Information for Medicare Beneficiaries

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 marsmet524This week, open enrollment began for Medicare and runs through December 7, 2012. It is important for current Medicare beneficiaries to review their plans on an annual basis to ensure satisfaction with their current coverage. Some of the optional changes to your coverage you may wish to make during this period, which would take effect in 2013, are:
Source: texasgopvote.com

Video: How to report Medicare Fraud

Biden offers senior Floridians misguided information on Medicare

Under President Obama, that coverage for the screening procedures was expanded as a result of new directives forcing insurers to cover only those preventive services recommended by the United States Preventive Services Task Force. These mandates are another symptom of the centralized control that Obamacare exerts over the practice of medicine. But under Mr. Obama, the colonoscopies have faced offsetting new restrictions that mostly make it harder for seniors to access many of the tests.
Source: aei-ideas.org

The New Medicare.gov: Making Medicare Information Clearer & Simpler

The new Medicare.gov is just one of our efforts over the past year to make it easier for you to understand your Medicare. Whether it’s putting our information in simple, straightforward language so you can understand it the first time you read it or improving the design of the “Medicare Summary Notice ” so you can better understand your Medicare claims,  we’re committed to making Medicare information clearer and simpler.
Source: medicare.gov

When Working Medicare Supplement Leads, Be Sure Customers Are Aware of Medicare Scams

To help clients and potential clients, keep on top of the latest fraud information out there. Check the U.S. Department of Health & Human Services Centers for Medicaid & Medicare Services to find out how to report Medicare fraud, visit the U.S. Senate Special Committee on Aging and read the Elder Fraud and Abuse section, or check out the National Consumer Protection Resource Centre and read about their Senior Medicare Patrols, fraud prevention and health care fraud videos. “Arm you clients with the best information on scams you can find. They will thank you for it,” Green says.
Source: benepath.net

How much does Medicare Advantage cost?

Plans with $0 Monthly Premiums: Among the 43,306 plans available in 2013, 13,741 plans (32 percent) will be offered at a cost of $0 above what a Medicare beneficiary already pays for Medicare Part B. By comparison, 14,297 plans (33 percent) were available with a $0 monthly premium in 2012 and 13,821 plans (35%) were available in 2011.
Source: ehealthinsurance.com

Hospitals Sue HHS Over Alleged Unfair Medicare Practices

The American Hospital Association (AHA) has filed suit against the U.S. Department of Health and Human Services (HHS) over its alleged refusal to meet its financial obligations for hospital services provided to some Medicare patients. The AHA was joined in the suit by four hospital systems: Missouri Baptist Hospital, a critical access hospital in Sullivan, Mo.; Munson Medical Center, a 391-bed hospital in Traverse City, Mich.; Lancaster General Hospital, a 631-bed facility in Lancaster, Pa.; and Trinity Health Corporation, which owns 35 hospitals.
Source: healthcare-informatics.com

More Time to Enroll in Medicare If You Live in Storm Areas

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

Learn About Medicare Changes November 14

789with which a consensus emerged within hours t http://www.coachfactoryoutletonlinebc.org air force, Western governments have shown little appetite for http://www.coachoutletod.com new military ventures in such a complex Arab state.nd Russia and China, which have blocked http://www.coachfactoryoutletbo.net previous moves against Assad in the United Nations http://www.coachoutletpn.com swiftly to alter positions which call for dialogue with Assad and view opposition groups http://www.coachfactorystoredo.com as being in thrall to the West.egional power Iran, in whose Shi’ite brand of http://www.coachfactoryoutletsp.com Islam Assad’s Alawite minority has its religious roots, remains firmly behind the president http://www.coachoutletstorefb.com in a conflict which pits him against majority Sunni Muslims supported by Iran’s http://www.coachoutletstoreonlinert.com Sunni Arab adversaries.After long arguments over whether and how to form the new http://www.coachoutletonlinelc.net opposition assembly, the speed with whichttp://www.coachoutletonlinelon.com that Khatib stood unopposed for the post of president was notable and may encourage its http://www.coachoutletonlinelsa.com supportersHis deputies will be Riad Seif, a veteran dissident who had proposed the U.S.-backed initiative http://www.coachoutletrf.com to set up an umbrella group uniting groups inside and outside Syria, and Suhair al-Atassi, one http://www.coachfactoryonlinebp.com of the
Source: patch.com

Information on Medicare part b premiums for 2013

The standard Medicare Part B premium is determined by a formula contained in the 1997 Balanced Budget Act, which set the premium at 25 percent of total program costs.  The remaining 75 percent of program costs are financed through general revenues. The Medicare Modernization Act of 2003 (MMA) requires higher-income beneficiaries to pay a higher percentage of program costs, resulting in multiple tiers of premiums based on income. The 2013 and 2014 Part B premiums haven’t been decided yet. Also note: There has been lots of confusion about Medicare Part B premium rates in recent years, because Medicare beneficiaries who receive Social Security were protected from premium increases in 2010 and 2011 under what is called the “hold harmless” provision, which freezes Medicare Part B premiums if there is no Social Security cost-of-living adjustment.
Source: medicareplansstcharles.com

2012 PQRI/PQRS 1% Bonus Payments For Qualified Medicare Charges Determined (Based On 2011 Charges): Did I Qualify For My Bonus?

It’s November 15th, 2012.  Are you wondering if you qualified for your PQRS (formerly known as PQRI) payments for 2012?  If you’re wondering whether or not you are going to get your 2012 1% Medicare bonus payment for PQRS/PQRI for all Medicare charges between January 1st, 2011 and December 31st, 2011, the decision has been made.  I recently learned that I will receive my 1% bonus of allowable Medicare charges for my diligent PQRS efforts. This complicated voluntary program has been a thorn in many physicians’ sides as they find qualifying to be complex, confusing, time consuming, labor intensive and probably more expensive than the bonus payment is worth.  Last year my hospitalist group had only 2 out of nearly 20 doctors qualify for the PQRS/PQRI bonus. I was one of the successful physicians.  I have learned for their 2012 PQRS/PQRI experience (based on 2011 Medicare charges)  that over 50% of our doctors qualified for their 1% Medicare bonus. That’s a significant improvement for which I have no explanation.  But still, only 50%. I have blogged extensively about my experiences with PQRS/PQRI in the past and the difficulties of my member physicians to get qualified for their PQRS/PQRI program .  I have a perfect 5 year track record of qualifying for my CMS PQRI/PQRS bonus.  That’s because I understand how this obnoxious game works.  It’s a game who’s relevance borders on absurd.  One need only to take a look at this snap shot of what is required of me to submit on every patient I see in order to qualify for my bonus.  And this is in addition to all CPT and ICD codes I must submit on every single encounter I have.  Everyday.  This is what practicing medicine has become.
Source: blogspot.com

Obama Pledges ‘Substantive Changes’ To Medicare As Part Of Budget Deal

Posted by:  :  Category: Medicare

Original Medicare card by Paolo.PaceThe Medicare NewsGroup: What Does Sequestration Mean To Medicare? Unless Congress passes an alternate deficit-reduction package, Medicare provider payments will be cut by 2 percent beginning in fiscal year 2013 as part of the spending reductions required by the Budget Control Act of 2011. The cuts will be applied to provider payments for services administered under Medicare Hospital Insurance (Part A) and Medicare Medical Insurance (Part B) and contractual payments to Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D), according to the Congressional Budget Office (CBO). … That means about 90 percent of Medicare spending is limited to 2 percent in cuts, and 8 percent is completely exempt from sequestration. The remaining 2 percent of Medicare spending would be subject to a 7.6 percent cut in 2013 because it falls under non-exempt nondefense mandatory programs (11/15).
Source: kaiserhealthnews.org

Video: What is a Medicare health insurance exchange?

