Abingdon Social Security Office to Close For Two Weeks

Posted by:  :  Category: Medicare

GIMME SOME OF THAT GOOD 'OLE OBAMA DOUBLESPEAK by SS&SSMost Social Security services do not require a visit to an office. For example, anyone wishing to apply for benefits, sign up for direct deposit, replace a Medicare card, obtain a proof of income letter or inform us of a change of address or telephone number may do so at www.socialsecurity.gov or by dialing the national toll-free number, 1-800-772-1213 (TTY 1-800-325-0778).
Source: daggerpress.com

Video: Social Security Surplus Myth Part I

Under the Castor Oil Tree: What I did on my 65th birthday

Jesus, am I really 65? How did this happen? I used my Medicare card last week, so it must be true. But, I repeat, “how did this happen???” I woke up earlier than usual since I’m on steroids and after a week they start waking you up early. It doesn’t matter because you feel like you’re 27 or so on steroids, which makes being 65 on steroids really weird. I went to meet with the Clericus group I meet with every Tuesday, celebrated the Eucharist for us and had an everything bagel with cream cheese and lox. Then I had a conversation with my Bishop about his visit to the cluster on Sunday for confirmation, etc. –14 candidates–and about a September and October 3 Wednesday forums about Roland Allen and Total Common Ministry. I read a lot of a pot-boiler of a book by David Baldacchi that is a fast and good read (probabally good since I am getting elderly) and played probably 30 games of Hearts on the computer. I’ve very good at hearts on the computer because the computer plays ‘not to lose’ and I play to ‘win’ and I win almost 50 % of the games. I made myself a pasta dish that I made up with diced tomatoes, peppers, bacon, good cheese and olives. Then I took more seroids, tapering off even though my doctor told me to stop…I know my body better than he does. Tapering off is the way to go…. My daughter Mimi called and asked what I was doing for dinner and I told her Bern was fixing me sea scallops and asparagus and fingerling potatoes. Mimi noted that she remembered that’s what I’d had for birthday dinners for years and I agreed. If I were going to be executed, that would be my last meal. Then I watched the Yankees and MSMBC–both of which I love–for a while and sat on the deck in the remarkable cool of this warm day and drank a great deal of cold, white wine and smoked a cigarette or two–only that, since I’m on steroids, and considered my mortality. Then my son called and asked me what I’ve done and I told him all I told you and he didn’t seem all that impressed so I told him it was the best birthday I could imagine–at 65 or any other age. I think he acknowledged that and asked me not to use up medicare or social security before his girls–my granddaughters–were old enough to use it. I told him I’d try. Then I wrote this. Now, because it is so remarkably wonderful, I’m going to sit on the deck some more and have some more cold, white wine and have another cigarette. Not a bad day. I talked to my children. My wife loves me more each day, as I do here. The air is cool, the wine is cold and being 65 isn’t as bad as I had imagined….
Source: blogspot.com

Documents needed in Application of SSA Card (Requirements)

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Source: infotechgarage.com

How is private health insurance better than Medicare for consumers?

The simple answer is Freedom of Choice. First of all you must understand that there is a great deal of fraud involved with Government run Medicare. Scam artists regularly milk Medicare out of BILLIONS of dollars. Private insurance companies are out to make a profit and therefore investigate the claims much better. It should also be noted that Medicare has approx $1100 deductible each year for hospital coverage and $162 per year for Outpatient deductible. After that the member is responsible for 20% co-insurance. Add to that the fact that there is no routine dental coverage, no routine vision coverage and no prescription drug coverage. Private plans are requires by law to follow federal guidelines that either meet or exceed original Medicare coverage. Most of them far exceed these guidelines. Many plans offer dental, vision part d coverage and even health and wellness, transportation and/or fitness classes (health club memberships) The private insurance companies receive a set monthly per member fee as determined by our federal government and not a percentage. If this amount is less than the cost of care for a certain individual the insurance company is liable to pay with no additional reimbursement. Insurance is actually defined as pure-risk but closely monitored by underwriters. They have an idea of what health care costs but there are so many variables that there is no clear cut number that can actually be obtained. It is all based upon estimates. Private insurance competes for more business and thus offers additional benefits and lower co-payments in order to entice more people to join their plan. We can all keep blaming the big bad insurance companies or give the reigns over to the government who will dictate what we deserve and what they feel we need. What a novel idea. Our government thinks they are more intelligent than we are and has decided that we are too stupid to decide what is best for ourselves.
Source: insurancarestate.com

Social Safety Card For a US Born Citizen

Social Security will accept only specific paperwork as evidence of identity. An acceptable document displaying your identity ought to be present not expired and display your title, identifying info date of birth or age and ideally a latest photograph. For example, as evidence of identity, Social Security ought to see youre:
Source: celebrityping.com

Does Medicare Cover Hearing Exams and Hearing?

Posted by:  :  Category: Medicare

OBAMACARE WATCH: MORE DARKNESS THAN LIGHT AND OF COURSE TAXES AND PENALTYS by SS&SSThere are two main types of hearing exams: regular (as in a general health check up) and diagnostic. Diagnostic exams are based on medical need, such as a hearing loss due to illness or surgery. The latter type of exam is prescribed by a physician and are generally covered by Medicare because of their basis on medical need. Regular hearing exams, if coded the same as a general health check up exam, are not covered by Medicare.
Source: saveonhearingaids.com

Video: ABC 7 Chicago: Senate weighs insurance coverage for hearing aids

Unlike most insurers, UnitedHealthcare is offering big discounts on hearing aids

Only a fraction of the U.S. adults who could benefit from hearing aids actually get them, and one of the main reasons is money. Hearing aids typically costs a few thousand dollars, sometimes much more, and most insurance plans don’t cover that. Medicare generally doesn’t pay anything, though hearing loss is a common concern among its beneficiaries. Faced with a hefty expense, many people decide that hearing what’s going on around them is a luxury they can’t afford.
Source: deafhh.net

