When can you apply for Medicare??

Posted by:  :  Category: Medicare

No doctor shopping here, buddy by Newtown grafittiBy using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.
Source: australiaforum.com

Video: Medicare Australia and Seeing a Doctor: nib Health Insurance Explained

Announcements from Medicare Australia 

Prior to this announcement, Medicare dental items are available for people with chronic conditions and complex care needs, on referral from a GP. Eligible patients can access up to $4,250 in Medicare benefits for dental services over two consecutive calendar years.
Source: com.au

Examples of Medicare Fraud

No matter how committed  HHS is to attacking fraud, my main point in these blogs is that it is incapable of reducing it without incurring much higher costs of monitoring and enforcing the statutes. And if they did enforce them, they’d create another negative. They’d rope in many doctors and hospitals that fudge the numbers and paperwork in order to get around Medicare regulations that interfere with good medical practice.
Source: lewrockwell.com

Medicare patient rebates failing to keep pace with the true value of quality medical care

The graph produced by the AMA of the increasing disparity between MBS rebates and CPI and AWE very informative. Each time this issue is raised politicians tend to issue the usual fatuous comments about the average GP “gross income from Medicare” as somehow being pretty good, never minding the sorts of expenses incurred before a much lower net income is arrived at. Unfortunately for bulk- billing doctors it is in fact their income, whereas this sum represents fee- paying patient rebates for services and the patients are being continually short- changed Perhaps the AMA could be a little provocative and include on the graph the average politician’s gross remuneration package package on the graph.
Source: com.au

How Australia’s Universal Health Care System Measures Up Internationally

Australian universal health care, known today as Medicare, has undergone several changes since its inception in 1975, but it’s basically been same shape since then, with a few exceptions, of course. Of the top 33 industrialized countries in the world, 32 have a form of universal health care. The only exception is the United States, which passed a universal healthcare bill, but will not be implemented until 2014. Australia has a two-tiered health care funding system, which means that the majority of healthcare coverage is provided by the government, which then levies a surcharge based on a sliding scale of taxable income when it’s citizens reach a certain age. Although the “free” health care coverage is far from comprehensive, the current model is enough to make a significant impact on the average life-expectancy of the nation.
Source: healthworkscollective.com

More hip pain as health cuts bite

4G smartphones AFL Broadcast Rights Anti-siphoning Apple Apple iOS Apple iPhone 4S Apple iPhone 4S Prices Apple iPhone 5 AUSTAR Australian Pay TV Providers Compare Energy Providers Compare Health Care Cover Digital TV electricity prices Energy FOX Sports FOXTEL Free-to-Air TV Google Android health insurance HTC Internet TV IPTV IPTV Providers LTE Mobile Phones Mobile Phone Statistics NBN Nicola Roxon Nokia NRL Optus Pay TV Pay TV Packages power bills; Private Health Insurance Renewable Energy Samsung Siri Personal Assistant Smartphones Stephen Conroy Subscription TV Telstra Telstra T-Box TiVo
Source: com.au

Fórum Social Temático começa amanhã (24) no RS

Também ocorrerão feiras de economia solidária, praças de alimentação orgânica, vegetariana e espaços de convivência e vida alternativa. As quatro cidades receberão representantes de todas as vertentes da sociedade civil organizada. De todo os continentes estarão presentes ativistas que foram protagonistas dos novos movimentos, tais como o Occupy Wall Street, a Primavera Árabe, os indignados da Espanha, as manifestações estudantis chilenas, entre outros.
Source: org.br

Difference Between Medicare and Medibank

Both entities use different colors for their logos. Medicare uses green and yellow while Medibank uses blue and red. The word “Medicare” in its logo is slightly slanted or italicized. In contrast, the word “Medibank” in its logo is written in a normal and straight typesetting. In addition, the letter “I” in “Medibank” is custom styled compared to the other letters in the word. Both words are written in a lowercase style.
Source: differencebetween.net

Molina, Wellcare File Protests Over Ohio Medicaid Rejections

Posted by:  :  Category: Medicare

(Reuters) – Molina Healthcare Inc (MOH.N) said on Monday it filed a formal protest of a decision by the state of Ohio not to renew its Medicaid contract. Molina shares plunged 25 percent earlier this month after the state said the company was not among more
Source: newsplurk.com

Video: Nate Jones performing at Collinson Apts

Ohio Health Policy Review: WellCare decides to not continue its ABD Medicaid managed care contract

WellCare Health Plans Inc announced that it will not renew its managed care contract for aged, blind, and disabled Medicaid recipients in northeast Ohio (Source: "WellCare Health Plans gives up some Ohio business," Tampa Bay Business Journal, May 20, 2008).  Its contract ends on June 30th.
Source: healthpolicyreview.org

WellCare Health Plans Reaches Settlement in False Claims Act Case

administrative complaint Administrative Hearing attorney audit controlled substances dea defense attorney defense lawyer department of health Department of Health (DOH) Department of Health and Human Services doctor doh DOH investigation drug enforcement administration emergency suspension order false claims act florida fraud prevention health care fraud health law hipaa investigation legal representation license licensing and regulatory medicaid medical license medicare medicare audit Medicare fraud Medicare investigation nurse nurses overbilling pain clinics pain management pharmacies pharmacist pharmacists pharmacy physician physicians prescription drug trafficking whistleblower
Source: wordpress.com

Ohio Premier Health Solutions: Coventry joins WellCare in ending plans next year

With so many Medicare Insurance options available in Ohio, how are you supposed to choose the best option for you? That is where we come in… At Ohio Premier Health Solutions, your Local Medicare Insurance Store, our job is to help you Solve Medicare Confusion. We are a local, independent insurance agency who works with many companies you are probably familiar with. Call us at (330) 394-7400 to set up a time to review your current plan to see if it’s the best one for you.
Source: blogspot.com

Medicaid Health Plans Campaign to “Get Your Well On” :: OAHP

The Medicaid Care Coordination plans are working with The Ohio Benefit Bank, Ohio’s Family and Children First Council, the Ohio Association of Second Harvest Food Centers, the Ohio After School Program, the Ohio Child Care Reference and Referral Agency, the Ohio Council of Churches, YWCA Columbus and  Special Olympics of Greater Cleveland to distribute information about the Health Care Home’s “Get Your Well On” campaign. Those documents are available on the project’s website, www.ohiohealthcarehome.com, which features local search options families can use to find health plans and local community resources.
Source: oahp.org

WellCare Health Plans pays $137.5 million to settle fraud allegations

This is the second monetary settlement reached with WellCare since the government initiated a criminal and civil investigation of WellCare in 2006.  On May 5, 2009, in order to resolve potential criminal charges related to losses by the Florida Medicaid and Healthy Kids programs, WellCare entered a Deferred Prosecution Agreement (DPA) with the U.S. Attorney in the Middle District of Florida, under which WellCare paid $40 million in restitution and forfeited an additional $40 million.  The U.S. Attorney’s office also has pursued criminal charges against several former Wellcare employees.  One former WellCare analyst, Gregory West, entered into a plea agreement and pleaded guilty to a conspiracy charge shortly after execution of a search warrant on WellCare’s corporate headquarters in Tampa; he is currently awaiting sentencing.  Five former executives – including former CEO Todd Farha, former CFO Paul Behrens and former general counsel Thaddeus Bereday – were indicted in March 2011 and are currently awaiting trial, which is presently scheduled for January 2013.  Additionally, Wellcare previously executed a Corporate Integrity Agreement (CIA) with the Office of Inspector General of the U.S.  Department of Health and Human Services (HHS-OIG) that imposes compliance obligations on the company for a period of five years.
Source: ctnews.com

