Oxford liberty pos medical insurance : vgyacmydsu

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Source: exblog.jp

Video: United Healthcare Oxford Medicare Advantage Denies Coverage

Wednesday, July 25, 2012: Medicare, the east

Should we believe that Pingree by herself is able to overrule what our state Legislature has passed? Does she really think she is more representative of the desires of the people of Maine than the senators, representatives and the governor combined? Or maybe it’s just that she feels omnipotent since she is married to a multimillionaire. Remember Pingree is the 1st District’s representative. She was never elected to speak for the whole state. She has never had that kind of support and has never won a statewide election. LePage in contrast has the right and the obligation to stand up for the entire state.
Source: bangordailynews.com

Obamacare Means a Mandate For More Inflation and a Higher Gold Price :

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Source: theintelhub.com

Study shows over 25 percent of Medicare patients harmed while in hospital

The study, prompted as part of the Tax Relief and Health Care Act of 2006, sought to definitively determine the incidence rates of both adverse events and temporary harm events among Medicare beneficiaries. In order to accomplish this, the inspectors randomly selected 780 Medicare beneficiaries discharged from hospitals across the country during a one-month period (October 2008) and determined how many suffered some degree of harm while hospitalized.
Source: pittsburghpamedicalmalpracticeattorney.com

United Healthcare Secure Horizons & Oxford

2012 about affordable article benefits Best business california Care Cheap cost Costs Coverage family find Free from Getting good guide Health Healthcare home Individual insurance life maryland Medical Medicare Movie National Need Obama Official online Plan Plans policy Private quotes Reform Small Trailer Virginia watch
Source: 123homesolution.com

Cars sales Theriault bringing new car to Sundayamp39s TD financial institution two hundred and fifty with Oxford Plains

Brittany Theriault was torn between cheering regarding fiance, brother Within TD financial institution 250Bangor, engine city report narrow victories In Zone 1 American Legion baseball tourneyNokomis, MCI, Mattanawcook, Camden hills, aged Town fill athletic directors a postsAcadian, Bangor all-stars to Fight regarding express Junior Little league title Tuesday from MansfieldPitching, offense click on once more as Bangor Junior All-Stars conquer Acadians for express name
Source: cars-town.com

Medicare Eligible? Resources at Mature Health Center Online

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilWhile you do not have to pay a premium for Part A if you meet one of those conditions, you must pay for Part B if you want it. In 2011 the monthly premium for Part B is $96.40 for most with incomes under $85,000 (single) and $170,000 (married). However, the monthly Part B premium for 2011 will be $115.40 for people enrolling in Medicare for the first time in 2011. It is deducted from your Social Security, Railroad Retirement, or Civil Service Retirement check. If you do not get any of the above payments, Medicare sends you a bill for your Part B premium every 3 months.
Source: stewardshipmatters.net

Video: Medicare & the Affordable Care Act in 2011

Why Did I Lose My Medicare Part D? »

handbook, the new Medicare rule was first explained and Social Security sent out letters informing Medicare beneficiaries that they would have additional premium including the Part D prescription drug premium.  The new IRMAA (Income Related Medicare Adjusted Amount) rule has never really been publicized and only if your income is higher can you be affected.  IRMAA states that if your income is above $85,000 for an individual or $170,000 for a couple, then, you may pay an income related adjustment amount (additional monthly premium), in addition to your Medicare prescription drug premium.  The IRMAA Part D premium can range from $11.40 to $66.40 which is based on your reported income.
Source: tonisays.com

Medicare Premiums Qualify Are Deductible Above the Line (in some cases)

However, for S corporation shareholders and partnerships, a notice issued previously by the IRS requires that these premiums actually be reimbursed by the corporation (or paid directly by the employer which is not normally applicable with Medicare premiums).  This requires a check be issued by the employer to the employee paying the Medicare premiums.  These payments would then be included in the income of the employee (deducted by the employer) and then deducted on page 1 of form 1040.  If these guidelines are not followed completely, then the deduction is not allowed.
Source: farmcpatoday.com

Medicare Premiums, Deductibles & Coinsurance: Rates for 2011

Because of the zero COLA increase in 2011, some Medicare beneficiaries will not pay more for coverage. If your premium is deducted from your Social Security check and your income is $85,000 or less ($170,000 if you file a joint tax return), then you won’t have to pay more. Your monthly premium will stay at either $96.40 or $110.50.
Source: suite101.com

Will Obamacare cause your Medicare Insurance Premium to double?

Thanks for doing the research! A higher premium is one of the things I worry about least though, I am far more worried about the end of life committee requirements, the payment limitations, the affects on those with disabilities, the disrespect shown religious freedom,etc. Could my 94 year old aunt get a replacement pacemaker? Will they pay for chemo for my78 year old neighbor with debilitating cancer? Will they deem untreatable children born with disabilities? My heart breaks when I contemplate these ethical scenarios.
Source: wordpress.com

Social Security goes up, but so do Medicare premiums

To P. D’Antonio, NOT EVERY PENSION PLAN IS THE SAME. MINE WAS FREE WITH THE AIRLINE THROUGH THE UNION. I also suffer with many Esophagus problems and I truly believe all the chemicals I worked with and ulcer in Esophagus from stress from the “Good Old Boys in the Union”. My husband gets a great PENSION as he made very little which co-incided with the city plan as all figured out to a tee as he paid in big monies for his Pension pretty much $200.00 to $400.00 in later years as made more but when he worked overtime and slept all wknd there and removed snow they took $600.00 of his overtime including the reg. month payments for his Pension. You young people know nothing or some older. Every pension plan is different!!! My friend hates it too but her company gives BONUS checks each year which she got a lump sum of $15,000 and others at that same company up to $34,000 per year. I worked for not much for 46 yrs. my hubby got NO Bonuses for Viet Nam. He will not get any Social Security for 30 yrs with City as part of the Pension Plan as he did not pay in unless worked other jobs. He has worked other jobs now for 16 yrs plus his 30 for city. Plus his 4 yrs Marine service plus 6 yrs reserves. He is 65 and still working for Health Ins. Him and I never saw Bonuses!!!!! I don’t get low free flying as quit early because of ulcer and many other throat problems working with so very many chemicals. Get your facts straight about Pensions!!!! I never heard of a 401K plan til 1991 in my whole life and neither did my husband. If they were around earlier must have been for the rich or high up people at jobs! Republicans wanted all the Soc. Sec. to INVEST, remember then we had the stockmarket fall with the Godlman Sacs and Wallstreet. My husband’s Pension almost went broke and had to be transferred to another pension which were still not sure of! If Republicans would of had their way all the Social Security would have been gone then. LOL Stockbroker’s would have taken a big share of soc. sec. How soon we forget Republicans went on and on about people invest their own and let stock people take over Soc. Sec. to invest and they would have lost all of it a long time ago!!! Every company has their perks and some are more generous than others!!!!! LOL
Source: msn.com

Medicare Advantage Premiums To Fall 4% Next Year

The 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

Romney vs Obama on Medicare. Neither is telling you the truth.

Who is going to save Medicare? Who is going to save Medicare without any adverse impact on current or future beneficiaries? Answer, no one! Oh, Medicare will be preserved, but from the point of current expectations it will be painful.The Obama approach is pie in the sky. It is based on changes (cutting provider payments) that have never been followed through with enactment (and with serious consequences if they were). Look at his pre-election statement below and then look at extract from the 2012 Medicare Trustees Report, especially the second paragraph below. What do you think is the probability that 165 provisions affecting Medicare within Obamcare will be implemented, work as planned and be sustained? The answer is zero. To think you can put Medicare on a path to fiscal solvency by cutting payments to providers and insurers is naive at best (especially when you are increasing the benefits). To think you can do that without an adverse impact on everyone not on Medicare is foolish and irresponsible.
Source: quinnscommentary.com

Medicare premium increases and the PP & ACA Act.

