Blue Medicare – Blue Cross Blue Shield Medicare: A Guide to BCBS Medicare Advantage, Part D, and Supplemental Plans

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Bubbles? Take something like 'Not I! .....item 1..Wakulla Republicans Protest Against Taxes in the County (September 06, 2011) ... by marsmet552Blue Medicare PPO – under this plan, beneficiaries have the freedom to either access the company’s network of health care providers or go outside of the network (though going outside the network incurs greater costs.) There are low copayments for primary care physicians and specialists, and monthly premiums are both predictable and affordable. The plan includes generic drug coverage at little-to-no cost and provides emergency nationwide coverage;
Source: suite101.com

Video: Pinellas County: Medicare Advantage Plans Florida- Zero premium

Florida Medicare Plans: How to need of Florida Medicare Supplement for financial service

There are Medical insurance plan network lists of PPO or Preferred Provider Organization doctors, hospitals, and Medical insurance plan companies available in many parts in Florida. Choosing from the Medical insurance plan PPO list offers you lower copay for your insurance plan unlike when you choose the doctors and hospitals outside the Medical insurance plan PPO network. Low Income Subsidy or LIS is available for Florida Medicare Plans as well as providing you assistance for your prescriptions. Fl Medical insurance plan members also qualify for the Extra Help with their prescription drug plans that are worth $4,000 annually. Extra Help qualifications require you to be a member of Florida Medical insurance plan, have limited income, and you reside in the District of Columbia. Though Florida gives importance to its insurance plan, Florida Medicare Plans costs are high. The Florida Medicare Supplement is priced at about 60% more than the standard plan. Medical insurance plan in Florida in a more expensive because of the kind of easy lifestyle, great climate, low priced housing, and low taxes. The senior citizens are active in this state and Florida might as well be called the Senior Citizen State. So if you are currently living in Florida right now and you haven’t availed of Florida Medical insurance plan, you are missing one of the great benefits offered in Florida. Avail Florida Medical insurance plan now to enjoy the advantages of having a great insurance plan while living in a great state. Enrollment for Medical insurance plan is done annually for a period of almost three months. Enrolling and changing of plans should be done within the enrollment period provided for by Florida Medical insurance plan. Medical insurance plan wellness insurance plan covers heath care treatment expenses and services and not coinsurance, copayments, and deductibles. These are gaps within everyone’s Medical insurance plan insurance. To help you with these gaps or other costs, there is the Florida Medical insurance plan Supplements or Medigap. The policies of Florida Medicare Plans help you cover those gaps in your Medical insurance plan wellness insurance plan by helping you to pay for some of the other heath care treatment costs that you haven’t thought of. These policies have additional benefits and services not provided for in your Medical insurance plan insurance. Private insurance plan providers provide for the plans that range from A to L. The policies offered are standardized which means that the benefits and services of one plan are the same in other insurance plan providers within the state of Florida. The only difference that you will see is in the cost because of factors like underwriting and rating methodology. The Sunshine State gives importance to its community by providing Medical insurance plan wellness insurance plan. Florida Medicare Plans or Florida Medicare Supplement has plans for your wellness and financial needs. Many Medical insurance plan providers are available in the State of Florida. The list of Medical insurance plan providers includes United Healthcare, Humana, Mutual of Omaha, PCP or Preferred Care Partners, Gerber, and Universal Medical care. Since Florida has about 4.1 million or 23% of its total population, heath care treatment needs are given priority especially to its senior citizens. One way of tending to the heath care treatment needs of the people in Florida is providing Medical insurance plan wellness insurance plan benefits.
Source: blogspot.com

Florida Health Insurance the Ups and Downs

Most florida health insurance plans are in–network services meaning that all the various services are attended to by qualified and supported physicians within a defined network. They are chosen based on certain criterion and their fees are paid by the network.  One of the florida health options is to opt for Health Savings Plan. These will ensure that you are eligible to save money for your future medical expenses. There are 100% deductible after florida health plans which means that the plan will pay for all the expenses after you have met the deductibles. Short term health insurance plan florida give you cover during the period when you are changing policies or are in between jobs.
Source: 2healthinsurance.net

Daily Kos: Mitt Romney leading in Florida, despite his plan to eviscerate Medicare

She thinks the Affordable Care Act defunds her Medicare, thanks to her continuous Faux Noos (non)mind infusions.  This is not the case, it’s more of a transfer-type payment where the care itself is not defunded, it’s just put under another program, but this is not understandable in her sound-byte world. So yeah, the message needs to be clearer on whose side the Republicans are really on, and it isn’t hers.  The Obama campaign needs to get to work in FL, irregardless of the fact that brain-washed people like my mother would never vote for him anyway.  There are plenty of independents who are open to voting D in November in FL.
Source: dailykos.com

Medicare Patient PT Supervision is Confusing

Let’s start with a couple fundamentals:  first, medical practices that comply with the so called “group practice” exceptions (under both state and federal law) are permitted to provide PT to their own patients.  They are more accurately known as the “In Office Ancillary Services Exception,” but most refer to them as described above.  These exceptions dictate, for instance, the form of the practice and how much time each physician has to spend practicing through the group.  For instance, if the practice does not have at least two of the following, it does not meet the group practice requirements:  physician owner; physician W-2 employee.  Second, PT falls under both the state and the federal definitions of “designated health service” (DHS).  DHS are services that are regulated by the Stark Law and also (at the state level) by the Florida Patient Self Referral Act of 1992 (FPSRA).  They are very similar laws, but with some key differences.  Where many physicians go wrong is to ensure compliance with federal laws but not state or vice versa.
Source: wordpress.com