3.6 Million Social Security Numbers Stolen During Hack, Credit And Debit Cards Also Breached

Posted by:  :  Category: Medicare

FED - Social Security Administration Office of the Inspector General by InventorchrisOlder men dating younger women, or older women dating younger men.===“Ageloves.C0M”===, It has gained popularity among men and women who enjoy energy and security. It has 11 years history and it is a serious and safe dating site. They verify all members. NO scammers or fake profiles here. Every day there are 5500000 active and identified members. You can find local easily. I like to share it. Hope everyone will soon find their life mate.
Source: inquisitr.com

Video: Social Security Disability Claims Assistance

Medicare cards should not expose Social Security numbers

“Making the necessary changes will require significant monetary investments, multiple systems and operational changes, not just for CMS and its contractors, but also for (the Social Security Administration), state Medicaid programs, private health plans and providers that CMS interacts with regarding beneficiary information for enrollment and claims payment,” Tavenner said.
Source: triblive.com

Guardian Trust: More on Special Needs Trusts from the Social Security Administration

Finally, we previously posted regarding a written change (clarification according to SSA) in policy that states that a SNT cannot state in the document that it will pay to have family members come and visit the beneficiary.
Source: blogspot.com

Millions of South Carolinians’ social security numbers stolen

If credit card information is compromised, the best protection is to have the bank reissue the card. Anyone who has used a credit card in a transaction with the Department of Revenue should check bank accounts regularly to see if any unauthorized charges have occurred. If so, the cardholder should contact the credit card issuer immediately by calling the toll-free number located on the back of the card or on a monthly statement, tell them what you have seen, and ask them to cancel and reissue the card. 
Source: wtoc.com

Social Security News: Budget Falls As Workload Increases

Gearan says the SSA has been victimized by continuing legislative gridlock between Congressional Republicans and Democrats. The department’s funding for operational expenses is paid from discretionary appropriations, not from the independent Social Security trust funds. Current agency administrative spending is about $11.8 billion a year, Gearan says. “Social Security was spending just about that amount two years ago, and we know we’ve had a heck of a lot more people coming through” since then to use agency services. The agency’s budget “is about a billion dollars below where we think it should be.”
Source: blogspot.com

South Carolina taxpayer server hacked, Social Security data breached

On Friday, state officials laid out efforts to determine what happened and protect the personal information of taxpayers. While noting that not everyone had their information breached, Haley urged everyone who filed a tax return in South Carolina from 1998 through now to take advantage of credit protection services being offered by the state.
Source: wtvr.com

Health Law Prompts Review Of Some Medigap Plans; Defining Who Gets Dependent Status

Posted by:  :  Category: Medicare

Your plan and Plan C are the most popular Medigap plans, chosen by nearly two-thirds of beneficiaries. Those are also the policies that provide significant “first dollar” coverage: they pay the deductibles for both the hospital and outpatient portions of the traditional Medicare program (Parts A and B) as well as the 20 percent coinsurance required for doctor visits, and cover other services as well. People with these supplemental plans may pay virtually nothing for medical services beyond their premiums.
Source: kaiserhealthnews.org

Video: Affordable Medigap Insurance– Finding the best Medigap plan to fit your budget

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Understanding Your Options: What is Best for You? Medicare Advantage Plan or Medicare Supplement and Part D Drug Plan?

If you have a Medigap policy and join a Medicare Advantage Plan (like an HMO or PPO), you may want to drop your Medigap policy. Your Medigap policy can’t be used to pay your Medicare Advantage Plan copayments, deductibles, and premiums. If you want to cancel your Medigap policy, contact your insurance company. In most cases, if you drop your Medigap policy to join a Medicare Advantage Plan, you won’t be able to get it back. If you have a Medicare Advantage Plan, it’s illegal for anyone to sell you a Medigap policy unless you’re switching back to Original Medicare. Contact your State Insurance Department if this happens to you. If you want to switch to Original Medicare and buy a Medigap policy, contact your Medicare Advantage Plan to disenroll.
Source: indoamerican-news.com

Consumer reps: Medigap is not the bad guy

In the current draft of the NAIC cover letter, drafters state that, “We strongly disagree with the assertion that Medigap is the driver of unnecessary medical care by Medicare beneficiaries. Medigap insurance pays benefits only after Medicare has determined that the services are medically necessary and has paid benefits. Medigap cannot alter Medicare’s determination and the assertion that first-dollar coverage causes overuse of Medicare services fails to recognize that Medigap coverage is secondary and that only Medicare determines the necessity and appropriateness of medical care utilization and services.”
Source: lifehealthpro.com

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

Find right coverage Medigap Plans and Medicare Supplement Plan for insure your supplemental medicare after retirement. Mymedicare advisor helps you make a decision about how to choose a Medigap Plans, Medicare Supplement Plan, and Supplemental Medicare plan. MyMedicareAdvisor 2300 Computer Ave. Ste. H-40 Willow Grove, PA 19090 email: mymedadvisor@gmail.com 215 658 1776 http://www.mymedicareadvisor.com Medicare Supplement Plan, Medigap Plans, Mymedicare, Supplemental Medicare http://www.mymedicareadvisor.com/north-carolina-medicare/
Source: anunico.us

2013 Medicare Advantage Plans — Best Rated Florida Plans from AARP UnitedHealth, Blue Cross Blue Shield, Humana and Coventry

Now that open enrollment for 2013 has begun, seniors are looking for the best rated 2013  Medicare Advantage plans from large insurers like Blue Cross Blue Shield, AARP, Humana, Cigna and many others. Rates for the plans are now available.  While the rates are now available on the Medic are.gov website, rate updates are still pending for the Florida State insurance website, so Florida seniors that are searching for low cost Medicare Advantage plans will need to be careful that the rates that they see quoted are for 2013.
Source: medicaremedigaprates.com

Consumers Union Offers 2000 Guide to Medigap Plans, Medicare HMOs, Nursing Homes

Consumer Reports Complete Guide to Health Services for Seniors is divided into three parts: "Paying for Health Care Services," "Finding Long-Term Care" and "Paying for Long-Term Care." It provides practical advice on a range of health care issues, as well as ratings of Medicare managed care plans and long-term care services including nursing homes.
Source: rwjf.org

Medigap Vs. Advantage plans

All of this makes Medicare Advantage plans sound much more attractive than traditional Medicare, but the reality is lots of people don’t like the access to care they get from Medicare Advantage plans. Researchers from the Commonwealth Fund, a nonprofit foundation that promotes better health care, found that 15 percent of  people with Medicare Advantage policies rated their insurance as fair or poor. That is more than double the number of dissatisfied Medicare/Medigap plan participants — just 6 percent of those with traditional Medicare coverage and Medigap plans rated their coverage as fair or poor.
Source: bankrate.com

Plan Your Finance Insurance Loan

One thing you should know that no active participation of government will be here. It is wholly administrated by private body. Several private companies are in this insurance business. Though this same policy can be marketed by different companies, but there are some strict rules which ought to be maintained by the all private companies. These rules include the same amount of premiums should be drawn from the policy holder. All the plans should be same with same benefits. According to the law the private insurance companies can offer only twelve standard Medicare Supplement Insurance Plans, named A through L. each of these plans have their own set of benefits, different from the others. However, almost all of the twelve Medigap policies provide the basic benefits of Medicare part A and B. Therefore it is always recommended to study all the Medigap plans before deciding to choose the one that would fit the best for you. Besides that the fact that should be kept in mind is that, no matter from whatever insurance company you may purchase a particular plan, all of the plans with the same letter cover must provide the same benefits. As for example if you purchase a Medigap plan C policy, it should cover the same benefits without depending on the company that is selling the plan. However, the premium rates may vary for different companies. Therefore you are free to purchase any Medigap policy from the company you like and be sure to get the same benefits provided by the other companies.
Source: plantmd.org

What Can You Do If Your Medicare Supplement Gets Too Expensive?

