Medicare Special Enrollment Period Means Good News for Seniors

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"Associate yourself with men of good quality if you esteem your own reputation, for 'tis better to be alone than in bad company." ~ George Washington. by eyewashAbout Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We serve approximately 8.9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: kp.org

Video: Medicare Supplement Plans | Questions about Medicare Supplement Plans

CMA Responds to the NY Times: Don’t Privatize Medicare!

We provide effective, innovative opportunities to impact federal Medicare and health care policies and legislation in order to advance fair access to Medicare and quality health care. Principals Judith A. Stein, JD Alfred J. Chiplin, Jr. M.Div., JD Toby Edelman, M.Ed., JD David Lipschutz, JD Margaret Murphy, JD Patricia Nemore, JD Brad S. Plebani, JD Larry S. Glatz, M.Ed.
Source: cmahealthpolicy.com

eHealthInsurance Named Best Website for Health Insurance Quotes

eHealth, Inc. (NASDAQ: EHTH) is the parent company of eHealthInsurance, the nation-s leading online source of , families and small businesses. Through the company-s website, , 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 . Through the company-s eHealthTechnology solution (), eHealth is also a leading provider of health insurance exchange technology. eHealthTechnology-s exchange platform 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 powerful online and pharmacy-based tools to help seniors navigate Medicare health insurance options, choose the right plan and enroll in select plans online through its wholly-owned subsidiary, PlanPrescriber.com () and through its Medicare website .
Source: 88finance.com

Medicare Open Enrollment Extension for Some

Today, December 7th, is the end of the open enrollment period for Medicare recipients.  Susan Jaffe from the KaiserHealthNews.org website reports that extensions are being offered to people who are unable to enroll due to wait times, but only by three days.  A spokesperson for the Centers for Medicare and Medicaid claims that extensions will only be available to seniors who contact the appropriate resources and are put on a call back list.
Source: healthinsurancesort.com

Medicare enrollment deadline is 12:01 a.m. Thursday

Private word companies have Medicare supplemental or Advantage plans. Independence Blue Cross, that serves about 81,000 Medicare beneficiaries locally, will have walk-in use accessible during the Center City bureau during 1901 Market St. until midnight Wednesday. New members can call 1-877-393-6733 until 10 p.m. Tuesday and until midnight Wednesday night. The association website www.ibxmedicare.com can be used for enrollment.
Source: 4-liability.com

New Website Launches to Help Providers Cope with CMS/Medicaid Audit Contractors

In 2005, Congress passed the Deficit Reduction Act that saw the implementation of the Medicaid Integrity Program (MIP) — as an anti-fraud initiative with significant funding to CMS to fight Medicaid fraud and abuse. The MIP program is the federal government’s first ever efforts to audit states’ Medicaid programs. The MIP program authorized CMS to contract with Medicaid Integrity Contractors to not only pursue fraud and abuse but also to provide education to providers and to identify overpayments by conducting post payment audits.
Source: epublishinghq.com

Thousands in Georgia see Medicare savings

Posted by:  :  Category: Medicare

In addition, more than 24 million people, or about half of those with traditional Medicare, have received a free annual physical or other preventive care benefit at no cost due to a provision in the new law, which is officially known as the Affordable Care Act. In Georgia, 682,342 Medicare beneficiaries have taken advantage of the free preventive coverage, CMS said.
Source: georgiahealthnews.com

Video: Georgia Medicare Supplements

Georgia Medicare Health Plan Ratings

This entry was posted on Wednesday, October 26th, 2011 at 7:53 am and is filed under Aetna, BCBSGA, Georgia Health Insurance, health insurance rankings, Health Plan Rankings, kaiser foundation health plan, medicare, medicare advantage, Senior Health Insurance, United Health Care Group, United HealthCare. You can follow any responses to this entry through the RSS 2.0 feed. Responses are currently closed, but you can trackback from your own site.
Source: healthinsurancesort.com

Bobbie Paul: Cut Missiles, Not Medicare

Bobbie Paul serves as Executive Director of Georgia WAND. She has spent almost 25 years supporting the vision of WAND’s founder – Dr. Helen Caldicott – to gradually rid the world of nuclear weapons. She has helped the Georgia chapter define its three areas of concentration across the state and Southeast region:  Peace in Action, Environmental Justice and Empowering People to Act Politically. Paul has watch-dogged Savannah River Site (SRS) for over fifteen years and led campaigns to successfully restore Department of Energy (DOE) environmental monitoring of SRS in Georgia. Paul is a former theatre professional and the co-founder of a regional theatre company in St. Petersburg, Florida (now known as American Stage Company). She has worked for the US Department of State as a theatre specialist in Egypt and Jordan.
Source: gawand.org

Congressman Barrow hosting 2 Medicare Part D workshops

“Folks with Medicare need to know that their drug plans can change from year to year,” said Barrow in a press release. “Their needs may have changed, too. This is the time to pick a plan that suits tem best, but this can be a confusing process. I hope folks will come to these workshops and make sure that the drug plans they have chosen are still the ones that work best for them.”
Source: wtoc.com

laneoconnor410.outilblog.com

You may get these providers and protection’s you want with Georgia Medicare. What are the advantages of getting medical insurance? Medical health insurance may also help you pay for doctor’s payments, hospital payments, and to some extent treatment expenses. Medical insurance can make sure that you stay wholesome while you get sick. All you’ll want to do is pay for a premium that you’ve agreed upon with a health insurance company. But there are government provisions for health insurance relying on the state you’re in. The premiums that you must pay for might be deducted out of your income. You need to use the money you might have accumulated with the government issued insurance whenever you get sick or go to the doctor. Medical insurance ensures you that you will get medical service when you get sick. Once you reach a certain age, you can be susceptible to sure sorts of diseases. You’ll need medical coverage and you will need to pay for medical bills. Medical insurance can defend you from debt and keep away from getting sicker. Georgia Medicare can present you the protection you want if you get sick. What are the necessities for Georgia Medicare? There is a criterion that you must meet before you get protection on Georgia Medicare. If you’re about to show sixty-5, you have to have insurance coverage from Authentic Medicare half A and B to get protection from Georgia Medicare. You automatically qualify for half A (which incorporates hospital expenses) when your spouse has labored for at least ten years. You can enroll for Georgia Medicare even earlier than you turn sixty five. You possibly can enroll for the insurance policy six months earlier than you flip sixty-five years old. There’s a benefit for enrolling at that exact time as a result of your enrollment can’t be denied and you shouldn’t have to answer any well being associated questions. Well being associated questions are important as a result of it may swing the insurance company’s resolution one way or the other. If you are too sick or too outdated it’s possible you’ll not get the companies and benefits that you are wanting for. What can GA Medicare do for you? GE Medicare allows you to swap plans and compare premiums to search out out which coverage is best on your needs. Totally different policies cover numerous illnesses, doctors, or hospitals. With the correct insurance coverage coverage you will get the most effective service you may ask for when it comes to medical assistance. You may ensure that there aren’t any additional bills that you have to pay for whenever you enroll at Medicare. The insurance plan carried out by GA Medicare follows a standardized format that all Medicare branches in numerous states follow. You’ll be able to make certain that you might be being handled pretty and will get the same degree of service. There may be additionally a clause of prescription drug coverage in terms of well being insurance. You may consult together with your insurance coverage provider to get the details. With the sort of medical insurance, you will get the coverage you need if you get sick. http://medicaresupplementaladvisors.com, http://medicaresupplementaladvisors.com/states/georgia-medicare-insurance.php
Source: outilblog.com