These are Provisions incorporated in the Obamacare Legislation, purposely delayed so as not to confuse the 2012 Re-Election Campaigns. Send this to all Seniors that you know, so they will know who’s throwing them under the bus.
Source: asmainegoes.com

2012 Medicare Premiums, Deductibles and Co

Enrollees in Medicare Part D prescription drug plans pay premiums that vary from plan to plan.  Beginning in 2011, Part D enrollees whose incomes exceed the same thresholds that apply to higher income Part B enrollees must also pay a monthly adjustment amount. The regular plan premium will be paid to their Part D plan, and the income-related adjustment will be paid to Medicare.  The amounts by income level are below.
Source: medicareadvocacy.org

Teachers Are Not the Problem: Medicare meets Obamacare

“(Many beneficiaries paid less than the listed amounts in 2010 and 2011 because of the “hold-harmless” provision of Medicare which states that if the dollar increase in your Medicare Part B premium is bigger than the dollar increase in your Social Security check, you don’t have to pay the difference.)” “As for future Medicare Part B premium rates, the information cited above is wrong on two counts: No provision of the health care legislation passed during the Obama administration sets Medicare premium rates, nor is a whopping jump of over 100% to a $247.00 monthly premium in 2014 a realistic figure.” [Emphasis mine.] “New Medicare premium rates come out each fall and take effect in January. Medicare beneficiaries as a group are required to pay one-fourth the cost of running Medicare, and annual premiums are set at a figure calculated to achieve that level of revenue. Although the annual premium rates aren’t officially set until they are announced each fall, Medicare administrators track trends and anticipated changes and use them to formulate projections of Medicare premiums for the next several years. According to the most recent report of the system’s trustees, issued in May 2011, those projected premiums (as listed on page 218) are:
Source: blogspot.com

Things to Consider When Integrating Your Home Health Care with Medicare

Posted by:  :  Category: Medicare

Furthermore, the Medicare criteria for individual qualifying to receive home health care are very strict; the reality is that many people who may apply for coverage by Medicare for their approved home health company services will not actually receive coverage. Currently, Medicare pays only about half of all health care costs to seniors. Medicare very often denies payment due to not meeting criteria, so it is essential to be aware if you meet these criteria prior to restricting yourself exclusively to Medicare-approved home health care companies.
Source: freepressreleases.com

Video: medicare.gov

Q1Medicare.com Updates Online Tutorial with Tips to Help Beneficiaries Navigate the Medicare.gov Plan Finder

The Plan Finder tutorial also illustrates the two options for people who do not want to enter any medications into the Plan Finder, but still want to see an overview of the available Medicare Part D and Medicare Advantage plans. Medicare beneficiaries who do not use any prescription medications can skip the Plan Finder drug-entry step and the pharmacy selection step, going directly into an overview of all Medicare Part D plans or Medicare Advantage plans in their area sorted only by total annual premium costs. On the other hand, people who are unsure of their prescription needs can also skip the drug-entry step by choosing to enter their drugs later and the Medicare.gov Plan Finder will assign each Medicare plan with an estimated annual prescription drug cost based on the users default value of good health. If desired, users can then change their general health status to get a better estimate of annual drug costs under each Medicare plan.
Source: necommblog.com

Medicare Part D Resource for you by Mature Health Center

Some categories of beneficiaries are not bound by the lock-in rules and may enroll or disenroll from a PDP plan in other than the AEP. An individual may at any time, during a designated Special Election Period (SEP), discontinue the election of a PDP plan offered by an PDP organization and change his or her election to original Medicare or to a different PDP plan. Examples of situations which may entitle an individual to an SEP include the termination or discontinuation of a plan, a change in residency out of the service area, the organization violating a provision of a contract or misrepresenting the plan’s provisions, or the individual meeting other exceptional conditions as CMS may provide. CMS has also designated an SEP for individuals entitled to Medicare A and B and who receive any type of assistance from Title XIX (Medicaid), including full-benefit dual eligible individuals, as well as those eligible only for the Medicare Savings Programs. This SEP lasts from the time the individual becomes dually eligible until such time as they no longer receive Medicaid benefits. Individuals who are eligible for an SEP under the guidance for Part D enrollment and disenrollment may use that SEP to also make an election into or out of an MA-PD plan. from Medicare.gov, Prescription Drug Coverage (2012), Prescription Drug Coverage: Basic Information (2012) Return to top
Source: stewardshipmatters.net

Medicare.gov: Medicare @ SEOValidate.com

Medicare, Medicare Eligibity, Medicare Advantage, Medicare Part D, Medicare Part C, Medicare Part B, Medicare Part A, Medicare heath plans, Medicare drug plans, Medicare supplemental plans, Medicare facilities, Medicare providers, what’s new, parts of Medicare, elder care
Source: seovalidate.com

Why Did I Lose My Medicare Part D? »

handbook, the new Medicare rule was first explained and Social Security sent out letters informing Medicare beneficiaries that they would have additional premium including the Part D prescription drug premium.  The new IRMAA (Income Related Medicare Adjusted Amount) rule has never really been publicized and only if your income is higher can you be affected.  IRMAA states that if your income is above $85,000 for an individual or $170,000 for a couple, then, you may pay an income related adjustment amount (additional monthly premium), in addition to your Medicare prescription drug premium.  The IRMAA Part D premium can range from $11.40 to $66.40 which is based on your reported income.
Source: tonisays.com

Heller Senate Campaign Calls Patriot Majority Attack Ads On Medicare Votes False

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSDay R. Williams scored top of his law school class in Evidence and Constitutional Law, and he wrote for the Law Review. He is known as a fine legal writer. Day has practiced solo for more than 20 years in Carson City. He has handled contract disputes, personal injuries, bad faith by insurance companies, probate, estates and trusts, appeals, and a murder case. Day has tried cases and appeared in court in Carson City, Reno, Minden, Yerington, Ely, Fallon, Pahrump, and Las Vegas, and he has argued before the Nevada Supreme Court and the Ninth Circuit Court of Appeals. He was a driving force in the first citizen-initiated grand jury in Nevada’s history.
Source: carsonnow.org

Video: Medicare Advantage Plans in Nevada- 1-800-643-7544

Avoiding the (Medicare) “Doughnut Hole”

According to the new study, and sheer intuition, patients that fall within the doughnut hole are associated with a significant drop in medication use – 12% on average. That is always relevant, but perhaps especially so in the case of depression medication. While discontinuing any prescribed medication is never advisable, it is often easier to justify foregoing depression medication than other medications.
Source: sundvicklegacycenter.com

Obama, Democrats drag ‘GOP will kill Medicare’ lie out of mothballs

Democrats and the president are hardly in a position to cast stones in any case. Obamacare, which as far as they are concerned is a done deal, inflicts far more harm on “Medicare as we know it” than the Ryan plan. In its current form, the health care law siphons off $500 billion in savings from Medicare over the next ten years to pay for other programs created by the law. Defenders of the law will insist it has built-in offsetting provisions, such as paying hospitals less when patients are quickly re-admitted after being discharged. It’s hard to see how they would package this type of cost-cutting measure in a form that makes it palatable to seniors.
Source: hotair.com

HMO Overhead v. Medicare, 2011

H.R. 5986: To amend the African Growth and Opportunity Act to extend the third-country fabric program and to add South Sudan to the list of countries eligible for designation under that Act, to make technical corrections to the Harmonized Tariff Schedule
Source: wordpress.com

Free Health Insurance U.S.