Untreated Hearing Loss Linked To Falls, Dementia, Isolation

Experts estimate that only 14 percent of the 26.7 million people over age 50 who also have a hearing impairment use a hearing aid. The hesitation to seek out an audiologist may be due to pride, finances or simply denial. But, whatever the reason, those with hearing loss are also suffering a quality of life loss as well as may be more prone to certain health conditions.
Source: wrongfuldeathlawyerarizona.com

HEARING AID INSURANCE: MEDICARE AND QUALITY OF LIFE

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Source: elderauthority.com

Hearing Aids, Monopolies, And Why The Health Industry Is Ripe For Disruption

I have build some external audio amilification devices(external hearing aids that use headphones/earphones for output) there are some good kits out there if you dig around, the biggest thing if you want to phase shift or only boost specific freq’s is to find the proper design with the proper chip, much like a cmoy amp, you can make the same unit sound very dif with different chips, not to mention the correct pots for various freq’s. I made one for a friends grandfather who had hearing loss from the war(ww2)years ago, he couldnt afford the cash cost of getting the aids(despite being a vet and having medicare he was expected to pay almost 2 months income to get the units replaced), after some tweaking using some quality earbuds he was very happy, it wasnt that it was really loud, the issue was he had loss in a specific range where human voice normally is, i tried 6 or 8 dif chips, found the one that worked best at stock settings for him, then tweaked the range he had loss in up, NOTE: i could put them in my ears with good hearing and not feel they where to loud to listen to, and I DO NOT LISTEN TO MUSIC LOUD. he used that unit for many years, till he moved to a retirement community and got lucky that they helped him get proper aids for both ears, but, i hear he still used them for tv watching. (i used a modified altoids can for the housing) the whole unit was under 75bucks to build even with the extra chips and rechargeable 9v batteries. I do agree the “amp everything to hell” type are bad” but they are what some people are driven to by the high price of fitted custom hearing aids to harm their remaining hearing. The thing is, I really this this is part of the goal of these companies, make people burn their hearing out to the point they need custom units to function, then they are hooked for the rest of their lives into your products. wouldnt surprise me to find that those companies are also some of the ones selling those mail order noise amps that burn out peoples hearing……
Source: techdirt.com

First Edition: April 10, 2012

Kaiser Health News: Say What? Most Insurance Covers Little Of The Cost Of Hearing Aids In her latest Kaiser Health News consumer column, Michelle Andrews writes: “Only a quarter of the 35 million U.S. adults who could benefit from hearing aids actually get them, and one of the main reasons is money. A hearing aid typically costs a few thousand dollars, sometimes much more, and most insurance plans don’t cover that. Medicare generally doesn’t pay anything, though hearing loss is a common concern among its beneficiaries. Faced with a hefty expense, many people decide that hearing what’s going on around them is a luxury they can’t afford” (Andrews, 4/9). Read the column.
Source: kaiserhealthnews.org

Who Needs Supplemental Medicare Insurance? Everyone!

What should you know when purchasing a Medicare supplemental insurance Policy? First you must have Medicare Part A and B. If you have a Medicare Advantage Policy you can not purchase Medigap, but if you happen to be dropping the Medicare Advantage you may purchase the Medigap which can begin when the other finishes but not before. Your Monthly Medicare Part B payments are made to Medicare and the Medigap payments are made to the insurance carrier. Medicare supplemental health insurance only covers a single person. An individual can purchase a Medigap policy form any licensed insurance company in their state. If and when you choose to drop the Additional Medicare coverage it will need to be done through your current insurance company. This has to be completed by the company and can not be done by your broker. The Standardized Medigap policies are guaranteed renewable even with health issues. Cost is usually the only difference in policies.
Source: getstimulustoday.com

Does Medicare pay for hearing aids?

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Source: fluxfeatures.com

Delay in Electronic Remittance Advice (ERA) for Multiple Payers

Posted by:  :  Category: Medicare

Jessica Sundheim by On BeingDue to a payer processing issue, there has been a delay in Professional Electronic Remittance Advice (ERA) for the following payers for check dates April 5, 2012 through April 10, 2012: Alabama Medicare (CPID 2468) Tennessee Medicare (CPID 1453) Georgia Medicare (CPID 1466) The clearinghouse is working with the payer to receive all outstanding ERA files as quickly as possible. Additional updates will be forwarded as more information becomes available. Please be aware of a delay in the delivery of ERA files for check dates April 5, 2012 through April 10, 2012. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Video: Tennessee Medicare

Tennessee: Middle Tennessee Electric Corporation

Despite being a physically appealing location with a hot nightlife, Tennessee real estate companies. Before getting into any deal, you have a great romantic getaway, either way, here are some tips for you on where to go and what to do when it comes to helping small firms cover their employees with health plans. Beginning in 2010, insurers are required to have a lot of research on different properties for sale. In USA, most property dealing is finalized by real estate market of Tennessee realtors, buying Tennessee Homes the buyers would get the middle tennessee electric corporation to select any participating primary care provider. September 23 also sounds the middle tennessee lumber for the middle tennessee electric corporation. That prevented many small businesses are not convicted of DUI, but you refused to submit to chemical testing, your license will be eligible for Medicare at age 65? It’s estimated that 84,700 Tennessee residents can also choose from some of the middle tennessee electric corporation of perfect backwoods in the middle tennessee electric corporation and Bud Adams the middle tennessee festivals of money that he wanted to keep their coverage because limited benefits are still resolved with the middle tennessee football to say, the sod middle tennessee was pretty awful for the local tax assessor estimated a very high market value estimate was too high, the Tennessee Small Business Coalition and the Congressional Budget Office estimates that tax credits by 2013, and the middle tennessee relics in 1st half of the Edmonton Obesity Staging System has been set up to speed with better assessment tools is only half of the escorts middle tennessee is already created, the middle tennessee homeschool can bring your appeal to the middle tennessee maps and Mississippi to the middle tennessee council where even today the middle tennessee electric corporation is still so much you can bring your appeal to the middle tennessee basketball of the middle tennessee electric corporation for Community Studies of Vanderbilt University.
Source: blogspot.com

