Medicare General Enrollment Begins January 2nd: An Opportunity for Some Individuals and States to Expand QMB Coverage 

Posted by:  :  Category: Medicare

ROBERT L. HUFFSTUTTER'S HEALTHCARE PLAN FOR AMERICA by roberthuffstutterSecure a Form 795 from the Social Security Administration (SSA) (available online at www.ssa.gov/online/ssa-795.pdf) and type into the large blank (lined) space the following:  "I wish to enroll for Hospital Insurance under Medicare on a monthly premium basis, which is in addition to my current coverage for Medical Insurance (or"I also wish to apply for Medical Insurance" if the client does not have Part B).  I understand that the State will pay my premium based on my eligibility for Medicaid (Medical Assistance) as a Qualified Medicare Beneficiary.  I also understand that if I am terminated under Medicaid (Medical Assistance) as a Qualified Medicare Beneficiary, I will have to pay my premium if I want to keep my Medicare Hospital Insurance."  The beneficiary should give the form to SSA with her/his application for Part A, but also make a copy for her/himself to take to the Medicaid agency to apply for QMB benefits.
Source: medicareadvocacy.org

Video: Guide to Medicare Part A and Part B

Medicare insurance Part DEBORAH

The Medicare supplemental health insurance offer s and also the Treatment supplement plans were standardized by way of the Centers for Medicare along with Medicaid Expertise (CMS) through 1992. Though Medicare supplemental health insurance policies ended up be also available well before that nonetheless seniors proudly own the plans well before 1992 are under non-standard designs. But such plans are will no longer eligible Medicare supplement plans new designs. It is mentioned the fact that Medigap and also the Treatment supplemental Plans are sold by way of the private insurers and you can find no govern administration sponsorship to their rear. And thus the insurance plans may differ from state to mention. Accord into the law, the lenders can provide only 12 Treatment supplement insurance coverages. And such plans tend to be named from your through M and every one plan gives you different establishes of positive aspects. In 2006 it is often clearly stated the fact that Medigap Projects H, I ACTUALLY, and N, cannot come to be sold to those that have prescription towards drug positive aspects, although there is also a lax of the rule those who already currently have those plans and can maintain them.
Source: minor12.com

Do I qualify for senior health insurance?

If you are working when you turn 65, the government will not penalize you for signing up late for Medicare as long as you are covered under your employer’s group insurance plan. However, you must sign up for Medicare within eight months after you are no longer covered under the group insurance plan due to retirement. This also applies to the spouse of the insured.
Source: healthinsuranceproviders.com

Understanding Medicare and Medigap

Medigap insurance supplements are each unique and will want to be picked based upon the need of the individual. For instance, clients who need help with copayment and deductibles for basic benefits will want to choose Medigap plan A for those are the items that it helps cover. This plan is attractive for it is the least expensive plan available and is accepted by all doctors who accept Medicare. Drawbacks come with each and every plan available. The major drawback to plan A is that it covers basic necessities and not items such as long term care, skilled nursing, vision care amongst several other major areas of expense.
Source: whatismycomputerip.com

What Medicare covers in the hospital

Medicare pays for inpatient hospital care and skilled nursing care based on “benefit periods.” A benefit period begins the day you’re admitted to a hospital or skilled nursing facility – and ends when you haven’t had any care in either setting for 60 days in a row.
Source: thisisreno.com

My Daily Struggles: Medicare Enrollment

Medicare Information __________________________ Office of Disability and International Operations 1500 Woodlawn Drive Baltimore, Maryland 21241-0001 __________________________ NOTICE OF MEDICAL INSURANCE ENROLLMENT AND PREMIUM DEDUCTION GARY FREEDMAN 3801 CONNECTICUT AVE NW APT 136 WASHINGTON DC  20008 DATE: 02/23/94 Claim No. xxx-xx-xxxx A This is in reference to your enrollment in the medical insurance part of Medicare.  A red, white, and blue health insurance card showing the date your coverage begins for both hospital and medical insurance protection has been mailed to you. The premium for your medical insurance is deducted from benefits when possible.  The information below shows how your payment has been adjusted to collect these premiums. Coverage begins: APR 1994 Monthly Premium: $41.10 Premium Amount Deducted: $41.10 This Pays For The Month(s) of: APR 1994 Your Next Payment Will Be Received Shortly After: APR 02, 1994 Amount of Your Next Payment: $811.00 Old Monthly Payment Amount: $852.00 New Monthly Payment Amount: $811.00 If you have any questions about your benefits or Medicare coverage, or if you have not previously received your health insurance card and do not receive one within 4 weeks after the receipt of this notice, please get in touch with any social security office.  If you visit an office, please bring this letter.  It will help us answer your questions. _________________________________________________ Department of Health and Human Services Health Care Financing Administration                            Form HCFA-1585 (10-87)
Source: blogspot.com

Romney’s Proposal Privatizes Part of Medicare

The Republican presidential hopeful and former Massachusetts governor has released a broad plan to transform Medicare, the popular health-insurance program for the elderly. He addressed the lightning-rod issue and other spending cuts during a fiscal policy speech before an afternoon gathering of conservative activists at the Washington Convention Center, where the tea party-allied group Americans for Prosperity is holding a two-day event.
Source: aarp.org

The Sustainable Growth Rate Formula: Medicare’s Payment to Doctors

The SGR was created because of the concern that what Medicare Part B pays doctors would not constrain spending increases for doctors’ services. Thus, the formula was created to attempt to constrain growth in Medicare spending.[3] The 1997 law limited Medicare’s reimbursement to doctors so the “total pay for physicians could not exceed the growth rate of the rest of the economy.”[4] The only time the cuts called for in the 1997 Balanced Budget Act ever went into effect was in 2002, which was the first time the formula called for cuts (of 4.8 percent). In every year since then, Congress has taken actions to override the reductions called for in the SGR formula.[5] The current SGR block lasts until the end of this year.
Source: bankruptingamerica.org

Rescue Audit Companies and Treatment Audits: Successful Methods for Defending Audits

Section 306 within the Medicare Recommended Drug, Growth and Modernization Action of 2003 (MMA), directed that Department of Health insurance and Human Assistance (HHS) so that you can conduct a new three-year exhibition program choosing RACs. ? This demonstration started out in 2005 in your three states when using the highest Medicare health insurance expenditures: Idaho, Florida and New york city. ? This RACs were being tasked to distinguish and proper Medicare overpayments along with underpayments, and were being compensated over a contingency price basis. ? medicare supplemental plans the exhibition program was to know whether the effective use of RACs would have been a cost-effective option to identify along with correct could possibly also cause Medicare funds.
Source: despatchblog.com

Illinois Review: A Bipartisan Way Forward on Medicare

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSUnder our plan, Americans currently over the age of 55 would see no changes to the Medicare system. For future retirees, starting in 2022, our plan would introduce a "premium support" system that would empower Medicare beneficiaries to choose either a traditional Medicare plan or a Medicare-approved private plan. Unlike Medicare Advantage, these private plans would compete head-to-head with traditional, fee-for-service Medicare on a federally regulated Medicare exchange.
Source: typepad.com

Video: Illinois Medicare Supplement

Learn how to Qualify For any Free Or Lower price Mobility Personal mobility scooter Under Medicare insurance Insurance

Problems jogg : your physician must present explanation why it is usually impossible for one to walk even in your home, and perform the fundamental household recreation, such as travell to the toilet, go to the kitchen, even through the help of a stick, walker, or even rollator. Sufficient entire body strength to use the health-related mobility personal mobility scooter: your physician must agree that the upper entire body strength is enough for all the operation for the medical personal mobility scooter. You must be capable to steer it and also you must be capable to sit straight from it. Must can get in and away from the scooter without risk: Your strength should really be sufficient to make the, as described because of your physician. Insufficient shoulder/arm strength to use a guide book wheelchair: a family doctor needs to substantiate that ones own arms strength is not really sufficient with the operation of an manual wheelchair. Need to be will to use: You is required to be will to implement the health-related scooter. Need Medigap Insurance Plans chair: A physician must predict you with this medical scooter with the minimum time-span of six(6) many weeks.
Source: spots2gonow.com