Medicare B has no cap on the co-insurance amount.  If your medical bills for the year are $100,000 you have to pay $20,000.  Medicare supplement insurance will pay that for you.  If you cancel your Medicare supplement insurance, you will have to use your retirement savings, Social Security or pension income to pay your medical bills.
Source: wordpress.com

Medicare Open Enrollment: Be a smart shopper

Posted by:  :  Category: Medicare

"The single best augury is to fight for one's country." ~ Homer (800 BC - 700 BC), The Iliad. by eyewashdesign: A. Goldenin the Medicare program. Average premiums for prescription drug coverage and Medicare health plans will stay around the same in 2013. People who are in Medicare’s prescription drug coverage gap (“donut hole”) will continue to save money in 2013 with big discounts on brand-name prescription drugs. Since the health care law was enacted in 2010, more than 5.5 million people with Medicare have saved nearly $4.5 billion on prescription drugs in the donut hole. 
Source: medicare.gov

Video: Best Medicare Advantage Plan | Medicare Advantage

Weiss Ratings Launches Unique Medicare Planning Tool for Seniors

The Planner suggests specific Medicare plans at the lowest prices offered by the strongest insurers. And because some plans with low initial rates may actually be more costly in the long run, the Planner has another distinctive capability—it considers historical price increases for Medigap policy recommendations. It also gives seniors the benefit of government quality assessments, by taking into account the federally assigned star ratings when making Medicare Advantage and prescription drug plan recommendations.
Source: moneyandmarkets.com

2013 Medicare Advantage Plans — Best Rated Florida Plans from AARP UnitedHealth, Blue Cross Blue Shield, Humana and Coventry

Now that open enrollment for 2013 has begun, seniors are looking for the best rated 2013  Medicare Advantage plans from large insurers like Blue Cross Blue Shield, AARP, Humana, Cigna and many others. Rates for the plans are now available.  While the rates are now available on the Medic are.gov website, rate updates are still pending for the Florida State insurance website, so Florida seniors that are searching for low cost Medicare Advantage plans will need to be careful that the rates that they see quoted are for 2013.
Source: medicaremedigaprates.com

Medicare open enrollment: What’s the best Medigap policy?

The difficulty for consumers is that the nature of Medigap makes it a lot harder to shop for than Medicare Advantage. Here’s why. Medicare Advantage plans are regulated and overseen on a national level. Medicare routinely collects all kinds of information on them about customer satisfaction and quality of care. In addition, the premium of a specific Medicare Advantage plan is the same for each customer. As a result, it’s possible (as I explained yesterday) to go to Medicare.gov and compare Medicare Advantage plans in detail, including quality ratings and price. It’s also why we can publish rankings of Medicare Advantage HMOs and PPOs through our partnership with the National Committee on Quality Assurance.
Source: consumerreports.org

Understanding Your Options: What is Best for You? Medicare Advantage Plan or Medicare Supplement and Part D Drug Plan?

If you have a Medigap policy and join a Medicare Advantage Plan (like an HMO or PPO), you may want to drop your Medigap policy. Your Medigap policy can’t be used to pay your Medicare Advantage Plan copayments, deductibles, and premiums. If you want to cancel your Medigap policy, contact your insurance company. In most cases, if you drop your Medigap policy to join a Medicare Advantage Plan, you won’t be able to get it back. If you have a Medicare Advantage Plan, it’s illegal for anyone to sell you a Medigap policy unless you’re switching back to Original Medicare. Contact your State Insurance Department if this happens to you. If you want to switch to Original Medicare and buy a Medigap policy, contact your Medicare Advantage Plan to disenroll.
Source: indoamerican-news.com

Open Enrollment For Medicare Part C & D

Why shop around? Like any other insurance policy that renews annually, it’s important to see if your current options still best fit your needs. For example, what may have been the most efficiently priced policy last year could be significantly higher this year. Pricing for most Medicare Advantage Plans are expected to increase moderately this coming this year. However many Medicare Part D Plans are expecting double digit increases in premiums. Second, your current plans provisions and benefits may have changed and may not best fit your needs anymore. Finally, you may have had a change in your personal circumstances where another option may be more efficient. When shopping around for Medicare Advantage, just make sure that any new plan that you are considering has your primary care physician, specialists and care facilities that you are likely to use are on the plans network of providers.
Source: figuide.com

Kaiser Permanente’s Medicare Plans Earn Top NCQA Health Insurance Rankings for 2012

About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: kp.org

Best Idaho Medicare Plans

The federal government sponsored Medicare program has helped in providing millions of Americans with the security and peace that comes with knowing that you are protected. It is natural to suppose that old age requires more medical attention as it is often accompanied by a host of ailments. It is not fair to have to get stressed for medical expenses at a time of life which you should be enjoying otherwise. The US government started the Medicare scheme with a view to help people organize their retirement planning as far as medical expenses go.
Source: ezinemark.com

Medicare Enrollment Arrives – Tips On Medicare Plans

Take stock of your health needs for the coming year. Go back to the drawing board and think through what you really need from your Medicare plan. What kinds of care do you need? Do you anticipate any procedures or tests? Which doctors do you want to see and how often? What prescriptions do you take? What can you afford to pay? Make a list.
Source: allsup.com

GRAY MATTERS: Now is the time to compare Medicare plans

Beneficiaries can call Medicare at 1-800-633-4227 anytime of day or night, including weekends, and ask for assistance to compare plans and to make a change if needed. The information is also available online at www.Medicare.gov and enrollment changes can be made online. The best time to call Medicare is in the evening or during a weekend to shorten wait times.
Source: times-standard.com

Examples of Medicare Fraud

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ... More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524Regarding fraud, I am not even mentioning the basic fact that the incentive structure of government medical bureaucrats is inferior to that of a profit-making doctor, hospital, or medical service provider, or even to a non-profit charitable hospital. The bureaucrat has no “bottom line” to focus on that bears a direct relation to the welfare of medical customers.
Source: lewrockwell.com

Video: Senator Harkin Addresses False Claims That Health Reform Will Hurt Medicare Recipients

Advertisements in Connecticut Senate race not entirely true

FactCheck, however, questions the claim by the  Obama administration that Obamacare will save families $2,500 in the future. “We’ve been calling that claim into question for several years now. The plain fact is that — so far — the law has caused an increase in premiums, though not so large an increase as some Republicans claim,” it wrote. On the middle class tax increase, Murphy voted against extending the Bush-era tax cuts, which also included a plan to cut the Social Security payroll tax. “But voting against cutting Social Security taxes is not the same as voting to raise them,” according to FactCheck. Murphy later voted for a compromise that extended the tax cut through the end of this year. Like other Democrats, he favors an extension of the tax cuts for couples making less than $250,000, while letting them rise for wealthier Americans. A claim that the tax money supporting Medicare is being used to pay for the Affordable Care is not true, according to FactCheck. “The law doesn’t take money out of the existing hospital insurance trust fund,” it wrote. PolitiFact took on the question of whether the Affordable Care Act will ration care. “Here’s the bottom line: The health care law rations care no more nor less than the current health care system does.” “The current health care system — whether it’s private insurance, Medicare or Medicaid — does not allow people to have all the health care they want. Under the new law, people still can’t have all the health care they want,” it wrote. Also, FactCheck said the Independent Payment Advisory Board “has no say in whether any individual receives dialysis, chemotherapy or any other treatment. It is barred by Section 3403 of the health care law from making policy recommendations that would block patients from needed care. “The IPAB is specifically forbidden from making any recommendations that would ration care, reduce benefits, raise premiums or cost-sharing or alter eligibility for Medicare,” HHS Secretary Kathleen Sebelius told the House Energy and Commerce Committee last July. “And all final decisions remain in the hands of Congress,” she said. “If Medicare costs are rising at an unsustainable rate, it’s Congress’ choice whether to accept those recommendations or come up with recommendations of its own to put Medicare spending on a stable, sustainable path.”
Source: nhregister.com