Options for Medicare Supplement Plans Florida

We all know that the cost of health policies has become incredibly high in the last few years. The good thing is that we have the option to get good coverage offered by the government in the form of Medicare. If we could offset part of the medical expenses that we need to pay for, that is a good deal. But not all services and costs do get paid by Medicare because there are limitations on their coverage. For a more comprehensive coverage, it is vital that you get medicare supplement plans Florida. If you live in Florida, and you qualify for the medicare supplement plans Florida, it is ideal that you get it because it will really help you in offsetting the costs to the insurance as compared to paying the whole thing out of your pockets. If you are serious about getting medicare supplement plans Florida, it is important to know some important facts.
Source: quotes-center.com

Virginia Medicare Part D Plans

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Gang of Six - Cartoon by DonkeyHoteyDo you plan to move to Virginia but do not have much of a budget for a new house? If you answered yes, there is one way for you to be able to move into a new home in Virginia without spending as much money as you think. You may not have enough money to buy or build a traditional home, but have you looked at the wide array of modular cabins that you could build instead? These are homes that are built in a facility and are delivered to most addresses you specify. A lot of people have been choosing these types of homes these days. There are several reasons many people choose to invest in these types of homes instead of the conventional way of building or buying houses. To begin with, these kinds of houses are quite affordable. In fact, they cost a fraction of what you would spend on a traditional house built from scratch.
Source: virginiamedicarepros.com

Video: Virginia Medicare Advantage Ad Senate

Health News Med: OIG Posts 3 Reports

Medicare overpaid some fiscal year 2009 claims that did not comply with Inpatient Rehabilitation Facility transfer regulations. National Government Services, Inc., the Medicare Administrative Contractor for Jurisdiction 13, incorrectly paid 60 transfer claims as discharges. As a result, Medicare overpaid 26 facilities by $413,000 for fiscal years 2008 and 2009.
Source: blogspot.com

Congressional Briefing Addresses Why Medicaid Matters for Kids

Congresswoman Kathy Castor (D-FL), a co-chair of the Congressional Children’s Health Care Caucus, gave opening remarks at the briefing which mentioned her work on the section 1202 primary care payment “bump-up,” which was recently included in a rule by the Center for Medicare and Medicaid services that includes pediatric subspecialists as eligible providers for the section 1202 Medicaid payment increase to the Medicare level. This “bump-up” is a major policy change and the first time Medicaid payments have been tied to Medicare rates in the program’s history, an important victory for children’s health advocates. Jane Meschan Foy, MD, of the American Academy of Pediatrics, spoke to the basics of mental health services and the Medicaid population. Currently, one out of every three children in the United States depends on Medicaid, and Medicaid is the single largest payer of mental health services in the country. Foy also spoke to the importance of early intervention and the need to recognize pediatric mental health disorders, as 21% of children and adolescents in the U.S. meet diagnostic criteria for Mental Health disorders. She additionally spoke to problems with access as only 20-25 percent of these children receive treatment, and 40-50 percent terminate services prematurely. The Children’s Hospital Association was represented on the panel by Robert Hilt, MD, of Seattle Children’s Hospital, who spoke to ways to improve quality and contain costs through the Medicaid program. Specifically he spoke about a program organized and run by Seattle Children’s Hospital in coordination with Medicaid in Washington State that provide antipsychotic medication reviews, through the Partnership Access Line (PAL). PAL has seen average savings in expenditures of about $300,000 a month in the first two years and has reduced the number of anti-psychotic medications prescribed to children in the program. He additionally spoke to the need for encouraging increased access to mental health services through programs provided by PAL through education to primary care doctors in Washington and Wyoming. The third presenter, Steve Tuck, spoke to personal experiences of children in foster care in West Virginia who rely on Medicaid. He shared the story of a child named Josh who was placed in foster care at age three, separated from his siblings and suffered from multiple mental health issues. However, thanks to mental health interventions that were paid for by Medicaid, Josh has since been adopted, his behavior has significantly improved, and he is a happy, healthy six year old. Josh’s story is important as it showcases how early interventions can reduce the likelihood that a child will require lifetime mental health services, a common problem for children in the foster care system.
Source: typepad.com

Aging & Law in West Virginia: Medicare redesigns claims and benefits statement

The redesign of the MSN includes several features not currently available to Medicare beneficiaries with the current MSN: · A clear notice on how to check the form for important facts and potential fraud; · An easy-to-understand snapshot of the beneficiary’s deductible status, a list of providers they saw, and whether their claims for Medicare services were approved. · Clearer language, including consumer-friendly descriptions for medical procedures; · Definitions of all terms used in the form; · Larger fonts throughout to make it easier to read; · Information on preventive services available to Medicare beneficiaries.
Source: blogspot.com

Does Medicare Have to be Paid Back Out of a Personal Injury Case? A Virginia Beach Car Accident Lawyer’s Advice

The Virginia Beach and Norfolk, VA personal injury law firm, Cooper Hurley, handles car, truck, and motorcycle injuries as well as brain injury, wrongful death, railroad workers’ injuries (FELA) mesothelioma and medical malpractice cases. John Cooper grew up and was educated in Virginia Beach and handles many cases from the city. John Cooper and his partner Jim Hurley have more than 40 years of combined experience in handling personal injury claims. John Cooper has been named to Virginia “Super Lawyers” since 2010 and has been a member since 2011 of the Multimillion dollar Advocates Roundtable. Cooper Hurley represents people hurt in accidents in Virginia Beach, Norfolk, Portsmouth, Suffolk, Chesapeake, Hampton, Newport News and throughout Virginia as well as in north eastern North Carolina. We always put the best interests of our clients first. The firm is recognized by other lawyers as “AV” by Martindale-Hubbell, a national attorney rating service, for our top level of legal skill and highest ethical standards. If you need help or advice about a serious injury, please call us at (757) 309-4711 or make an appointment to visit our Virginia Beach office at 4445 Corporation Lane, Suite #187, Virginia Beach, VA, 23462. For a free consultation with a specialized Norfolk or Virginia Beach, VA personal injury lawyer contact us through this website.
Source: vabeachcarandtruckinjurylawyers.com

