10 Things You should consider About Medicare health insurance Part H

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Code Pink R-E-P-P-E-N' ENDS! by eyewashNew Jacket medigap firms are a good option to get home elevators medicare medigap insurance. Medicare supplement policies happen to be private insurance policies that cover up Medicare co-insurance as well as deductibles. Nj medigap can be dividing directly into 12 standardised medigap insurance policies from System A-L. All of these or can be the additional are offered based upon your geographical area. If an individual insurance sells a plan, it must Medicare Part D plans cover System A. People acquiring medicare advantages plans ordinarily are not eligible to get medigap insurance policies. Most main carriers of Nj medigap insurance plan mostly cover up Plan H and DEBBIE; sometimes even offer collectively policy.
Source: easeupmusic.com

Video: Changes to Medicare Supplements – Plans M and N

Medigap Enrollment 2012: What is Plan N?

Medigap Plan N, like its predecessor Plan M, are the only options for Medigap plans that do not offer assistance with the first three pints of blood. However, unlike Plan M, Plan N does offer full assistance with the Medicare Part A Deductible, which is good news if you plan to use Part A regularly. Still no coverage is available for the Medicare Part B Deductible or Excess Charges, which is similar to Plan M.
Source: medicaresupplementinsurances.com

Why You Should Choose the Medicare Supplement Part F

In comparison with other similar plans, the Medicare supplement part F has more to offer. While Plan G typically has the same benefits covered, it does not include the Medicare Part B Deductible. Also, under Plan D, you cannot get both the Medicare Part B Deductible and the Medicare Part B Excess Charges. The benefit of Medicare Part B Excess Charges which is provided under Plan F is excluded in Plan C. Furthermore, under the Plan B, you are not eligible for the benefits of Coinsurance for Skilled Nursing Facility Care, Medicare Part B Deductible and Excess Charges and Foreign Travel Emergency. As you can see, the plan F is abundant of benefits.
Source: nvzglyad.org

iSocial: Bobby Morse’s blog: About Medicare Advantage Plans

What’s of those packages? This baffling in addition to tough point about insurance plan plans often is really because will not be as skillfully made to each one man or woman as one want. Particularly with California Medicare, some of the greatest requirement of Medicare insurance health insurance advantage as well as Medicare Extra options comes from the fact just one only isn’t going to fit into the normal definition of what are the Medicare insurance solutions demand. A good example is to use California Medicare part n, when you upgrade to the Medicare health insurance bargain that would cope with all of the doctor prescribed medication awareness which you might require, it might be more expensive basically purchasing prescribed drugs downright. Just what exactly do you do when you belong to that may crazy heart terrain where it’s not fairly really worth expense that you can update to the ultra-duper large-valued Treatment options that are offered for individuals that come in a medical facility every other day, nevertheless must use lots of prescription medicine to help prevent you set up and going daily (or perhaps to help keep you continue to dwelling as the circumstance could be?)
Source: isocial.co

House Republicans Demand IRS Investigate Partisan AARP’s Tax

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSAARP significantly impacted and practically wrote part of the new health care laws. The effect of the law was to seriously  reduce options for Medicare health care especially in Republican counties nationwide. It is amazing but if you look at the red state blue state national map by counties, the Medicare plans that were virtually eliminated were Private Fee For Service Medicare Advantage plans that allowed seniors to go to any doctor without a network. These plans were much cheaper than the Medicare Supplement plans AARP offered in these areas both before and after the removal of the PFFS plans. SInce there were no other options as virtually all these PFFS plans were wiped out, seniors had little choice but to pay 3-5 times as much for a Medicare Supplement plan; the biggest beneficiary: AARP United Health Care. HOwever, in blue counties nationwide (urban areas) other Medicare Advantage plans were still avail. as  part of a network. 
Source: patdollard.com

Video: Excellus BCBS Medicare: What’s included in my Medicare Advantage Plan?

Blue Cross Blue Shield Of Michigan Broadens Medicare Options With New Medicare Advantage PPO Product

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Source: wordpress.com

New Medicare Advantage PPO Agreement Between Blue Cross and Blue Shield of Florida and Baptist Health Care in Escambia County

Independent of the supplemental policies there are actually other medical health insurance methods by us plans. The Medicare insurance supplemental plans can be formulated and are created to meet the particular needs of folks. Some Medicare Part B coverage plans have the Health Protection Organization (HMO), the most preferred Provider Corporation (PPO), Medicare insurance Special Requirements Plans, Programs regard All-inclusive Attend to the Seniors (PACE) in addition to Private Expense for System (PFFS). Meant for easy identity, the earliest four are usually classified while in the types portion. Through any types portion, they are ordinarily often known as the Medicare insurance Advantage Programs. These policies are managed by way of the private suppliers but managed by the government. The most commonly encountered plans are often the HMO along with the PPO. Source: incomeentouragesite.com
Source: medicaresupplementalco.com

San Jose Medicare Supplements,Insurance,Advantage Plans,Anthem Blue Cross,Blue Shield,San Jose,CA

Tags: Advantage, Anthem Blue Cross, Anthem Blue Cross Blue, Anthem Blue Cross Blue Shield, Blue Cross Blue Shield, Ca Insurance, Insurance, Insurance Medical, Insurance Plans, Medicare, Medicare Insurance, Medicare Plans, Medicare Supplements, San Jose Ca
Source: travelinsurancemedical.org