Common health insurance questions answered: What is medicare advantage?

Private companies, such as Blue Cross Blue Shield Michigan and Blue Care Network, contract with Medicare to offer these plans to individuals who purchase their own coverage and through employer and union groups. Medicare beneficiaries who buy their own coverage have many plan options to consider. Insurers often offer several different benefit plans with various benefit levels and monthly premiums. They include extras to make their plans more attractive to prospective members. Some enhancements to look for are:
Source: ahealthiermichigan.org

Providers File The Bulk Of Medicare Appeals

Medicare beneficiaries and providers can challenge the denial of a claim in several appeals stages, but the first two are decided by contractors working for Medicare who base their opinions on case files.  In the third step, which is the focus of the report, appellants have a hearing before a judge, testimony can be provided, witnesses can be cross-examined, and new evidence can be introduced.  The judges are lawyers in the Office of Medicare Hearings and Appeals, an independent agency within HHS.
Source: kaiserhealthnews.org

More Time to Enroll in Medicare If You Live in Storm Areas

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

Medicare Open Enrollment: Be a smart shopper

in 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

Diane Archer: Medicare and the Election

Anyone who studies the data knows that Medicare delivers comparable benefits at lower cost than private insurance; it is simply more cost-effective. Yet in the name of addressing our budget deficit, candidates Mitt Romney and Paul Ryan say that, if elected, they will hand management of Medicare over to private insurance companies. Privatization is one way for the federal government to limit spending, but only at the price of compromising care for Medicare enrollees and driving up overall health care costs for American families.
Source: healthcareforamericanow.org

Healthy Care System Wastes Billions Each Year

Much has changed. Still, health professionals have not learned to wash their hands. That’s the thrust of an important new study by the Institute of Medicine. It documents the historic medical, technological and demographic changes driving the health care industry. Yet up to half of health professionals fail to wash their hands before beginning medical procedures. "The U.S. health care system now is characterized by more to do, more to know, and more to manage than at any time in history," the study said. "The result is a paradox: advances in science and technology have improved the ability of the health care system to treat diseases, yet the sheer volume of new discoveries stresses the capabilities of the system to effectively generate and manage knowledge and apply it to regular care."
Source: aarp.org

Medicare Trying To Nudge Seniors Out Of Plans With Low Ratings

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 marsmet524Robert Zirkelbach, a spokesman for America’s Health Insurance Plans, an industry trade group, said the letter to beneficiaries is “premature” because the ratings system is flawed.  It is based on measures that do not sufficiently take into account, for example, plans serving a disproportionate number of beneficiaries with multiple chronic conditions or special needs, or who live in medically underserved areas.  “These are unique challenges to providing care to those populations,” he said.
Source: kaiserhealthnews.org

Video: Mitt Romney May Not Need Medicare, But Seniors Do

Daily Kos: Elderly will be hit hard by Romney’s Medicare, Medicaid plans

As it turns out, what we know for sure about Mitt Romney’s assault on senior citizens may pale compared to what we don’t. Romney, after all, has promised to magically offset $5 trillion in tax cuts and $2 trillion in new defense spending over the next decade by closing as yet unnamed tax credits, deductions and deductions. But among Uncle Sam’s $1.1 trillion in annual tax expenditures are a host of tax breaks for the elderly. That figure is forecast to hit almost $1.4 trillion by 2015. While the home mortgage and health expense deductions top that list, untaxed Social Security benefits will reach $44 billion annually in three years. And that’s just one example. Mitt Romney has called for raising the retirement age to 67 for those now 55 and under. (In his 2008 campaign, Romney supported President Bush’s proposal to privatize the retiree pension system.)
Source: dailykos.com

LETTER TO THE EDITOR: Akin's Medicare plan will harm seniors

On the other hand, Claire’s opponent, Todd Akin, has a different approach to Medicare.  He wants to end guaranteed Medicare for seniors, and instead  force seniors into the private insurance market with just a government voucher in hand. This would force grandparents across the state to deal directly with insurance companies, an outcome no sane person should endorse.
Source: columbiamissourian.com

Medicare and Seniors: Answering the $6,400 Question

Opponents to Medicare reform have been making plenty of erroneous claims about Medicare premium support lately, one of the worst being that Representative Paul Ryan’s (R–WI) premium-support model, co-authored by Senator Ron Wyden (D–OR), would cost future seniors an extra $6,400 a year. This claim is simply false.
Source: fixhealthcarepolicy.com

When Working Medicare Supplement Leads, Be Sure Customers Are Aware of Medicare Scams

To help clients and potential clients, keep on top of the latest fraud information out there. Check the U.S. Department of Health & Human Services Centers for Medicaid & Medicare Services to find out how to report Medicare fraud, visit the U.S. Senate Special Committee on Aging and read the Elder Fraud and Abuse section, or check out the National Consumer Protection Resource Centre and read about their Senior Medicare Patrols, fraud prevention and health care fraud videos. “Arm you clients with the best information on scams you can find. They will thank you for it,” Green says.
Source: benepath.net

Big Win for Medicare Recipients

Posted by:  :  Category: Medicare

Rally at Todd Akin's office  by joetta@sbcglobal.netThe rehabilitative services that Mr. Smith receives in the nursing home are covered by the Medicare program.  The Medicare program will pay for up to 100 days of rehabilitative services for Mr. Smith.  The Medicare program pays the first twenty days of rehabilitative services in full.  Days twenty-one through one hundred have a co-payment.  Currently, the co-payment is $144.50 per day.  Many private health insurance programs cover this co-payment, so even if Mr. Smith receives the full 100 days of service, his rehabilitation may be fully covered by either the Medicare program or his private health insurance.
Source: eldercarelawyer.com

Video: Medicare for All – MoKan demonstration at Blue Cross/Blue Shield offices in Kansas City, Missouri

Medicare and Medicaid Fraud: Breakdown of Types of Healthcare Provider Fraud and Abuse Cases

Together with state Medicaid agencies and state attorneys general, several federal offices, such as the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and the Department of Justice (DOJ) Civil Division, work to root out abuses in those programs. The Government Accountability Office (GAO) considers Medicare and Medicaid at high-risk for fraud because of they are so large and complicated, and the GAO frequently publishes interesting reports on the Medicare and Medicaid program integrity.
Source: piperreport.com

Study: Only 23% of Orthopedic Offices Accept Pediatric Patients With Medicare

The study included 250 general orthopedic practices — five from each state. Each office was called with a private cell phone using the following script: “My 10-year-old son broke his arm while out of the country last week. He was splinted and told to see an orthopedic surgeon within one week. His fracture does not involve the growth plate.” Only 23.2 percent of the practices across the country agreed to schedule an appointment for a pediatric fracture patient with Medicaid. Of the offices that declined an appointment request, 38 percent said that they do not accept Medicaid patients. Meanwhile, 82 percent of the offices nationwide agreed to see a patient with private PPO insurance. Nine states were identified where all five offices refused the Medicaid patient, but all five accepted the PPO patient (Connecticut, Illinois, Louisiana, New Jersey, North Carolina, Oklahoma, Rhode Island, South Dakota and Texas). Compared to data published in 2006, the number of offices in 2012 willing to see a child with private insurance has declined from 92 percent to 82 percent. The number of offices willing to see a child with a fracture and Medicaid insurance has decreased from 62 percent to 23 percent, a 39 percentage-point decline.
Source: beckersorthopedicandspine.com