President Obama’s Medicare Fantasies

With savings that small, the ad might as well have featured Obama searching his couch cushions for change to shore up the program’s finances. Never mind that estimates suggest that health fraud in government programs exceeds $60 billion a year, or that the Government Accountability Office found that the program wastes $48 billion annually on “improper payments” to Medicare providers. Forget that the administration has already put on hold at least one component of its anti-fraud initiative after complaints from health providers. The scale of the program is so huge—within a decade Medicare spending is expected to cost over $1 trillion each year—that even the billion dollar savings Obama touts are essentially meaningless. This is like a field commander bragging about a new way to defend against mosquito bites while his troops are taking mortar fire.
Source: reason.com

VSU Awarded $200,000 for HIV Education and Prevention Efforts

“The goal of the project is to engage Richmond and Petersburg faith-based and civic organizations in outreach and awareness activities that will allow us to measure the capacity of HIV education and intervention efforts for African American populations over age 50,” said John E. Fife, Ph.D., Associate Professor of Psychology, who will serve as principal investigator. “The project also will assist in fostering communication and collaboration between VSU and the community regarding African American health disparity issues.”
Source: urbanviewsweekly.com

InsureBlog: Medicare at Risk

Posted by:  :  Category: Medicare

has expanded while the number of workers paying Medicare taxes have shrunk. Roughly 88% of Medicare benefits are paid for through payroll taxes. If Congress decides to cover the funding deficit through increased taxes, the amount a median family pays will jump from $1430 to almost double at $2630 per year. Obamacare makes things even worse for seniors by cutting $421 in Medicare funding in order to pay for health insurance for the uninsured. Obamacare also dramatically cuts reimbursement to doctors and other medical personnel under the guise of saving money. The next time you are with your doctor ask them how the feel about taking a 27% pay cut for treating Medicare patients. How would you feel if, in order to save Medicare, Congress decided to cut your Social Security benefits by 27%? Currently the unfunded liability for Medicare and Social Security exceeds $40 trillion and the share of that burden for our children and grandchildren is roughly $200,000 each. You can learn more about a Heritage proposal called Saving the American Dream at their website (just follow the link).
Source: blogspot.com

Video: 090924 Dems say no to posting healthcare plan and cost estimate and protecting Medicare benifits

Medicare benefit Plans 2010

Many experts believe now is the best time to enroll. Fewer plans with zero supplementary cost over your Part B selected might be available in the time to come and the premiums are rising. With Medicare advantage you generally pay lower co-payments and get supplementary benefits such as coverage for extra days in the hospital, vision, dental, hearing, and preventing services like annual physicals and coverage for accident services while traveling or even fitness programs. It is certainly worth checking out your options of Medicare advantage Plans available to you.
Source: blogspot.com

Getting More Than You Paid in with Social Security and Medicare

However, when considering married households with one average earner and one earning a low to no wage, the picture shifts. In a one earner couple earning $43,500, they will have put in $305,000 (the same as a single person), yet they would receive $453,000. This is a net gain of $186,000 by simply being married and not earning (or putting in) a penny more. If the secondary earner in the couple earns $19,500, then the couple puts in $443,000 and gets out $476,000. This is only a $23,000 increase in return for an additional $138,000 investment, making a disincentive for a spouse to work for supplemental income. However, in both cases, the couple receives more than they pay in (including interest on capital).
Source: adamgoldfein.com

Do Medicare Prescription Drug Plans (Part D) Really Save Medicare Money?

Part D was one of the first hybrid offerings introduced into Medicare as part of the Medicare Modernization Act of 2003. Along with Medicare Advantage Plans (Part C), the idea behind these subprograms was to introduce private competition within Medicare’s fee-for-service (FFS) structure and bring costs down. Part D, which was started six years ago, expanded Medicare benefits to include prescription medications. For-profit companies, which received subsidies for participating in the plan, offered drugs at discounts.
Source: medicareindex.com

Check Your Medicare Benefit Statements

About the Author: Theresa Cooper, Certified Senior Advisor (CSA)®. As Client Navigator for Age Navigation, she coordinates client services. Her CSA certification supplements her 20 plus years of experience in office administration and research with ongoing education about the key health, social and financial factors that are important to seniors.
Source: agenavigation.com

An Almost Good Proposal For Entitlement Reform

But Emanuel is dead on when he proposes that the relationship between income and life expectancy be taken into account in allocating entitlement benefits. And there’s a straightforward way to take that relationship into account. Really, the term “tax” is a misnomer when applied to Social Security and Medicare trust fund contributions. Social Security and Medicare essentially are insurance policies, with the so-called “taxes” representing the premium payments. Essentially, Emanuel is saying the premiums paid by high income earners and the term of their benefits are out of whack, so we need to reduce the benefit term to high income earners such that it is equal to the benefit term for lower income earners.
Source: blogforarizona.com