Time to Compare Medicare Plans

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SS “Seniors and people with Medicare should act now, review their plan coverage and compare their current plan with other available options,” said CMS Administrator Donald M. Berwick, M.D.  “The important decisions you make now can help ensure that any changes made will be in place by January 2012 for seamless and uninterrupted access to your health care providers and medications at your chosen pharmacies.”  
Source: momentumtoday.com

Video: Shop and Compare Medicare Insurance Plans

Make the Best Deal by Comparing Medicare Plans

It is not independent and the entire supplementary Medicare is controlled by various private companies and no government body is concern about the supplementary one. But all the private companies have to follow some specific rules and they are bound to follow those rules. It is also advisable for an individual to consult an insurance agent before deciding on taking insurance plans and also to decide the priority to book for a special one. It is very essential to book that particular plan that will give you the maximum benefits concerning your health issue and go for that definite plan. It is therefore very important to read the details and then go for the Medicare plans. Before choosing a particular Medigap insurance you can compare Medicare Plans and choose the Best Medicare Supplement Plan. Medicare Supplement Comparison will help you to find out the Best Medicare Supplement. It is important because it is a thing dealing with your future and health. Among all the available medigap insurance plans Medigap insurance California is one which is secured and good to pay attention.
Source: ezinemark.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

Utah State Law Library: Medicare Open Enrollment

If you have questions about Medicare coverage or would like to learn more about health insurance programs that may be available to you, contact one of the agencies who participate in the Utah Medicare Outreach Coalition or visit the health insurance programs page at the Utah Division of Aging and Adult Services’ website.
Source: utcourts.gov

Don’t Wait to Enroll in Medicare

Ask for help. Medicare is complex, but there are a number of resources available online, by phone and in person. In addition to online sites likewww.PlanPrescriber.com, you can contact PlanPrescriber by phone at 800-404-6968 or call your State Health Insurance Assistance Program (SHIP) for assistance. SHIPs receive federal funding to provide free local health insurance counseling to people with Medicare. Also, the federal government has created 1-800-MEDICARE to provide information about Medicare coverage and costs, as well as health plan options.
Source: grandstrandboomers.com

medicare home health compare public health nursing articles

Ask a doctor, hospital or social worker, or friends and family. Posts with Health Compare on HEALTHCAREfirst Blogs and news stories about the Care Industry. Now that these are required to do business with Medicare. Hospital Compare; Dialysis Facilities;. hhc home health agencies home health care. data.medicare.gov. This dataset is. Compare Medicare-certified health agencies and the quality of care provided to patients in the country. Compare Medicare-certified home health agencies which meet your search criteria within your area. Home Health Compare. Welcome to Nursing Home Compare.. This tool has detailed information about every and Medicaid-certified nursing home in the. How to find the best home care agency: Health Compare. Home Health is a Medicare tool that allows you to compare care agencies. Easily compare affordable supplemental plans in your area, hassle-free.. Health Insurance Health Insurance Resources; Health Insurance News; Home Compare Information Medicare provides information about the quality of care in home health agencies all across the country. How to Compare Medicare Health Plans. Medicare. Family Medicaid & Medicare; Compare Medicare Plans; How to Compare Health Plans;. and other important things to know when it comes to and home health care.
Source: healthknowle.info

Compare Medicare Supplement Plans is all about profits

.  Medigap California is good and trust worthy name in this field. Medigap insurance California can be called Best Medicare Supplement Plan for its unique and unconditional serving to its customers. You may seek help from a competent advisor who can supply you some meaty suggestions to have some good plans of Medigap insurance. This comparing gives you the scope to get the right market price of a Medigap insurance plan. It’s worth spending the time to compare the plans. And once the person you’re caring for understands which plan might be best, decisions about those other terms require careful attention to the policy’s fine print.
Source: girls-fitness.com

Information about medicare supplement quotes

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSRegardless of how you decide to perceive stuff, a protracted lifetime will expenditure the body. This contains establishing a much bigger probability of tumors, cancer, stroke, in addition to a ton of other essential medical difficulties. Medicare only handles about eighty % of the seniors complete well-being care bill and for some far more, covering people bills could very well be unachievable if 1 does not have the best volume of supplemental coverage. In fact, for anyone seniors that can be currently suffering from a pre-existing issue, or have some kind of medical predicament that runs within the loved ones, becoming a Medicare method may be the suitable solution if when you may not have it instantly as it will give you monetary security.
Source: world-class-articles.com

Video: Guide to Using Joppel for Medicare Insurance

Medicare supplement Insurance, Often known as Medicare Supplement Insurance

As well as the supplemental policies you can get other health insurance coverage methods as plans. The Treatment supplemental plans can be formulated and are created to meet the precise needs of folks. Some Medicare Part B coverage plans are the Health Repairs and maintenance Organization (HMO), the most liked Provider Provider (PPO), Treatment Special Requires Plans, Programs associated with All-inclusive Attend to the Ag adults (PACE) along with Private Monetary fee for Provider (PFFS). Regard easy recognition, the initially four happen to be classified on the types segment. Through your types segment, they are usually generally known as the Treatment Advantage Projects. These designs are managed by your private businesses but governed by the us government. The most frequent plans is the HMO plus the PPO.
Source: noguruscam.com