Bcbs Of Nc Health Insurance Rates & Plans

Generally, the first issue is money. What can you afford, and will that be sufficient for the needs of you and your family? The Options Plan offered by BCBS is the most economical pick. This BCBS plan has a high deductable but lower premiums. For qualifying members the plan can result in greater savings as a Health Savings Plan provides some medical expenses tax free. Members can choose their own doctor, and there are options for those under 65 and medically eligible. This BCBS Option Plan offers flexibility for the changing dynamics of a family. Your independent insurance agent is prepared to help you decide if this is the right plan for you.
Source: a1healthy.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

Why You Should Choose the Medicare Supplement Part F

In comparison with other similar plans, the Medicare supplement part F has more to offer. While Plan G typically has the same benefits covered, it does not include the Medicare Part B Deductible. Also, under Plan D, you cannot get both the Medicare Part B Deductible and the Medicare Part B Excess Charges. The benefit of Medicare Part B Excess Charges which is provided under Plan F is excluded in Plan C. Furthermore, under the Plan B, you are not eligible for the benefits of Coinsurance for Skilled Nursing Facility Care, Medicare Part B Deductible and Excess Charges and Foreign Travel Emergency. As you can see, the plan F is abundant of benefits.
Source: nvzglyad.org

Independence Blue Cross Introduces New Low

Independence Blue Cross Introduces New Low-Cost Medicare Advantage Plan for 2012 Independence Blue Cross today announced important news for Medicare beneficiaries: a new individual Medicare Advantage HMO plan with premiums as low as $15 a month. The plan Keystone 65 Select HMO has a strong suite of benefits, and offers a select group of hospitals in IBC’s current network. Partners, Blue Cross tackle high premiums A new pact between the state s largest health insurer and its biggest hospital and doctors network could boost efforts to contain health care costs, both sides said yesterday. B ut for now, the three-year agreement between Blue Cross Blue Shield of Massachusetts and Partners HealthCare System Inc., owner of Harvard-affiliated Massachusetts General and Brigham and Women s hospitals in Boston … Blue Cross plots ‘mini-Kaiser Foundation’ $10 million to extend nursing, clinic, ‘innovation’ grants by Independence Blue Cross Foundation
Source: medicare-news.com

Medicare Advantage Plans Have Falling Premiums In 2012

Posted by:  :  Category: Medicare

An estimated nearly 12 million people who have Medicare Advantage Plans from private insurers can look forward to a drop in premium prices in 2012. In contrast to predictions that Medicare Advantage Plans would soon either reduce coverage benefits or raise premiums, average costs are expected to fall by four percent with no reduction in benefits. The plans will continue to offer more coverage for things like dental care and hearing and vision services.
Source: articlesaffair.com

Video: Kaiser Permanente’s Medicare Plan in California Receives 5-Star Rating

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

Alaska Medicare Part D Plans

You can visit the medicare.gov website and link to a plans website to find this information. If you have a limited income you can also check with Social security to see if you qualify for extra help. Qualifying for extra help will reduce or eliminate your monthly Premium and give you lower copay and coinsurance amounts. With 25 available Part D plans in Alaska you should be able to find one that will meet your needs.
Source: partdplanfinder.com

Change in Texas’ Medicaid policy may affect some patients’ co

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

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

The Data You Demand About The Medicare 5 Star Rating System

• Health Plot Rating This rating reflects a summary rating of health plot quality, including: 1. Maintaining excellent health by testing, screening and being vaccinated which includes how often they took tests to aid maintain their health. 2. Managing chronic (extended term) conditions. Includes how often members with different conditions got certain tests and treatments that aid them manage their condition. 3. Rating of health plot responsiveness and attention. Includes ratings of member satisfaction with the plot. 4. Health plot member complaints and appeals. Includes how often members have made complaints against the plot. 5. Health plot telephone customer supply. Includes how well the plot handles calls from members.
Source: jimmy-fuentes.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

Kaiser Permanente CO earns Medicare 5

In addition to the high scores, Kaiser Permanente released survey findings revealing that consumers have a low awareness of the Medicare Star Quality Rating System. According to the survey conducted by Harris Interactive, only 18 percent of Medicare-eligible seniors said that they are familiar with the government’s rating system, and of those that are familiar, less than one-third have used the system to select their health plan. The survey also showed that only 2 percent of respondents know how their current health plan is rated.
Source: metrodenver.org

Group Health Cooperative earns top Medicare 5

“Our five-star rating reflects our efforts to make quality, convenient care a reality,” said Group Health President and CEO Scott Armstrong. “We have reduced unnecessary hospital readmission by spending more time with our patients and making sure each patient is getting the right follow-up care. Innovations like these make a difference in the lives of our patients and their families.”
Source: ghcnews.org

Social Security and You: Applying for Medicare

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSWhen each member of a married couple meets all other eligibility requirements to receive Social Security retirement benefits, each spouse receives a monthly benefit amount based on his or her own earnings. Couples are not penalized simply because they are married. If one member of the couple earned low wages or failed to earn enough Social Security credits (40) to be insured for retirement benefits, he or she may be eligible to receive benefits as a spouse.
Source: mysanantonio.com

Video: Medicare Shared Savings Program: Application Process and Overview of the Advance Payment Model

What’s Medicare Half B Protection?