Medicare Diabetes: Medicare Diabetes Coverage

To get Medicare diabetes supplies covered by Part B or Part D requires a better understanding of how Medicare works and what Part covers what diabetic medical supplies. This at least is important if you intend to do all of your paperwork directly with Medicare to obtain your diabetes supplies. Fortunately, there are online pharmacies that are professional and offer this service with your loyalty as a customer. It is something they do on a daily basis with a large percentage of their customers and many times have specialists for this purpose. Places like Advanced Diabetes Supply make it their business to get you the lowest price possible so that staying with them is the obvious choice. Medicare covered diabetic testing supplies are split up into different plans, at different tiers and formalities. This is what makes it complex. It depends on your income and what type of diabetic you are i.e.(using insulin pump or needles). Besides handling this, many online pharmacies will offer a free glucose meter to new customers and set up easy plans that take what would be multiple payments and pages of paperwork into one transaction by communicating with Medicare and doctors if needed to ease the process. Source: blogspot.com
Source: medicaresupplementalco.com

ABOUT MEDICARE: Medicare and mental health help

Part B also covers “partial hospitalization” in some cases. This is outpatient psychiatric treatment that’s more intense than the care you get in a doctor’s or therapist’s office. It’s provided during the day, usually through hospital outpatient departments and community mental health centers.
Source: times-standard.com

Welcome to Medicare Exam vs Annual Wellness Visit

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Source: wordpress.com

AARP Medicare Complete Connecticut (Review) « Insurance News from Crowe & Associates

Posted by:  :  Category: Medicare

In Network Benefits- The AARP Med Complete plan certainly had some benefit changes for the worse for 2012. The most notable changes are Hospital inpatient charge ($400 a day 1-4), Outpatient surgery and Major Radiology at 20% cost share. Copays went up slightly for a primary care doc ($20) and a specialist ($45). Many Advantage plan members, worry about about office copays but the concern should be with the Outpatient surgery and Major Radiology. At 20% cost share, there can be substantial out of pocket costs for the insured.
Source: croweandassociates.com

Video: Differences between Medicare PPO & HMO Plans

Blue Medicare – Blue Cross Blue Shield Medicare: A Guide to BCBS Medicare Advantage, Part D, and Supplemental Plans

Blue Medicare PPO – under this plan, beneficiaries have the freedom to either access the company’s network of health care providers or go outside of the network (though going outside the network incurs greater costs.) There are low copayments for primary care physicians and specialists, and monthly premiums are both predictable and affordable. The plan includes generic drug coverage at little-to-no cost and provides emergency nationwide coverage;
Source: suite101.com

Alliance Medicare PPO Plans Review

Optional supplemental benefits for dental and gym memberships are offered through the plan.  The dental gives two options at $23.40 and $44.90/month while the gym programs are either $25 or $40 a month.  These plans are two of the most expensive plans I have seen.  At these prices, be sure to compare against a Medicare supplement to see if a Plan F might make more sense for you!  More details about these plans can be found at their website.
Source: medicare-plans.net

Don McCanne, MD: Why we need an improved Medicare

* Relative to the typical large employer PPO plan, Medicare provides somewhat more generous benefits for low-cost individuals ages 65 and older because of the relatively low Part B deductible for individuals who do not use inpatient care; however, Medicare is less generous than the typical large employer PPO plan for seniors with moderate and high costs. Similarly, relative to the FEHBP Standard Option, Medicare is slightly better for low-cost individuals ages 65 or older, but is notably less generous for moderate-cost individuals and somewhat less generous for high-cost individuals.
Source: californiaonecare.org

Where Can I Use My Medigap Plan?

One of the major sources of confusion about this is that other types of plans do have networks. In particular, Medicare replacement plans (Medicare Advantage) are PPO and HMO type plans. These plans are all regional in nature, and all of these plans do have networks. In recent years, there has been much talk about doctors refusing to take this type of plan due to changes in reimbursement rates, etc. Do not confuse this talk with the actual Medicare Supplements (Medigap), which do not have networks.
Source: medicare-supplement.us

WellPoint Maintained At Neutral

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Moreover, WellPoint’s membership has been declining since 2008, following the recession and the consequent surge in unemployment levels. Membership declined to33.7 millionduring the first quarter of 2012 from 34.2 million in the prior-year quarter. A further decline is expected based on the impact of certain strategic changes made by the company in the self-funded National Accounts in the California regional PPO Medicare Advantage product and in the New York small-group market. Additionally, the in-group membership change is expected to remain negative in 2012.
Source: dailymarkets.com

Video: Angela Braly: How Is WellPoint Innovating to Provide Better Care to Medicare Advantage Members?

WellPoint earnings drop 8%; insurer seeks Medicare growth

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Source: cavecreekbusinessdirectory.com

WellPoint Fires Sassi. Is Another Shoe About to Drop?

The problem is Medicare Advantage bids for 2012 were submitted in June 2011.  “WellPoint couldn’t have known the Medicare business would perform so badly in the fourth quarter when they submitted 2012 Medicare bids back in June,” notes Carl McDonald of Citi.  He adds, “WellPoint didn’t do a real effective job of explaining why it wouldn’t be a problem in 2012.”
Source: corporateresearchgroup.com

Accreditation: Medicare's requirement not foolproof

WellPoint recently notified providers in Georgia that to remain part of its network they must be accredited by one of these three accreditation agencies by March 1, 2012: The Joint Commission, ACHC and CHAP. Though it only notified providers in Georgia, industry stakeholders say the requirement is a “national policy” that applies to all the states where it has a presence.
Source: hmenews.com

Cigna: A Lot Riding On Managed Medicare

Higher debt levels of 60% of equity — the worst amongst its peers in our table above, has crimped profits and hurt its chances for further acquisitions. This industry, which is characterized by cut throat competition and little product differentiation, needs further consolidation and Cigna’s comparatively lower cash hoard makes acquisition led growth difficult in the future.
Source: seekingalpha.com