Update: Remit: CPID 5506 Illinois Medicare: ERA Delay

Institutional Electronic Remittance Advice (ERA) for CPID 5506 Illinois Medicare for the check date of November 16, 2011 is delayed due to a processing issue at the payer. We are working with the payer to receive all outstanding ERA files as quickly as possible. Action Required : Please be aware of a delay in the delivery of ERA files for the check date of November 16, 2011. If you have any questions, please contact Client Services at 1-888-348-8457, Option 2.
Source: collaboratemd.com

State of IL Reminding Residents of Medicare Open

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

Illinois Medicare Supplement Plan N

Plan N provides Basic Benefits (hospitalization and medical care) after a $20 copay for office visits and a $50 copay for emergency room visits. Your Part A deductible and coinsurance are covered completely and you receive an additional 365 days of hospital care after Medicare benefits end.  While your Part B deductible is not covered, a significant portion of your Part B coinsurance (which is usually 20% of Medicare approved expenses) is. Plan N pays for the first three pints of blood each year and 100% of your skilled nursing coinsurance. Plus, foreign travel emergency care is covered, so if you are in a foreign country and need medical care, you do not have to worry. Finally, if there are excess charges above what Medicare is willing to pay for Medicare approved services, Plan N covers them 100%. 
Source: ssiinsure.com

Wombacher Disability & Elder Law Blog: Lawmakers Offer Bipartisan Plan to Overhaul Medicare

Under the proposal, known as premium support, Medicare would subsidize premiums charged by private insurers that care for beneficiaries under contract with the government. Congress would establish an insurance exchange for Medicare beneficiaries. Private plans would compete with the traditional Medicare program and would have to provide benefits of the same or greater value. The federal contribution in each region would be based on the cost of the second-cheapest option, whether that was a private plan or traditional Medicare. 
Source: wombacherlawoffice.com

Lincoln heritage illinois medicare supplement rates

 ‘ At this difficult point of the conversation Bob gave in, and changed the subject to hardbake: always his last resource when he found his little friend getting him into a political, social, or theological corner. For two cents I’d get up there an’ beat you to a jelly, you” “No, no, Billy,” Saxon pleaded. 12:39 And there they were with David three days, eating and drinking: for their brethren had prepared for them. ” “He certainly hinted, that were it not for the idea of supplanting his brother, he would now, in consequence of his change of profession, be desirous that the word Rashleigh should fill up the blank in the dispensation, instead of the word Thorncliff. But, as she was leaving, Luke Standifer indulged himself in an official remark: “The Department of Insurance, Statistics, and History, ma’am, has done the best it could with your case. ” When one of two mingled races exceed the other greatly in number, the latter will soon be wholly, or almost wholly, absorbed and lost. At last, overcome with weariness, I sat down upon a rock, but I had hardly closed my eyes when I was startled by something which fell to the ground with a thud close beside me. With the introduction of plate armor and the closed helmet it became the custom for each knight to wear a device, called a crest, on his helmet, and also to have one called a coat of arms because originally worn on a loose coat over the armor. It was the first snow of the year and it landed on the pavement like white splotches of baking soda, then melted. Why it’s twisted nobody knows, but it doesn’t walk straight, and that’s a fact. ” “Why, landlady, in that case, your parson is any thing but the ordinary kind of man you described himForget his dinner! ” said I, and, sighing, rose, and taking my hammer from its place above my bookshelf, set to work upon my brackets, driving them deep into the heavy framework of the door. If lincoln heritage illinois medicare supplement rates had known you were going to challenge him, I should have felt obliged to sacrifice my pledged word in order to stop it, but Wilson couldn’t be expected to do otherwise than keep silent. the leaves were fully expanded, appearing quite healthy. They looked at each other in confusion and did not speak. Winterblossom now lived upon a moderate annuity, and had discovered a way of reconciling his economy with much company and made dishes, by acting as perpetual president of the tabled’hote at the Well. ‘Oh, you little ungrateful, murderous, horrid villain! But your words are vain, for you cannot think that we will be so fond as to let you go in the hope that you return? She put her fingers over the bone, over his stocking, to feel if there was any fracture. ” “Because of what your father’s ghost said, lincoln heritage illinois medicare supplement rates before we came out. I tied the covering of the bidarka about me so that no water could get in, and all of the night I fought with the storm. ‘With the greatest impatience I should fly to your house, but that I foresee it to be possible, under the circumstances, that you will not yet have quite definitively arranged the little proposition I have had the honour to submit to you. ‘ And we would sit down on the old bench and talk a little and dream a little, or just be beautifully silent together. He lost lincoln heritage illinois medicare supplement rates time in revealing his fears, after Maballa had been sent to the factor’s wife. She was much more accessible, much more free and engaging, much less exacting; insomuch that she now entertained a host of followers and admirers, to the bitter indignation of ladies with daughters to marry, who were to be regarded as Having revolted from Society on the Miss Dorrit grievance, and erected a rebellious standard. A chemical pencil had written: “Girls, beware of syphilis. It had been my first year in high school that Tupper had turned up missing and I remembered it most vividly because for a week all of the boys had been released from school to join the hunt for him. But she was not so sure about not wanting to leave Daisy. Billy stayed in the wagon when it reached the slaughterhouse, sunning himself. �Could Nikolay Vsyevolodovitch have explained all this just now in answer to your question, which was perhaps too peremptory? I don’t know why I do, but I do. ” It was the bulky doorman speaking. When I was going home, Miss Sichliffe came up to me in the twilight, the pup on a leash, swinging her big shoes at the end of her tennisracket. ” He paused a lincoln heritage illinois medicare supplement rates and Cynthia interrupted: “But I should have woken up if anyone had come through my room? ‘You’re right, Oliver, you’re right; they WILL think you have stolen ‘em. It prevented the invasion of Rhodesia, and it gave a rallyingpoint for loyal whites and natives in the huge stretch of country from Kimberley to Bulawayo. There was an appletree beside the house, and some apples had fallen to the ground. The hand was gnarled, the knuckles swollen and misshapen. Never, never, never tell your wife anything that you do not wish her to remember and think over all her life. Rowena, descending from her station with a graceful and dignified step, was about to place the chaplet which she held in her hand upon the helmet of the champion, when the marshals exclaimed with one voice, “It must not be thushis head must be bare. If no one was there, she might find something that would set her mind at rest . �Nor can I fail to appreciate the virtue that has kept your lips sealed against words of love for this Heliumite, Thuvia, for I know that I have but just heard the first declaration of your passion for him. The second vessel they also overtook lincoln heritage illinois medicare supplement rates captured. But if you love me, perhaps you’ll forgive them, and thenbecause I love youmaybe I’ll grow out of them. But, nature being the same the world over, the unvaccinated grew jealous of their marked comrades, and came near to blows about it. limo fall river ma working in large companies ringed 2010 jelsoft enterprises ltd
Source: blog.cz

Bipartisan Group of 22 House Members ask CMS to Stop Prepayment Review Project that would Jeopardize Care for Medicare Beneficiaries

In addition to Reps. Towns and Flores, the letter was signed by Rep. Henry Cuellar, PH.D, (D-TX), Rep. Lamar Smith (R-TX), Rep. Ted Poe (R-TX), Rep. Patrick McHenry (R-NC), Rep. Bruce Braley (D-IA), Rep. Michael Burgess, M.D., (R-TX), Rep. Brian Higgins (D- NY), Rep. Mark S. Critz (D-PA), Rep. Corrine Brown (D-FL), Rep. Peter King (R-NY), Rep. Tom Marino (R-PA), Rep. Joseph Crowley (D-IL), Rep Todd Young (R-IN), Rep. Charles Rangel (D-NY), Rep. David Rivera (R-FL). Rep. Glenn Thompson (R-PA), Rep. Kay Granger (R-TX), Rep. Lou Barletta (R-PA), Rep. Jason Altmire (D-PA) and Rep. Todd Rokita (R-IN).
Source: thecre.com

Illinois man charged in Medicare fraud case

The defendant allegedly targeted Medicare beneficiaries through a medical equipment company he owns and operates in Buffalo Grove, Illinois. Patients were persuaded through telemarketing to provide the defendant their Medicare information by offering free medical equipment and supplies.
Source: connecticutcriminaldefenseblog.com

