20 Recent Medicare, Medicaid Issues

Posted by:  :  Category: Medicare

Foxx wins Guardian of Seniors' Rights Award by Rep. Virginia Foxx1. The S&P Hospital Medicare Index increased 2.04 percent in the year ended April 2012, up from the 1.8 percent recorded in March. 2. New York’s Medicaid program has saved billions of dollars in its recent redesign, and now the state asked the federal government to keep those savings to reinvest in Medicaid. 3. Compared with non-rural settings, per-capita hospital service payments are 2 percent lower for Medicare beneficiaries in rural settings. 4. A federal judge issued an injunction, requiring CoventryCares of Kentucky — one of three Medicaid managed care companies in the state — to pay for the Medicaid services of patients at Appalachian Regional Healthcare until November 1. 5. The American Hospital Association recently submitted comments to CMS regarding the fiscal year 2013 Inpatient Prospective Payment System proposed rule, urging several changes — especially regarding documentation and coding. 6. As Kansas shifts from a fee-for-service Medicaid program to managed care, a Kansas Health Institute News Service report delved into the effectiveness of Medicaid managed care by gaining perspectives from five states and the national level. 7. CMS and ONC announced that the Medicare and Medicaid Electronic Health Record Incentive Programs have paid more than 110,000 eligible professionals and 2,400 eligible hospitals a total of more than $5.7 billion. 8. North Carolina’s Department of Health and Human Services fired Craigan Gray, MD, as Medicaid director as it looked to reorganize the division and “bring in someone with a different perspective and experience.” 9. The American Medical Association released its fifth annual National Health Insurer Report Card, which compared the accuracy, timeliness and other metrics among different payors, including Medicare and commercial insurers. 10. Upset over a new agreement regarding Medicaid Disproportionate Share Hospital payments for fiscal year 2012, five CEOs of the largest private health systems in Texas wrote a letter to Gov. Rick Perry and asked for a meeting to voice their concerns over the new model. 11. CMS said it will delay implementation of a new requirement that hospital boards include a medical staff member but will reconsider the requirement in future rulemaking. CMS has been “reconsidering the policy in light of the numerous comments” it has received since it published the final rule, which revised hospitals’ conditions of participation in Medicare and Medicaid. 12. The Medicaid and Children’s Health Insurance Program Payment and Access Commission, or MACPAC, submitted its June 2012 report to Congress, covering a wide array of topics from Medicaid access to the latest Medicaid and CHIP statistics on spending and enrollment. 13. The Medicare Payment Advisory Commission, better known as MedPAC, released its June 2012 report to Congress, and the main theme of the report was to reform Medicare’s benefit design and focus on Medicare beneficiaries. 14. Gov. Pat Quinn signed a slew of bills into law, including reforms that will restructure the Illinois Medicaid program and lay out guidelines for hospital property tax exemptions. 15. The American Hospital Association urged members of Congress to extend expiring Medicare programs that benefit rural hospitals, including the Medicare-dependent hospital program and the enhanced Medicare low-volume adjustment. 16. A report from the Government Accountability Office found the cost of Medicaid fraud audits is five times more than the amount of overpayments they identify. 17. The Medicaid Recovery Auditor program officially started this past January, and according to a recent blog post from Paul Spencer, compliance officer for Fi-Med Management and author of The RAConteur, there has been little recognition of the Medicaid RACs’ progress mostly because there hasn’t been much to report. 18. Total Medicaid spending, the single largest portion of total state spending, is expected to rise by 3.4 percent in the 2013 fiscal year after Medicaid spending came to a near halt this year, according to the spring 2012 report from the National Governors Association and the National Association of State Budget Officers. 19. CMS announced the Patient Protection and Affordable Care Act helped 14.3 million Medicare beneficiaries obtain at least one free preventive service so far in 2012. 20. Nine hospital groups, including the American Hospital Association and the Association of American Medical Colleges, sent a letter to Congress asking that Medicaid cuts not be used as a means to pay for the student loan bill.
Source: beckersasc.com

Video: North Carolina Medicare Enrollment.wmv

EFT Expansion to Medicare Advantage Lines of Business

Diamond Level Platinum Level Gold Level rmsource, Inc. Wells Fargo Insurance Services Silver Level Ford & Harrison Medical Protective SunTrust United HealthCare Group Bronze Level Allscripts Apex Technology Bactes Imaging Solution Biz Technology Solutions, Inc. Call-A-Nurse ChoiceHealth, Inc. CNP Technologies Computer Service Partners Coverys DataMax Eastman Kodak Company Fifth Third Bank Healthcare First Citizens Bank Gateway EDI GMK Associates, Inc. Gordon Asset Management, LLC Greenway Medical Technologies, Inc. Henry Schein Medical Humana, Inc. JBA Benefits (Allergy Services, LLC) LabCorp Management Services On-Call Marketing Works McNeary, Inc. Medicus Insurance Company MedLinks Transcription, Inc. MedWaste Solutions NCHA Strategic Partners One Source Document Solutions ONLINE Information Services Physician Discoveries Physicians’ Alliance of America Prince Parker & Associates Professional Recovery Consultants Solstas Lab Partners Stanley Benefits Stern & Associates The Doctors Company TriMed Technologies Corp Virtual OfficeWare, Inc./GE Healthcare
Source: wordpress.com

N.C. Budget Includes Additional Funds For Medicaid; KanCare Plan Triggers Nerves

Kansas Health Institute News:  KanCare Plan Panned Again At Public Hearing Top health officials from the administration of Gov. Sam Brownback today tried to reassure nervous members of the Kansas public that the Medicaid makeover plan they hope to launch Jan. 1 is a good idea and that problems seen in other states that have expanded managed care would be avoided here. … The governor’s plan, if implemented, would move the balance of the state’s Medicaid population into fixed-cost managed care programs divided statewide among three companies. About 70 percent of the state’s Medicaid population already is in managed care plans. KanCare would move the remainder into a system that would be similar to the current one but also different because it would improve health outcomes and lower costs thanks to a new emphasis on coordinated care, the officials said (Shields, 6/21).
Source: kaiserhealthnews.org

Blue Anthem Cross Medicare Plans: Anthem Shield Advantage, Medicare Part D & Supplemetal BCBS Plans

www.preferredpaincenter.com Those who need pain management help in Surprise and Sun City Arizona area are in luck. Arizona Pain Specialists has Award Winning, Board Certified pain management doctors and chiropractors at severao Valley wide locations, including Glendale which serves the whole northwest valley. The practice accepts most major medical including BCBS, Medicare, Humana, United, Banner, Aetna, Cigna, AZ Foundation, and AHCCCS. Services include pain management (medication and interventional), medication management, chiropractic, spinal decompression therapy, and acupuncture. Ask about the stem cell injection clinical trial for low back pain! Call (602) 507-6550 for scheduling. Source: multiplesclerosisdigest.com
Source: medicaresupplementalco.com

CMS Again Delays RAC Prepayment Audits

The Centers for Medicare and Medicaid Services recently announced that it will again delay a program designed to decrease fraud and abuse by verifying claims prior to approval, rather than chasing payment after approval, a program known as the RAC Prepayment Audit Demonstration Project. Originally planned for Jan. 1, then delayed to June 1, prepayment reviews will allow recovery audit contractors (RAC) to review historically improper claims before payment so that providers comply with Medicare rules.
Source: wordpress.com

Medicare prepayment review comes to eye care

In April, the medical review department for Palmetto GBA, the Medicare administrative carrier (MAC) for North Carolina, South Carolina, Virginia, and West Virginia, announced it will perform a service-specific pre-pay “probe” review of outpatient ophthalmic claims, focusing on 13 common ophthalmic codes found to be used with high frequency.
Source: newsfromaoa.org

[WATCH]: Windsor Medicare Extra

Posted by:  :  Category: Medicare

Windsor Medicare explains to WMCTV of Memphis this is the only time most Medicare beneficiaries can enroll in a Medicare Advantage plan for 2012. More than 120 new over-the-counter products have been added, and there is an enhanced fitness
Source: wordpress.com

Video: Windsor Medicare Extra – 2012 Medicare Advantage Plan

What is Windsor Medicare Extra?