2013 Medicare Annual Enrollment Period: eHealth Identifies 8 Costly Mistakes for Medicare Supplement Insurance Customers / eHealth

eHealth, Inc. (NASDAQ: EHTH) is the parent company of eHealthInsurance, the nation’s leading online source of health insurance for individuals, families and small businesses. Through the company’s website, www.eHealthInsurance.com, consumers can get quotes from leading health insurance carriers, compare plans side by side, and apply for and purchase health insurance. eHealthInsurance offers thousands of individual, family and small business health plans underwritten by more than 180 of the nation’s leading health insurance companies. eHealthInsurance is licensed to sell health insurance in all 50 states and the District of Columbia, making it the ideal model of a successful, high-functioning health insurance exchange. Through the company’s eHealthTechnology solution (www.eHealthTechnology.com), eHealth is also a leading provider of health insurance exchange technology. eHealthTechnology’s exchange platform provides a suite of hosted e-commerce solutions that enable health plan providers, resellers and government entities to market and distribute products online. eHealth, Inc. also provides powerful online and pharmacy-based tools to help seniors navigate Medicare health insurance options, choose the right plan and enroll in select plans online through its wholly-owned subsidiary, PlanPrescriber.com (www.planprescriber.com) and through its Medicare website www.eHealthMedicare.com.   
Source: ehealthinsurance.com

Government Clamps Down on False E&M Medicare Claims

Medicare reimbursement includes payments for certain evaluation and management (E&M) services that are necessary prior to the performance of a procedure. CMS does not normally allow additional payments for separate E&M services performed by a provider on the same day as a procedure. However, if a provider performs an E&M service on the same day as a procedure that is significant, separately identifiable, and above and beyond the usual preoperative and postoperative care associated with the procedure, a so-called “modifier-25” may be attached to the claim to allow additional payment for the separate E&M service. For over a decade, HHS-OIG has been concerned that health care providers were regularly and falsely tagging a modifier-25 on millions of Medicare claims. In fact, after a thorough 2002 audit, HHS-OIG determined that over 35% of all modifier-25 claims were false. In response, HHS-OIG has increasingly scrutinized providers who reach for modifier-25. For example, noting an exceptionally high use of the modifier-25, the federal government recently investigated the Medicare billing practices of Georgia Cancer Specialists, one of the country’s largest private oncology practices. The end result was a $4.1 million False Claims Act settlement, in which the government alleged that the medical group applied modifier-25 to claims that did not qualify for its use, leading to overpayments by Medicare. More information for whistleblowers is located at the Nolan Auerbach website.
Source: medicare-fraud.net

Responding to some of President Obama’s Medicare claims

No you haven’t. The Affordable Care Act (ACA, also known as “ObamaCare”) slowed Medicare spending growth. The Medicare Hospital Insurance Trust Fund includes less than half of Medicare spending. You can argue that you have extended the life of this trust fund by “almost a decade,” but trust fund accounting ignores a more immediate cash flow problem.  Since the HI trust fund contains only IOUs from the government to itself, this accounting ignores the question of where to find the $296 B in cash this year to pay for Medicare spending above that covered by Medicare payroll taxes and premiums.  Medicare has never been a fully self-funded program, and even with the savings enacted in the Affordable Care Act, it is still an enormous pressure on the rest of the budget.
Source: keithhennessey.com

Navigating the Medicare Claims Process

If you or a relative has multiple sclerosis, Alzheimer?s or Parkinson?s disease or if you?re paralyzed or recovering from a stroke, among other things, you too may have been unable to get Medicare to cover physical therapy or certain skilled nursing treatment because your health wasn?t improving or you weren?t likely to improve any more. The settlement clarifies what was supposed to be the law of the land, which is that Medicare ought to cover any reasonable treatment prescribed by a doctor even if it only aims to slow a person?s deterioration or maintain the current level of health.
Source: typepad.com

Medicare Claims Show Overuse for CT Scanning

All great movements have started with people, because collective wisdom is stronger and smarter than any one individual. And we believe that it is time to leave partisan politics behind.  We Can Do Better engages citizens in identifying barriers and solutions to improving health and health care for all.We combine traditional tools – community forums and workshops – with new media to bring people together. Online and in-person opportunities for the public to become informed, organize, and voice their opinions lead to real-time grassroots civic action that influences public policy debate. We want public and private programs to reflect our shared principles and framework. The process won’t always be easy or comfortable because we recognize we have tough choices ahead. We believe that positive and lasting social change only comes when engaged citizens work together in common cause.  We Can Do Better is a non partisan space for civic engagement for people to develop strategies and solutions that inform public policy and result in better health and health care for all.
Source: wecandobetter.org

Medicare Supplemental Insurance Comparison Website Boasts 1000 Views in First 10 Days Online

Posted by:  :  Category: Medicare

A brand-new Medicare supplemental insurance comparison website has just announced that it has broken the 1000 views barrier in its first 10 days online. The new interface is in response to the huge demand for Medicare supplemental insurance comparison websites. For anyone who has searched online to compare the rates of different Medicare supplemental insurance providers, they know it can be an exhaustive process. Certainly the invention of the Internet and the implementation of convenient comparison software’s has made the process easier, but only until now have shoppers been able to retain sensitive information when seeking out the best insurance policies for their specific needs. In the past, shoppers had to part with the sensitive information such as their phone number, e-mail, home address, and in some situations, their credit card number. Fortunately recent advancements in technology has made the need for invasive information a thing of the past. Today shoppers can go online and compare Medicare supplemental insurance providers simply by entering their zip code. The software then goes to work by combing through thousands of competing insurance providers and lining up the results in a convenient side-by-side chart. Shoppers can then click on the insurance provider that interests them the most to learn more. “When we set out to build this website our primary goal was to make searching for Medicare supplemental insurance as simple as possible” said Jack Almeida, president of finance. ”These days, insurance salespeople are extremely aggressive, so we wanted a platform that allowed shoppers to look through a variety of different companies without ever having to contact them directly. With our website shoppers can see all the best supplemental insurance companies in their zip code, do a side-by-side comparison of their prices and policies, and when they are ready, contact them on their own accord.” There is another advantage of software that offers side-by-side comparisons, says the website. Medicare supplemental insurance companies know that they are being compared with other companies in their area. Because of this they will offer the lowest possible price to beat out there competition and attract new clients. In the end this creates an extremely competitive environment between insurance companies and strongly benefits the shopper. It’s with this dynamic that shoppers can contact their chosen company directly, and even if they are more expensive than the other companies on the website, negotiate pricing based on the side-by-side comparison. Jack Almeida continues: “with our convenient platform shoppers can use the information we give them to pit one insurance company against the other and get the lowest price on the plan of their choosing.” To learn more about this new Medicare supplemental insurance website please visit http://medicaresupplementalinsurancecomparison.net/ About medicaresupplementalinsurancecomparison.net Medicaresupplementalinsurancecomparison.net was created in September of 2012 to help shoppers get the best rates for Medicare supplemental insurance. The website utilizes the absolute latest in price quote technology, and has already received rave reviews from the industry.
Source: sbwire.com

Video: Medicare Supplemental Insurance Plan Benefit Comparison California

Comparing Medicare Supplemental Insurance Benefits

These plans, called “Medigap” plans, each have different medical care coverage. Variable benefits of coverage to be considered are: • Coinsurance plus coverage that last 365 days after medicare benefits end (Medicare Part A) • Coinsurance/Copayment for medicare part B. • Pints of blood (transfusions, first three pints) • Hospice care copayments or coinsurance • Coinsurance for Skilled Nursing Facilities • Part A medicare deductible • Part B medicare deductible • Part B excess charges • Emergencies during foreign travel • Preventative care coinsurance, per Medicare Part B If any of these are important for you to have covered, comparing medicare supplemental plans that include benefits is the only way to ensure they are included.
Source: seniorcorps.org

Medicare Supplemental Insurance Comparison Website Announces Launch, 1K Views in First Week

Our purpose with creating this site was to make looking for Medicare supplemental insurance coverage as painless as possible, mentioned John Stevens, director of advertising and marketing. We know that folks do not want to have to contact a bunch of various insurance plan organizations or worse yet push to them in particular person. With our on the internet interface customers do not even need to have to chat to pushy salespeople, they can see all the ideal organizations in their spot, examine their rates and options, and should they want to, get in touch with them on their own terms and conditions.
Source: hugohosting.com

Senior Health Direct: What Are the Benefits to Medicare Supplemental Insurance for Seniors?