While all information is believed to be reliable, it is not guaranteed by us to be accurate. Individuals should assume that all information contained in our newsletter is not trustworthy unless verified by their own independent research. Also, because events and circumstances frequently do not occur as expected, there will likely be differences between the any predictions and actual results. Always consult a real licensed investment professional before making any investment decision. Be extremely careful, investing in securities carries a high degree of risk; you may likely lose some or all of the investment.
Source: nasdaqreportnews.com

Knowing If You Should Apply For Medicare Supplement Plan E

Prevention is better than cure. That is why more and more people nowadays are out buying health supplements that are organically prepared from potent antioxidants like goji berry or wolfberry and exotic mangosteen fruit, aside from the usual intake of commercial vitamins and minerals. Some people are wiser and find themselves a healthcare coverage so that they will not have to carry the burden of finding financial assistance should they need it for medical purposes. While there is a lot of health insurance coverage such as the regular medicare, most do not cover preventive maintenance care and for this reason, Medicare supplement plan E is now offered. Medicare supplement plan E is among the few supplemental healthcare plans that offer preventive care coverage. Though it is very similar with plan d, it does not cover At Home Recovery Benefits, while plan d does not cover that preventive health care coverage of plan e. You see, it does not really cover overall and comprehensive benefits like with other plans but its advantage is that it offers preventive healthcare, which is very essential and lower premiums. One should not have to wait to get sick to visit expert health care practitioners. It is hard to treat illnesses when complications start or when the disease has already advanced to a serious phase. It is a good practice to spare some time for yourself to have regular executive check-ups even when you feel like you are all well in mind and body. Applying for medicare supplement plan E helps you with this without costing you much expense that is paid in bulk, but through lower premiums that is paid monthly, quarterly, semi-annually or annually, how often you like that to be, you should not feel that much of a burden. Plan e already includes the basic coverage, thee part b insurance as well as the part a deductible. In addition to that, it also covers emergency care even when you go abroad and skilled nursing facility coinsurance. What it does not cover for your information are the at home recovery plan and part b excess charges, which is something that you are obliged to pay. A lot of plans are now offered and it would be really difficult to get to know them all in all one by one. There is a dire need to seek help of an agent who can fairly explain the benefits, as well as the pros and cons of each plan and most importantly, help you identify what are your needs and which among the supplemental healthcare insurances will surely fit the best for you. Because not all health care providers offer every single medicare supplement health plans there is, it will be difficult to make an identification of which one suits you and a smart comparison on which offers better without consulting trained specialists. There are many health care providers that you will online and it would not be surprising that all of them will surely claim to be the best. Ask around with a little help from families and friends who have availed of such like medicare supplement plan E and with some expert advice, you will finally decide if it is for you.
Source: jossytoursnv.com

Patty Duke Turns 65, Applies Online for Social Security and Medicare benefits

I had no idea this would be such a momen­tous occa­sion,” said Duke, who for three years has vol­un­teered her time pro­mot­ing Social Security’s online ser­vices in numer­ous Pub­lic Ser­vice Announce­ments (PSAs) and media inter­views. In a new online video, Duke puts char­ac­ter act­ing aside and shows every­one what hap­pened when she and her hus­band Mike Pearce sat down at the kitchen table, turned on their lap­top, and applied for her retire­ment and Medicare benefits.
Source: exponentnews.com

How to Apply for Social Security Retirement Benefits and Medicare : Pennsylvania Law Monitor

The earliest age at which you can receive Social Security Retirement Benfits is 62. You can start receiving Medicare Benefits at age 65. Within 4 months of the date you wish to start receiving benefits you should contact Social Security. The application process will require you to answer certain questions and provide some documents. If you have difficulty obtaining all the documents, Social Security will assist you in getting them. The documents required to prove your eligibility for retirement benefits include:
Source: stark-stark.com

Dem's Medicare Claim Is Politifact's "Lie of the Year." Or Is It?

Posted by:  :  Category: Medicare

BITCH..beautiful individual that causes hardons .....item 1..Allen West calls Wasserman Schultz ‘vile’ and ‘not a lady’  (7/20/2011) ... by marsmet522Medicare: Well, is it or isn’t it? Politifact designated a Democratic statement that “Republicans voted to end Medicare” as its “political lie of the year,” but New York Times columnist Paul Krugman ripostes that the claim actually is true. Tons of debate online today over this.
Source: reportingonhealth.org

Video: Medicare Claims Processing

Weekly Update: Holding of Institutional Provider 2012 Date

As the Centers for Medicare & Medicaid Services (CMS) implements calendar year 2012 changes, Medicare claims administration contractors will be holding some institutional provider claims containing 2012 services for up to the first 10 business days of January 2012 (i.e., Sunday, January 1, 2012, through Tuesday, January 17, 2012). Claims will be released as system testing is successfully completed, which we expect during that time frame. The hold should have minimal impact on provider cash flow because, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt. However, if you follow the status of your claim during the claims processing cycle, the claim status may not reflect what you would normally see because of the claims hold. Medicare claims for services rendered on or before Saturday, December 31, 2011, are unaffected by the 2012 claims hold and will be processed and paid under normal procedures and time frames. We appreciate your patience as we implement calendar year 2012 changes.
Source: blogspot.com

Brad DeLong: On Daeho Kim’s Claim That All of Our Medicare Spending Problems Are the Reagan Administration’s Fault…