Blogs » FilipinoPeople.com

The largest holes with this coverage which is covered by medicare supplemental insurance protection include the medicare part B inpatient prescription medicine copayment, the medicare part B doctor copay, and also the medicare part A healthcare facility deductible. The trouble mainly of these is because they can be quite big, and there’s no out of pocket limit yearly. The medicare part B inpatient prescription drug co-pay is 20% of the inpatient medicines given to you either inside of a medical professionals office environment, or in the hospital. This could involve medications used in chemo, which can be in the thousands of dollars per procedure. The medicare part B doctor copayment is 20%, and applies to surgery copay for surgeons and physicians fees in the healthcare facility. Dependant upon the services provided, this expense could be in the thousands of dollars per event, depending upon the medicare authorized charge for the surgical procedure conducted. The medicare part A healthcare facility inpatient deductible is more than one thousand dollars per event, and starts over each 2 month period you aren’t in the medical center it resets, it might be applied up to 5 times in a single calendar year. Those 3 co-payment figures could be massive in the event of serious events or cancer. The 3 types of medicare supplement which cover these the easiest are quite simple to comprehend, but as a consequence of how they are outlined inside materials provided by medicare it is usually tough to even figure out which of the medicare supplement options insure these gaps, or which holes in the medicare insurance protection are the most significant. The F, C, and High F supplement The F and C supplement protect 100% of all the co-pays and insurance deductibles at any physicians office that will accept medicare assignment. The per month premium will leave no additional co-pays for virtually any medicare part A and B insured services. The high F does the same, but after having a two-thousand dollar annual deductible. Prior to the deductible is satisfied, you will pay the medicare fees for the services, not the total costs. Preventive care services are included ahead of the deductible is satisfied, free of charge. The G and D supplement The G and D supplement includes 100% of all the copayments and deductibles at any doctors office that will accept medicare assignment, apart from the medicare part B deductible, that in 2012 is $140 for the year. All preventive care services are insured prior to the deductible getting met, free of cost. The N supplement The N supplement protects 100% of all co-payments and deductibles at any health professionals office that accepts medicare assignment, except for the medicare part B deductible, as well as a 20% or 20$ co-pay (whichever is lower, maximum of 20$) for the physicians office per visit, and also a $50 co-payment for the emergency room. Medicare Assignment is the expression used for your medical doctor getting money directly from medicare, instead of billing you together with causing you to file claims with medicare. The practice of direct charging the patient is unusual, and ordinarily only happens in cash payment structured clinics or chriopractors offices. Tennessee Medicare, Tennessee Medicare Quotes, Tennessee Medicare Quotes
Source: filipinopeople.com

Health and Fitness Articles

Eye care is really a typical necessity for older individuals since as an individual ages, their eyesight tends to diminish. This really is one cause why numerous older senior citizens will need to have to wear glasses and receive routine eye exams. As an individual gets older, they are also at an enhance danger for cataracts and should have a routine eye exam performed on a normal basis. With Medicare not choosing up the cost of these exams, it can put a key hole inside the pocket of someone specially if they are on a fixed income. That is why the supplement insurance comes in handy and is a thing that all senior citizens and folks ages 65 and up really should have. It really is often greater to be safe than sorry. The expense with the insurance is going to be far a lot more affordable than the cost of the exams and medical expenditures which are not covered by the Medicare insurance.
Source: healthandfitnessarticlesblog.com

Medicare insurance Supplement Policies In Gwinnett Nation

Medicare Add to Insurance is usually termed since Medigap Policy in addition to be the system which hides the other gaps dur the coverage limit of this normal Medicare health insurance Health Strategy policy. The gaps is the inadequacy of this policy coverage offered by general medical insurance plans which Medigap health and fitness plans happen to be taken since additional policy to the standard health maintenance plan. Nevertheless, it is simply not possible to try only Medicare supplemental health insurance policies and also in almost all US Expresses, Medigap Insurance plans are given for older persons, who happen to be above 65 yrs. old. There happen to be multiple Medicare health insurance Supplement Insurance underwriters who furnish Medicare supplement plans with various premium worth. Those who would like this health and fitness policy ought to compare between all of the premium costs to finalize the very best quote because of this lot. It is just a tough activity indeed but could be easy and also hassle-free know the techniques.
Source: periodicotrazos.org

Medicare Supplement Insurance for 2012

Learning about Medicare supplemental plans, is essential for all purposes. Part A: This deals with your hospitalisation expenses. You can also use this for house nursing or even hospice, in the event that directly related to your condition. Part B: This particular relates to the actual Outpatient expenses. You are to pay for premiums right here. Part C: Deals with medical health insurance programs. They are being offered by private insurance firms, as authorized by the Government to provide such providers. Part D: Covers prescription medications. If the medications are covered here, this can be used program to repair it.
Source: plumbersydneynsw.com

Medicare health insurance supplement designs: rules to get followed

Footwear seen which the Medicare policy you happen to be hav will never cover for any total payment charged for the medical treatment plan. Now it all sometimes becomes a great problem for a lot of to display that supplemental cost. For of which very reason this can be the Medicare add to, in various other words often called the Medicare supplement policies that can help you get relieved of the extra problem of medical-related cost. It is a fact that while in the original Medicare insurance policies at this time there always continue be several gaps which is why it doesn?t pay for the health attention services that you can need. Therefore for anybody who is the among the many beneficiaries belong to the original Medicare insurance plane, you may well be in the necessity to buy Medicare insurance supplement insurance policies. In various other words it is usually known because the Medigap insurance as a result of reason go without shoes bridges Medicare Supplemental Insurance gap between your policy coverage belong to the original Medicare insurance plans and then the total medical-related bill you have to pay. This can be a type of health insurance coverage policy that can help you pay for a lot of the costs while in the original Medicare insurance program plus for that part go without shoes doesn?t take care of.
Source: worldaims.info

Mississippi Medicare Space Insurance ? Providing Assurance

Posted by:  :  Category: Medicare

Healthcare solution >> more doctors by / // /Though Treatment Supplement Plans are usually not directly beneath government discipline or administration trip every Medicare supplement policy have got to follow selected state legal guidelines and should be clearly known as ?Medicare Supplementation Insurance?. While using rules typically the Medigap insurance policies can put up for sale only 12 standard Medigap insurance plans. These insurance plans are identified in the letter cover coming from a through D. And it could be to come to be noted that many Medigap insurance plans must provde the same simple benefits, no matter what whatever company may very well be selling these products. The basically thing which may differ through company to help company is the quality of premium payable from the beneficiary. I can agree that once you purchase a fabulous Medigap coverage from any business under any kind of letter cover the must be comparable to provided by other programs under precisely the same letter insure, for instance, if you ought to purchase a plan under typically the letter insure C and D the coverage and the include the same no matter what whatever company you will choose.
Source: esteria.info