Free Health Insurance is owned and operated by Barry White, a former Health Insurance Specialist with 16 years experience in the health insurance industry. Mr. White now dedicates his time to helping families find affordable insurance in a quickly changing marketplace. He provides this quoting service free of charge to consumers, and makes no commissions from any insurance company or agent.
Source: freehealthinsurance.us

Medicare Supplement Plans In Nevada, Colorado, and Utah

If you live in Utah, Colorado, or Nevada you are in a excellent position to acquire a Medicare Supplement Plot. The cause why is that these states boast some fantastic factors that lead to low rates. Tags:
Source: wikiaspace.com


Posted by:  :  Category: Medicare

Racism by elycefelizHow will the coming changes in health care coverage affect you? Now that the U.S. Supreme Court has upheld the controversial law to overhaul health care, millions of Americans are asking the same question: How will it affect me? “It’s going to affect everyone,” said Jodi Mitchell, executive director of Kentucky Voices for Health, a coalition of health departments and groups. “… People want to know what’s in it.” The Courier-Journal consulted health care experts, government agencies and others to answer some of the common questions people are raising about the law, which runs more than 2,000 pages, and how it could affect their daily lives, whether they are young people, working-age parents, senior citizens or business owners. Experts agree the changes will be sweeping. Some provisions have already taken effect, such as one allowing young adults up to age 26 to stay on a parent’s health plan, and another forbidding health insurers from excluding a child from coverage because of a pre-existing health condition. Adults with pre-existing conditions can get insurance through a federal program until 2014, when insurers won’t be able to exclude them, either. Many more rules are scheduled to take effect in 2014, including one of the most controversial — the individual mandate that people carry health insurance or pay a penalty. That mandate — which the Supreme Court upheld under the federal government’s taxing power — is at the heart of a divisive debate that continues today. Many health officials, including Dr. LaQuandra Nesbitt, director of the Louisville Metro Department of Public Health and Wellness, say the law is a step in the right direction, affirming that access to health care is a right and not a privilege. But many others say it’s an assault on individual freedom. Senate Minority Leader Mitch McConnell, R-Ky., has called it “the single worst piece of legislation passed in modern times.” Earlier this month, the GOP-controlled U.S. House passed a bill to repeal the law, known formally as the Affordable Care Act. But Dewey Clayton, a political science professor at the University of Louisville, said he sees the law surviving in the long run. “Politics will come into play,” he said. “… But many Americans will say, ‘It’s law; now let’s move on. We’ve got too many other pressing problems.’ ” Still, some health care experts said it’s unclear what could happen if the political landscape changes. “That’s the big mystery of the 2012 election,” said Susan Zepeda, president and chief executive officer of the nonprofit Foundation for a Healthy Kentucky, which strives to address unmet health needs of Kentuckians. “If the balance of power in Congress changes, if the person in the White House changes, it’s conceivable that Affordable Care may be repealed.” Another issue that remains hazy is how many states will expand the Medicaid program for the poor and disabled, as called for in the health care overhaul. The Supreme Court’s June 28 decision said the federal government can’t withhold current Medicaid funds from states that refuse to comply with the expansion. Officials in seven states have announced plans to opt out of the Medicaid expansion. Kentucky and Indiana officials have not yet decided. States that opt in face a financial burden down the road, since the federal government will reduce its contribution to the expansion costs from 100 percent to 90 percent in 2020 and later years. “In light of the Supreme Court’s decision, a great deal of questions remain about how an expansion of Medicaid would affect Kentucky, particularly the long-term cost to the state after the three-year period of full federal cost coverage expires,” said Audrey Tayse Haynes, secretary of the Kentucky Cabinet for Health and Family Services. Zepeda pointed to figures from the Kaiser Family Foundation showing more Kentuckians stand to gain than those in other states from a Medicaid expansion, with about 57 percent of uninsured adults becoming newly eligible for coverage. As states sort out these unknowns, here are answers to some common questions about the law: All residents All residents Q: What is the “individual mandate”? A: The mandate means virtually all Americans must have health insurance by 2014 or pay a penalty. If you already have insurance, you’ve met this requirement. The Congressional Budget Office says about 80 percent of the 272 million Americans under 65 would be insured in 2014 even without the new law. For individuals, the penalty for not having insurance will start at $95 a year, or up to 1 percent of income, whichever is greater. By 2016, it rises to $695 a year for individuals and $2,085 for families, or 2.5 percent of income. The law includes a carrot as well as a stick — namely, subsidies to help working-class and middle-class people buy private insurance through new, state-based health insurance exchanges beginning in 2014. These will be available to people with incomes up to 400 percent of the federal poverty level, or about $90,000 for a family of four. Those who make less will get a bigger subsidy. For example, a family of four earning $33,075 a year will have to pay 4 percent of their income, or $1,323 a year, for insurance premiums — with the remainder paid by the subsidy. According to the U.S. Census Bureau, an average of 15.5 percent of Kentuckians, or 663,000 residents, lacked health insurance from 2008-2010; and 12.8 percent of Hoosiers, or 813,000 people, were uninsured during that period. Q: Might I become eligible for Medicaid under the new law? A: That’s unknown, since Kentucky and Indiana leaders haven’t yet decided whether to participate in the Medicaid expansion. If they opt in, starting in 2014, Medicaid would effectively cover people who earn up to 138 percent of the federal poverty level, which is currently $15,415 for an individual and $31,809 for a family of four. Q: I haven’t been able to get insurance because of a pre-existing condition. Will the law change that? A: For the next couple of years, people can get coverage from a federal program known as the Pre-Existing Condition Insurance Plan, or PCIP, which began in July 2010. This is separate from a state high-risk pool known as Kentucky Access, which has existed for more than a decade. To qualify for a PCIP, you must be a U.S. citizen who has been uninsured for at least six months and have a pre-existing condition or have been denied coverage because of a health condition. To apply, go to www.pcip.gov. There are three types of plans — standard, extended and HSA — and the monthly premium for a 45- to 54-year-old getting a standard plan in Kentucky is $226; in Indiana it’s $284. Both the PCIP and Kentucky Access will stop operating in 2014, when the law says people can no longer be denied coverage or charged higher premiums for having a pre-existing condition. Q: How will I find health insurance? A: New state health insurance exchanges will start up in 2014 as marketplaces for affordable coverage — primarily serving individuals buying insurance on their own, and small businesses. Kentucky Gov. Steve Beshear issued an executive order on Tuesday creating an exchange in Kentucky, but Indiana officials have not committed to creating one, with Gov. Mitch Daniels saying it will be up to the next administration to decide whether to do so. If a state doesn’t create its own exchange, the federal government will step in to establish and operate one. According to Kentucky’s Office of Health Policy, open enrollment for Kentuckians will begin in October 2013 and will take effect in January 2014. Beshear said the exchange will enable eligible individuals to receive tax credits and subsidies to help reduce the cost of premiums, and qualify small businesses for tax credits through the Affordable Care Act. Although the exchange is still being developed, Mitchell of Kentucky Voices for Health said she expects it to be not only a place to shop for insurance, but a clearinghouse for insurance-related information that people can call to ask questions. The federal government says the exchanges will help make insurance more affordable by offering people choice, and encouraging competition among insurers on a level playing field. People will also be able to find out if they qualify for programs to make insurance more affordable, such as advance payments of the premium tax credit or Medicaid. Also, a Small Business Health Options Program, SHOP for short, aims to give small businesses the clout big businesses have when they buy insurance. Q: Are any new taxes