WellPoint (WLP) Q1 Profit Beats Target, Raises Outlook

New York, April 26 (SharewellNewswire.com) – WellPoint Inc (NYSE : WLP) reported that its net income for the first quarter dropped to $856.5 million, or $2.53 per share, from $926.6 million, or $2.44 per share, a year earlier as membership fell. However, earnings per share excluding items were $2.34 which beat analysts’ average expectations by 7 cents. The No.2 health insurer by market value said that revenue grew 3.5 percent to $15.4 billion, as the company acquired Medicare specialist CareMore and it could increase its rates. The company also said that there was a marked improvement in the performance of its Medicare business after its results had gone down in 2011. WellPoint suffered decline in membership by 1.5 percent to about 33.7 million mainly due to loss of businesses serving large and small employees. Overall businesses of insurers reported higher-than-anticipated profits in 2011 because medical services were used to a lesser extent in the weak economy and as such their shares outperformed the broader stock market. Wall Street is waiting for this year’s results to see whether the trend is continuing. Since there was an improvement in the company’s Medicare Advantage plans, WellPoint’s earnings in the consumer business increased nearly 6 percent to $217.7 million. The company forecast earnings of at least $7.65 per share for 2012, excluding items. Its previous forecast was for $7.60. Its shares were up nearly 7 percent through Tuesday.  
Source: sharewellnewswire.com

Corner Drug Pharmacy Driggs, Idaho Some changes at the Corner about Medicare

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHoteyThe Medicare diabetic test strips made up a very small percentage of our business and Medicare has been steadily raising the fees associated with participating in this program.  Unfortunately, this means that Corner Drug will no longer be able to supply diabetic test strips for Medicare beneficiaries.  Affected customers had a personal letter and phone call made to them well prior to this change to help transition them to a new supplier.
Source: driggspharmacy.com

Video: Idaho Medicare Supplements

DisAbility Rights Idaho Blog: Idaho Medicaid Managed Care Proposal

The PMPM method does not by itself provide incentives for effective DD supports services or treatment. The goal of these supports is to increase the capacity of the person for self determination, independence and community integration. The success of such services is not measured by their physical health status or need for more expensive medical treatment. Short of institutional placement, there is no consequence to the MCO for providing inadequate or ineffective services and supports. Placement in a state facility like SWITC would even be a net savings to the MCO and for certain individuals ICF/ID placement could be a savings over a robust and effective community supports plan. To be effective, there must be a strong incentive to provide effective developmental services and supports. This can only be accomplished with a robust and accurate quality assurance system and well designed incentives to meet the expectations of that system. We are not aware of any examples of such a system. Traditional health insurance plans do not have expertise or experience with these services.
Source: blogspot.com

Medicare Fraud Most Common Senior Scam

The National Council on Aging reported that Medicare fraud is one of the most common scams targeting seniors. Medicare fraud can take several forms. Most commonly, scammers are trying to sell products, services and equipment over the phone. Seniors should be especially suspicious of anyone on the phone saying something will be paid for by Medicare.
Source: fightfraudidaho.com

Vacancies in Florida: Mgr Telesales

 The tempest of newly eligible Medicare beneficiaries looks to be the primary driver of large scale federal intervention and spending.  Certainly ERISA will be expanded by the administration to centralize federal authority, and public access to federally available plans. Expect to see real reforms offering national programs that supersede NIAC for Individual and small Group insurance, and go beyond HIPPA protections to large Group coverage.  One thing is dangerously certain.  If the healthiest Group lives get to switch to a better rate or federal plan, it will leave the sickest employees with the same plan and massively drive up experience rated premium in 1-3 years.  If the opposite happens where only the sickest members get Federal insurance, it means massive new taxes in an era of record setting deficits.  There is no free lunch.  Both scenarios point to a society that does not want to continue paying for their runaway insurance premiums, and that could easily be relegated to accepting a National health plan.  We have been warning against the perils of unchecked medical cost-shifting from Medicare and Medicaid to the commercial life for some time.  We are beyond the tipping point where premiums growth is unsustainable for many individual and small groups who continue to bare the brunt at 20% 2009 rate increases.  New Medicare lives will stretch federal spending. Protecting medical plan access to the 45 million uninsured, and offering coverage without preexisting medical condition exclusion is the issue. The numbers tell us that large group plans have real difficulties.  If our DC sausage maker blows the structure of protecting Individuals and Small Groups, it has real chance of bankrupting underwriting Large Group commercial plans. Source: hightable.com
Source: medicaresupplementalco.com

Idaho Medicare Part D Plans

If you have questions about which plan to choose, you can also contact your local Area Council on Aging or SHIP office. Often times an insurance broker who represents multiple companies woll have additional insight about customer service and related matters. With the resources available you should have no problem finding an Idaho Medicare Part D plan that suits your needs.
Source: partdplanfinder.com

Deciding upon out Sensible Tips For Dearborn Dentist

Posted by:  :  Category: Medicare

1pic1thoughtinAug 16 spinach for brains by KatieTTTo be clear, we recognize that many dental offices may have copied draft Compliance Plans off of the internet or purchased a sample plan from their local association.  While they may fully intended to follow through with personalization of the draft document, in most of the cases we have seen, more pressing events have taken precedence and these dentists have not had the time or expertise to complete the project.  As a result, we recommend that you engage qualified legal counsel to assist you with this project.  The benefits of an effective Compliance Plan can be significant, and could conceivably mean the difference between an aggressive investigation and a mere cursory review by the government once they learn that you have taken multiple steps to better ensure that your operations and practices fully comply with applicable Federal and State requirements. Source: lilesparker.com
Source: medicaresupplementalco.com

