See, e.g., 42 CFR §423.56; also see CMS website at: http://www.cms.gov/Medicare/Prescription-Drug-Coverage/CreditableCoverage/index.html?redirect=/CreditableCoverage/.  See 29 USC §1162(2)(D)(ii).  See Treas Reg §54.4980B-7, Q&A 3, available at: http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=47126146b0c56fbbab9b6b6ebfb7db7d&rgn=div8&view=text&node=26:220.127.116.11.18.104.22.168&idno=26  See Geissal v Moore Med. Corp. (1998) 524 US 74, 141 L Ed 2d 64, 118 S Ct 1869.  Note that for individuals who qualify for Medicare because of ESRD and are also entitled to health coverage under an employer plan, the group plan will be the primary payer for a 30-month coordination of benefits period. See 42 USC §1395y(b)(1)(C); 42 CFR §411.162. This rule applies regardless of whether the individual is a current or former employee and regardless of whether the individual has coverage through COBRA. Also note that if an individual enrolls in Medicare after electing COBRA coverage, the employer can elect to terminate the COBRA coverage.  Section 1882(s)(3)(B)(ii) of the Social Security Act; see also “Your Rights to Buy a Medigap Policy” at http://cahealthadvocates.org/medigap/guaranteed-issue.html (site visited May 31, 2012)  For a discussion of these plans, see http://cahealthadvocates.org/medigap/overview.html (site visited May 31, 2012)
Video: Medicare Choices 2011
Why we can’t afford Medicare
calculates the amount of the transfer to an average retiree. An American man retiring in 2011 could expect to receive Medicare benefits worth $170,000 (in 2011 dollars). If he had worked from age 22 at the average U.S. wage each year, he would have paid Medicare taxes (plus interest) worth $60,000 (also in 2011 dollars). So the average male worker retiring in 2011 will receive benefits worth almost three times what he paid in. And the transfer to that retiree will be $110,000 from younger Americans, perhaps including his grandchildren.
Medicare Part B, Annual Wellness Visits, and Your Pocketbook
These stipulations could significantly impact transient patients – “snowbirds,” for example – who have a service performed by one physician and then travel to another region, where the same service is performed by a different doctor before the required time period has elapsed. While doctors don’t always share records, Medicare tracks these services. Redundant services will generate out-of-pocket expenditures for “noncompliant” patients.
Medicare Open Enrollment: What are the Dates for Fall 2011?
Leaving the closing date to the last day of the year has caused problems in the past for some seniors who have waited until close to deadline to make changes. Bringing it forward should simply make it easier for the system to get up and running on January 1 2012 as it should. This also takes the Christmas holiday period out of the equation. Although some people do use the holidays to consider their options, others get diverted and have to make snap decisions at the last minute.
Florida’s congressional Democrats talk Medicare
Democratic Reps. Alcee L. Hastings of Miramar, Debbie Wasserman Schultz of Weston, Kathy Castor of Tampa, Ted Deutch of Boca Raton, and Frederica Wilson of Miami met Thursday to talk about Medicare — without the Republicans in the Florida delegation. They haven’t met all together since early 2011.
Regionally Tailored Primary Health Care Fund
Medicare Locals and the Australian Medicare Local Alliance will be directly funded to provide services under the Fund in the majority of circumstances. Individual grant processes that may be available to other organisations will contain detailed guidance on the specific requirements for that process, and will be consistent with the Fund Guidelines. Medicare Locals will work in close collaboration with their communities to identify primary health care gaps and service needs, set priorities, and address areas of unmet need. These processes will be reflected in their strategic plans, needs assessments, and annual planning and reporting requirements. Local priority setting will be also be complemented by state/territory and Commonwealth level health and ageing policies and priorities. Funding allocations will be monitored throughout the year, with potential underspends identified and allocated to activities identified as being the most appropriate method of meeting the Fund objective and priorities.
Gordon Marketing Awarded Number One Anthem Medicare National FMO 2011
Gordon Marketing has become a leader in the Medicare Supplement Insurance industry as well as Medicare Advantage plans and in Medicare Part D. This is part of Gordon’s commitment to seniors and in support of all of their agents that market these products. Continuing education seminars and telephone training classes is a hallmark of their company. Train, train, train is what Gordon Marketing does best. They don’t just ask for more business, they show HOW to make more business! Gordon Marketing was founded in 1980 by Dick and Margaret Gordon and has made a national name from humble beginnings. Gordon Marketing is an independent, family-owned and operated brokerage company located in the heart of Indiana. Gordon Marketing specializes in Senior, Health, Life & Annuity products for independent agents across the nation. President, Sylvia Gordon and Vice President, Rebecca Gordon work together with their brother Frank, sister Theresa and a wonderful staff of 45 to service agents in 49 states. Gordon Marketing has grown over 127% in the last 3 years in the areas of senior, life, health and annuity insurance products. Gordon Marketing will be moving into their new Corporate Office at 20236 Hague Road in Noblesville, IN on June 1st 2012. This facility incorporates a state of the art training center, and will serve to take the company to a much higher level of service to their clients and agents. In 2009 and 2010 Gordon Marketing was named the Small Business of the Year. In 2011 Gordon Marketing also received the Small Business of The Year Award by the City of Noblesville Mayor Distlear. Dick Gordon, founder of Gordon Marketing is also the founder of the Riverview Hospital Gordon “Brick Layer” Club. Gordon Marketing also supports various charities throughout the year in giving back to the local community. Gordon Marketing now has 75 full-time employees and is projected to build another Corporate Building within the next 5 years to house an additional 30 employees. Gordon Marketing not only markets to agents, but is using their current facilities to operate their retail and consumer based program. These agents sell life, annuities, senior and health insurance products. For more information about Gordon Marketing, their services and products, please visit http://www.gordonmarketing.com.
How Nearly Half a Million People with Medicare Saved $724 on Prescription Drugs
Under the new health care law – the Affordable Care Act — seniors and people with disabilities in Medicare have saved a total of $3.5 billion on prescription drugs in the Medicare drug benefit coverage gap or “donut hole” from the enactment of the law in March 2010 through April of 2012. The Centers for Medicare & Medicaid Services (CMS) released data today showing that, in the first four months of 2012 alone, more than 416,000 people saved an average of $724 on the prescription drugs they purchased after they hit the prescription drug coverage gap or “donut hole,” for a total of $301.5 million in savings. These savings build on the law’s success in 2010 and 2011, when more than 5.1 million people with Medicare saved over $3.2 billion on prescription drugs.
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.
Medicare Board of Trustees Report Trust Exhaustion in 2024
The report also offers the Board’s long-range predictions, including an increase in Parts B and D outlays. Part B outlays are expected to increase from 1.5% of GDP in 2011 to 2.5 or 4.5% by 2086. Part D outlays are expected to increase from 0.4% of GDP in 2011 to 1.5% by 2086. The Board projects that, under current law, expenditures will increase at a faster pace than aggregate workers’ earnings or the economy, with estimated increases in expenditures from 3.7% of GDP in 2011 to 6.7% by 2086. However, according to the Board, if Congress continues to override statutory decreases in physician fees, and if reduced fee increases for other Medicare services are not sustained, then Medicare spending will increase to approximately 10.4% of GDP by 2086.