Understanding Qualifications for Medicaid

Posted by:  :  Category: Medicare

DC Voting Rights by dbkingIn 2014, the Affordable Health Care Act will make many changes to Medicaid. This will increase the eligibility level for almost all applicants under the age of 65 to 133% of the poverty level. Individuals who are 65 and older are not included in this provision because these applicants are typically covered by Medicare. Medicare is a similar government insurance program designed specifically for the elderly and disabled. Though this federally mandated change will not take effect until January 1, 2014, individual states may elect to enact the new eligibility requirements before that time. If you cannot pay for adequate health insurance, you should explore Medicaid options in your state to get medical coverage.
Source: ezquote.com

Video: Medicare & You: National Immunization Awareness Month

Universal healthcare insurance.

The fact is that we do not have the finest health care system in the world, We might the finest emergency care system in the world. But as far as preventative medicine goes, We’re still in the Stone Age. Uninsured Americans are less likely to have regular health care and use preventive services. We’re more likely to delay seeking care, resulting in more medical crises, which are more expensive than ongoing treatment for such conditions as diabetes and high blood pressure. Uninsured patients are twice as likely to visit hospital emergency rooms as those with insurance; burdening a system meant for real emergencies with less urgent care needs. And as far as I know we’re the only country where medical underwriting is allowed. Have arthritis? cancer? heart disease? 20 pounds over or under weight? old sports injury? Good luck finding coverage. An estimated 5 million of those without health insurance are considered "uninsurable" because of pre existing conditions. So no we "didn’t" have the "best" health care in the world. I’m fortunate enough to have employer provided coverage, that is the same across all employees. Meaning I recieve the same coverage as the CFO at a price that I can afford. I couldn’t afford the health care coverage provided by my previous employer. I would have to had starved. The Board of directors however had exellent coverage. I was fortunate in that I never got sick while at that employer. Our healthcare is the "best" if you are swimming in gravy.
Source: republicanoperative.com

Questions and Answers on Medicare Part D

It depends on when you need your Medicare prescription plan coverage to begin.  Initially, you have a seven (7) month window of time to join a Medicare Part D or Medicare Advantage plan.  So if you enroll in a Medicare Part D plan within the three (3) months before the month that you become eligible for Medicare (for example, the 3 months before you turn 65), your Medicare plan coverage will start on the first day of your birthday month (or Medicare eligibility month).  If you join a Medicare plan during your birthday (or eligibility) month, your prescription drug coverage will start on the first day of the next month.  Finally, if you join a Medicare plan during the three (3) months after your birthday (or eligibility) month, your drug coverage will start the first day of the month following the month when you enroll.
Source: themedicareresourcecenter.org

Pennsylvania Medicaid earning its stripes

Also, the provider must either be in the process of adopting, implementing, upgrading to or meaningfully using a federally-certified EHR system. If all qualifications are met, the providers have a standard incentive amount that is available to them each year they participate and the incentive amount for the hospitals is based on factors including their discharges and bed days. Medicaid provides up to $63,750 over six years (started in 2011). The payments are evenly distributed ($8,500 per year) after the first-year payment of $21,250.
Source: ehrintelligence.com

Texas Medicare Billing Has Biggest Potential for Fraud. Florida Second

Florida ranked second with 25 percent of its home health care agencies filing questionable claims, prompting the HHS Inspector General, Daniel R. Levinson, to call on the Centers for Medicare and Medicaid Services (CMS) to consider capping the number of agencies allowed to bill Medicare.
Source: jameshoyer.com

10 Minutes with the Senator: 65?

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSThese premiums, which are typically withheld from monthly social security checks, are set to cover about 25% of average Part B expenditures, and the rest is taken from general tax revenues paid in by individuals and businesses. It is interesting to note, that when Medicare first was enacted the Part B monthly premium was $3 and was intended to finance fifty percent of the program’s cost.
Source: blogspot.com

Video: Best Democrats’ Debate Yet -Clearest, Quickest Answers-Pt J

Patients Need Drug Options, Not Limitations

Research into drug access for Medicaid beneficiaries starkly illustrates the problem of restrictions on medicines. According to one recent study, psychiatric patients with medication access issues had three times the rate of suicidal thoughts and behavior. When these patients were forced to switch drugs because of a lack of coverage, they reported far higher rates of hospitalization, homelessness, and incarceration.
Source: trtnj.com

How Will Health Reform Affect Medicare? Part D, Donut Holes, Limits, and More

If you select “Keep me signed in on this computer”, every time you visit WebMD.com you won’t have to type your email address and password. This means that a cookie will stay on your computer even when you exit or close your browser which may reduce your levels of privacy and security. You should never select this option if you’re using a publicly accessible computer, or if you’re sharing a computer with others. Even if you select this option there are some features of our site that still require you to log in for privacy reasons.
Source: webmd.com

Drug Channels: The Narrow Network Revolution

Today’s Wall Street Journal has a must-read article on payer strategies: Remember Managed Care? It’s Quietly Coming Back. While the article focuses primarily on managed care’s re-emergent love affair with prior authorization, it also highlights payers growing acceptance of narrow and tiered provider networks. These are usually “tiered” networks in which patients incur bigger out-of-pocket charges if they go to providers that aren’t in the “top” category. The cost for an out-of-network provider is prohibitive. The article is a useful reminder that the growth of preferred and limited pharmacy networks reflects broader healthcare changes. Expect plans in healthcare reform’s insurance exchanges to feature narrow pharmacy networks. NOT JUST FOR PHARMACY As the article discuses, employer-sponsored insurance plans are adopting tiered network models that group providers the network based on quality, cost, and/or the efficiency of the care they deliver. These networks encourage patients to visit more-efficient doctors by either restricting networks to efficient providers, or by having different copayments or coinsurance for providers in different tiers in the network. Here’s what today’s article says: “Insurers have been experimenting with smaller provider networks for years, and are now rapidly ramping up, though they continue to simultaneously sell typical broad preferred-provider organization plans. The narrower plans can have closed structures that work like the classic HMOs. But they also have ‘tiered’ designs, with patients facing bigger out-of-pocket charges if they go to providers that aren’t in the top category, then even-larger bills if they go completely out of network.”In 2011, 20% percent of firms that offered health benefits included a high performance or tiered provider network in the health plan with the largest enrollment (according to the Kaiser/HRET Employer Health Benefits 2011 Annual Survey). Sound familiar? MEANWHILE… There are now three basic alternatives  to pharmacy network design:
Source: drugchannels.net