Video: Medicare Doesn’t Cover Dental Work

Find Free Dental Care for Seniors

Volunteer free clinics are run by accredited dentists and hygienists for free nationally. The main goal of these clinics is to offer medical and dental care to low income and uninsured individuals. Some of the clinics may charge a small fee to patient who can afford it. The National Association of Free Clinics website at freeclininc.us provides a list of stand alone free clinics within the United States. This list of clinics may include free services provided by dental schools and by regional dentists associations to low income seniors. The Department of Health and Human Services provides federally funded clinics offering dental care.
Source: suite101.com

Texas Medicaid Dental Claims Under Scrutiny

Although the practice of using a statistically relevant sample to estimate the number of times something may be present in the universe of items has been around since the advent of higher mathematics, the application of this methodology to estimate the number of improper claims paid over a specific period of time is relatively new.  The application of statistical sampling to health care claims for this purpose dates back about twenty years to a decision by the U.S. Secretary of Health and Human Services (HHS) to authorize the use of statistical sampling in lieu of engaging in onerous claim-by-claim reviews. In Chaves County Home Health Services v. Sullivan, 931 F.2d 914 (D.C. Cir. 1991), the Federal District Court upheld extrapolation as being within the Secretary’s discretion.  The use of statistical sampling has spread over the years.  Federal agencies (such as HHS-OIG, CMS-contracted auditors, etc.), State agencies (such as HHSC-OIG) and even private insurance payors now capitalize on the use of this damages-estimating tool, usually to the detriment of the targeted health care provider.  To be clear, everyone recognizes that an “extrapolation” is merely a substitute for conducting a claim-by-claim review of every claim submitted by thee provider and paid by a payor during the period in question.  Nevertheless, the methodology is here to stay, regardless of the adverse impact it can have on a provider’s ability to remain in business.
Source: lilesparker.com

Low Cost, Emergency, Implant, Medicare, Pediatric, Local, Dentists: Low Cost, Emergency, Implant, Medicare, Pediatric, Local, Dentists.

                               Dentist is the form of a doctor which deals in serving the treatment on oral related problems. Dentist offices consists of the treatment instruments along with the workforce like the dental assistants, dental therapists, dental technicians, nurses and various helping tools and machineries. Dentists carry out various cubing treatments like restoratives, taking radiographs and diagnosis. Dentists have to take up a huge base study of various topics in order to perform other operations like general surgery, etc. They have to perform various types of functions like curing the diseases along with the proper treatment of the patients and to cure the disease, along with that they are responsible for any type of damage to the patients body during or may be even after taking the treatment from them. Low cost dentists are also available in the market serving to the middle class people along with the below poverty line people. Emergency dentists are also available in the market to cure or treat the patients during the emergency times. Dentists salary is in the form of the fees paid by the patients for the services availed by them. In various foreign countries like USA the fees for the service is paid by the insurance companies. Local dentists
Source: blogspot.com

Medicare Teen Dental Plan

With Medicare not providing much help with dental care for most people, many families struggle to afford dental cover. This can be worrying for parents, as it may mean that youngsters struggle to maintain good oral health later on as they have not got into the habit. The Australian government has recognised this concern, and introduced the Medicare Teen Dental Plan in 2008. This is designed to make annual dental check-ups more affordable and get teenagers used to taking care of their teeth.
Source: com.au

How to Find a Dentist with Medicare

In order to avoid dental problems, it is highly recommended to visit your dentist twice a year. Even though you do not have dental problems, you should have dental checkup every six months. This is to prevent tooth decay from occurring. Unfortunately, dental checkups are costly. But, if you have Medicare, you can reduce the overall cost of dental procedure or check-up. Medicare is a government program that assists anyone who does not have enough funds to undergo dental work. Although this program can shoulder part of your dental bills, not all dentists accept it as payment. Therefore, it is a must for you to know the proper ways that will allow you to locate the right dentist that accepts such payment method.
Source: dentist-cincinnati.net

Medicare stalemate adds to confusion for dentists » Bite magazine dental news

According to a report in the Sydney Morning Herald, the committee is inquiring into an opposition call for legislation to overturn the mandatory repayment provisions in cases where the dentists have merely breached administrative requirements. Dentists who have failed to follow paperwork rules in claiming Medicare fees are strictly liable to reimburse the government in full, according to the latest legal advice on this long-running issue. Earlier advice had said they could be counselled.
Source: com.au

Dentists bare their teeth over Medicare rebate audits

Dentists bare their teeth over Medicare rebate audits Dentistry IQ Dentists caught out by red tape are furious over the results of Medicare audits as the government seeks to axe the unpopular Chronic Disease Dental Scheme, writes Emma Connors. Finding the money for a new, Medicare-style dental scheme is going to be … Dentists open wide on funding debate
Source: queensemergencydentist.com

Second Guessing Medicare’s Star Rating System

Posted by:  :  Category: Medicare

Try new Ryan Plan Senior Food - coming to a Republican Congress near you by EN2008But insurance executives made them a priority after the 2010 healthcare law attached large financial rewards to them. The first round of ratings last fall showed that most have a long way to go. Only 12 earned a perfect score of five, on a scale of one to five, and about 9 percent were below average. The majority received scores of three, or three and a half stars– enough to get them bonus money this year. After 2014, plans will need four or five stars to get bonuses. And if they have fewer than three stars, they won’t be allowed to enroll beneficiaries through Medicare’s website, and risk being booted from Medicare altogether, according to HHS spokesman Tony Salters. 
Source: kaiserhealthnews.org

Video: Medicare Advantage | Questions about Medicare Advantage Plans

ABOUT MEDICARE: Medicare and mental health help

Part B also covers “partial hospitalization” in some cases. This is outpatient psychiatric treatment that’s more intense than the care you get in a doctor’s or therapist’s office. It’s provided during the day, usually through hospital outpatient departments and community mental health centers.
Source: times-standard.com

Medicare Advantage Star Ratings: Detaching Pay from Performance

Because criteria for evaluation are not published until after the period for which performance will be evaluated, there is no possibility that MA plans will be able to improve their performance to achieve the goals CMS intends to incentivize. Any adjustment plans will be able to make to their bids or plan offerings would have to be aimed at increasing enrollment in counties with the highest bonuses and rebates based on data from performance in previous years, possibly at the expense of improving their performance in the future.
Source: thehealthcareblog.com

Medigap Or Medicare Advantage?