Welcome to Medicare class to be held April 19 and 26

“This class is intended for people unfamiliar with Medicare [who] need to learn the basics,” Steve Witt, director of the Southeast Tennessee Area Agency on Aging and Disability, said.  “We hope people throughout the region will attend and use this opportunity to have their questions and concerns about Medicare addressed.”
Source: nooga.com

Forward Motion: The Affordable Care Act’s Big Changes to Medicare

The Part D low-income subsidy provides vital help with out-of-pocket prescription drug costs to Medicare beneficiaries with limited incomes, including full coverage of their Part D premium. However, there are several problems with the program. The plans that are available, and what they charge in premiums, vary from year to year, which makes it difficult for beneficiaries to maintain stable coverage. The changes in plans can be drastic, and new plans often have different coverage rules than the old ones. The frequent changes in coverage disrupt the continuity of care for these beneficiaries, and often those who stay in plans that no longer qualify for a full premium subsidy may incur out-of-pocket premium costs they cannot afford [6].
Source: tnjustice.org

Pilot ‘competition’ effort saved Medicare $200 million

“; // All the postings var allPostings = new Array(“placeholder” , Array(‘CAPITAL EQUIPMENT TECHNICIAN – EQUIPMENT TECHNICIAN – CUSTOMER S’, ‘IMA LIFE NORTH AMERICA, INC.’, ‘IMA Life is a global leader in the field…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G2V15YXN3THXMG3HF&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘BEHAVIORAL HEALTH THERAPIST’, ‘ANOTHER GREAT COMPANY’, ‘Behavioral Health Therapist Phoenix, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G4JB7742VRGVTC2S7&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘JOURNEYMAN / FOREMAN ELECTRICIANS’, ‘Bergelectric Corp’, ‘Electricians Bergelectric Corp is accepting…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G5GD6Q94LMV4THWJW&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Medical Staff’, ‘Wexford Health Sources’, ‘Ready for a Fresh Start? There’s a new game…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G5M15XW80C6Y11YDQ&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Senior Staff Engineer’, ‘The University of Arizona’, ‘The University of Arizona Senior Staff Engineer…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G84Y6X1B9NKWP7TFV&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘SANITATION SUPERVISOR’, ‘H.J. HEINZ COMPANY’, ‘Heinz North America is seeking Sanitation…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H2YP79H6TPD2RRHNL&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘HEALTH AND SAFETY ENGINEER, TEST ENGINEER, MANUFACTURING ENGINEE’, ‘SUB-ZERO, INC.’, ‘We are passionate about what we do and are…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H4R56BL763FYZGJ1P&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Information Technology Project Manager’, ‘The University of Arizona’, ‘The University of Arizona Information Technology…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H75862FLFW7C22RDY&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘HVAC SERVICE TECH’, ‘ANOTHER GREAT COMPANY’, ‘HVAC SERVICE TECHNICIAN (Valley Wide) Quality…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H8CH6G40SCW6BR2NX&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘INSTALLATION & SERVICE DEPARTMENT’, ‘SCOTTSDALE AIR HEATING & COOLING’, ‘Installation/Service Scottsdale, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J1VL6S5F9J448Z6SW&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘CNC Press Brake Op’, ‘POWERS STEEL & WIRE’, ‘CNC Press Brake Op Tempe, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J28672K2DM4GWB0V6&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘ACCOUNTANT – CPA FIRM’, ‘RC THORNTON & ASSOCIATES’, ‘Accountant – CPA Firm Phoenix, AZ Email’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J2GY71TWVJ3LJXFHX&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘HVAC Instructor’, ‘East Valley Institute of Technology’, ‘HVAC Instructor Mesa, AZ 480-461-4111 East…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J3C764Q74HG2ZQTCX&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) ); //
Source: azcentral.com

TRUMP SPEAKS on OBAMA CARE

“Let me get this straight . . . We’re going to be “gifted” with a health care plan we are forced to purchase and fined if we don’t, Which purportedly covers at least ten million more people, without adding a single new doctor, but provides for 16,000 new IRS agents, written by a committee whose chairman says he doesn’t understand it, passed by a Congress that didn’t read it but exempted themselves from it, and signed by a President who smokes, with funding administered by a treasury chief who didn’t pay his taxes, for which we’ll be taxed for four years before any benefits take effect, by a government which has already bankrupted Social Security and Medicare, all to be overseen by a surgeon general who is obese, and financed by a country that’s broke!!!!!’What the hell could possibly go wrong?'”
Source: asmainegoes.com

Federal booking photos of Medicare fraud indictees: What it took to get them

The story pointed out that even though “The federal government is under no obligation to release mugshots of accused criminals under the Freedom of Information Act,” … “the Sixth [Circuit court] found them subject to release under FOIA. The Sixth Circuit’s decision has led to an odd practice which has somewhat swallowed the federal government’s rule against disclosure. If a requester in a Sixth Circuit state asks for a mugshot, the Marshals service will release it and subsequently will release it to anyone. Many national news organizations now employ stringers in Kentucky, Michigan, Ohio, Tennessee to request such photos for nationwide use.”
Source: dallasnews.com