Medicare can be an extremely complicated system and it is difficult for a lot of seniors to understand. Fortunately, there are online websites that provide you with information on Medicare Supplemental Insurance. Medicare supplemental insurance is essentially a portion to Medicare that you can sign up to, which provides coverage for medical expenses that are not usually covered in the initial Medicare program. This way, some of your prescriptions and medical expenses can be completely covered by your health insurance, without you ever having to worry about anything. Medicare supplemental insurance is essential for prescriptions Do you want to pay for prescription costs out of your pocket? Often times, prescriptions that we pay for on a monthly basis can range up into the hundreds of dollars. Affording this type of payment would be extremely difficult as a senior, when you are likely retired and struggling to pay bills. Fortunately, Medicare supplemental insurance provides coverage for prescription costs. There are some prescriptions that are not covered in the initial Medicare program, this is why you need to sign up to a service like Medicare supplemental insurance. A lot of seniors forget about signing up to Medicare supplemental insurance The problem with the current Medicare program is that most seniors forget to sign up for Medicare supplemental insurance. What does this mean? It means that they entirely do not receive coverage for some of their medical expenses. These are their prescriptions, visits to the doctor, visits the hospital or all types of other medical related occurrences. Many seniors are paying for things directly out of their pocket that should be covered by their health insurance program, but they have simply dropped the ball to get informed and sign up to the right types of services. When it comes to Medicare, the government makes this program extremely complicated and there are a lot of aspects to it that you have to get involved with in order to completely understand. It’s like taxes, most people pay a tax professional to handle their taxes when they have complicated aspects of their taxes. Medicare is the same way, you want to get in touch with a professional that can train you on the system and do things for you, so that you don’t leave anything unattended. Medicare supplemental insurance is essential for people over 65 If you are over the age of 65, Medicare supplemental insurance is going to be essential for you. You are very likely on Medicare already, but you may or may not know about Medicare Supplement Insurnace. As a member of society over the age of 65, you are probably into your retirement and you are thinking about settling down and retiring safely. Retiring safely often revolves around having your medical expenses paid for. As you get older, your medical expenses are going to increase. You will be put on medications and you’ll need to make visits to the doctor to ensure that you are healthy. These types of things should be covered by your health insurance program and if they are not currently covered by your Medicare program, you need to sign up for Medicare supplemental insurance.
Source: blogspot.com

Understanding Your Options: What is Best for You? Medicare Advantage Plan or Medicare Supplement and Part D Drug Plan?

If you have a Medigap policy and join a Medicare Advantage Plan (like an HMO or PPO), you may want to drop your Medigap policy. Your Medigap policy can’t be used to pay your Medicare Advantage Plan copayments, deductibles, and premiums. If you want to cancel your Medigap policy, contact your insurance company. In most cases, if you drop your Medigap policy to join a Medicare Advantage Plan, you won’t be able to get it back. If you have a Medicare Advantage Plan, it’s illegal for anyone to sell you a Medigap policy unless you’re switching back to Original Medicare. Contact your State Insurance Department if this happens to you. If you want to switch to Original Medicare and buy a Medigap policy, contact your Medicare Advantage Plan to disenroll.
Source: indoamerican-news.com

Medicare Supplemental Insurance Comparison Website Announces Milestone of 5,000 Customers

(PRBuzz.com) October 25, 2012 — Searching for Medicare supplemental insurance can be a daunting process. Contacting insurance companies and dodging pushy salespeople can be enough to avoid the whole process altogether. But for senior citizens who have had to pay out-of-pocket medical expenses, Medicare supplemental insurance is not a luxury but an absolute necessity. Fortunately, a new website has hit the web that has been helping people find the absolute lowest prices on the supplemental insurance policies that they need most. And today, they have announced that they have successfully assisted their 5,000th customer in finding supplemental Medicare insurance. The reason the website has seen so many visitors in such a short time is because it’s software is as non-invasive as they could possibly make it. As opposed to their competitors, the new website only requests the visitor’s ZIP code, and within seconds it lists all the best insurance companies in any specific area. “What this does is it essentially puts the shopper in the driver’s seat,” says David Bartholomew, head of marketing. “When a shopper goes to our Medicare supplemental insurance comparison website they are presented with dozens of reputable insurance companies in their area. They can then take the price quotes that they are given and contact the companies they are interested in with their competitors’ price right in front of them. This puts them in the place of bargaining power and makes it much easier for them to get a great deal on a Medicare supplemental insurance policy.” The website has also been gaining in popularity because of the resources it provides its readership such as articles and a comprehensive learning Center. For those who are not educated about Medicare supplemental insurance, the website focuses on the many aspects of this complicated faction of Medicare and ultimately assists them with making a wise decision. To learn more, or to get a fast comparison of all the highest rated insurance companies in a specific area, please visit: http://medicaresupplementalinsurancecomparison.net/ About medicaresupplementalinsurancecomparison.net: Medicaresupplementalinsurancecomparison.net was created in September of 2012 to help shoppers get the best rates for Medicare supplemental insurance. The website utilizes the absolute latest in price quote technology, and has already received rave reviews from the industry. ### Company: Medicaresupplementalinsurancecomparison.net Contact: Jack Almeida Phone: (949) 555-2861 Email: admin[@]rocketfactor.com
Source: 4rss.com

Feather Hair Extensions: What’s The Advantage And Capabilities Of Medicare Supplemental Insurance Texas When Compared With Other Ideas

Insurance coverage is being meant to address any harm or threat of daily life, creating, property, valuables, and so forth and is being paid out to the insured or towards the nominee as no matter what relevant. The insurance is usually a mixture of group cost savings where quite a few employed to discuss a tiny volume of high quality and applied to reveal the danger of any one particular among the group and this notion developed and is being accomplished as business by several financial businesses. The types of insurance are daily life, medical, theft, transit, fireplace, and so forth along with the most common is existence and health care insurance exactly where this covers the daily life from the insured and used to pay the sum assured at the time of maturity and at the level of threat. Health care insurance coverage is being offered a whole lot when when compared to daily life insurance coverage, as the health-related insurance is being made in a way that it covers the majority of the medical costs of the insured. The brand new strategy in medical insurance is http://www.texasmedigapinsurance.com/medicare-supplemental-insurance-texas, that is getting viewed as as further insurance coverage which addresses just about all varieties of healthcare costs in the healthcare facility or for your pay a visit to to doctor. Mainly the health-related insurance coverage only addresses 80% from the costs billed to insured as well as the rest must be paid by the insured, and also there could be deduction and such is right away deducted. To discover the most effective medicare supplement insurance Texas a single can compare the ideal rates offered from the corporations within the health-related insurance company and may select the best based on the estimate, top quality, network hospitals, illnesses coated, and also other terms and circumstances, by this determined by the quantity of services offered and by comparing the premium together with the quantity insured it will be greatest to come back to the conclusion to pick the best health-related insurance provider in and around Texas area.
Source: blogspot.com

Sexual Harassment Lawyers: What Is The Advantage And Features Of Medicare Supplemental Insurance Texas When Compared With Other Ideas

