Blog: Medicare begins readmission cuts; Mass. Medicaid set to raise them

Posted by:  :  Category: Medicare

Romney Ryan Plan for Medicare and SSI by DonkeyHoteyHospitals in Massachusetts object to the penalty, said Tim Gens, executive vice president of the Massachusetts Hospital Association. The readmission policy holds hospitals financially accountable for patients’ outcomes when other providers and patients themselves also shoulder some responsibility for patient health, he said. He also criticized the policy’s methodology as flawed and cautioned that penalties could jeopardize efforts at financially strained hospitals to invest in efforts that will boost quality and reduce readmissions.
Source: modernhealthcare.com

Video: Hyannis MA Injury Law Attorney Cape Cod Medicare Lawyer Massachusetts

Studies Look At Massachusetts Impact of Policy Choices

Medicaid currently plays a significant role in providing care to many low-income individuals including children, the elderly and individuals with disabilities, financing long-term care services and supporting safety net providers. The House Budget Plan represents a fundamental change in the structure and financing of the Medicaid program from a program with an entitlement to coverage for individuals and a guarantee to states for federal matching dollars without a pre-set limit to a block grant. In addition, under current law, the program is set to be the foundation of coverage for low-income individuals under the ACA which would be repealed under the plan. The proposed changes and reductions in federal financing for Medicaid under the House Budget Plan would almost certainly worsen the problem of the uninsured and strain the nation’s safety net. Medicaid’s ability to continue these many roles in the health care system would be significantly compromised under this proposal, with no obvious alternative to take its place.
Source: hcfama.org

What’s Next for Medicare?

Joining Dr. Rasmus will be Sandy Eaton and Donna Smith. Sandy is a retired RN with the Quincy Medical Center in Massachusetts, a member of the Board of Directors for the Massachusetts Nurses Association, affiliated with the union, National Nurses United, NNU, AFLCIO. Sandy is also a former chair of the Legislative Council of the NNU, a member of the national Steering Committee for the Labor Campaign for Single Payer Healthcare, and editor of the ‘Seachange Bulletin” addressing healthcare and labor issues. Donna Smith is a community organizer and legislative advocate for the National Nurses United and author of many essays on the healthcare crisis in America. Donna has appeared on the Bill Moyers show, in Michael Moore’s 2007 documentary film, SICKO, and on many national broadcasts and radio shows.”
Source: jackrasmus.com

Massachusetts Selected to Test Medicare/Medicaid Integration

Massachusetts, the first to be selected, is entering into a memorandum of understanding with CMS to test a capitated “financial alignment model” under which Medicare and Medicaid services will be offered through Integrated Care Organizations (ICOs) to approximately 110,000 Medicare/Medicaid full dual eligible Massachusetts residents aged 21-64.
Source: publicconsultinggroup.com

12 Senate Races to Watch: Update

From InsideNoVa, Oct. 24: In a visit to Willow Oaks, an assisted living residence outside Manassas, Kaine said that he opposes turning Medicare into a voucher system where people would receive their benefits in the form of vouchers they could use to pay for their own health care. He said people would have to pay “out-of-pocket” if their health care expenses exceeded their voucher payments. “That would help save money in the federal budget, but it wouldn’t save money overall. Many times it would shift the cost onto the shoulder of seniors, who are vulnerable, who are sick and can’t afford to pay,” Kaine said.  “That’s not a cost savings plan. That’s a cost shifting plan.” Kaine said he believes Medicare could negotiate  prescription drug prices and could save  $25 billion a year. . . . In response to Kaine’s comments,  Allen campaign spokeswoman Emily Davis disputed most of Kaine’s comments to the seniors. . . . “While Tim Kaine called the health care tax law that cuts over $700 billion from Medicare a ‘great achievement,’ George Allen believes Medicare should be strengthened by first eliminating $50 billion in annual Medicare waste and finding solutions for gradual age ability adjustments and high income limits,” she said.
Source: aarp.org

Election fraud hotline set up

Posted by:  :  Category: Medicare

Anyone with knowledge of election fraud or voting rights abuses can call 1-866-733-2463 (1-866-SEEC-INFO) to report suspected violations. The number is toll-free statewide.  You can also call the State Election Enforcement Commission at 860-256-2940 if you have any questions or complaints or need the assistance of federal or state investigators.
Source: ctnews.com

Video: Medicaid Fraud Whistleblower Praises His Qui Tam Attorneys

Protect Yourself from Medicare Fraud

Guard personal information: To commit Medicare fraud, a person must have access to Medicare and Social Security numbers. Seniors shouldn’t share this information with anyone who is offering free goods or services in exchange for a Medicare number. If your Medicare card is lost or stolen, immediately contact Social Security at 1-800-772-1213.
Source: sequoiaseniorsolutionsblog.com

What You Need To Know About Medicare Fraud

These people commit medicare fraud through identity theft or tampering of bills. Some of them use the personal information of medicare beneficiaries in order to bill the government of products and services that were not really availed of. Others superimpose or change the bills of some of their patients or clients. They fill the bill out with more expensive meds and services. This makes the government pay more than what the people have actually availed of.
Source: proteinshake.biz

Eye Opening Report on Hospital and Physician Medicare Fraud 

According to the Center’s report, doctors and other healthcare providers have, over the last decade, steadily billed higher rates for treating elderly patients and thereby  increasing their fees by more than $11 billion.  While there was little evidence indicating that Medicare patients were sicker than in prior years, or that the healthcare providers were rendering more care, analysis of claims from 2001 through 2010 indicated that the health care providers were using more lucrative billing codes.  The process of billing for more expensive services than were actually provided is called “upcoding.”
Source: indiananursinghomewatch.org

Attorney General Koster files criminal charges against three Kansas City

According to Koster, Melissa Weaver, Kathy Conklin, and Hope Ford each sought payment from Medicaid for providing personal care services to Medicaid recipients in their homes on dates when the recipients were in the hospital. In addition, Conklin claimed to have provided personal care services to two recipients at the same time. Ford claimed to have provided personal care services on one occasion while she was incarcerated, and another occasion while she was in the hospital.
Source: mo.gov

Is There Medicare Insurance Fraud In Our Country? How Does It Affect My Rates?

According to the U.S. Health and Human Services’ website, hundreds of millions of dollars are lost through Medicare fraud (http://www.stopmedicarefraud.gov/aboutfraud/index.html). Just like retailers who lose inventory through shoplifting, these healthcare costs must be recovered in some way. Just as retailers charge more for their products to recover the stolen assets, Medicare must increase health care costs for everyone to compensate for this loss. Additional monies will be required for deductibles, co-insurance, and premiums. So, Medicare Insurance Fraud certainly affects the Medicare rates of every participant.
Source: seniorcorps.org

Kindred Healthcare, Inc. and RehabCare Group, Inc. Sued In Connection with Nursing Home Medicare Fraud Investigation 

A recent investigation by the Center for Public Integrity found that fraudulent billing practices by hospitals and physicians appears to be on the rise.  This misconduct is not only having a detrimental effect upon health care in general, but it is also having a devastating effect on the economy with fraud accounting for billions of dollars of improper payments, largely taken from Medicare.
Source: powlesslaw.com

Please be aware of Medicare Scams as $250 rebate checks get sent out!

