that we now want all our children to take all the drugs they can. We just want them to get their drugs from a drug store not a drug dealer in an ally.
Source: wordpress.com

Video: Fresh Perspectives: MEDICARE

China Exclusive: China’s largest childhood welfare institution opens with innovative live

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Source: usnewslasvegas.asia

Medicare Fraud Effects Medicare and Medigap Participants

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Source: kidsgrowthtips.com

Vox Verax: Support Builds for a Plan to Rein In Medicare Costs

By ROBERT PEAR NYT WASHINGTON — Though it reached no agreement, the special Congressional committee on deficit reduction built a case for major structural changes in Medicare that would limit the government’s open-ended financial commitment to the program, lawmakers and health policy experts say. Members of both parties told the panel that Medicare should offer a fixed amount of money to each beneficiary to buy coverage from competing private plans, whose costs and benefits would be tightly regulated by the government. Republicans have long been enamored of that idea. In the last few weeks, two of the Republican candidates for president, Mitt Romney and Newt Gingrich, have endorsed variations of it. The idea faces opposition from many Democrats, who say it would shift costs to beneficiaries and eliminate the guarantee of affordable health insurance for older Americans. But some Democrats say that — if carefully designed, with enough protections for beneficiaries — it might work. (More here.)
Source: blogspot.com

Usa Medicare insurance In addition to Hemorrhoid treatment Concierge Healthcare Procedures

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Source: ihracatrehberi.info

What are three opposing and non opposing arguments for the health care reform?

Answer by Mr. Wizard Why does health care reform have to be complicated? REFORM what is ALREADY OUT THERE!! 1) Aggressively go after Medicare / Medicaid fraud cheats! Trust me: this alone, IF done right, will REAP IN MILLION$ in currently “stolen” money. I know 4 professional married couples, both driving $ 70,000 SUV’s and high end vehicles, living in exclusive neighborhoods–enjoying FULL Medicare / Medicaid benefits on THEIR KIDS–who are in elite private schools. How did these people get away with it? Medicare / Medicaid thinks these people are POOR, living in a low income section of town—not suspecting the POST OFFICE BOX ADDRESS they mail correspondence to!!! Seek out and go after these frauds–penalize them w/ heavy fines OR jail / prison time ( either/or ) and watch a nation-wide HUGE windfall go into the health care program!!!! 2) Exclude illegal immigrants from ALL Universal Health Care benefits. You want FREE American health care? Become a LEGAL U.S. Citizen–NO “AMNESTY” FOR ILLEGAL IMMIGRANTS IN THE U.S.. American WORKING TAXPAYERS SHOULD NOT HAVE TO PAY FOR THE POOR PEOPLE WHO LIVE ILLEGALLY IN THE U.S.!!! 3) SHARPLY LIMIT Universal Health Care for Welfare recipients. Want the FULL PACKAGE? GET OFF WELFARE AND GET A JOB. Again: AMERICAN WORKING TAXPAYERS SHOULD NOT HAVE TO COVER COSTS FOR WELFARE FRAUDS, CHEATS AND ALL OUT LAZY PEOPLE WHO FEEL AMERICA OWES THEM FOR WHATEVER WHACKED OUT REASON. American Universal Health Care should be FULLY AVAILABLE to WORKING OR LEGALLY RETIRED AMERICANS and THEIR FAMILIES. For God’s sake: Send and sound loudly the message to America’s lazy liars who are getting away w/ STEALING FREE SERVICES.
Source: flipsyte.com

Wait. What? Democrats for Market

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Source: elder-gateway.com

Viewpoints: CLASS Act’s Effect On Health Law; New Prescriptions For Medicare; Food Marketing To Kids

Modern Healthcare: Point-Of-Care Eligibility Tests Help Steer Patients To Right Insurance Programs With the latest U.S. Census Bureau figures citing rising numbers of the uninsured, all eyes are again looking at what can be done to help this population. Meanwhile, studies have shown nearly one-third of the estimated 50 million uninsured Americans qualify for free or low-cost government-sponsored health insurance programs but aren’t signed up. As a result, millions of eligible Americans are using hospital emergency rooms for their primary care, resulting in hospitals experiencing millions of dollars in losses (Phil Lebherz, 10/17). Modern Healthcare: Don’t Delay On ACO Push As the CMS prepares to issue the second round of the regulations for its accountable care organization initiative, known as the Medicare Shared Savings Program, healthcare organizations and political pundits are waiting to see if the many questions raised by the structure and risk described in the first round of draft regulations have been addressed. Without sufficient participation in these Medicare programs, it is not clear if government can drive a movement toward “accountable care” fast enough to meet the needs of our challenged healthcare system (Dr. Gene Lindsey, 10/14).
Source: kaiserhealthnews.org