December Illinois Senior Medicare Fraud Tip

Kung may magnakaw ng iyong numero ng Medicare, maaaring maningil ng serbisyo ang magnanakaw gamit ang iyong akawnt ng hindi mo nalalaman! Mahuhuli lang ang panlilinlang na ito kung babasahin mo ang iyong statement. Binabasa natin ang ating mga credit card statement para masiguro na walang maling pagsingil dito. Kailangan ring basahin natin ang ating statement sa Medicare para masiguro na walang magnanakaw ng ating benepisyo! Kung mayroon kang Medicare, tatanggap ka ng statement apat na beses sa isang taon. Basahin ng maigi ang mga statement para masiguro na tama ang lahat ng nakasaad. Bantayan ang mga singil ng serbisyo o kagamitan na hindi mo tinanggap, mga serbisyo na hindi pinag-utos ng iyong duktor, o ano mang ibang pagkakamali. Kung nais mong makatanggap ng Paunawa ng Buod ng Medicare (Medicare Summary Notice) sa ibang wika maliban sa Ingles, tumawag sa 1-800- Medicare upang mahingi na ipadala sa iyo ang statement na ito sa iyong wika. Kung mayroon kang mga katanungan ukol sa iyong makikita sa Paunawa ng Buod ng Medicare, tawagan ang Illinois Senior Medicare Patrol Program sa AgeOptions para matulungan ka: (800)699-9043.
Source: filamnation.com

Seniors Rally With Occupy Chicago Against Cuts To Medicare, Safety Net Programs

Today’s show of action was also supported by Access Living, Bickerdike, Action Now, Chicago Housing Initiative, Chicago Coalition for the Homeless, Community Renewal Society, Illinois Alliance for Retired Americans, Kenwood Oakland Community Organization, Lakeview Action Coalition, Metropolitan Tenants Organization, Northside P.O.W.E.R., Organization of the Northeast, SEIU* Homecare Illinois/Indiana, Southsiders Organizing for Unity and Liberation and Southside Together Organizing for Power.
Source: progressillinois.com

Medicare Replacement Card

Posted by:  :  Category: Medicare

GIMME SOME OF THAT GOOD 'OLE OBAMA DOUBLESPEAK by SS&SSThis leads to a difficult decision for healthy individuals, do I pay $300 – $400 monthly premium to protect myself in the unlikely event that I fall extremely ill or have an accident requiring a surgery? The answer to this question is a High deductible major medical insurance policy with an HSA or Health Savings Account. The HSA plans have three major advant […]
Source: medicare-supplement-advisor.org

Video: Detroit: Medicare Fraud Summit Preventing Health Care Fraud Panel

Social Security is Home for the Holidays — Palos Heights news, photos and events — TribLocal.com

There’s an even better way to conduct your business: online at www.socialsecurity.gov. There you’ll find a wealth of information and online services. For example, you can apply online for Social Security benefits or for Medicare, and then you can check on the status of your pending application. If you already receive Social Security benefits, you can go online to change your address, phone number, or your direct deposit information, get a replacement Medicare card, or request a proof of income letter.
Source: triblocal.com

Replacing Your Vital Documents

 – Go to the National Archives website for guidance on requesting personnel records for former federal civilian employees. Current federal workers can get personnel records from their human resources office.
Source: usa.gov

Retiring overseas? health issues to consider

David Pryor continues, “There has been quite a lot of press coverage recently about the way in which people just rely upon the European Health Insurance Card (the old E111), in the mistaken believe that in the event of serious ill health, they can return to their country of birth and once again access the state system. Our advice to anyone planning overseas retirement is to budget for some element of international health insurance, preferably with a 24 hour assistance facility to assist with both foreign language and of course to access to hospitals and doctors in country. It is important to remember that complete or top up individual PMI is vital in some countries. Even if they are going to a country that has a reciprocal healthcare agreement with the UK, they may still need to pay for medical treatment. None of the healthcare agreements cover the cost of bringing a person back to the UK in the event of illness or death.”
Source: cyprushealthtravel.com

Rural resources on Medicare Part D Prescription Drug Benefit resources

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

Medicare Replacement Card

There are many ways to receive your replacement card. You can call the Social Security Administration on (800) 722 1213, or call in at one of their many offices. Another way is to use the power of the World Wide Web. Just go to https://s044a90.ssa.gov/apps6z/IMRC/main.html to apply for a replacement card, then you will have the proof that you belong to the Medicare program. If the state originally issued you the card, you will have to speak to the local Medicaid office.
Source: medicare-benefits.com

Save Some Time During the Holidays

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

Social Security and You: Taking care of business

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Source: 9theranch.com

Guangzhou will be distributed two million new social security card bundled banks choose

second is through the community to apply for registration. In addition to the collective by the employer to apply for social security card, social health insurance Guangzhou insured workers, the other permanent residents and eligible to apply for one, can be concentrated in stages as required to apply for the period to the nearest community (village) committees for social security card. Among them, Yuexiu District, December 8 to January 20 next year to apply for acceptance concentrated; Haizhu District on December 15 to January 15 next year to apply for acceptance concentrated; Tianhe District, Panyu District will soon start; other districts (counties level cities) will have started next year. City Council calls upon the people to heed the letter Branch Street (town), community-related announcements notice.
Source: 3abc.net

A look into the benefits of Medicare

Posted by:  :  Category: Medicare

319 | Tragedies of Medicine by The DoctrThese types of plans are approved by the Medicare insurance program but are administered and seen to fruition by private health insurance companies. Plan holders may choose which drugs they wish to include and which drugs they wish to exclude from the said plans. However, Medicare authorities have excluded several types of drugs from the list of covered prescription drugs. These include, but are not limited to, cough medicine and barbiturates. The plans that for one way or another included these medicines into their plans are not to be payed by the Medicare insurance coverage. The last part of the benefits of Medicare is the Medicare Advantage. Medicare Advantage is just a fancy name that means plan holders can choose to claim their original Medicare plans (Parts A and B) from private insurance health plans. The main difference of Medicare Advantage from the regular Hospital and Medical Coverage is that it is not standardized. This means that the plan holders have a little freedom when it comes to choosing their plan’s payment schemes, for example. According to recent studies, more and more choose the Medical Advantage because of perceived greater returns for their insurance investment. Aside from the greater returns for the investment, Medical Advantage members also get better health benefits in the form of additional compensation from the savings generated by the said health insurance  plan part. Aside from the monetary gains of those who enroll in the newer Medicare Advantage plans, these type of Medicare plan also has features not available to the older and original Medicare Plans A and B. Some of these added benefits to those who avail of the Medicare Advantage plan are the following: dental care coverage, optical services coverage(referring to incidents with our eyes), and other types of services not included in the Hospital and Medical Insurance plans of old. It is now up to the clients to choose which type of benefit plan to choose. Choose the first two plans and be one of the many who experience good health insurance coverage. Be one of those who choose to enroll in the Medicare Advantage, and enjoy the added benefits that they incorporate into the said insurance plans.
Source: ezinemark.com

Video: Linda Meckler Medicare Parts ABCD.MP4

Medicare Open Enrollment Ends Dec. 7!

BACKGROUND:  SHINE (Serving the Health Information Needs of Elders) provides free health insurance information, counseling and assistance to Massachusetts residents with Medicare and their caregivers. ABCD’s Events for Open Enrollment are continuing throughout Boston and are a chance for seniors and disabled adults on Medicare to learn about changes in Medicare Drug Plans for the 2012 year. After each presentation, FREE on-site Medicare counseling & assistance will be available!
Source: bostonabcd.org

Medicare Health Insurance

Medicare Part C is the “private” portion of Medicare. In Part C, a private insurer has contracted with the government to take over the management of all of your Medicare benefits. You pay premiums directly to this private insurer. Your benefits are then all provided through this private insurer. That is the insurer and pays claims on your behalf. Part C is optional and you still have to pay the Part B premium. The difference is that your benefits are provided by a private insurer and not the government. Both Medicare Advantage and Medicare supplemental insurance covers the gaps left by the original coverage. You do not need both. The difference is that Medicare Advantage pays instead of Medicare, whereas supplements pay AFTER Medicare pays;
Source: infobarrel.com

+++ What Medicare and what does not pay in 2010

Additional reporting VS Part C coverage. As already mentioned, Part C is coverage from a private carrier as much as the health of the group administered with co-payments, deductibles, and a selection of their physicians. Other plans vary in coverage and the annual premium surcharge is based on the degree of coverage.Ther additional plans that allows you to payMedicare does not pay all the costs in Part A and B for plans that can have $ 2,000 annual deductible. The advantage of the increase is that the control of the doctors you go, anytime, anywhere. Unless of course you must not pay for the coverage of Medicare, the additional premium cost more than your cost. Note that regardless of the cost of additional coverage, premiums are significantly less than the traditional non-medical major medical care, andwith better performance.
Source: 1travelinsurance.net