Note that things change every year in the world of US Medicare plans. Medicare.gov and qualified, certified, and licensed local Medicare health insurance agents are great resources. I am not attempting to explain or promote any particular Medicare health plan here. I am simply trying to outline the basic differences between Medigap and Medicare Advantage (MA) plans.  I will provide some clarifications, graphics, and links to resources where you can get more information on specific topics.
Source: over50web.net

Looking for Medicare Supplemen…

As a result of standardization of the plans, you could end up relaxed your plan would work identically in spite of the company you buy it right from. The only big difference would be inside the cost of the plan. Also keep in mind that Medicare insurance companies offer several extra benefits to their customers. Some of the plans give Part D prescription drug coverage, regular perspective check-ups, dental appointments, and provision regarding hearing aids.
Source: candcgardens.com

Novitas Solutions, formerly called Highmark Medicare Services, announces hundreds of health care jobs coming to Harrisburg, Pittsburgh areas

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSClaims processing requires a lot of training. It is a production-oriented job that requires computer knowledge and technical skills. Entry-level wages are typically low. Employees will be expected to maintain proficiency, accuracy and performance standards or they will risk losing their job…..for the liberals out there, this means that the newly hired employees will be expected to work for their pay.
Source: pennlive.com

Video: State Takeover of Harrisburg, Medicare/Medicaid Funding [Pennsylvania Newsmakers]

Adult Children May Be Financially Responsible for Indigent Parents

Rather than wait for Medicaid to consider payment, the nursing home filed a lawsuit against Mr. Pittas for his mother’s bill under the state’s filial responsibility law. It should be noted here that the nursing home didn’t care that there were a number of family members who arguably could have been asked to contribute—other children and a spouse—and neither did the court. Why? Because under the doctrine of filial responsibility, the nursing home could simply pick its target to receive payment, and they chose John Pittas.
Source: alabamaestatelaw.com

A Few Differences Between Medicare Part A and Medicare Supplemental Insurance

Medicare Part A provides for inpatient hospital care, covering up 90 days per benefit period and Sixty reserve days for that lifetime, as well as a hundred days per benefit within a skilled nursing jobs facility for care. To qualify for the skilled nursing jobs facility care, even though, you must have stayed at the hospital for three consecutive days within 30 days prior to admission to the power. Hospice care can also be supplied if you are confirmed to be terminally ill by your medical doctor. Home health care is covered in Medicare Part A for 100 nights, with the same stipulation that you have stayed in the hospital for three days, these being within 14 days prior to receiving care and being homebound. Medicare Part B deals with numerous outpatient doctor companies. These include regular visits to the doctor as well as some precautionary services, durable health-related equipment, ambulance companies for emergency transportation, and x-rays and tests. It also includes outpatient physical, conversation, and occupational therapy services and other home health companies.
Source: autoinsurance-pennsylvania.org

Steny Hoyer: Altmire’s Ads “Continue to Mislead Pennsylvania Voters”

“Any ad that characterizes Congressman Critz as having not stood up to a budget that would ‘dismantle Social Security or gut Medicare’ is incorrect,” said Pennsylvania AFL-CIO President Richard Bloomingdale in a statement to Keystone Politics at the time.  “Congressman Critz has consistently stood up for working and retired people, that’s why the AFL-CIO endorsed him.   This should continue to be a campaign about ideas and we hope both candidates will take the high road.”
Source: keystonepolitics.com

Budget Politics And Posturing Continues At Both Ends Of Pennsylvania Avenue

Los Angeles Times: Congress’ Partisan Fight Persists Despite High-Level Overture As President Obama welcomed congressional leaders for a White House chat over hoagies about setting aside differences to improve the economy, a far different scenario was unfolding at the other end of Pennsylvania Avenue. Republicans in the House and Senate were conducting a series of partisan maneuvers Wednesday on legislation that has no chance of reaching the president’s desk. The votes in the Senate on budget measures, which would slash social programs and revamp Medicare, were designed to underscore the GOP’s alternatives to Obama’s policies in advance of the November election (Mascaro, 5/16).
Source: kaiserhealthnews.org

Medicare Supplement Rate Increase for Pennsylvania

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Source: srbenefit.com

Faster Workers Compensation Settlements In Pennsylvania Involving Medicare

Workers’ compensation settlements across the United States, including Pennsylvania, have been either prevented or delayed because of long approval delays from Medicare. A potential solution to this problem might be on the way though. In the majority of cases, if the workers’ compensation settlement compromises either past or future medical treatment liabilities, then Medicare has to give approval to the settlement before it can even be presented to a Workers’ Compensation Judge for potential approval with a Petition for Compromise and Release.
Source: workercompensationsettlements.com

Elder Depression – Preventative Screening & Assistance Now Available Through Medicare

The difference between the elderly and younger groups is that older patients are more prone to the types of system-wide health difficulties that may monopolize a busy primary care physicians’ limited time or simply overshadow the symptoms depression. To complicate matters, members of older generations are generally less trusting of psychology and associate a social stigma with mental illness or any admission thereof. Add to that a fixed or limited budget and concern about running up additional uncovered medical expenses, and you get an elderly population less likely to raise the issue with their physicians.
Source: typepad.com

PA Republicans Vote to End Medicare As We Know It. Again.