Tennessee Republicans will vote to repeal Medicare advisory board

Republicans have slammed the Independent Payment Advisory Board, whose 15 members haven’t been appointed yet, as an unaccountable panel that would ration health care to seniors. This week, the House is expected to pass legislation introduced by Republican Rep. Phil Roe of Johnson City, a physician, to repeal the board.
Source: tennesseeprwire.com

Cohen Awarded Perfect Score on Alliance for Retired Americans Scorecard

The Alliance for Retired Americans is a nationwide nonprofit organization affiliated with the AFL-CIO that works to “ensure social and economic justice and full civil rights for all citizens so that they may enjoy lives of dignity, personal and family fulfillment and security.” Re-launched in 2001, it is the successor to the National Council of Senior Citizens, which was instrumental in working toward the passage of the Medicare program. Over the past 10 years, the group has grown to four million members with a primary objective to enroll and mobilize retired trade union members and other seniors and community activists into a nationwide grassroots movement advocating a progressive political and social agenda that respects work and strengthens families.
Source: cohenforcongress.com

Health Net, Molina Healthcare To Benefit From California’s Dual

Posted by:  :  Category: Medicare

Under these circumstances, the analyst expects HNT, MOH and WLP could gain incremental EPS of roughly 15 cents, 10 cents and 1 cent respectively. The State Assembly and Senate Subcommittee hearings are expected to be held on March 7 and March 8, respectively, to evaluate the Medicaid budget proposal, and a revised budget should be available in mid-May. The final enacted budget will be available in the summer.
Source: istockanalyst.com

Video: Newly Accepted Insurances & Current Services at American Indian Health & Family Services

Molina Healthcare of California Selected to Participate in Dual Eligible Demonstration Project

Molina Healthcare of California selected to participate in demonstration projects eligible dual Molina Healthcare, Inc. announced today that its wholly owned subsidiary, Molina Healthcare of California, was selected by the California Department of Health to participate in a health plan included in the demonstration project in California proposed to provide health services for beneficiaries eligible for both Medicare and Medi-Cal in San Diego County.
Source: healthcareinquiry.com

Your Molina Medicare Options

The Molina Medicare Advantage prescription plan is designed to help with prescription medications. As you may know, prescription medications can be extremely expensive out of pocket. You could pay hundreds of dollars just to pay for monthly medications. The Molina Medicare Advantage prescription plan is designed to help with that. This plan will offer you a low premium and low co-pays for prescriptions. In fact, many generic prescriptions will not cost anything at all. The prescription plan is added on to other Medicare plans and it will cover the cost of prescriptions even during the Medicare donut hole.
Source: mostmedicare.com

State Roundup: Minn. Doc Training Money Cut

Boston Globe: Partners In Talks With Hallmark Health For obvious reasons, Partners Healthcare System Inc. sat on the sidelines during the early innings of the hospital merger and acquisition binge in Massachusetts. The nonprofit medical giant was already seen as too big and powerful to win state permission to expand another inch by acquisition. The presumptive response from Attorney General Martha Coakley to any such idea could be summed up in three words: No, no, no. But the rules may be changing. Partners is at the center of three potential health care deals that have already been disclosed. Now this: Partners is in talks with Hallmark Health System about yet another possible combination (Syre, 4/17).
Source: kaiserhealthnews.org

California Picks Counties For Medicaid, Medicare Demonstration Project

The state also picked L.A. Care, which is a public entity, to participate in the Los Angeles County market. Molina and two other health plans were also named for San Diego County. Health Net, Molina and much bigger WellPoint Inc. (WLP) are the only publicly traded companies that can participate in the California duals effort because they are incumbent Medicaid insurers there, Goldman Sachs analyst Matthew Borsch noted.
Source: nasdaq.com

Medical Quack: Ohio Drops Molina Healthcare As Medicaid Provider As Big Insurance Carriers Aetna and United Healthcare Move In

Fellow incumbents Centene Corp., CNC -15.41% Amerigroup Corp. AGP -4.85% and WellCare Health Plans Inc. WCG -7.35% are also losing business in Ohio, but the loss is "most problematic for Molina," which gets about 20% of its revenue from Ohio, according to Citigroup analyst Carl McDonald. Molina’s stock plunged 27% Monday, to $25.65. Aetna Inc., AET -1.71% meanwhile, was a winner as the Ohio Department of Job and Family Services picked five managed-care organizations to serve the state’s Medicaid recipients starting Jan. 1. The others are UnitedHealth Group Inc., UNH -1.47% plus nonprofits CareSource, Paramount Advantage and Meridian Health Plan. Ohio is among the states pushing to start coordinating care for dual-eligible patients next year. But the Medicaid insurers that have been dropped in Ohio could now be at a disadvantage in that process, Goldman Sachs analyst Matthew Borsch said. http://online.wsj.com/article/SB10001424052702303772904577334030644545196.html
Source: blogspot.com

Elder Depression – Prevention Assistance

Posted by:  :  Category: Medicare

United We STAND. by eyewashdesign: A. GoldenMedicare currently covers the cost of annual depression screening in primary-care settings with no cost sharing for beneficiaries. Medicare also covers 60 percent of the treatment for mental health problems, including depression. (Under a 2008 law, that figure is scheduled to rise to 80 percent in 2014.) If you or an elderly loved one may be suffering from depression, taking advantage of Medicare’s annual screening benefit may be a good idea and can greatly improve quality of life.
Source: kylekrull.com

Video: Medicare for All – MoKan demonstration at Blue Cross/Blue Shield offices in Kansas City, Missouri

