Resource Center for Religious Institutes: Medicare Open Enrollment Period Closes Tomorrow!

Posted by:  :  Category: Medicare

Note that you can join a health or drug plan under Medicare when you first get Medicare (initial enrollment periods for Part C & D), such as when you turn age 65. Each year, you have a chance to make changes to your Medicare Advantage or Medicare prescription drug coverage for the following year. There are 2 separate enrollment periods each year. According to the Medicare website:
Source: blogspot.com

Video: 2012 Medicare Part D Annual Enrollment Period

Navigating Medicare's Open Enrollment Period

Medicare beneficiaries who are happy with their plans do not need to do anything, if they don’t want to change. But it is still a good idea to check options, Ms. Metcalf advises, to make sure a version of Medicare is the best one in terms of cost and coverage. If, for instance, you have the original version of Medicare and pay extra for prescription drug coverage (so-called Part D coverage), you may want to make sure important medications you need are still covered under your plan, to avoid having to pay more for them.
Source: nytimes.com

With 3 days left in Medicare’s Annual Enrollment Period, what can you do to save money on Medicare in 2013?

When we looked at the customers who used PlanPrescriber.com during the first three weeks of this year’s AEP, we found that only 8% were in the Medicare prescription drug plan (PDP) or Medicare Advantage prescription drug plan (MAPD) plan with the lowest total out-of-pocket costs available to them.
Source: ehealthinsurance.com

Medicare Extends Enrollment Period For Those Affected By Sandy

The Centers for Medicare & Medicaid Services “understands that many Medicare beneficiaries have been affected by this disaster and wants to ensure that all beneficiaries are able to compare their options and make enrollment choices for 2013,” Arrah Tabe-Bedward, acting director for the Medicare Enrollment and Appeals Group, wrote in a Nov. 7 letter to health insurance companies and State Health Insurance Assistance Programs.
Source: kaiserhealthnews.org

Deadline looms for Medicare enrollment

The Medicare Advantage disenrollment period runs Jan. 1 to Feb. 14. During that time you can leave your Medicare Advantage Plan to switch to original Medicare. If you switch to original Medicare during this period, you’ll have until Feb. 14 to join a Medicare Prescription Drug Plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment form. However, during this period, you cannot switch from original Medicare to an advantage plan or from one advantage plan to another; join, switch or drop a Medicare medical savings account; or change the prescription drug plan.
Source: superiortelegram.com

Do You Know What Your Initial Enrollment Period Is For Medicare Supplement?

Medicare Supplement insurance is designed to pay some, or all, of the bills that Medicare A & B does not.  Although you will be able to buy a Medicare Supplement policy at any time, assuming that you can medically qualify, those who have pre-existing conditions or just do not want to fool with the limits of Medicare will need to act within their Initial Enrollment Period (IEP).
Source: wordpress.com

Medicare 102: Understanding Medicare Enrollment Periods

The Key word here is “SPECIAL.” If you have a special circumstance, such as moving out of a plan’s service area, or an involuntary loss of employer coverage because you are retiring at the age of 65 or older, than you may qualify for an SEP. There are many other circumstances which may make you eligible for an SEP. The length of the SEP can vary based on the circumstance. If you have enrolled into an Advantage Plan for the first time in your life during ICEP, or have dropped a Medigap policy to go into an Advantage Plan for the first time in your life, you have an SEP which lasts for the first 12 months of your enrollment in the Advantage Plan. This allows you to revert back to Original Medicare, enroll into a Medigap policy without being underwritten (though you may be subject to a higher premium due to age), and purchase a prescription drug plan.
Source: amac.us

Put it on your fall checklist: Medicare Open Enrollment

If your parents want to go online and sort through the details, they can get an early start, and you can help them navigate the process if needed. We’ve already made sure that the Medicare Plan Finder is fully updated with all new 2013 cost and benefit information for health and drug plans and is ready right now. All your parents need to do is start by entering the drugs and checking on the doctors and pharmacies they want to use. A few more steps will get them a personalized list of their plan choices and help them compare.
Source: medicare.gov