The recent mailing of $250 rebate checks to participants in Medicare’s drug program has given scammers a new opportunity to take advantage of seniors and other Medicare recipients. In this latest scam, Medicare recipient receive a call from a con artist claiming to be a Medicare representative. The scammer then tells each recipient that they need to provide personal information, such as their Social Security number and bank account number, in order to receive their rebate check. In reality, the scammers need this information to gain access to the recipient’s bank account and empty it.
Source: seniorlivingexperts.com

Hotline Being Used to Combat Medicare Fraud

The hotline was created in 2008 and was largely ineffective due to under staffing. Many complaints regarding fraud went unanswered and phone call were unlikely to be returned. At the cost of millions of dollars, the hotline expanded the operation to include 15 telephone operators and 15 investigators. The operators at the hot line speak both English and Spanish. They are responsible for taking down the beneficiaries information and billing history. Once the information has been collected, the information is passed on to the investigative team for follow-up. The majority of the phone calls are regarding billing mistakes while about 15% are related to unprovided services. If the information is considered related to fraud, it is sent to the investigative team that is headed up by a retired FBI agent.
Source: miamicriminaldefenselawyerblog.com

Seniors Blow the Whistle on Medicare Fraud

A federal report Tuesday spelled out the results of the South Florida calls: $58.6 million in overpayments recovered, $10.7 million in questionable bills not paid, $3 million seized from fraudulent firms, 103 companies booted from Medicare, 106 companies flagged for extra scrutiny, 835 fraud investigations started, and 30 cases referred for prosecution.
Source: hcafnews.com

Healthcare Payment Specialists Healthcare News Consultant Marketplace

Since 2002, HPS has emerged as a Medicare reimbursement solutions and compliance expert, leveraging distinct advantages in the areas of Bad Debt, Shadow Billing Compliance, DSH, and Post-Acute Care Transfer Services. We exercise proven expertise, cutting-edge automation, and total accountability to improve the operational and financial integrity of our hospital partners.
Source: healthcarenewssite.com

“Medicare & You” goes paperless

Posted by:  :  Category: Medicare

and access all the same information found in your printed handbook. You can learn what’s new for the year, how Medicare works with your other insurance, get Medicare costs, and find out what Medicare covers. Even better, the handbook information on the web is updated regularly, so you can instantly find the most up-to-date Medicare information.
Source: medicare.gov

Video: NEW Romney-Ryan LIES about Medicare & Welfare reform! – Last Word

Daily Kos: Dear GOP: Oops, what’s that sound? That’s the Democrats taking the U.S. Presidency

Consider if one or more of these tags fits your diary: Civil Rights, community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don’t fit in any of these tags. Don’t worry if yours doesn’t.
Source: dailykos.com

Planning for Rest of Your Life….Medicare and YOU

On Tuesday, October 30, the Parish Nurses will host a presentation on Medicare issues: part b; d;  benefits ; advantage; how to vote & etc. we will have a light supper at 5 followed by our program.
Source: shumc-tulsa.com

Social Security, Medicare and More: What Are the Dates to Remember?

While you may think by the time you reach your 50s you’ve passed most of life’s major milestones, think again. From 55 on, there are a number of age-related financial milestones that you can’t afford to ignore no matter how young you feel. Miss them and you’ll not only miss some of the perks that come with getting older, you may also be penalized for your lack of attention.
Source: schwab.com

“Medicare & You” goes paperless

Abilities Expo Act ADA Adapt Agreement AIDS Americans with Disabilities Act Auto Blog DBTAC-Great Lakes ADA Center Department of Health Department of Health and Human Services Department of Justice Diabetes Disabilities Disability Disability Discrimination Draft Education epilepsy Equal Employment Opportunity Commission home home health agency Illinois Individuals with Disabilities Info information Justice Department LD/HD Medicaid Medicare National Federation of the Blind Oak Park Olmstead People with Disabilities PRESS RELEASE Public Act Rights seizures Social Security Special Needs Student Students With Disabilities White House Youth
Source: wsana.org

Medicare & You For An E

Visit www.medicare.gov/publications to download a digital version of this handbook to your e-Reader. You can get the same important information that’s included in the printed version in an easy‑to‑read format that you can take anywhere you go. This new option is available for the iPad, Nook, Sony e‑Reader, Kindle, and all other e-Reader devices. At the time of this posting in my blog, you get a run-around if you use this link.  The only thing you can get is the PDF version from which you clicked on the link. I found out that the ebook version will not be available until mid-October. I got this information by having an online chat with a Medicare agent.  She suspected that the version I sought was just not available yet.  She told me to call an agent on the phone to escalate the issue of the ebook version not being available. The person on the phone did a little research after I described the problem again.  She was the one that gave me the mid-October date. For all you software/website geniuses out there, how much effort do you think it would have taken to make the website tell you that the ebook version was not available when you clicked on the link to get the ebook version?  This feature would be as opposed to the current “feature” that you just get taken back to the same page that will give you the PDF version with no explanation of what is going on. Now weigh the cost of fixing the web site compared to handling just my tying up an agent in an online chat and another agent on the telephone to get the answer that could have been put on the website.  Even if there aren’t thousands of people like me who will contact Medicare to find out how to solve the problem, the cost of handling just my call alone is probably more than the cost of making the website give out this information.
Source: ssgreenberg.name

Social Security and You: Medicare Part D

While all Medicare beneficiaries can participate in the prescription drug program, some people with limited income and resources also are eligible for “Extra Help” to pay for monthly premiums, annual deductibles and prescription co-payments. Extra Help is worth about $4,000 a year. To figure out whether you are eligible for Extra Help, Social Security needs to know your income and the value of any savings, investments and real estate (other than the home you live in). To qualify, you must be receiving Medicare and your annual income must be limited to $16,755 for an individual or $22,695 for a married couple living together.
Source: mysanantonio.com

Daily Kos: Tax Cuts vs Medicare and Social Security

First of all medicare and social security are paid for and are entitlements.If you pay into them then you are ENTITLED to benefits. If not then you do not get them. Second , unemployment compensation is an entitlement, you pay an “unemployment tax” from out of your pay check. So yes you are entitled to unemployment compensation only if you worked enough hours and made enough money. You CANNOT get unemployment benefits if you do not qualify, its not free, its insurance, republicans should be in favor of insurance, after all they are in the pockets of the insurance industry.So yes they are “Entitlements” you are entitled to benefits only if you qualify. all are paid for. Now lets talk about tax cuts. First they are not entitlements,and no one is entitled to tax cuts, since they are NOT  paid for . borrowing money from china then just handing it to millionaires and billionaires sure doesn`t sound  smart or good for the country.So how are unpaid tax cuts OK . but  Things are paid for not  OK?  Remember that when the wealthy get a tax cut   your taxes (local, state etc ) all have to go up to make up for the lost revenue , or your benefits from “entitlements” go down because of loss of revenue. So think to yourself for a moment which is better…borrowing money from China to give the wealthy that all of us but them will have to pay for or paid for “entitlements”?  Seems like there is only one logical choice.. things that are paid for..                                                                                    
Source: dailykos.com