When you have Medicare coverage, then there are certain health expenses that may not be covered. It is for that reason that Medicare supplement insurance is available. Also referred to as Medigap, Medicare supplement insurance is a secondary policy that you would buy and it will cover many of the health and medical expenses that your Medicare plan may not cover. Choosing the right Medigap coverage can be a hard decision.
Source: mostmedicare.com

Windsor Health GroupSM Names New Chief Compliance OfficerWindsor Health GroupSM

Windsor Health GroupSM Names New Chief Compliance Officer Windsor Health GroupSM today announced that Wendy Richey joins the company as the Chief Compliance Officer. In this position, she is responsible for the development, implementation and evaluation of the company s compliance programs, ensuring conformity with governmental requirements and representing the organization in government compliance matters as well as regulatory meetings and activities … Blue Cross faces much lower damages after high court ends bid to make suit a class action Chad Halcom – An eight-year lawsuit that could have yielded an eight-figure judgment for more than 500 Michigan businesses is more likely to net just $284,000 in damages against Blue Cross Blue Shield of Michigan , after the U. Sterling InsuranceSM Now Offering Medicare Supplement Policies in California Medicare Supplement policies are now available to California residents through Sterling InsuranceSM. California has more than 4.8 million Medicare-eligible residents with another 1,000 turning 65 each day. Sterling Medicare Supplement policies are underwritten by Sterling Life Insurance Company, a leading provider of insurance products for adults of all ages, including Medicare beneficiaries.
Source: medicare-news.com

Voice over for healthcare industry

anime announcer assurance authority auto bad guy bank broadcaster car cartoon circus college comedy confident corporate dark deep doc football friendly funny game gruff gundam health hockey hospital humorous imaging inspiring intelligent intense motivating movie mysterious nfl nhl Sports sportscaster state fair strong tough tv show villain wac accent (1) Animation (15) Authoritative (16) Character (23) Corporate Narration (5) Corporate Narration
Source: davepettitt.com

Medicare Advantage Premiums To Fall 4% Next Year

Posted by:  :  Category: Medicare

'The election of Obama would, at a stroke, refresh our country's spirit' by Renegade98The plans were targeted by Democrats who complained that the government pays more per capita for beneficiaries in the private plans than it spends on those in traditional Medicare. The billions of dollars cut from the plans were used to help the Obama administration pay for the cost of expanding coverage to 32 million Americans through expanded Medicaid eligibility and subsidies for people buying coverage in new insurance exchanges starting in 2014.
Source: kaiserhealthnews.org

Video: Medicare advantage plans 2011 Information on the basics of Medicare Advantage Plans

March 2012: Rural Medicare Advantage Enrollment Update

Key Findings: 1) Despite reductions in payment to Medicare Advantage (MA) plans as mandated by the Affordable Care Act, rural MA enrollment has grown 13% since 2011, from 1.5 million enrollees to over 1.7 million in 2012. 2) Comparatively, urban enrollment grew 9% during this time. 3) Recent MA enrollment data also reveals that Preferred Provider Organizations are now the dominant type of Medicare Advantage plan in rural America.  (Source: Rural Health Research & Policy Centers)  [Read article]
Source: worh.org

Medicare Advantage Enrollment Grows by 10 Percent

Kaiser Family Foundation just released a Data Spotlight on 2012 Medicare Advantage Enrollment. The report shows that 2012 MA enrollment increased 10 percent from 2011 levels with the addition of 1 million new enrollees. The report also noted that MA enrollment has doubled since 2005. Given the payment cuts in the Medicare Modernization Act and Affordable Care Act, this market penetration is surprising. And MA is poised for even more growth in the next several years with the shift of retirees from employer drug coverage due to the loss of the Retiree Drug Subsidy tax benefits, state initiatives that are shifting dual eligibles into managed care, and the arrival of the baby boomers who are familiar with PPO products. It not unrealistic to imagine that MA plans could cover one-third of all Medicare beneficiaries. Some of the 2012 growth is probably due to the fact that premiums in all plans except Regional PPOs decined in 2012. This trend cannot continues since the ACA payment cuts are still being phased in and the quality demonstration providing higher bonuses will end after 2014. Plans are expected to increase premiums and reduce benefits beginning next year. As long as MA remains a better value than Medigap, we should expect to see enrollment continue to increase.
Source: gormanhealthgroup.com

Medicare Advantage or Medicare Supplement: Which to sell?

Finally, it’s important to look at the value of each specific type of Medicare Advantage plan.  Medicare Advantage plan types are HMO, PPO and Private Fee for Service (PFFS).  Generally speaking, HMO plans are best able to manage networks, coordinate care, manage diseases and limit provider access.  This makes them most efficient in limiting claims cost.  The next most efficient would be PPO products with PFFS products as the least efficient.  Therefore, all other things being equal, an HMO should be able to deliver the most additional value, followed by a PPO and lastly, a PFFS plan.
Source: ritterim.com

Private Medicare Advantage plans being paid for phantom care of VA patients

Results: Among individuals who were eligible to enroll in the VA and in an MA plan, the number of persons dually enrolled increased from 485 651 in 2004 to 924 792 in 2009. In 2009, 8.3% of the MA population was enrolled in the VA and 5.0% of MA beneficiaries were VA users. The estimated VA health care costs for MA enrollees totaled $13.0 billion over 6 years, increasing from $1.3 billion in 2004 to $3.2 billion in 2009. Among dual enrollees, 10% exclusively used the VA for outpatient and acute inpatient services, 35% exclusively used the MA plan, 50% used both the VA and MA, and 4% received no services during the calendar year. The VA financed 44% of all outpatient visits (n = 21 353 841), 15% of all acute medical and surgical admissions (n = 177 663), and 18% of all acute medical and surgical inpatient days (n = 1 106 284) for this dually enrolled population. In 2009, the VA billed private insurers $52.3 million to reimburse care provided to MA enrollees and collected $9.4 million (18% of the billed amount; 0.3% of the total cost of care).
Source: pnhp.org

Medicare’s Lake Wobegon Approach To ‘Pay For Performance’

At its best, the free market rewards companies that provide a superior service at the best price. A few years back, Medicare tried to bring similar incentives to its market-oriented Medicare Advantage program, which was created to give seniors more control over their own health dollars. Retirees can choose among competing, privately administered health plans that must provide the same benefits as Medicare’s traditional, fee-for-service program. MA has increased in popularity over time; today, one-quarter of all Medicare beneficiaries are enrolled in the program.
Source: healthaffairs.org

Medicare Advantage 2012 Data Spotlight: Enrollment Market Update

This data spotlight examines the growth in private Medicare Advantage plan enrollment in 2012, with a record 13 million Medicare beneficiaries enrolled as of March, representing 27 percent of all Medicare beneficiaries.  Enrollment jumped by more than 1 million enrollees from the previous year and increased in every state except Alaska and New Hampshire.
Source: medicareindex.com

More than 30 million with Medicare used free preventive services in 2011

The report discussing Medicare preventive services found that more than 25.7 million Americans in traditional Medicare received free preventive services in 2011. The report also looked at Medicare Advantage plans and found that 9.3 million Americans – 97 percent of those in individual Medicare Advantage plans – were enrolled in a plan that offered free preventive services.  Assuming that people in Medicare Advantage plans utilized preventive services at the same rate as those with traditional Medicare, an estimated 32.5 million people benefited from Medicare’s coverage of prevention with no cost sharing.
Source: medicare.gov

Medicare Advantage Premiums Fall as Enrollment Rises

There has been a lot of controversy over the fate of Medicare Advantage plans since health care reform passed. It has caused many seniors to worry about reduced services, increased out-of-pocket costs, and being driven out of Medicare Advantage plans back to original Medicare. Extend Health conducted a survey in December of 2010, the results of which were consistent with surveys from other third parties, that showed that 72% of respondents expected reductions in their choice of Medicare Advantage plans, and 87% expected increases to their Medicare premiums.
Source: extendconnections.com

Is Obama propping up Medicare Advantage until after the election?

[…] […] […] […] The cuts to Medicare Advantage begin right away, with payment rates frozen in 2011 at their 2010 levels.  The reimbursement rates for doctors continue to decline; between 2012 and 2017, the law phases in a new formula for setting maximum MA payments by region. This new formula will dramatically lower MA payments in every region of the country. The new law also makes large cuts to the payment rates for hospitals and other medical providers in the government-managed fee-forservice Medicare program, and a portion of these cuts automatically gets passed through to MA plans as well in the form of even lower maximum rates.Source: sentryjournal.com […]Source: sentryjournal.com […]Source: sentryjournal.com […]Source: sentryjournal.com […]
Source: sentryjournal.com

MHA Press Room: Report looks at Medicare Advantage enrollment trends

Enrollment in private Medicare Advantage health plans grew by 10% in 2012 to a record 13 million people, or 27% of Medicare beneficiaries, according to a new analysis by the Kaiser Family Foundation. The average monthly premium for the plans this year is $35, $4 less than in 2011.
Source: typepad.com

California Healthcare Reform

Posted by:  :  Category: Medicare

NEW REPORT HIGHLIGHTS MEDICARE ADVANTAGE INSURERS’ HIGHER ADMINISTRATIVE SPENDING by Leader Nancy PelosiCalifornia Healthcare Reform: Everybody In, Nobody Out: The Campaign for a Healthy California. Across the country and throughout California, people are being denied healthcare. People have lost their homes, their retirement, even their lives due to healthcare costs and lack of care. Now Californians are saying enough is enough. Some people thought the Affordable Care Act, also known as Healthcare Reform, would solve the problem. But the ACA continues the system of profit-based care and would force people to buy insurance without controls on insurance costs. Now California has the opportunity to set the standard of care for our country by adopting a single payer Medicare for all model of healthcare. The Campaign for a Healthy California (CHC) believes everyone has a right to care. Join students, nurses, doctors, seniors, faith-based communities, small businesspeople, people of all backgrounds and ethnicities as we come together in CHC for a better California, and a healthy tomorrow. Find out more at: www.healthycaliforniacampaign.org
Source: fixushealth.com