What Medicare Does and Does Not Pay in 2010

Supplemental Coverage Vs Part C coverage. As previously stated, Part C coverage by a underground carrier is administered much like group health with co-pays, deductibles and a option of their doctors. Supplemental plans vary in coverage and the each year supplement selected is based on the degree of coverage.Ther are supplemental plans that pay all of the cost medicare does not pay under Part A and B to plans that may have a 00 each year deductible. The advantage of the supplemental plans is that you have control over which doctors you go to,anytime and anywhere. Of course the less you have to pay for coverage of the un-paid medicare cost the more your supplemental premiums will cost. Keep in mind that regardless of the cost for supplemental coverage, the premiums are far less than customary non-medicare major medical coverage, and with better benefits.
Source: seniorcarehowto.info

Medicare Supplemental Insurance: Medicare Part A, B, C, D Benefits

A more complicated part of this government plan is known as Medicare Part C. This has also been referred to as the Medicare+Choice plan, and it provides options for people who have reached qualifying age. This is the part of the Medicare plan that allows people to still get their applicable benefits through a private insurance plan. Medicare Part C has been very important for those people who have their own insurance, but still want to benefit from the Medicare that they have already paid for over the course of their lives. When a person signs up for Medicare Part C, they are usually given a list of private health insurance companies that they can use, and they will pay a monthly premium on top of the Medicare provision for things that might not be covered by Part A and Part B. Some of those things include prescription drugs, which makes up an important cost for many older people. This is a plan that many fewer people take advantage of, but it provides a big time level of coverage.
Source: todaysseniors.com

What Medicare Does and Does Not Pay in 2010

Supplemental Coverage VS Part C coverage. As previously stated, Part C coverage by a private carrier is administered much like group health with co-pays, deductibles and a selection of their doctors. Supplemental plans vary in coverage and the yearly supplement premium is based on the degree of coverage.Ther are supplemental plans that pay all of the cost medicare does not pay under Part A and B to plans that may have a 00 yearly deductible. The advantage of the supplemental plans is that you have control over which doctors you go to,anytime and anywhere. Of course the less you have to pay for coverage of the un-paid medicare cost the more your supplemental premiums will cost. Keep in mind that regardless of the cost for supplemental coverage, the premiums are far less than traditional non-medicare major medical coverage, and with better benefits.
Source: blognub.com

Compare Medicare Supplement Insurance Benefit Plans A, B, C, D, E, F, G, H, I, and J

After changes to existing law, Medigap plans no longer cover prescription drugs.   Part D prescription drug coverage is now a separate insurance purchased from private health insurance companies.   Not all plans are exactly alike and monthly premiums, drug co-pays, and plan deductibles can very between companies.   Typically, private insurers offer three plans to choose from.   The federal government offers comparison services at their website www.medicare.gov so consumers can locate a suitable drug plan.
Source: ohioinsureplan.com

Berwick: Don’t Blame Medicare, Medicaid. It’s The Delivery System

Posted by:  :  Category: Medicare

GOP Plan For Women! Occupy St Pete by Fifth World ArtDespite being considered one of the foremost authorities on health quality and safety, Berwick was a controversial pick as administrator of the Centers for Medicare and Medicaid Services after Republicans accused him of supporting rationing care. Berwick denies the charge, but noted both private insurers and government programs impose limits on what they will cover.
Source: kaiserhealthnews.org

Video: Medicare and Medicaid: What’s it all mean?

Reverse Mortgage and Medicaid and Medicare Benefits

Reverse mortgage is a very safe program which offers great financial security to seniors. They can use the cash to provide for a number of financial needs. Such needs might include consolidation of debts, social security supplement, to make improvements in the home, pay property tax or meet urgent medical expenses. Those who are eligible for this kind of loan are those who are 62 years and above. They should also own the homes outright and must live in them as the primary residence. Alternatively, their mortgage balance should be low enough that it can be easily paid off during the closing using some proceeds from the loan. For the home to qualify, it should either be 1-4 units or a single family home. Condominiums and manufactured residences approved by HUD can also qualify as long as the FHA requirements are met.
Source: reversemortgagebase.com

Ashland University Dietetics Program News: Medicare and Medicaid Decide to Cover Nutritional Services

Centers for Medicare and Medicaid Services have decided to cover nutritional counseling for obese people. This means that patients will not have to cover the entire cost of the counseling out of pocket, as it will be covered by Medicare and Medicaid. This is also good news for dietitians because the demand for dietitians in hospital clinics and doctors’ offices will increase thereby allowing more people to receive dietetics services and increasing the job availability.
Source: blogspot.com

Dorchester Pharmacist Sentenced to 12 months for Medicare and Medicaid Fraud

Dorchester pharmacist Ernest M. McGee was sentenced to 12 months in prison by U.S. District Judge Nathaniel M Gorton, the DOJ reports. The judge also ordered McGee to pay restitution to Medicaid and to Medicare, in the amounts of $292,635 and $60,037 respectively. McGee worked at Codman Square Pharmacy in Dorchester, which was owned by Amadiegwu Onujiogu, who was also convicted separately of the same crime. According to the claims, McGee paid customers to bring prescriptions to the pharmacy, but would not then dispense medications to them. McGee would then submit claims to Medicaid and Medicare for the prescriptions and their refills.
Source: whistleblowerlaws.com

Understanding the Difference Between Medicare and Medicaid Meaningful Use

e-MDs offers a host of affordable, certified EHR solutions for physicians and facilities looking to modernize or enhance their services with the latest electronic health records technology. e-MDs is committed to providing affordable and integrated EMR and Practice Management Software solutions, including clinical, financial and document management modules designed to automate medical practice processes and chart management – delivering the clinical tools needed to succeed in today’s health care environment. You can find additional detailed information about all the different services and benefits an EMR system has to offer your practice by contacting a representative right now at 1.888.344.9836 or sales@e-mds.com, or visiting them online at www.e-mds.com.
Source: articleplusx.com

What Romney Knew About Medicaid

“Democrats are continuing their campaign of distortion and distraction because President Obama’s policies have failed the middle class in America,” said Andrea Saul, a campaign spokeswoman, in an e-mail. “He has burdened future generations with massive amounts of debt and the worst job market in decades. President Obama and his allies do not want to run against Mitt Romney and be forced to defend three years of failure. Instead of focusing on out-of-control spending and record unemployment, President Obama and his political machine are focused on campaigning to try and tear down Mitt Romney.”
Source: nytimes.com

Big rally against Social Security/Medicare/Medicaid cuts tomorrow in Cleveland

Sponsors and endorsers of the Rally and March include: United Pastors in Mission; North Shore AFL-CIO Federation of Labor; Occupy Cleveland; American Federation of Government Employees; Cleveland Jobs with Justice; Southern Christian Leadership Conference, Cleveland Chapter; United Church of Christ Justice and Witness Ministries; Progressive Democrats of America – Ohio; Universal Health Care Action Network (UHCAN National); U.S. Labor Against the War; National Lawyers Guild; Single-Payer Acton Network Ohio (SPAN Ohio); Cleveland Peace Action; Chicago & Midwest Regional Joint Board affiliated with Workers United; Service Employees International Union Local 1; Veterans for Peace; Wayne County Progressive Network; Women Speak Out for Peace and Justice; Greater Abyssinia Baptist Church; Lutheran Metropolitan Ministry; Ministers In Action for Environmental Justice; Northeast Ohio American Friends Service Committee; New National Assembly to Bring the Troops Home Now; Coalition for A Better Life, (dba Peace in the Hood, Inc.); The Task Force for Community Mobilization; International Council for Urban Peace, Justice and Empowerment; Greater Cleveland Shurah Council; Black on Black Crime; Emergency Labor Network; United Auto Workers, Local 1005; First Grace United Church of Christ; Social Action Committee, Unitarian Universalist Fellowship of Wayne County.
Source: ohiodailyblog.com