Insurance coverage is becoming meant to address any harm or risk of lifestyle, constructing, house, valuables, etc and it is being compensated for the insured or towards the nominee as what ever relevant. The insurance is often a combination of group financial savings exactly where many utilized to discuss a little level of top quality and employed to reveal the threat of any one particular amongst the team and this idea created and it is being done as enterprise by several financial businesses. The sorts of insurance coverage are lifestyle, health-related, theft, transit, fireplace, etc and the most well-known is daily life and health care insurance exactly where this addresses the existence of your insured and made use of to pay the sum certain in the time of maturity and at the place of threat. Health care insurance is getting offered quite a bit when when compared with life insurance, because the health care insurance is becoming designed within a way that it addresses a lot of the medical expenses on the insured. The new strategy in health care insurance is Medicare Supplemental insurance Texas, that’s being regarded as as added insurance which addresses just about all types of health-related costs at the healthcare facility or for the pay a visit to to medical doctor. Mostly the medical insurance only covers 80% of the costs billed to insured plus the rest needs to be paid by the insured, as well as there will be deduction and this kind of is instantly deducted. To locate the top medicare supplement insurance Texas 1 can compare the very best quotes offered from the businesses inside the medical insurance company and may choose the ideal according to the quote, high quality, community hospitals, illnesses covered, and other conditions and conditions, by this determined by the quantity of facilities supplied and by comparing the premium together with the quantity insured it’s going to be finest to come to some summary to pick the very best medical insurance coverage supplier in and about Texas region.
Source: blogspot.com

MEDICARE SUPPLEMENTAL INSURANCE COMPARISON

also know as Traditional Medicare automatically goes onto effect on the first day of the month that you turn 65. Once you are enrolled in Medicare Part A and Part B you are then eligible to enroll in a Medicare supplemental insurance plan. Medicare supplemental insurance plans are essentially all the same, the big difference is the cost. The plans are regulated and the coverage is exactly the same from carrier to carrier however, the rate is different due to the carrier’s liabilities and what the overhead is. So it is very important to compare the costs. The most important thing to keep in mind is that regardless of the cost you simply cannot go without this valuable coverage. Once Medicare has paid for their portion, which is 80% of approved procedures and services you are responsible for the remaining 20% without a cap. So depending on what services you receive your portion could cost you hundreds of dollars and could put you into a financial tailspin. With a Medicare supplemental insurance plan you could have you 20% portion covered at 100% all for only one simple monthly premium payment.
Source: seniorsupplemental.com

Medicare Supplemental Insurance Comparison Plan B

Unlike Plan A it does pay the hospital deductible. This is separate from the hospital coinsurance. For 2012, the hospital deductible is $1,156. Unlike many other health insurance deductibles, this deductible is not an annual deductible. It is a per benefit period deductible. This means that you can pay it more than once during the same twelve-month period.
Source: medicare-supplement-quotes.com

The Importance of Comparing Medicare Supplemental Insurance Plans

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

Why a Democratic Senate would be good for a victorious Romney

Posted by:  :  Category: Medicare

20100406boswell_003 by Iowa Democratic Party - iowademocrats.orgFor Romney, complete control of the government by Republicans would bring a host of political problems. He would be under enormous pressure to sign into law a hard-right conservative budget that would likely be hugely unpopular – things like the voucherization of Medicare and the full repeal of Obamacare might be music to the ears of conservatives, but when the ramifications of these efforts takes effect (the closing of the Medicare Part D donut hole, the return of pre-existing conditions requirement and annual caps on care), voters likely will not take as kindly a view. Moreover, when the full impact of Republicans budget cuts becomes clear – and the potentially damaging effects on the economic recovery – it is Romney who will pay the largest political price. It’s easy to imagine that Romney would much prefer not having to sign such legislation into law.
Source: nydailynews.com

Video: Medicare Part D – The Donut Hole

Help available for seniors during Medicare open enrollment period

Gross said two other important changes are coming to Medicare Part D next year. The "donut hole" or "coverage gap" will continue to close. In 2013, individuals will pay 47.5 percent for brand-name drugs covered by the plan and the cost of generic drugs will be reduced from 86 percent to 79 percent. Each year these costs will drop until the donut hole is closed.
Source: newtonindependent.com

What Is The Medicare “Doughnut Hole”?

During each month you have a prescription filled your drug plan sends you and Explanation of Benefits notice, which you’ll often see or hear shortened to EOB. This monthly EOB form tells you how much you’ve spent during the month on covered drugs and if you’ve reached your coverage gap, signalling you’re now responsible for the entire cost of drugs for the remainder of the year. It’s human nature, no matter how well informed we were when we read the plans fine print, it’s always a shock when prescription payments abruptly end. Out of pocket costs, especially on a fixed income, are always a bitter pill to swallow.
Source: medigapandyou.com

Medicare “Donut Hole” Gets a Little Smaller in 2013

The difference between Medicare Part D plans is that one plan may charge significantly more for specific drugs than another plan. This could also be true if you have a Medicare Advantage plan that includes drug coverage. That’s because they negotiate prices with manufacturers and middlemen.
Source: allsup.com

Medicare Open Enrollment: So What Is Medicare Part D Anyway?

Medicare Part D has a standard Medicare Part D drug benefit, but in reality plans and premiums vary widely. Health insurers must offer the standard benefit set out by law or a benefit package that is at least as comprehensive as the standard package. Although there is no standard drug formulary, there are minimal requirements that major classes of drugs necessary to treat common diseases are covered. Plans vary greatly as to the specific drugs covered and the co-pays/coinsurance for individual drugs. For more information on Medicare Part D benefits and the Donut Hole, see our article “Medicare Part D-The Donut Hole and Me”.
Source: myhealthcafe.com

PoliGraph: DFL falsely links state lawmakers to Medicare

The flier states that Wiener “will be just another Republican vote against closing the Medicare prescription drug donut hole.” The DFL is referring to a kink in the Medicare Part D program, which covers drug benefits for seniors. Once Medicare beneficiaries reach a certain coverage threshold, they have to pay for their prescriptions until they reach the catastrophic coverage threshold.
Source: publicradio.org

Daily Kos: I Hate Explaining the Medicare “Donut Hole” (Updated with explanation of donut hole)

I had a chance to talk to Tom Scully, the head of HMS at the time and the creator of Plan D and the donut hole about why he did it. There were two reasons. First, he had a budget of $400 billion over ten years for the program so he had to design something that hit his budget target and he did a great job on that. Medicare Part D is the only government health program where the ten year cost was actually under the budget estimate. I think it came in at $380 billion. The second reason was to make seniors really think about generics and switching from higher priced brand name drugs to lower cost generic substitutes. And that part worked as well. You need to remember that before Part D all prescriptions were out of pocket expenses for seniors on Medicare, so even with the donut hole Part D was a big benefit.
Source: dailykos.com

$5 Million to Settle Medicare Part D Pricing Scheme Allegations

CVS, RxAmerica’s parent corporation, entered into a settlement agreement with the Federal Trade Commission earlier this year in which it agreed to pay $5 million to resolve similar allegations against it. Funds from that settlement are being used to compensate Medicare beneficiaries who were victimized by the scheme. HHS Inspector General Daniel R. Levinson expressed his support for the recent government actions, stating that “[p]rotecting people in government health programs from those seeking to profit by misrepresenting goods and services is one of our top law enforcement priorities.”
Source: wolterskluwerlb.com

eHealth Study: 95 Percent of Medicare Part D Beneficiaries Not in Lowest

eHealth, Inc. (NASDAQ: EHTH) is the parent company of eHealthInsurance, the nation’s leading online source of health insurance for individuals, families and small businesses. Through the company’s website, www.eHealthInsurance.com, consumers can get quotes from leading health insurance carriers, compare plans side by side, and apply for and purchase health insurance. eHealthInsurance offers thousands of individual, family and small business health plans underwritten by more than 180 of the nation’s leading health insurance companies. eHealthInsurance is licensed to sell health insurance in all 50 states and the District of Columbia, making it the ideal model of a successful, high-functioning health insurance exchange. Through the company’s eHealthTechnology solution (www.eHealthTechnology.com), eHealth is also a leading provider of health insurance exchange technology. eHealthTechnology’s exchange platform provides a suite of hosted e-commerce solutions that enable health plan providers, resellers and government entities to market and distribute products online. eHealth, Inc. also provides powerful online and pharmacy-based tools to help seniors navigate Medicare health insurance options, choose the right plan and enroll in select plans online through its wholly-owned subsidiary, PlanPrescriber.com (www.planprescriber.com) and through its Medicare website www.eHealthMedicare.com.   
Source: ehealthinsurance.com

Real Men STILL Wear Pink – Breast Cancer Awareness and Obamacare

Posted by:  :  Category: Medicare

Who will get What? by sbwoodsideMammograms are x-rays of the breast, and are the single most effective way of determining breast cancer.  Having regular mammograms will not reduce a woman’s risk of getting breast cancer, but it will reduce her risk of dying from cancer, because regular mammograms can detect cancer earlier.  Regular mammograms are those performed every two years for women between the ages of 50 and 74, unless otherwise recommended by her doctor.  Women younger than 50 should talk to their doctor about the timing of mammograms.  Get low cost health insurance quotes here. A woman should do have a clinical exam annually, a self exam monthly, and a mammogram as recommended by her doctor.
Source: eindividualhealth.com

Video: Comparing Health Insurance – PrivateHealth.gov.au

Can you buy health insurance for someone else?