Social Security office reduces hours

Most Social Security services do not require a visit to a local office. Many services, including applying for retirement, disability or Medicare benefits, signing up for direct deposit, replacing a Medicare card, obtaining a proof of income letter or informing us of a change of address or telephone number are conveniently available at www.socialsecurity.gov or by dialing our toll-free number, 1-800-772-1213.  People who are deaf or hard of hearing may call our TTY number, 1-800-325-0778. Many of our online services also are available in Spanish at www.segurosocial.gov.
Source: cedarspringspost.com

GRAY MATTERS: How to find the best Medicare prescription drug plan

There are 32 different prescription drug plans for 2013. Monthly premiums range from $15 to $118. Eighteen plans have higher premiums next year, eight have decreased premiums. Fourteen plans will charge a $325 annual deductible, three plans charge a partial deductible and 15 plans do not charge any deductible. Twenty-one plans do not offer any coverage in the gap in coverage. Eleven plans offer some coverage in the gap. Some plans change from one name or company to another, and most have changes in drug coverage or costs.
Source: times-standard.com

Working Families Tell Congress To Protect Medicare, Medicaid And Social Security Eliminate Tax Cuts For Wealthiest 2 Percent

Retirees, activists and members of progressive and faith communities will host close to 100 events targeting members of Congress during the upcoming Lame Duck session.  Events will take place outside members’ offices, health clinics, Social Security offices, construction sites and other community locations. In Nashville, Tennessee, working families are gathering for a roundtable with Congressman Jim Cooper to thank him for his pledge to protect Medicare, Medicaid, and Social Security. In Missoula, Montana, working families are marching to their congressional office.
Source: enewspf.com

New Haven Social Security Office Cuts Public Hours

Most Social Security services do not require a visit to a local office.  Many services, including applying for retirement, disability or Medicare benefits, signing up for direct deposit, replacing a Medicare card, obtaining a proof of income letter or informing us of a change of address or telephone number are conveniently available at www.socialsecurity.gov or by dialing our toll-free number, 1-800-772-1213.  People who are deaf or hard of hearing may call our TTY number, 1-800-325-0778.  Many of our online services also are available in Spanish at www.segurosocial.gov.
Source: patch.com

N.H. hospital in danger of losing Medicare funding

Posted by:  :  Category: Medicare

“CMS has determined that the deficiencies are of such a serious nature as to substantially limit the hospital’scapacity to provide adequate care,” the agency wrote in a letter to the hospital dated Oct. 11. In a statement Friday, the hospital said it will continue to work to thoroughly address each of the agency’s findings and that it already has taken steps to resolve many of them and is confident it will fix the rest in the next several weeks. “We take quality and patient safety extremely seriously and will continue to make all necessary improvements to further improve the health system,” CEO Kevin Callahan said. The centers’ full report won’t be made public for 30 days or when CMS receives an acceptable plan of correction, whichever comes first, a CMS spokeswoman said. The letter sent to the hospital outlines four areas where Medicare conditions have not been met: infection control, patient’s rights, the hospital’s quality assessment and performance improvement program and its governing body. In the July report, CMS said nurses at the cardiac lab left syringes unattended after removing medication from machines. The hospital has since implemented a policy that requires filled syringes to be placed in a locked drawer until needed. Kwiatkowski, a traveling medical worker whom prosecutors describe as a “serial infector,” was hired in Exeter in April 2011 after working in 18 hospitals in Arizona, Georgia, Kansas, Maryland, Michigan, New York and Pennsylvania. He moved from hospital to hospital despite having been fired twice over allegations of drug use and theft. Thousands of patients in those states are being tested to see if they, too, were infected with hepatitis C, a sometimes life-threatening virus. A handful of patients in Kansas also have been found to carry the same strain Kwiatkowski carries. “Hospitals across the country and the regulators who oversee them continue to learn from this tragic event that was created by an alleged criminal who circumvented some of the best systems and protocols at leading institutions across the nation,” Callahan said. Kwiatkowski, who has told authorities he did not steal or use drugs, has pleaded not guilty to illegally obtaining drugs and tampering with a consumer product. Prosecutors recently were given until Nov. 30 to indict him after saying they needed more time because investigators are still conducting interviews and performing scientific analysis in multiple states.
Source: modernhealthcare.com

Video: Annie Kuster’s TV ad: Medicare

Doing Research on Cutting Medicare Spending

The money will be cut from hospital services, Medicare Advantage, skilled nursing services, and other Medicare services. These projected savings from Obama’s Health Care Plan do not improve the Medicare program. Rather, they pay for other new programs created under the law that is not necessarily even for senior citizens. By cutting reimbursement rates instead of real reform, Obama’s Health Care Plan jeopardizes seniors’access to providers.
Source: nhjournal.com

DownWithTyranny!: What Do NH

Lee Rogers is an innovative surgeon who’s internationally acclaimed practice centers on preventing amputation. McKeon’s disdain for their neighbors and his vote to kill Medicare helped persuade Lee to jump into the race. He and McKeon have something in common though. Neither liked Obamacare. McKeon just wants to– and has voted to– kill it. Lee wants to capitalize on what’s good in the bill and fix what isn’t. And Carol is a grassroots organizer who’s as close to the street as any politician is likely to be. She’s as likely to do anything that would adversely impact her neighbors as she would harm her own family. In the last weeks of the campaign, both these challengers are in tight races and both can use some last minute help. If you can, they’re both on the same page– this page.
Source: blogspot.com

Working Families And The AFL

Retirees, activists and members of progressive and faith communities will host close to 100 events targeting members of Congress during the upcoming Lame Duck session.  Events will take place outside members’ offices, health clinics, Social Security offices, construction sites and other community locations. In Nashville, Tennessee, working families are gathering for a roundtable with Congressman Jim Cooper to thank him for his pledge to protect Medicare, Medicaid, and Social Security. In Missoula, Montana, working families are marching to their congressional office.
Source: nhlabornews.com

VIDEO: Kuster Talks Medicare in Salem

Kuster spoke to about 10 seniors at the Greystone Farm assisted living facility on Main Street Monday morning and read excerpts from the book she wrote with her mother, former longtime state legislator Susan McLane, called “The Last Dance: Facing Alzheimer’s with Love & Laughter.”
Source: patch.com

Romney's Baffling Claim About Medicare Pay Cuts For Doctors

ROMNEY: And that’s for both Medicare and the Medicaid program, where the shortage of doctors has been even more acute. So how does Governor Romney back his claim? A campaign email pointed to a private survey of doctors in 2010. That survey, however, had a response rate of only 2.4 percent, and more than two-thirds of those who responded started out with a self-described somewhat or very negative view of the health law. Julie Rovner, NPR News, Washington. Transcript provided by NPR, Copyright National Public Radio.
Source: nhpr.org

Romney, Ryan to discuss Medicare with NH voters

Republican presidential candidate, former Massachusetts Gov. Mitt Romney eats ice cream after making a stop at Millie’s before a fundraising event on Saturday, Aug. 18, 2012 in Nantucket, Mass. (AP Photo/Evan Vucci)
Source: washingtonexaminer.com

Do You Need Help With Your Medicare Choices? Visit Your SHIP Office NOW!