Rural resources on Medicare Part D Prescription Drug Benefit resources

Posted by:  :  Category: Medicare

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

Video: 2010 Benefits – Peoples Health Medicare Advantage Plans

GAO Examines Trends in Medicare Advantage Program : Health Industry Washington Watch

A new GAO report reviews trends in Medicare Advantage (MA) enrollment, premiums, and benefits from 2010 to 2011. According to the GAO’s analysis, enrollment in MA plans reviewed increased by about 6% (7.9 million to 8.4 million) from April 2010 to April 2011, although enrollment changes varied by plan type (health maintenance organizations versus preferred provider organizations). On the other hand, the number of MA plans decreased from 2,307 to 1,964. Average monthly MA premiums fell from $28 in 2010 to $24 in 2011, which also varied substantially among plan types. MA plans expected beneficiary cost-sharing levels to average about half of fee-for-service levels in both 2010 and 2011 (cost-sharing was lower for HMOs than regional PPOs). Coverage of additional benefits were at similar levels in 2010 and 2011, although there were changes in the availability of particular plan benefits (e.g., hearing and vision).
Source: healthindustrywashingtonwatch.com

Patty Duke Turns 65, Applies Online for Social Security and Medicare Benefits — Tinley Park news, photos and events — TribLocal.com

In 2009, Duke reprised her roles as the identical cousins, Patty and Cathy Lane from the Patty Duke Show, for a series of PSAs promoting Social Security’s online services. In 2010, Duke teamed up with the surviving Patty Duke Show cast members for an additional set of spots. Earlier this year, she teamed up with entertainment icon George Takei to encourage people of all ages to “Boldly Go” to www.socialsecurity.gov. In the three years since Duke has volunteered her time with Social Security, millions of people have visited the agency’s website and the percentage of online retirements has more than doubled.
Source: triblocal.com

Is Medicare a Ponzi Scheme?

The American Magazine

Moreover, as I’ve argued earlier, given the 44 cent penalty each additional federal tax dollar imposes on the economy, it makes no particular sense to be using tax dollars to pay for Warren Buffett’s Medicare bills in the first place. By the time he dies, he and his now-deceased wife jointly will have had in excess of $350,000 in expected lifetime Medicare benefits bankrolled by taxpayers. Even though he assuredly will have self-financed every penny, the economy will have lost $150,000 in output by running those dollars through the U.S. Treasury instead of letting Mr. Buffett pay for his own retiree medical expenses. There may be some unhinged Occupy Wall Street protesters who think that’s a smart idea. I do not. Serious Medicare reform is going to require a radical rethinking of the role of government in financing retiree health expenses.
Source: american.com

Fewer Americans Confident About Receiving Social Security and Medicare Benefits

Changes in Expectations for Social Security and Medicare One of the benefits of living in a wealthy, industrialized country is feeling confident that you live in a society that will protect you when you are older and no longer able to work.  However, recent discussions about the Social Security Insurance and Medicare systems suggest that some type of changes to these programs is inevitable. Younger people are realizing that there is a good chance Social Security may not be around in 40 years when they will be ready to retire.  What are you to do if the money you are counting on after retirement is no longer available? Confidence Dwindles As the years have gone by, more and more American are less confident that they will receive Social Security and Medicare benefits when they finally become eligible.  You may have these concerns yourself, and it makes sense that you would question why you pay so much in Social Security and Medicare taxes out of every paycheck if you won’t receive the benefits yourself.  For example, according to a recent Sun Life survey, since September 2010, overall confidence levels of people expecting to receiving Social Security benefits and Medicare benefits have dropped from 22 percent to 9 percent and from 20 percent to 8 percent, respectively. In fact, in December 2008 up through September 2010, people were fairly confident that they would be able to afford basic living expenses in retirement. However, as of September 2011, the tables turned and 28 percent of people are not at all confident, compared to 23 percent of those who are.
Source: primerates.com

Seniors World Chronicle: USA: The High Cost, and High Rewards, of Longer Lives

Boston geriatrician Dr. Thomas Perls  goes so far as to suggest taxes on meat–yes, the T-bones and ribs that Americans savor–to curtail consumption of those cholesterol-suffused, artery-clogging instigators of heart disease and stroke. It isn’t a coincidence, he said, that Seventh-day Adventists live to 88, on average, a decade longer than the populace as a whole: For more than a century, the church has defined a godly lifestyle as including a diet that favors fresh vegetables and fruits, whole-grain breads, and low-fat dairy products but avoids beef, lamb, pork, and chicken as well as coffee, tea, and alcohol. The certainty that retiring baby boomers will add to the strains on Medicare and Medicaid may or may not nudge a financially strapped government to spend more on research to cure Alzheimer’s and other lingering diseases. The National Institutes of Health devotes $469 million of its annual $31 billion budget to Alzheimer’s research–a pittance, critics say, considering that annual treatment costs may reach $1 trillion by 2050. NIH’s director, Francis Collins, told Congress earlier this year that the projected tab could be reduced by half if improved detection and treatment could delay the onset of Alzheimer’s by five years. He noted that a massive research effort into heart disease had contributed to a 60 percent reduction in coronary-related deaths. LESS-ENTITLED ENTITLEMENTS Washington could also help to curb the financial dangers posed by an aging population by overhauling the entitlement programs that pay benefits to the elderly. This would entail renegotiating, in effect, the bargain between the country and its growing ranks of seniors. A big step, as suggested by Nicholas Eberstadt, a demographer at the American Enterprise Institute, would be to raise the age of eligibility in line with longer life spans. Today, workers born before 1938 can receive full Social Security benefits at age 65; the eligibility ages rises gradually for those born later, so that workers born after 1959 must wait until they’re 67–starting in 2027–for full benefits. (Any worker may take reduced benefits at age 62.) Even as Americans’ life expectancy keeps rising, current law has no provision to raise the retirement age beyond 67. Third Way, a centrist Democratic think tank in Washington, has proposed gradually increasing the retirement age to keep pace with life expectancy, thereby lopping a cumulative $1 trillion from the trust fund’s payments by 2040. Similarly, postponing eligibility for Medicare could yield substantial savings–of 7 percent by 2035, according to CBO, if Americans must wait until they’re 67 to receive benefits. “Raising the eligibility age to track with increased life expectancy is the best way to preserve Medicare while reducing the cost to taxpayers,” said Veronique de Rugy, a senior research fellow at George Mason University’s market-oriented Mercatus Center. Another oft-proposed solution is to reduce or eliminate entitlement benefits for high-earning seniors. Such means-testing seems in line with the progressive taxation of income, a cornerstone of the federal tax code, but it would save far less than raising the eligibility age. Third Way’s proposal for Social Security would save a half-trillion dollars by 2040 by phasing out benefits for seniors with individual incomes of $150,000 (for couples, $200,000), but twice as much by indexing the retirement age to life expectancy. These prescriptions have the advantage of political plausibility. Republican presidential candidate Mitt Romney, often cautious to a fault, recently called for raising the retirement age for Social Security and the eligibility age for Medicare in step with increases in longevity. He also backed means-testing for Social Security. President Obama and House Speaker John Boehner agreed on raising the eligibility age for Medicare before their talks about a grand bargain on the federal debt fell apart last summer. Washington could also rescind the active disincentives–punishments, really–it metes out to Americans who choose to work past 65. The seniors who sign up for West Bridgewater’s program must declare the value of any property-tax abatement as income in their federal tax filings (though not their state filings). The town must also pay for participating seniors’ contributions to Medicare. Mary Harrington Graf, director of elder services for the West Bridgewater Council on Aging, declared, “The big nonsupporter of this program is the federal government.” HEALTH = WEALTH Thomas Malthus was wrong. The 18th-century British philosopher famously predicted that life on Earth was doomed because the planet’s food supply grows arithmetically while its population expands exponentially. The only thing that could save humankind, he warned, was multitudes of deaths–caused by war, pestilence, or some other catastrophe. To put the Malthusian proposition in economic terms (as many economists have done), a shorter life span is a plus, allowing a nation to spread its wealth more generously among a smaller population. Malthus failed to anticipate, however, the productivity of the Industrial Revolution or the spectacular improvements in public health (springing from the mid-19th-century discovery of germs) that would ease his grim equation. Science and machinery extracted greater crop yields from the same acreage. From 1820 to 2001, the world’s population increased by nearly six times while per capita income increased ninefold. Over the same period, life expectancy in the West shot up from 36 to 79 years; in the rest of the world, from 24 to 64. The essential lesson, for Americans and everyone else, is that improved health (for which increased life expectancy is a gauge) is itself a driver of wealth. Harvard’s Canning is fond of noting that the causal arrow runs in both directions. When a society is growing in wealth, it can devote more resources to improving the health of its people. So, more wealth, better health. It is also true that when a society is healthier, its workers are likely to be more industrious and productive, creating more wealth. So, better health, more wealth. Think of a flu epidemic threatening to wipe out a city, confining workers to bed. If a vaccine can restore everyone’s health, wage earners go back to work. Wealthier societies are healthier, and healthier societies are wealthier. Evidence: The United States circa 1900, when just 4 percent of the population was 65 or older, was far poorer than today’s America, with more than triple that share. As the numbers of the aged grow, societies as diverse as China’s and America’s will grapple with the challenge, following starkly different cultural and political norms. A nation such as this one, that prides itself on personal reinvention, is apt to do just fine in rethinking the culture of aging. The U.S.economy, still one of the world’s most flexible and innovative, is also bound to adapt. The hardest challenge may be the political one. As the baby boom turns into an elderly boom, the federal government has no choice but to be deeply involved. Even privatized solutions to the ever-costlier federal entitlement programs, favored by conservatives who want Washington out of the way, would require landmark legislation to repeal chunks of the New Deal and the Great Society. That would take government action. All of this suggests that the current political paralysis includes among its victims any hope of a coherent strategy for handling the demographic certainties of a graying population. Since this nation began, Americans have been living longer and enjoying greater prosperity. There is no defensible reason the 21st century should be any different.
Source: seniorsworldchronicle.com

