Medicare open enrollment ends tomorrow

Posted by:  :  Category: Medicare

open enrollment by MedicareMallBuilding on savings in 2011, Medicare also recently announced that the Part B deductible will be $22 lower in 2012 and average Medicare Advantage premiums are projected to drop 4 percent in 2012.  Part B premiums, which cover outpatient services including doctor visits, are estimated to increase by only $3.50 per month for most beneficiaries in 2012, and some will see a decrease.  These changes will be more than offset by the average Social Security cost of living increase ($43 per month for retired workers).
Source: thisisreno.com

Video: Medicare and You – Resources for Open Enrollment

Medicare Open Enrollment Ends Tomorrow

Kris Gross, with the Senior Health Insurance Information Program, says that signing up for Medicare Advantage means that you are choosing a plan from a private insurance company to receive your Medicare Part A and B benefits. These plans have annual contracts with Medicare, with different premiums, deductibles, benefits, and drug coverage. The Marion County Representative for the Senior Health Insurance Information Program is Miles Murphy. Call Knoxville Hospital and Clinics at 842-2151 for more information.
Source: kniakrls.com

The Brian Lehrer Show:

Medicare Open Enrollment

Slightly off topic – Unfortunately if younger people cannot afford to see doctors and dentists on regular basis in their 20s 30s 40s etc – there is a Much Higher chance that they will need increased medicare care and $$s when the time comes around. in the near future can your programme please address what the options are for younger people who do Not have health insurance and do not qualify for medicaid. I am 37 years old and recently had an emergency visit to NYU dental for a broken tooth, I now need to have 2 teeth removed because i could not afford to have regular check ups and treatment at a regular reputable dentist. I know A Lot of people in the same position of not dealing with ailments because they fear the amount of tests / xrays / drugs they will inevitably have to pay for. NYU was highly professional, and i wish i thought of it sooner. thanks for the continuing to cover relevant issues we face in this country.
Source: wnyc.org

Medicare’s Dec. 7th Open Enrollment deadline nears

Face-to-face: At Open Enrollment events across the country, Medicare has been working closely with its partners across the nation to provide counseling opportunities for people with Medicare in their home communities.  More than a thousand events with Medicare beneficiaries have been held across the country – and thousands of SHIP counseling sessions have been conducted.  CMS and its partners have shared unbiased drug and health plan information at senior activity centers, through education-oriented media partnerships and phone banks and with other advocacy partners in unique local venues and faith-based communities. These events also highlight Medicare’s preventive services, including flu and pneumococcal shots and health screenings. For more information contact your local Area Agency on Aging, State Health Insurance Program or other unbiased senior advocacy organizations. Contact information for local telephone or face-to-face enrollment resources and year round assistance can be found on the back pages of your Medicare & You handbook.
Source: vistanewspaper.com

Missed Medicare Open Enrollment, Now What?

Sign up for a new Medicare Advantage or Part D plan after open enrollment. You’ll have to pay more for the coverage but depending on your health and cost of monthly prescriptions, it may be worth the extra cost. Talk to a licensed agent about available plans to see how much it would cost for monthly premiums versus the cost of not having additional coverage.
Source: gohealthinsurance.com

Just A Few Days Left For Medicare Open Enrollment

Sacramento Bee: Medicare Deadline: Many Still Unaware The 2010 health reform act mandated the earlier enrollment period to give Medicare recipients more time to weigh their plan options and insurers more time to complete paperwork and get membership cards and other information to beneficiaries. But at least two recent surveys show that many seniors still are unaware of the Wednesday deadline. The latest, from survey firm Opinion Research, showed that just one in five seniors 65 years of age and older with Medicare prescription drug plans were aware that the open enrollment period ends next week (Smith, 12/3).
Source: kaiserhealthnews.org

State of IL Reminding Residents of Medicare Open

“As the Medicare open-enrollment period winds down, Medicare enrollees who have not yet reviewed and compared available prescription drug and Medicare Advantage plans should call the Department’s toll-free SHIP hotline or the 24-hour Medicare hotline to help make sure they continue to have the most appropriate coverage,” said Andrew R. Stolfi, Acting Director of the Department.  “As always, the Department’s dedicated SHIP volunteers also provide information and assistance to Medicare beneficiaries and caregivers year round.”
Source: enewspf.com

Medicare Open Enrollment: What You Need to Know This Year

Keep in mind that once open enrollment ends, you may still be able to make changes to your Medicare coverage. Many don’t know that Medicare offers “Special Election Periods”providing the opportunity to change Medicare coverage anytime of the year. For example, eligible beneficiaries with diabetes or heart failure are allowed a one-time special election period to enroll in a Special Needs Plan for their condition. In addition, eligible Medicare beneficiaries receiving full Medicaid assistance may switch their coverage at any time of the year.
Source: communityjournal.net

Time running out on Medicare open enrollment — 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

The Twelve Sites of Social Security — Palos Hills news, photos and events — TribLocal.com