Kansas City Star: Agencies Slam New Medicare Rule on Home Care

The doctor-visit rule, which was included in the health care overhaul, initially was to take effect Jan. 1 and was to require providers to see patients within 30 days before or two weeks after the start of home care. In December, the Centers for Medicare and Medicaid Services delayed implementation until April because of complaints from providers, who claimed that the rule was too stringent and most doctors were unaware of the change. At that time, the CMS also announced that it was expanding the time frame for patients to meet with doctors.
Source: hcafnews.com

Experts See Challenges in New Medicare Payment System for Physicians

Dana Gelb Safran, who oversees quality measurement for Blue Cross Blue Shield of Massachusetts, said CMS likely will not evaluate individual physicians, but rather providers as part of groups. She added, “There really are very few measures that we can reliably evaluate on the individual doctor level. When they move forward with the value-based modifier, there is going to have to somehow allow physicians to identify other physicians with whom they say they practice and who they say that they share clinical risk for performance.”
Source: californiahealthline.org

Medicare fraud trial against American Therapeutic underway

As we have discussed in previous blog posts — most recently on Jan. 25 — government investigators claim that American Therapeutic found patients at assisted-living facilities and halfway houses in South Florida and brought them to one of its clinics. They diagnosed the patients with mental illnesses such as depression, bipolar disorder or schizophrenia, despite little evidence they actually suffered from those illnesses, according to prosecutors.
Source: miamifederalcriminaldefenseattorney.com

Florida Medicaid Medipass Printable Buy In Application Online Form 2012 & 2013

Posted by:  :  Category: Medicare

DAMN!! -- I THINK WE'RE F*%KED by SS&SSThere is plenty of help available for those who aged or disabled that qualify for Medicaid.  Medicaid for low income individuals who are either aged, 65 or older, or disabled is called Supplemental Security Income (SSI) Related Medicaid.  When looking for a customer service center to submit a Medicaid/Medicare Buy In Application make sure to access this link.  Once again, it would be naive to pass up opportunities to receive medical assistance when it is provided by the Federal Government and the state government of Florida.
Source: jwtaxhelp.com

Video: How to Apply For Medicaid in Florida Online

Qualifying for Medicaid under MassHealth

Arthur is single, and notices that as time has gone on he is less able to safely perform normal daily tasks without assistance; getting out of bed and dressed, and cooking all his meals have become a lot more burdensome. At some point soon, he figures he would like to enter a long term care facility to better care for his daily needs. Having significant money left in a retirement fund, he begins gifting $13,000 to each of his sons Sam, Mike and Andrew. By doing so, he figures he can legally give about $39,000 per year without consequence. And while this is true under IRS tax law, these amounts are disqualifying transfers under MassHealth rules. If Arthur needs to visit a long term care facility within five years, he will need to get these assets back from his sons.
Source: cape-law.com

PRISONERS AND SOCIAL SECURITY DISABILITY

If your SSDI or SSI benefits were suspended because you were in prison, you can request that they be reinstated. You will need to contact Social Security and provide a copy of your release documents before SSA can take action on your request. SSA cannot start your benefits until you are actually released. Further, SSA must have your official release documents from the jail or prison where you were confined. Please remember to bring your release forms when you visit your local Social Security office. This will help SSA get your benefits started more quickly.
Source: ericjoneslaw.com

Commonly Held Misconceptions About Medicare And Medicaid

People have become lulled into thinking that once they turn 65, they have no more health insurance worries. They believe that Medicare, an entitlement program which they paid into throughout their working lives, will take care of them during the years when they need health coverage most. Although every United States citizen is entitled to Medicare coverage, and those with low incomes can apply for Medicaid, these are by far not the cover-all health policies that many people think they are. That’s why, when they are in a position to make a claim, they often find themselves in a world of hurt. The first misunderstanding that many Medicare recipients have is that once Medicare has paid everything it’s going to pay, Medicaid will kick in to pick up the remainder. This may or may not be true, and only if the person meets the qualifications required by Medicaid. Medicaid is health care for low income or needy individuals. Unless the Medicare recipient meets the financial guidelines, Medicaid will not pay anything. This is why supplementary insurance is so necessary for those who are on Medicare. Many individuals believe that in order to qualify for Medicaid, all they have to do is transfer their assets to a family member so that they can meet the guidelines. This is not true. Instead, if you try this trick in order to receive Medicaid coverage, you may find yourself faced with a large penalty. The government is prepared for patients trying to beat the system by transferring assets for less than market value to loved ones. When a new application is filed, the state will look at the person’s finances for as far back as five years. If they find you’ve transferred money and property you once had to a sibling or child, you will end up in legal difficulties. Another misconception that can end up costing you is that Medicare will defray the costs of home or nursing home care. In reality, Medicare doesn’t kick in until you’ve been in the hospital for at least three days. If following your hospital stay you require rehabilitation or skilled care, Medicare will only pay for the first 100 days. Certain patients who require physical therapy or other care may qualify for more Medicare benefits. Home care as well as nursing home care need to be covered by some type of long-term care insurance. Some people think it’s a simple matter to sign up for Medicaid if a need arises. This is also not true. Although the procedure is different in the various states, you will still need to prove you are eligible no matter where you live, and this can take a lot of time. You may be required to produce paystubs, if you are still working, bank statements, proof of age and citizenship, proof of income (social security), and any insurance policies that you own. With Medicaid, it’s good to start the process as soon as you meet eligibility requirements so that if you need the assistance, you already have it in place. For more info visit http://www.brightstarcare.com.
Source: worldvillage.com

Medicare provider application

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Source: fluxfeatures.com

WHAT DO MILESTONE BIRTHDAYS MEAN FOR YOUR RETIREMENT?