ANY Beginner’s Manual to Medicare supplement Policy

Medigap Supplemental Coverage can come to be easily got by many people aging 60 years of age five a long time and mature; they should be signed up for Medicare Element B. These policies can be purchased by private insurance plans and will only double by an individual. A Medicare supplement Policy offers a whole lot of benefits; Benefits can include deductibles as well as coinsurance pc plan. A Medicare supplement Supplemental Insurance coverage also takes care of some on your annual Medicare insurance deductibles, copayments, as well as coinsurance; having said that, each plan might alter from each unique state so you should check each and every plan that is definitely being presented and study the brains behind suits a person best.
Source: abcircle-reviews.com

Reverse Mortgage and Medicaid and Medicare Benefits

Reverse mortgage is a very safe program which offers great financial security to seniors. They can use the cash to provide for a number of financial needs. Such needs might include consolidation of debts, social security supplement, to make improvements in the home, pay property tax or meet urgent medical expenses. Those who are eligible for this kind of loan are those who are 62 years and above. They should also own the homes outright and must live in them as the primary residence. Alternatively, their mortgage balance should be low enough that it can be easily paid off during the closing using some proceeds from the loan. For the home to qualify, it should either be 1-4 units or a single family home. Condominiums and manufactured residences approved by HUD can also qualify as long as the FHA requirements are met.
Source: reversemortgagebase.com

The Significance of Wyden

Wyden-Ryan substitutes competitive bidding for a pre-determined formula, which is an improvement. Each year, plans wishing to sign up Medicare beneficiaries for coverage would submit a bid reflecting the premium they would charge to provide Medicare’s benefits. The government’s payment would be tied to the second-lowest bid or the cost of enrolling in traditional Medicare, whichever is less, and traditional Medicare would be retained as an option that enrollees could choose. This is very similar to the approach used in the Medicare drug benefit, which has come in more than 40 percent below expected costs. Competitive bidding opens the door to aggressive cost-cutting, because plans that find ways to delivery more with less will be able to attract enrollment with low premiums. So, unlike the earlier version of premium support passed by the House, the Wyden-Ryan plan has the potential to reduce costs faster and further than estimates might indicate.
Source: parkercountyblog.com

Medicare Enrollment Deadline Is Tomorrow

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSKaiser Health News: What Every Baby Boomer Should Know About Medicare Throughout Robert Joseph’s career, the Alvin, Texas, electrician always understood his health insurance policies. “I’ve never had a problem,” Joseph says, “until I tried to sign up for Medicare.” … when his company went bankrupt at the end of 2009 — Joseph was then 67 — he received 18 months of severance pay. … He researched his Medicare handbook, which noted that “current” employees didn’t need to apply for Medicare. Since he continued to get monthly severance checks that deducted Medicare taxes and he was allowed to continue buying health insurance through the same carrier for the 18 months, he thought he could wait to join Medicare. He was wrong (Mayer, 12/5).
Source: kaiserhealthnews.org

Video: Pete Mitchell’s When To Sign Up For Medicare by Pete Mitchell

When can you enroll in Medicare outside of the Annual Enrollment Period (AEP)?

4. Medicare Supplement/Medigap Plans – Medicare Supplement plans do not have a defined annual open enrollment period. Most States, carriers and plans allow for enrollment year round. Beneficiary’s can make changes or adjustments based on the insurance company, plan or state they live in throughout the year. But, some underwriting qualifications may have to be met.
Source: ehealthinsurance.com

pisanet.org − Healing period Audit Skilled tradesmen and Medicare health insurance Audits: Successful Tips for Defending Audits − pisanet.org

Section 306 from the Medicare Approved Drug, Enhancement and Modernization Conduct yourself of 2003 (MMA), directed this Department of Health insurance and Human Expertise (HHS) in order to conduct a new three-year showing program applying RACs. ? Any demonstration started out in 2005 inside the three states using the highest Medicare insurance expenditures: Cal, Florida and Big apple. ? Any RACs ended up being tasked to distinguish and precise Medicare overpayments and also underpayments, and ended up being compensated for a contingency bill basis. ? supplemental insurance for medicare the showing program was to ascertain whether the application of RACs became a cost-effective way for you to identify and also correct unconventional Medicare expenses.
Source: pisanet.org

Missed Medicare Open Enrollment, Now What?

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

Healing Audit Technicians and Medicare insurance Audits: Successful Tips for Defending Audits

Section 306 of this Medicare Approved Drug, Advancement and Modernization Action of 2003 (MMA), directed a Department of Health insurance and Human Products and services (HHS) to make sure you conduct a good three-year trial program employing RACs. ? Typically the demonstration launched in 2005 within the three states while using highest Treatment expenditures: Colorado, Florida and Texas. ? Typically the RACs happen to be tasked to name and perfect Medicare overpayments and even underpayments, and happen to be compensated for a contingency monetary fee basis. ? medicare supplement quote the trial program was to check whether the employment of RACs is a cost-effective option to identify and even correct could possibly also cause Medicare monthly payments.
Source: bemidjishowchoirs.org

Medicare enrollment window dwindling

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Source: volunteertv.com

Do I qualify for senior health insurance?

If you are working when you turn 65, the government will not penalize you for signing up late for Medicare as long as you are covered under your employer’s group insurance plan. However, you must sign up for Medicare within eight months after you are no longer covered under the group insurance plan due to retirement. This also applies to the spouse of the insured.
Source: healthinsuranceproviders.com

The Significance of Wyden

Wyden-Ryan substitutes competitive bidding for a pre-determined formula, which is an improvement. Each year, plans wishing to sign up Medicare beneficiaries for coverage would submit a bid reflecting the premium they would charge to provide Medicare’s benefits. The government’s payment would be tied to the second-lowest bid or the cost of enrolling in traditional Medicare, whichever is less, and traditional Medicare would be retained as an option that enrollees could choose. This is very similar to the approach used in the Medicare drug benefit, which has come in more than 40 percent below expected costs. Competitive bidding opens the door to aggressive cost-cutting, because plans that find ways to delivery more with less will be able to attract enrollment with low premiums. So, unlike the earlier version of premium support passed by the House, the Wyden-Ryan plan has the potential to reduce costs faster and further than estimates might indicate.
Source: parkercountyblog.com

Medicare Enrollment Deadline Is Today

Others opt for Medicare Advantage, or Part C, which instead allows recipients to sift through private but government-subsidized plans and pick one that fits their needs – one with a lower hospital deductible, for instance, or one that offers a low co-pay for medical equipment. The types and diversity of Medicare Advantage plans vary depending on where you live; you can find out what’s available to you locally by using the Medicare Plan Finder on the Medicare website. 
Source: patch.com