Excerpts from Priceless: Curing the Healthcare Crisis

In 2003, Congress passed a Medicare drug benefit, largely out of concern that senior citizens couldn’t afford the coverage themselves. Since the new program (Medicare Part D) had no funding source, Congress created a $15.6 trillion unfunded liability for the federal government, looking indefinitely into the future—more than the unfunded liability in Social Security.3 Yet economist Andrew Rettenmaier discovered that only 7 percent of the benefits actually bought new drugs for seniors. The other 93 percent simply transferred to government (and taxpayers) the bill for drugs the elderly or their insurers were already buying.4 Only one in every thirteen dollars represented a new drug purchase. Interestingly, the help given to the small number of people who were not otherwise getting medications actually reduced Medicare’s spending, as drugs were substituted for more expensive doctor and hospital therapies.5 But this profit on the truly needy was overwhelmed by the cost of giving the benefit to those who didn’t need it—a cost that has created an enormous obligation for current and future taxpayers.
Source: ncpa.org

South Carolina Medicare Part B

Garrett Ball is a Medicare specialist, broker, and expert Medicare insurance author. His companies, Secure Medicare Solutions and Carolina-Medicare-Supplement.com, are leading, independent brokerages that specialize in South Carolina Medicare Insurance and North Carolina Medicare Supplement Insurance plans. Philadelphia: Medicare Fraud Summit Sharing Data Panel
Source: southcarolinamedicarepros.com

The Problem of Unintended Consequences: How Good Intentions Often Lead to Perverse Effects

In 2003, Congress passed a Medicare drug benefit, largely out of concern that senior citizens couldn’t afford the coverage themselves. Since the new program (Medicare Part D) had no funding source, Congress created a $15.6 trillion unfunded liability for the federal government, looking indefinitely into the future—more than the unfunded liability in Social Security.[3] Yet economist Andrew Rettenmaier discovered that only 7 percent of the benefits actually bought new drugs for seniors. The other 93 percent simply transferred to government (and taxpayers) the bill for drugs the elderly or their insurers were already buying.[4] Only one in every thirteen dollars represented a new drug purchase. Interestingly, the help given to the small number of people who were not otherwise getting medications actually reduced Medicare’s spending, as drugs were substituted for more expensive doctor and hospital therapies.[5] But this profit on the truly needy was overwhelmed by the cost of giving the benefit to those who didn’t need it—a cost that has created an enormous obligation for current and future taxpayers.
Source: independent.org

Medicare Part B Supplemental Insurance

Your monthly premium for supplement coverage can depend on many factors, including your age, lifestyle and even your zip code. Since Medigap policies are standardized, each policy under the same letter must offer the same benefits. However, companies are free to charge different rates for identical policies. Providers can charge different premiums to men versus women, smokers versus non smokers, and even people in different areas within a state. Providers can set rates by age based on one of three methods. Under the first, everyone with a particular policy pays the same rate, regardless of age. This is called the community-rated method. Under the second, called the issue-age-rated method, your rate is determined based upon the age you are when you enroll. As you get older, you keep your rate, adjusted only for inflation.
Source: tysonagency.com

Why Obama Should Stand Firm on a Public

Hacker, who wrote the paper for the Institute for America’s Future, uses the chart below to compare the growth in Medicare spending to the growth in private insurers’ reimbursements: “As Figure 2 shows, private plans’ spending per enrollee has grown substantially faster than Medicare spending per enrollee, especially in the last decade or so. Private insurance outlays per enrollee grew an average of 7.6 percent a year between 1983 and 2006, compared with 5.9 percent growth in per enrollee spending under Medicare—a 22 percent difference. (1983 was the year in which Medicare’s prospective payment system for hospitals was implemented; 2006 is the last currently available data year.)
Source: healthbeatblog.com

ERISAdiagnostics, Inc.: IRS issues FAQ regarding new Medicare Tax

Posted by:  :  Category: Medicare

IRS issued FAQ regarding the additional Medicare Tax that will go into effect in 2013. If you haven’t done so already, make sure your payroll system is set up for the additional tax and affected employees notified.
Source: blogspot.com

Video: Medicare Advantage vs. Medicare Supplement Insurance

FAQ: The Medicare EHR Incentive Program

Before dispensing incentive funds, the government wants to verify that eligible medical professionals are actively using EHR technology, not just purchasing it to avoid penalties. There is a list of minimum of criterion that medical professionals must meet to prove they will “meaningfully use” certain features of their EHRs. These requirements specify that an EHR must support 10 mandatory features, in addition to five optional features out of a list of 10. Medical practitioners must be actively using these features on their EHR for at least 90 days to meet government requirements for the incentive.
Source: softwareadvice.com

FAQ: Obama v. Ryan On Controlling Federal Medicare Spending

The House Ways and Means Committee conducted a hearing April 27 on the premium support concept, but lawmakers are unlikely to consider legislation that would restructure Medicare in any significant way until a new Congress — and possibly a new president — are seated in 2013. Still, after the elections, Congress may try to pass budget reduction legislation that would avert automatic 2 percent cuts in Medicare required under last year’s budget agreement. In the meantime, Medicare is proving to be a contentious issue in presidential and congressional campaigns nationwide, as both parties vie for the coveted senior vote. Behind the scenes, stakeholders – from seniors’ advocates to insurance leaders – are working to produce proposals that protect Medicare and their interests.
Source: kaiserhealthnews.org

FAQ Explain Employers’ Withholding Obligations for 2013 Additional Medicare Tax

If a former employee receives group-term life insurance coverage in excess of $50,000 and the resulting income is in excess of $200,000, how does an employer report Additional Medicare Tax on this? The imputed cost of coverage in excess of $50,000 is subject to social security and Medicare taxes, and to the extent that in combination with other wages it exceeds $200,000, it is also subject to Additional Medicare Tax. When group-term life insurance over $50,000 is provided to an employee (including retirees) after his or her termination, the employee share of social security and Medicare taxes and Additional Medicare Tax on that period of coverage is paid by the former employee with his or her tax return and is not collected by the employer. An employer should report this income as wages on Form 941, Employer’s QUARTERLY Federal Tax Return (or the employer’s applicable employment tax return), and make a current period adjustment to reflect any uncollected employee social security, Medicare, or Additional Medicare Tax on group-term life insurance. However, unlike the uncollected portion of the regular (1.45%) Medicare tax, an employer may not report the uncollected Additional Medicare Tax in box 12 of Form W-2 with code N.
Source: wordpress.com

Aug. 3, 2012: Medicare/Medicaid; Rockefeller; Kaufman commentary 

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Source: wvgazette.com

IRS issues FAQ’s (Frequently Asked Question) on Extra Medicare Withholding Amounts for Calendar Year 2013