Upcoming CMS Jurisdiction JH Medicare Contractor Change

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHoteyThe Centers for Medicare and Medicaid Services (CMS) has awarded the Medicare Administrative Contractor (MAC) Jurisdiction JH contract to Novitas Solutions, Inc. The clearinghouse is currently working with Novitas Solutions, Inc. to obtain transition details and will send additional notifications as soon as they are available. Providers must be aware of the following: CPID: 1547 Payer Name: Colorado Medicare – Part A Transition Date: October 29, 2012 Current MAC: TrailBlazer Health Enterprises, LLC (TrailBlazer) Old Payer ID: 04001 New Payer ID: 04111 CPID: 5566 Payer Name: New Mexico Medicare – Part A Transition Date: October 29, 2012 Current MAC: TrailBlazer Health Enterprises, LLC (TrailBlazer) Old Payer ID: 04001 New Payer ID: 04211 CPID: 1558 Payer Name: Oklahoma Medicare – Part A Transition Date: October 29, 2012 Current MAC: TrailBlazer Health Enterprises, LLC (TrailBlazer) Old Payer ID: 04301 New Payer ID: 04311 CPID: 5502 Payer Name: Texas Medicare – Part A Transition Date: October 29, 2012 Current MAC: TrailBlazer Health Enterprises, LLC (TrailBlazer) Old Payer ID: 04001 New Payer ID: 04411 CPID: 3650 Payer Name: J4 Mutual of Omaha CO, NM, OK, TX – Part A Transition Date: October 29, 2012 Current MAC: TrailBlazer Health Enterprises, LLC (TrailBlazer) Old Payer ID: 04901 New Payer ID: 04911 The following information communicates transition activities for the cutover weekend of October 26, 2012 through October 29, 2012: Trailblazer will continue to accept claims until 4:00 PM CT on Thursday, October 25, 2012. Trailblazer will not process any claims on Friday, October 26, 2012. The clearinghouse will hold claims received after 4:00 PM CT Thursday, October 25, 2012, through Friday, October 26, 2012. Novitas Solutions, Inc. will begin to accept claims after 5:00 PM CT on October 26, 2012. Novitas Solutions, Inc. will accumulate any claims received from 5:00 PM CT on October 25, 2012 to 5:00 PM CT on October 29 and will enter the accumulated claims into the Fiscal Intermediary Shared System (FISS) processing system on October 29, 2012. The clearinghouse will begin sending claim files to Novitas Solutions, Inc. on Monday, October 29, 2012. To complete the transition of the of the Part A workload, Novitas Solutions, Inc. will need to observe a system “dark day” on Monday, October 29, 2012. Trailblazer will run the last payment cycle for Electronic Remittance Advice (ERA) on Friday night, October 26, 2012. Novitas Solutions, Inc. will start running the payment cycle for ERAs on Monday, October 29, 2012 and it will be available on Tuesday, October 30, 2012. Contractor number (Payer ID) changes: The clearinghouse will manage the Contractor Number changes for our customers. For additional information you can go to the following websites: https://www.novitas-solutions.com/transition/jh/index.html https://www.novitas-solutions.com/transition/jh/info-alerts.html Please be aware of the transition details. The clearinghouse will manage the Contractor Number change; no action is required by the provider to make this change. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Video: AARP Oklahoma Medicare Opinion Leader Forum 8-23-12

Owassoisms.com: Lovelace Medicare Advantage Plan Expands in Oklahoma

TULSA, OK – Lovelace Health Plan is pleased to offer a Medicare Advantage product in Tulsa, Oklahoma, Payne and Mayes counties. Lovelace Medicare Plan is expanding to Rogers, Creek, Muskogee and Okmulgee counties in 2013. Open enrollment is October 15 through December 7 with coverage beginning January 1, 2013.
Source: owasso411.com

Okla. Medicare Assistance Program educates seniors about fraud

“Even though we’re not the direct victims of fraud, how much the fraud is costing us because of what we’re having to pay, the additional amount – for instance the additional taxes we’re paying and the additional medicare expenses that we’re paying – because other people are the victims of fraud,” he said.
Source: kxii.com

Senior Benefit Services, Inc.

Effective September 1, 2012 on new business & October 1, 2012 on in force business for United of Omaha 2010 Modernized Medicare Supplement plans (Policies effective on or after June 1, 2010) in Georgia, Iowa, and Oklahoma. The Rate Adjustments will affect plans  A, F, G, and M.
Source: srbenefit.com

Medicare Secondary Payer: Conditional Payment Reimbursement Policies for Certain Liability Settlements

Beginning February 21, 2011, CMS implemented an option permitting certain Medicare beneficiaries the ability to self-calculate Medicare’s conditional payment amount prior to settlement. As with other recent policies, the option is available only to liability insurance (including self-insurance) settlements and not workers’ compensation or no-fault claims and only when involving a physical trauma based injury and not ingestion, implantation or exposure. The dollar threshold was established at $25,000 or less and the date of incident must have occurred at least six months prior to the submission of the self-calculated amount to Medicare for review. The beneficiary must demonstrate that treatment has been completed and that no further treatment is expected through written physician attestation or a written certification by the beneficiary that there was no treatment for at least the 90 days prior to submission and that there is no further care expected. The election of this option bars the beneficiary from appealing the amount or existence of this debt, but the right to pursue waiver of recovery will remain.
Source: lexisnexis.com

Senior Summit Coming to Western Oklahoma

The Oklahoma Insurance Department’s Medicare Assistance Program (MAP), in collaboration with SWODA Area Agency on Aging, will hold their annual Senior Summit on Thursday, September 27, from 9 a.m. to Noon. The Senior Summit is an annual community training event focused on educating Medicare beneficiaries in the main components of
Source: cheyennestar.org

Medicare Fixed Percentage Option

If you chose to utilize the fixed percentage option a written request must be mailed to MSPRC – Fixed Percentage, P.O. Box 138830, Oklahoma City, OK 73113. Model language for the request can be found on the MSPRC website in the Attorney and Beneficiary Toolkit. This request must be submitted prior to, or with, the documentation for Notice of Settlement. As noted above, the request can not be made in response to a Conditional Payment Letter. MSPRC will generate a response within 30 days of request receipt. If the request is approved the beneficiary will receive a bill for 25% of the total liability insurance settlement, judgment, award or other payment amount. If the request is denied the beneficiary will receive an explanation letter as to why the request was denied and the beneficiary will have to use the traditional recovery process.
Source: hgdlawfirm.com

Get Your Medicare Supplement Quote Now

Posted by:  :  Category: Medicare

DAMN!! -- I THINK WE'RE F*%KED by SS&SSMedicare supplements do not have to be confusing. Years ago, Medicare supplements were very confusing. However, the federal government passed the standardization act in 1992. The new law said that all Medicare supplement companies must offer the same basic plans.
Source: gkpeventsonthefuture.org