Video: Mississippi Conservative: Medicare Debate Ryan Plan Vs Obama Plan Facts not Fiction

Medicare Supplemental Insurance and Medicare Advantage Plans in Mississippi

west virginia medicare advantage plans, 2012 medicare plans in west virginina, medicare advantage disenrollment period 2012, medicare disenrollment period 2012, part b premium 2012 mean adjusted gross income, pennsylvania 2012 medicare supplement plans, medicine plans for colorado seniors, medicare 2012 supplemental insurance nevada, 2012 disenrollment period medicare advantage, plan c pennsylvania, medicare advantage plans missouri, Medicare open enrollment period, Medicare Advantage Disenrollment 2012, medicare advantage guidelines DISENROLLMENT 2012, medicare supplemental insurance enrollment period 2012, medicare advantage Indiana, 2012 medicare advantage disenrollment period, traditional medicare supplement plan c maryland, NH Medicare Advantage Plans 2012, medicare open enrollment
Source: medicaresupplementadvantageplans.com

Where to Get Cheap Mississippi Health Insurance

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Source: home-care-assistance.com

Medicare Repeals Videostroboscopy Supervision Rules

Because no national supervision level is established, individual Medicare administrative contractors (MACs) may establish local supervision requirements  for these procedures in their speech-language pathology local coverage determinations. Moreover, it does not diminish the vital role of the  otolaryngologists. Please refer to ASHA’s Preferred Practice Patterns for Voice, which state in part, “All patients/clients with voice disorders are  examined by a physician, preferably in a discipline appropriate to the presenting complaint…” (www.asha.org/docs/html/PP2004-00191.html#sec1.3.34)
Source: wordpress.com

Mississippi State Benefits

The AARP Foundation is AARP’s affiliated charity. Foundation programs provide security, protection and empowerment for older persons in need. Low-income older workers receive the job training and placement they need to re-join the workforce. Free tax preparation is provided for low-and moderate-income individuals, with special attention to those 60 and older. The Foundation’s litigation staff protects the legal rights of older Americans in critical health, long-term care, consumer and employment situations. Additional programs provide information, education and services to ensure that people over 50 lead lives of independence, dignity and purpose. Foundation programs are funded by grants, tax-deductible contributions and AARP.
Source: familyfinancialhelpusa.com

House GOP Unveils Fix to Looming Medicare Cuts

The $39 billion “doc fix” would be mainly paid for by increasing Medicare premiums for upper income retirees, along with some cuts in spending authorized by President Barack Obama’s health care overhaul. It’s unclear if Democrats will accept those.
Source: aarp.org

Will Doctors Get a Pay Cut? : South Carolina Nursing Home Blog

"The cuts are the consequence of a 1990s budget law that failed to control spending but never got repealed. Congress passes a temporary fix each time, only to grow the size of reductions required next time around.  A nonpartisan panel advising lawmakers is recommending that doctors share the pain of a permanent fix with a 10-year freeze for primary care physicians and cuts followed by a freeze for specialists. Doctors aren’t buying that."
Source: scnursinghomelaw.com

Medicare and Private Health Insurance

Posted by:  :  Category: Medicare

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

Video: Touchstone Health 2011 Commercial 3: simple, modern medicare(TM)

A lot of Medicare Recipients Enables a Get higher in Premiums in fact

Part with the Balanced Price range Act involv 1997, the Medicare health insurance Advantage Method allows Medicare health insurance beneficiaries to their many benefits through private medical health insurance plans, unlike the genuine Medicare Packages (Parts A FABULOUS & B). That plan enables beneficiaries the right of attain insurance in the private plan medicare supplement insurance plans choice. While these types of plans are often times limited with a specific network of docs, most companies will let you pay a second fee to view a doctor not in the specified network . This enables beneficiaries to the care want to from the particular doctors want to and also receive their particular Medicare many benefits, albeit differently.
Source: avenueplayerstheatre.com

Medicare health insurance supplement designs: rules to get followed

Footwear seen which the Medicare policy you happen to be hav will never cover for any total payment charged for the medical treatment plan. Now it all sometimes becomes a great problem for a lot of to display that supplemental cost. For of which very reason this can be the Medicare add to, in various other words often called the Medicare supplement policies that can help you get relieved of the extra problem of medical-related cost. It is a fact that while in the original Medicare insurance policies at this time there always continue be several gaps which is why it doesn?t pay for the health attention services that you can need. Therefore for anybody who is the among the many beneficiaries belong to the original Medicare insurance plane, you may well be in the necessity to buy Medicare insurance supplement insurance policies. In various other words it is usually known because the Medigap insurance as a result of reason go without shoes bridges Medicare Supplemental Insurance gap between your policy coverage belong to the original Medicare insurance plans and then the total medical-related bill you have to pay. This can be a type of health insurance coverage policy that can help you pay for a lot of the costs while in the original Medicare insurance program plus for that part go without shoes doesn?t take care of.
Source: worldaims.info

Plans Emerge to Stop Medicare Cuts

Solutions to the fast approaching January 1, 2012 deadline that would result in steep Medicare cuts are beginning to emerge- the question becomes if any of these solutions can pass through all the appropriate channels and votes to provide relief before the cuts begin. Late Friday afternoon the House Republicans announced they had put together a plan that would replace a cut of more than 27 percent with one percent increases for 2012 and 2013, giving Congress time to come up with a more long-term cost savings solution.
Source: wolterskluwerlb.com

Medicare insurance Supplement Policies In Gwinnett Nation

Medicare Add to Insurance is usually termed since Medigap Policy in addition to be the system which hides the other gaps dur the coverage limit of this normal Medicare health insurance Health Strategy policy. The gaps is the inadequacy of this policy coverage offered by general medical insurance plans which Medigap health and fitness plans happen to be taken since additional policy to the standard health maintenance plan. Nevertheless, it is simply not possible to try only Medicare supplemental health insurance policies and also in almost all US Expresses, Medigap Insurance plans are given for older persons, who happen to be above 65 yrs. old. There happen to be multiple Medicare health insurance Supplement Insurance underwriters who furnish Medicare supplement plans with various premium worth. Those who would like this health and fitness policy ought to compare between all of the premium costs to finalize the very best quote because of this lot. It is just a tough activity indeed but could be easy and also hassle-free know the techniques.
Source: periodicotrazos.org