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 marsmet524The State Health Insurance Assistance Program, or SHIP, is a national program that offers one-on-one counseling and assistance to people with Medicareand their families. Through federal grants directed to states, SHIPs provide free counseling and assistance via telephone and face-to-face interactive sessions, public education presentations and programs, and media activities. If you have questions about your Medicare or Medicare-related options (for example, Medicare Part D, Medicare Advantage, or Medigap health insurance), your local SHIP can provide the answers you need to get the best health insurance plans for your needs.
Source: myhealthcafe.com

Video: Get Free Help on Medicare Enrollment

Pensions and the Pentagon

(3) The unfunded pension liability is large (almost $1 trillion) and, because the Pentagon “invests” at such a conservative rate, the normal cost (the annual employer contribution for future benefits for active members), is an astronomical 34% of basic pay. That would be sort of like getting a 34% employer match on your 401k, except that only so-called “basic pay” is pensionable. For a service member, basic pay is a relatively small part of total compensation, since housing and food allowances, special tax breaks, special and incentive pay, and other perks and subsidies can boost take home pay by over 100%. But these extras can’t be used to spike pensions. Thus, military compensation is much more front loaded than state and local governments’, and there is far less incentive for pension fraud. 
Source: publicsectorinc.com

Social Security office reduces hours

Most Social Security services do not require a visit to a local office. Many services, including applying for retirement, disability or Medicare benefits, signing up for direct deposit, replacing a Medicare card, obtaining a proof of income letter or informing us of a change of address or telephone number are conveniently available at www.socialsecurity.gov or by dialing our toll-free number, 1-800-772-1213.  People who are deaf or hard of hearing may call our TTY number, 1-800-325-0778. Many of our online services also are available in Spanish at www.segurosocial.gov.
Source: cedarspringspost.com

Senior Care in Silver Springs, MD: Open Enrollment for Medicare –Now through Dec 7, 2012

Would a small increase in premiums result in a large reduction in health care costs you pay? Check, for example, what coverage is available for prescription drugs you take? Medicare representatives can create a report containing the costs and benefits of various insurance products if you supply them with a list of your drug prescriptions. Ask questions about participating doctors and clinics. Some Medicare Advantage plans limit which physicians a patient can visit.
Source: homecarebethesda.com

An Important Change to Post

Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the “Improvement Standard” case, Jimmo v. Sebelius.[1] A proposed settlement agreement[2] was filed in federal District Court on October 16, 2012.  When the judge approves the proposed agreement, a process that may take several months, CMS will revise the Medicare Benefit Policy Manual and other Medicare Manuals to correct suggestions that Medicare coverage is dependent on a beneficiary “improving.” New policy provisions will state that skilled nursing and therapy services necessary to maintain a person’s condition can be covered by Medicare.
Source: thedoctorweighsin.com

Making the needs of the homeless a priority for health services

When developing our Three Year Strategic Plan, in addition to the five Key Performance Indicators given to the Medicare Locals from the Department of Health and Ageing, our staff agreed to a sixth indicator – to integrate the social determinants into healthcare planning.  This was in recognition that health can affect the quality of an individual’s home life, education, ability to work and financial security.
Source: com.au

Daily Kos: Tell Congress: No Benefit Cuts to Social Security, Medicare and Medicaid

JekyllnHyde, Alumbrados, paradox, coral, Bill in Portland Maine, scribeboy, filkertom, ferg, dalemac, slinkerwink, glitterscale, alisonk, whataboutbob, emal, superfly, Pescadero Bill, ChicDemago, Calee4nia, eeff, TX Unmuzzled, recentdemocrat, RFK Lives, MarkInSanFran, Creosote, thepook, geordie, Dumbo, NoisyGong, bronte17, Zinman, missLotus, TracieLynn, cyberKosFan, susakinovember, joe pittsburgh, boadicea, chuckvw, markmatson, bincbom, Miss Blue, ornerydad, Nate Roberts, ctsteve, splashy, Cedwyn, aitchdee, Arrow, wader, Quege, scorpiorising, Getreal1246, fight2bfree, MrSandman, Farugia, eggowar, 2laneIA, coldwynn, ranger995, duncanidaho, potatohead, Bluehawk, hazzcon, Timbuk3, lcrp, Brian82, Sophie Amrain, inclusiveheart, dkmich, Oaktown Girl, zett, zerelda, marvyt, Out There, xyz, vacantlook, sebastianguy99, Gowrie Gal, sb, rapala, Skennet Boch, humphrey, marina, 3goldens, PAbluestater, ichibon, T Rex, LarisaW, democracy inaction, irate, KnotIookin, grimjc, basquebob, Brooke In Seattle, YucatanMan, EJP in Maine, Laurence Lewis, ratzo, SaraBeth, Dem Beans, lotlizard, skyounkin, deep, Tool, SBandini, Aint Supposed to Die a Natural Death, churchlady, peacestpete, JanF, mightymouse, Jim R, Jim P, kovie, golem, Patriot Daily News Clearinghouse, Medium Head Boy, vigilant meerkat, cybersaur, edwardssl, Russgirl, The Wizard, kck, Lefty Coaster, blueoasis, triv33, praenomen, funluvn1, gooderservice, el cid, sceptical observer, BlueMississippi, profh, Timothy J, Clive all hat no horse Rodeo, Dreaming of Better Days, blueoregon, nannyboz, shaharazade, Bernie68, AllanTBG, sea note, markthshark, Little, Quicklund, liberaldemdave, Aaa T Tudeattack, ammasdarling, One Pissed Off Liberal, bear83, FoundingFatherDAR, Cronesense, Loudoun County Dem, tgypsy, Deadicated Marxist, puakev, la urracca, Blue Waters Run Deep, dclawyer06, aliasalias, rivamer, jedennis, jnhobbs, uciguy30, leonard145b, janatallow, cacamp, TomP, Zacapoet, jwinIL14, MKinTN, CroneWit, revm3up, mconvente, Justus, condorcet, gfv6800, zerone, Foundmyvoice, Involuntary Exile, elwior, VA gentlewoman, jamess, monkeybrainpolitics, here4tehbeer, tofumagoo, smartdemmg, Jeff Y, catly, Horsefeathers, petulans, Notreadytobenice, sewaneepat, BlueStreak, suesue, priceman, Robobagpiper, David Futurama, maggiejean, enemy of the people, Rhysling, McGahee220, J M F, Throw The Bums Out, litoralis, ceebee7, divineorder, lostinamerica, The Dead Man, lilsky, cantelow, Mislead, maryabein, notrouble, jennylind, earicicle, shopkeeper, JesseCW, DefendOurConstitution, dskoe, asym, papahaha, Shelley99, metro50, realwischeese, sfarkash, mdmslle, nancat357, futureliveshere, joe from Lowell, Randtntx, jpmassar, Larsstephens, Words In Action, Amber6541, smileycreek, Arlene Holt Baker, p gorden lippy, indie17, estreya, Johnnythebandit, brunoboy, Crabby Abbey, LOrion, Progressive Pen, legalchic, gougef, gulfgal98, Puddytat, Egalitare, DiegoUK, sharonsz, SoonerG, petesmom, wwjjd, stevenaxelrod, cany, translatorpro, no way lack of brain, Onomastic, Mike08, TAH from SLC, allenjo, spooks51, ban nock, slowbutsure, implicate order, henrythefifth, princesspat, smiley7, molunkusmol, PedalingPete, PorridgeGun, thomask, FistJab, leftymama, tardis10, antooo, Square Knot, FreeWoman19, peregrine kate, zapus, poliwrangler, cailloux, ratcityreprobate, Sunspots, Mentatmark, allergywoman, DawnN, KansasNancy, Liberal Granny, anodnhajo, Williston Barrett, pistolSO, We Won, IndieGuy, LefseBlue, Eric Nelson, Joieau, a2nite, 2thanks, Trotskyrepublican, Ginger1, congenitalefty, CA ridebalanced, Lorinda Pike, This old man, Mr Robert, Mike RinRI, Frisbeetarian, MartyM, wxorknot, tytalus, james321, arizonablue, splintersawry, Glen The Plumber, catchy, George3, wasatch, Marjmar, CalBearMom, Hammerhand, The Geogre, nuclear winter solstice, Chaddiwicker, nomandates, DamselleFly, jbob, remembrance, quince, poopdogcomedy, gypsytoo, motherlu, emorej a Hong Kong, Aunt Pat, Jacoby Jonze, Hey338Too, rigcath, JTortora, night cat, shinobi9, Liz Shuler, Fleet
Source: dailykos.com