Founded in 2003 under the premise to provide Hawaii Businesses with better Advice, better Service, better Value… for an Easier life and Peace of Mind! We understand payroll is the largest expense and biggest challeng for any business. Whether you’re hiring your 1st employee, or you employee thousands. Simplify your payroll processing, payroll funds disbursement; let our knowledgeable staff with 20 years experience work for your company, while saving 15-30% on your overall payroll processing expense.
Source: wordpress.com

Medicare Covers Alcohol Misuse Screening and Counseling Under Affordable Care Act

Medicare recipients can receive free alcohol misuse screening and counseling, as well as certain programs to help people quit smoking, under the Affordable Care Act (ACA). These are some of the ways in which the new healthcare law affects people with substance use disorders who are covered by public insurance programs, according to The Health Foundation of Greater Cincinnati.
Source: drugfree.org

FAQ: How Health Care Reform Will Affect You

Starting this year, children up to age 26 would be allowed to remain on their parents’ health plan. People with pre-existing medical conditions would be eligible for a new federally funded “high-risk” insurance program. Small businesses could qualify for tax credits of up to 35% of the cost of premiums. Insurance plans would be barred from setting lifetime caps on coverage and would no longer be able to cancel policies when a patient gets sick. Health plans would also be prohibited from excluding pre-existing conditions from coverage for children.
Source: webmd.com

Social Security & Medicare Are Political Winners

And yet, many Democrats are still convinced that electoral success requires a “grand bargain” with Republicans on social programs, such as the “Simpson-Bowles” plan. I don’t think it’s an election winner to embrace cutting Social Security benefits for today’s young and middle-aged Americans by 19 percent, as Simpson-Bowles would do, according to estimates by the Chief Actuary of the Social Security Administration. And never mind the cuts to younger Americans — the plan would also cut the Social Security COLA (cost-of-living adjustment) for current beneficiaries through the adoption of the chained CPI (consumer price index).
Source: agonist.org

Amalgamated Life vs CIGNA Group

Posted by:  :  Category: Medicare

There are many insurance programs and benefits that are offered to clients of Amalgamated Life. Many of these programs include both group and individual life insurance coverage, disability coverage, health and pension administration, medical stop-loss insurance, medical management, printing and fulfillment services, benefits communications programs as well as mainframe computer services and support.
Source: insuranceproviders.com

Video: Preferred Chiropractic Clinic

Cigna Acquires Medicare Advantage Plans From Humana Covering 3,500 in Texas

The federal government required Humana to sell the Medicare Advantage plans as part of approval for buying Arcadian Management Services. Cigna will offer the new customers Medicare Advantage plans through its subsidiary HealthSpring, which the Bloomfield-based health insurer acquired in January for $3.8 billion.
Source: courant.com

Virginia Medicare Part D Plans

Now that several plans include ancillary benefits such as discounts on vitamins and supplements, vision discounts and savings for health related products, you should consider the value of these benefits as well.
Source: partdplanfinder.com

Questions and Answers on Medicare Part D

It depends on when you need your Medicare prescription plan coverage to begin.  Initially, you have a seven (7) month window of time to join a Medicare Part D or Medicare Advantage plan.  So if you enroll in a Medicare Part D plan within the three (3) months before the month that you become eligible for Medicare (for example, the 3 months before you turn 65), your Medicare plan coverage will start on the first day of your birthday month (or Medicare eligibility month).  If you join a Medicare plan during your birthday (or eligibility) month, your prescription drug coverage will start on the first day of the next month.  Finally, if you join a Medicare plan during the three (3) months after your birthday (or eligibility) month, your drug coverage will start the first day of the month following the month when you enroll.
Source: themedicareresourcecenter.org

FL health, insurance quotes Orlando, Medicare Florida

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Source: pressreleasesworld.com

Breaking the Curve of Health Care Inflation

The new numbers should be factored into any discussion about healthcare spending:  From 2000 through 2009, Medicare’s outlays climbed by an average of 9.7 percent a year. By contrast, since the beginning of 2010, Medicare spending has been rising by less than 4 percent a year.” At the time I argued that while some of the decline might be attributed to the recession, it wasn’t the main cause of the slow-down. Since most seniors on Medicare are retired, the rise in unemployment had not had a major impact on their use of healthcare.  Unlike the rest of us, they were not losing their health insurance along with their jobs, and Social Security remained a stable source of income. Meanwhile younger Americans who depend on employer-based insurance were facing climbing co-pays and deductibles, but the out-of-pocket costs for Medicare patients were not rising rapidly.  The vast majority have supplemental “wrap-around” insurance in the form of Medigap or Medicare Advantage plans that, in many cases, reduces co-pays to zero. Thus, unlike Americans under 65, Medicare patients had far less reason to postpone doctors’ visits and elective procedures. 
Source: healthbeatblog.com

Franken's health care reform rebate provision kicks in on Wednesday

The Center for Medicare and Medicaid Services predicts more than 123,000 Minnesotans are among those getting rebate checks, averaging $160 per household, which is right around the national average. Most of that ($8.4 million of the nearly $9 million in rebates for Minnesotans) will be funneled through individuals’ companies, though a business that receives the rebate is required to give it back to employees through rebate checks, premium offsets or other means.
Source: minnpost.com

Commentary :: CIGNA Beats Est, Ups Outlook

Premiums and fees from the Health Care segment increased 52% year over year to $5.0 billion, owing to the positive impact of the HealthSpring acquisition, business growth, higher insurance and increased specialty penetration. Moreover, operating earnings increased 18.5% to $332 million. Management forecasts operating income of $1.21 billion-$1.27 billion from its Health Care segment.
Source: traderplanet.com

The Rapidly Approaching Medicare Investment Tax Coming in 2013

Posted by:  :  Category: Medicare

Racism by elycefelizExample 3.  Rob and Cheryl are a married couple.  In 2013 their income consisted of wages of $100,000 for Rob and $75,000 from Cheryl received from their S corporation.  The corporation engages in a capital intensive business with numerous other employees.  The wages paid to Rob and Cheryl are reasonable payments for the services provided.  The S corporation reported $100,000 of additional income that was reported to Rob and Cheryl on their K-1.  They received no distributions from the S corporation as the organization retained the earnings to reinvest in additional equipment.  Both Rob and Cheryl spend more than 500 hours actively working in the business.  The couple has $60,000 of dividend income from investments.
Source: wordpress.com

Video: Medicare Arizona I Edited.mov

Matrix Medical Network to Provide Medicare Advantage Home Assessment Services for Humana

Matrix Medical Network, a Welsh, Carson, Anderson & Stowe company headquartered in Scottsdale, Ariz., provides in-person prospective medical assessment services that help medical plan clients manage costs and provide high-quality medical care. Having pioneered the use of a national network of highly trained employee Nurse Practitioners to conduct medical assessments in plan member homes or nursing facilities, Matrix Medical Network is dedicated to improving the health and lives of elderly Americans; helping clients efficiently, accurately, and securely collect plan member information; and establishing new standards in health care quality, efficiency, and effectiveness. For more information and career opportunities, visit www.matrixhealth.net.
Source: azventurecapital.com