included in the new law? A: The Supreme Court upheld the individual mandate under the federal government’s ability to tax, so the penalty for not having health insurance can be viewed as a tax. Also, starting in 2013, people who earn more than $200,000 a year and married couples earning more than $250,000 will pay a Medicare payroll tax of 2.35 percent, up from 1.45 percent. Such high earners will also face a new, 3.8 percent tax on unearned income such as dividends. Starting in 2018, the law imposes a 40 percent excise tax on the portion of most employer-sponsored health coverage worth more than $10,200 a year for individuals and $27,500 for families, which some have dubbed “Cadillac” plans. Though there are rumors to the contrary, the law does not contain a real estate sales tax or real estate transfer tax. Young people Young people Q: I’ve heard that young adults can stay on their parents’ health insurance plans. What are the details? A: Health plans that offer coverage for dependents now must allow young adults to stay on their parents’ insurance until their 26th birthday. So far, 35,600 young adults in Kentucky and 38,400 in Indiana have gotten insurance this way. At this point, the provision applies to individual plans and new employer-based health plans. If young adults can get insurance through their own jobs, their parents’ existing employer-based plans don’t have to cover them. But that changes in 2014, when they can stay on a parent’s plan even if their employers offer coverage. Call your insurance company, insurance agent or your company’s human resources department to find out when during the year an adult child can be added to your policy. Q: What if my young adult child gets married or becomes pregnant? A: Married young adult children up to age 26 still qualify for coverage. And if the parent’s plan covers pregnancy, the child’s pregnancy should be covered. But the plan doesn’t have to cover the new baby. Q: How does the law affect coverage for young children still at home? A: Insurers can no longer exclude children from coverage because of pre-existing conditions, impose lifetime limits on how much they’ll cover or drop them from coverage when they get sick. Starting in 2014, new health plans must cover basic pediatric services as well as dental and vision needs for kids. Working-age adults Working-age adults Q: Will my premiums rise if I get my insurance through my job? A: That’s unclear. The Kentucky Department of Insurance points out that employers will continue to make decisions about plans offered to employees. “There are some folks who believe that insurance companies have already factored in the higher-risk patients” they’ll have to cover under the law, said Zepeda, of Foundation for a Healthy Kentucky. “I wouldn’t expect premiums to continue to go up.” Jose Fernandez, an assistant professor of economics at the University of Louisville, said the law’s impact on premiums is largely unknown at this point. He said there are provisions that could push up premiums slightly, such as the elimination of lifetime caps on coverage, but there are also provisions that could push them down, such as the influx of many more healthy young people. Q: I get my insurance through a large company. Besides possibly affecting my premiums, how else might the law affect me? A: New health plans have to cover preventive services, such as cancer screenings, with no co-pays. They also can’t drop you from health coverage if you get sick, and they cannot deny your child coverage because of a pre-existing condition. If you have a Health Savings Account, you can keep it. In 2014, insurers won’t be able to deny coverage to adults with medical conditions or refuse to renew their policies. They also won’t be able to limit coverage based on pre-existing conditions or charge higher rates to people in poor health. Q: What if I work for a small company? A: If you have insurance through your job, the provisions listed above would apply. Also, starting in 2014, insurance deductibles for small groups (50 employees or less) will be limited to $2,000 for individuals and $4,000 for families. If you work for a small company that doesn’t offer health insurance, there’s no requirement that the company start offering it. Employers with fewer than 25 employees may be able to get tax credits for providing coverage, but they don’t have to do so and aren’t penalized if they don’t. If you don’t get insurance at work, you can shop for it in the insurance exchange. Q: Are there any insurance plans that aren’t affected by the new law? A: Yes. The law “grandfathers” existing health insurance plans, meaning that if a person was enrolled in a plan on March 23, 2010, that plan has been grandfathered. It’s unclear whether changes to a health plan, such as what is covered, make it a new plan rather than a grandfathered plan. Grandfathered plans are exempt from the vast majority of insurance changes under the law, but they do have to abide by some, such as bans on lifetime limits on essential health benefits, bans on health plan terminations and the requirement to allow children to stay on parents’ insurance up to age 26. In 2014, grandfathered plans also won’t be able to make someone wait more than 90 days to be eligible to enroll in health benefits, and those providing group coverage won’t be able to exclude people based on pre-existing conditions. Senior citizens Senior citizens Q: Does the law affect my Medicare coverage? A: Medicare benefits haven’t changed, but co-pays have been eliminated for preventive services such as mammograms and prostate cancer screenings, a provision that has affected more than 1.2 million seniors in Kentucky and Indiana so far. Seniors can still enroll in a Medicare HMO or Medicare Advantage plan, but the Advantage programs could change. The law reduces payments to Medicare Advantage plans while rewarding high-quality plans. Experts say insurers may respond by charging higher premiums, reducing their network of health care providers or getting out of the market altogether. Q: Does the law address the “doughnut hole” gap in Medicare drug coverage? A: In 2010, seniors who had reached the doughnut hole (which in 2010 meant they had spent $2,830 on prescriptions) got $250 rebates. Last year, people in the doughnut hole received a 50 percent discount on brand-name drugs. In 2020, the doughnut hole is slated to be eliminated, although seniors will still have to pay the standard 25 percent of drug costs until they reach the threshold for Medicare catastrophic coverage, when co-pays drop to 5 percent. Business owners Business owners Q: How does the law affect me if I own a small business? A: A lot depends on the size of your business. Small firms with fewer than 50 employees aren’t required to offer health insurance. Very small businesses can get tax credits — although just for two years. Those with fewer than 25 full-timers and average annual wages of less than $50,000 and which pay at least half the cost of health insurance for employees are eligible for credits. Through 2013, the maximum credit is 35 percent for small businesses and 25 percent for small charities — rising to 50 percent and 35 percent, respectively, the next year. “It’s a way of giving a Groupon to these small employers,” said U of L’s Fernandez. But there’s a potential penalty for small businesses with more than 50 employees. They’ll have to start paying a fee in 2014 if any employee receives a federal subsidy to buy private coverage through the health insurance exchange. The penalty, which rises over time, initially equals $2,000 multiplied by the number of workers in excess of 30. For example, an employer with 75 workers would pay a penalty of $90,000, or $2,000 times 45 employees. Q: What if I own a larger business? A: Businesses with fewer than 100 workers will be able to buy coverage starting in 2014 through a program in the health insurance exchange called Small Business Health Options, or SHOP. Starting in 2014, businesses with more than 200 employees must automatically enroll workers in a health plan and won’t be able to impose a waiting period of more than 90 days. Employees can opt out if they choose. Also, large employers could face penalties if their coverage is deemed inadequate or too expensive, with premiums higher than 9.5 percent of a worker’s income. Before 2014, firms may be eligible to take part in an early retiree program that provides financial assistance to employers and unions to help them cover early retirees ages 55 to 64. The U.S. Department of Health and Human Services has received applications from more than half of Fortune 500 companies, all major unions, and government entities in all 50 states. Approved sponsors in Kentucky include Brown-Forman., Humana and others. The program ends in 2014, when early retirees can find insurance through the exchanges. Sources: Kentucky Voices for Health, Foundation for a Healthy Kentucky, Kentucky Department of Insurance, Kentucky Cabinet for Health and Family Services, U.S. Department of Health and Human Services, the White House, Kaiser Family Foundation, The Urban Institute, Congressional Budget Office, Congressional Research Service, U.S. Census Bureau, National Association of Realtors, Internal Revenue Service
Source: blogspot.com