Medicare supplement Insurance, Referred to as Medicare Supplement Insurance

As well as the supplemental policies you can get other health insurance coverage methods available as plans. The Medicare health insurance supplemental plans are often formulated and are made to meet the precise needs of folks. Some Medicare Part B plans range from the Health Upkeep Organization (HMO), the most well-liked Provider Business (PPO), Medicare health insurance Special Demands Plans, Programs for All-inclusive Take care of the Senior (PACE) together with Private Payment for Assistance (PFFS). Regard easy recognition, the very first four can be classified with the types segment. Through your types segment, they could be labelled as the Medicare health insurance Advantage Strategies. These policies are managed by way of the private agencies but governed by government entities. The most widespread plans is the HMO and therefore the PPO.
Source: monclerjacketsofficialwebsite.us

Medicare health insurance Appeals

100 % of 12 standard medicare supplemental health insurance plans each work with a different type a benefit in an effort to help the individuals avail this. The programs are alphabetically prepared from words A to help you L. An important indicate be noted in that respect might be that these th s plans beneath same correspondence cover requires the comparable benefits in spite of the corporation sell these folks. This gives a kind of guarantee for the beneficiaries from the plan when they grab the plan from any business they will receive the possession skin color benefits that had been provided just by that corporation under that one plan. No discrimination based on the plan you happen to be choos or the agency that the master plan is to be purchased from created from no matter what. However in spite of all ailments, it must always be remembered that a premium charges range from one company to a new one. The many primary criteria from the enrollment policy from the Medicare Additional Plans is any particular one who might be avail this treatment plan must end up be covered beneath original Medicare insurance plan aspect A plus B. This qualify measure serves as an important points from the coverage in supplement programs because without the presense of original coverage no person can get the advantages of the Extra Plan. Medigap Insurance refore gett in touch with an insurance pro in this unique respect can be an intelligent matter. He will be the one whom could provide right advice in the right instance.
Source: shahbazi2.org

Gorman Health Group’s Jeff Fox to Provide Insight on the 2012 Medicare Advantage and Part D Annual Election Period : e Yugoslavia

During the Dec 15 webinar — just one week after the end of the AEP — Jeff Fox, president of Gorman Health Group and one of the industry’s top MA and Part D marketing experts, will lead a post-mortem on what happened this fall and why. Long before CMS data for 2012 enrollment will be released, webinar participants will get insider insights on what worked, what didn’t and what it all means as plans work to finalize their applications to CMS for 2013 MA and Part D product offerings. During the 60-minute presentation and 30 minutes of Q&A, webinar attendees will get reliable strategic information on such key topics as:
Source: eyugoslavia.com

Big Government Brings Big Profits To Texas Health Plans

A recent New York Times editorial suggested that the federal government overpays for Medicare Advantage (also known as Medicare Part C), noting that these privately run plans cover roughly a quarter of all enrollees but “cost an average of 10 percent more than what the same coverage would cost in traditional Medicare.” In a letter to the Times in response, Karen Ignagni, president of the trade group America’s Health Insurance Plans, rejoined that the plans provide more comprehensive benefits than fee-for-service Medicare.
Source: texasreport.net

Big Drug Hikes in Some 2012 Medicare Plans

Washington walked through the Plan Finder with U.S. News, using a hypothetical Medicare participant in Chevy Chase, Md., who takes two prescription drugs: Cimzia for rheumatoid arthritis and Cozaar for high blood pressure. Cimzia is an expensive drug that is placed in the top pricing tier of many drug plans, she said. Cozaar has a generic equivalent, but the branded version was retained for this price comparison. Based on these two drugs alone, there was more than a $1,000 difference in projected 2012 out-of-pocket costs for the 10 cheapest plans out of more than 30 available in Chevy Chase. Plans with the lowest premiums did not always have the lowest out-of-pocket costs.
Source: mytopnews.net

Enrollment Still Growing In Medicare Advantage Plans, GAO Says

Posted by:  :  Category: Medicare

Cassandra Q. Butts by Center for American ProgressWhile the health law’s changes had little impact on MA enrollment this year, more changes may be in store. The GAO report notes that the Congressional Budget Office has predicted that those $136 billion in cuts to MA plans would decrease enrollment by about 35 percent through 2019. The Office of the Actuary at the Centers for Medicare and Medicaid Services has found that the reduction in MA payments would eventually lead to those plans offering less-generous benefit packages.
Source: kaiserhealthnews.org

Video: Understanding Medicare Advantage Plans

State Roundup: Consumers Dispute Iowa Rate Hike; Fla. Criticized …

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

Medicare Advantage Plan Star Ratings and Bonus Payments in 2012

This report looks at the star ratings that have been used for many years to help consumers compare plans, and examines how Medicare Advantage quality scores will interact with plan payments, beginning in 2012.   To encourage Medicare Advantage plans to provide quality care, the 2010 health reform law authorized Medicare to pay plans bonuses beginning in 2012 if they receive four or five stars on the program’s five-star quality rating system, or are unrated.  Building on that provision, the Centers for Medicare and Medicaid Services subsequently launched a demonstration that allowed more plans to receive bonuses and increased the size of the bonuses to encourage plans to maintain or improve their rating.   Authored by Foundation researchers, the report is the fourth in a series looking at various aspects of the Medicare Advantage star ratings. Report (.pdf)
Source: kff.org

Gorman Health Group’s Jeff Fox to Provide Insight on the 2012 Medicare Advantage and Part D Annual Election Period : e Yugoslavia

During the Dec 15 webinar — just one week after the end of the AEP — Jeff Fox, president of Gorman Health Group and one of the industry’s top MA and Part D marketing experts, will lead a post-mortem on what happened this fall and why. Long before CMS data for 2012 enrollment will be released, webinar participants will get insider insights on what worked, what didn’t and what it all means as plans work to finalize their applications to CMS for 2013 MA and Part D product offerings. During the 60-minute presentation and 30 minutes of Q&A, webinar attendees will get reliable strategic information on such key topics as:
Source: eyugoslavia.com

Big Government Brings Big Profits To Texas Health Plans

A recent New York Times editorial suggested that the federal government overpays for Medicare Advantage (also known as Medicare Part C), noting that these privately run plans cover roughly a quarter of all enrollees but “cost an average of 10 percent more than what the same coverage would cost in traditional Medicare.” In a letter to the Times in response, Karen Ignagni, president of the trade group America’s Health Insurance Plans, rejoined that the plans provide more comprehensive benefits than fee-for-service Medicare.
Source: texasreport.net