Posted by:  :  Category: Medicare

On the twelfth site of Social Security, we present to you: services for people who are currently receiving benefits, like the ability to replace your Medicare card, get or change a password, request a proof of income letter, or check your Social Security information or benefits. You can do these and other things at www.socialsecurity.gov/pgm/getservices-change.htm.
Source: triblocal.com

Video: Los Angeles: Medicare Fraud Summit Law Enforcement Panel

Save Some Time During the Holidays

You can handle much of your Social Security business quickly and securely from your home or office computer. If you visit our website at www.socialsecurity.gov you will find that you can — • get an instant, personalized estimate of your future Social Security benefits; • apply for retirement, disability, and spouse’s benefits; • check the status of your benefit application; • change your address and phone number, if you receive monthly benefits; • sign-up for direct deposit of Social Security benefits; • use our benefit planners to help you better understand your Social Security protection as you plan for your financial future; • find the nearest Social Security office; and • request a replacement Medicare card.
Source: triblocal.com

Social Security Now Has Applications in Spanish

In some instances, you may need to visit a local Social Security office. For example, if you would rather hand-deliver original documents, such as naturalization certificates or permanent residency cards, instead of sending them through the mail.
Source: usa.gov

Social Security Now Has Applications in Spanish

There are lots of things you can do on SSA.gov, from filling out applications and appealing a decision to changing your address and replacing a Medicare card. Until now, however, some of these applications have only been available in English. To make the process easier for Spanish speakers with limited English skills, the Social Security Administration has translated the applications for the following benefits:
Source: hispanicprblog.com

Getting Social Security Number

To prove your citizenship you can present your U.S. birth certificate, U.S. passport, Certificate of Naturalization or Certificate of Citizenship. To prove your U.S. immigration status, you will need to show SSA your current U.S. immigration document, such as Form I-551 (Lawful Permanent Resident Card or Machine Readable Immigrant Visa), I-766 (work permit) or I-94 (Arrival/Departure Record). If you are an F-1 or M-1 student, you also must show your I-20, Certificate of Eligibility for Nonimmigrant Student Status. If you are a J-1 or J-2 exchange visitor, you must show us your DS-2019, Certificate of Eligibility for Exchange Visitor Status.
Source: wordpress.com

Copy of social security card

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Source: elansocial.com

Rural resources on Medicare Part D Prescription Drug Benefit resources

Rural Perspective Regarding Regulations Implementing Titles I and II of the Medicare Prescription Drug, Improvement, and Modernization Act Of 2003 (MMA) Author(s): Curt Mueller, Keith Mueller, Janet Sutton Sponsoring organization: NORC Walsh Center for Rural Health Analysis Identifies sections of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) that might be of special concern to rural Medicare beneficiaries, medical care providers, and policymakers. Includes guidance regarding provisions in the Proposed Rule “Establishment of the Medicare Advantage Program,” which implements Title II of the MMA, with a focus on its impact on rural health service delivery. Date: 08 / 2004
Source: raconline.org

Things To Know About Your Medicare Card

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Source: cpaprotectplus.com

#LOWES ONLINE APPLICATION: 5 Reasons Why Your Citibank Credit Card Application Was Denied

It can be a devastating day when you receive a denial letter in the mail when you were expecting a shiny new Citibank credit card. The first question you are likely to ask is, “Why was I denied?” There are several reasons why your Citibank credit card application would be denied including lack of income and already owning too many cards. The purpose of this article is to explain the five top reasons you may be denied for a Citibank credit card.
Source: blogspot.com

Ohio Health Policy Review: Supreme Court review of ACA Medicaid rules could have massive impact

Posted by:  :  Category: Medicare

Attorney General Richard Cordray Announces Candidacy for Re-election by ProgressOhioACH19-ValueforMoney AHC13-PovertyandHealth Entitlement Reform NN11-Personal-News NN12-Job-Listings NN13-FellowshipsInternships NN18-Conferences-Meetings NN19-Books NN20-Articles-Papers NN21-Grey-Literature NN22-Organization-News NN25-Videocasts NN27-Blogs PPACA-ComparativeEffectiveness PPACA-Constutionality PPACA-Impact-Access PPACA-Impact-Consumers PPACA-Impact-Costs PPACA-Impact-Employers PPACA-Impact-Equity PPACA-Impact-HealthInsurers PPACA-Impact-HealthProfessionals PPACA-Impact-Outcomes PPACA-Impact-States PPACA-Medicaid PPACA-Medicare PPACA-PublicOpinion PPACA-Repeal Regulation-FDA Regulation-HealthFacilities
Source: wordpress.com

Video: Gov. Kasich: How Ohio works with businesses to create jobs

Medicaid Cuts = Understaffing : South Carolina Nursing Home Blog

The Mansfield News Journal had an interesting article on how Medicaid cuts in Ohio will affect staffing and thus the qualit of care provided to the most vulnerable among us. Nursing homes across Ohio have fired hundreds of staff after the state reduced Medicaid reimbursements to facilities on July 1.   Other chains have cut workers’ pay, as well as freezing or cutting benefits to insure profits.  Exactly how many nursing home jobs have been cut since the change in reimbursement rates isn’t certain. A survey by the two trade groups for the state’s for-profit nursing homes found 2,800 jobs lost at 333 facilities (roughly a third of the statewide total) since July. The survey by the Ohio Health Care Association and the Academy of Senior Health Sciences said about 80 percent of the 2,800 dismissed workers provided direct care to residents.
Source: scnursinghomelaw.com