Video: Kentucky Medicare Supplements

One week left for managed

University Health Care Inc., which does business as Passport Health Plan, has managed Medicaid services in a 16-county region of Kentucky, including Jefferson County, since 1997. Passport came under fire after a 2010 audit revealed a lack of internal controls and trans­par­ency, governance problems, excessive spending and conflicts of interest by former officials. Since then, the company has undergone leadership changes, including the appointment of CEO Mark Carter. An audit earlier this year showed improvement from 2010. Like any other company, Passport can compete for one of the managed-care contracts that are up for grabs in the 16-county region this year.
Source: wordpress.com

WATCHDOGS: Solons worry Medicare billions going to Castro, Cuba

Two U.S. senators and a representative worry that billions of tax dollars could be going to Cuba and other foreign countries via criminal schemes designed to defraud Medicare and Medicaid. The schemes often involve the use of “nominees,” individuals who are paid to be fronts for the actual owners of corporate entities being used in the fraudulent operation. By concealing the identities of true owners,the approach invites its use to funnel tax dollars out of the country. In a letter made public yesterday to Marilyn Tavenner,acting administrator of the Center for Medicare and Medicaid,senators Orrin Hatch,R-UT,and Tom Coburn,R-OK,were joined by Rep. Peter Roskam,R-IL,said they fear billions of tax dollars are being lost annually as a result.
Source: kentuckynewsjournal.com

Medical Jobs, Healthcare Jobs, Allied Health Jobs, Dental Jobs and Nursing Jobs!

MedPostings.com is your one stop, medical job board. Created to assist hospitals, staffing agencies and all medical and healthcare professionals locate the perfect job or candidate, our mission is providing a one stop resource for medical facilities and medical professionals to connect with each other using our web site’s post and search format. The MedPosting.com Job Board’s user friendly design makes it easy for you to locate Permanent, Locums or PRN healthcare professionals and medical jobs!
Source: medpostings.com

To Gauge ObamaCare Impact, Ignore CBO and Focus on AQC

Last week, HHS pledged up to $275 million for a state innovation program that will help states design and test new multi-payer payment and delivery models (Zigmond, Modern Healthcare, 7/19). The Center for Medicare and Medicaid Innovation program — called the State Innovation Models Initiative — was created under the Affordable Care Act and will distribute two types of awards: model design awards and model testing awards (HHS release, 7/19). Applications for the awards are due Sept. 17, 2012, and HHS expects to announce the winners in November (Modern Healthcare, 7/19).
Source: californiahealthline.org

Zandar Versus The Stupid: Fell On Black Days

The battlefield for Medicare expansion under the Affordable Care Act is playing out in an unlikely place:  right here in Kentucky.  Dinosaur Steve Beshear is in his second term as governor through 2015, and the Democrat actually seems to maybe want to implement as much of the ACA as possible to help Kentucky’s poor, rural folks…who are mostly white (and everyone knows it, Kentucky is 89% white.)  The Great Brown Horde card doesn’t work here, and it means a relatively conservative Southern state may very well be one of the first to implement reforms (and take that federal Medicare money). Naturally, Kentucky House Republicans are pissing themselves trying to stop Beshear.  For his part, Beshear is playing his cards close to his vest. The top Republican in the Kentucky House wants Democratic Gov. Steve Beshear to halt an expansion of Medicaid, the federal-state health insurance program for the poor and disabled. The expansion of Medicaid is a central element in President Barack Obama’s Patient Protection and Affordable Care Act, which says the federal government will pay 100 percent of the costs to add certain people to the program in 2014. After three years, the states must pick up some of the costs of the expansion, which Kentucky can’t afford, House Minority Leader Jeff Hoover of Jamestown said. Currently, the federal government pays 70 percent of the costs of the insurance program and the state picks up 30 percent. Under the expansion proposal, after three years the federal government would pay about 90 percent for those people added under the expansion, but the state would have to cover the other 10 percent. The U.S. Supreme Court recently upheld the controversial federal health insurance law but ruled that states can’t be penalized financially if they opt out of the Medicaid expansion. In Kentucky, more than 700,000 people receive insurance through the $6 billion program. It is Kentucky’s largest insurance provider. Yeah, you read that right:  Medicaid is already the state’s largest insurance provider.  You’d think even Beshear would jump at the chance to do this.  Sadly, he’s up against the coal industry, and they’re doing everything they can to kill anything close to resembling health care in the state.  This is the result:  Black Lung is back big time in coal mining country. A joint investigation by NPR and the Center for Public Integrity (CPI) has found that McCowan is not alone. Incidence of the disease that steals the breath of coal miners doubled in the last decade, according to data analyzed by epidemiologist Scott Laney at the National Institute for Occupational Safety and Health (NIOSH). Cases of the worst stage of the disease have quadrupled since the 1980s in a triangular region of Appalachia stretching from eastern Kentucky through southern West Virginia and into southwestern Virginia. Black lung experts and mine safety advocates have warned of the resurgence of the disease since 1995. New reporting by CPI and NPR reveals the extent to which federal regulators and the mining industry failed to protect coal miners in the intervening years. An analysis of federal data by CPI and NPR also shows that the mining industry and federal regulators have known for more than two decades that coal miners were breathing excessive amounts of the coal mine dust that causes black lung. CPI and NPR also found that the system for controlling coal mine dust is plagued by weak regulations and inaccurate reporting that sometimes includes fraud. Suddenly the notion that people need long-term health care in the poorest part of the state has taken on quite the urgency, yes?
Source: blogspot.com

Daily Kos: Feds Order Wisconsin to Reimburse for Failed Family Care Freeze

Posted by:  :  Category: Medicare

YOU MIGHT WANT TO START PLANNING by SS&SSThe federal Centers for Medicare and Medicaid Services (CMS) have renewed Wisconsin’s Family Care program, which provides support for elders and people with disabilities to live in their communities rather than nursing homes.  In the process, they once again took the Walker administration to the woodshed for the Family Care enrollment freeze that was imposed in Walker’s 2011 biennial budget and lasted 9 months.   The freeze, said the CMS in a letter to Wisconsin Medicaid director Brett Davis on Monday, violated the terms of the federal waiver agreement for Family Care.  Therefore, Wisconsin “should reimburse the individuals improperly placed on a waiting list for any health care costs incurred while on the waiting list.”
Source: dailykos.com

Video: RANT!!!!! DEBT problem; Wisconsin & Ohio; Social Security, Medicare and Taxes

Medicare Part D and Prescription Drug Helpline

MADISON—The Board on Aging and Long Term Care has launched its Medigap Part D and Prescription Drug Helpline. Counselors are available to assist callers age 60 and over who have questions related to prescription drug insurance, including Medicare Part D and SeniorCare. Counselors will also aid callers in exploring other coverage options for prescription drugs.
Source: cwagwisconsin.org