I’ve now had a chance to read Daeho Kim’s working paper “Medicare Payment Reform and Hospital Costs” (ungated pdf). It has already received some attention from Tyler Cowen, Reihan Salam, and Noah Miller, and I’ve already received some comments about it from readers. The key question among the bloggers is whether the phenomenon Kim investigates explains why US health expenditures pulled away from that of other nations beginning in the early 1980s, an upward bending of the cost curve…. [I]t’s fairly easy to put that question to rest without reading very far into Kim’s paper. It suffices to know that [the paper is] about how Medicare’s payment system for inpatient hospital services increased use of certain costly inpatient services and inpatient spending…. [T]he 1980s [cost explosion] phenomenon is largely an outpatient one…. [Kim’s paper] does not address the main driver of the 1980s curve bending…
Source: typepad.com

Medicare Supplement Companies Are Defrauded

In Colorado, many Colorado Medicare Supplement companies have been victims of fraud. A number of Colorado hospitals and health care providers have been putting down the wrong charges on their medicare claim forms. When they should have been reporting normal cases, they have been ordering many expensive tests that costs Medicare and Colorado Medicare Supplement companies millions of dollars.
Source: mayazes-chumphon.com

The Paul Ryan Watch: PolitiFact calls Dems’ true claim on Medicare ‘lie of the year’

PolitiFact, the St. Petersburg Times newspaper operation that rates the veracity of political statements, gave Paul Ryan a little boost today when it listed as “the lie of the year” the assertion by numerous Democrats that Ryan’s plan kills Medicare. Nope, says Politifact, which came to its conclusion even though a public survey on the question did not win out. That was a survey that Ryan tried to stuff. Politifact’s decision was a call by the national operation, not the Wisconsin Politifact franchise run by the Milwaukee Journal Sentinel. The ruling gives Ryan some wiggle room to reinvigorate his image, if not his proposed legislation. The measure, which won passage in the GOP House, isn’t going anywhere in this Congress under this White House, but could come back to haunt Americans after 2012’s elections. Politifact’s analysis — which basically mirrors Ryan’s own rhetoric — is that if you keep calling it Medicare but change most of its functions and greatly privatize it, that doesn’t mean it will die. But many experts think otherwise, and when Democrats echo that analysis, Politifact takes them to task. Never mind that Ryan’s proposal is specifically designed to give Republicans cover, bending over backwards to assure voters that Medicare will be stronger as a result. But it’s just that: political camouflage, and nothing more. Here’s a more detailed analysis of Politifact’s misguided ruling on DailyKos. [And here’s Thom Hartmann on the subject. — Xoff]:
Source: blogspot.com

GA Treatment Supplement: Choose the Only Intend to Buy, Quit Senior Overcharging

Choosing the right Medicare product health insuranceTexas in your case requires meticulously examining each of the available plans in addition to providers selling them. Most of these plans are traded by non-public companies and are made to fill medicare supplemental insurance plans gaps left out after Medicare insurance coverage. These supplemental insurance policy are standardised but there is also a surprisingly wide selection of them for sale. Choosing the right plan usually means deciding exactly types of coverage you may need and simply how much you will be able to pay out. It can also be necessary to recognise what Medicare insurance does and will not cover and discover a supplemental insurance coverage employing perfect fit for you.
Source: gethsemane-lutheran.com

HIT Exchange: Navigating Medicare Claims with Ease

“I was getting buried in paperwork,” says Cindy Morris, recalling the stacks of DDE (Direct Data Entry) printouts that served as reminders to follow up on Medicare claims for Ross Healthcare’s 290 hospice and home health patients across central Oklahoma. Morris was equally frustrated by reimbursement delays and the additional work brought on by having to resubmit Request for Anticipated Payments (RAPs) and final claims.
Source: hitexchangemedia.com

determine Blue unfriendly Medicare Insurance opinion To bag Complete Coverage

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSPeople must become a section of Blue irascible Medicare insurance idea because the Medicare insurance plans that they have do not shroud the entire expense. The fact is Medicare will only screen about 80 percent of the medical expenses. The balance 20 percent must be financed by the person who is covered under the opinion. As most people under Medicare are seniors, who are above the age of 65, it often becomes difficult for them to afford even this 20 percent. Many of these people are not even obedient of working to rep money. Therefore, their income is not sufficient to camouflage for the allotment of the expenses they might have to hold.
Source: mexicoentucorazon.com

Video: Sonora Resident Fights Blue Cross, Medicare

Groping The Elephant: Who Will Protect Social Security?

One of the most important and beneficial pieces of legislation that came out of President Franklin Roosevelt’s New Deal was Social Security. For decades it has stood as a barrier against abject poverty for millions of Americans. Also for decades it has been a favorite target of politicians who believe that the best way to help the poor is not directly but rather through the enhancement of a wealthy ruling class who might carelessly drop enough crumbs from their tables to feed the less fortunate. After all these years Social Security and Medicare have become so popular with voters of all political persuasions that it is now impossible to imagine their total dismantlement. All the major politicians instead talk of finding ways to strengthen these programs, even as they admit they must undergo some major changes (usually increased age qualifications and reduced benefits). Radical Republicans still fantasize of privatizing these safety net programs and continuously invent legislative initiatives that would throw open the doors to that eventual goal. Fortunately, most Democrats are not impressed with the idea of privatization, but cede too much ground to the radicals and are willing to explore major changes to these systems that would weaken their overall impact and over time make the move to privatization more palatable, even reasonable. All under the mantra that these programs are not sustainable in their current form. The blame for this situation can only be laid, again, at the feet of those who believe that tax breaks should favor the wealthy and feel that rather than shouldering a major part of the responsibility for keeping strong the system that allowed them to prosper, the wealthy should be allowed to endlessly hoard their funneled windfalls. This post will present an overview how the major political parties are going to address the Social Security (and Medicare and Medicaid) issues in the coming year and beyond. First, I will look at the man I believe – once all the dust has settled – will be the Republican nominee for president this year and major opponent of President Obama, Mitt Romney. I’ve been wrong about such things before and may be proved wrong yet again, but until then I will ignore the other GOP hopefuls. Like any shrewd politician Mitt Romney has attempted to articulate a mainstream position on this matter. He tongue lashed fellow contender Gov. Rick Perry at a recent GOP presidential debate in the following manner:
Source: blogspot.com