Medicare Advantage Plans Arizona

Medicare Advantage Plans in Arizona are sold through private insurance companies approved by Medicare. While they typically offer similar benefits, there are significant differences between plans, making it well worth your time to compare a few of the providers. Basically, all Medicare Advantage Plans in Arizona must provide Original Medicare benefits (Part A and Part B). Some include extra coverage like dental or vision care and most include Part D (prescription drug coverage). There are a few different types of Medicare Advantage plans available, including HMO plans, PPO plans, Private Fee-for-Service plans and Special Needs plans. Whichever type you choose, Medicare pays a fixed amount for your care to the company providing your Medicare Advantage plan.
Source: medicareadvantageplansarizona.com

Select Arcadian Medicare Advantage Plan Assets in Arizona to be acquired by WellCare

Health Plans Heath Plans Mediacre Insurance Policy Medicare Medicare Advantage Plans Medicare Effective Dates Medicare Health Plans Medicare Insurace Plans Medicare Insurance Medicare Insurance Plan Medicare Part A Medicare Part A and B Medicare Part B Medicare Part D medicare plan Medicare Plan D Medicare Plans Medicare Plans for your State Medicare Policy Medicare supplement Medicare Supplemental Insurance medicare supplemental insurance plans medicare supplemental insurance quotes medicare supplemental insurance rates Medicare Supplement Insurace Medicare supplement insurance Medicare Supplement Insurance Plan F Medicare Supplement Plan MEDICARE SUPPLEMENT PLAN G Medicare Supplements Plan Medigap Medigap Advantage Plans Medigap insurance company Medigap Insurance Plans Medigap Plan Medigap Plans Medigap Plans for your State Medigap Policy medigap quotes medigap rates Medigap Supplemental Plans Meidcare Plans Part D Prescription Plan Threat to Medigap Urgent Issue for Medigap
Source: medigap4seniors.com

Nothing found for Health

Posted by:  :  Category: Medicare

The page you are looking for no longer exists. Perhaps you can return back to the site’s homepage and see if you can find what you are looking for. Or, you can try finding it with the information below.
Source: healthtipsblogspot.com

Video: WellCare Medicare Advantage – I Am Well Cared For.mov

ASTD Job Bank: Training / Instructing jobs, Tampa jobs, Florida jobs, Senior Sales Trainer at WellCare Health Plans, Inc.

Facilitates learning and delivers sales training for WellCare’s Sales division. Oversees and conducts the assessment of current curriculum, facilitation, teaching and monitoring of educational programs. Orchestrate the compliance training activities, state specific training programs. DEPARTMENT: Sales REPORTS TO: Sr. Director, Sales Training LOCATION: Northeast (CT, NJ or NY – including Queens, Brooklyn), Florida, Georgia, Texas, Louisiana, Illinois, Ohio, Kentucky, Missouri. Essential Functions: -Facilitates new-hire orientation and role-specific training programs for Benefit Consultants, Sales Managers, Sales Directors, Marketing Outreach Specialists, Sales Assistants and other sales & marketing roles, as needed. -Manages classroom dynamics through the use of “learner focused” environment, adult accelerated learning methods and blended learning methodologies. -Conducts course research and student needs assessments and provides written complete detailed recommendations. -Assists with the ongoing design and development of instructional materials for training programs including training manuals, teaching aids, self-paced study and performance evaluation tools. -Produces professional presentations and online training modules using MS Word, PowerPoint, Articulate and other eLearning publishing software. -Reviews all programs assigned and continuously ensures course delivery meets rigorous standards set forth. -Revises existing training materials and programs based on audit results, questionnaires, changing procedures and feedback from internal/ external customers, subject matter experts, program sponsors and trainers. Coordinates and organizes enrollment of students utilizing the WellCare Learning Management System (LMS), assembles necessary program materials, setup of classrooms/facilities, supplies, catering and other functions related to National Sales Training. -Conducts comprehensive market needs assessments and provides detailed recommendations to help the Sr. Director of National Sales Training determine how training can best support annual Marketing and Sales objectives. -Conducts follow-up performance evaluations of field-based sales associates through use of approved company methods/tools, providing on-site performance coaching and corrective instruction as indicated. -Facilitates and conducts approved online learning sessions (webinars, etc.) with target audiences, while preparing, managing and recording all student participation. -Facilitates delivery of ancillary training (Compliance, Operations, IT, Legal, HR, etc) to field-based sales associates on an as-needed basis Monitors Sales Leadership reports and Complaint Tracking Modules (CTMs) on a weekly basis and recommends course of action to Sr. Director, including coordinating and delivering required training or materials. -Delivers training as specified by Compliance Monitoring Action Plans (MAPs) as indicated -Monitors CMS guidelines, WellCare policy and corporate communications and implements changes to field training delivery as indicated. -Provides ongoing telephonic and in-person support to markets by fielding questions, addressing issues/concerns accurately and forwarding issues to appropriate departments for resolution. -Partners with other departments and associates to ensure content accuracy, best practices in delivery and development of timely instruction. -Manages schedule and any associated travel in accordance with company policy and department guidelines -Performs other duties as assigned.
Source: astd.org

WellCare 2Q profit drops 33 pct, outlook rises

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Source: mystockmarketnews.com

SAC Capital Increases Wellcare Health Stake (WCG) ~ market folly

Steve Cohen’s hedge fund firm SAC Capital yesterday after market close filed a 13G with the SEC on shares of Wellcare Health Plans (WCG).  Per the filing, SAC has revealed a 5% ownership stake in the company with 2,155,721 shares. This marks a 105% increase in their position size since the end of the first quarter.  The filing was required due to portfolio activity on July 6th. Shares of WCG have recently seen two surges higher.  First, under the Supreme Court’s upholding of Obamacare, WellCare Health Plans shares surged from $50 to $55 on the news. Then, just yesterday, it was announced that Amerigroup (AGP) would be acquired by Wellpoint (WLP).  It seems shares of WCG rose in tandem on hopes that the company could also potentially be a takeover target in the space.  WCG traded from $59 up to $62. Per Google Finance, Wellcare Health Plans “provides managed care services to government-sponsored health care programs. WellCare operates in three segments: Medicaid, Medicare Advantage (MA) and Prescription Drug Plan (PDP), which are within its two main business lines: Medicaid and Medicare.” For more on this hedgie, head to more recent portfolio activity from SAC Capital.
Source: marketfolly.com