Video: Donald Berwick on healthcare reform

Key Obamacare architect endorses Paul Ryan’s Medicare reform plan

This consumer-driven, universal coverage system provides excellent health care for the sick, tops the world in consumer satisfaction, and costs 40 percent less, as a percentage of GDP, than the system in the US. The Swiss could spend even less by choosing cheaper, high deductible health insurance policies, but they have opted against doing so. Swiss consumers reward insurers that offer the best value for the money. These competitive pressures cause Swiss insurers to spend only about 5 percent on general and administrative expenses, as compared to 12-15 percent in the US. And unlike Medicare, the private Swiss firms must function without incurring massive unfunded liabilities. Competition has also pushed Swiss providers to be more efficient than those in the US. Yet they remain well-compensated.
Source: aei-ideas.org

A look at healthcare reform in R.I.

The Patient Protection and Affordable Care Act (PPACA) requires states to set up a Health Insurance Exchange by 2014 with the goal of providing access to quality, affordable health insurance. By 2014, the health insurance exchange will facilitate the purchase of health insurance for individuals and small businesses using government subsidies for eligible consumers. In addition, the structure of the exchange will allow small business to purchase health insurance in a more open and transparent market.  If a state does not complete the process of establishing an exchange by January 1, 2013, then the state will have to use the default federal exchange.
Source: advocacysolutionsllc.com

Medicare Preventative Services Available Under Healthcare Reform

Here in the United States, preventative services will play a key role in our nation’s health as our population continues to age. By 2030, roughly 71 million Americans will be 65 or older. Many of these seniors will have to deal with at least one chronic illness like heart disease, cancer or arthritis in their lifetime – all conditions that are easily detected and preventable if proper care is maintained.
Source: vahlchiropractic.com

Colorless Green Ideas: Tomorrow’s Health Care Reform Ruling

Those who would live by the crystal ball must always remember that they should be happy to be fed a diet of broken glass. The Supreme Court, tomorrow, will rule on healthcare reform. They will in all likelihood strike down the Individual Mandate. What we don’t know is what else they’ll hit. But the broader question still stands. Who are we, as a society? Do we cheer, like the citizens of Panem, over someone dying in the hospital or dead, because they have no coverage? Are we, as the only first world nation – who pays nearly three to six times more per person, and ranking 40th in the world, in terms of healthcare – someone who wants to defeat reform ? The healthcare industry is horrifically corrupt. Many doctors are now in the business of prescribing medicine and not practicing it. Drug companies seem to come up with endless ways to influence our political system. Case in point: in a recent medicare reform, the federal government was banned from receiving wholesale discount on drugs purchased in bulk quantity. This is like a law that was passed, which ensured – if anyone bought doughnuts, and wanted to get a dozen – it is illegal to get them at a cheaper price by the dozen. They could only buy 12, at the price each would retail. These kind of laws, permeate our country. And the practices are even worse. Hospitals institutionalize markup and markdown in their accounting systems, so that each healthcare provider or insurance company is charged a different amount. But this obscures the possibility of a cost or price based market for any procedure. Go ahead. Ask them how expensive it is to get an MRI. You will get the royal runaround. And this is all the more poignant because, when you’re sick – the last thing you need, is to have someone hassle you. This is why bankruptcy and foreclosure can be rampant in society – so many people in the middle class are so finely balanced in their finances, that an unexpected medical bill can severely disrupt them. In the old days, when Mom wasn’t working and Dad pulled a 9 to 5, there was always the chance that the family could rebound. Now, with both parents working – there is no safety net. Healthcare Reform promised a new level of stability to millions of Americans, and it paid for itself. 2.5 Million young adults now have insurance as a result of it, and it would have gone into effect in 2014 , with major ramifications. But tomorrow. We will see its fate. And we will know what kind of a country we really are. In the book series, the capital Panem, was named after a latin phrase “Panem et Circenses” .. which translates to “Bread and Circuses”. This referred to a political strategy by the corrupt emperors of Rome, who kept the show going. They used the Gladiatorial Arena, as a way of talking to the masses. The capitol was kept in bread, and luxury. The one percent. Over time, they gradually acquired a taste for more excitement, and the gladiatorial arena became more and more violent. Inhuman. The endpoint of this game, was of course, when the Emperor Caligula – who saw that his gladiators were dying off too fast in the arena, simply culled from innocent citizens the necessary participants to sate the hungers of those attending the games. Every country has a natural time and moment for revolution. A time in which the citizenry say, simply – enough is enough. Stardom, criticism, and scandal – seem to be the driving force of much of the work of those who would undo reform. However, helping others – and fixing a broken system – takes time. It is far more valuable for our country to see the slow process of change begin with reforms such as that represented by the Affordable Healthcare Act. Tomorrow’s ruling will have far reaching consequences. Good Luck, America. You’re going to need it.
Source: blogspot.com

Healthcare Reform Series Part VII: Physicians

The Patient Protection and Affordable Care Act (PPACA) will implement numerous changes impacting physician providers.  Several of these provisions affect primary care physicians and specialists separately, while other provisions will impact all physician providers with an increased focus on the coordination of patient care.
Source: wordpress.com

AMAC Seeks Experienced Insight for Alternative Healthcare Reform Workshops

The Association of Mature American Citizens [http://www.amac.us] is a vibrant, vital and conservative alternative to those traditional organizations, such as AARP, that dominate the choices for mature Americans who want a say in the future of the nation.  Where those other organizations may boast of their power to set the agendas for their memberships, AMAC takes its marching orders from its members.  We act and speak on their behalf, protecting their interests, and offering a conservative insight on how to best solve the problems they face today.
Source: amac.us

Public Option Advocates To Push Medicare For All If Supreme Court Strikes ‘Obamacare’

For progressives, Medicare for all — or a similar approach — was always the ideal way to address the soaring costs and widespread un- and underinsurance that defined the country’s broken health care system. But Democratic leaders believed an approach along the lines of Mitt Romney’s reforms in Massachusetts would stand a better chance of attracting Republican and conservative Democratic support in Congress, and foreclosed on the single-payer model without giving it any legislative consideration.
Source: pnhpcalifornia.org

MedicareSupplementPlans.com Connects Consumers With the Best Medicare Supplement Insurance Plan Offers

Posted by:  :  Category: Medicare

With the ever-increasing costs of medical care, even Medicare coverage can leave too many unpaid medical bills for the typical consumer to afford. Although Medicare was once considered an effective way to meet the medical care costs of older Americans and people with disabilities, today it simply isn’t enough, which leaves consumers seeking Medicare supplement insurance plans to cover additional costs. MedicareSupplementPlans.com recently launched its redesigned website to provide greater support, in-depth information and quotes for the best Medicare supplement insurance plans available. Also known as Medigap, Medicare supplement insurance plans are private health insurance plans designed to pay some of the health care costs not covered by Medicare, such as co-payments, co-insurance and deductibles. Visitors to MedicareSupplementPlans.com can simply fill out the form available on the site’s landing page to find and compare the best Medicare supplement insurance plans and rates from all of the top insurance companies. After filling out the form and clicking Get Quote, a licensed Medicare supplement insurance agent follows-up with a no pressure, free insurance quote with detailed information about plan options and benefits to meet individualized needs. “The advantage of choosing a supplemental Medicare insurance plan over Medicare Select or Medicare Advantage is that with a Medigap plan you have absolutely no network restrictions; in other words you can go anywhere for your health care as long as the provider accepts Medicare,” explained a MedicareSupplementPlans.com spokesperson. The site connects consumers with highly trained licensed agents. The agents help consumers cut through the jargon so they can select the plan that is most appropriate for them at the best possible price. The site offers a whole host of reference material with brochures, rates and applications for the top suppliers available to download. To assist consumers in choosing the correct plan the site offers a detailed but simple to follow Medicare supplement insurance plan benefit comparison chart. The chart details the benefits of different Medigap policies so consumers can quickly identify which plan is appropriate for their circumstances. Editorialized content accompanies the chart guiding consumers through the technicalities of the policies. About MedicareSupplementPlans.com MedicareSupplementPlans.com is Health and Life Insurance Services, LLC, one of California’s largest independent insurance agencies specializing in the best Medicare supplement insurance plans from leading brands. Visitors to the site can easily access comparison quotes, full customer service and detailed information about Medicare supplement insurance plans, as well as in-depth editorial content to guide them through the decision-making process. Learn more at http://www.medicaresupplementplans.com
Source: sbwire.com