Video: Medicare Supplement plan F High Deductible Explanation

A Plan F is a Plan F, is a Plan F

   Rates can vary significantly.  In Virginia, as of this writing,( September 17, 2012) a Plan F rate for a 65 year old female can range from a low of $92.13 per month to over $300 per month.  (We are talking identical coverage!) These rates vary due to many factors such as the area in which you live.  For example, a person who lives in one zip code can pay $20/per month less than their neighbor who lives down the road but in a slightly different zip code.  A smoker may pay more with some companies.  Males may have a higher rate with some companies.  Some plans have rates which are guaranteed to increase every year as you get older.  Some plans level off their rates after age 75.  (Unfortunately, all of them can – and do- raise their rates on an across the board basis.)
Source: pqwic.com

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

Tech Tent: The New Medigap Plan F Is The Most Appealing Insurance Coverage Plan For The Retirees In America

Insurance plans are of excellent aid towards the senior citizens across the world. In countries like The usa exactly where the senior folks are drastically respected from the neighborhood, the role of social insurances plans has an enormous impact inside the minds in the seniors. The state administrators manage these insurance coverage organizations to give highest positive aspects to the senior citizens in all parts in the nation. In america the Medigap Plan F seems to attract additional folks as it has a lot of positive aspects more than the Medicare Supplement plan offered by the insurance companies. The significant advantage appears to be its present of covering the numerous from pocket bills produced from the insurance companies. This draws in lots of people to select the Medigap Plan F in lieu of the old Medicare Supplement Plan F ideas. Govt regulation by means of the Reasonably priced Act ensures the seniors to store around for the insurance coverage rates. The potential Medicare Supplement plan is still preferred by a lot of as the plan has got additional benefits than another plans. Within the current context of aggressive surroundings, the medigap plan f is preferred by folks of some area for a lot of reasons. The strategy F presents the biggest safety in the miscellaneous and out of pocket expenditures. Every one of the seniors who’ve attained the age of sixty five should recognize the numerous solutions available to them. This strategy has some drawbacks too because the cost of insurance coverage varies in a lot of states. This compels the seniors to go for your plans in the reduced expense. As there’s no uniformity is noticed within the high quality payments there’s always a resistance supplied to these ideas. At time these seniors get baffled in picking the best ideas for them. In such situations one particular really need to seek advice from the specialists prior to taking the best possibilities. The common Medigap Plan F provides a varied deductable in distinct states throughout the nation.
Source: blogspot.com

Medicare Supplement and Medicare Advantage

As the annual enrollment period has begun, it is a good time to review the differences between Original Medicare, Medicare Supplements and Medicare Advantage.  Let’s start with Original Medicare.  This is a plan by the Federal Government for people 65 and older (there are also some ways to qualify if you are disabled in which you would qualify under age 65).  You have been paying for Medicare Part A (hospitalization) all of your life through a payroll deduction.  You will pay a Part B premium. It covers a lot of your health care, but NOT ALL of your health care.  There are a lot of “gaps”.  That is why Medicare Supplements are often times referred to as “Medigap” policies.  They are designed to fill the “gaps” in Medicare.  Medicare Supplements are offered by private insurance companies, but unlike the under 65 market, all Medicare Supplement plans are the same.  In other words, Plan F, is Plan F regardless if it is with United Health Care, or Blue Cross, or Aetna, or Mutual of Omaha.  So you do not have to wonder if Blue Cross is better coverage, or Aetna is better coverage, they are the same.  Now there are different supplement plans such as Plan N or Plan G, but again they are the same.
Source: isellhealth.com

Frisco Rentals: The Brand New Medigap Plan F Is Definitely The Most Appealing Insurance Coverage Strategy For Your Retirees In America

Insurance plans are of excellent aid to the senior citizens throughout the planet. In nations like America where the senior people are tremendously respected from the neighborhood, the function of social insurances ideas has an enormous effect in the minds of the seniors. The state directors control these insurance firms to supply optimum advantages towards the senior citizens in all components of your country. In the united states the Medigap Plan F appears to attract far more people because it has a lot of benefits more than the Medicare Supplement plan offered by the insurance coverage companies. The significant advantage seems to become its offer you of covering the numerous out of pocket expenditures made by the insurers. This draws in quite a few men and women to choose the Medigap Plan F rather than the old Medicare Supplement Plan F ideas. Government regulation through the Inexpensive Act guarantees the seniors to shop about for the insurance coverage charges. The prospective Medicare Supplement plan is still favored by quite a few because the plan has got extra advantages than the other plans. In the present context of competitive environment, the medicare supplement plan is preferred by persons of some area for a lot of reasons. The program F delivers the biggest protection from your miscellaneous and from pocket expenditures. Each of the seniors who’ve attained the age of 65 should really recognize the many alternatives obtainable to them. This strategy has some disadvantages as well as the price of insurance differs in a lot of states. This compels the seniors to go for the plans in the decreased expense. As there is no uniformity is seen within the premium payments there is constantly a resistance provided to these plans. At time these seniors get confused in picking the proper plans for them. In this kind of conditions one particular really need to seek the advice of the specialists just before taking the most effective possibilities. The popular Medigap Plan F offers a different deductable in various states throughout the nation.
Source: blogspot.com

Noticias De Famosos: The Brand New Medigap Plan F Could Be The Most Desirable Insurance Coverage Plan For The Retirees In The United States

Insurance ideas are of good enable to the senior citizens throughout the planet. In nations like The united states where the senior men and women are significantly revered by the neighborhood, the function of social insurances ideas has an immense influence inside the minds on the seniors. The state administrators control these insurance companies to give optimum advantages towards the senior citizens in all elements in the country. In the united states the Medigap Plan F seems to attract a lot more men and women as it has quite a few advantages over the Medicare Supplement plan provided by the insurance coverage businesses. The significant benefit appears to be its offer of covering the numerous from pocket expenditures created by the insurers. This draws in a lot of men and women to pick the Medigap Plan F rather then the outdated Medicare Supplement Plan F ideas. Authorities regulation through the Inexpensive Act ensures the seniors to shop about for that insurance coverage rates. The prospective Medicare Supplement plan continues to be preferred by many because the program has got much more benefits than the other ideas. Within the current context of competitive atmosphere, the medicare supplement plan is favored by persons of some area for a lot of factors. The program F provides the biggest protection in the miscellaneous and from pocket bills. Every one of the seniors who have attained the age of sixty five should know the a variety of possibilities available to them. This program has some drawbacks as well because the cost of insurance coverage varies in quite a few states. This compels the seniors to go for that plans at the reduced expense. As there is no uniformity is seen in the top quality payments there is always a resistance offered to those ideas. At time these seniors get puzzled in selecting the proper plans for them. In this kind of situations 1 must seek advice from the specialists ahead of taking the best choices. The well-known Medigap Plan F features a various deductable in different states across the country.
Source: blogspot.com

[WATCH]: Medicare Supplement plan F High Deductible Explanation

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Source: comparehealthinsurance-tips-plus.com

Medicare Coverage Skilled Nursing Qualifications May Be Eased In Torrance, California

Posted by:  :  Category: Medicare

DC Voting Rights by dbkingThe Medicare board has had a longstanding practice to require a likelihood of medical or functional improvement before a beneficiary could receive coverage for skilled nursing or therapy services, whether institutional or home-based. That left many care recipients in a lurch. If this settlement goes through and becomes practice, then the requirement is no longer “improvement” but “maintenance.” Accordingly, Medicare will provide services if they are needed to “maintain the patient’s current condition or prevent or slow further deterioration.”
Source: southbayelderlaw.com

Video: #30.1 How to Handle the Medicare Maze (1 of 5)

What Happens To My Medicaid When I Enroll In Medicare?