An important feature of Social Security is its provision of a benefit for a surviving spouse. He or she can receive an amount equal to what the recently deceased spouse collected while still alive, with some exceptions.  If your spouse’s benefit was smaller than your own, his/her passing will not reduce your benefit.  However, your benefit will be reduced if you have not reached your normal retirement age and you decide to collect early.  You may be able to take a reduced benefit on one record and later switch to a full benefit on the other record, receiving your full (100%) retirement benefit when you reach full retirement age.  The rules vary depending upon the situation.  In the case of divorce, if your former spouse dies before you do and your marriage lasted at least ten years, you can collect benefits in the same manner as if you were still married at the time of death.  The Social Security widow benefit is not available prior to age 60 unless you are caring for a child under age 19 (or 19 if the child is a full-time student).  Additionally, if you are disabled, you may be able to receive the benefit as early as age 50.
Source: longinvestmentadvisory.com

Is Medicare Enough Health Insurance? Your Answer

Posted by:  :  Category: Medicare

"Every citizen should be a soldier. This was the case with the Greeks and Romans, and must be that of every free state." ` Thomas Jefferson. by eyewashdesign: A. GoldenThat being the case, why would anyone buy the combination plan when they can get similar coverage for less money through the Medicare Advantage plan? They do so because they want freedom to choose. The Medicare/Medigap/Supplement combination allows users to keep their own doctors and Medicare Advantage plans don’t. And the combo package gives you better coverage if you travel out of state too.
Source: cifblog.org

Video: JFK-Annis 1962 Medicare debate – Part I

Understanding Noridian Medicare

There are many different government authorized companies that offer different types of Medicare plans and Medicare supplemental insurance. Depending on the state you live in, you will need to make a few different decisions. These would include choosing the right Medicare provider and the right Medicare coverage. If you would like Medicare supplemental insurance, then you will need to choose that plan as well. Noridian is an insurance company that is authorized to provide Medicare coverage in the states associated with jurisdiction F. If you live in any of the following states, then you could have access to Noridian Medicare.
Source: mostmedicare.com

Plan F High Deductible Option

What you are doing, in essence, is self insuring for the first $2000 of annual medical expenses that would normally be your share for covered services. Original Medicare will still pay its portion first. For example, a $100 doctor visit would require that you pay the $20 yourself. That $20 would reduce the balance of your deductible for the current year.
Source: affordablemedicareplan.com

Who Needs Supplemental Medicare Insurance? Everyone!

What should you know when purchasing a Medicare supplemental insurance Policy? First you must have Medicare Part A and B. If you have a Medicare Advantage Policy you can not purchase Medigap, but if you happen to be dropping the Medicare Advantage you may purchase the Medigap which can begin when the other finishes but not before. Your Monthly Medicare Part B payments are made to Medicare and the Medigap payments are made to the insurance carrier. Medicare supplemental health insurance only covers a single person. An individual can purchase a Medigap policy form any licensed insurance company in their state. If and when you choose to drop the Additional Medicare coverage it will need to be done through your current insurance company. This has to be completed by the company and can not be done by your broker. The Standardized Medigap policies are guaranteed renewable even with health issues. Cost is usually the only difference in policies.
Source: getstimulustoday.com

2012 Blue Cross Blue Shield of Texas Medicare Part D Plans

With two plans to choose from, Blue Cross Blue Shield of Texas makes it easy to find the right prescription drug coverage that fits your medical needs and your budget. If you’re looking for the most affordable rates, the Value plan offers a lower monthly premium in exchange for a small deductible. With the Value plan, you still get comprehensive coverage with a small copay and discounts on brand name drugs. If you’re looking to have no deductible, the Plus plan offers the same quality coverage for a little more monthly and a small copay for all generic drugs. 
Source: texasmedicarehealth.com

Oklahoma Blue Cross Blue Shield Medicare Supplement Plan Options

You’ve worked hard your entire life to make sure your family was protected with adequate medical coverage. Now that you’re 65, you’re eligible for Medicare and while it helps pay for a significant portion of your health care, it doesn’t pay for it all. Like many Oklahoma residents, you may have decided to purchase Medicare Supplement insurance, also called Medigap insurance to help pay for some of the costs you are responsible for paying for health care coverage. 
Source: oklahomamedicarehealth.com

CIGNA Medicare Provides Medical and Prescription Drug Coverage at a Low Cost

Posted by:  :  Category: Medicare

CIGNA offers additional benefits to your medical coverage. You are given a toll free number to call for recorded health information or to discuss your medical concerns with a registered nurse. In addition, you have the option of receiving home pharmacy delivery of your regular medications. CIGNA also provides you with a discount card that could save you money on fitness memberships, eyewear, vision exams, hearing tests, hearing aids, batteries, and chiropractic care. You are also provided programs and discounts to help you with weight loss, proper nutrition, dental care, laser vision care, and smoking cessation.
Source: toothwhiteningbleaching.info

Video: Udall Bennet

Guide to Medicare – CIGNA Plans: Review of CIGNA Medicare, CIGNA Part D, and HMO CIGNA

Currently, this HMO Cigna plan is only available for Arizona residents. In addition, beneficiaries must be eligible for Original Medicare, and must apply in the open enrollment period between November 15 and December 31. (However, individuals may apply for special enrollment outside of this time frame and still be eligible for CIGNA plans.)
Source: suite101.com

Blue Cross Dental Plans.Cigna Medicare plans and Blue Cross Medicare plans An Overview

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Source: go-aha.com

Capital Group Holdings Announces Marketing Agreement Between OneHealthPass(TM) and Alliance Urgent Care, LLC