Avoiding The ‘Fiscal Cliff’ Likely Means Changes In Medicare

Posted by:  :  Category: Medicare

REDUCE PAYMENTS TO PROVIDERS: Hospitals, physicians and other health care providers – many who are now facing payment cuts either in the 2010 health care law or from the upcoming “sequestration” reductions (or both) – may take another hit in a deficit deal. Among the options sometimes mentioned are limiting the amount of “bad debt” that hospitals and other providers can write off their taxes,  reducing federal funding for medical education and requiring more prior authorization for some medical services, such as imaging, to help reduce unnecessary care. Lawmakers looking for political cover from angry providers could cite the many deficit-reduction proposals that have advanced provider cuts: Obama’s 2011 deficit reduction proposal, the Simpson-Bowles plan and the Medicare Payment Advisory Commission, or MedPAC, which advises Congress on Medicare payment policy.
Source: kaiserhealthnews.org

Video: Conway v. Paul on Medicare $2000 Deductible

Medicare Premiums Now Deductible by Self

The Tax Law Tips blog is written by Jeffrey A. Quinn of Ashley Quinn, CPAs and Consultants, Ltd. (with contributions from Nolo editors). Jeff is a Certified Public Accountant in both Nevada and California, with more than 40 years of experience in providing professional accounting and tax services. Jeff is also a contributor to Nolo’s Tax Savvy for Small Business. A member of both the California Society of Certified Public Accountants and the American Institute of Certified Public Accountants, Jeff holds a M.S. in Taxation from Golden Gate University, and a B.S. in Accounting from the University of San Francisco.
Source: nolo.com

campusCATALYST now accepting applications for Spring Program

campusCATALYST engages top college undergraduates from all academic majors, backgrounds, and career aspirations. Participant selection is highly competitive with rigorous application requirements and complimentary academic coursework to promote high-performing and knowledgeable teams. campusCATALYST selects members who exemplify leadership, teamwork, and dedication to strengthening our communities.
Source: campuscatalyst.org

Medicare Part A deductible to rise by $32 in 2010

The beneficiary pays the deductible when admitted as a hospital inpatient. Medicare Part A pays for skilled nursing facility, inpatient hospital, hospice and certain home healthcare services. Beneficiaries must pay an additional $275 for days 61 through 90 in 2010, and $550 for lifetime reserve days. Only about 1% of Medicare beneficiaries have to pay a premium for Part A services.
Source: mcknights.com

DSCC Hits On $2K Medicare Deductible Again

Noah, If Conway has done more in the last few days to help your support of Rand Paul, apparently you were not a strong supporter anyway. I just had a friend murdered in Eastern KY this past week and he was killed by a guy on drugs. Drugs arent a problem in EKY according to some senate candidates though huh? Lets let the local governments take care of this problem. Grow up people, this is real stuff!
Source: pageonekentucky.com

Hey, You With the High Deductible Health Plan — Your Preventive Care is Likely Free

Nineteen percent of American workers are enrolled in a high-deductible plan, up from 4 percent in 2006, according to the Kaiser Family Foundation. High-deductible insurance comes with substantially lower premiums than other coverage, partly because patients bear more of the cost when they get sick. But advocates see it as a way to prompt consumers to think more carefully about the kind, amount and expense of health services they seek.
Source: kqed.org

Visit the Dentist Before You Retire

Posted by:  :  Category: Medicare

Public Forum: Getting dental into Medicare by Greens MPsConsider first that most employer based dental insurances are included in your benefits and in most cases you cannot opt out of them. If your employer is one of those contracts that has included dental insurance then use it. It is true that dental insurance does not typically cover at 100% of dental procedures, but it still covers a portion of dental services. This is a drastic change in comparison to not having any dental insurance at all. That is like going up that proverbial creek, and trying to paddle against the current. Once you retire and your dental benefits expire you will have an extremely hard time convincing medicare to cover you. Why? They do not cover dental care. It is that simple, so while you and your spouse are still working, using your dental care benefits is an excellent idea.
Source: danmatthewsdds.com