You can’t cover them on your employer-based health insurance plan unless you are their adopted father or legal guardian. However, you can look into the availability of child-only health insurance coverage in your area. Depending on which state you live in, there may be some affordable options. Even if you can’t get them covered under your own plan, you can help them pay for coverage.
Source: ehealthinsurance.com

Healthcare Insurance Information

You will need to provide basic information such as your age and gender when getting Healthcare Insurance Information.  The policy figures from all the different providers will be made available to you so you can compare them.  You can pick out those insurance plans that give you exactly what you need and that are within your financial reach.
Source: emhhealthcarejobs.com

Medical Health: Major Medical Health Insurance Information

Since this type of low-cost policy often excludes most office visit (other than preventive) and prescription coverage, major medical plans are most popular when used in conjunction with Health Savings Accounts or persons that only need to cover catastrophic claims. Since premiums are typically hundreds, and sometimes thousands of dollars lower than comprehensive plans, the savings can be deposited into a separate account or used to pay other bills. The risk, of course, is that hospital claims will arise more often than anticipated, resulting in large out-of-pocket expenses.
Source: blogspot.com

2013 Medicare Annual Enrollment Period: eHealth Identifies 8 Costly Mistakes for Medicare Supplement Insurance Customers / eHealth

eHealth, Inc. (NASDAQ: EHTH) is the parent company of eHealthInsurance, the nation’s leading online source of health insurance for individuals, families and small businesses. Through the company’s website, www.eHealthInsurance.com, consumers can get quotes from leading health insurance carriers, compare plans side by side, and apply for and purchase health insurance. eHealthInsurance offers thousands of individual, family and small business health plans underwritten by more than 180 of the nation’s leading health insurance companies. eHealthInsurance is licensed to sell health insurance in all 50 states and the District of Columbia, making it the ideal model of a successful, high-functioning health insurance exchange. Through the company’s eHealthTechnology solution (www.eHealthTechnology.com), eHealth is also a leading provider of health insurance exchange technology. eHealthTechnology’s exchange platform provides a suite of hosted e-commerce solutions that enable health plan providers, resellers and government entities to market and distribute products online. eHealth, Inc. also provides powerful online and pharmacy-based tools to help seniors navigate Medicare health insurance options, choose the right plan and enroll in select plans online through its wholly-owned subsidiary, PlanPrescriber.com (www.planprescriber.com) and through its Medicare website www.eHealthMedicare.com.   
Source: ehealthinsurance.com

Health Insurance for People with Pre

Three years ago Mr. Khatani came to the hospital with a severe chest pain. He had an emergency cardiac catheterization and coronary artery bypass surgery. His hospital bill was well over $100,000. He had to mortgage his house to pay his hospital bills. He could not get health insurance because of his pre-existing condition. At least, not until now.  Thanks to the United States Health and Human services and the State of Texas sponsored, “Pre-existing Condition Insurance Plan, (PCIP)” today, Khatani has health insurance despite having  heart disease, diabetes, and hypertension.
Source: indoamerican-news.com

School union loses stranglehold on health insurance

The likelihood and severity of the exodus of members, however, are completely unknown. The only concrete evidence on the issue includes the affidavits of the parties’ dueling actuaries who debate, at a high level of generality, the extent to which L.D. 1326 will undermine the trust’s prospective viability. To wit, the trust’s actuarial expert, having been denied access to the district-specific loss ratios, was able to conclude only that “if individual school districts purchase insurance on their own, some groups with lower average age, more favorable utilization history, or a lower cost of geographic area might be able to take advantage of that more favorable profile and obtain insurance from Anthem or another carrier at lower cost than they currently pay to participate in the plan.”
Source: themainewire.com

Obamacare requirement for user

Under President Barack Obama’s healthcare reform law, employers and insurers must provide a summary of benefits and coverage in a clearly worded, standardized format that allows the private insurance market’s 163 million beneficiaries to make side-by-side comparisons of plan offerings.
Source: medcitynews.com

Health Insurance Information and Procedures

An example of how to get health insurance is when a person or family goes to a health insurance office or calls an agent over the phone to inquire about the companies policies. Generally they will fill out a questioner about past health or provide past doctor visit records. Once the paper work is complete, the Insurance sales agent will meet with the insure and develop a health insurance policy. The health insurance company also has the option of not insuring the person or family that is trying to get health care. Another option is for people to hire a health insurance broker. The broker will look for information from different companies and compare health care plans. Following the research, the broker will give you the information from the health insurance companies. Once the person receives the information, they can then make a determination as to which company they wish to do business with. It is important to look around at different policies. Make sure that the person looks to compare various insurance policies and premiums.
Source: yourfamilyfinances.com

Understanding Health Insurance Exchanges on ADVANCE for Health Information Professionals

“Exchanges will be operated in three different ways: state-based exchanges, state-partnership exchanges, and federally facilitated exchanges. State-based exchanges will be designed and operated by individual states. State-partnership exchanges will be run by states in partnership with the federal government, and federally-facilitated exchanges will be operated in states by the federal government. However they are sponsored, it should not change the consumer shopping experience.”
Source: advanceweb.com

Companions Insurance: Basic Information On Health Insurance Comparison

When one is offered health coverage at their place of employment there are many variables to consider. There are generally two main options and possibly one other that one can consider. Health insurance comparison is something one should think carefully about when making a final decision. The two main types of coverage are generally an HMO or a PPO. In some cases some firms do offer an EPO. An HMO is generally less expensive than a PPO. An HMO can sometimes be limiting in some services and in most cases will need referrals from one’s primary doctor to see a specialist. A PPO can sometimes have a high deductible before the coverage will kick in. This type of insurance has the freedom to select an doctor or specialist within their network without first getting a referral from their primary doctor. If one does decide to go out of their network the co-pays and services received will be slightly higher. If an employer does offer an EPO this kind of coverage would be the combination of an HMO and PPO. One does not have to schedule an appointment with his primary doctor to get a referral and his co-pays and services received are covered without any additional costs like a PPO. The prices that he will pay will likely be the pricing structure of an HMO with the privileges of an PPO.
Source: blogspot.com

Give Your Health Records a Checkup

Medicare beneficiaries are at high risk for medical identity theft because their health ID numbers are directly connected to their Social Security numbers. When the theft occurs, these beneficiaries have few remedies from which to choose. The Office of Inspector General (OIG) published a report in October titled CMS Response to Breaches and Medical Identity Theft that highlighted the fact that Medicare beneficiaries with compromised numbers are not routinely assigned new numbers and that the Centers for Medicare & Medicaid Services (CMS) won’t eliminate Social Security numbers from Medicare beneficiaries’ numbers. The CMS cites high costs and operational challenges as barriers. The OIG report also states that there is no standard procedure for ensuring that beneficiaries retain their access to services if their Medicare numbers have been misused by others.
Source: idt911blog.com