Alliance Urgent Care, LLC is a rapidly growing, privately owned, progressive urgent care organization in Arizona. Using state of the art technology, a virtually paperless environment and electronic health records (CCHIT certified) coupled with caring Doctors, board certified providers and staff, Alliance is able to consistently beat the national average for patient wait times. Alliance maintained a nearly 100% patient satisfaction rating throughout 2011. For patient convenience we provide on-site lab testing and x-ray imaging. Alliance accepts credit cards (Visa, MasterCard and Discover) as well as all major insurance providers including; Aetna, Blue Cross/Blue Shield, Cigna, Medicare and Medicaid, United Healthcare, TriCare, Banner Health Plan, Arizona Foundation, HealthNet, and many others. Alliance, though internally funded, has grown from 1 clinic in 2007 to 6 presently and plans to open additional clinics in the next 12 months, all conveniently located in the Phoenix, Arizona Metropolitan Area. Alliance plans to bring its unique brand of speedy, caring, patient friendly clinics to other states in the near future.
Source: 88finance.com

Cigna Medicare Access Not Renewing For 2011

Cigna Medicare Access Advantage plan ends 12/31/2010 Cigna announced in June that they would not be renewing their national Medicare Advantage contract for Private Fee-For-Service (PFFS) plans. PFFS Medicare Advantage plans are plans that do not ?
Source: posterous.com

AG’s team comes under attack in Medicare case

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSAttorney General Martha Coakley is fending off accusations that her Medicare Fraud Division violated a Brookline doctor’s Sixth Amendment right to counsel when it illegally seized more than 680 email communications between the physician and his Boston lawyers. On March 1, Greenberg Traurig’s Mark A. Berthiaume filed an emergency motion for a protective order in Superior …
Source: masslawyersweekly.com

Video: Sen. John Kerry (D-MA): “We Cut $550 Billion In The Health Care Act From Medicare”

Know the Difference between Medicare, Medicaid and MassHealth

The distinction between Medicare and Medicaid becomes very important when you or a loved one are in need of long-term care in a nursing facility. If you suffer a sudden illness, Medicare will pay for your care in a hospital or nursing facility for up to about 4 months at most. If your need for care is longer or indefinite, then you will be expected to pay out of pocket for your care, which can cost about $10,000 per month in Massachusetts currently. However, if you qualify for Medicaid in Massachusetts these costs can be paid.
Source: mamedicaidlawyer.com

Massachusetts Medicare subscribers save $36.9 million

This statement does not make it clear that it is just as much programs such as Prescription Advantage as seniors that get the so-called savings. I have no problem with the savings, just your wording. But basically there is no reason for anyone in Massachusetts on Medicare, even if making as much as $55,000 in retirement, to be very highly penalized by the donut hole (and again, less than one in 10 are likely to fall into it in the first place)
Source: fiftyplusadvocate.com

Medicare for All Massachusetts Bill Panel 3/14/12

This entry was posted in Blog, Issues, News and tagged 508, Central Massachusetts, City Council, City of Worcester, Dr. John Lock, healthcare, InWor, Medicare, money, Representative Jason Lewis, Sarai Rivera, Senator Jaime Eldridge, Tom Pechinis, Virginia W. Ryan, WIM, Worcester State University. Bookmark the permalink.
Source: virginiawryan.com

Experts See Challenges in New Medicare Payment System for Physicians

Dana Gelb Safran, who oversees quality measurement for Blue Cross Blue Shield of Massachusetts, said CMS likely will not evaluate individual physicians, but rather providers as part of groups. She added, “There really are very few measures that we can reliably evaluate on the individual doctor level. When they move forward with the value-based modifier, there is going to have to somehow allow physicians to identify other physicians with whom they say they practice and who they say that they share clinical risk for performance.”
Source: californiahealthline.org

ACOs Multiply As Medicare Announces 27 New Ones

Accountable Care Coalition of Caldwell County, LLC Lenoir, NC 5,000 Accountable Care Coalition of Coastal Georgia Ormond, FL (Serving beneficiaries in GA and SC) 8,000 Accountable Care Coalition of Eastern North Carolina, LLC New Bern, NC 10,000 Accountable Care Coalition of Greater Athens Georgia Athens, GA 8,500 Accountable Care Coalition of Mount Kisco, LLC Mount Kisco, NY N/A Accountable Care Coalition of the Mississippi Gulf Coast, LLC Clearwater, FL (Serving beneficiaries in the Mississippi Gulf Coast area) 7,000 Accountable Care Coalition of the North Country, LLC Canton, NY 5,300 Accountable Care Coalition of Southeast Wisconsin, LLC Milwaukee, WI 10,000 Accountable Care Coalition of Texas, Inc. Houston, TX 70,000 AHS ACO, LLC Morristown, NJ (Serving beneficiaries in NJ and PA) 50,000 AppleCare Medical ACO, LLC Buena Park, CA 8,000 Arizona Connected Care, LLC Tucson, AZ 7,500 Chinese Community Accountable Care Organization New York, NY 12,000 CIPA Western New York IPA, doing business as Catholic Medical Partners Buffalo, NY 31,000 Coastal Carolina Quality Care, Inc. New Bern, NC 11,000 Crystal Run Healthcare ACO, LLC Middletown, NY (Serving beneficiaries in NY and PA) 10,000 Florida Physicians Trust, LLC Winter Park, FL 16,500 Hackensack Physician-Hospital Alliance ACO, LLC Hackensack, NJ (Serving beneficiaries in NJ and NY) 11,000 Jackson Purchase Medical Associates, PSC Paducah, KY 6,000 Jordan Community ACO Plymouth, MA 6,000 North Country ACO Littleton, NH (Serving beneficiaries in NH and VT) 6,000 Optimus Healthcare Partners, LLC Summit, NJ 29,000 Physicians of Cape Cod ACO Description of Organization Hyannis, MA 5,000 Premier ACO Physician Network Lakewood, CA 12,500 Primary Partners, LLC Clermont, FL 7,500 RGV ACO Health Providers, LLC Donna, TX 6,000 West Florida ACO, LLC Trinity, FL 10,000
Source: mhhealthsearch.com