WellCare Health Plans Reaches Settlement in False Claims Act Case

The lawsuits allege that WellCare submitted false claims to Medicare and Medicaid programs. WellCare allegedly falsely inflated the amount it claimed to be spending on medical care. Allegedly, this was done in order to avoid returning money to Medicaid and other programs in various states, including the Florida Medicaid program and Florida Healthy Kids program. WellCare also allegedly knowingly retained overpayments it had received from Florida Medicaid for infant care. Furthermore, WellCare allegedly falsified data that misrepresented the medical conditions of patients and the treatments they received.
Source: wordpress.com

Find Latest Jobs in Jacksonville: Benefit Consultant

More complete informations about this vacancy opportunity kindly see the descriptions. Benefit Consultant – Medicare-Jacksonville – 1202005 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Florida, WellCare offers a variety of health plans for families, children, and the aged, blind, and disabled, as well as prescription drug plans. For more… . If you were eligible to this vacancy, please send us your resume, with salary requirements and a resume to WellCare.
Source: blogspot.com

WellCare 2Q profit drops 33 pct, outlook rises

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Source: latestnewslink.com

Select Arcadian Medicare Advantage Plan Assets in Arizona to be acquired by WellCare

Health Plans Heath Plans Mediacre Insurance Policy Medicare Medicare Advantage Plans Medicare Effective Dates Medicare Health Plans Medicare Insurace Plans Medicare Insurance Medicare Insurance Plan Medicare Part A Medicare Part A and B Medicare Part B Medicare Part D medicare plan Medicare Plan D Medicare Plans Medicare Plans for your State Medicare Policy Medicare supplement Medicare Supplemental Insurance medicare supplemental insurance plans medicare supplemental insurance quotes medicare supplemental insurance rates Medicare Supplement Insurace Medicare supplement insurance Medicare Supplement Insurance Plan F Medicare Supplement Plan MEDICARE SUPPLEMENT PLAN G Medicare Supplements Plan Medigap Medigap Advantage Plans Medigap insurance company Medigap Insurance Plans Medigap Plan Medigap Plans Medigap Plans for your State Medigap Policy medigap quotes medigap rates Medigap Supplemental Plans Meidcare Plans Part D Prescription Plan Threat to Medigap Urgent Issue for Medigap
Source: medigap4seniors.com

WellCare Medicaid/Medicare Fraud Suits Recover $217.5 Million

Fraud in the Medicare and Medicaid system increases health care costs for everyone, not just those involved with the programs. With much of Medicare and Medicaid funds passing through managed-care systems, assuring that the money is properly funneled to patient care rather than fraudulently lining the pockets of those companies is a key priority for the Civil Division of the U.S. Department of Justice.
Source: federalwhistleblowerlawyers.com

Medicare Claims Processing Manual

Posted by:  :  Category: Medicare

Commonwealth of Pennsylvania treasury DePartment2009 UNCLAIMED PROPERTY ANNUAL REPORTINGBT ERM . Mc CAT ETREASURPropertyER2008ROForORDSTCommonwealth of Pennsylvania Treasury Department Harrisburg, Pennsylvania 17120The Pennsylvania Treasury Department is committed to increasing volun.
Source: propdfsearch.com

Video: Medical Billing Expert Series: Medicare Claims Processing Manual Chapter 20

Billing for locum tenens services

In light of the physician shortage, our clients are increasingly using locum tenens physicians as a key component of their long-term staffing strategy, to start new service lines, and to augment permanent staff while searching for a permanent doctor, which can be a lengthy process. Under these scenarios, locums are not covering for an absent physician who will be returning and therefore do not meet the requirements for using the –Q6 modifier. In these cases, Medicare and Medicaid require locum providers to enroll in the programs in order to receive reimbursement.
Source: bartonassociates.com

Billing tips to submit Global Maternity claims V22.0

Global Maternity Claims Global maternity involves the billing process for maternity-related claims for a beneficiary. Once a beneficiary has been diagnosed as pregnant, all charges related to the pregnancy are grouped under one global maternity diagnosis code. These diagnosis codes will be listed as the primary diagnosis when billing. Figure 8.1 on the following page lists examples of these codes.
Source: whatismedicalinsurancebilling.org

springhill medical Group : How to Prevent Medicare Fraud

http://springhillmed01.livejournal.com/ Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: • Billing for DME • Billing for physicians services • Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient’s medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes. 2. Services Never Performed In this instance, the provider bills for tests, treatment or procedures never performed. This can be added to the list of tests a patient has actually received and never be noticed. A provider may also falsify diagnosis codes in order to add on unnecessary tests or services. 3. Upcoding Charges Misrepresenting a level of service or procedure performed in order to charge more or receive a higher reimbursement rate is considered upcoding. Upcoding also occurs when a service performed is not covered by Medicare but the provider bills a covered service in its place. 4. Unbundling Charges Some services are considered all inclusive. Unbundling is billing for procedures separately that are normally billed as a single charge. For example, a provider bills for two unilateral screening mammograms, instead of billing for 1 bilateral screening mammogram. Medicare Fraud Indicators There are certain indicators that are common in the detection of Medicare fraud. Is your practice: • Routinely waiving copayments and deductibles for Medicare patients without checking for their ability to pay? • Charging higher rates to Medicare patients compared to other persons for similar services? • Missing treatment documentation such as physician or nurses notes? What to Do If I Suspect Fraud? It is your responsibility as a representative of the healthcare industry to be aware of and report any fraudulent activity suspected. If you would like to report suspected Medicare fraud, contact the Department of Health and Human Services or the Office of Inspector General for further assistance. see more http://springhillmedgroup.com/
Source: fc2.com

INTERNATIONAL REHABILITATIVE SCIENCES INC DBA RS v. SEBELIUS, No. 11–35254., July 30, 2012

First, the district court held that the thousands of coverage grants by initial contractors, qualified independent contractors, and ALJs rendered the Medicare Appeals Council’s coverage denials here “arbitrary and capricious” under § 706 of the Administrative Procedure Act. But not all agency inconsistency is impermissibly arbitrary—only “[u]nexplained inconsistency.” Marmolejo–Campos v. Holder, 558 F.3d 903, 914 (9th Cir.2009) (en banc) (alteration in original) (emphasis added). “[Agency] inconsistency provides a basis for rejecting an agency’s interpretation only in ‘rare instances, such as when an agency provides no explanation at all for a change in policy, or when its explanation is so unclear or contradictory that we are left in doubt as to the reason for the change in direction.’ “ Id. (emphasis added) (citation omitted). Here, the Medicare Appeals Council explained why it disagreed with the lower agency adjudicatory decisions granting coverage: the studies that those decisions relied on purporting to show the BIO–1000’s effectiveness at alleviating pain had been authored or sponsored by the BIO–1000 manufacturer, and the studies purporting to show the BIO–1000’s effectiveness at regenerating cartilage had been conducted on animals, not humans. Because they explained the reasons for their disagreement, the Medicare Appeals Council’s coverage denials were not impermissibly arbitrary.
Source: findlaw.com