Why You Should Choose the Medicare Supplement Part F

In comparison with other similar plans, the Medicare supplement part F has more to offer. While Plan G typically has the same benefits covered, it does not include the Medicare Part B Deductible. Also, under Plan D, you cannot get both the Medicare Part B Deductible and the Medicare Part B Excess Charges. The benefit of Medicare Part B Excess Charges which is provided under Plan F is excluded in Plan C. Furthermore, under the Plan B, you are not eligible for the benefits of Coinsurance for Skilled Nursing Facility Care, Medicare Part B Deductible and Excess Charges and Foreign Travel Emergency. As you can see, the plan F is abundant of benefits.
Source: nvzglyad.org

Tuesday Night Buzz: Medicare and Social Security

This is not a problem of seniors getting too much in benefits. It is a problem of paying too much for the health care that they and others receive. The answer to this problem is to fix the health care system, not to deny care for seniors.
Source: blogspot.com

Rick Perry Calls Social Security and Medicare “Ponzi Schemes”

Q: In Fed Up!, you criticize the progressive era and the changes it produced: the 16th and 17th Amendments, Social Security, Medicare, and so on. I understand being against these things in principle—of longing for a world in which they never existed. But now that they’re part of the fabric of our society, do you think we should actually do away with them?
Source: firedoglake.com

Court set to rule on much

Posted by:  :  Category: Medicare

BANKRUPT! by SS&SSIf you are already a subscriber to the publication shown in the breadcrumbs, just use the register link under the publications below and you’ll be able to log in and read this story. If you are not a subscriber, you can use the subscribe link to gain immediate access. NOTE: If no publication is listed in the breadcrumb, then the story appeared in Missouri Lawyers Weekly.
Source: molawyersmedia.com

Video: Medicare Reimbursement.mp4

D.C. Appeals Court: Medicare Reimbursement Request Properly Denied

WASHINGTON, D.C. – The District of Columbia Circuit U.S. Court of Appeals on Dec. 20 affirmed a trial court order finding that the U.S. Department of Health and Human Services properly disapproved of a health care provider’s Medicare reimbursement request when it told its fiscal intermediary that the request was denied, even though the disapproval was not communicated to the provider within the 60 days called for by federal regulation (Gundersen Lutheran Medical Center Inc. v. Kathleen Sebelius, Secretary of the U.S. Department of Health and Human Services, No. 11-5077, D.C. Cir.; 2011 U.S. App. LEXIS 25213). Full story on lexis.com
Source: lexisnexis.com

Options to change Medicare payment for outpatient prescription drugs and biotechnology products

The debates over the Obama Administration’s health care reform law, and, more recently, the federal budget deficit and national debt have focused attention on the growth in costs of the Medicare program.  Three approaches to reducing Medicare expenditures command the most attention.  Under the first, changes to the Medicare delivery system – such as accountable care organizations (ACOs) and medical homes – are believed to have the potential to reduce the growth in costs in the program over time.  Under the second, tinkering with the reimbursement formulae in the Medicare program – pejoratively, government “price fixing” – will reduce the price that Medicare pays for an item or service, thereby reducing the growth in costs.  A third approach – converting Medicare to a premium support or defined contribution model – has been passed by the House of Representatives, but has failed in the United States Senate.
Source: biotechblog.com

Medicare reimbursement to drop 27 percent Jan. 1; local medical providers worried

Source: santacruzsentinel .com Local medical providers are stunned, and some are angry, after learning the House of Representatives is recessing for Christmas and leaving behind a 27.4 percent cut in Medicare reimbursements, scheduled to take effect Jan. 1. http://bit.ly/tsQ42z
Source: optcom.com

Connecticut Hospitals: Same Surgery, Very Different Medicare Reimbursement Rates

Each time John Dempsey Hospital performs a cardiac valve surgery, the hospital receives a median payment of $82,589 from Medicare – about $23,000 more than the median paid to Danbury Hospital for the same surgical procedure.
Source: hospitalism.com

Hospitals Tighten Belts On Eve Of Medicare Cuts

“Probably one of the most extreme things happened with one our best customers — one of the biggest providers here in Texas — where they actually sent out a letter and said, look, if you want to do business with us in the future, you’re going to have to drop your prices by 5%, period.”
Source: kuhf.org

Why Doctors Are Abandoning Medicare

Two weeks ago the Mayo Clinic shocked the nation when it closed the doors of one of its Arizona clinics to patients on Medicare. Just this past June President Obama himself praised Mayo as a model of medical efficiency noting that Mayo gives