Video: Medicare Dental Plans | Medicare supplemental Plans dental plans

The Disability Information and Resource Centre

Medicare benefits will not be paid for any dental services under the Medicare Chronic Disease Dental Scheme after December 1st 2012. Patients without a GP care plan in place before September 8th 2012 will not be able to access the Medicare Chronic Disease Dental Scheme before it closes on December 1st 2012.
Source: org.au

Dental Patients Experience Total Convenience Through Medicare Dental Surgery

People would get the best dental surgery deal through medicare dental surgery. The said kind of surgery is actually just like any other surgeries people with dental problems go through only that, patients are freed from financial stress for the medicare dental insurance would take care of the bill. With this, the patient could relax and concentrate on the surgery itself, totally not minding how the surgery would be paid up. The plan is simply created to assist people during times of need and giving them the convenience they deserve. These medicare dental plans are being offered to all kinds of people, regardless of age.
Source: lydc.org

Features of Medicare Dental Plans

Medicare and dental procedures: – In general, medicare does not cover the usual dental caring like teeth cleaning, cavity filling, dental extractions, implantations, crowning etc. But certain other dental health care policies cover routine dental treatments and checkups. In ordinary health care plans, dental care also will be taken up if certified by the physician as necessary along with other ailments. In addition, there are medicare dental coverages at reduced cost for the convenience of patients.  Of late, basic dental care treatments such as yearly dental checkup and teeth cleaning are included in the medicare coverages. As per this plan, once in a year, the dental patients are charged only at 50 % for one cavity filling, one root canal treatment and crown repairs. The medical savings account as per the medicare plan is another alternative to cover the dental expenses. The deposit to this account is made from the medicare account of the policy holder. Occasions when medicare covers dental services
Source: affordable-dentalplans.org

How Many Dentists Accept Children on Medi

Aved said she’s concerned that not enough dentists participate as it is and worries that Denti-Cal isn’t prepared for the hundreds of thousands of new children coming into the program in the next few years. This will be primarily as a result of the transition of children from the publicly-funded Healthy Families program into Medi-Cal and the expansion of Medi-Cal under the Affordable Care Act.
Source: kqed.org

Medicare Dental Plans: Medicare Dental Benefits

Where are my Medicare dental benefits? If you person asked this query, you are not uncomparable. Galore group who possess transmute Medicare-eligible jazz either been popeyed or silent supported to discover, that for the most concern, Medicare dental benefits are nearly non-existent. In fact, there are rattling few circumstances when Medicare will address dental procedures. Medicare is not plenary welfare news and there are various gaps that are the arena of the Medicare donee. There is a dominion allowable for hospitalization and 20% co-insurance required for outpatient procedures. The Medicare governing also includes a statutory dental banishment. This expulsion states that: “where such expenses are for services in instrumentation with the mend, management, fill, separation, or equal of set or structures direct activity set, object that defrayal may be prefabricated low conception A in the sufferer of patient hospital services in memory with the fund of much dental services if the organism, because of his underlying medical premise and clinical status or because of the harshness of the dental activity, requires hospitalisation in shape with the supplying of specified services.” In 1980 the banishment was revised to appropriate Medicare dental benefits for patient infirmary services when the dental process itself prefab hospitalization needful. Medicare testament also pay for dental services that are split of a strewn expense. This could countenance age of the jaw due to an injury. Medicare dental benefits are also lendable for the extraction of set correlative to radiation direction and in both cases instrument pay for an examination communicating (but not communication) prior to kidney transplants or disposition regulator surgery. Medigap testament not supply – an Vantage thought may Purchasing a Medigap insurance contract give not get you dental amount. Medigap policies do not allow dental benefits and only the gaps from a barnacled procedure give be professional. By definition, a Medigap contract module alter the gaps of Medicare clothed claims, not request added benefits. The exclusive possibleness to find dental benefits beyond what’s included in Medicare, is to inscribe in a Medicare Welfare direction that includes dental benefits. Not all Medicare Advantage plans include dental benefits and many that do, only worship discounts for doomed procedures. An Vantage counseling is not a Medicare matter, but kinda another way to incur your Medicare benefits. One good of an Advantage mean is the knowledge to comprehend benefits that are beyond what Medicare provides. Before you enter in a Medicare plus plan you should see the differences between a Medigap insurance and an Asset program. Not all Benefit plans are created equate. Whatever testament include the player benefits that you are hunting for and others module not. Many faculty bid exclusive discounts on dental services, patch added give permit dental contract as break of the program. Alikeness Medicare Plus plans online to regulate which plans allow the moral Medicare dental benefits for you.
Source: blogspot.com