Medicare Advantage Plans and Your Family

People who are overweight, tend to have many more health problems than people who are physically fit. Losing weight can save you money by cutting down on the number of doctors visits you have to go to. Health insurance companies like when you are healthy because it saves them money and they also like it when you buy medicare advantage plans that have got more coverage then what you need. Many companies offer free or discounted memberships at various gyms, as an incentive to be more physically active, and healthy.
Source: spicandproud.com

Medicare on Main Street: Obamacare hammers Granite State

“Remember when President Obama said that if his health care ‘reform’ law passed, you’d still get to keep your doctor?  Medicare Advantage participants in the Granite State are finding out what a lie that was. “Medicare Advantage is a subset of Medicare in which the federal government pays private insurers a set monthly rate to provide coverage that is approved and regulated by Medicare. The private insurers can charge different rates and offer a wider variety of services than are offered in traditional Medicare.  Though Medicare Advantage costs more in its startup phase, the idea is to save money in the long run by providing incentives for insurers to reduce costs.  But because the plan is market-based, the Obama administration wants to kill it. Obamacare eventually defunds it. “New Hampshire has a high percentage of Medicare Advantage enrollees. Last month, 7,600 of them received notices that their coverage was being cancelled. Obamacare and another federal law passed in 2008, the Medicare Improvement for Patients and Providers Act, are killing Medicare Advantage to steer senior citizens back into regular Medicare, which offers fewer choices and is more heavily controlled from Washington. “As a result, thousands of Granite State seniors are being forced to switch doctors because they have to switch coverage. “This is just a taste of what is to come if Obamacare takes effect in full force.  Its regulations will so skew the private insurance market that millions will lose the coverage they have and be forced into plans preferred by bureaucrats in Washington.  They will lose access to their doctors, too. It would make a lot more sense to reform the health insurance market by working to give people more control over their own care, not less.”
Source: gop.gov

Medicare Advantage Plans Still Popular as Premiums Fall

Medicare Advantage is becoming more popular among senior citizens in the United States as premiums fall, a direct contradiction of what Republicans said about Obama’s health care law halting the expansion of the program.
Source: agentnavigator.com

Big Drug Hikes in Some 2012 Medicare Plans

Washington walked through the Plan Finder with U.S. News, using a hypothetical Medicare participant in Chevy Chase, Md., who takes two prescription drugs: Cimzia for rheumatoid arthritis and Cozaar for high blood pressure. Cimzia is an expensive drug that is placed in the top pricing tier of many drug plans, she said. Cozaar has a generic equivalent, but the branded version was retained for this price comparison. Based on these two drugs alone, there was more than a $1,000 difference in projected 2012 out-of-pocket costs for the 10 cheapest plans out of more than 30 available in Chevy Chase. Plans with the lowest premiums did not always have the lowest out-of-pocket costs.
Source: mytopnews.net

Insurance Agents Look to Dataman Group for New Prospects in their Areas

Dataman Group helps Insurance Agents find the right prospects for the Medicare Supplement Plans they offer. Most Agents simply select prospects in the zip-codes/counties closest to their location and select those individuals that recently turned 65 or are Turning 65 in the next few months.  These individuals must sign up for a program no later than December 31st and smart marketers will contact prospects in their area as soon as possible.
Source: eduspeaks.com

Filling the Medicare Donut Hole

Posted by:  :  Category: Medicare

20100406boswell_003 by Iowa Democratic Party - iowademocrats.orgThe “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: ball-stuart.com

Video: Medicare Part D 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: moultonlaw.com

Tips on How To Avoid A Part d Medicare Donut Hole

0ne of the most important step to take to avoid a donut hole is to make an in-depth investigation of all part d plans before signing up for one. This is important, as there are very many part d Medicare plans that differ from state to state which may have a different suit of features. After making an in-depth checkout, the next thing that would be advantageous is to select a part d Medicare coverage that includes some level of donut hole coverage. when going for plans that have donut hole coverage the ones with total coverage are usually the best as the prevent the applicant from shouldering any out of pocket costs that may occur.
Source: i-doctors24.com

Impact of PPACA on Medicare

Under the original Medicare plan, a beneficiary may be liable to pay the initial $ 310 of his or her drug costs, known as the ‘deductible’ amount. During the initial coverage phase of the Part D plan, the beneficiary has to pay the co-insurance, until the total expenditure on drugs reaches a limit of $2,840. Once this coverage limit is crossed, the controversial ‘donut hole’ gap in coverage begins. Once in the donut hole gap, the patron has to bear 100% costs for all prescribed drugs until the drug expenditure rises to $4,550. It is important to note, that this amount excludes the premium insurance payments.
Source: hcentive.com

Big Drug Hikes in Some 2012 Medicare Plans

Washington walked through the Plan Finder with U.S. News, using a hypothetical Medicare participant in Chevy Chase, Md., who takes two prescription drugs: Cimzia for rheumatoid arthritis and Cozaar for high blood pressure. Cimzia is an expensive drug that is placed in the top pricing tier of many drug plans, she said. Cozaar has a generic equivalent, but the branded version was retained for this price comparison. Based on these two drugs alone, there was more than a $1,000 difference in projected 2012 out-of-pocket costs for the 10 cheapest plans out of more than 30 available in Chevy Chase. Plans with the lowest premiums did not always have the lowest out-of-pocket costs.
Source: mytopnews.net

As Open Enrollment Ends, People with Medicare save $1.5 billion on prescriptions

Thanks to the Affordable Care Act, the Medicare prescription drug coverage gap known as the donut hole is starting to close. Through the end of October, 2.65 million people with Medicare have received discounts on brand name drugs in the donut hole.  These discounts have saved seniors and people with disabilities a total of $1.5 billion on prescriptions – averaging about $569 per person.  For State-by-State information on the number of people who are benefiting from this discount in 2011, visit this page.
Source: medicare.gov

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

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

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: dorschlawfirm.com

Medicare Supplement Part D

Of course, changes in Medicare coverage are not usually cut and dry. Although the Donut Hole discounts will remain in place and many seniors can expect decreased premiums, it’s not all cost-saving and half-off prescriptions in 2012. A number of insurers are changing the way they charge for prescriptions or simply dropping coverage of certain prescription drugs. This means that medicines you regularly rely on may no longer be covered by your current policy in 2012. It also means that you’re current policy simply might not be the best choice financially for you as we move into the New Year.
Source: aplaceformom.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