The Brian Lehrer Show: Medicare Fixes

Posted by:  :  Category: Medicare

NYC TO WALL ST.: BUSH / CHENEY: DROP DEAD. by eyewashThe GOP has now become almost genocidal–nobody counts except the top 1% who fund reelections and whose lobbyists do a large amount of the "research" on issues and produce position papers. The victim class isn’t simply Jews and Gypsies and homosexuals (as in the Third Reich)–they are anyone deemed undesirable (LGBT people, "illegal" immigrants, long-term unemployed, and the non-affluent elderly. By turning Medicare into a voucher system, they are denying care to those who often need it most and who cannot pay for it after a lifetime of working and playing by the rules. And this will make money for the commercial insurers by denying care and pricing coverage out of people’s reach. This is a vast improvement on Hitler’s Final Solution, which had vast costs in transport, materiel, and manpower, and did NOT turn a profit.
Source: wnyc.org

Video: New York Medicare Advantage Plans

The incredible and enormous medigap Ny

It has been one such problem for all the people plus they face many complications during the time of treating some complicated diseases that are a bit expensive. To sort out these complaints there has been an upswing from the innovative medigap New York. This can be a quite interesting policy for the healthiness of the senior citizens in USA. These policies are provided by some of the specified and selected health care insurance companies that are updated as well as well-maintained and guided by the Medical health insurance department.
Source: posterous.com

Medicare supplement insurance policy

As we age, our bodies are inclined to have additional overall health issues and treating them adequately is the greatest point we can do. Of training course, this could possibly suggest accelerated prices, but if we suppose about this dilemma much before, then we can avoid quite a few economic challenges. By getting only the typical overall health insurance we possibility to fork out substantial amounts of money for our treatment options, trying to fill the gaps of our insurance.For this type of situations, we have Medicare supplement insurance, which is best for people today with overall health challenges who have to fork out for clinical upkeep uncovered by typical insurance. In this way, every person who has a agreement of such overall health top quality, is assured that he/she vlc media player would be in a position to fork out every last bill emitted by the hospital, no make any difference the type of treatment options he/she will receive. Less than these situations, everyone can have an understanding of the big advantage that we have if we get Medicare insurance. This supplement is also acknowledged as Medigap insurance, its identify currently being actually suggestive for its function. It can be introduced to you only by non-public organizations, but what is actually vital for everyone is the reality that they are controlled by the Federal government. In this way, even if the insurance policy is signed with a certain corporation, you have the certainty that it is secured. Also, you have the advantage of not currently being limited to cooperate only with certain clinical ccleaner download networks. So, you will be in a position to adhere to your cure everywhere a overall health care unit is.
Source: cospnyc.com

Alarmed at Mandated Cuts Coming to Medicare and Medicaid – Let’s Make A Difference

We are very proud of the Chapter’s demonstration in support of Occupy Wall Street. It is an accurate and important crystallization of basic social work values. Senator Bernard Sanders in a recent comment captured those ideas. “In the long term, we need to have the courage to take on the drug companies, insurance companies, and other powerful and well-funded special interests which make billions of dollars off of human illness. Simply stated, we need to move toward a national health care program that guarantees health care to all as a right, not a privilege. When we do that, and end the greed and profiteering in the current system, studies show that we can provide quality care for all Americans without spending a nickel more than we currently spend. “
Source: wordpress.com

Free Leads, Sell AARP Medicare Branded Plans (NYC Area)

We are a Connecticut based brokerage agency in Danbury CT looking for Sales Associates in the New York City Area. Representatives are needed to work with new and existing Medicare clients to show them the full line of AARP branded medicare products including Medicare Advantage, Medicare Supplements and Medicare Rx plans. There is a full lead program through our agency with all leads provided at no cost to the representative. Leads are from mail responses and pre set appointments. Please give us a call today at the number listed below to discuss commission, questions, and receive the necessary paperwork. Full training is provided in the following areas: AARP branded Medicare Advantage, Supplement and Rx products, Medicare basics and how clients can benefit from AARP branded products, sales meeting training, one on one in the field training. Any interested persons should email this listing. We will respond within 24 hours Thank you. Hiring Organization: Crowe & Associates
Source: telecommuteanywhere.com

** 35 New APIs: Medicare, NYC 311 and Mobile Contact Syncing [ ProgrammableWeb ]

This week we had 35 new APIs added to our API directory including an electronic music downloads service, corporate social responsibility ratings database, trip planning service, health information content syndication service, project managemenThis week we had 35 new APIs added to our API directory including an electronic music downloads servicecorporate social responsibility ratings databasetrip planning servicehealth information content syndication serviceproject management software and a social marketing platformBelow is more details on each of the 35 new APIs.
Source: octofinder.com

Medicare Advantage Plans Are Available During Open Enrollment

Posted by:  :  Category: Medicare

William D. Novelli by Center for American ProgressActually, this is only time that you can try out one of the Medicare Advantage (MA) plans after the initial sign up period when you first became eligible for Medicare. This is a once a year event where you can assess the type of MA plan you got out of the dozen choices laid out in front of you by different insurers and insurance companies. If you let this chance slip by, you might end up paying more and getting less coverage than what you bargained for.
Source: articlesaffair.com