Medicare Open Enrollment Ends Soon

“A lot can happen in a year,” says Linda F. Fitzgerald, state president of AARP Massachusetts, which represents more than 800,000 members age 50 and older in the commonwealth.  “You may have been diagnosed with a new medical condition, changed medications, or moved.  There may also be changes to your Medicare plan.  Now is the time to take a close look at your medical needs – including prescription drugs – and make sure you have the Medicare plan that’s best for you.”
Source: patch.com

Gynecologist Gets 5 Years For Role In $5.4M Medicare Fraud Scheme

Evidence at trial showed that the patients were not referred to the clinics by their primary care physicians, or for any other legitimate purpose, but rather were recruited with prescriptions for controlled substances, cash payments, and fast food. The three clinics then billed the Medicare program for various diagnostic tests that were medically unnecessary.
Source: cbslocal.com

Waterbury Social Security Office

Most Social Security services do not require a visit to a local office.  Many services, including applying for retirement, disability or Medicare benefits, signing up for direct deposit, replacing a Medicare card, obtaining a proof of income letter or informing us of a change of address or telephone number are conveniently available at www.socialsecurity.gov or by dialing our toll-free number, 1-800-772-1213.  People who are deaf or hard of hearing may call our TTY number, 1-800-325-0778.  Many of our online services also are available in Spanish at www.segurosocial.gov.
Source: patch.com

The Fiscal Cliff: What Does It Mean For Medicare?

Policymakers have begun discussing a potential package of deficit-reduction measures to stop the nation from going over the “fiscal cliff,” a series of mandatory budget cuts and tax increases scheduled to take effect starting in January 2013. These deficit-reduction measures could potentially include various cuts and/or alterations to Medicare, and there is growing speculation about how Congress will change the program to contain federal spending. Conversations are now underway as President Obama is set to meet with Congressional leaders on Friday.
Source: kcet.org

DownWithTyranny!: Why Is The Republican Party The Party Of Ultimate Failure?

…By nearly every measure, people who live in the blue states are healthier, wealthier, and generally better off than people in the red states. It’s impossible to prove that this is the direct result of government spending. But the correlation is hard to dismiss. The four states with the highest poverty rates are all red: Mississippi, Louisiana, Alabama, and Texas. (The fifth is New Mexico, which has turned blue.) And the five states with the lowest poverty rates are all blue: New Hampshire, New Jersey, Vermont, Minnesota, and Hawaii. The numbers on infant mortality, life expectancy, teen pregnancy, and obesity break down in similar ways. A recent study by researchers at the American Institute for Physics evaluated how well-prepared high schoolers were for careers in math and science. Massachusetts was best, followed closely by Minnesota and New Jersey. Mississippi was worst, along with Louisiana and West Virginia. In fact, it is difficult to find any indicator of well-being in which red states consistently do better than blue states.
Source: blogspot.com

Ansonia Social Security Office

Most Social Security services do not require a visit to a local office.  Many services, including applying for retirement, disability or Medicare benefits, signing up for direct deposit, replacing a Medicare card, obtaining a proof of income letter or informing us of a change of address or telephone number are conveniently available at www.socialsecurity.gov or by dialing our toll-free number, 1-800-772-1213.  People who are deaf or hard of hearing may call our TTY number, 1-800-325-0778.  Many of our online services also are available in Spanish at www.segurosocial.gov.
Source: patch.com

American Hospital Association (AHA) Sues U.S. Government for Denied Medicare Payments by RACs, ZPICs and Other Auditors

Posted by:  :  Category: Medicare

The Anatomy of Obamacare (What's not to like?) by Third Wayadministrative action administrative complaint attorney audit controlled substances dea DEA investigation defense attorney defense lawyer department of health Department of Health (DOH) 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 licensing and regulatory medicaid medical license medicare medicare audit Medicare fraud Medicare investigation Medicare overbilling nurse nurses overbilling overprescribing pain clinics pain management pharmacies pharmacist pharmacists pharmacy physician physicians prescription drug trafficking
Source: wordpress.com

Video: Boston: Medicare Fraud Summit Law Enforcement Panel

OB/GYNs And ER Docs Excluded From Health Law’s Medicaid Pay Hike

Instead, the higher Medicaid rates, which will be in effect for two years, are reserved for family doctors, internists and pediatricians, because those specialties are specifically listed in the 2010 law, the Centers for Medicare and Medicaid Services said. The OB/GYNs and ER doctors sought to be included after regulators released preliminary rules in May saying that internal medicine and pediatric sub-specialists, such as pediatric cardiologists, would be eligible for the higher pay when providing primary care.
Source: kaiserhealthnews.org

5 tax law changes in 2013 that will shake up your bank account

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Source: newjerseynewsroom.com

CMS officials issue reminder on Medicare secondary payer laws

Participating Medicare providers, physicians, and other suppliers must not accept from beneficiaries any co-payments, coinsurance payments, or other payments, for services rendered when the primary payer is an employer-managed care organization (MCO) insurance plan, or any other type of primary insurance such as an employer group health plan, U.S. Centers for Medicare & Medicaid Service (CMS) officials warned in a new Medicare Learning Network (MLN) Matters® article last month.
Source: newsfromaoa.org

That Puzzle They Call Medicare Law

The first part of Medicare kicks in to cover hospital expenses in case there is need for that level of care. Medicare covers a wide range of services that you might need during hospitalization including room and meals, nursing and other hospital services that are needed during your time in the hospital. But the hospitalization benefit doesnt end when you drive away from the building. Medicare also covers home health services you might need during recuperation as well as equipment such as wheelchairs and in home needs of the disabled and hospice services for care during end of life situations. Millions have benefited from this part of Medicares coverage so by itself it may justify the existence of Medicare.
Source: buyanewspaperday.com

Don’t Let Obama Cut Medicare, Medicaid, and Social Security

This is before the Tea Party swept into Congress, so there was no pressure on Obama to appease the right. By adopting Tea Party talking points on spending and comparing government to a family – what family do you know that has 8,100 tons of gold reserves, a space program and embassies in some 200 countries? – Obama legitimized debt as a major concern going into the 2010 election.