Video: Medicare Supplemental Insurance Comparison

MEDICARE SUPPLEMENT COMPARISON

I hope you receive new knowledge about . Where you can offer utilization in your daily life. And most of all. View Related articles associated with Medicare Supplement. I Roll below. I even have suggested my friends to help share the Facebook Twitter Like Tweet. Can you share MEDICARE SUPPLEMENT COMPARISON.
Source: blogspot.com

The Importance of Comparing Medicare Supplemental Insurance Plans

Many Medigap customers think that comparing Medicare supplement insurance is a highly complicated process and that only insurance agents will know how to compare these supplement to Medicare policies. If you too are holding the same view about Medicare supplemental insurance, then you will be surprised to learn that comparing your Medigap plan options need not be a complicated or tedious process anymore. Today, the internet has empowered the customers so much that they can accomplish a lot of time consuming tasks in a matter of just few clicks. This applies to Medicare supplemental insurance price comparison too. You will be able to compare your Medicare supplement plans easily online. You will not have to visit several websites or spend several hours anymore to compare the various policies. You just need to find a reliable Medicare supplemental insurance website such as Lowcostmedigap.com that will allow you to compare Medigap plans online. Using such online services you will be able to make well-informed choices on your Medicare supplement. You will be able to save not only a lot of money but also a lot of time by comparing your Medicare supplement plans online.
Source: medicarequotefinderblog.com

Medicare Advantage or Medicare Supplement: Which to sell?

Finally, it’s important to look at the value of each specific type of Medicare Advantage plan.  Medicare Advantage plan types are HMO, PPO and Private Fee for Service (PFFS).  Generally speaking, HMO plans are best able to manage networks, coordinate care, manage diseases and limit provider access.  This makes them most efficient in limiting claims cost.  The next most efficient would be PPO products with PFFS products as the least efficient.  Therefore, all other things being equal, an HMO should be able to deliver the most additional value, followed by a PPO and lastly, a PFFS plan.
Source: ritterim.com

Best Medicare Supplement Plan

aarp comparison insurance medicare medicare advantage medicare advantage plans medicare changes medicare enrollment period medicare insurance medicare part d medicare plans medicare supplement medicare supplement comparison medicare supplement insurance medicare supplement insurance plans medicare supplement plan medicare supplement plan d medicare supplement plans Medicare Supplement quote medicare supplement quotes Medicare Supplements medigap medigap comparison medigap information medigap insurance medigap plan f medigap plan information medigap plan n Medigap plans Medigap quote medigap quotes medigap rates mutual of omaha part b part d plan plan f plan g plan n plans quote quotes rate rates what does medicare cover
Source: medicare-supplement-comparison.com

Medicare supplement comparison

advantage Benefit coinsurance com Complement cost cowl firm health information insurance medical health insurance Medicare medicare beneficiaries medicare benefit medicare drug plan medicare insurance medicare part c medicare part d medicare plan medicare protection medicare supplement medicare supplemental insurance medicare supplement insurance medicare supplement plan medicare supplements Medigap medigap plans number person personal insurance coverage plan premium prescription prescription drug coverage private insurance companies Protection provider Safety sixty Social social security administration state supplement website
Source: fluxfeatures.com

Medicare Supplement Comparison

Get Medicare Supplement Comparison and find the best Medicare Supplement Plans. Give us a call and find out why GoMedigap is widely considered the best Medicare supplemental insurance agency in the country.
Source: 4download.info

Medical Billing Fundamentals: Railroad Medicare OPS

Posted by:  :  Category: Medicare

We can use this service if your provider had Electronic Data Interchange (EDI) agreement with Palmetto GBA. If we are submitting claims electronically for a provider then no need to submit the new EDI agreement. For providers we are submitting their claims through paper those need to complete the EDI agreement with Palmetto GBA to use this service.
Source: blogspot.com

Video: EHR: Medicare Incentive Program Attestation Webinar for Eligible Professionals

Check Out the Medicare Eligibility Georgia

You might be aware of the popularity of Medicare plans in Georgia, because large numbers of people are switching over to these plans for increasing number of benefits. Whether you have a health insurance policy or not, the most important thing that you need to consider is that whether you are eligible for the plans. Well, the Medicare Eligibility Georgia is different from any other health insurance plans that are available in Georgia. Therefore, you must know the eligibility criteria when you look forward to such plans. Talking to your experts in this context will definitely be beneficial for you.
Source: gamedicareplans.com

Verify Medicare Eligibility

N 400 is the citizenship application that needs to be filed for Naturalization. All the eligibility requirements for filing the citizenship form has to be met before applying. You need to be a permanent resident for at least five years or three years if married to a US citizen and living with the citizen spouse for the past three years. This alone will not suffice. You need to meet other requirements too. You need to be 18years or above. Additionally, you have to fulfill the Continuous residence and Physical Residence Requirement. A prolonged absence from the U.S. will break the continuity of your residence in the U.S. for naturalization purposes, although it may not affect your ability to return to the U.S. as a permanent resident. You should have resided in your current state for at least 3 months. Your current state is the state where you are submitting the citizenship application for naturalization.
Source: custodialcare.org

How to get or keep TennCare for your adult child with disabilities

These adult children are called DAC or CDB (childhood disability beneficiaries). The Department of Human Services (DHS) decides DAC eligibility for TennCare/Medicaid. Apply for your child to get TennCare through the DAC category if your child gets a letter (notice) that says her TennCare will end unless she is eligible for TennCare in another category.  The letter should include an application (called the Request for Information or RFI).  DHS will need this information to see if your child is still eligible for TennCare.  You will need to verify this information every year, if not more.  You have 10 days to tell DHS if  your child’s circumstances change (for example income, resources, address).
Source: tnjustice.org

Deciphering Medicare Eligibility

Questions arise all the time about Medicare. Eligibility, cost and coverage are the three topics of conversation that are talked about the most. Eligibility is a topic all in its own. Most habitancy are under the assumption that the only requirements to qualify for Medicare advantage is that they have turned sixty-five. That any way is not the case. This record will help layout guidelines on eligibility so that it is easy to settle if you fall under the guidelines to qualify for the Medicare benefits and Medigap supplement insurance.
Source: blogspot.com

Some Causes Why You’ll need Medicare Supplemental Plans

/groups/tnt/search/index.rss?tag=hotlist/groups/tnt/search/?tag=hotWhat’s HotHotListHot!?tag=hot3187/groups/tnt/sidebar/HotListwiki2012-06-23T05:55:45+00:00groups/tnt/wiki/16fe2FalseBantal emot bb/groups/tnt/wiki/16fe2/Bantal_emot_bb.htmlUnauthenticated UserTODO: Last updateBantal emot bbBantal Emot BB – tidak lama ini ramai diperbincangkan bantal emot BB yang ramai dicari banyak anak muda. Bantal emot BB sangat banyak peminat dari kal…Trueunauthenticated2012-06-23T05:55:45+00:00wiki2012-06-23T05:51:16+00:00groups/tnt/wiki/652213FalseBantal emot bb/groups/tnt/wiki/652213/Bantal_emot_bb.htmlUnauthenticated UserTODO: Last updateBantal emot bbBantal Emot BB – tidak lama ini ramai diperbincangkan bantal emot BB yang ramai dicari banyak anak muda. Bantal emot BB sangat banyak peminat dari kal…Trueunauthenticated2012-06-23T05:51:16+00:00wiki2012-06-22T17:51:25+00:00groups/tnt/wiki/efcc1FalseBantal emot bb/groups/tnt/wiki/efcc1/Bantal_emot_bb.htmlUnauthenticated UserTODO: Last updateBantal emot bbBantal Emot BB – tidak lama ini ramai diperbincangkan bantal emot BB yang ramai dicari banyak anak muda. Bantal emot BB sangat banyak peminat dari kal…Trueunauthenticated2012-06-22T17:51:25+00:00wiki2012-06-18T10:08:14+00:00groups/tnt/wiki/a03a6FalseLearn How To Make Websites The Correct Way/groups/tnt/wiki/a03a6/Learn_How_To_Make_Websites_The_Correct_Way.htmlUnauthenticated UserTODO: Last updateLearn How To Make Websites The Correct WayRight this moment, web advertising is so popular and productive since it supplies strong graphic advertising. Videos may also be used and these may be…Trueunauthenticated2012-06-18T10:08:14+00:00wiki2012-06-18T08:46:15+00:00groups/tnt/wiki/f0996FalseWhat You Ought To Consider When Getting A Laptop/groups/tnt/wiki/f0996/What_You_Ought_To_Consider_When_Getting_A_Laptop.htmlUnauthenticated UserTODO: Last updateWhat You Ought To Consider When Getting A LaptopIf buying a laptop, the very first thing to take into consideration is what you are likely to be using it for. When you know what programs you’ll need…Trueunauthenticated2012-06-18T08:46:15+00:00hot/groups/tnt/search/index.rss?sort=modifiedDate&kind=all&sortDirection=reverse&excludePages=wiki/welcomelist/groups/tnt/search/?sort=modifiedDate&kind=all&sortDirection=reverse&excludePages=wiki/welcomeRecent ChangesRecentChangesListUpdates?sort=modifiedDate&kind=all&sortDirection=reverse&excludePages=wiki/welcome0/groups/tnt/sidebar/RecentChangesListmodifiedDateallRecent ChangesRecentChangesListUpdateswiki/welcomeNo recent changes.reverse5search
Source: 4.230

Medicare Under 65 and Other Insurance Options

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. Hide
Source: webmd.com

Effect of the medicare part d coverage gap on medication use among patients with hypertension and hyperlipidemia.