Trevor Loudon's New Zeal Blog

[…] Conservative filmmaker James O’Keefe released the first installment in a new video investigation Monday morning, this one focused on Medicaid fraud. The first video in the series shows governmentemployees in Ohio assisting two men who have described themselves as Russian drug smugglers with applications for Medicaid. In the video, the men explain to Ohio Medicaid workers that they are Russian immigrants who sell illegal drugs, drive a modified McLaren F1 sports car with a gold-coated engine, and use their underage sisters to perform sexual favors in exchange for drugs. Read More: http://trevorloudon.com/2011/07/video-o%e2%80%99keefe-hits-medicaid-offices-gets-tips-in-fraud-other… […]
Source: trevorloudon.com

Ohio May Recover Medicaid Expenses In Third

COLUMBUS, Ohio – The 10th District Ohio Court of Appeals, Franklin County, on Nov. 10 affirmed a trial court order allowing the Ohio Department of Job and Family Services to recover 100 percent of the medical expenses it paid on behalf of an injured person from the settlements in their individual lawsuits against third-party tortfeasors (Yahya Mulk, et al., v. Ohio Department of Job & Family Services, No. 11AP-211, Ohio App., 10th Dist., Franklin Co.; 2011 Ohio App. LEXIS 4775). Full story on lexis.com
Source: lexisnexis.com

Q&A: How Ohio Reduces Avoidable ER Visits by Medicaid Beneficiaries

(Dr. Mina Chang): We follow a methodology developed by the Institute for Health Care Improvement. It’s population-based and patient-centered. What is attractive about this methodology is that it adopted a rapid cycle, quality improvement approach that typically is focused on a very small subset of a population. With this methodology, you develop a quality improvement strategy and test it out until something is found to be effective. Then, you can in turn extend it to a larger population. It’s very different from a traditional research approach, where as you have to wait four to five years to find out that your investment has not worked.
Source: hin.com

Ohio Medicare Beneficiaries In Coverage Gap Saving $64,954,039 This Year As Time To Select 2012 Plans Draws To A Close

And, as of the end of November, more than 24.2 million people with Medicare have taken advantage of at least one free preventive benefit – including the new Annual Wellness Visit – made possible by the Affordable Care Act.  In Ohio, 864,243 people with Medicare have taken advantage of the free preventive coverage. Building on savings in 2011, Medicare also recently announced that the Part B deductible will be $22 lower in 2012 and average Medicare Advantage premiums are projected to drop four percent in 2012.  Part B premiums, which cover outpatient services including doctor visits, are estimated to increase by only $3.50 per month for most beneficiaries in 2012, and some will see a decrease.  These changes will be more than offset by the average Social Security cost of living increase ($43 per month for retired workers). People with Medicare can now review their drug and health plan coverage options for 2012 as part of the annual Medicare Open Enrollment Period.  CMS is highlighting plans that have achieved an overall quality rating of five stars with a high performer or “gold star” icon on Medicare’s Plan Finder – www.medicare.gov/find-a-plan. For more information about how the Affordable Care Act closes the donut hole over time, go to http://www.medicare.gov/Publications/Pubs/pdf/11493.pdf
Source: progressohio.org

Ohio Health Policy Review: Study: States spending on Medicaid jumped 29% this year

“We’re on an unsustainable path,” said Mike Schrimpf, communications director for the Republican Governors Association. “Every year Medicaid takes up a greater share of most state budgets. . . . Every dollar spent on Medicaid necessarily comes out of somewhere else, so it’s taking away from every other item in the budget.”
Source: healthpolicyreview.org

Ohio Benefit Bank Mobile Express: Blood From a Stone

So I did what I could to fix it. I helped them fill out the SNAP/Medicaid application. Having been on SNAP, they were familiar with the questions I was asking. I asked them to call their caseworker since only one household member was on their SNAP case. For PIPP Plus, if that goes through, their electric bill will go down from over $100 per month to $10. That’s 90 more dollars monthly in pocket. Heck, these guys were eligible for OWF Cash Assistance too. We are talking about over $500 in monthly benefits. Selling blood to give your child a sense of normalcy should never have to happen. Nor should a six-year-old go without health insurance. I was so happy that this family, with a sugared up six-year-old in tow, was willing to spend 45 minutes with us going through all of these applications. They left happy and I felt as satisfied as I ever have working with low income clientele. I wish this were a perfect world where the need wasn’t so great, but we all know this isn’t that world. It should be noted that Erin and I helped other clients in less extreme circumstances apply for benefits. A few SNAP applications, lots of HEAP this time of year. And some voter registrations. But more on voter registrations tomorrow…
Source: blogspot.com