Clock Is Ticking For Medicare Open Enrollment

You have until midnight tonight to sign up for a new Medicare plan that will take effect on January first. Karen Chenoweth, supervisor at the Center for Advocacy for the Rights and Interests of the Elderly, says you can sign up with a new company online or call the local APRISE office, which is a health insurance assistance program run by the state.
Source: cbslocal.com

Addiction recovery Audit Building contractors and Medicare insurance Audits: Successful Tips for Defending Audits

Section 306 within the Medicare Pharmaceutical Drug, Enchancment and Modernization Function of 2003 (MMA), directed a Department of Health insurance and Human Solutions (HHS) to be able to conduct a new three-year demo program working with RACs. ? That demonstration started out in 2005 on the three states while using the highest Medicare insurance expenditures: Idaho, Florida and The big apple. ? That RACs was tasked to name and proper Medicare overpayments not to mention underpayments, and was compensated on the contingency monetary fee basis. ? medicare supplement rates the demo program was to check whether using RACs would have been a cost-effective tactic to identify not to mention correct poor Medicare expenditures.
Source: hurokform.org

Rescue Audit Skilled tradesmen and Medicare insurance Audits: Successful Tips for Defending Audits

Section 306 belonging to the Medicare Prescribed Drug, Growth and Modernization React of 2003 (MMA), directed the actual Department of Health insurance and Human Products (HHS) to be able to conduct a fabulous three-year business presentation program implementing RACs. ? All the demonstration begun in 2005 in your three states together with the highest Medicare health insurance expenditures: Colorado, Florida and The big apple. ? All the RACs happen to be tasked to name and proper Medicare overpayments and also underpayments, and happen to be compensated at a contingency bill basis. ? free medicare supplement quote the business presentation program was to ascertain whether having RACs might be a cost-effective way for you to identify and also correct incorrect Medicare expenses.
Source: mobilnimarketing.info

10 Common Myths about Hearing Loss and Hearing Aids: Part 2

Posted by:  :  Category: Medicare

OBAMACARE WATCH: MORE DARKNESS THAN LIGHT AND OF COURSE TAXES AND PENALTYS by SS&SSHistorically this has been a common concern with older analog devices. However, modern hearing aids have evolved substantially over the last 5 years due to the introduction of digital technology and better signal processing software. This means that noise cancellation algorithms inside the hearing aid are constantly working on filtering out noise and feedback. This is particularly relevant when understanding speech in noisy environments, like for example in a restaurant. Some hearing aids nowadays (such as our Audicus 300) also come with multiple directional microphones which can provide extra speech focus.
Source: wordpress.com

Video: Hearing Aid Tax Credit

Medicare and Hearing Aids

If Medicare and hearing aids are of concern to you, you should become a wise consumer. Learn as much as you can about the Medicare Hmo you plan to select and make sure that they offer added benefits such as vision care and hearing aids. These plans will ordinarily offer services for auditory evaluations and fittings for the hearing aid. Medicare sometimes pays the full amount and other times you may be asked to meet a deductible. It depends on your definite coverage.
Source: hearingaidreviews.org

Medicare Supplement Insurance is Valuable to Your Health…..? 

These extra insurance sold by a private company and under his own administration. According to the law on private insurers to offer only twelve standard plans for health insurance supplement, L. Each of these plans has their own set of benefits that are different. But almost all the twelve policies offer the basic benefits of Medicare Part A and B. Therefore, it is always advisable to study all the Medigap plans before deciding to choose the right one for you. Besides the fact to consider is that, regardless of what the insurance company, you can purchase a special plan, all plans with the same letter providing the same benefits. For example, a plan C Medigap policy if you purchase should cover the same benefits without relying on the company selling the plan. As mentioned above, twelve policies cover basic benefits, but each has additional benefits vary by plan. For example, Plan A is the most basic level, and all other plans from B to L offers all the benefits of Plan A and each has its own set of additional coverage. A PLAN KL offer similar services to plans AJ, but share the costs of the basic benefits are at different levels.
Source: co.uk

Medicare and Hearing Aids

If Medicare and hearing aids are of concern to you, you should become a wise consumer. Learn as much as you can about the Medicare HMO you plan to choose and make sure that they offer additional benefits such as vision care and hearing aids. These plans will generally offer services for auditory evaluations and fittings for the hearing aid. Medicare sometimes pays the full amount and other times you may be asked to meet a deductible. It depends on your specific coverage.
Source: publicmutual.org

Can You FInd Medicare Dental and Vision Plans

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Source: fallriverart.org

Does Medicare Cover Cochlear Implants Or Pay for Hearing Aids and Hearing Aid Batteries for Hearing Impaired Partially Deaf?

Individuals with Medicare Part B coverage may wonder if it covers cochlear implants for the hearing impaired or partially deaf senior, or if there is a way for Medicare to pay for hearing aid. Surprisingly, Medicare will cover cochlear implants for patients that meet Medicare guidelines for cochlear implant candidacy. However, unfortunately Medicare Part B does NOT cover hearing aids, so seniors that have only Medicare Part B coverage would need to pay 100 percent of the cost of hearing aids. And Medicare Part B will only cover diagnostic hearing exams in very limited cases, so it is likely that most seniors would not have those visits covered either.
Source: seniornewscoverage.com

What Every Baby Boomer Should Know About Medicare

With all the talk about the high federal budget costs of Medicare, some may erroneously think the government pays for all Medicare services. Far from it. Beneficiaries have to pay monthly premiums, deductibles and co-payments or coinsurance. Figuring out your coverage and costs can be challenging, especially given Medicare’s different alphabetic parts: A (for inpatient hospital care), B (for outpatient services and doctor visits) and D (an optional drug benefit). There’s also a Part C, usually known as Medicare Advantage. This is an alternative to traditional Medicare and is offered by private insurance companies.
Source: kaiserhealthnews.org

ASHA Releases Analysis of 2012 Medicare Fee Schedule

However, ASHA also notes that it is expects that Congress will act to reduce the scheduled 24.7% cut to the rates. In the past, the American Medical Association and other health care lobbying groups have consistently and successfully convinced Congress to delay or decrease scheduled cuts, arguing that the cuts will cause providers to drop Medicare coverage with the reduced rates.
Source: hearing-aid-news.com

Blue Cross Blue Shield of Michigan and Attorney General Bill Schuette Agree to Keep Medigap Insurance Rates Stable Until 2016

Posted by:  :  Category: Medicare

32.Detroit by Tomato Geezer“Affordable health coverage for Michigan seniors is something Blue Cross provides, but it comes with a $220 million cost that is paid by our other customers,” said Andrew Hetzel, BCBSM vice president for corporate communications.  “Blue Cross is expanding our ability to cover vulnerable people in Michigan, and we look forward not only to serving seniors, but also serving growing numbers of Michiganders receiving health care through Medicaid.”
Source: hcwreview.com

Video: Lowest Rates Of Michigan Medicare Supplement Providers

Why is my car accident lawyer asking me about Medicare?

The common scenario I see as an accident lawyer in Michigan is when Medicare pays my injured client’s medical bills after an auto insurer terminates my client’s benefits. With auto insurance refusing to pay my client’s medical bills, my client’s doctors submit their bills to Medicare, and Medicare will pay for those bills as a “secondary” payer. When a settlement in my client’s auto accident lawsuit is reached, part of the settlement proceeds must be used to repay Medicare for the conditional payments made.
Source: michiganautolaw.com

Blue Cross Blue Shield Medicare rates for seniors to be

Blue Cross Blue Shield Medicare rates for seniors to be frozen Monthly insurance rates will be frozen for five years in Michigan for seniors with Blue Cross Blue Shield of Michigan supplemental Medicare policies, as part of an agreement announced today by Michigan’s attorney general that lets the insurer move ahead with plans to buy a Pennsylvania Medicaid company. The Blue Cross RiverRink at Penn’s Landing Plans Two Special Events to Salute Firefighters and Police Officers PHILADELPHIA, PA– – The Delaware River Waterfront Corporation is proud to continue to present a wintertime tradition in Philadelphia, the 18th anniversary season of the Blue Cross RiverRink at Penn’s … Blue Cross Blue Shield of Michigan and Attorney General Bill Schuette Agree to Keep Medigap Insurance Rates Stable … DETROIT, Dec. 1, 2011 /PRNewswire/ — Blue Cross Blue Shield of Michigan announced an agreement today with Michigan Attorney General Bill Schuette that continues, until at least August 2016, a unique benefit provided by Blue Cross for Michigan’s Medicare beneficiaries … Michigan Blue Cross Deal Freezes Medigap Rates Blue Cross Blue Shield of Michigan and Attorney General Bill Schuette say they’ve agreed to keep rates stable for seniors who buy supplemental health coverage from the insurer.
Source: medicare-news.com