A little more history. Obama ran in 2008 on repealing the Bush tax cuts. But he reneged on his promise just one month into his presidency even though he was gushing with political capital, the right was in disarray and the Democratic-controlled Congress was ready to pass it. (After campaigning in 2012 on abolishing tax cuts for households earning more than $250,000, Obama indicated he was willing to renege once more days after being re-elected.)
Source: progressive.org

After The Election: A Consumer's Guide To The Health Law

Mary Agnes Carey has covered health reform and federal health policy for more than 15 years as an editor at CQ HealthBeat, as Capitol Hill Bureau Chief for Congressional Quarterly and at Dow Jones Newswires. A frequent radio and television commentator, recently featured on the Nightly Business Report, the PBS NewsHour and on NPR affiliates nationwide, Mary Agnes has a thorough understanding of both the policy and politics of health reform. She worked for newspapers in Connecticut and Pennsylvania, and has a master’s degree in journalism from Columbia University.
Source: oakridgenow.com

Daily Kos: Tell Congress: No Benefit Cuts to Social Security, Medicare and Medicaid

JekyllnHyde, Alumbrados, paradox, coral, Bill in Portland Maine, scribeboy, filkertom, ferg, dalemac, slinkerwink, glitterscale, alisonk, whataboutbob, emal, superfly, Pescadero Bill, ChicDemago, Calee4nia, eeff, TX Unmuzzled, recentdemocrat, RFK Lives, MarkInSanFran, Creosote, thepook, geordie, Dumbo, NoisyGong, bronte17, Zinman, missLotus, TracieLynn, cyberKosFan, susakinovember, joe pittsburgh, boadicea, chuckvw, markmatson, bincbom, Miss Blue, ornerydad, Nate Roberts, ctsteve, splashy, Cedwyn, aitchdee, Arrow, wader, Quege, scorpiorising, Getreal1246, fight2bfree, MrSandman, Farugia, eggowar, 2laneIA, coldwynn, ranger995, duncanidaho, potatohead, Bluehawk, hazzcon, Timbuk3, lcrp, Brian82, Sophie Amrain, inclusiveheart, dkmich, Oaktown Girl, zett, zerelda, marvyt, Out There, xyz, vacantlook, sebastianguy99, Gowrie Gal, sb, rapala, Skennet Boch, humphrey, marina, 3goldens, PAbluestater, ichibon, T Rex, LarisaW, democracy inaction, irate, KnotIookin, grimjc, basquebob, Brooke In Seattle, YucatanMan, EJP in Maine, Laurence Lewis, ratzo, SaraBeth, Dem Beans, lotlizard, skyounkin, deep, Tool, SBandini, Aint Supposed to Die a Natural Death, churchlady, peacestpete, JanF, mightymouse, Jim R, Jim P, kovie, golem, Patriot Daily News Clearinghouse, Medium Head Boy, vigilant meerkat, cybersaur, edwardssl, Russgirl, The Wizard, kck, Lefty Coaster, blueoasis, triv33, praenomen, funluvn1, gooderservice, el cid, sceptical observer, BlueMississippi, profh, Timothy J, Clive all hat no horse Rodeo, Dreaming of Better Days, blueoregon, nannyboz, shaharazade, Bernie68, AllanTBG, sea note, markthshark, Little, Quicklund, liberaldemdave, Aaa T Tudeattack, ammasdarling, One Pissed Off Liberal, bear83, FoundingFatherDAR, Cronesense, Loudoun County Dem, tgypsy, Deadicated Marxist, puakev, la urracca, Blue Waters Run Deep, dclawyer06, aliasalias, rivamer, jedennis, jnhobbs, uciguy30, leonard145b, janatallow, cacamp, TomP, Zacapoet, jwinIL14, MKinTN, CroneWit, revm3up, mconvente, Justus, condorcet, gfv6800, zerone, Foundmyvoice, Involuntary Exile, elwior, VA gentlewoman, jamess, monkeybrainpolitics, here4tehbeer, tofumagoo, smartdemmg, Jeff Y, catly, Horsefeathers, petulans, Notreadytobenice, sewaneepat, BlueStreak, suesue, priceman, Robobagpiper, David Futurama, maggiejean, enemy of the people, Rhysling, McGahee220, J M F, Throw The Bums Out, litoralis, ceebee7, divineorder, lostinamerica, The Dead Man, lilsky, cantelow, Mislead, maryabein, notrouble, jennylind, earicicle, shopkeeper, JesseCW, DefendOurConstitution, dskoe, asym, papahaha, Shelley99, metro50, realwischeese, sfarkash, mdmslle, nancat357, futureliveshere, joe from Lowell, Randtntx, jpmassar, Larsstephens, Words In Action, Amber6541, smileycreek, Arlene Holt Baker, p gorden lippy, indie17, estreya, Johnnythebandit, brunoboy, Crabby Abbey, LOrion, Progressive Pen, legalchic, gougef, gulfgal98, Puddytat, Egalitare, DiegoUK, sharonsz, SoonerG, petesmom, wwjjd, stevenaxelrod, cany, translatorpro, no way lack of brain, Onomastic, Mike08, TAH from SLC, allenjo, spooks51, ban nock, slowbutsure, implicate order, henrythefifth, princesspat, smiley7, molunkusmol, PedalingPete, PorridgeGun, thomask, FistJab, leftymama, tardis10, antooo, Square Knot, FreeWoman19, peregrine kate, zapus, poliwrangler, cailloux, ratcityreprobate, Sunspots, Mentatmark, allergywoman, DawnN, KansasNancy, Liberal Granny, anodnhajo, Williston Barrett, pistolSO, We Won, IndieGuy, LefseBlue, Eric Nelson, Joieau, a2nite, 2thanks, Trotskyrepublican, Ginger1, congenitalefty, CA ridebalanced, Lorinda Pike, This old man, Mr Robert, Mike RinRI, Frisbeetarian, MartyM, wxorknot, tytalus, james321, arizonablue, splintersawry, Glen The Plumber, catchy, George3, wasatch, Marjmar, CalBearMom, Hammerhand, The Geogre, nuclear winter solstice, Chaddiwicker, nomandates, DamselleFly, jbob, remembrance, quince, poopdogcomedy, gypsytoo, motherlu, emorej a Hong Kong, Aunt Pat, Jacoby Jonze, Hey338Too, rigcath, JTortora, night cat, shinobi9, Liz Shuler, Fleet
Source: dailykos.com

Elder Law Demystified: Your Questions Answered

Brandon Fields: A legal guardian is appointed by a court to make decisions for another person, generally referred to as the ward or protected person. In some states the guardianship is divided into a guardian of the person and guardian of the property, or the person in charge of health care may be referred to as guardian and the person in charge of property may be referred to as the conservator. Regardless of the nomenclature used, the person appointed by the court as guardian or conservator is not responsible for the debts of the ward or protected person, absent some type of misconduct or fraud on their part regarding the handling of the assets of the protected person or ward. However, such liability can be created by signing a contract, such as a facility admissions contract, where you specifically agree to be responsible for the bills in the event the ward or protected person does not pay, a so-called “responsible party” or “guarantor.” The federal Nursing Home Reform Law prohibits a facility that accepts Medicaid or Medicare from requiring another person to guarantee payment for the resident as a condition of admissions. However, they may need the person handling the finances to sign to agree to make the payments, and so any signature should say “as guardian for X, and not individually” or “as agent under power of attorney, but not individually.” Courts have held that where a person “voluntarily” signs such an agreement in their own name, but it is not required as a condition of admission, they can be held liable for payment, so you must be careful what you sign and how you sign.
Source: aplaceformom.com

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

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSeHealth, Inc. (NASDAQ: EHTH) is the parent company of eHealthInsurance, America’s first and largest private health insurance exchange where individuals, families and small businesses can compare health insurance products from leading insurers side by side and purchase and enroll in coverage online. 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. 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

Video: Medicare Supplements Overview

Getting The Most Out Of Medicare Supplemental Insurance Coverage

Seniors turning sixty five are faced with a myriad of decisions to make in regards to their future.  Health care, social security, retirement packages and the list could continue on.  The fact is that truing sixty five is a year full of changes for most seniors.  It is the year you go from being middle aged and classified as a senior citizen.  It is the year the Medicare takes effect for many qualified individuals. Medicare brings on a completely different set of decisions.
Source: seniorhealthdirect.com