Medicare and Medicaid are two health care programs created as amendments to the Social Security Act in 1965. Medicare is a federal insurance program that provides health insurance to U.S. citizens who are over the age of 65, under 65 with disabilities, and who have end stage kidney disease. Medicaid is both funded federally and by the states. States have different Medicaid programs for different groups of people such as the elderly, children, pregnant women, etc. Medicaid programs differ by state. It is possible to enroll in Medicare while receiving Medicaid.
Source: seniorcorps.org

Defining Meaningful Use Stage 2 and What it Means for Your Healthcare Institution

How can your healthcare facility ensure compliance? Complying with Meaningful Use Stage 2 requirements will lead to the adoption of more interoperable devices that must be able to access record systems across the clinical data repositories of the hospital and out into the community.  An interoperable strategy also must encompass a means to protect and encrypt patient data to comply with HIPAA standards. Bringing system access closer to the point of care helps improve real-time record keeping, patient safety, compliance and, most importantly, clinical outcomes.  But this is no small feat for IT professionals when many clinicians demand the use of personal devices in the professional environment. Developing a secure, interoperable mobile strategy on a brand-agnostic platform – i.e., operating system, carrier – could prove to be a winner that blends voice and data across the healthcare system for users, patients, their caregivers and IT decision makers who, in the end, must support these systems and provide the analytics to prove compliance with Stage 2.
Source: intelligenthospitaltoday.com

Understading Medicare Qualifications & Coverage

Medicare can be used as secondary insurance with another plan. However, if you choose to use another insurance provider, it’s important that you read the fine print on how these plans will work together. Some insurance companies will not allow you to use Medicare as a secondary insurance provider. Costs that are not covered by these plans cannot be picked up by Medicare. It is possible to coordinate an insurance plan to work with Medicare, but it’s important that you ask your other provider exactly how your plan will work with Medicare.
Source: ezquote.com

U.S. Senate candidate Kurt Bills on the issues

Education: I have been a high school economics teacher for 18 years and still teach my first hour economics class every morning. In my classroom I have seen the cost of federal mandates, but not the supposed benefits the politicians keep claiming. I walk into my classroom every morning and I see a room filled with 38 kids. The politicians can brag all they want about the “programs” they voted to improve student achievement, but the rubber meets the road in the classroom and I can tell you those programs don’t work. The recipe for educational success is a good teacher, involved parents, and a serious curriculum set at the local school board level.
Source: mcrecord.com

THE “ADMITTED” VS “OBSERVATIONAL STATUS” DILEMMA

CMS (Medicare) has been tightening down on hospitals for something they call “upcoding.”  CMS pays hospitals more for “admitted” patients than they do for “observational” patients.  So, CMS has for several years now been diligent in monitoring hospitals to see if they have been “upcoding” hospital stays from “observational” patients to “admitted” patients, in order to receive higher Medicare payments.  That has caused a real paranoia in billing departments at hospitals—to make sure that they don’t improperly code hospital stays because they can lose CMS payments if they do.
Source: shorttermcareinsurancefacts.com

ETL Developer, Medicare, Telecommute

Acting / Modeling Administrative Support Always Hiring Analyst Blogging Business Development Clerical Copywriting Customer Service Database Development Data Entry Editing Education Engineering Fashion / Crafts Grant Writing Graphic Design Health Care Information Technology Legal Management Marketing Medical Medical Coding Nursing Programming Project Management Proofreading QA/QC Research Sales SEO Social Media Technical Writing Telemarketing Transcription Translation Web Design Web Development Website Management WordPress / CMS Work at Home Work from Home Writing
Source: workaholics4hire.com

Medicare ad hit IA03, IA04 airwaves

Posted by:  :  Category: Medicare

The Real Romney by elycefelizBoth Congressman King Latham voted twice for the Ryan plan, which would end the current Medicare system and instead give seniors a voucher to get private health insurance. Non-partisan experts have said ultimately this would cost individuals $6,000 per year.
Source: cciaction.org

Video: Obama, Ryan duel on Medicare

Steve King’s Voting Record On Medicare And Social Security

The 4th District of Iowa is the smallest district with the number of residents in it but the largest number of seniors in it. 21.2 percent of the residents in the 4th receive Social Security benefits. The 4th District is rated fifth in the nation with the number of seniors by percent in a district; yet Congressman King seems to vote against seniors more than for them.
Source: blogforiowa.com

HCAN Polls: Obama lead grows in Wisconsin, Iowa

Washington, DC – New Public Policy Polling surveys in Wisconsin and Iowa, conducted on behalf of Health Care for America Now, find Barack Obama expanding his lead in both states following his debate victory on Monday. In Wisconsin he leads 51-45, up from a 49-47 margin three weeks ago. In Iowa he’s now ahead by a 49-47 spread, a slight improvement from 49-48 last weekend.
Source: healthcareforamericanow.org

Bleeding Heartland:: Iowa House district 43: Chris Hagenow is worried

- County chairs list at IDP site – Iowa 4th District Democrats (includes contact info for county chairs) – Iowa 5th District Democrats (includes contact info for county officers) – Allamakee County Democrats – Appanoose County Democrats – Black Hawk County Democrats – Boone County Democrats – Bremer County Democrats – Buena Vista County Democrats – Carroll County Democrats – Cedar County Democrats – Clinton County Democrats – Dubuque County Democrats – Emmet County Democrats – Fayette County Democrats – Hardin County Democrats – Harrison County Democrats – Henry County Democrats – Jackson County Democrats – Jefferson County Democrats – Johnson County Democrats – Linn County Democrats – Marion County Democrats – Monona County Democrats – Muscatine County Democrats – Page County Democrats – Pocahontas County Democrats – Polk County Democrats – Scott County Democrats – Story County Democrats – Tama County Democrats – Wapello County Democrats – Warren County Democrats – Washington County Democrats – Woodbury County Democrats
Source: bleedingheartland.com