New Ohio Medicaid IT System Leaves Some Providers Unpaid for Five Weeks

Back in 2004, the U.S. Centers for Medicare and Medicaid Services (CMS) approved the state of Ohio’s plan (PDF) for a new Medicaid Information Technology System (MITS) and selected Ohio as an early adopter for the then new CMS Medicaid Information Technology Architecture. MITS (PDF) was set to replace the Medicaid Management Information System (MMIS) which was decades old. In 2005, 3000 business requirements were identified that the MITS needed to support, and in 2007 Hewlett-Packard (HP) was selected as the vendor to deliver the US $115 million MITS. (Actually, it was EDS, which HP bought in 2008, that won the original contract, which was for $100.8 million).
Source: ieee.org

Worried More than Gaps in Medicare Ideas Select Suitable Medical Supplements

Posted by:  :  Category: Medicare

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Source: article007.info

Video: The Road to Data Democracy: Introducing the CMS Dashboard

Worried More than Gaps in Medicare Ideas Select Suitable Medical Supplements

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Source: articlegrow.info

Worried More than Gaps in Medicare Plans Select Appropriate Medical Dietary supplements

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Source: xaiax.com

Using Medicare data to rate doctors gets approval

Doctors will be individually identifiable through the Medicare files, but personal data on their patients will remain confidential. Compiled in an easily understood format and released to the public, medical report cards could become a powerful tool for promoting quality care.
Source: agentnavigator.com

35 New APIs: Medicare, NYC 311 and Mobile Contact Syncing

BMBets API: BMBets.com helps bettors to find the best betting odds on their bets by processing and comparing odds from the most popular bookmakers. BMBets.com also provides users with the tools that help punters bet with data from Sure Bets or Value Bets. BMBets provides sport betting odds compilation and analysis services using the Oddsmaker engine, which simulates the probabilistic model of a sport event, assess probabilities and turn them into the betting odds. The engine supports offline and real-time (live odds) betting odds generation and analysis. The API uses SOAP protocol and responses are formatted in XML.
Source: programmableweb.com

Feds to allow use of Medicare data to rate doctors, hospitals and other health care providers

At least ten years of discussions and hard focused work by consumers and employers, an important breakthrough has been made in enabling the release of information to consumers about the providers of their health care and the services they are purchasing. Congratulations to all the individuals and organizations that steadfastly refused to succumb until the battle was won.
Source: healthcarebenefitsnetwork.com

Medicare Gives Employers, Consumers Information to Make Better Health Care Choices

The final rule makes a number of important changes from the original proposed rule. The final rule makes this data less costly for qualified entities, gives qualified organizations more flexibility in their use of Medicare data to create performance reports for consumers, and extends the time period for health care providers to confidentially review and appeal performance reports before they become public.  The rule also includes strict privacy and security requirements to protect patients, health care providers, and suppliers as well as stringent penalties for any misuse of Medicare data.
Source: enewspf.com

3 Helpful Reasons To Decide If Medicare Supplement Insurance Is It for You

Posted by:  :  Category: Medicare

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Source: allbout.info

Video: Learn About Medigap Plans

Ways to Choose the Best Medicare Supplement Insurance

Your health is like the most important aspect of your life. If you are healthy, then even the lack of money may not affect you in a serious manner. On the contrary, if you are very rich and unhealthy at the same time, what is the purpose of life itself? In US, most of us fulfill our medical treatment needs with the help of Medicare. Now, Medicare is unlikely to pay the entire cost of all types of medical treatments. Here is where you need to have a Medicare supplement insurance to take care of the expenses that are not covered under Medicare. When it comes to choosing Medicare supplement insurance, you have a lot of choices available in the market. If you browse through them and learn about the pros and cons of each one of them, then you can very easily choose the best option to suit your needs.
Source: motherplant.org

Medicare Supplemental Insurance

The government has come with the best possible solution for this with the introduction of Medicare Insurance. This insurance covers up almost 80 percent of the total expenditures including hospitalization, purchase of medical equipment, doctors’ fees and other expenses that might be incurred in the entire treatment process. As I had mentioned, nowadays, even a very petty treatment requires quite a bit of money. Thus, even the remaining 20 percent is also becoming unaffordable for most people. Money becomes the most important criteria, and this prevents many people from availing expensive medical services. This portion is covered by the Medical Supplemental Insurance. Since payment in cash becomes impossible for many, resorting to this policy is the best option. If it were not for Medicare Supplemental Insurance, people would not have been able to dream about getting good treatments done from well known hospitals.
Source: econorthwest.info

Purchasing Medicare Supplemental Insurance Plan

Insurers use three methods to decide your premium. The premiums, which are community rated, are the same for all buyers, no matter what their age. These premiums are only increased when they need to be adjusted for inflation. The other method to determine premiums is based on your age when you buy the Medicare Supplemental Insurance policy. You will be paying a lower premium if you are younger. As you age, your premiums will not be increased, but may be adjusted against inflation. The third method to decide your premium is based on your age. In this method, the premiums increase as you age. These policies are least expensive when you are buying them, but the cost increases along with your age and becomes extremely costly as you get older.
Source: planavarra.com