Wisconsin to Get $9.6 Million in GlaxoSmithKline Settlement 

badgercare plus Better Business Bureau charity scams credit card fraud credit card scams election fraud false claims act fraud alert newsletter Frauds healthcare reform identity theft medicaid fraud Medicare medicare fraud medicare overbilling medicare part D medicare reform medicare reimbursement mortgage fraud phishing scams podcasts prevent medicare fraud storm chasers storm scams tax scams telephone scams Training voter fraud wisconsin bbb wisconsin check fraud wisconsin child care fraud wisconsin election fraud wisconsin fraud wisconsin head start fraud wisconsin healthcare wisconsin medicaid fraud wisconsin medicare wisconsin mortgage fraud wisconsin scam wisconsin scams wisconsin smp wisconsin smp training wisconsin unemployment benefits wisconsin unemployment fraud wisconsin voter fraud
Source: wisconsinsmp.org

APWU OF WISCONSIN: "Don't Take Away New Medicare Benefits for Seniors"

“Wisconsin retirees are upset that, in voting for repeal, Reps Duffy, Petri, Ribble, Ryan, and Sensenbrenner chose ideology and partisan politics over seniors’ basic needs.  We are pleased that Reps Baldwin, Kind, and Moore stood up against the powerful special interests in support of a law that is helping workers and retirees across our state.
Source: blogspot.com

Wisconsin Medicare Free ?

This question comes up often in addition to: how does Medicare work?  The answer is predictable: There is no free lunch, even with Medicare.  If you are turning 65 soon, or becoming Medicare eligible prior to 65, you are automatically enrolled in the government hospitalization coverage, or Medicare Part A.  You may to elect to enroll in Medicare Part B at some point, however Wisconsin Medicare is not free as you have already paid into Medicare Part A (if you have been working your entire adult life) through and automatic Medicare payroll tax.  However, there is a separate monthly charge for Medicare Part B if one decides to enroll.  There is no monthly charge for Medicare A as the government tax pays for this portion of your health coverage.
Source: wisconsinmedicareplans.com

In Wisconsin 269,150 with Medicare get free preventive services

In Wisconsin, the Affordable Care Act – the new health care law – helped 269,150with original Medicare get at least one preventive service at no cost to them during the first six months of 2012, Health and Human Services (HHS) Secretary Kathleen Sebelius announced today.  This is 44% of those eligible for these services in Wisconsin.  This figure also includes 25,608 in Wisconsin who have taken advantage of the Annual Wellness Visit provided by the Affordable Care Act.
Source: wisconsinhealthnews.com

Nick Gillespie Talking Social Security, Medicare, Generational Warfare on C

I’ll be on C-SPAN’s Washington Journal this morning from 9.15 to 10AM ET, talking about the Reason cover story I co-wrote with Veronique de Rugy on “Generational Warfare.” The story details how old-age entitlements Social Security and Medicare are not simply bankrupting the country but also robbing future generations of the ability to save and plan for their own retirements.
Source: reason.com

Milwaukee Community Journal

As state and federal officials work to improve the system that supports dual eligibles, residents should be aware of new options available to suit their unique needs as well as resources they can use to learn more. For more information on Medicare and the Wisconsin Medicaid program, residents may contact 1-800-MEDICARE (TTY users should call 1-877-486-2048, 24 hours a day, seven days a week) or 1-800-362-3002. The State Health Insurance Assistance Program, sometimes called SHIP, can also be a good place to turn for free counseling and support. To contact the SHIP office in Wisconsin, call 1-800-242-1060.
Source: communityjournal.net

Medicare on Main Street: Refusing Clinic "Canary in the Mine" for Wisconsin

Wildwood Clinic’s no longer accepting new Medicare patients may be a new phenomenon in Wisconsin, but examples of this “bailing out” of Medicare, in one form or another, are growing in number throughout the country.  Unlike the president, House Republicans take on these challenges with a budget that ensures Medicare can fulfill the promise of seniors’ health security for generations to come.  Premium support, competitive bidding, and more help for those with lower incomes and greater health needs will ensure guaranteed affordability and improved access for America’s future seniors.
Source: gop.gov

Romney vs Obama on Medicare. Neither is telling you the truth.

Posted by:  :  Category: Medicare

Healthcare Costs by Images_of_MoneyWho is going to save Medicare? Who is going to save Medicare without any adverse impact on current or future beneficiaries? Answer, no one! Oh, Medicare will be preserved, but from the point of current expectations it will be painful.The Obama approach is pie in the sky. It is based on changes (cutting provider payments) that have never been followed through with enactment (and with serious consequences if they were). Look at his pre-election statement below and then look at extract from the 2012 Medicare Trustees Report, especially the second paragraph below. What do you think is the probability that 165 provisions affecting Medicare within Obamcare will be implemented, work as planned and be sustained? The answer is zero. To think you can put Medicare on a path to fiscal solvency by cutting payments to providers and insurers is naive at best (especially when you are increasing the benefits). To think you can do that without an adverse impact on everyone not on Medicare is foolish and irresponsible.
Source: quinnscommentary.com

Video: What Does Medicare Cost?

Study: Improve care, reduce high cost for Medicare beneficiaries : Johns Hopkins University

Funding for this study was provided by The Atlantic Philanthropies. Leff, under agreements between The Johns Hopkins University and Mobile Doctors 24/7 International, is entitled to fees for licensing and consulting services related to the Hospital at Home care model. Under institutional consulting agreements between The Johns Hopkins University and Clinically Home LLC, the university and Johns Hopkins Health System are entitled to fees for consulting services related to the Hospital at Home care model. Leff, who participated in the consulting services, receives a portion of the university fees. The terms of this arrangement are managed by The Johns Hopkins University in accordance with its conflict-of-interest policies. Hospital at Home is a registered U.S. service mark. Leff is a noncompensated board member and president of the American Academy of Home Care Medicine and a noncompensated member of the Board of Regents of the American College of Physicians.
Source: jhu.edu

Help available with prescription costs for qualifying Medicare recipients

“The Extra Help program could pay your monthly drug plan premium, annual deductible, and some or all of your copayments for prescription drugs,” said Lori Moon, case manager for Meals-on-Wheels of Johnson and Ellis Counties. “The Medicare Savings Programs may pay some or all of the Medicare Part A and B premiums, deductibles and coinsurances.”
Source: italyneotribune.com

Medicare Part D Enrollment Penalty « Insurance News from Crowe & Associates

If you sign up late for part B, you will pay a 10% penalty for every 12 months you didnt have part B, for life.   If you are over age 65, actively working and getting health coverage, you do not need to sign up for part B.  If you are not actively working and getting retirment coverage over the age of 65, you should sign up for part B because the penalty will count for you.
Source: croweandassociates.com

MedPAC Recommends Higher Upfront Costs for Medicare Beneficiaries

OMG, another brainless thought put to writing. Do we vote these brainless people into office? Maybe they come up with these ridiculous ideas because they get FULL MEDICAL BENEFITS for the rest of there lives when they leave office!!! I think that our government representatives should have to live on what our Seniors live on for one year, they wouldn’t make it a week!!! So why not screw the Senior population that are on a fixed income? And how DARE you play DOCTOR by rediagnosing our Seniors and deciding whether or not they need treatment. If you want to save money contribute to Medicare and give 1/2 of your wages back to the Government so the Seniors don’t have to suffer. Find someone else to pick on. Our Seniors after retirement deserve peace, and not have to worry about medical expenses.
Source: californiahealthline.org