The Official Medicare Set Aside Blog And Information Resource: Physician Accountability in Medicare Billing

Physicians have been the subject of many of my recent rants because so many of the problems that we encounter with MSP issues can be attributed directly to them. We can’t control their excessive treatment plans or lazy billing practices, but neither can we convince CMS that these problems exist. In conditional payment recoveries, it is impossible to get CMS to adjust its recovery to account for commingled billing. Physician billing offices will frequently reuse forms pre-filled with patient information, including all diagnosis codes ever treated by that physician whether during that visit or not. From their perspective, it doesn’t matter because they do not get paid by the treatment, but by the time spent. Unfortunately for those on the other end of that transaction, it makes a huge difference and the private sector has been absorbing those payments for the benefit of Medicare for many years. The other issue is indifference in who gets billed. Patients don’t understand that it makes a difference who gets billed and physicians doesn’t care who pays so long as someone pays. Many of what are deemed conditional payments are not conditional at all – they were made by mistake due to lack of notice of secondary payer issues. But the one thing that all of these scenarios have in common is that the problems all originate in the physician’s billing office. Well, perhaps no more…
Source: medicaresetasideblog.com

What is the Medicare Advantage maximum out pocket?

Posted by:  :  Category: Medicare

The insurers who offer Medicare Advantage benefits must follow rules set by Medicare. However, each Medicare Advantage plan can charge different out-of-pocket costs and have different rules for how care is provided. For example, they can determine whether or not you need a referral to see a specialist or if you have access to a specific network of doctors and hospitals. These rules can change from year to year.
Source: ehealthinsurance.com

Video: Medicare Advantage PPO | Medicare Advantage Part C

Medigapcomparisons.com Releases a Revamped Version of Website With Latest Humana Medicare network

With escalating costs of healthcare and the downturn of economy it has become crucial for citizens to explore mediums to make most of their healthcare premiums. There is no dearth of plans from established insurance companies – some cover drug and medical coverage, then there are some which provide stand-alone prescription drug coverage. But as found in UCLA Study – 2011, commissioned by Department of Sociology, when it comes to choosing a plan as per personal needs, lack of standardized and credible information definitely hampers citizens. Medigapcomparisons.com is an effort to bridge this gap with comprehensive, unbiased and authentic information. With this version of the website, the founders have incorporated many features the site’s beta users suggested during 2010-11. “On our site one can find in-depth analysis of all leading Medicare Supplement and Medicare Advantage Plans including those from the likes of market leaders Humana Medicare Health Plans care and Florida Medicare Advantage Plans from Freedom Health” informs Mark Carter, Media representative of Medigapcomparisons.com. Current news, renewal rates and updated benefits are key points to note when making a decision about insurance plans. So, providing updated content is another aspect the site owners are working on. For example the of news story of Humana Inc, which has been at the forefront of health and well-being companies recently announced inclusion of Northwest Medical Center, Oro Valley Hospital and their urgent care centers in Tucson for their Medicare Advantage Plans – PPO, HMO and Private Fee for Service plans. This story is likely to benefit many of the 83000 Humana beneficiaries in Arizona. Such current news coverage will definitely help site visitors. The site now has a tips section as well – It has been noted in the UCLA study that due to lack of information, in many cases citizens find their insurance plan is unable to cover certain illness or procedures, only after they have nowhere to go. These missteps can be easily avoided with proper knowledge about Medicare Supplements like those offered by Humana. These supplement plans could be really beneficial to people who would like to have the benefit of say World-wide coverage and don’t want to take an alternative new plan. With predictable costs one could keep a check on their budget as well. With Advantage plans one gets added benefits to those originally provided with Medicare plans, covering majority of healthcare costs. Both Supplement and Advantage plans also help to remove network restrictions which generally come with Medicare select plans. Such tips could really help seniors who are not abreast with latest information. It has been long said information is one major way we are going to change the present American Healthcare System for the better and we are gradually moving towards it. Scalable user generated information and authentic news in the internet environment is one way to tackle this issue. About Medigapcomparisons (http://www.medigapcomparisons.com ) Medigapcomparisons is an interactive insurance information site oriented toward Medicare-eligible citizens. The site features information about all leading Medicare Insurance and Supplement providers and their most preferred plans. The founders share the vision to make it one-stop site for all to make the most informed decision. Since its creation in 2009, the site has clocked over 10, 000 visitors per month for last 14 months. To learn more and experience the arrived revolution in healthcare, please visit http://www.medigapcomparisons.com/
Source: sbwire.com

Anthem Medicare Connecticut « Insurance News from Crowe & Associates

The PPO offers substantially better benefits than the HMO to such an extent it does not make much sense for a consumer to consider the plan.  The PPO utilizes the nation anthem BCBS nationwide network.  It has out of network benefits which are almost par withe in network benefits.  They have $0 copay for a primary doctor and $0 copay for some generic drugs as well.  Two of the better benefits are the Hospital benefit which is $250 a day for 6 days in or out of network.  Meaning that you can go to a non participating hospital and pay the same as if it was an in network hospital.  The outpatient surgery benefit is a max copay of $250 which is the best available.  Lastly, the out of pocket max on this plan is $3,400 in and out of network combined which is far better than any other advantage plan in CT.
Source: croweandassociates.com

Health Insurance Options: What is Medicare Advantage?

The standardized Medigap plans are uniform in the 47 states that offer them. Consequently, a given plan type (e.g. Plan F) has the same benefits regardless of the insurance company that provides the policy or the state in which you reside. On the other hand, Medicare Advantage must provide all Medicare Part A and B coverage but, depending on the insurer and the specific plan, may cover more than Part A and Part B benefits. Excluding drug coverage, any standard Medigap plan with Original Medicare Parts A & B will have more benefits than a standard Medicare Advantage program since a Medicare Advantage program is only required to duplicate Medicare Part A & B benefits. However, as mentioned earlier, some Medicare Advantage programs offer benefits beyond those found in Part A and Part B.
Source: innovationsforseniors.com

Your View: Letters to the editor (August 3)

What Bob doesn’t tell you is that in addition to the monthly Medicare premium that he pays, the government pays an additional $850 a month to insurance companies to subsidize his Medicare Advantage. What he doesn’t tell you is that the 76 percent of Medicare recipients who don’t elect the Advantage program also subsidize his medical care because of additional taxes they pay. His subsidy for Medicare Advantage is paid for, in part, by taxes on others. So in one sense, Bob is a bit of a freeloader. I can’t blame the government for wanting to cut back on freeloaders.
Source: scsun-news.com

Satukanprantara Review Do Medicare Supplement Plans Help Seniors With Prescriptions?