Medicare Open Enrollment is October 15th through December 7th

The information contained in this report does not purport to be a complete description of the developments referred to in this material. The information has been obtained from sources considered to be reliable, but we do not guarantee that the foregoing material is accurate or complete. Any information is not a complete summary or statement of all available data necessary for making an investment decision and does not constitute a recommendation. Any opinions are those of Medicare.gov and not necessarily those of RJFS or Raymond James.
Source: formanis.com

chamarasilva: Medicare Supplement Insurance Coverage

For what ever purpose, your tooth, eyes, and ears are not viewed as components of the physique that are coated where well being insurance is worried.? As a result, since they are excluded from almost all overall health insurance strategies, the only way to get coverage for these important places of remedy is with individual dental insurance policy, eyesight insurance, and listening to insurance coverage ideas.While hearing insurance policies programs are rare, MWG Insurance policy Mall can help you discover a dental plan and/or a vision plan within your funds.The individual ideas support to go over yearly consultation costs as properly many treatments and/or methods.Even though person insurance policies plans are normally a lot more costly than family members or group ideas, by employing some of the greatest firms in the industry, MWG Insurance coverage Mall gives each specific dental and person eyesight ideas for you and your family at the most competitive rates readily available.
Source: blogspot.com

Do I Need Medicare Supplement Insurance Coverage?

If you have health issues, you will probably pay less in health costs overall if you sign up for this insurance during your open enrollment period. If you have any joint replacements or other costly medical procedures that have been recommended by your doctor, you should figure medicare supplement insurance costs into your budget. These products are insurance policies, not Medicare, and insurance companies only survive if they make a profit from their overall pool of policies. They probably will not accept you at a later date if the above applies to you.
Source: seniorcorps.org

The Many Benefits of Owning a New York Medicare Supplement Insurance Plan

Due to the potential difference in premiums, residents of New York who possess Medicare Parts A and B and who are interested in applying for Medicare Supplement insurance should compare plans from several different insurers prior to deciding upon which coverage option they will choose. This can help to ensure that they are purchasing the benefits that they need for the best possible premium amount.
Source: edublogs.org

End Stage Renal Disease (ESRD) and Medicare Supplements

If you’re already diagnosed with End Stage Renal Disease (ESRD) and want to sign up for a Medicare Supplement Plan, you usually cannot sign up for a Medicare Advantage Plan. However, your Medicare Part A (hospital coverage), Medicare Part B (insurance coverage), and Medicare Part D (prescription drug coverage) are effective for paying for your ESRD related treatments. Some people with ESRD may qualify for a type of Medicare Supplemental Plan that provides extra coverage for those with chronic conditions, like ESRD. This type of plan is called a Medicare Special Needs Plan.
Source: medicaresupplementnow.com

Lifeline Direct Insurance Introduces Connecticut Medicare Supplement Insurance

When purchasing Connecticut Medicare supplement insurance coverage, you will need to have a physician in mind. Many physicians in Connecticut take most types of Medicare supplement insurance found on the internet. If you have a doctor that you ordinarily visit, ensure that they consider the supplement insurance plan that youre thinking of buying. Using a report on medical doctors that you know in your area of Connecticut will help tremendously with this method. You do not want to buy Connecticut Medicare supplement insurance coverage only to discover later on that the physicians which acquire your policy are not ones you would like to visit, stated by Matthew Loughran, from Lifeline Direct Insurance Services.
Source: directory-net.com

Get Your Medicare Supplement Quote Now

Medicare 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

AARP Medigap Rates 2013 New York « Insurance News from Crowe & Associates

I would like to dispel some common misconceptions with Medicare supplement plans (Also called Medigap) Medicare supplement plans DO NOT have a network.  You may go to any doctor that accepts Medicare.   Medicare supplement do not have drug coverage, you need to purchase a part D plan in order to obtain drug coverage.   Medicare Supplements are secondary to Medicare.  When you go to the doctor or hospital, you show them your original Medicare card and that is what they will bill.  The supplement will pick up the costs that original Medicare does not cover.  There is not any Medical underwriting in the state of Connecticut if you are turning 65 or if you have had continuous coverage for a retirement plan, a different supplement or a Medicare Advantage plan.
Source: croweandassociates.com

NEW TO MEDICARE!! WHAT IS MY BEST OPTION? » Toni Says

**There is an important disclaimer at the bottom of page 57 of the handbook and it states:  ‘If you join a Medicare Advantage plan, you don’t need a Medigap/Medicare supplement policy and if you already have a Medigap/Medicare supplement, you can’t use it to pay the out of pocket or co pays for the Medicare Advantage plan’.  It also states that “if you already have a Medicare Advantage plan, you can’t be sold a Medigap/Medicare supplement policy.”** 
Source: tonisays.com

Anthem Blue Cross Blue Shield Medicare Supplement Plans Are Affordable…

Based in beautiful Jackson Hole, Wyoming, we currently market health insurance in 18 different states from our website IndividualHealth.com. I have worked in the domestic and international markets for most of my adult life. Recently we launched a newly revamped website www.tetonmarketing.com which has a primary focus on music and Native American Flutes and hand crafted items made in Wyoming. Check it out! I want the Insurance Simplified Blog to be a place you can visit from time to time and read about real world issues that individuals and families face daily. Our parent website IndividualHealth.com we like to think of as a virtual brochure. But with the blog I want to talk about the topics behind the brochure. Also check out our blog www.JacksonHoleTim.com which is “All Things Wyoming, Everything Jackson Hole” . If you love the Yellowstone basin this is blog for you! Then when you are ready check out our new Social Network site Jacksonholetim.ning.com – this is a place you can connect with other who visit and live in Wyoming. And finally we have just launched another new blog. Jackson Hole Tim (www.jacksonholetim.com) is a new place to visit that talks about “All things Wyoming, Everything Jackson Hole”. I hope you find these blog helpful.
Source: wordpress.com

Democrats Tie TN Health Care Compact to Medicare Cuts

Posted by:  :  Category: Medicare

The releases generally follow arguments presented against the bills in the Legislature by some Democrats. The Republican sponsors, Sen. Mae Beavers of Mount Juliet and Rep. Mark Pody of Lebanon, argued the measure just opened up one possible option for the state to consider and that, given federal problems with Medicare and Medicaid, the state might be able to do a better job managing the programs.
Source: knoxnews.com

Video: Tennessee Medicare Supplement

Beacon CEO on Paul Ryan’s Medicare proposal

Beacon Center budget business-friendly cities charter schools climate congress corporate welfare reform death tax dr. milton friedman education education reform energy policy entrepreneurs estate tax government government handouts government reform government waste Governor Bredesen Governor Haslam healthcare income tax inheritance tax jobs Justin Owen legislation mass transit nashville ObamaCare pork Pork Report property rights regulation school choice small business state budget stimulus taxation tax credits taxes taxpayers tenncare reform transparency transportation welfare
Source: beacontn.org

TN Pharmacist Accused Of Selling Misbranded Drug To KS Dialysis

“Although there are no reports of patient harm associated with the drugs that are alleged to be misbranded in this indictment, patient health was put at risk,” U.S. Attorney Barry Grissom said in a statement. “The FDA cannot assure the safety and effectiveness of products that are not FDA approved and come from unknown sources and foreign locations, or that may not have been manufactured under proper conditions. These unknowns put patients’ health at risk because of uncertainty concerning the product’s content, purity and source.”
Source: wibw.com

Medicare Targets Health Plans With Low Ratings

Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

Medicaid and Medicare Assistance Specialist

Medicaid and Medicare Assistance Specialist – 1250992 Description Summary Primary purpose of this position is to assist facilities with insurance follow up… From Community Health Systems – 07 Nov 2012 05:38:01 GMT – View all Franklin jobs
Source: tennesseejobdaddy.com