Incredible Futuristic Dental Medicare Office Interior Design

There have been some idea which we picked up, but this Incredible Futuristic Dental Medicare Office Interior Design was different. It is absolutely can amaze us with very dazzling style and absolutely original inspiration. Kind of this incredible futuristic dental medicare office interior design idea had a excellent plan which is very luxury, simple and trendy! This Incredible Futuristic Dental Medicare Office Interior Design forever bring awesome feel for our interior decor. If you are a little of person who prefer the eccentric things, may be the following incredible futuristic dental medicare office interior design will be an beautiful ornament parts.
Source: interimoo.com

Viewpoints: Fighting To A Draw On Medicare; A Coming Era Of Austerity

Baltimore Sun: Facing The Fiscal Cliff, Obama Can’t Back Down Again As official Washington nervously ponders the approaching fiscal cliff and the potential economic chaos it entails, President Barack Obama faces a precipice of his own in the challenge of making use of his re-election victory. Unless he emerges from this, the last major crisis of his first term, with the appearance of political strength and skill in navigating it, he risks losing public confidence that he has the stuff to take the country where he wants it to go in his second term. More than the specific details of any deal with House Speaker John Boehner and his resistant Republican cohorts on taxes and spending, Mr. Obama needs to demonstrate more steel in confronting GOP obstructionism than he showed in the previous showdown over deficit reduction (Jules Witcover, 11/30).
Source: kaiserhealthnews.org

Jon Chait’s Miserable Endorsement of Raising the Medicare Eligibility Age

What’s more, raising the Medicare retirement age would help strengthen the fight to preserve the Affordable Care Act […] The political basis for the right’s opposition to universal health insurance has always been that the uninsured are politically disorganized and weak. But a side effect of raising the Medicare retirement age would be that a large cohort of 65- and 66-year-olds would suddenly find themselves needing the Affordable Care Act to buy their health insurance. Which is to say, Republicans attacking the Affordable Care Act would no longer be attacking the usual band of very poor or desperate people they can afford to ignore but a significant chunk of middle-class voters who have grown accustomed to the assumption that they will be able to afford health care. Strengthening the political coalition for universal coverage seems like a helpful side benefit — possibly even one conservatives come to regret, and liberals, to feel relief they accepted.
Source: firedoglake.com

Futuristic Dental Medicare Office Interior Design Interior Interior

On the time Tuesday, November 20, 2012 02:43:30 AM Sri Rejeki author of Dwot.org submitted snapshot about Futuristic Dental Medicare Office Interior Design Interior. If you like this picture you can download Futuristic Dental Medicare Office Interior Design Interior in Here, or you just push right on mouse then selection save image AS… Then select the folder where the picture is on your personal computer. We also aplod related snapshot of Futuristic Dental Medicare Office Interior Design Interior, for the view another photograph you only click photograph on collection thumbnail to view it on larger size. And if you like this snapshot, don’t forget to push like, repin button or leave comment on this page. “Disclaimer : Dwot.org consists of a compilation of public information available on the internet. The Photo file Futuristic Dental Medicare Office Interior Design Interior Collected from multiple source in internet. We are NOT affiliated with the publisher of this part, and we take no responsibility for material inside this part.”
Source: dwot.org