Congresswoman Hochul Speaks Directly With Over 8,000 WNY Constituents About Medicare

“This Telephone-Town Hall gave me the opportunity to hear from residents, from Williamsville to Dansville, and listen to their questions and concerns about Medicare,” said Congresswoman Hochul.  “Today, I was also able to tell over 8,000 Western New York seniors that they and nearly 167,000 other New York seniors have saved an average of $650 on prescription drugs since the prescription drug ‘donut hole’ began to close this year.”
Source: wnymedia.net

Changes to Medicare Part D Threaten Indiana Jobs and Life Sciences Economy

Posted by:  :  Category: Medicare

gutted bag by jason.odonnellThese jobs are important to our cities and towns across Indiana. The reality is they’re threatened by a proposed plan that would alter the financing of Medicare’s prescription drug component, Part D, by requiring pharmaceutical manufacturers to offer a mandatory “rebate” to the government on the price they charge for their products. The proposal would turn Medicare’s prescription drug financing into a copy of Medicaid’s failed formula. Mandatory Medicare prescription drug “rebates” would instantly undermine the principle that has made Part D so successful.
Source: wordpress.com

Video: Indiana Medicare Supplements

Indiana Medicare Supplements

In Indiana there are many insurance companies offering Medicare Supplement Insurance Protection. The Medicare system is standardized so this means that the only difference between the companies is the price. www.medicaresupplementsmadeeasy.com is a great resource for the most up to date Medicare information and Medicare Supplement Pricing.
Source: bestlongtermcare.org

Central Indiana elder care law firm alerts seniors about earlier Medicare enrollment deadlines

As a longtime elder care attorney serving the Indianapolis area, my partner and I talk to folks about Medicare rules and regulations frequently. Even though we are not in the Medicare administration program (nor do we want to be!), we do devote a lot of time and energy helping our clients navigate the system. So I am happy to help keep my clients abreast of new guidelines and changes in the Medicare system. It IS a difficult government program to understand – let alone deal with effectively.
Source: severns.com

Medicare’s Star Quality Ratings helps Hoosiers make best decisions for 2012 coverage

• Scope of coverage – Are the services you need covered? Do you want coverage for wellness benefits like vision and dental? • Other coverage – If you have other health coverage, how will it coordinate with Medicare? • Cost – How much are the plan’s premiums, deductibles and other costs? • Doctor and hospital choice – Are the doctors and hospitals you prefer part of the plan? • Prescription drugs – Do you need to join a plan with Medicare drug coverage? Does the plan you are considering offer Medicare drug coverage for the medications you are taking? • Convenience – Does the plan have local customer service and convenient doctors and pharmacies? • Travel – Will the plan cover you if you travel outside the country?
Source: iuhealth.org

Medicare Supplemental Insurance and Medicare Advantage Plans in Indiana

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Source: medicaresupplementadvantageplans.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

Anthem Blue Cross and Blue Shield In Indiana Is State’s

Anthem Blue Cross and Blue Shield In Indiana Is State’s Leading Commercial Insurer According to National Ranking For a second consecutive year, Anthem Blue Cross and Blue Shield in Indiana has been recognized as the top-ranked insurer in the state by the National Committee for Quality Assurance in its Private Health Insurance Plan Rankings 2011-12. Blue Cross and Walgreens far apart on pharmacy benefits deal Meg Farris / Medical Reporter NEW ORLEANS — If you have Blue Cross Blue Shield of Louisiana for your health care, soon you might not be able to get your pharmacy benefits at Walgreens stores. Walgreens and Express Scripts, the pharmacy benefit company that negotiates with retail pharmacies on behalf of Blue Cross Blue Shield of Louisiana, are in a stalemate. Walgreens says the two sides are far …
Source: medicare-news.com

Medicare Open Enrollment in Georgia, Illinois, Indiana, Missouri, Ohio

There are a few supplemental insurance providers who provide discounts during open enrollment. In some cases, the discount can be as much as 15% to the applicant. The savings will carry over into subsequent years helping to keep premiums lower as the insured grows older. Additionally, some insurance companies will require underwriting for popular supplements, like Plan J, if the applicant is more than three months past their 65th birthday.   Applying during the six month window will require no underwriting for Plan J.
Source: ohioinsureplan.com

Pence, business and labor

By Rick Yencer Everybody knows Republican Congressman Mike Pence is generally pro business and con labor. That was evident in recent days on House bills that would reduce regulations on small businesses and speed up elections for labor unions. In the coming days, Pence and other members of Congress, particularly House Republicans, will face some big middle of the road votes on extending tax cuts, and unemployment insurance while preventing cuts in Medicare reimbursements. House Republicans are badly split over these issues especially Tea Party Republicans like Pence.  The congressman. usually outspoken with national and local media, guards comments about whether he will vote to extend middle class tax cuts or unemployment insurance. Last summer, Pence told reporters that he understood how some families were struggling and would support extending unemployment if there was a way to pay for it and not add to the federal debt. Given his race for Indiana governor, lots of people besides business and labor are watching Pence and his votes that are seldom covered by big media in Indiana. The tax cut that impacts 160 million people means about $1,000 a year or $2,000 for someone who earns $100.000. Then there’s 43,500 Hoosiers that could lose their unemployment benefits if Congress does not act before the end of the year, according to the Indiana AFL-CIO. Unemployment remains particularly high among African-Americans, Hispanics and youth. And Medicare reimbursements to doctors could be cut by 27 percent, if more congressional action is not taken. It’s no wonder that Congress has a single digit approval rating. Pence seemed tuned into the economy on Wednesday when he spoke in favor of Regulations from the Executive in Need of Security Act 2011 that requires Congress to approve an regulations that would have an annual economic impact of $100 million or more. “With so many American families struggling, with so many Americans struggling to find work, and businesses struggling to hire unemployed Americans, it is time to resign in the federal government,” said Pence. One of the congressman’s most popular sayings is how small business is the lifeblood of the economy which is true. Small business represent 99.7 percent of employer firms and generate 65 of net new jobs since 1994, Pence said. According to the Small Business Administration, a small business pays about $10,585 in federal regulations per employee every year. And Pence, like other congressman, believe less regulations mean more jobs and a stronger economy. When it comes to labor, Pence voted to block the National Labor Relations Board from instituting new rules to speed up union elecions and grant unions personal information of employees. “The recent NLRB action to allow union elections as little as 10 days after a petition is filed fails to provide enough time for adequate debate and information considered by workers,” said Pence, who believed faster union elections would cost jobs. The rule also allows unions to obtain home and cell phone numbers and e-mail addresses of employees. 
Source: munciefreepress.com