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSAbstract Background: Prior studies of the Medicare Part D coverage gap are limited in generalizability and scope. Objective: To determine the effect of the coverage gap on drugs used for asymptomatic (antihypertensive and lipid-lowering drugs) and symptomatic (pain relievers, acid suppressants, and antidepressants) conditions in elderly patients with hypertension and hyperlipidemia. Design: Quasi-experimental study using pre-post design and contemporaneous control group. Setting: Medicare claims files from 2005 and 2006 for 5% random sample of Medicare beneficiaries. Patients: Part D plan enrollees with hypertension or hyperlipidemia aged 65 years or older who had no coverage, generic-only coverage, or both brand-name and generic coverage during the gap in 2006. Patients who were fully eligible for the low-income subsidy served as the control group. Measurements: Monthly 30-day supply prescriptions available, medication adherence, and continuous medication gaps of 30 days or more for antihypertensive or lipid-lowering drugs; monthly 30-day supply prescriptions available for pain relievers, acid suppressants, or antidepressants before and after coverage gap entry. Results: Patients with no gap coverage had a decrease in monthly antihypertensive and lipid-lowering drug prescriptions during the coverage gap. Nonadherence also increased in this group (antihypertensives: odds ratio [OR], 1.60 [95% CI, 1.50 to 1.71]; lipid-lowering drugs: OR, 1.59 [CI, 1.50 to 1.68]). The proportion of patients with no gap coverage who had continuous medication gaps in lipid-lowering medication use and antihypertensive use increased by an absolute 7.3% (OR, 1.38 [CI, 1.29 to 1.46]) and 3.2% (OR, 1.35 [CI, 1.25 to 1.45]), respectively, because of the coverage gap. Decreases in use were smaller for pain relievers and antidepressants and larger for acid suppressants in patients with no gap coverage. Patients with generic-only coverage had decreased use of cardiovascular medications but no change in use of drugs for symptomatic conditions. No measures changed in the brand-name and generic coverage groups. Results of sensitivity analyses were consistent with the main findings. Limitation: Because this study was nonrandomized, unobserved differences may still exist between study groups. Conclusion: The Part D coverage gap was associated with decreased use of medications for hypertension and hyperlipidemia in patients with no gap coverage and generic-only gap coverage. The proposed phasing out of the gap by 2020 will benefit such patients; however, use of low-value medications may also increase. Primary Funding Source: Penn-Pfizer Alliance and American Heart Association.
Source: journalfeeds.com

Video: Avoid the Donut Hole Coverage Gap in Medicare

AARP Public Policy Institute Reviews Gap in Medicare Part D Coverage

A new report from the AARP Public Policy Institute looks at the potential effects of a provision in the health care law that provides drug subsidies and discounts to Medicare beneficiaries, ultimately eliminating the coverage gap known as the “doughnut hole.” According to the report, “As part of the new health care law, enrollees who reach the doughnut hole in 2011 will receive a 50 percent discount on brand-name and biologic drugs and a 7 percent discount on generic drugs while in the doughnut hole. These discounts will gradually increase until the doughnut hole is eliminated in 2020.” The report includes a table showing “the number and percentage of Part D enrollees by state who are helped by the closing of the doughnut hole.”
Source: kff.org

Over 5.2 Million People with Medicare Save $3.7 Billion on Prescription Drugs Thanks to the Affordable Care Act

Washington, DC–(ENEWSPF)–June 25, 2012.  As a result of the Affordable Care Act, more than 5,254,000 seniors and people with disabilities have saved a total of $3.7 billion on prescription drugs since the law was enacted.  The Centers for Medicare & Medicaid Services (CMS) also released data today showing that in the first five months of 2012, 745,000 people with Medicare saved a total of $485.3 million on prescription drugs in “donut hole” coverage gap for an average of $651 in savings this year. 
Source: enewspf.com

The Lu Lac Political Letter: The LuLac Edition #2102, June 25th, 2012

The Supreme Court decision today on immigration got a predictable response from 11th District Congressman Lou Barletta. Barletta sent an e mail missive:  This morning, the Supreme Court issued its opinion on Arizona’s illegal immigration law, SB 1070. The Court upheld the central provision, that if during the course of an investigation, or on a lawful stop, law enforcement may check an individual’s immigration status with federal authorities, if there is reasonable suspicion a person is in the country illegally. This increased enforcement will be an additional deterrent to those who willfully break our laws. But the real problem is that the federal government isn’t enforcing its own immigration laws. Just a little over a week ago, President Obama unilaterally granted a back-door amnesty to up to 1.4 million illegal immigrants. It has to stop. I have been in this fight since it started. Before Arizona, when I was mayor of Hazleton, I created the Illegal Immigration Relief Act. Like Arizona, Hazleton was faced with a serious illegal immigration problem and the federal government refused to help. I took an oath to protect the people of Hazleton and when the federal government refused to do their job, I took action to defend my city. If keeping a steadfast, principled leader against illegal immigration in Washington is important to you, please click here to support my campaign. Make no mistake, those of us who are fighting against illegal immigration are under attack. It’s not just the president’s recent amnesty for illegals. The Justice Department is also suing Oklahoma, Missouri, Utah, Alabama, Georgia, South Carolina and Indiana for enforcing immigration laws. Speaking from my own experience leading the nation as the first mayor in the country to put tough, common sense anti-illegal immigration laws on the books, immigration enforcement is not something our state and local governments want to do. States like Arizona and communities like Hazleton have found they have no other choice when it comes to combating crime and protecting their residents, but to enforce the laws the federal government willfully ignores. I appreciate your support and, as always, will keep you updated with the latest in our fight against illegal immigration. Very truly yours,  Lou Barletta  PS. If the White House is going to work around Congress and the courts are going to take options off the table, we’ve got to re-ignite our fight in Washington.  I like the Congressman personally. He is a nice man. This decision could have given him the opportunity to back away from this issue gracefully. Instead he’s diving back into it. Disagree with his stand but am amazed at his tenacity. 
Source: blogspot.com

Will Coverage Gap Discount Disappear if Supreme Court Repeals Affordable Care Act?

Under healthcare reform, drug companies have agreed to offer a 50 percent discount on brand-name medications to beneficiaries who are in the Coverage Gap stage of their prescription drug benefit. In addition, the provision gives beneficiaries a 14 percent discount on generic drugs (beneficiaries pay 86 percent of the cost of generics and Medicare picks up the remaining 14 percent).  Those discounts are scheduled to increase until 2020, when a single discount of 75 percent will apply to all prescription drugs. In 2011, 3.6 million Medicare beneficiaries caught in the donut hole saved an average of $604 each on their prescription drugs, according to the U.S. Department of Health and Human Services.
Source: themeddiva.com

View and Compare Medicare Supplement Insurance Online

When it comes to taking the leap into gap insurance online advisors will guide you through what is available and help shop the Medigap market to find the best premiums that you qualify for. As rates change each year you will want to contact your online Medicare Supplement Insurance provider to get updates on lower rates from other Medigap Insurance providers. An online advisor is helpful in helping determine exactly what gap insurance program you should enroll in according to prior history and current lifestyle.
Source: professional-article-marketing.com

Medicare Drug Discounts At Risk If Court Strikes Health Law

Voluntary drug coverage was added to Medicare in 2006, but consumers and advocates have been eager to get rid of the coverage gap. Insurance coverage stops when the beneficiary and the insurer together have spent $2,930 for prescription drugs, excluding monthly premiums. Under the health law, beneficiaries then get a 50 percent discount on brand-name drugs and 14 percent on generics drugs. When the beneficiary alone has spent a total of $4,700, coverage restarts. At that point, the beneficiary picks up 5 percent of the costs.
Source: kaiserhealthnews.org

Surviving the Medicare Part D Coverage Gap: The Shrinking Donut Hole in the Prescription Drug Plan