Despite the good news that average Medicare Advantage plan premiums will decrease by four percent next year there is distressing news for Medicare beneficiaries. According to a recent study by Avalere Health co-payments for brand-name drugs will increase in 2012.Co-pay is a specific amount that your health insurance plan may require that you pay for a specific medical service or supply. For example your health insurance plan may require a $25 co-payment for an office visit or $35 for a brand-name prescription drug after which the insurance company often pays the remainder of the charges.Co-pays for preferred brand-name drugs will increase up to 40 percent while non-preferred brand name drugs will increase by 30 percent on average. Preferred brand-name drugs are usually drugs for which the prescription drug plan has negotiated a discount with the manufacturer. As for preferred generic drugs copays will remain unchanged. For non-preferred generics co-pays are expected to drop by 43 percent.Medicare beneficiaries are also expected to pay a bigger share of the cost of specialty drugs which can exceed $1000 per prescription. Specialty drugs include most of the newer treatments for chronic diseases such as multiple sclerosis and rheumatoid arthritis. New anti-cancer drugs that come as pills are also considered to be specialty drugs.Can Medicare Advantage Plans Or Medicare Part D Prescription Plans Help?Most Medicare Advantage Plans help with some but not all prescription drugs. The same is true for Medicare Part D so you don’t need both an Advantage plan and a Part D plan. Always check which medicines are covered under each plan.Medicare announced that Medicare Part D plan premiums would remain unchanged in 2012. Premiums still average about $30 per month. Based on the Avalere study plans with the lowest monthly premium may not always be the best deal.Dan Mendelson Avalere CEO said “Seniors need to look beyond the premium to understand their drug benefit. The more the cost burden gets shifted onto the patient who needs the medication the more important it is for seniors to understand that next level.”According to Medicare officials who read the study the broad averages of prices charged by prescription drug plans do not determine what an individual beneficiary will end up paying. Jon Blum Medicare deputy administrator said you cannot draw a general conclusion because everyone’s drugs needs are individualized. You need to consider the particular plan and drugs that the individual is taking.Is The Health Care Overhaul Beneficial For Seniors?As Blum had pointed out the health care overhaul law is helping beneficiaries with high drug costs save money. For those who fall under Medicare’s “donut hole” coverage gap beneficiaries can get a 50-percent discount on brand-name drugs.About 47 million disabled people are benefiting from Medicare and about nine in 10 beneficiaries have a prescription drug plan. Medicare Part D plans have different levels of coverage. The most common plan has five levels which are preferred generics non-preferred generics preferred brands non-preferred brands and specialty drugs.
Source: fc2.com

Can Medicare become True Social Insurance?

Posted by:  :  Category: Medicare

What's In My Bag... by Amy DiannaTrue Social Insurance. Some Americans think that since they have paid into the system, they are entitled to receive something back. But this is not how insurance works. True insurance means that Americans pay in for protection, in this case from health care costs that exceed their means. Income adjustment would return Medicare to a true insurance program. This means that the safety net will be strengthened and ensure that all Americans, of every generation and income level, will get the financial assistance to pay for retirement health care costs if and when they need it. To encourage Americans to prepare adequately for retirement, the Heritage premium support plan pairs Medicare and other entitlement reforms with comprehensive tax reform that makes it easier to save and invest for the future.[20]
Source: medibid.com

Video: The National Medicare Training Program: Understanding Medicare. Part 1 of 2

Nothing found for Blog 2012 08 04 Is

Accounts Receivables allscripts AR billing billingparadise california claims Clinics CMS codes coding company cost cycle denials easy EHR EMR followup healthcare icd-10 incentive insurance management Meaningful Use medical physician Physicians practice Practices price problems process Reimbursements revenue services software staff structure submission Test trends usefull Valant way
Source: billingparadise.com

National Medicare Training Program Monthly Update Webinar Scheduled for Tuesday, June 19, 2012

Join the Centers for Medicare & Medicaid Services National Medicare Training Program (NMTP) monthly webinar. Get the most up-to-date program information for professionals and volunteers who work with seniors and people with disabilities.
Source: wordpress.com

Medicare Training provided by Tennessee State Health Insurance Program — July 16 and July 19

Are you providing services for clients who are receiving Medicare and would like to learn more about Medicare?  The Tennessee State Health Insurance Program (SHIP) is providing free certified Level III Medicare training on Monday July 16 and Thursday July 19  8:30-3:30.  The training is scheduled at the Aging Commission Office located at 2670 Union Ave ext. 10
Source: wordpress.com

GAO challenges CMS on cost of removing Medicare SSNs

Which number is larger, 800 million or 13 billion? The answer is obvious. So are why these numbers meaningful for healthcare? According to the Department of Justice, the financial costs associated with identify theft totaled an estimated $13.3 billion. Between 2009 and 2012, the Department of Health and Human Services (HHS) reported more than 400 incidents of health data breaches affecting the protected health information of 500 or more patients, information that often includes a prime target of identify thieves — that, Social Security numbers (SSNs).  According to the Centers for Medicare & Medicaid Services (CMS), the cost to remove SSNs from Medicare cards in one of three ways numbers close to $800 million.
Source: ehrintelligence.com

Looking for the Right Medicare Advantage Plan

My dad died a few years ago and she was still having a hard time with it. I was having to take care of her and it was not easy. I thought taking care of my children was hard, but taking care of my mother was turning out to be a very hard task. I went online and found a spot to apply for the insurance. It was quite a lengthy process, but I really did hope it ended up being worth it in the long run. I assumed I would not hear from them for a while. It turned out I did not hear anything for several days. I decided to call them and find out what was going on and how long it would take. I finally got an answer and I was glad for that. I finally got the answer for the insurance. My mom qualified for the insurance and it would be retroactive for any medical care she had received in the past couple weeks. I was glad for that because she had been to the doctor and we had paid for it out of pocket. I was glad to hear that we would be getting that money back. Money was tight and it was hard to get everything we needed and take care of Mom properly. I was grateful for the insurance that my mom had. It turned out to be quite helpful. She ended up needing quite a few medical visits and some new very expensive medicine. The insurance covered all the visits and the new and old medications.
Source: trainingthruplacement.com