Iowa crowd heckles Paul Ryan over Medicare cuts

Our whole system is a war on all the classes. Those fighting FOR the Middle Class are fighting AGAINST the top class. God’s ways are voluntary with one even “tax” called a tithe of !0% for all people. (Malachi 3:8-12) Malachi says that we are a cursed nation because we do not bring all the tithes into the storehouse. He calls us to prove Him and see if He will not open the windows of heaven and pour out a blessing we will not have room enough to receive it. We pay Medicare because we EXPECT to get sick or injured. Our lifestyle is dangerous to our health. Mitt Romney, Ryan Paul, Ron Paul, the Socialist candidate or even President Obama cannot solve our problems with jobs, equal wages, insurance and taxes for government payrolls and forced helps that should be done locally by family and community God warned against debt, interest, insurance, seeking riches and honors; we are polluting ourselves to death and extinction. ONLY turning back to living off the land brings all things in proper arrangement and solves our personal, national and world problems we created by ignoring God’s wisdom. It quickly becomes a garden paradise with abundance, good health and families together in love and helpfulness. God wants us to have an abundant life with no sorrow added. We can have it IF we pray and tell our leaders before they decide our fate for us.
Source: allvoices.com

Obama Up by 5 Points in Iowa, Des Moines Register Poll Finds

While the findings are welcome news for Mr. Obama, whose political rise began with the Iowa caucuses four years ago, the poll found that 7 percent could still change their minds. And among that small group, the poll found that 48 percent described themselves as angry and pessimistic, double the overall average.
Source: nytimes.com

Iowa Poll: Voters More Accepting Of Obama Health Care Policies; Romney ‘Recalibrating’ Health Message

ABC News: Ahead Of Debate, Paul Ryan Takes On Joe Biden Less than two weeks before Paul Ryan and Joe Biden face off on the debate stage, Paul Ryan took on his counterpart on the issues of Social Security and Medicare. … “They’re trying to scare people for political gain. That’s unfortunately the kind of campaign that we’re seeing, as I said with a president without a record to run on. Let me be very clear: There is only one person in this race threatening the health and retirement security programs of our seniors and that is President Obama. There is only one person in this race insisting on raising taxes and that is President Obama. In fact, Joe Biden himself voted to raise taxes on social security benefits and as a senator, President Obama voted to keep those tax increases in place three times” (Walshe, 9/29).
Source: kaiserhealthnews.org

Obama In Iowa: ‘I Have Strengthened Medicare’

(DUBUQUE, Iowa) — President Obama entered the fight over Medicare today, telling supporters in Iowa that his GOP opponents are being “dishonest about my plan.” “Here’s what you need to know: I have strengthened Medicare,” he said to applause from a crowd of 3,000 gathered at the Alliant Energy Amphitheater. “I have made reforms that have saved millions of seniors with Medicare hundreds of dollars on their prescription drugs.” Obama is using the final day of his Iowa bus tour to push back against Mitt Romney and his running mate Paul Ryan, who are attacking the president for cutting $716 billion from the popular entitlement program. “They are just throwing everything at the wall to see if it sticks,” Obama said of the GOP attacks. What the Romney campaign has not mentioned is that Obama’s cuts do not impact Medicare eligibility or benefits. Furthermore, the Ryan budget calls for the same cuts to Medicare that the GOP ticket is attacking the president for making in his health care bill. “I’ve proposed reforms that will save Medicare money by getting rid of wasteful spending in the health care system, reforms that will not touch your Medicare benefits, not by a dime,” Obama said. The president went on to blast his opponents for backing a plan that “ends Medicare as we know it.” “They want to turn Medicare into a voucher program,” he said. “That means seniors would no longer have the guarantee of Medicare. They’d get a voucher to buy private insurance. And because the voucher wouldn’t keep up with costs, the plan authored by Gov. Romney’s running mate, Congressman Ryan, would force seniors to pay an extra $6,400 a year. And I assume they don’t have it. “My plan reduces the cost of Medicare by cracking down on fraud and waste and subsidies to insurance companies,” he added. “Their plan makes seniors pay more so they can give another tax cut to millionaires and billionaires. That’s the difference between our plans on Medicare. That’s an example of the choice in this election.” In a statement, Romney campaign spokesman Ryan Williams said: “President Obama has a long history of launching shameful political attacks on Medicare – but he’s the only person in the race who has actually cut Medicare. President Obama cut $716 billion from Medicare to pay for Obamacare and our nation’s seniors will pay the price with higher costs and fewer benefits. As president, Mitt Romney will always protect this vital program for seniors and strengthen it for future generations.” Copyright 2012 ABC News Radio
Source: abcnewsradioonline.com

Obama Would Better Handle Medicare, Swing State Voters Say in Polls

Posted by:  :  Category: Medicare

Congressman Brad Sherman, California’s 27th District (D) by cliff1066™According to “The Caucus,” the challenge for Obama is that Medicare is a stronger motivator for older voters than for younger voters. Medicare was chosen as the top campaign issue by 20% of Florida voters over age 65, compared with just 3% of voters under age 55 (Cooper/Kopicki, “The Caucus,” New York Times, 11/1).
Source: californiahealthline.org

Video: California Medicare Supplement Insurance Plans 1-800-243-8100

San Diego Hospitals Getting Lower Medicare Payments Under ACA

Daniel Gross — executive vice president for hospital operations at Sharp HealthCare — said Sharp is working with patients after their discharge to ensure that they schedule follow-up appointments and follow care instructions (Sisson, U-T San Diego, 11/1).
Source: californiahealthline.org

Medicare Battle Heats Up California House Race

Bera was a newcomer to politics in 2010 when he ran a surprisingly strong campaign against Lungren, losing by 7 percentage points in a year in which Republicans made record gains in the House. But in this year’s rematch, Bera is placing greater emphasis on his medical background: he served as chief medical officer for a large California hospital chain and later in the Sacramento County public health department, tasked with providing medical care for some 225,000 uninsured people.
Source: kaiserhealthnews.org

Kaiser Permanente’s Medicare Plans In California Get Top Ratings In The Nation For The Second Straight Year

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: kp.org/newscenter.
Source: patch.com

California Medicare Prescription Coverage With Part D

There have been a few milestones in the evolution of California Medigap insurance and none as important as the eventual addition of Part D. The addition of Part D reflects not just an expansion of Medicare for Californians but a reflection of how much health care has changed for seniors in terms of what is driving the costs. When original Medicare came out, the real concern for most people was hospital care and to a lesser extent, doctor costs. That defined the original dichotomy inherent in traditional Medicare with it’s division of labor between Part A (hospital) and Part B (doctor). Things have changed. Part D was due to make it’s entrance on the California Medicare market. So what is Part D and how does it work with California Medicare supplement plans? I remember when it all changed. Believe it or not, health insurance premium were relatively stable over a period of years during the 90’s as a result of PPO and HMO managed care introduction. I received the new rate increase information from one of our biggest carriers and it was terrible. The increase was 30% plus. 6 months later, there was another increase of about the same amount. It was a nightmare and then all of a sudden, we were getting declinations on new application (not California Medigap) due to allergy medications. It was the beginning of mass-marketed medications with the advent of allergy giants Allegra, Claratin, and . Unfortunately, it was the beginning of a new and very expensive trend. Prior to the addition of Part D, there was limited prescription coverage through the H, I, or J Medicare supplement plan. The benefits were not great and in no way addressed the spiraling increase in medication cost. Part D was created to address the increasing medication costs. Let’s look at Part D in more detail for California Medigap. As we’ve said, Part D is the part of Medicare that provides medication coverage through Medicare. We say “through” Medicare since the actual coverage is administered and offered by private carriers in the California market. You actually pay premium directly to a private carrier and not to Medicare. Medicare did establish the basic framework of what should be covered with some flexibility to allow for different price points on the market. This is similar to how California Medicare supplement plans work. There are some general guidelines on how the Part D plans work so let’s take a look at benefits in general. Some of the plans will have deductibles while others will not. One carrier may offer 3 main different plans with or without deductibles. The deductible must be paid first before getting help paying for medication costs. The next wave of benefits is where the California senior gets help. Most plans have copays based on certain types of medication which usually delineate between generic and brand RX. Keep in mind that brand RX is generally based on a formulary or an accepted list of medications which are both effective and cost effective. There may be a separate benefit (generally higher copay) for brand non-formulary. This richer part of the Part D plan will continue until you hit the dreaded donut hole. After you reach the donut hole, you will generally again be responsible for your medication cost until the catastrophic coverage under Part D begins. This donut hole is scheduled to reduce annually till it is phased out. It’s best to look at actual plans when comparing and contrasting deductibles, benefits, and monthly premiums based on your situation. Of course, we’re happy to walk through the California Medicare Part D options available to you.