Bipartisan Group of 22 House Members ask CMS to Stop Prepayment Review Project that would Jeopardize Care for Medicare Beneficiaries

In addition to Reps. Towns and Flores, the letter was signed by Rep. Henry Cuellar, PH.D, (D-TX), Rep. Lamar Smith (R-TX), Rep. Ted Poe (R-TX), Rep. Patrick McHenry (R-NC), Rep. Bruce Braley (D-IA), Rep. Michael Burgess, M.D., (R-TX), Rep. Brian Higgins (D- NY), Rep. Mark S. Critz (D-PA), Rep. Corrine Brown (D-FL), Rep. Peter King (R-NY), Rep. Tom Marino (R-PA), Rep. Joseph Crowley (D-IL), Rep Todd Young (R-IN), Rep. Charles Rangel (D-NY), Rep. David Rivera (R-FL). Rep. Glenn Thompson (R-PA), Rep. Kay Granger (R-TX), Rep. Lou Barletta (R-PA), Rep. Jason Altmire (D-PA) and Rep. Todd Rokita (R-IN).
Source: thecre.com

Wyden Covers Ryan’s Retreat on Medicare Vouchers

There’s more. State based exchanges – should they survive Republican efforts to repeal reform – will not be asked to regulate and oversee insurers that sell these new Medicare plans. Nor would there be a national exchange to ensure the plans meet all the guarantees contained in the Ryan-Wyden proposal, which include no discrimination for pre-existing conditions; higher premium support levels for sicker seniors; and a minimum set of benefits comparable to current Medicare coverage. Instead, the plan, which wouldn’t go into effect until 2022, requires the Medicare bureaucracy to administer all the new rules – the same bureaucracy that many Republicans until recently blamed for most of the system’s woes.
Source: careandcost.com

Blue Cross Blue Shield of Michigan Offers New Medicare Plans

HMO’s (health maintenance Organizations) let you select a primary care physician from the BCBS provider network and this PCP manages your overall care. He or she will refer you to a specialist or to a selected hospital for care should you need additional services beyond his scope of practice. Referring yourself to an outside provider will cause a forfeit of benefits and out-of-pocket costs. The four BCBSM HMO products, formerly known as Options 1, 2, and 3, will now be known as BCN Advantage Elements, Classic , and Prestige. The Blues Care Network will also continue to offer the BCN Advantage Basic Plan.
Source: emaxhealth.com

Medicare Open Enrollment Reminder

If you still need to make changes during Medicare Open Enrollment this year, we wanted to give you a quick reminder that you have less than a week left to do so. Changes must be made by Wednesday, December 7
Source: richmondbrothers.com

United Spinal Opposes CMS Demonstration Project for Pre

Does Medicare have to recreate the wheel for such a program? We think not! There are many effective examples in use by private insurers and other government programs. Rather than build a new process, we see no rationale for not adopting or adapting the well-established and highly successful process for prior authorization that is now in use by 49 of the nation’s State Medicaid programs, as well as by Medicare Managed Care Plans. Moreover, Medicare can do more to help physicians with templates and the capacity for electronic submissions to make more accurate and efficient the medical necessity documentation process to ensure Medicare beneficiaries’ timely access to needed mobility equipment.
Source: unitedspinal.org

Do you know these top 10 Michigan Medicare fraud fugitives?

A Medicare fraud fugitive hot line started in February wants leads on 170 people believed to have fled the country to avoid jail or prosecution. Ten of those fugitives are from Detroit and are accused of fraud in receiving more than $42 million. To report a tip, call the Office of Inspector General, part of the U.S. Department of Health and Human Services, at 1-800-447-8477, or 1-800-HHS-TIPS or go to www.oig.hhs.gov/fraud/fugitives
Source: ptmanagerblog.com

Medicare Special Enrollment Period Means Good News for Seniors

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilAbout 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: Kaiser Medicare Part D Insurance – Compare to over 180 Comp

Medicare on Main Street: Heritage and Kaiser Detail Medicare Challenges

The precipitous declines in “better off” responses since the Kaiser poll first asked these questions is worth noting.  In September of 2009, 46 percent of respondents said seniors would be better under the (future) law.  Now?  Only 32 percent believe so; a 30 percent decline.  In August of 2009, 38 percent of respondents said the Medicare program would be better off under the (future) law.  Now?  Only 22 percent believe so; a 42 percent decline.  And even among the 37 percent of respondents who have a favorable opinion of the law (44 percent unfavorable), only 2 percent (0.74 percent overall) suggest helping seniors is the main reason for their favorable opinion of the law.
Source: gop.gov

Seniors may qualify for Medicare Advantage plan

“While there are many factors for seniors to consider when choosing a Medicare plan, the quality rating of a plan should be weighed heavily,” said Jed Weissberg, MD, senior vice president Hospitals, Quality and Care Delivery Excellence, Kaiser Permanente. “It’s important that seniors become familiar with the Medicare Star Quality Ratings, so they can make informed choices and select a plan that provides the best care and service available.”
Source: hawaii247.com

Restructuring Medicare’s Benefit Design: Implications for Beneficiaries and Spending

Several deficit-reduction plans have proposed combining Medicare’s separate deductibles for hospital and physician services, standardizing cost sharing across types of benefits, and establishing a new limit on annual out-of-pocket costs for beneficiaries. A new Kaiser Family Foundation study examines the potential implications of proposals to revamp Medicare’s cost-sharing requirements as a way of reducing federal spending.   The analysis projects what would happen if Medicare’s current benefit design were replaced with a unified deductible of $550; 20 percent coinsurance on most Medicare-covered services; and a $5,500 annual limit on out-of-pocket spending.  This benefit structure is similar to a recommendation made by the National Commission on Fiscal Responsibility and Reform (Bowles-Simpson).   The Kaiser study shows that restructuring Medicare’s cost sharing is expected to raise costs for most beneficiaries but reduce spending for some of the sickest.  The study also illustrates how changes in out-of-pocket spending are greatly influenced by beneficiaries’ medical needs and supplemental coverage. The study also examines the expected impact of two variations of this proposal.  The first looks at a higher or lower out-of-pocket spending limit, and illustrates how raising the limit would increase beneficiary costs while reducing Medicare spending, while a lower limit would do just the opposite.  The second variation examines the effect of combining the alternative benefit design with restrictions on Medigap coverage, another frequently mentioned approach to achieving Medicare savings.  The study is authored by researchers from the Kaiser Family Foundation and the Actuarial Research Corporation. It is one in a Kaiser Family Foundation series examining the effects of proposed Medicare changes on the program’s beneficiaries, the federal budget and other stakeholders, as part of the Kaiser Project on Medicare’s Future.
Source: kff.org

Medicare on Main Street: Heritage and Kaiser Detail Medicare Challenges

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Source: conservativega.com

Free Condoms & Lollipops

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Source: freecondomsandlollipops.com

Ryan and Wyden Medicare proposal overview and news roundup

Paul Ryan (R-WI) and Ron Wyden (D-OR) released their proposal to overhaul Medicare this week. It is not at the bill stage yet, as the authors hope to cut down on the political rhetoric and start a serious national dialogue about the future of Medicare. Ryan and Wyden have not asked the Congressional Budget Office to review their proposal yet, so it is not known how much their plan would save compared to current Medicare.
Source: wordpress.com

Kaiser Medicare health insurance

Medicare Supplement Plans, you in many cases can find in which additional rates can vary considerably. Service provider to sign-up in Medicare insurance Part T and buy a medigap policy. Might be insurance insurance plan, the insurance providers have to be familiar with the diseases. There will be three things you must discover on the subject of additional insurance charges. The primary is that you need to know in which paying the larger best prime, which provides additional many benefits. These plans include the same; despite the provider it claim medical record obligations will be equal in the process. Some private insurance firms attempt to market a schedule, which draws on the fact you do not have to help you file some sort of preserve form around with them.
Source: ottotuning.com