Support Builds for Premium Support Plan for Medicare

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Source: heave-ho.org

Report: Over 700K N.J. Medicare recipients take advantage of free preventive benefits

Posted by:  :  Category: Medicare

Every person with a Medicare Advantage or a Part D drug plan will also see better value in those plans for the second year in a row. Average Part D drug plan premiums will remain virtually unchanged in 2012. In New Jersey, 95.5 percent of people have access to a plan with a lower premium than they paid in 2011. Those in the Part D coverage gap, or donut hole, will continue to be able to get discounts on covered brand name drugs in the donut hole. People with Medicare will get deeper discounts in the years ahead until the gap is closed in 2020. On average, Medicare Advantage premiums will be 4 percent lower in 2012 than in 2011, and plans project enrollment to increase by 10 percent.
Source: newjerseynewsroom.com

Video: New Jersey Medicare Advantage Plans

Elizabeth Doctor Sentenced To Prison For Medicare Fraud

The fake physicians ordered tests and prescribed medications for patients, often using a pre-signed prescription pad Yousuf Masood provided. Yousuf Masood paid the unqualified individuals as little as $10 an hour, and directed them to spend no more than five to 10 minutes with patients. On some days, more than 100 patients visited the medical practice for treatment, and the majority were treated only by unqualified individuals. While they treated patients, Yousuf Masood was often either not in the office at all, or in his personal office watching TV or browsing the Internet.
Source: njtoday.net

Viewpoints: Private Vs. Public Medicare; N.J. Medicaid Tough Choices; IPAB’s Cost Controls

Detroit Free Press: Ending Medicare As We Know It Over the course of their working lives, an American couple earning the median household income will pay about $140,000 into Medicare; after turning 65, the same couple will collect, on average, more than three times that much in Medicare benefits. You don’t need a Ph.D. in actuarial science to recognize that this is unsustainable, especially as the ratio of retirees to workers grows. So far, though, neither major party has advanced an alternative that will preserve seniors’ access to quality health care without bankrupting the country (6/11).  Kaiser Health News: A Health Policy Reality Check (Guest Opinion)  When the Republican House voted earlier this year to repeal the health law, their slogan was “repeal and replace.” Last month, House Ways and Means Chairman Dave Camp, R-Mich., admitted the House would offer no replacement. … Two final questions: Do any Republicans still believe in the goal of universal coverage? What is the basis for moving forward together from here? (John McDonough, 6/12).
Source: kaiserhealthnews.org

How to fight against Medicare fraud?

CONTACT US If you have a Medicare question, please submit it in the comments section below. For help finding a Medicare Supplement ( Medigap ), Medicare Advantage, and a Medicare Prescription Drug Plan contact Medicare-PA-NJ-DE at 877-657-7477.
Source: medicare-pa-nj-de.com

Medicare Eligibility: Start with the Basics

Moreover, the spouse of the person eligible for the benefits of Medicare should also have been regularly paying Medicare taxes for the same period given. On the other hand, to accommodate those who are not able to regularly pay for Medicare taxes, both the beneficiaries and their spouses, Medicare still has another option for this group since as much as possible, this medical group wants to cater to every kind of medical need of all citizens of the country. For this group of people, those who are 65 years old and above should pay a certain monthly premium so that they will be remained enrolled in Medicare. If this condition will not be met, unfortunately, beneficiaries will be cut off from the Medicare list, unless other conditions will come up in the future. After learning some of the basic information on Medicare, such as knowing some points in Medicare eligibility, the person can now move on to the next step, which is to make sure that all payables are regularly paid. Although there are two options when it comes to payment scheme, it is important to weigh which is lighter to pay and more relevant.
Source: ezinemark.com