A senior survey says the future of Medicare is their concern

Posted by:  :  Category: Medicare

Disability and Senior Linkage Line Managers by TransguyjayIf so, you’re not alone. A national survey of seniors finds that the future of Medicare is their No. 1 concern. Most seniors like their Medicare coverage—89 percent said they were extremely or somewhat satisfied with their current Medicare plans. In fact, nearly three out of four said they would be willing to pay more to keep their current coverage.
Source: allsup.com

Video: Medicare for People ESRD or a Disability

Help Ensure Access to Critical Equipment and Services for People with Disabilities

1.AAPD (American Association of People with Disabilities) 2.ADAPT, Montana 3.Ability Center of Greater Toledo 4.Association of Assistive Technology Act Programs 5.Association of Programs for Rural Independent Living 6.Association on University Centers on Disabilities 7.Brain Injury Association of America 8.Christopher and Dana Reeve Foundation 9.Disability Policy Institute 10.Disability Rights Center 11.Disability Rights Education and Defense Fund 12.Friends of Disabled Adults and Children 13.Georgia Independent Living Council 14.International Ventilator Users Network 15.National Family Caregivers Association 16.National Council on Independent Living 17.National Disability Rights Network 18.National Organization of Nurses with Disabilities (NOND) 19.Pennsylvania Statewide Council on Independent Living (PA SILC) 20.Post-Polio Health International 21.Shepherd Center 22.Spina Bifida Association of America 23.Summit Independent Living Center, Inc. 24.Three Rivers Council on Independent Living (TRCIL) 25.Touch the Future 26.United Cerebral Palsy 27.United Spinal Association
Source: unitedspinal.org

40th anniversary of Social Security reform

The Social Security Administration estimates that 8 million people (including children under 18) will receive $47.6 billion in SSI payments this year. These are disabled people who have no adequate means of support because they are unable to earn an income through employment or they have not worked enough in the past to receive an income through Social Security Disability Insurance. Currently, the average monthly SSI payment is $517.
Source: progressive.org

Developments Regarding Ways To Connect Elderly Or Disabled People With Care

Kaiser Health News: Nursing Home Patients Returning To The Community After nearly two years in a Baltimore nursing home, Sonia Savage was eager to leave. She was in her late 20s, surrounded by older people and feeling ‘it wasn’t a place for me.’ … Savage is one of 1,336 disabled or elderly low-income Marylanders who as of early July had moved out of nursing homes and other institutional settings as part of a national program called Money Follows the Person. The goal is to return them to the community (Bergal, 10/22). 
Source: kaiserhealthnews.org

Warning on Social Security, Medicare cuts

CAN TV provides coverage of events relevant to the local community and gives every Chicagoan a voice on cable television be providing video training, facilities, equipment, and channel time for Chicago residents and nonprofit groups. Cable channels CAN TV19, 21, 27, 35 and 42 reach more than one million cable viewers in Chicago.
Source: newstips.org

Georgia DOJ Settlement: Huge Breakthrough for People with Disabilities and Medicare

Information about implementation of the Georgia/Justice Department Settlement Agreement for people with mental illness and developmental disabilities. The Settlement Agreement is based on the U.S. Supreme Court’s Olmstead decision.
Source: blogspot.com

The Official Medicare Set Aside Blog And Information Resource: 21st Annual National Workers’ Compensation and Disability Conference®

For those of you who have not decided yet, why not? This conference is completely devoted to workers’ compensation, with topic tracks in claims management, medical management, legal/regulatory issues and opioid solutions. Presentations will be delivered by some of the most respected industry participants from across the nation (and then there’s me). If you’re not sold on content, then how about the fact that it is in Las Vegas? Or that there is a 47,500 square foot expo hall full of vendors waiting to send you home with bags full of chotchkies that the airlines that charge for bags only dream of? There’s truly something for everyone.
Source: medicaresetasideblog.com

Settlement Eases Rules Regarding Medicare Home Health Patients

Judith A. Stein, director of the nonprofit Center for Medicare Advocacy and a lawyer for the beneficiaries, said the proposed settlement could help people with chronic conditions like Alzheimer’s disease, multiple sclerosis, Parkinson’s disease, stroke, spinal cord injuries and traumatic brain injury. It could also provide relief for families and caregivers who often find themselves stretched financially and personally by the need to provide care.
Source: hcafnews.com

Ohio Workers’ Comp Settlements & Medicare

 In Ohio attorneys for injured workers are normally paid a contingent fee on settlements of workers’ compensation claims.  The attorney fee (typically between 25 percent and 40 percent) is charged on the gross amount of the settlement.  The question has been raised as to whether an attorney can charge a contingent fee on the medical portion (MSA portion) of the settlement.  In Ohio there is no prohibition on an attorney charging a contingent fee on the medical portion of a settlement.  Rule 1:5 of the Rules of Professional Conduct permits a reasonable contingent fee with no restriction regarding the medical portion of a settlement. At least one court decision directly addressed this issue. In Hinsinger v. Showboat Atlantic City, 2011 N.J. Lexis 96 (January 21, 2011), the issue was whether the CMS regulations and directives permit an attorney to recover fees for a judgment or settlement obtained on behalf of a client from the Medicare set-aside itself.  The court held that the attorney could recover fees from the MSA.  The court recognized the value of the legal services of the attorney in achieving the entire settlement including the MSA portion of the settlement.  Keeping in mind that the attorney fee must be reasonable, I have been unable to find any prohibition to an attorney charging a contingent fee on the MSA portion of an Ohio workers’ compensation settlement.
Source: hnb-law.com