White House: Medicare cuts to cost $11B

Under the Budget Control Act of July 2011, a supercommittee was charged with trimming $1.2 trillion over the next decade or else automatic cuts, split between domestic and defense programs, would go into effect, The Washington Post reported. Stalled by a political gridlock, the first round of automatic cuts is scheduled for January, only a few months away.
Source: msochealth.com

AMMED DIRECT TO PAY $18 MILLION TO SETTLE ALLEGATIONS THAT IT SUBMITTED FALSE CLAIMS TO MEDICARE AND TENNCARE

Nashville, TN. April 13, 2012 – Michael Hamilton of Provost Umphrey Law Firm LLP and Patrick Barrett of Barrett Law Office, PLLC are pleased to announce that AmMed Direct, LLC, a provider of diabetic testing supplies and other durable medical equipment, has agreed to pay $18 million to settle allegations that it submitted false claims to Medicare and TennCare by billing for sales that it solicited through prohibited telephone cold calls to Medicare and TennCare beneficiaries. Moreover, it was alleged that AmMed did not timely refund money to Medicare or TennCare relating to supplies that beneficiaries had returned.
Source: barrettlawofficetn.com

CMS Posts New Items on Website

Beginning in 2014, the reporting of clinical quality measures (CQMs) will change for all providers. Electronic Health Record (EHR) technology that has been certified to the 2014 standards and capabilities will contain new CQM criteria, and eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) will report using the new 2014 criteria regardless of whether they are participating in Stage 1 or Stage 2 of the Medicare and Medicaid EHR Incentive Programs.
Source: tnrec.org

Tennessee Guerilla Women: Ronney’s VP Pick: Enemy of Medicare

Let the campaign begin. Romney is announcing Paul Ryan as his VP choice, as I write. In other words, the all male, all white Romney team hopes to slash Medicare and all social safety net programs that are not designed for Romney’s fat-rat buddies. Are you paying attention Florida?
Source: blogspot.com

Forward Motion: The Affordable Care Act’s Big Changes to Medicare

The Part D low-income subsidy provides vital help with out-of-pocket prescription drug costs to Medicare beneficiaries with limited incomes, including full coverage of their Part D premium. However, there are several problems with the program. The plans that are available, and what they charge in premiums, vary from year to year, which makes it difficult for beneficiaries to maintain stable coverage. The changes in plans can be drastic, and new plans often have different coverage rules than the old ones. The frequent changes in coverage disrupt the continuity of care for these beneficiaries, and often those who stay in plans that no longer qualify for a full premium subsidy may incur out-of-pocket premium costs they cannot afford [6].
Source: tnjustice.org

Medicare Open Enrollment: More is better

Posted by:  :  Category: Medicare

Tree by TimothyJFor those choosing Original Medicare, the benefit package continues to grow stronger and provide greater value. For example, EVERYONE with Medicare has access to a variety of preventive services and screenings, most at no cost to them when furnished by qualified and participating health care professionals. This includes things like diabetes and cancer screenings, and a yearly “wellness” visit. During the first 9 months of this year, over 20 million people with Original Medicare received at least one preventive service at no cost.
Source: medicare.gov

Video: Medicare Part D – the Prescription Drug Plan – is Working for Seniors

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

Medicare Trying To Nudge Seniors Out Of Plans With Low Ratings

Robert Zirkelbach, a spokesman for America’s Health Insurance Plans, an industry trade group, said the letter to beneficiaries is “premature” because the ratings system is flawed.  It is based on measures that do not sufficiently take into account, for example, plans serving a disproportionate number of beneficiaries with multiple chronic conditions or special needs, or who live in medically underserved areas.  “These are unique challenges to providing care to those populations,” he said.
Source: kaiserhealthnews.org

Medicare Open Enrollment Ends Soon

“A lot can happen in a year,” says Linda F. Fitzgerald, state president of AARP Massachusetts, which represents more than 800,000 members age 50 and older in the commonwealth.  “You may have been diagnosed with a new medical condition, changed medications, or moved.  There may also be changes to your Medicare plan.  Now is the time to take a close look at your medical needs – including prescription drugs – and make sure you have the Medicare plan that’s best for you.”
Source: patch.com

Researcher: Older Medicare drug plans cost more

Medicare Part D program rules prohibit insurers from offering introductory discounts to gain market share, but Ericson says an insurer still has an incentive to find ways to use a subtle “invest then harvest” marketing strategy: setting initial rates low to attract first-time enrollees, then raising prices substantially once the insurer has a base of enrollees who are “stuck in place.”
Source: lifehealthpro.com

More Time to Enroll in Medicare If You Live in Storm Areas

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

Comparing Medicare prescription drug plans

Also, be aware that if you’re a low-income beneficiary and your annual income is under $16,755 or $22,695 for married couples living together, and your assets are below $13,070 or $26,120 for married couples, you may be eligible for the federal Low Income Subsidy known as “Extra Help” that pays Part D premiums, deductibles and copayments. For more information or to apply, call Social Security at 800-772-1213 or visit socialsecurity.gov/prescriptionhelp.
Source: pomeradonews.com

Need Help Selecting a Medicare Prescription Drug Plan?

Does just thinking about selecting the right Medicare prescription drug plan send you into a panic? You’re probably not alone as over 100,000 Granite Staters wander through this process every year during Open Enrollment. See Also: 8 Things You Can Do During Medicare Open Enrollment   Medicare Open Enrollment – October 15 through December 7 – is the one time each year when ALL people with Medicare can see what new benefits Medicare has to offer and make changes to their coverage for Part C (Medicare Advantage health plans) and Part D (Medicare prescription drug coverage.) “Open enrollment is a good time for people to review their current plans,” said AARP New Hampshire State Director Kelly Clark. “Insurance plans can change their prescription coverage and out-of-pocket costs. We want to make sure AARP members and others get the best coverage at the best price.” For those wanting assistance in finding the right choice for their particular health needs and preferences, help is just a phone call away. New Hampshire ServiceLink’s Medicare specialists are available to offer free, confidential and unbiased assistance. Make an appointment online for the ServiceLink office nearest you, call toll-free at 1-866-634-9412. ServiceLink Resource Centers and Medicare Specialists can be found in several locations:
Source: aarp.org

Jehlen: Review Your Medicare Options, Save Money

The full implementation of Obamacare over the next couple of years makes reevaluating your Medicare options even more important.  You will notice many positive changes and reviewing options will maximize your savings.  Most notably, Obamacare will close the Medicare Part D “donut hole.”  Currently, if your yearly prescription drug costs exceed a certain amount ($2,930 in 2012), but your out-of-pocket costs have not reached the point where you qualify for “catastrophic coverage” ($4,700 in 2012), you fall into the donut hole.  Starting in 2012, seniors got a 50% discount on brand-name prescription drugs and 14% discount on generic prescriptions.  These discounts will increase incrementally until 2020, when 75% of prescription drug costs for people in the donut hole will be covered by Medicare.
Source: patch.com

Managed Markets Monday: Who Ate My Donut Hole? The Ins and Outs of Medicare Part D

Fortunately, most common medications, especially generics, are relatively inexpensive. But what if Maude doesn’t have $5560 a year for the medications she needs? Medicare does offer low-income subsidies for patients who qualify. In addition, some Medicare patients are eligible for charitable programs offered by foundations such as the National Patient Advocate Foundation and the National Organization for Rare Disorders. Additional information is available at http://www.medicare.gov/, and at the websites of individual charitable foundations.
Source: palio.com