Daily Kos: Why This Election Matters: My Family Loses Our Health Insurance January 1, 2013

We found that clinically relevant concentrations of 5-fluorouracil (5-FU; a widely used chemotherapeutic agent) were toxic for both central nervous system (CNS) progenitor cells and non-dividing oligodendrocytes in vitro and in vivo. Short-term systemic administration of 5-FU caused both acute CNS damage and a syndrome of progressively worsening delayed damage to myelinated tracts of the CNS associated with altered transcriptional regulation in oligodendrocytes and extensive myelin pathology. Functional analysis also provided the first demonstration of delayed effects of chemotherapy on the latency of impulse conduction in the auditory system, offering the possibility of non-invasive analysis of myelin damage associated with cancer treatment. Let me explain that in lay person’s terms.  Myelin is a fatty substance that coats the neurons in your brain.  It acts much like the insulation around electrical wiring.  Once the myelin in my wife’s brain began to be stripped away, her brain essentially short circuited.  Many connections between neurons from the right hemisphere of her brain to the left simply were destroyed.  She literally could hold her car keys in one hand and believe she had lost them.  To be blunt she incurred significant brain damage.  Loss of short term memory.  An inability to concentrate on even the simplest tasks, severe anxiety and mood disorders.  Plus she could no longer filter out all the stimuli that your brain and mine normally ignores.  She became overwhelmed in crowds, in stores, and even by conversations she couldn’t follow.  This led to panic attacks, angry outbursts of raw emotion, and other issues too numerous to mention.
Source: dailykos.com

Settlement Proposed for Medicare Coverage of Home Health Care

Posted by:  :  Category: Medicare

Rogue Magazine (October 1964)  Volume 9 Number 5 - Water Balloons ...item 1.. routinely use devious devices -- wears us down like rabid trial lawyers until we give in (August 15, 2011 / 15 Av 5771) ... by marsmet542The changes would apply to the traditional Medicare program and private Medicare Advantage plans. More than 10,000 beneficiaries whose claims were denied before Jan. 18, 2011 — when the lawsuit was filed — are expected to benefit as their claims would be re-examined under the new standards, the Times reports.
Source: californiahealthline.org

Video: Improving Medicare in 2011

Older Americans Have Been Highly Resistant to Medicare Changes

The income gap among Republicans and Republican leaners is about as large as the difference between GOP supporters of the Tea Party and non-supporters. Among Republicans and Republican leaners who agree with the Tea Party, 57% view deficit reduction as more important than preserving Social Security and Medicare benefits as they are. Among Republicans and leaners who do not agree with the Tea Party, just 36% say that reducing the deficit is more important than maintaining benefits.
Source: people-press.org

Medicare Choices Begin Early: Enrollment changes due

“It’s wise to assume your plan has changes and read the new materials carefully to compare costs,” says Janet Bowman, Multnomah County SHIBA Coordinator.  “If you’re considering a different health plan, find out if your doctor accepts it, and make sure it will cover what you need. Get the answers before you enroll in a new plan”.
Source: portlandobserver.com

Political Calculations: Update: Visualizing the Growing Complexity of Medicare

A book for Medicare beneficiaries and others who need a relatively thorough explanation of the Medicare program with particular emphasis on services covered in institutional settings and services provided by physicians and suppliers. A detailed explanation is provided regarding eligibility, enrollment, benefits, exclusions and payment rules for Medicare Parts A, B, C and D. This book also explains the process for submitting beneficiary claims and filing an appeal.
Source: blogspot.com

Obama proposes Medicare changes that will limit drug development

But they also found that the proposal would kill 238,000 jobs in the pharmaceutical and related industries by 2020. To add insult to injury, the authors wrote that "the rebates would make at least some drugs money-losers; these drugs would be withdrawn from the market," because companies could no longer recoup the enormous costs of bringing those medicines to market. Seniors, in other words, would lose access to these medicines.
Source: typepad.com

Nancy Pelosi’s Weak, Cynical Defense of ObamaCare’s Medicare Changes

Elsewhere in the piece, Pelosi offers another scare stat: “Medicare will be bankrupt by 2016 under the Romney-Ryan plan.” But as one of the program’s public trustees has noted, the Obama administration’s Medicare plan only extends the program’s trust fund by double counting, using ObamaCare’s spending reductions to pay for both extending Medicare and new insurance coverage. And even if you ignore the double counting, Pelosi’s bankruptcy charge still boils down to this: You can trust Democrats with Medicare because Team Blue has a plan to let the program go insolvent by 2024.
Source: reason.com

Medicare Part D and Medicare Advantage Changes for 2013

The Affordable Care Act includes provisions that, over time, are reducing the cost of prescription drugs for people who fall into the coverage gap, or “donut hole.” In 2011 and 2012, the discount for brand name drugs was 50%; in 2013 and 2014, it will increase to 52.5%, and will grow after that until it reaches 75% in 2020.
Source: wordpress.com

Medicare confusing, but don’t put off enrolling

active adults bodybuilding Bright Eating Cathy Dyson Chris Margand Chuck Hashek Delise Dickard Dr. Delise Dickard Eddie’s World Eddie’s World column Ed Jones elder law Elizabeth McMaster Fit After 50 functional fitness Gone With the Wind happiness Inspired Aging Inspired Aging column Jennifer Motl Legal Ease Legal Ease column Live Well Medicaid Medicare mental health Neda McGuire New Horizons New Horizons column nutrition Orange County Phyllis Palestri power outages Rappahannock Area Agency on Aging salads self-help Senior Moments column Skydive Orange skydiving Steve Watkins storms therapist Valerie Hopson-Bell Virginia Insurance Counseling and Assistance Program Yoga
Source: fredericksburg.com

Patient Satisfaction Gets Renewed Focus with Medicare Changes

As doctors, we are very opinionated about the need to reform the healthcare system for the better. But a critical element that seems to be missing from these many conversations is how we are actually going to improve patient satisfaction. We like to focus on issues such as access and cost and use terms such as “patient-centered” care. In reality though, we need a simple set of tools to help us focus on what truly matters to patients. Again, if a patient feels betrayed or not listened to or just plain unhappy with her care, she can lower the amount of reimbursement money coming back to a hospital regardless of her outcome.
Source: physicianspractice.com

WASHINGTON: Disabled patients to benefit from Medicare change

The agreement was filed with Chief Judge Christina Reiss of the U.S. District Court in Vermont. It is expected to affect tens of thousands – maybe hundreds of thousands – of patients nationally. Those who stand to benefit include not only people with intractable conditions like Alzheimer’s, multiple sclerosis, Parkinson’s and chronic lung disease. Those who are growing weaker because of advancing age, placing them at greater risk of falls and other problems, could also be helped.
Source: heraldonline.com

Health Care Reform Brings Major Medicare Changes

In addition, Centers for Medicare and Medicaid Services has begun this month reimbursing hospitals for Medicare services based on how well they follow “best practices” or clinical guidelines and how their patients respond to satisfaction surveys. This is known as “value-based purchasing” or “paying for performance.” Some hospitals will be paid less while higher-performing hospitals will be paid more. Beginning this month, Medicare is reducing payments to hospitals that had higher-than-expected readmission rates over the last three years for patients who returned within 30 days of being discharged after pneumonia, heart attack or heart failure. More conditions will likely be added in the future.
Source: northcarolinahealthnews.org

Industry Likes Medicare Home Care Expansion, But Cost Is Unknown

The number one reason my we spend $2.6 Trillion annually on healthcare, by far more than any other nation in the world, is because of fee-for-service delivery. End fee-for-service healthcare and you will begin to solve the problem. Providers are the main culprit. Providers cannot continue to prescribe unnecessary tests and unnecessary medicines and unnecessary treatments without thinking about the cost. We need to force providers to care about cost. The only way to do that is to increase the scrutiny and measure their performance and get rid of the bad actors by sending patients to providers that play by the rules.
Source: kaiserhealthnews.org