Life Care Centers of America denies massive Medicare fraud charges; judge criticizes feds in secret whistleblower case

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 marsmet481Medicare reimbursed $4.2 billion to Life Care Centers between 2006 and 2011, the newspaper reported. While skilled nursing facilities averaged 35% of treatments for rehab patients at the ultra-high level nationwide in 2008, Life Care Centers had 68% of therapies at the ultra-high level, court records say. Rehab therapy claims have come under increased scrutiny in recent years, with other nursing home chains also have faced accusations of upcoding. 
Source: mcknights.com

Video: Medicare Fraud is costing us millions of dollars!

60 Minutes Reports on Medicare Fraud Investigation

Several whiste blowers have come forward to uncover this fraud, and most of them has suffered the consequence of a lost job.  However, its important to know that federal law provides protection to whistle blowers from wrongful termination, as well as a portion of damages recovered by the U.S. Government under certain circumstances.
Source: dcpatientadvocate.com

Medicare fraud: 'Much more needs to be done'

•    Neville Pattinson, senior vice president of government affairs, standards and business development, Gemalto, on behalf of the Secure ID Coalition; •    Dan Olson, director of fraud prevention, Health Information Designs; •    Alanna Lavelle, director investigations, East Region/Special Investigations Unit, Wellpoint; •    Michael Terzich, senior vice president, global sales and marketing, Zebra Technologies; and •    Louis Saccocccio, CEO, National Health Care Anti-Fraud Association
Source: hmenews.com

Doctor Pleads Guilty to Medicare Fraud Scheme

Some of the recruiters also worked for durable medical equipment (DME) suppliers operated by Charles Agbu and his daughter, Obiageli Agbu. Dr. Van Putten admitted that the Agbus paid him cash kickbacks to write prescriptions for expensive power wheelchairs and other DME that he knew the patients did not need. In the written orders, he exaggerated the patients’ conditions and diagnoses so that they would appear to meet Medicare’s requirements for coverage, with knowledge that the orders would be submitted to Medicare for payment. Van Putten and his co-defendants allegedly billed Medicare for $11,094,918 and received payments of about $5,789,000.
Source: wolterskluwerlb.com

Do Hospital Systems Commit Medicare Fraud When They Set Patient Admission Goals?

Recently, 60 Minutes ran a segment looking into the questionable inpatient admission practices of hospitals owned by Health Management Associates (HMA). According to 60 Minutes, HMA is under federal investigation for pressuring its associated physicians into admitting patients, regardless of medical necessity. For added pressure, HMA supposedly set lofty patient admission goals for each hospital. Moreover, when some providers and senior-level employees raised health care fraud concerns, they were allegedly alienated, isolated and terminated by the company. Hospital systems potentially commit Medicare fraud when they set high patient admission goals for their hospitals. Indeed, when hospitals admit Medicare beneficiaries based on monetary greed, as opposed to medical need, the admissions run afoul of the law, triggering liability under the federal False Claims Act. More information for whistleblowers is located at the Nolan Auerbach website.  
Source: medicare-fraud.net

Former Optometrist Sentenced in Medicaid Fraud Case

Seventh Circuit Court Judge Janine M. Kern suspended the execution of sentence on several conditions. Judge Kern ordered Feldman to serve 180 days in jail and ordered him to pay a total of $363,049.90 in restitution to Medicaid and Medicare. Feldman turned over a coin collection with an estimated value of $157,000, and paid an additional $80,000 to the government, so his remaining restitution balance is $126,049.90. Feldman was also ordered to serve 300 hours of community service, pay costs of $712.20 to the State and court costs of $208. Feldman allowed the South Dakota Board of Optometry to revoke his license in October.
Source: kotatv.com