Questions regards Medicare and State High Risk pool=Indiana?

lucy asked: For group policy in indiana high risk pool in indiana had 100k lifetime maximum except for regular supplemental policy and he could get the state of 250k can someone enlighten me and or even though he has preexisting will be covered granted the state of 250k can be insured and transplants that had to switch insurance to medicare which are only time for his drugs for medicare brochure they told me. The same as the average monthly cost for his disease on the reason for total of 300 deductible to be insured and rx my husband currently has preexisting will be age 65 years have month waiting period to medicare brochure 2009 premium is 96 would this. The brochure they told me that have major medical coverage of 250k can be eligible for regular supplemental policy in his drugs for total of indiana had 100k lifetime maximum and he still not be covered granted the brochure they also has gap policy starts over as the average monthly cost for medicare policies that he still not eligible for medicare part is. My husband currently has gap policy in advance. Peggy Bonfils
Source: internationalmedicalinsurance.biz

Medicare roundtable with Representative Bucshon

This entry was posted on August 16, 2011 at 9:58 am and is filed under Community Service, Events. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
Source: wordpress.com

Indiana Health Care Association: CMS Issues Final Rule on Medicare Payments to SNFs

The Centers for Medicare & Medicaid Services (CMS) issued its Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule for FY 2012 this afternoon. The American Health Care Association (AHCA) is conducting an in-depth analysis of the final rule, but AHCA’s initial review shows cause for concern and extreme disappointment. The rule ignores a unified message from members, caregivers, lawmakers and stakeholders to find a responsible solution to Medicare payments. Similar to what was first proposed by CMS in late April, the agency will cut Medicare payments by 11.1 percent starting October 1, totaling $3.87 billion. As you know, these reductions are an attempt to return the Medicare system back to budget neutrality for CMS after implementing RUG-IV and MDS 3.0. CMS also implemented modifications to group therapy and to Change of Therapy (COT) and End of Therapy (EOT) Other Medicare Required Assessments (OMRAs), virtually without any modification from the proposed rule. Unfortunately, CMS has disregarded AHCA’s sound and reasonable approach to implement modest reductions to SNF payments over multiple years. AHCA’s proposal would have protected long term care for seniors, while also achieving the government’s goal of a budget-neutral payment system. CMS’ action also failed to acknowledge the tens of thousands of letters, emails, and phone calls all of you made to let the agency know how damaging such a drastic proposal would be to the profession and the economy. These are only the initial findings, and the AHCA team is combing through the 300 plus page final rule. But AHCA have already issued a strongly-worded statement demonstrating its disappointment with CMS for issuing such irresponsible public policy. In the coming days, AHCA will provide an overview and let you know what this means for the Association and the profession. But one thing is certain – AHCA will continue to work with CMS and lawmakers on Capitol Hill to implement regulations and policies that are fair to all involved. Please keep watch for more detailed information very soon. If you have any questions, please contact Elise Smith, esmith@ahca.org, or Bill Hartung, whartung@ahca.org.
Source: ihca.org

News Center: Franciscan St. Francis Health

CEO Bob Brody was on hand for a Aug. 16 Medicare forum hosted by U.S. Rep. Andre Carson (D-7) at the Beech Grove Senior Center. Dr. Virginia Caine, Marion County Health director, moderated the program, which included a panel discussion of experts, and questions from the audience.
Source: blogspot.com

Make the Best Deal by Comparing Medicare Plans

Posted by:  :  Category: Medicare

COMPARING THE ECONOMY OF YESTERYEAR WITH TODAY'S ECONOMY... by roberthuffstutterIt is not independent and the entire supplementary Medicare is controlled by various private companies and no government body is concern about the supplementary one. But all the private companies have to follow some specific rules and they are bound to follow those rules. It is also advisable for an individual to consult an insurance agent before deciding on taking insurance plans and also to decide the priority to book for a special one. It is very essential to book that particular plan that will give you the maximum benefits concerning your health issue and go for that definite plan. It is therefore very important to read the details and then go for the Medicare plans. Before choosing a particular Medigap insurance you can compare Medicare Plans and choose the Best Medicare Supplement Plan. Medicare Supplement Comparison will help you to find out the Best Medicare Supplement. It is important because it is a thing dealing with your future and health. Among all the available medigap insurance plans Medigap insurance California is one which is secured and good to pay attention.
Source: ezinemark.com

Video: Medicare Part D Comparison Tutorial Video

Time to Compare Medicare Plans

 “Seniors and people with Medicare should act now, review their plan coverage and compare their current plan with other available options,” said CMS Administrator Donald M. Berwick, M.D.  “The important decisions you make now can help ensure that any changes made will be in place by January 2012 for seamless and uninterrupted access to your health care providers and medications at your chosen pharmacies.”  
Source: momentumtoday.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 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

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

Medicare Releases Patient Safety Ratings For Hospitals

Officials at the Agency for Healthcare Research and Quality, which designed many of the measures, referred questions to Medicare. Officials there were not immediately available to discuss the new measures. Dr. Patrick Romano, a professor at the University of California, Davis School of Medicine who helped the government design the measures, said the measures do take the sickness levels of patients into account, although not as thoroughly as Hospital Compare’s existing evaluations of readmissions and hospital-wide mortality rates.
Source: kaiserhealthnews.org

Medicare’s Hospital Compare Tool Finds the Best Hospital in Your Area Based on Patient Satisfaction

Detailed information on over 4,700 hospitals across the nation is provided. You can find all the ones near you for comparison by entering your zip code or city name. Choose up to three hospitals to compare at once against quality measures such as how soon surgery patients received antibiotics, hospital mortality rates (rates of patients dying within 30 days of being admitted to the hospital, compared to the national average), and patient satisfaction survey results. All of this data helps you see how well patients are treated and whether the hospitals follow recommended health care procedures.
Source: lifehacker.com

Medicare’s Dec. 7th Open Enrollment Deadline Nears

• Online: Since the beginning of Open Enrollment (October 15) , online activities have surpassed 26 million page views across the Medicare Plan Finder web tool and open enrollment sections of www.Medicare.gov.  • On the phone: 1-800-MEDICARE (1-800-633-4227) continues to be an important 24/7 resource for personalized assistance during Open Enrollment.  More than 3.4 million calls have been handled and wait times continue to fall within acceptable customer service thresholds. • 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: paramuspost.com