Medicare Supplement Strategy F

Amongst the most extremely-sought of all Medigap plans is  Medicare Supplement Strategy F. Not only is this strategy favorable because of to its substantial quantity of coverage but also for its inexpensive Medicare supplement insurance average monthly premiums. Seniors who are enrolled in conventional Medicare frequently look to Medicare Dietary supplement Strategy F and other people to fulfill the gap in their Medicare protection. Simply paying the remaining Medicare supplements amount out-of-pocket is just not possible for most senior citizens residing in present day economy. The most optimum time to use for secondary well being protection is throughout your open enrollment time period which begins on the initial day that you are enrolled in traditional Medicare. The open up enrollment period ends six months from that day.
Source: photoeditorv.com

Medicare Supplement Strategy F

Posted by:  :  Category: Medicare

It's all there in black and white by Dave77459Amongst the most extremely-sought of all Medigap plans is  Medicare Supplement Strategy F. Not only is this strategy favorable because of to its substantial quantity of coverage but also for its inexpensive Medicare supplement insurance average monthly premiums. Seniors who are enrolled in conventional Medicare frequently look to Medicare Dietary supplement Strategy F and other people to fulfill the gap in their Medicare protection. Simply paying the remaining Medicare supplements amount out-of-pocket is just not possible for most senior citizens residing in present day economy. The most optimum time to use for secondary well being protection is throughout your open enrollment time period which begins on the initial day that you are enrolled in traditional Medicare. The open up enrollment period ends six months from that day.
Source: photoeditorv.com

Video: Switching To Medicare Supplement Plan F

Only Qualifying with regard to Medicare Added benefits? Some Points to consider

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Source: canderis.com

Medicare health insurance Advantage AS CONTRASTED WITH Medicare Additional Providers

In 1965, Congress address concerns concern increased heath care treatment costs Medigap Plans older human be s passed a strong amendment towards Social Basic safety Act that created Treatment. The action created a pair of benefits, Medicare Component A that covered hospitalization along with Medicare Component B that provided insurance to coat other medical costs. Legislation creat Treatment was fixed by Leader Lyndon Manley on This summer 30, 1965, on the sign service former Leader Truman has been issued the main Medicare account.
Source: smkatokjiring.com

Online Assistance Shedding Light On Medicare Supplemental Insurance P

Supplemental insurance plans through Medicare offer a variety of different coverage options. It is important that the correct one is purchased for each individual circumstance. Senior Health Direct is an online, convenient and easy to use option to help clients maximize coverage, minimizing hassles and costs. With ten plans to choose from finding the right option to accompany Medicare Part A and B to complete your medical insurance ensuring the most coverage can be difficult, Senior Health Direct helps with that.
Source: articleslash.net

Solely Qualifying to get Medicare Positive aspects? Some Points to consider

Although your specifics of every Medigap insurance policy might change with a yearly foundation, the standard tenets of every plan will continue the equal. One of the extremely popular extra Medicare procedures is Treatment Plan FARRENEHEIT. This is born both that will its flexibility together with the fact not wear runn shoes has become the only policies which may cover just about any excess Treatment charges. These too much charges mean the significant difference between what the physician charges plus what the exact amount is who Medicare can pay. This extra plan maybe there is to covers those outside of pocket costs which may add way up in conditions of sudden or hav extra prophylactic care that was not normally included in Medicare.
Source: ebm4u.com

Plan F High Deductible Medicare Supplement Quotes

Someone who was once in good health, but later finds that the $2,000 + deductible must be met each year as his or her health has changed might not prefer the coverage any longer. The issue then would be that it is can be difficult to change plans if the insured is in poor health. Medicare beneficiaries cannot change coverages without undergoing medical underwriting with most providers in most states.
Source: ohioinsureplan.com

will texas medicaid pay for weight loss programs?

Posted by:  :  Category: Medicare

Beneath Highway 90 bridge, Richmond, Texas 1018091117BW by accent on eclecticIn 29 states, pharmaceutical products indicated strictly for the treatment of obesity and weight loss are specifically excluded from state Medicaid programs, while in nine states – Alaska, California, Kentucky, Montana, North Carolina, Oregon, Rhode Island, Washington and Wisconsin – anti-obesity and weight loss pharmaceutical products are covered.
Source: treatmentobesity.net

Video: Texas Medicaid Continuing Legal Education

Texas government considers cuts to Medicaid reimbursements

The reduction in Medicaid reimbursements could prevent doctors from practicing in less wealthy parts of the state. For services such as outpatient rehabilitation facilities, the average reduction could amount to 54 percent. According to reports, one Dallas-based speech therapy provider expects that the cuts, if they are approved, will result in thousands of children losing access to their speech therapy. The rate cuts for that company may range from 30 to 71 percent. Moreover, the co-payment rates for patients benefitting from both Medicaid and Medicare could also be altered. That could result in a lot of people paying more than they do now.
Source: elderlawhousing.com