Serendib Spa Resort & Medicare Training Institute invites Elders from Japan

Bing CargoTraxSingapore Dubai Ports World – D P World Ecademy Economic Development Board Singapore Facebook on CargoTrax Singapore Google http://twitter.com/ http://www.bbc.com/ http://www.bunkerworld.com/ http://www.bunkerworld.com/classifieds http://www.CargoTraxSingapore.com http://www.cnn.com/ http://www.doubleclick.com http://www.ecademy.com/ http://www.facebook.com http://www.hansabaltic.com/ http://www.Linkedin.com http://www.youtube.com Intermodal Container Security, U.S. Customs & Border Protection, Reefer containers, Powerline, Realtime Fuel Monitoring visibility Linkedin Maritime & Ports Authority Singapore maritime container logistics maritime container transport maritime containers vehicle fleet management software shipping container transport container security initiative csi maritime container haulag Port of Singapore Authority PSA Security & Logistics TelematicsUpdate Twellow Twitter Twitter on Supply Chain Security and Logistics Yahoo
Source: wordpress.com

CIENCIASMEDICASNEWS: National Medicare Training Program Monthly Update Webinar

Join the Centers for Medicare & Medicaid Services National Medicare Training Program (NMTP) monthly webinar. Get the most up-to-date program information for professionals and volunteers who work with seniors and people with disabilities.  When: Tuesday, April 17, 2012 Time: 2:30-3:30 p.m. ET Topics: Understanding Enrollment Periods  Plan Finder Update Call-In Number: 877-251-0301 Conference ID: Webinar: https://webinar.cms.hhs.gov/nmtpapril12/  Materials: Download directly from the webinar.  Also available Thursday, April 19, 2012 on http://www.cms.gov/NationalMedicareTrainingProgram/10_Audio_Conference_Training.asp   If you’ve never used Connect Pro webinar software, get a quick overview by visiting http://www.adobe.com/go/connectpro_overview . Adobe, the Adobe logo, Acrobat and Acrobat Connect are either registered trademarks or trademarks of Adobe Systems Incorporated in the United States and/or other countries.
Source: blogspot.com

Secure Your Future And Find Jobs Available In The Health Sector

Fill The Gap And Stop The Medicare Workers Lack Some bits of Australia are even facing lack of medical care workers particularly registered nurses and other medicare pros. When you are looking for jobs available in health sector then you will be able to find the right one for your particular field of experience. Medical professionals and other medical care practitioners enjoy the powerful demand of job opportunities not just from one precise state but from all over the land. This means you can look for roles available in health sector from where you are living.
Source: el-secreto.biz

Nothing found for 2012 08 03 Please

Conference will feature nationally acclaimed experts discussing the challenging dilemmas facing the individual, family, professionals, criminal justice system and policy makers. Workshop is a unique training opportunity taught by people with schizophrenia-related disorders.
Source: sardaa.org

Medicare Part D Information « Insurance News from Crowe & Associates

Posted by:  :  Category: Medicare

open enrollment by MedicareMall It depends on when you need your Medicare prescription plan coverage to begin.  Initially, you have a seven (7) month window of time to join a Medicare Part D or Medicare Advantage plan.  So if you enroll in a Medicare Part D plan within the three (3) months before the month that you become eligible for Medicare (for example, the 3 months before you turn 65), your Medicare plan coverage will start on the first day of your birthday month (or Medicare eligibility month).  If you join a Medicare plan during your birthday (or eligibility) month, your prescription drug coverage will start on the first day of the next month.  Finally, if you join a Medicare plan during the three (3) months after your birthday (or eligibility) month, your drug coverage will start the first day of the month following the month when you enroll.
Source: croweandassociates.com

Video: Medicare Open Enrollment — Last Chance

Medicare Open Enrollment: Get Help From MyMedicareMatters.org

Prescription Drugs: Those without an existing Medicare Part D plan will be taken through a simple process to help them understand their options. Those with coverage can learn more about whether switching plans will be worthwhile. This area of the site also contains useful information on getting extra help with costs and a link to the Prescription Drug Plan Finder on Medicare.gov.
Source: suite101.com

Medicare Enrollment Question

Just to clear things up about Medicare and Medicare Advantage. When you sign up for a Medicare Advantage plan you no longer are covered by Medicare itself. The best way I can describe this is that to make it easier for Medicare to manage it’s business, they sublet the insurring of people like myself to various insurance companies (Blue Cross Blue Shield in my case). To aid the insurance companies in this endevour, Medicare pays those companies about $9000/year per enrolee to take care of us. So, the insurance companies have a lot of funds available for them to sweeten the pot to get people to sign with them. Those insurance companies must have at least as good of coverage as Medicare according to law. Hence, some dental, vision and good prescription drug coverage that those companies can easily afford to offer. Big competition here in Florida to sign with one of those plans. I pay nothing in the way of premiums except for the Medicare premium of what, $105/month? Medicare still takes that $105 out of my Social Security check and pays it to Blue Cross Blue Shield. Some of these insurance companies even offer part of that $105 back to you as rebates. At one time Universal returned the entire $105 Medicare premium. The more you read about it the more you will learn. Blue Cross Blue Shield, United Health Care and Humana have huge networks of doctors, hospitals, and related health service groups under their umbrella.
Source: early-retirement.org

What type of insurance is the best to sell (commission, leads, closing rate)? Question

I am new to insurance and I have been selling Medicare plans and doing well. As the open enrollment comes to an end, I am going to continue with aging into Medicare throughout the year. I also am going to get into life insurance and annuities. I am looking into Property and Casualty. I am open to other lines as well. What do you recommend and why? Thanks, for your time and knowledge sharing!!
Source: decadesilove.com

Medicare Part D Open Enrollment is Almost Upon Us!

Many advisors will suggest that a person shop around amongst the many different carriers offering the prescription drug coverage’s. This will allow the person Medicare to see what options are available to them and to select the most appropriate plan choice. Many will notice that there are plans that differ from state-to-state. The plan premium may also vary from place-to-place..
Source: medicarequotefinderblog.com

Medicare Open Enrollment: Better Choices, Sooner

People with Medicare are also enjoying important new benefits. Every person is entitled to an Annual Wellness Visit with their doctor so that they can discuss their health and their health care needs. Prevention services like mammograms and other cancer screenings are now available with no cost-sharing. And people who reach the donut hole in their drug costs will get a 50% discount on covered brand name drugs and a 14 percent discount on generics. That puts money back in your pockets.
Source: medicare.gov

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 Part D Open Enrollment to Begin Soon

6. Seek help if you need it: Medicare changes typically come every year. But reviewing options and choosing a new plan can be confusing for consumers or those attempting to help them. For help, you can go to the government’s website as well as volunteer organizations, private-sector plans, and other resources like the AARP (American Association of Retired People) , the National Council on Aging (NCOA), and the Medicare Rights Center. You can also check out the State Health Insurance Plans (SHIPs), which are part of a federal network of State Health Insurance Assistance Programs located in every state.
Source: bnaibrithdenver.org