“Today, all but one Republican in our congressional delegation reaffirmed their support to end Medicare as we know it while providing tax breaks to wealthy special interests,” said Pennsylvania Democratic Party Chairman Jim Burn. “Rep. Paul Ryan and his plan will attack Medicare while providing tax breaks for millionaires, billionaires and corporate special interests. It is the wrong vision for Pennsylvania. Once again, Pennsylvania Republicans picked wealthy special interests over Pennsylvania seniors.”
Source: eriedems.com

Medicareinsuranceaz.com Estimated Value $187.20 USD

Posted by:  :  Category: Medicare

=-=-=-= Registration Service Provided By: Namecheap.com Contact: support@namecheap.com Visit: http://namecheap.com Domain name: medicareinsuranceaz.com Registrant Contact: WhoisGuard WhoisGuard Protected () Fax: 11400 W. Olympic Blvd. Suite 200 Los Angeles, CA 90064 US Administrative Contact: WhoisGuard WhoisGuard Protected (5d9265127ef649dab8daa1020ff09a26.protect@whoisguard.com) +1.6613102107 Fax: +1.6613102107 11400 W. Olympic Blvd. Suite 200 Los Angeles, CA 90064 US Technical Contact: WhoisGuard WhoisGuard Protected (5d9265127ef649dab8daa1020ff09a26.protect@whoisguard.com) +1.6613102107 Fax: +1.6613102107 11400 W. Olympic Blvd. Suite 200 Los Angeles, CA 90064 US Status: Locked Name Servers: ns3117.hostgator.com ns3118.hostgator.com Creation date: 01 Aug 2011 16:41:00 Expiration date: 01 Aug 2014 08:41:00 =-=-=-= The data in this whois database is provided to you for information purposes only, that is, to assist you in obtaining information about or related to a domain name registration record. We make this information available “as is,” and do not guarantee its accuracy. By submitting a whois query, you agree that you will use this data only for lawful purposes and that, under no circumstances will you use this data to: (1) enable high volume, automated, electronic processes that stress or load this whois database system providing you this information; or (2) allow, enable, or otherwise support the transmission of mass unsolicited, commercial advertising or solicitations via direct mail, electronic mail, or by telephone. The compilation, repackaging, dissemination or other use of this data is expressly prohibited without prior written consent from us. We reserve the right to modify these terms at any time. By submitting this query, you agree to abide by these terms. Version 6.3 4/3/2002
Source: widestat.com

Video: You Can Help Fight Medicare Fraud

Medicare This Week: 11 Stories About Balance Billing, eRX, PQRS, 5010, EHR, and Revalidation

Users can now complete and submit EFT Agreements electronically with the option to e-sign the document. If the provider/supplier submits the EFT agreement electronically and chooses not to e-sign, they shall include a hardcopy form of the completed and signed EFT agreement with its supporting documentation to the contractor. Providers/suppliers are still required to physically mail confirmation of account information on bank letterhead, or a voided check whether the EFT is submitted electronically or via the paper version.Along with the documentation, it is also important that the provider/supplier print and mail the enrollment submission confirmation page containing the web tracking ID. This will ensure that the supporting documents mailed to your MAC get associated with your electronic application submission.
Source: managemypractice.com

Steps for Starting a Home Healthcare Agency From the Ground Up

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Source: everydayhealthadvice.com

How to detect and avoid medicare fraud

Never give out your personal financial information to those marketers. You don’t know if they will just use it to steal your identity or forge your signatures. Legitimate companies do not ask their marketers to gather personal health or financial information from prospective clients. It is against the norm and it is unethical. Three, do not give out your medicare identification number. This is similar to a bank account number. Treat it like you would your atm or credit card numbers. Do not give these out to strangers, specially to people who you suspect would commit medicare fraud. Fourth, find ways to check if the company you are dealing with is a legitimate one. There are various ways to validate the legitimacy of a particular company. Use these ways just to make sure you won’t be a victim of medicare fraud. Fifth, only give your information to those who give you the medical services. These people are usually more trustworthy. Telemarketers who ask for your personal information should give you a hint that they are just after your identity. Be aware of this and you will keep your sanity. Sixth, do not share blank insurance claim forms. These can be used to take money from your own plan. If the lawless element has your signature, he can use the blank insurance claim form to take money that you have worked hard to invest on. Seventh, keep a record of your medical appointments. Just to make sure that you have proper records of your hospital visits. These can be used to claim your benefits. Eighth, during the finalization of your chosen medicare plan, review the plan well. Read the fine print. Make sure that the contents of the contract are the same as what you have agreed upon verbally. Some frauds tell something but do some other thing. Do not fall for this trap. You sure know better than this. Protect yourself at all times. Now that you have these basic tips to prevent and avoid medicare fraud, go now and procure a medicare plan for yourself. Get peace of mind by following these simple steps to getting your own medicare plan – minus the headaches that are brought about by frauds.
Source: ezinemark.com

CMS Releases Final Rule on National Provider Identification Number

CMS has released a final rule requiring health care providers and suppliers to use a National Provider Identifier number when they submit Medicaid or Medicare claims, as well as when they apply to enroll in the programs, Health Data Management reports (Goedert, Health Data Management, 4/24).
Source: ihealthbeat.org