Texas Pharmacists Assail Medicaid Cuts; Ariz. Could Restore Kids’ Coverage

MSNBC: Plan Would Provide Health Care To More Than 19,000 Arizona Children A plan by three hospital groups to leverage more federal cash for themselves will also help provide care to more than 19,000 children of the working poor, at least temporarily. The proposal, unveiled Monday, involves (the hospitals) putting up about $60 million a year in each of the next two years to pay for care for those without health insurance. That now includes people who used to qualify for the Arizona Health Care Cost Containment System, the state’s Medicaid program, before Gov. Jan Brewer ordered cutbacks. In exchange, though, Medicaid would kick in an additional $114 million each year to help the hospitals pay for that care (11/28).
Source: kaiserhealthnews.org

Texas might cut Medicaid reimbursements

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Source: mcclatchydc.com

Texas Therapists Fight Steep Medicaid Cuts on ADVANCE for Occupational Therapy Practitioners

said. But in rural areas, border towns and the inner city, Texas providers work mainly with Medicaid patients. Under the new legislation, patients now covered by both Medicare and Medicaid would be capped at the new Medicaid rate despite their co-insurance. Co-payments will also change, the newspaper said, “for diagnostic radiology, musculoskeletal system surgery, portable X-rays, radiopharmaceuticals and sign language, screening services, and substance use disorders, among others.”
Source: advanceweb.com

TX Providers Criticize Proposed Reduced Medicaid Rates

Reduced reimbursement rates are a common occurrence for most providers. As lawmakers seek to make up budget shortfalls, they tend to target the rates at which providers are paid. One of the unintended consequences is people of lower income levels are impacted the most, as physicians reduce Medicaid patients or stop taking them altogether. An excerpt from the Fort Worth Star-Telegram:
Source: garloward.com

UroMed Expands Insurance Coverage Network in November for Urological Supply Customers

About UroMed Catheters Headquartered in Suwanee, GA [a suburb of Atlanta], UroMed is one of the nation’s leading providers of single-use catheters, urological and disposable medical supplies, including intermittent catheters, closed system catheters, condom catheters, pediatric catheters and continence care products. UroMed is nationally accredited for Medicare reimbursement and most state Medicaid plans, and partners with private health insurance providers and health plans to provide patients with single-use catheters, catheter kits and incontinence products. UroMed also has seven staffed regional offices located in Boston, MA; Columbia, SC; Jacksonville, FL; Dallas, TX; Carlsbad, CA; Knoxville, TN; Richmond, VA; and Baton Rouge, LA; enabling next-day delivery after a customer’s initial medical supply order. For more information, please visit http://www.uromed.com or call 1-800-841-1233.
Source: wordpress.com

Texas Planned Parenthood CEO named in Medicaid fraud complaint announces his retirement

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Source: jillstanek.com

Budget News: slumping Medicaid payouts; declining state park revenue; rising attorney costs in Austin

Revenue streams fueling operation of state parks and funding fisheries and wildlife management programs have slowed significantly as park visitation faded and fewer folks bought fishing or hunting licenses. Park revenue, generated through entrance and use fees such as those charged for overnight camping, for the fiscal year that ended Aug. 31 was about $1.2 million less than the previous year and already is about $2 million behind projections for the current fiscal year, said Gene McCarty, Texas Parks and Wildlife Department deputy executive director for operations.
Source: texasbudgetsource.com

Texas Medicaid and CHIP Program

If you or your children are covered by the Medicaid or CHIP insurance programs you have a number of Medicaid dentist to choose from. Unfortunately, too many Medicaid Dental and CHIP providers make patients endure long waits in crowded, noisy waiting rooms before being seen by inexperienced dentists. At Refreshing Dental Care in Dallas, TX we provide a much better experience for our Medicaid and CHIP patients.
Source: refreshingdentalcare.com

Medicare’s Doughnut Hole Shrinks

Posted by:  :  Category: Medicare

wordy informative signage by damian mThe Associated Press: Medicare’s Drug Coverage Gap Shrinks Medicare’s prescription coverage gap is getting noticeably smaller and easier to manage this year for millions of older and disabled people with high drug costs. The “doughnut hole,” an anxiety-inducing catch in an otherwise popular benefit, will shrink about 40 percent for those unlucky enough to land in it, according to new Medicare figures provided in response to a request from The Associated Press (Alonso-Zaldivar, 11/27).
Source: kaiserhealthnews.org

Video: Medicare Part D – The Donut Hole

Filling the Medicare Donut Hole

The “doughnut hole,” as many know all-too-well, is the treacherous territory you fall into when you have spent too much of your Medicare Part D benefits to continue receiving full benefits (but not so much of your own money to qualify for “catastrophic coverage”).
Source: estateplanning123.com

Filling the Medicare Donut Hole 0

The “doughnut hole,” as many know all-too-well, is the treacherous territory you fall into when you have spent too much of your Medicare Part D benefits to continue receiving full benefits (but not so much of your own money to qualify for “catastrophic coverage”).
Source: mccaffertylaw.com