The coverage gap in the Medicare Part D prescription drug plan, known popularly as the Medicare "donut hole" or "doughnut hole," is expected to affect over one million seniors in 2010, according to a House of Representatives press release. The good news is, this coverage gap, inside which enrollees must pay for prescription medications fully out of pocket, is slated to be reduced and even, by the year 2020, completely eliminated due to the passing of the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (otherwise known as the "health reform bill.") Meanwhile, seniors participating in this prescription drug plan (PDP) who fall into the donut hole must weather the storm.
Source: suite101.com

Medicare Considers Establishing Payment Plans with Beneficiaries for Future MSP Medical Costs

Posted by:  :  Category: Medicare

Americans Support A Public Option by Leader Nancy PelosiWaiver of future claims. Medicare is proposing that it would not pursue payment for future medical care if the settlement amount is below an as yet undetermined amount and all the following are met: (1) the accident, illness or incident occurred one year of more before the settlement date, (2) the underlying claim did not involve a chronic condition, (3) the beneficiary will not be receiving additional settlements as a result of the incident, and (4) there is no corresponding or no-fault insurance claim. If the individual is not a beneficiary on the date of the settlement, Medicare will not pursue payment for future medical care if the beneficiary does not expect to become a beneficiary within 30 months of the date of settlement and all the other conditions above are met.
Source: wolterskluwerlb.com

Video: Medicare Overview

Learn The Details Of Molina Medicare Advantage Plans 2012 » Yapperz.com

Molina is a company founded to be able to provide medical care via Medicare advantage plans 2012 as described Here to senior citizens in the U.S. The Medicare Options Plus plan through Molina has an HMO style plan. Which means that you’ll have a network of doctors, pharmacists and hospitals. You will be expected to visit one of these healthcare providers. In the event you go to one of these providers, you will then be able to get healthcare for very low prices. The co-pays in this plan are much lower than the co-pays available from other standard insurances. When you go to a healthcare provider that is out of network, though, you will have to pay almost the full cost up front. Molina Healthcare has grown towards one of the frontrunners in providing top quality healthcare for financially vulnerable individuals and families. At present, Molina Healthcare sets up for the delivery of healthcare services or gives health information management alternatives for nearly 4.3 million individuals and families that receive their care through Medicaid, Medicare and some other government funded programs in sixteen states. The Molina Medicare Advantage prescription plan is intended to help with prescription medications. As you may know, prescription medications can be quite costly up front. You can pay a lot of money just to pay for monthly medications. The Molina Medicare Advantage prescription plan is made to help with that. This plan will give you the minimum premium and low co-pays for prescriptions. Actually, a lot of generic prescriptions won’t cost anything at all. The prescription plan is included on to other Medicare plans and it will cover the fee for prescriptions even during the Medicare donut hole. If you live in one of the eight states mentioned above, then you have access to Molina Medicare advantage plans 2012. And obviously you have to qualify for Medicare overall to have access to the plans. If you do then Molina can give choices that will give you the healthcare that you need. Through the Medicare Options Plus and the Medicare Advantage, you can have affordable healthcare and affordable prescription medications. Together with Medicare, guaranteed life insurance is essential especially to those with chronic illnesses. Purchasing life insurance can be an extremely puzzling process. Numerous options with various prices, requirements and benefits can be found in the business. When considering one’s own demise, it certainly adds emotions to this procedure which usually is quite natural. As Medicare covers for your hospitalization expenses incurred, life insurance deals with the expenses that are left behind of the insured. It’s imperative to research for the various kinds of insurance policies available in order to make the best decisions possible. One of those types is guaranteed issue life insurance. Guaranteed issue insurance is guaranteed for any person in any physical situation with no health check. It is the most beneficial type of health insurance for individuals in bad health or with pre-existing health conditions. These policies vary from simple issue policies which usually don’t require any medical exam, but will need you to answer some medical related questions. An honest guaranteed issue life insurance policy will ask basically no questions related to your medical condition. This type of policy may be a brilliant choice for someone in being in poor health because it covers funeral costs and making grieving a step easier for their family just like guaranteed issue health insurance. However, for a healthy person a more typical policy which requires a health check can be a much better solution to think about. After you have your Medicare as described Here settled, talk together with your agent on Term Life Insurance cost.
Source: yapperz.com

S.3271: Equal Access to Medicare Options Act of 2012

Hmmmm, no news coverage found for this bill at this time. This means that this this bill has not yet been mentioned on a publicly-searchable news website by either its official number (for example, “H.R. 3200″) or title (for example, “America’s Affordable Health Choices Act of 2009″). As soon as that changes, our daily automated search across the Web will catch it and include it here. If this bill is of interest to you, you can write a letter to the editor referring to this bill by name, and if your letter is published on the Web, a link back your letter will appear here within about one day. Or, if you know of a news article about this bill to display here, email us the web address of this page and the web address of your suggested news article: Our editorial team will post relevant links as quickly as possible. Thanks for helping to build public knowledge about Congress.
Source: opencongress.org

InsureBlog: Medicare Equal Access Options Act

That is much more stringent than any private disability plan. In addition to the above, you must have been totally and permanently disabled for 5 consecutive months before you can even apply for Medicare benefits. Evem if you qualify for SSDI, you have to wait 29 months (5 month elimination + 24 months of SSDI eligibility) before you can qualify for Medicare. There are exceptions, such as those with ESRD or ALS. People (including children) who have not accumulated enough work credits do not qualify for SSDI which will also disqualify them from Medicare benefits. So what does Sen. Kerry want to do to make Medicare more accessible and affordable? Nothing actually. His proposal outlined here is to change the law with regard to access to Medicare supplement plans and Medicare Advantage plans. Kerry-Heinz believes those who live long enough to qualify for SSDI are discriminated against by Medicare supplement carriers because of their health status. If Kerry-Heinz get’s his way those on SSDI and Medicare will see the following changes.
Source: blogspot.com

United Health Care Insurance

There are many things to consider when you select the ideal coverage of Medicare. You can go to various places to learn about coverage options from different companies to go to their official website, or you can easily compare rates on a site that acts as a network of different insurance providers. This is an excellent choice because they can often receive insurance discounts, without compromising coverage or quality of customer service. Your health is most important in your life. In fact, without it, nothing else matters. Take care of yourself now and for the rest of your life to achieve coverage of U.S. Healthcare insurance is best for you.
Source: kmjipiao.com

I Don’t Know What My Medicare Insurance Options Are, Can You Help Me?

Yesterday I met with a woman who is eligible for Medicare benefits 7/1/12.  She unfortunately has not had health or drug insurance for a number of years and was totally confused by all the mailers sent to her.   After hearing her financial and health coverage needs and identifying/selecting a new physician/medical group for her, we reviewed her plan options.  She, and her daughter who accompanied her, were delighted that mom could have access to a Medicare Advantage HMO, without adding an additional premium to her current Part B premium, and that the plan would also include low copays for medical services and drug benefits.
Source: personalmedicareadvisor.com

Viewpoints: GOP Reps. On Health Law; Medicare & Life Expectancy; Georgia Insurance Exchange Progresses

Posted by:  :  Category: Medicare

 by drivebybiscuits1Roll Call: Roe, DesJarlais And Bucshon: GOP Doctors Eager To Talk Health Care With Obama After a recent meeting at the White House with President Barack Obama and Republican House Members, we asked the president to meet with the GOP Doctors Caucus to discuss concerns that we have about how the health care law will affect our patients. We were pleased that the president agreed. … We believe the Patient Protection and Affordable Care Act threatens the good parts of our health care system, and we came to Congress with the intention of giving our patients access to affordable care (Reps. Phil Rose, Scott DeJarlis and Larry Bucshon, 6/21).
Source: kaiserhealthnews.org

Video: Georgia Health Insurance Medicare

Teen Fights for Benefits as Medicaid Contractor Says No

The AgeNot All Calories Equal, Study of 3 Diets ShowsWall Street JournalBy JENNIFER CORBETT DOOREN A diet based on healthy carbohydrates—rather than a low-fat or low-carbohydrate diet—offers the best chance of keeping weight off without bringing unwanted side effects, a study published Tuesday in the Journal of the …Low-carb diet burns the most calories in […]
Source: 247healthnews.net

Patient Account Rep at Colquitt Regional Medical Center in Moultrie, GA

Colquitt Regional Medical Center is a 150 bed licensed acute care facility offering comprehensive medical and surgical services. Located in Moultrie,Georgia, Colquitt Regional Medical Center takes pride in making the latest in equipment, facilities and training available to a highly skilled staff of physicians, nurses, technologists and therapists serving Southwest Georgia since 1939.
Source: adicio.com

Georgia Medicare Fee Schedule

Medicare can be confusing, let us help. Our team of experts has the training and tools needed to help you make important decisions about your Medicare Advantage, supplement and Medigap policies from the best Medicare insurance carrier so that you can rest assured that you will get the best possible coverage at a competitive price. Simply fill out our contact us form or click the link to go to our fast free quote engine. The service is free and there is no obligation to you. Protect your financial future with the right insurance plan for your needs, today.
Source: gamedicareplans.com