Video: Medicare Plan Finder at a Glance

Medicare Madness: Baby Boomers At Center Of Possible Changes

Posted by:  :  Category: Medicare

Anthony Weiner Arne Duncan Arnold Schwarzenegger Barney Frank Bill Clinton Capitol Hill Citizens United Congress Debbie Wasserman Schultz Donald Trump Eric Cantor gay marriage Grover Norquist gun control Haley Barbour Harry Reid Herman Cain Hillary Clinton Hillary Rodham Clinton Joe Biden John Boehner John Edwards John Kerry Jon Huntsman Michael Vick Michele Bachmann Mike Huckabee Mitch McConnell Mitt Romney Nancy Pelosi Newt Gingrich Obamacare Rep. Gabrielle Giffords Rep. Weiner Rick Perry Rick Santorum Ron Paul Rush Limbaugh Salafi Salafis Sarah Palin Sen. John McCain Tea Party Tim Pawlenty Weinergate
Source: politicalparades.com

Video: What Are The Ohio Medicaid Eligibility Guidelines

Reverse Mortgages and Benefit Eligibility

A reverse mortgage allows you to pull equity out of your home without paying tax on it.  However, as you seek additional info about obtaining a reverse mortgage, you may also want to consider how factors such as Medicaid or other VA benefits affect your eligibility for these programs.  For instance, while a reverse mortgage does not affect regular Social Security or Medicare benefits, those who receive Medicaid may be ineligible should they receive a reverse mortgage.  To explain, the funds made available through the reverse mortgage must be used to pay for all medical expenses, and any leftover funds from the reverse mortgage can actually work to disqualify individuals from Medicaid.  Because this process grows more and more complex as you consider other common factors, your best bet when navigating through this potentially confusing process may be seeking the professional advice of an Ohio elder law attorney.
Source: stanolaw.com

Can I receive Medicare or Medicaid benefits at the same time as I receive Social Security disability benefits?

The Social Security Administration runs two programs that provide disability benefits: Social Security Disability Insurance (“SSDI”) and Supplemental Security Income (“SSI”). SSDI provides benefits to insured workers with disabilities, or in other words, those who: (1) have been employed for at least five of the last ten years; (2) have paid FICA (“Federal Insurance Contributions Act”) taxes; and (3) have a “disability” as the Social Security Administration defines the term. A disability, for purposes of Social Security, is a serious medical condition that lasts (or has lasted) for more than a year and prevents someone from being gainfully employed. In addition, SSDI will provide benefits to the disabled children of insured workers, so long as the children became disabled before they reached the age of 22, as well as to the disabled surviving spouses of insured workers who have died.
Source: johntnicholson.com

Ohio Medicare Savings Programs 2011

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Source: medicareadvantagesupplementplans.com

Obtaining Very affordable Medicare Supplement Insurance

best medicare supplement difference between medicare and medicaid excellent medical transcription health house of lords how does medicare work how to apply for medicare important difference in uk vs us health insurance models improving your health by medicare supplement leads insurance price hikes local social office medical insurance companies medical record medical records medical transcription medical transcription companies medical transcription service medical transcription solution medicare advantage plans medicare benefits medicare insurance medicare part a and part b medicare supplement medicare supplemental insurance- medicare supplement insurance medicare supplement leads Medicare supplement plans medicare supplements medicare vs medicaid medicare vs medicaidyour own choice medigap medigap insurance open referral open referral clients open referrals process outsourced medical transcription private medical insurance service delivery costs supplemental insurance supplemental insurance for medicare the benefits of medicare program transcription service office vs us health what is medical transcription mt what is the difference between medicare and medicaid
Source: apssupplements.com

Emdeon Current: New Payer Transactions Added Recently

Christian Brothers Services, Payer ID: 38308 Global Excel Management, Payer ID: GEM01 HealthEdge Administrators, Payer ID: 95213 Healthlink HMO, Payer ID: 96475 Hometown Health Providers, Payer ID: 88537 John Alden Life Insurance Co., Payer ID: 41099 Kentucky Spirit Health Plan, Payer ID: 68067 LIFE Pittsburgh, Payer ID: 25181 LifePath Hospice Inc, Payer ID: 76870 Sendero Health, Payer ID: 36426 Time Insurance Company, Payer ID: 39065 CBHNP- HealthChoices, Payer ID: 65391 ME Medicare Part B (J14-NHIC), Payer ID: SMME0 MN Medicare Part B (J6), Payer ID: SMMN0 PR Medicare Part B (J9-First Coast), Payer ID: SMPR0 Eligibility Inquiry And Response: Key Benefit Administrators-Indianapolis, Payer ID: KEYIN Nippon Life Benefits, Payer ID: NIPON Optima Health, Payer ID: OPTMA Ohio Medicaid, Payer ID: AID09 Claim Satus And Response: Key Benefit Administrators-Indianapolis, Payer ID: KEYIN Nippon Life Benefits, Payer ID: NIPON For a complete list of the payers in our network, visit our website at www.emdeon.com/payerlists/
Source: emdeoncurrent.com