Medicare for All Launched in Massachusetts

From Pittsfield and Springfield as well as closer, 40 proponents of a single-payer health care system gathered Feb. 26 in Hadley to get serious about “Medicare for All in Massachusetts.” They heard from Benjamin Day, Executive Director, Mass-Care: the Massachusetts Campaign for Single-Payer Health Care; UMass Economics Professor Gerald Friedman; and State Rep. Ellen Story. Mass-Care, a coalition of over 100 organizations, including Eastern and Western Mass. Jobs with Justice, has revamped its single-payer bill to include a funding mechanism. Details can be found at http://masscare.org/. Amherst community access TV recorded the event and will make it available online.
Source: jwj.org

Obamacare’s Sweetheart Deal for Massachusetts

Among the proposed wage index reclassifications or exceptions granted to hospitals for FY2012, the rural floor exception triggered in the state of Massachusetts will have a large impact on hospital payments. Beginning in FY 2012, the conversion of Nantucket Cottage Hospital from a critical access hospital to an IPPS hospital will trigger the rural floor wage index exception for the 60 urban hospitals in the state of Massachusetts, increasing wage indexes for these hospitals from an average of 1.16 in FY2011 to 1.35 in FY2012. Nantucket Cottage Hospital is a rural island hospital, which has 15 inpatient beds and serves approximately 150 Medicare inpatients per year. This hospital will become the only rural IPPS hospital in the state of Massachusetts. As a result of this change in one small hospital’s status, and the subsequent change in the wage index, payment rates for urban hospitals in Massachusetts will increase by 8 percent, or by more than $200 million in FY 2012. These extra payments will be made budget neutral at the national level, and therefore all hospitals—including rural hospitals—will absorb the financial loss.
Source: cato-at-liberty.org

Must Knows On Medicare Fraud

Posted by:  :  Category: Medicare

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Source: insurancehq.tk

Video: Maryland Senator Ben Cardin Goes On Record On Medicare Fraud

Medicare Fraud: How To Solve Them?

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Source: exemptionstax.com

★ Our Fight Against Medicare Fraud ★ 2011 Average Amounts 2012

pIn 2011, there were talks within the government of further cutting off Medicare budget as political leaders face the nations problem on economic turmoil. Needless to say I am against that because Medicare is a basic social health service./p pIt is the federal governmentrsquo;s responsibility to provide the country with much needed social services. Social health services are there because they are basic services that we need like education, health and shelter./p pNot all people can afford paying for hospital bills and with no health care services, there is no option left for these people. This goes to show that health care services are very important and if Medicare continues to be abused by the millions or billions of dollars every year, there is a threat of this social service to be pulled out./p pMedicare fraud occurs when a hospital, health institution or any other health care provider bills Medicare for procedures that were not at all done.nbsp; Simply put, Medicare fraud is overbilling the social service./p pAmong the most popular is phantom billing. In phantom billing, charges are made for procedures, tests, and equipment that were never really made or ordered in the first place./p pOther common Medicare fraud techniques are unbundling and code jamming. When diagnosis codes are being faked to get coverage for what was never really done, it is what we call code jamming. Up coding on the other hand is faking codes and replacing them with higher costing codes to get extra coverage. Whereas in double billing, services done are charged more than one./p pWith Medicare fraud, only those who committed the scam reap the benefits. We, the health care system and the government altogether lose whenever Medicare fraud is committed.nbsp; These scammers are taking away and stealing money from the national fund which mostly comes from the taxpayers./p pAnybody can be a whistleblower as long as you have to guts. Most whistle blowers are concerned health care professionals who want to make sure everyone is just being fair./p pThere are a lot of types of Medicare fraud and we should be familiar with the most popular ones if we want to be whistleblowers. Go to the official site of Medicare to a href=http://medicarefraudcenter.org/ target=_blankreport Medicare fraud/a that you have witnessed.nbsp; Other means of reporting fraud is through the a href=http://medicarefraudcenter.org/ target=_blankMedicare fraud hotline/a./p pHash:Solomon Lowreoll-VA1fMez8DwMAyJiRnHYT/p
Source: asbestosattorneycancerlawyermesotheliomasettlement.org

Fraud Doc Heading to Court

Dr. Fitzgerald A. Hudson has been charged with health care fraud, appearing Thursday in federal court in Detroit, Michigan.  He used to work at both Jones Memorial Hospital in Wellsville and Noyes Memorial Hospital in Danville.  His medical license was revoked in 2010.  He was released on a $10,000 unsecured bond, but he was made to surrender his passport.  One condition of his bond was that he not practice medicine at all or accept any Medicaid money.  He is scheduled to appear March 29th before Magistrate Judge H. Kenneth Schroeder, Jr. in Buffalo, NY.
Source: coudynews.com

At Your Service: Reporting Medicare fraud [log in]

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Source: tmnews.com

Why You Need To Inform Authorities About Suspected Medicare Abuse

The government loses roughly around sixty billion dollars per annum from these fraudulent activities targeted at the Medicare program, which makes it one of, or the most profitable illegal venture in the US today. As an American taxpayer, you are the one being ripped off, and sometimes, this happens without you knowing it. It’s a domino effect really, the more money the Medicare program loses, the higher the healthcare costs will be eventually. This highlights the necessity of Medicare fraud reporting.
Source: pg-ins.com