Proposed Changes to Medicare Set

The Government Accountability Office (GAO) released a report on these problems in March of this year. According to the GAO, the average processing time for set-aside proposals went from 22 days in April 2010 up to 95 days in September 2011, which of course delayed case resolutions (CMS officials stated that they’d like to be able to wrap up reviews in 45 days). The report further stated that a backlog was created by a marked increase in submissions from 2008 to 2011, along with a change in the data system that slowed the process overall. It was noted that submissions that were ineligible altogether jumped in number significantly (by 148 percent) and this created a further backlog.
Source: georgiaworkerscompensationlawyerblog.com

The Lu Lac Political Letter: The LuLac Edition #2102, June 25th, 2012

The Supreme Court decision today on immigration got a predictable response from 11th District Congressman Lou Barletta. Barletta sent an e mail missive:  This morning, the Supreme Court issued its opinion on Arizona’s illegal immigration law, SB 1070. The Court upheld the central provision, that if during the course of an investigation, or on a lawful stop, law enforcement may check an individual’s immigration status with federal authorities, if there is reasonable suspicion a person is in the country illegally. This increased enforcement will be an additional deterrent to those who willfully break our laws. But the real problem is that the federal government isn’t enforcing its own immigration laws. Just a little over a week ago, President Obama unilaterally granted a back-door amnesty to up to 1.4 million illegal immigrants. It has to stop. I have been in this fight since it started. Before Arizona, when I was mayor of Hazleton, I created the Illegal Immigration Relief Act. Like Arizona, Hazleton was faced with a serious illegal immigration problem and the federal government refused to help. I took an oath to protect the people of Hazleton and when the federal government refused to do their job, I took action to defend my city. If keeping a steadfast, principled leader against illegal immigration in Washington is important to you, please click here to support my campaign. Make no mistake, those of us who are fighting against illegal immigration are under attack. It’s not just the president’s recent amnesty for illegals. The Justice Department is also suing Oklahoma, Missouri, Utah, Alabama, Georgia, South Carolina and Indiana for enforcing immigration laws. Speaking from my own experience leading the nation as the first mayor in the country to put tough, common sense anti-illegal immigration laws on the books, immigration enforcement is not something our state and local governments want to do. States like Arizona and communities like Hazleton have found they have no other choice when it comes to combating crime and protecting their residents, but to enforce the laws the federal government willfully ignores. I appreciate your support and, as always, will keep you updated with the latest in our fight against illegal immigration. Very truly yours,  Lou Barletta  PS. If the White House is going to work around Congress and the courts are going to take options off the table, we’ve got to re-ignite our fight in Washington.  I like the Congressman personally. He is a nice man. This decision could have given him the opportunity to back away from this issue gracefully. Instead he’s diving back into it. Disagree with his stand but am amazed at his tenacity. 
Source: blogspot.com

Saving Money on Medigap Policies: High

If you buy Medigap Plan F with a high-deductible option, you must pay the first $2,070 (in 2012) of deductibles, copayments, and coinsurance not paid by Medicare before the Medigap policy pays anything. You must also pay a separate deductible ($250 per year) for foreign travel emergency services. This can be scary and intimidating, but if you don’t have to go to the doctor often it could save you money.
Source: medicaresupplementinsurances.com

Take Medicare Off That Check: Court Rules That Medicare Not Required to be on Settlement Check

In general, some factors to consider on this front include: (a) starting the process to obtain conditional payment information early and during the course of the claim, as opposed to waiting until the claim settles; (b) reviewing Medicare’s conditional payment claim and requesting the removal of inappropriate items to obtain an accurate exposure assessment; (c) clearly delineating who will be responsible for reimbursing Medicare’s conditional payment claim and how this will be done as part of the settlement negotiations and settlement agreement; (d) including all necessary settlement provisions and language, and (e) employing the most effective and practical safeguards to ensure that sufficient funds are available once Medicare’s “final” conditional payment figure is received post-settlement.
Source: lexisnexis.com

My Article Submission Directory: Everything You Need to Know About Medicare Supplement Policies

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSA Medicare Supplement policy is private health insurance that is used to supplement the Original Medicare Plan. This policy is also called “Medigap Insurance.” It is specifically designed to assist with health care costs, or “gaps,” that the Original Medicare Plan does not cover. Medicare Supplement policies often cover co-insurance, deductibles, and many other fees that Medicare doesn’t cover. If you receive benefits from the Original Medicare Plan and you purchase a supplement policy, then both plans will pay a portion of the Medicare-approved amount for covered health care costs. All of the Medicare Supplement policies are available for purchase through private insurance companies. Keep in mind that a supplement policy is not considered a “Medicare Advantage,” because it is not meant to be a way to receive Medicare benefits. Only “standardized” Medicare Supplement policies can be sold through insurance companies. These standardized supplement policies are named by letters (A through L). A few states, such as Texas and Louisiana, allow you to buy another type of Medicare Supplement policy called Medicare SELECT. The different types of Medicare supplement policies all offer the same basic benefits and insurance companies cannot change these policies. Typically, the only variation between policies through different insurance companies is the cost of the policy. Strict regulation through federal and state laws governs what is covered in these Medicare supplement policies, and these regulations are designed to protect those that receive Medicare. What Medicare Supplement Policies Do Not Cover Medicare Supplement policies do not cover any care that is considered long-term, such as care in a nursing home, hearing aids, eyeglasses, vision or dental care, and private-duty nursing. All new supplement policies are guaranteed to be renewable-meaning the insurance company will never terminate your policy as long as you pay the premium. Even though some previous Medicare policies paid the cost of prescription drugs, no new Medicare Supplement policies are allowed to include prescription drug coverage. So, if you would like to receive prescription drug coverage, it is advisable to join a Medicare Prescription Drug Plan (Part D) offered through private companies that are Medicare-approved. When to Buy a Medicare Supplement Plan The open enrollment period is the best time to apply for a Medicare supplement plan. This time to enroll only lasts for 6 months and begins on the first day of the month in which you are both age 65 or older and enrolled in Medicare Part B. During the enrollment period insurance companies cannot use any medical “underwriting,” which means that they can’t refuse to sell you their supplement policy, make you wait for coverage to begin, or charge you excess for a policy due to your health problems. The insurance company can never require a pre-existing condition waiting period if you buy a supplement policy when you have a guaranteed time period to purchase it. Before your open enrollment period begins, you can send in your application for a Medicare supplement policy. Sometimes you may have coverage that ends once you turn age 65, so this may be very important if you want to guarantee continuous health coverage. Your open enrollment period is extremely important because you can buy any supplement policy the company sells during this period. If you wait too long to apply for Medicare coverage and pass the time span of your open enrollment period, there is no promise that an insurance company will sell you a policy. When your open enrollment period is over, insurance companies are permitted to decide whether they will accept your application and how much they will charge you for the policy by the use of medical underwriting. Medicare Supplement Policy Costs The cost of Medicare supplement policies can differ widely because the premiums that insurance companies charge will vary from company to company. The coverage with each policy is always the same, no matter what company you choose, so keep that in mind when you are shopping around for a supplement policy. Also, remember that the cost goes up once your open enrollment period ends. What is Medicare SELECT? As mentioned earlier, some states offer another type of supplement policy known as Medicare SELECT. Medicare SELECT can be any of the standardized Supplement Plans A through L; however, you must use certain hospitals and sometimes, specific doctors in order to receive your full insurance benefits (except in emergency situations). Medicare SELECT policies are generally cheaper than other Medicare Supplement policies, but you will have to pay whatever costs Medicare doesn’t pay in non-emergency situations.
Source: blogspot.com

Video: Learn About Medigap Plans

Medicare Supplement Insurance Plans

Medicare Supplement Insurance is offered in a number of average plans. Choosing the fair plot is not an simple task, with all the different benefits and cost factors in play. This article introduces the different types of Medicare Supplement Insurance plans, to aid you choose the the one that suits you best. Tags:
Source: wikiaspace.com