Obama Offered To Raise Medicare Eligibility Age As Part Of Grand Debt Deal

WASHINGTON — In his press conference on Monday morning, President Barack Obama repeatedly insisted that he was willing to tackle some sacred cows as part of a larger package to raise the debt ceiling. Just how sacred, however, may surprise political observers.According to five separate sources with knowledge of negotiations — including both Republicans and Democrats — the president offered an increase in the eligibility age for Medicare, from 65 to 67, in exchange for Republican movement on increasing tax revenues. The proposal, as discussed, would not go into effect immediately, but rather would be implemented down the road (likely in 2013). The age at which people would be eligible for Medicare benefits would be raised incrementally, not in one fell swoop. Sources offered varied accounts regarding the seriousness with which the president had discussed raising the Medicare eligibility age. As the White House is fond of saying, nothing is agreed to until everything is agreed to. And with Republicans having turned down a "grand" deal on the debt ceiling — which would have included $3 trillion in spending cuts, including entitlement reforms, in exchange for up to $1 trillion in revenues — it is unclear whether the proposal remains alive. "That is one of the things they put on the table as part of a big solution," said one senior Republican Hill aide. "It was considered in the context of the big deal," added a top Democratic source briefed on the deliberations. Multiple efforts to get comment from the White House were unsuccessful. That said, the president made his willingness to put entitlements on the table and incur the wrath of his base a focal point of his Monday press conference. "We keep on talking about this stuff and we have these high-minded pronouncements about how we’ve got to get control of the deficit and how we owe it to our children and our grandchildren," said Obama. "Well, let’s step up. Let’s do it. I’m prepared to do it. I’m prepared to take on significant heat from my party to get something done. And I expect the other side should be willing to do the same thing — if they mean what they say that this is important." A proposal to raise the eligibility age for Medicare — which was part of a budget plan put forth by Sens. Joseph Lieberman (I-Conn) and Tom Coburn (R-Okla.) — would face steep opposition from within the Democratic Party. The amount of money it would save is also relatively small, as the vast majority of Medicare funding is spent on more elderly populations. The Congressional Budget Office has estimated that if the Medicare eligibility age was increased from 65 to 67, the federal government would save $124.8 billion between 2014 and 2021. Obama’s willingness to embrace the idea, however, was seen as a major bargaining chip that could help win concessions from Republicans on revenues. The frameworks of the deal were as follows: In exchange for raising the Medicare retirement age (in addition to other entitlement reforms and cuts that together would add up to $3 trillion), GOP leadership would sign off on $800 billion to $1 trillion in revenue raisers. Those increases, however, would only come in 2013. Republicans would have their choice of poison too. Either they could craft and pass a sweeping package of tax reforms that would result in $800 billion to $1 trillion in revenue increases, or they would be forced to de-couple the Bush era tax cuts, allowing those for people making above $250,000 to expire. The idea, as one Democratic source with knowledge of the discussions put it, was to give House Speaker John Boehner (R-Ohio) both an "out" and an "incentive." He would be able to go back to his caucus and say he had prevented an immediate tax increase and, potentially, the elimination of some of the Bush tax cuts. He would also be able to argue that he had created the proper conditions for tax reform. In order to ensure that he followed through, however, the prospect of the upper-end rates rising loomed in the near future. "If the likes of [Senate Minority Leader Mitch] McConnell and others were blocking tax reform in a way that made up the $800 billion or so that needed to be actualized, Democrats would have that as a fallback if nothing happened at the end of 2012," explained the source. The deal fell apart, in part, because Democrats demanded an upfront commitment from Republicans that they would allow the Bush-era tax cuts to be decoupled, rather than a commitment to revisit the issue at the end of 2013. According to a GOP official, that demand was interpreted as a way to simply drag out negotiations on comprehensive tax reform, as Democratic leadership would know full well that they had the fallback option of allowing taxes on upper income Americans to revert to pre-Bush rates.
Source: govteen.com

Health Insurance for Ohio Dependents

For Ohio residents, the Federal law only requires health insurance coverage is offered to age 26.   However, the Ohio laws require coverage to age 28 or an extra two years provided the requirements mentioned above are satisfied.   Thus,  insurers offering group or family health insurance coverage in Ohio will need to abide by the state law from age 26 to 28 as of July 1.
Source: ohioinsureplan.com

Medicare Linked to the Health Care Overhaul : Roll Call Opinion

The health insurance and delivery system is half public and half private — but with a huge intersection between the two. As we cut the growth of Medicare and Medicaid, the shifting of costs to the private sector adds to insurance costs for consumers and businesses. And because insurance plans for most people are tax-subsidized, the subsidy costs are added to the burdens of taxpayers. Changes in one part of the system have to be synced with changes in the other.
Source: rollcall.com

Raising Medicare Eligibility Age Erodes Social Security, New Study Shows | MyFDL

Out-of-pocket health care costs would increase, on average, by $4,300 in 2014 for 960,000 people aged 65 and 66 who purchase coverage through a health insurance exchange and have incomes exceeding 400 percent of the federal poverty level ($43,560), making them ineligible for subsidies available to exchange participants with lower incomes. Under current law, these 65- and 66-year-old retirees’ average out-of-pocket costs would be $6,800 in 2014, out of a total Social Security benefit of $24,469. If forced out of Medicare and onto the health insurance exchanges, their average out-of-pocket health care costs would grow to $11,100, out of a total Social Security benefit of $24,469. [Figure 1] As a result, if the Medicare eligibility age is raised, out-of-pocket health care costs would go from consuming 28 percent to 45 percent of those 65- and 66-year-old retirees’ Social Security check.
Source: firedoglake.com

States to Get U.S. Bonuses for Covering Uninsured Children

Despite a flagging economy, a series of uninsured children decreased to 5.9 million in 2010 from 6.9 million in 2008, according to a study by a Georgetown University Health Policy Institute in Washington. Children still dump off program rolls since relatives don’t replenish eligibility, augmenting the likelihood of missed vaccinations and dental checkups, said Tricia Brooks, a comparison associate during a Georgetown institute.
Source: newyorkinvestment.net