Medicare ‘Doughnut Hole’ To Shrink by 40%, CMS Reports

The coverage gap in Medicare Part D will shrink by about 40% for beneficiaries who land in the “doughnut hole” this year because of provisions in the federal health reform law, according to data provided by CMS’ Office of the Actuary. Without provisions in the federal health reform law, the average beneficiary who reached the coverage gap would have spent $1,504 this year on prescription drugs. However, provisions in the overhaul reduced that figure to $901.
Source: californiahealthline.org

Rural resources on Medicare Part D Prescription Drug Benefit resources

Rural Perspective Regarding Regulations Implementing Titles I and II of the Medicare Prescription Drug, Improvement, and Modernization Act Of 2003 (MMA) Author(s): Curt Mueller, Keith Mueller, Janet Sutton Sponsoring organization: NORC Walsh Center for Rural Health Analysis Identifies sections of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) that might be of special concern to rural Medicare beneficiaries, medical care providers, and policymakers. Includes guidance regarding provisions in the Proposed Rule “Establishment of the Medicare Advantage Program,” which implements Title II of the MMA, with a focus on its impact on rural health service delivery. Date: 08 / 2004
Source: raconline.org

Millions of Seniors Saving Money on Prescription Drugs, Thanks to the Affordable Care Act

Over the weekend, a report by the Associated Press detailed how the Affordable Care Act is dramatically reducing drug costs for seniors who hit the prescription drug coverage gap known as the donut hole. This year, seniors are benefiting from a 50 percent discount on brand-name drugs in the donut hole. And the discount and other provisions in the law are saving money for seniors. As the AP reported:
Source: medicare.gov

In Medicare “Doughnut Hole” 3.4 Million Stop Taking Their Medication

The putative reason for the coverage gap is that the threshold will teach consumers to be aware of drug costs. Jennifer Polinski, ScD, MPH, the author of PLoS study says, “there is an expectation that people will seek less expensive drug options when they enter the donut hole.” However, these studies reveal that this is clearly not the case. Research from 2006 and 2007 shows that beneficiaries were 40% less likely to switch a drug if they did not receive financial assistance, as opposed to those beneficiaries who did. Likewise, the Kaiser study reveals that about 3.4 million, or 12%, of Part D enrollees who reached the gap in 2008 and 2009 discontinued their medication.
Source: pharmacycheckerblog.com

Seniors and the donut hole

Today, more than 29 million Medicare beneficiaries are enrolled in a Part D plan, and 90 percent of all beneficiaries have comprehensive drug coverage. AstraZeneca believes the Medicare Part D program is a model for how the private sector and public sector can work together to provide critical access to medicines that improve our nation’s health.
Source: azhealthconnections.com

Falling into Medicare Doughnut Hole Ups Nonadherence

Tagged as: Active Seniors, Alzheimer’s care, Alzheimer’s disease, Caregiver, Caregivers, Caregiving, Caring for Aging Parents, Companionship Care, Dementia Care, Donut Hole, DOnut hole in medicare, Family Caregiver, Help for Caregivers, Home Care, Home Care Petaluma, Home Care Rohnert Park, Home Care Santa Rosa CA, Home Care Sebastopol, Home Care Sonoma County, Home Instead Senior Care, medicare, medicare part D, Santa Rosa, Senior Care Sonoma, Senior Care Sonoma County, Senior Caregiving, Senior Safety, Seniors, Sonoma County Seniors
Source: homeinsteadsonoma.com

VPR News: Seniors To Receive Medicare Part

Opponents of a controversial wind project under construction on Lowell Mountain were arrested yesterday for blocking a road.Six of the arrested were protestors but one was a journalist, Chris Braithwaite, publisher of the Barton Chronicle, who was there covering the story.
Source: vpr.net

Medicare ‘doughnut hole’ expenses fall in 2011

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Source: elder-gateway.com

Medicare Open Enrollment Deadline Is Almost Here

Qualified applicants still have three methods to figure out what plan works for them: physical brochure, hotline, or via the Plan Finder found at medicare.gov. The annual “Medicare and You” handbook is sent to every eligible Medicare recipient. It’s custom tailored to the location where the beneficiary lives and lists all of the different plan options.
Source: wobm.com

Group says West Virginians benefit from national health reform law 

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Source: wvgazette.com

Super Committee Dems Again Offer to Cut Medicare Benefits

Posted by:  :  Category: Medicare

TWO YEARS OF RUIN by SS&SSInstead, Democrats chose to totally throw away this potential political advantage. In the 2012 election the American people will now choose between two parties that want to cut your Medicare benefits. The fact that one claims to want to cut your Medicare benefits slightly less will be little comfort and make little difference to many regular voters.
Source: firedoglake.com

Video: Health Care Reform Medicare Advantage Cuts

Advocacy Groups Say Proposed Medicare Advantage Cuts Would Affect Blacks, Hispanics

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Source: wordpress.com

Insure The Uninsured Project (ITUP)