Know A Bit More About Medicare Supplemental Plans » e

Medicare supplemental plans are purchased by thousands of senior citizens each year. They provide peace of mind to those who need medicals services, too as those who are healthful, but want coverage inside the occasion of an emergency or unexpected illness. Wellness care requirements alter regularly and also the state from the wellbeing care industry adjustments annually. This can make selecting the right strategy tough and often challenging. No matter the program you choose, the benefits ought to be the same. Lower from pocket bills and positive aspects that you simply can consider advantage of to sustain or improve your recent wellness standing. Are you searching for more information on medicare supplemental plans, check out the link to find out the details. Medigap Insurance and your Well being Risks; Irrespective of how you select to perceive things, an extended life will price one’s body. This consists of establishing a significantly greater chance of tumors, cancer, stroke, plus a ton of other significant health care issues. Medicare only handles about 80 % of the seniors complete health care bill and for some a lot more, covering those costs might be not possible if one particular does not have the perfect amount of supplemental coverage. In fact, for those seniors which are currently suffering from a pre-existing issue, or have some type of healthcare difficulty that runs within the family members, finding a Medicare plan will be the correct alternative if should you may not need to have it immediately because it provides you with monetary safety. It isn’t uncommon for people to request in regards to the difference amongst a Medicare supplemental plan and a Medigap policy. These two terms can be used interchangeably, as they refer towards the exact very same thing. Supplemental plans support pay out for the “gaps” in the authentic Medicare coverage, hence the term. The gaps refer for the bills that you just are liable for, including deductibles and coinsurance. The plans differ inside the sense that they offer different well being positive aspects to an individual. You will find some plans that are meant to supply usage for the drugs that are expensive whilst there are some plans that are designed to meet the demands of people men and women who are seriously ill and therefore are undergoing remedy during the hospitals. Also there are plans which offer you positive aspects to the people who are in good wellbeing and want to work in order to sustain the advantages of the Medicare plans. Aside from all this you’ll find the Medigap Insurance coverage Charges that are distinct dependent on the type of program selected by an individual. The charges with the medicare insurance coverage plans widely differ with all the variation during the insurance firms delivering these plans. The rates may also differ using the modifications inside the zip code of a person and therefore it has made it difficult for the folks to get hold from the best price during the Medicare insurance plans. “A Medicare Supplement is a good fit for people of all health situations or for anyone who has a family history of poor health, or currently has a medical condition that is going to require frequent trips to their doctor, specialist, or hospital.” Why? Well, if you choose a Medicare Advantage plan and you have poor health (and let’s face it we never know what our health will be in the future) your frequent trips to seek Medicare services are going to add up with every one of the co-pays you must pay. Granted there exists usually a optimum out of pocket cost using a Medicare Benefit program which is typically close to $4000-$6,000 each year. Typically speaking, a Supplement is actually a predictable price strategy. Medicare supplemental well being insurance coverage will be the health insurance taken moreover towards the Medicare insurance. Supplemental refers to the add-on nature with the insurance; it supports the Medicare insurance by having to pay for charges which can be not covered by Medicare. These incorporate charges including deductibles, copayments and coinsurance. Simply because it assists shell out for gaps during the expense and reimbursements with the Medicare insurance, it’s also known as Medigap insurance. Private health insurers supply supplemental insurance plans; the rates for the plans fluctuate from 1 insurer to yet another even for your same plan. Obtaining out the best plan is very important from two aspects: getting the best supplemental insurance coverage plan for the demands, and acquiring it at the lowest expense.ses as to which services they intend to lower. It really is well known that doctors and hospitals have a tendency to err around the side of not risking lawsuits. Many of us currently have end of lifestyle directives to stop being kept alive in a vegetative state that brings us no genuine that means. If they are the kinds of wellness care congress wants to stop, the majority of people would agree. Around the other hand, if congress is talking about discouraging methods that could give individuals a lot more many years of worthwhile lifestyle, then there must be opposition. Different Medicare Supplemental Insurance Plans; Centers for Medicare and Medicaid Services (CMMS), the federal agency that administrators the Medicare system, has standardized the supplemental insurance coverage plans into 10 strategy kinds. These standardized plans are provided by private insurers as insurance coverage products. The plans are named from A to N, using the plans names with E, H, I and J discontinued after May possibly 31, 2010. Consequently, we’ve ten plans named A, B, C, D, F, G, K, L, M and N. Plan F might be additional divided into F and F with higher deductible, which helps make for any complete of 11 plans. The plans differ in the kinds of positive aspects they provide. The advantages could be divided beneath the following heads: Fundamental benefits, Skilled Nursing Care, Medicare Element A deductible, Part B deductible, Component B Excess Costs, Foreign Travel and Preventative Services. Even the fundamental positive aspects supplied beneath diverse plans differ from a single to one more. For example, the Plan A gives just simple benefits, but is costlier than F deductible, which gives simple advantages furthermore to other positive aspects. This is possible simply because plan A has a lot more basic rewards.. Have A Peek Here for medicare supplement insurance.
Source: e-intake.com

Medicare Supplement Plan, Medigap Plans, Mymedicare, Supplemental Medicare.

Find right coverage Medigap Plans and Medicare Supplement Plan for insure your supplemental medicare after retirement. Mymedicare advisor helps you make a decision about how to choose a Medigap Plans, Medicare Supplement Plan, and Supplemental Medicare plan.
Source: postfreeadsinternet.com

Fascinating Details About Medicare Supplement Insurance coverage

According to some Washington lawmakers, if consumers are shielded from the real costs of health care, they’re more likely to use more and more expensive health care services. This, in turn, drives up the price of Medicare all round. Like a outcome, lawmakers are considering requiring folks with Medigap plans to pay out for more of their well being care to reduce the federal budget deficit.ses as to which services they intend to reduce. It really is well-known that physicians and hospitals tend to err within the side of not risking lawsuits. Many of us already have end of existence directives to avoid being kept alive inside a vegetative state that brings us no true meaning. If they are the sorts of wellness care congress desires to cease, the vast majority of individuals would agree. On the other hand, if congress is talking about discouraging procedures that could give men and women a lot more years of worthwhile daily life, then there needs to be opposition. Private organizations supply different supplement insurance plans at various costs. Even for your identical plan with exact very same attributes, the monthly premiums can differ to a aspect of up to 2x. By way of example, the Medigap K is accessible to get a monthly premium of $85 to $165. This exhibits that among the many businesses that provide K, no less than one particular is providing it at a month to month premium of just $85 monthly, whereas exactly the same standardized plan with all the very same attributes is also on offer at a premium of $165 each month. With numerous different plans on supply, and the complexity of dozens of insurance companies supplying the exact same plans at distinct prices, it becomes tough to discover the most effective supplemental program for the requirement. As a result, it becomes every one of the much more essential to shop judiciously to acquire the strategy that not merely meets your requirements, but is also easy in your pocket.
Source: vh-ulm.de

Medicare supplement insurance company gets fined for overcharging for a Medicare supplement policy.

One of the items that is reviewed is the medical claims as compared to incoming revenue from premiums paid by clients. This helps the department understand if the insurance company is requesting excessive increases.  Should it be determined that the insurance company is requesting excessive rate increases the DoI can reject the request and/or let them know what they feel is a more satisfactory percentage increase.
Source: gomedigap.com

MedicareSupplementPlans.com Connects Consumers with Best Medicare Supplement Insurance Plan Offers

San Francisco, CA  (PRBuzz) June 25, 2012 — With the ever-increasing costs of medical care, even Medicare coverage can leave too many unpaid medical bills for the typical consumer to afford. Although Medicare was once considered an effective way to meet the medical care costs of older Americans and people with disabilities, today it simply isn’t enough, which leaves consumers seeking Medicare supplement insurance plans to cover additional costs. MedicareSupplementPlans.com recently launched its redesigned website to provide greater support, in-depth information and quotes for the best Medicare supplement insurance plans available. Also known as Medigap, Medicare supplement insurance plans are private health insurance plans designed to pay some of the health care costs not covered by Medicare, such as co-payments, co-insurance and deductibles. Visitors to MedicareSupplementPlans.com can simply fill out the form available on the site’s landing page to find and compare the best Medicare supplement insurance plans and rates from all of the top insurance companies. After filling out the form and clicking Get Quote, a licensed Medicare supplement insurance agent follows-up with a no pressure, free insurance quote with detailed information about plan options and benefits to meet individualized needs. “The advantage of choosing a supplemental Medicare insurance plan over Medicare Select or Medicare Advantage is that with a Medigap plan you have absolutely no network restrictions; in other words you can go anywhere for your health care as long as the provider accepts Medicare,” explained a MedicareSupplementPlans.com spokesperson. The site connects consumers with highly trained licensed agents. The agents help consumers cut through the jargon so they can select the plan that is most appropriate for them at the best possible price. The site offers a whole host of reference material with brochures, rates and applications for the top suppliers available to download. To assist consumers in choosing the correct plan the site offers a detailed but simple to follow Medicare supplement insurance plan benefit comparison chart. The chart details the benefits of different Medigap policies so consumers can quickly identify which plan is appropriate for their circumstances. Editorialized content accompanies the chart guiding consumers through the technicalities of the policies. About MedicareSupplementPlans.com: MedicareSupplementPlans.com is Health and Life Insurance Services, LLC, one of California’s largest independent insurance agencies specializing in the best Medicare supplement insurance plans from leading brands. Visitors to the site can easily access comparison quotes, full customer service and detailed information about Medicare supplement insurance plans, as well as in-depth editorial content to guide them through the decision-making process. Learn more at http://www.medicaresupplementplans.com Contact Joe Bragg joe@brandoutreach.com (415) 632 1664
Source: 4rss.com