Medicare Entitlement based on Disability

“I have an odd situation in which I was disabled from a surgery gone bad… The surgery was April 2011, and I have been out of work since then. I have been covered under a private-insurance disability through my employer since then and only recently applied with SSA. I have been approved through SSA, but they changed my disability date to January 2012. I know I have the right to appeal, however, is it wise? I am thinking more along the lines of Medicare, since my disabilities are quite severe and more than anything else I need help with the medical bills since I’m only 25 and my SSA income is very low. Thank you so much for your time, and I’m sorry if you have answered a question like this before.” You are right to be concerned about Medicare entitlement. Medicare entitlement based upon disability begins two years from the date you first become entitled to receive a monthly Social Security disability benefit. You are able to appeal the Social Security disability onset date. By my calculations, if you appeal based upon the an 04/11 date of disability you would have become eligible for your monthly Social Security disability benefit 10/11 rather than 01/12, which would mean you would be entitled to receive Medicare 10/13. It appears that they established your disability date as of 01/12 and that your entitlement month would be 07/12 or 06/12 depending on the day in 01/12. This would mean that your entitlement to Medicare would be 07/14 rather than 10/13, so it is beneficial to haved the earliest date of onset possible. Generally, you have sixty five days from the date of your award letter to file an appeal of your disability onset unless you have a good reason for being late. If you are considering an appeal, try to do so timely. Additional Information on: Social Security Disability Social Security Disability Questions
Source: ssdrc.com

What is the Difference Between Medicare and Medicaid?

For Medicare it does not matter whether you are rich or poor. If you have been on Disability Insurance Benefits, Disabled Widows or Widowers Benefit or Disabled Adult child Benefits for 24 months you qualify for Medicare. The good thing about Medicare is that it pays doctors at a higher rate than Medicaid. Almost all doctors are happy to take Medicare patients. Medicare does not begin until after a person has been on disability benefits for two years, and it only pays for prescriptions through Medicare Part D.
Source: disabilityfirm.us

Tricare Help – I’m on Medicare disability and TFL; do I have to buy Part B?

20/20/20 age appeal catastrophic cap child born out of wedlock claims continued care cost share death DEERS dental dependent disabled divorce doctor doctors FEHBP handbook health care reform hospital ID card marriage maternity care Medicare military treatment facilities other health insurance outside the U.S. parents Part A Part B pharmacy pre-existing condition pregnancy reserves secondary insurance social security spouse supplements surgery Tricare For Life Tricare Prime Tricare Standard Tricare Young Adult Program VA widow
Source: militarytimes.com

FAQ: Decoding The $716 Billion In Medicare Reductions

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2.. Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481Ryan’s plan also calls for an overhaul of the program, offering beneficiaries a set amount of money that they would use toward buying a private plan or traditional Medicare. Democrats have argued that such a fundamental change could undermine the traditional Medicare program, because private plans might tailor their coverage to attract healthier beneficiaries, leaving sicker beneficiaries in traditional Medicare. Critics of Ryan’s plan also predict it will force seniors to eventually pay more for their health care because the federal payments will be capped at the rate of gross domestic product plus half a percentage point, an amount that may not keep up with the increase in medical costs. Under Ryan’s plan, insurers would have to provide benefits that are at least equal the value of those offered in traditional Medicare. 
Source: kaiserhealthnews.org

Video: Joe Biden explains the $700 billion in Medicare ‘cuts’

The impact of Obamacare cuts on Medicare Advantage Plans

The PPACA, as amended, also introduces MA bonuses and rebate levels that are tied to the plans’ quality ratings. Beginning in 2012, benchmarks will be increased for plans that receive a 4-star or higher rating on a 5-star quality rating system. The bonuses will be 1.5 percent in 2012, 3.0 percent in 2013, and 5.0 percent in 2014 and later. An additional county bonus, which is equal to the plan bonus, will be provided on behalf of beneficiaries residing in specified counties. The percentage of the “benchmark minus bid” savings provided as a rebate, which historically has been 75 percent, will also be tied to a plan’s quality rating. In 2014, when the provision is fully phased in, the rebate share will be 50 percent for plans with a quality rating of less than 3.5 stars; 65 percent for a quality rating of 3.5 to 4.49; and 70 percent for a quality rating of 4.5 or greater.
Source: quinnscommentary.com

Daily Kos: Mitt’s morphing Medicare lie

The diary says that it is a Romney “lie”  that doctors are turning away medicare patients.   You say its been going on for years.  I actually agree with you  and have experienced what Romney is claiming with my own aging family members.   It has been getting harder to get doctors you want under medicare  and frankly  its hard to see how the problem would not increase under the Obamacare scenario.  Medicare is in the process of being slammed  by the baby boom generation right at the time Obama wants to cut payments.   It really doesn’t matter whether you parse the definition of who gets cut-  doctors need hospitals for many procedures so cutting hospital payments  can affect doctors in an indirect manner.  As seniorhood approaches for  me and my wife, alarm bells go off when a program  for the elderly we paid into for years expecting decent services after retirement looks like it could be diminished by transferring funds to a new program for healthier younger people.     Senior or soon to be senior voters need to consider this carefully  and Obama supporters need to present better arguments than “Romney is a lying liar”.
Source: dailykos.com

McMahon Favors Medicare/Medicaid and Social Security Cuts

If Linda McMahon’s “Balanced Budget” Plan Was Enacted This Year, It Would Potentially Mandate Hundreds of Billions of Dollars in Medicare/Medicaid and Social Security Cuts.  Linda McMahon proclaims support for a so-called Balanced Budget Amendment, which is a constitutional amendment mandating that federal outlays not exceed total tax receipts.  This year, the federal budget deficit is $1.5 trillion.  Linda McMahon has said on the campaign trail that she opposes any tax increases to balance the budget and that she would exempt Defense spending ($714 billion), Homeland Security ($41 billion), and Veterans Benefits ($162 billion) from her proposed spending cuts in order to reach her goal.  Including debt service ($196 billion), this leaves just $917 billion left, meaning Congress would have to cut 57% of the rest of government spending—including Medicare, Medicaid (currently $736 billion) and Social Security ($749 billion).  Even if you shut down funding for highways, ended small business and education loans, and cut the entire Department of Justice, this plan would still serious consequences for the entitlement programs, if enacted.  [Washington Post, 7/24/10; Congressional Research Service Summary, H.J.Res78, 3/2/10; Linda McMahon Editorial Board Interview (Hartford Courant), 7/20/10; OMB U.S. Budget, Mid-Session Review, 8/25/09; Congressional Research Service, “Mandatory spending Since 1962,” 9/15/10; LM at Conservative Women’s Luncheon PT 2, 9/23/1; LM Remarks at Gun Enthusiasts Meeting, 9/22/10; LM Common Sense CT Interview, 8/30/10; LM at Taste of Mystic, 9/10/10; Linda McMahon, Chaz & AJ Show FM 99.1, 8/3/10]
Source: ctnews.com

Medicare Cuts to BLS Rates and Bonus Payments Looming for Ambulance Providers

In addition, by utilizing IntelliSolve Billing Services, there are no software costs, no IT department to maintain and other associated infrastructure costs which further decrease profits. There are no clearinghouse fees, postage and other mailing costs; we reduce the cost of operations while increasing receivables, thereby allowing you to grow your business and maintain healthy operating budgets.
Source: intellisolvebillingservices.com