The Ryan/Romney Plan for Medicare is Crony Capitalism At Its Worst

Based on the CBO data provided, the waste far exceeds the savings to the government. Under traditional Medicare, the government is expected to spend about $6,600 in 2022 on a typical 65-year- old, and the beneficiary is expected to spend $4,600 (all numbers in 2011 dollars). Under the Ryan proposal, a voucher for the same 65-year old would cost the government $6,600, saving the government nothing. However, the total cost of purchasing Medicare-equivalent insurance would be $16,900 – more than 50 percent higher than the $11,200 spent by the government and beneficiary combined under traditional Medicare. The difference of $5,700 represents a gift to the private sector.
Source: eclectablog.com

About Health Transparency

While pre-­‐acute care episodes often do not contain an admission prior to the Index stay, there are interesting trends when an episode contains an admission. With regard to chronic conditions, the severity of the primary chronic condition, rather than the number of conditions, plays a more significant role in the impact on Medicare payment for the episode. For example, an episode with a primary chronic condition of diabetes and a prior admission generates a Medicare episode payment nearly three times that of a diabetes episode without a prior admission. This suggests that better management of low-­‐severity chronic conditions (as well as high-­‐severity conditions), which can be provided by home health care, may limit prior admissions for pre-­‐acute episodes or even prevent some hospital admissions and subsequent post-­‐acute care.
Source: ipro.org

Learn to Love Monopsony Power

I think more accurately businesses like Amazon, CostCo, WalMart, etc benefit from large economies of scale due to their volume of orders and also limited/preferred suppliers. They have market power. CostCo and other big box stores generally use that to offer the lowest prices they can to consumers. Amazon, otoh, uses its market power to sell at below cost in order to drive other competitors out of the market where it can eventually raise prices and have monopoly control.
Source: keystonepolitics.com

Choosing quality health care every step of the way

lets you compare up to 3 hospitals in your area to see how they did with different situations, such as giving their surgery patients an antibiotic at the right time to help prevent infection. It will also tell you about patient experience, such as the percentage of patients who reported “yes,” they would definitely recommend the hospital. Next, use our
Source: medicare.gov

How do I sign up for Medicare in Texas?

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2..Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481If you are not receiving Social Security benefits when you turn 65, you actually need to apply for Medicare Parts A and B. You can do this at the same time you file for your Social Security retirement benefits, or you can choose to postpone Social Security and just apply for Medicare. There are three ways to do this: • Sign up for Medicare online: This is very easy to do. Just visit the Social Security website at www.ssa.gov and click “Apply online for Medicare” on the left side of the page. • Sign up for Medicare by phone: You can also call Social Security at 800-772-1213 and tell them that you’re ready to apply for Medicare. They may be able to help you right away or, if their call volume is high, they may schedule a phone appointment where a representative can take your Medicare application by phone. • Sign up for Medicare in person: If you prefer to do business face-to-face, you have the option of applying for Medicare at your local Social Security office. This may be the best option if you are near age 65 and need your application processed quickly.
Source: insurancemedicaresupplementtexas.com

Video: Apply for Medicare | Medicare Sign Up

Applying for Medicare Part B

So, even though my husband did everything right, he is being denied Medicare Part B because the people at Social Security couldn’t be bothered to process his application until after the deadline had passed. The phone representative called the office that received his application, and told my husband that someone from there should contact him. If no one contacts him, then he is to call Social Security back in 30 days. Meanwhile, he is going without the insurance coverage that he qualifies for.
Source: families.com

Private Health Insurance in Australia over Medicare

There can be over millions of Medicare members utilizing the free hospital services. This is the reason there might be rather long delays for services in public hospitals. Having a private health insurance may offer you top quality treatment accessible in private hospitals. With non-public medical care, you do not have to wait patiently in lengthy lines for the services youll need. It might be a clever option for very busy individuals because the insurance coverage allows you to have weekend meetings with private hospital medical doctors.
Source: guru3x.com

Things to Consider When Applying For Medicare

Depending n the parts availed of Medicare costs can increase and decrease. Take into consideration your finances, health, other insurance coverage and job environment then decide which parts to include. For example, if you already have a comparative or higher HMO coverage then there is no need to take out a Part C Medicare plan. However if the Part C coverage that can be availed of is higher then decide if the additional costs is worth it for you.
Source: pamedicare.net

Online Medicare Forms: Appeal, Payment, Disclosure, Application

Medicare insurance forms for parts A, B, C and D are accessible online for electronic filings and mail in. Online forms include an application for Medicare, claim forms for patients requesting payments and Medicare appeal forms. Older Americans can apply for Medicare even if not planning to retire, as long as the person is close to 65 years old. Even when a person has been denied Medicare, appeal forms can be submitted online requesting a hearing or case review.
Source: suite101.com

Private Health Insurance in Australia over Medicare

There are actually over millions of Medicare participants making use of the free hospital services. For this reason there can be prolonged stays for services in public hospitals. Aquiring a private health insurance can provide you with high quality treatment available in private hospitals. With exclusive health care, there is no need to hold back in long queues for the services you need. It may be a good selection for rather busy people given that the insurance plan lets you have weekend appointments with private hospital doctors.
Source: seositemanager.com

Social Security and You: Applying for Medicare

When each member of a married couple meets all other eligibility requirements to receive Social Security retirement benefits, each spouse receives a monthly benefit amount based on his or her own earnings. Couples are not penalized simply because they are married. If one member of the couple earned low wages or failed to earn enough Social Security credits (40) to be insured for retirement benefits, he or she may be eligible to receive benefits as a spouse.
Source: mysanantonio.com

Applying for Medicare, Part III

Now I was thoroughly confused: I had three different amounts and a bill for one of those amounts. So I called my local SSA office and asked for help. A very nice person (who I had the sense has been through this a number of times) explained: Medicare charges most people a base amount to which is added the IRMAA. The first and second letters told me told me what my IRMAA would be; the third letter added the base amount and IRMAA together; the billing notice only covered the base amount for a three month period since St Louis was probably not up-to-date on my IRMAA. Her advice to me: pay the CMS billing notice amount and wait for St Louis to catch up on the correct billing.
Source: wordpress.com

Primary advantages of Having Private Health Insurance

There can be over millions of Medicare associates utilizing the free hospital services. This is the reason there could be rather long delays for services in public hospitals. Possessing a private health insurance may offer you top quality treatment accessible in private hospitals. With non-public healthcare, you do not have to wait patiently in lengthy lines for the services you will need. It could be a clever option for pre-occupied individuals because the insurance coverage enables you to have weekend meetings with private hospital medical doctors.
Source: bestarticlesportal.com

Viewpoints: ‘Tug Of War’ Over Medicaid Expansion; Bill Keller Debunks 5 ‘Obamacare’ Myths

Posted by:  :  Category: Medicare

CENTRAL CITY, COLORADO 1968 by roberthuffstutterThe Dallas Morning News: Texas Physician-Legislators: Limiting Obamacare Is Right For Texas The unprecedented expansion of Medicaid proposed under the Affordable Care Act will not fundamentally improve patient access to care and, as a greater number of physicians withdraw from the system entirely, will only make it more difficult for these individuals to seek the medical help they need…. The best solution to ensure the long-term viability of our state’s ailing Medicaid program is to seek a federal block grant that would allocate funding to the state directly, thereby providing Texas with the freedom to design its own Medicaid system without burdensome federal regulations and one-size-fits-all mandates (State Sen. Bob Deuell and State Reps. Charles Schwertner, Mark Shelton and John Zerwas, 7/15).
Source: kaiserhealthnews.org