Back in August, Congress was contemplating how to address the nation’s worsening financial situation and meet existing financial obligations by raising the federal government’s debt ceiling. Republicans and Democrats struck a deal to offset increased borrowing with equal reductions in federal spending.  The deal called for $1.2T in spending cuts, called “sequestration,” half from domestic spending, and half from defense spending.  Of those rescissions, $123B would come from Medicare (a 2% cut).  At the same time, a special congressional committee, dubbed the “super committee,” was created. The committee is made up of 12 members appointed by the four top Congressional leaders.  If the super committee could agree on some combination of $1.2T in cuts, the automatic sequestration cuts would be replaced.  This infographic from the New York Times shows the history of the process.  Last week the super committee announced they were unable to reach agreement, and the path forward is a bit clearer.
Source: itup.org

Medicare Advantage Plan Enrollment Is Still Growing, Not Slipping, As Many Predicted

Though the ACA has yet to have a negative impact on Medicare Advantage enrollment, long-term it is still expected that enrollment will decline. The Congressional Budget Office predicts that the $136 billion in cuts to Medicare Advantage that the ACA will impose will reduce enrollment by about 35% by 2019. The CMS’s Office of the Actuary has found that the reducing Medicare Advantage payments will lead to those plans to offer benefit packages that are less generous.
Source: beechtreepartners.com

Report: Medicare Advantages remains popular among seniors

When Congress passed the Affordable Care Act in March 2010, Republicans complained that it would reduce coverage options for seniors by forcing them out of the program. The law cuts $541 billion from Medicare over the next 10 years, taking about one-fourth of that total from Medicare Advantage and reducing payments over time.
Source: agentnavigator.com

Some good economic news for seniors

Seniors for Living is a free service that helps you and your family research, evaluate, contact, and compare Senior Housing options. Our resources include partnerships with hundreds of senior housing communities and home care providers; daily blog posts about all things boomer and seniors; a vibrant community on Twitter and Facebook; and a bi-monthly #ElderCareChat on Twitter — all of which can help guide you in your own personal senior housing and senior care decision.
Source: seniorsforliving.com

How the new law on health care affects home health agencies?

On Nov. 2, the Congressional Budget Office estimated what the plans will likely cost. An individual earning $ 44,000 before taxes who purchases his own insurance will have to pay a $ 5,300 premium and an estimated $ 2,000 in out-of-pocket expenses, for a total of $ 7,300 a year, which is 17% of his pre-tax income. A family earning $ 102,100 a year before taxes will have to pay a $ 15,000 premium plus an estimated $ 5,300 out-of-pocket, for a $ 20,300 total, or 20% of its pre-tax income. Individuals and families earning less than these amounts will be eligible for subsidies paid directly to their insurer.
Source: lovefinanceweb.com

First Edition: December 6, 2011

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

VIVA MEDICARE Plus Earns Highest Quality Rating Score in Alabama for Second Year in a Row

Posted by:  :  Category: Medicare

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Source: xtrafun.info

Video: TYT Episode – 12/15/09

VIVA MEDICARE Plus Earns Highest Quality Rating Score in Alabama for Second …

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Source: zorkajhatka.org

VIVA MEDICARE Plus Earns Highest Quality Rating Score in Alabama for Second Year in a Row

[…] • Visiting medicare.gov, where they can get a personalized comparison of costs and coverage of the plans available in their area. The popular Medicare Plan Finder tool has been enhanced for an efficient review of plan choices. Spanish Open Enrollment information is available. • Calling 1-800-MEDICARE (1-800-633-4227) for around-the-clock assistance to find out more about coverage options. TTY users should call 1-877-486-2048. Multilingual counseling is available. • Reviewing the 2012 Medicare and You handbook. It is also accessible online at: medicare.gov/publications/pubs/pdf/10050.pdf —  and it has been mailed to the homes of people with Medicare. • Getting one-on-one counseling assistance from the local State Health Insurance Assistance Program (SHIP). Local SHIP contact information can be found at medicare.gov/contacts/organization-search-criteria.aspx, on the back of the 2011 Medicare and You handbook, by calling Medicare or through a listing of national stand-alone prescription drug plans and state specific fact sheets that can be found at cms.hhs.gov/center/openenrollment.asp.Source: mtdemocrat.com […] Source: mtdemocrat.com
Source: medicaresupplementalco.com

VivaMedicareMember.com Viva Medicare Plus

Get Medicare Supplement Quotes in for these Alabama cities and more. Birmingham Montgomery Mobile Huntsville Tuscaloosa Dothan Decatur Auburn Gadsden Russellville Lanett Clanton Atmore Hamilton Roanoke Brewton Selma Demopolis Monroeville Jasper Troy Sylacauga Enterprise Athens Scottsboro Cullman Anniston Talladega Tuskegee Jackson Greenville Gulf Shores Foley Andalusia Eufaula Bay Minette Albertville Pell City Childersburg Oneonta Elba Haleyville Fayette Marion Thomasville Evergreen Daphne Chickasaw Opp Madison Prattville Valley Opelika Arab Guntersville Prichard Bessemer Florence Hoover Ozark Alexander City Fort Payne Homewood and Fairfield Al.
Source: trinitymedcare.com