Video: SEIU/COPE Medicare Colorado

Prostate Cancer Treatment Denied To Colorado Medicare Patients

If there is a treatment option available for a cancer patient that is more effective, cheaper, and poses fewer risks than other available treatments, common sense says to use it. However, Medicare in four states, including Colorado, is denying patients just that. Colorado’s 9 News reports that a treatment called Cyberknife, a fairly new form of radiation treatment available for men suffering from prostate cancer, is being denied to patients because of a supposed lack of research behind the procedure.
Source: mcdivittlaw.com

In Florida, Obama criticizes Romney over Medicare

Nowhere is the campaign potentially more pivotal than in Florida, which decided the 2000 election and remains the ultimate swing state. With a large pool of retired voters, Medicare has been used by both parties to rally support from seniors in Florida and elsewhere, mostly by warning that the other party had in mind changes that would curb the national insurance program for older Americans.
Source: newson6.com

Thanks Obamacare, once and for all

Today, the United States Supreme Court upheld Obamacare: a.k.a. the Affordable Care Act. No longer is there any doubt about this law. Coloradans will continue to reap the benefits of increased access to more affordable health care. There will be much parsing of the legal side of the law for days and years to come. But here is the best plain english version of the ruling we’ve seen, from the folks at SCOTUS Blog: “The Affordable Care Act including its individual mandate that virtually all Americans buy health insurance, is constitutional. There were not five votes to uphold it on the ground that Congress could use its power to regulate commerce between the states to require everyone to buy health insurance. However, five Justices agreed that the penalty that someone must pay if he refuses to buy insurance is a kind of tax that Congress can impose using its taxing power. That is all that matters. Because the mandate survives, the Court did not need to decide what other parts of the statute were constitutional, except for a provision that required states to comply with new eligibility requirements for Medicaid or risk losing their funding. On that question, the Court held that the provision is constitutional as long as states would only lose new funds if they didn’t comply with the new requirements, rather than all of their funding.” Melissa Hart of the Byron White Center for Constitutional Law Studies broke it down for us: “The Supreme Court majority acted exactly as we expect courts in our system to behave–with appropriate judicial restraint.  By upholding the ACA as a valid exercise of congressional power, the Court showed respect for its co-equal branch of government and for the our nation’s Constitutional structure. The decision was a victory for the rule of law in our country.” Today’s decision is a lifesaving victory for millions of Americans who will be able to get health coverage. Today’s upholding of Obamacare is also a victory for Americans who are already benefiting from Obamacare’s protections for sick children, women, rural residents who need better health care, and small businesses who will get tax breaks to provide their workers with coverage. We can all rest easy knowing there are no more lifetime caps on health coverage benefits. This is also great news for our economy. Americans will see the benefits of Obamacare in their pocketbook, as we all reap the financial benefits of affordable access to health care. Obamacare and Colorado In just two years, Obamacare has made real gains in moving all Coloradans closer to the security of knowing they’ll have access to quality, affordable healthcare when they need it. By the numbers
Source: progressnowcolorado.org

Higher Payments Are No Cure For Doctor Shortage

Posted by:  :  Category: Medicare

The committee concluded that Medicare beneficiaries in some geographic pockets face persistent access and quality problems, and many of these pockets are in medically underserved rural and inner-city areas. However, geographic adjustment of Medicare payment is not an appropriate approach for addressing problems in the supply and distribution of the health care workforce. The geographic variations in the distribution of physicians, nurses, and physician assistants and local shortages that create access problems for beneficiaries should be addressed through other means.
Source: nebraskaruralhealth.org

Video: Johanns Discusses Impact of Medicare Cuts on Nebraska

New Nebraska Network:: Johanns Votes To End Medicare As We Know It

Now that would be interesting to know, since it didn’t get one Dem vote in either the House or Senate.  Bob probably thinks it doesn’t tax & spend enough, so he’d be against it before he’d vote for it.   At least the “Ryan plan” made an attempt at addressing the fiscal problems facing the country.  Not nearly enough IMHO but a start.  The President’s proposed budget just ignored all the fiscal issues period.   Cosmic Bob has already defined his position on fiscal matters…”if you aren’t for raising taxes, you’re part of the problem” sums it all up.  That’s probably the most honest thing he’s ever said while campaigning.  
Source: newnebraska.net

Nebraska launches Medicaid EHR Incentive Program

Nebraska launched their Medicaid Electronic Health Record (EHR) Incentive Program on May 7, 2012. This means that eligible professionals (EPs) and eligible hospitals in Nebraska can now complete their EHR Incentive Program registration. More information about the Medicaid EHR Incentive Program can be found on the Medicare and Medicaid EHR Incentive Program Basics page of the CMS EHR website.
Source: ehrintelligence.com

Update: WPS Multiple CPIDs Report Generation Delay

Update: This issue has been resolved. All affected reports have been received and processed. Original Notice Sent June 18, 2012: Payers listed below are experiencing issues affecting Institutional and Professional 5010 999 and 277 report generation for claims submitted from 06/15/2012 to present. The clearinghouse is working diligently with the payer to resolve the issue and ensure reports are received. The payers affected are listed below: CPID 2537 Iowa Medicare CPID 1438 Iowa Medicare CPID 5518 Kansas Medicare CPID 2463 Kansas Medicare CPID 5572 Missouri Medicare Eastern CPID 1441 Missouri Medicare Eastern CPID 4451 Missouri Northwest Medicare CPID 2535 Mutual of Omaha Medicare CPID 1519 Nebraska Medicare CPID 1451 Nebraska Medicare CPID 1437 Illinois Medicare CPID 1461 Michigan Medicare Further notification will be provided as additional information becomes available. Please be aware of delays in the 5010 999 and 277 report for claims submitted from 06/15/2012 to present. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

CIMRO of Nebraska Uses Milliman Care Guidelines(R) for Nebraska Medica… ( Use of Clinical Guidelines and Softwa…)

Related medicine news : 1. Cardinal Health Extends Radiopharmaceutical Manufacturing Network to Nebraska 2. Justice Department Reaches Settlement to Improve Conditions at a Nebraska Developmental Center 3. Message to Nebraska Residents: Forgo Fad Dieting and Join the Campaign for Healthy Weight 4. Two Prominent Nebraska Doctors Become Patients in Living Donor Liver Transplant 5. Nebraskas New Smoke-Free Law is Historic Win for Health 6. Approval of Nebraska Smoke-Free Legislation is Historic Win for Health 7. J.D. Power and Associates Reports: The Nebraska Medical Center Recognized for Providing an Outstanding Inpatient Experience for a Third Consecutive Year, and for Providing an Outstanding Cardiovascular Experience 8. Torchmark Corporation Announces Change in Domicile State of Insurance Subsidiaries to Nebraska 9. New Report Finds 16 Percent of All Children in Nebraska Dont Have Consistent Access to Meals 10. iPlan(R) Automatic Segmentation Saves 25 Minutes of Treatment Planning Time for Each Prostate Cancer Patient at the University of Nebraska Medical Center 11. IPRO QIO Uses Milliman Care Guidelines(R) for Medicare Reviews in New York State
Source: bio-medicine.org

Nebraska Medicare Part D Plans

Although there are those that would debate whether or not you should enroll in a Part D plan, the arguments against enrolling are weak at best. Even if you are not required to take prescription medications, the likelihood that you may in the future is pretty strong. Given the fact that you can enroll in a Part D plan available in Nebraska for as little as $15.10 per month, it seems foolish not to make that small investment. You spend more to ensure your property, why not invest a small amount to insure your health?
Source: partdplanfinder.com