Clinic Workers Plead Guilty To Role In Medicare Fraud Ring

(TM and Copyright 2012 CBS Radio Inc. and its relevant subsidiaries. CBS RADIO and EYE Logo TM and Copyright 2012 CBS Broadcasting Inc. Used under license. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.)
Source: cbslocal.com

Attention Seniors: Help Stop Medicare Fraud

The Wisconsin Council of Churches is partnering with the Coalition of Wisconsin Aging Groups (CWAG) to help seniors in our congregations control rising health care costs by helping to fight Medicare fraud. The Wisconsin Senior Medicare Patrol (SMP), overseen by CWAG, provides resources to Medicare beneficiaries, caregivers, and the professionals who serve them throughout the state to prevent, detect, and report healthcare fraud, waste, and abuse.  For more information, click here.
Source: wichurches.org

How to Prevent Medicare Fraud

December 3, 2012….Fairfield, Connecticut…Ms. Trish Simmons, MSW and a certified Medicare Fraud Prevention Specialist, will give a lecture at the Fairfield Senior Center on Wednesday, December 12, 2012 starting at 10:30 a.m.  The topic will be “Medicare Fraud Prevention.” 
Source: patch.com

Kenneth Rijock’s Financial Crime Blog: ALERT FOR 86 MEDICARE FRAUD FUGITIVES IN FLORIDA

A US law enforcement agent has publicly disclosed, during an interview, that there are eighty-six Federal fugitives, all believed to be in the South Florida area, who are wanted on charges of Medicare Fraud. Some of these individuals are also accused of money laundering. This is of relevant interest to compliance officers at South Florida financial institutions, and broker-dealers, because many of there fugitives have defrauded the United States out of millions of dollars in Medicare payments, and therefore have substantial assets. You are advised to look carefully at new customers who fit the following profile: (1) High net worth individuals or closely-held corporations with larger amounts of cash to deposit. (2) Dominican or Cuban nationality, or Cuban-Americans who are resident in Florida. (3) Little or no prior credit agency history. (4) Present or prior health care industry connections or involvement. (5) Medical supply store owner or operator. (6) Individuals who have been resident in the United States for a short period of time. Many medicare fraudsters import front men from the Dominican Republic, or the Republic of Cuba,  and return them to their native countries after the fraud has been successfully perpetrated. Is he totally monolingual, with no English-speaking ability ? If so, he may be a recent arrival. Does he exhibit regional slang in his Spanish that may indicate he is not a long-time resident of Florida ? (7) Request to deposit US Government cheques in large amounts.
Source: blogspot.com

Editorial: Medicaid expansion right course for state

Posted by:  :  Category: Medicare

"Every citizen should be a soldier. This was the case with the Greeks and Romans, and must be that of every free state." ` Thomas Jefferson. by eyewashdesign: A. GoldenFourth, the benefits would be widespread, with the poorer rural counties being helped the most. Conservative legislators may balk at the expansion, but it’s their constituents who have the greatest need. A staggering 35 percent to 50 percent of the population in Adams, Whitman, Ferry, Pend Oreille, Asotin, Columbia, Walla Walla, Kittitas, Yakima, Cowlitz, Grays Harbor and Clallam counties is uninsured. As a result, hospitals and clinics are struggling to stay open, which threatens access to care for everybody.
Source: spokesman.com

Video: End Social Security, Medicare, and the Welfare-Warfare State!

Viewpoints: Considering Baby Boomers’ Future Burden On Medicare; Holtz

USA Today: Potential ObamaCare Privacy Nightmare By mid-December, the federal government is planning to quietly enact what could be the largest consolidation of personal data in the history of the republic. … ObamaCare’s federal exchange, however, will be very different from these earlier efforts or emerging private exchanges such as eHealthInsurance.com. In order to determine eligibilty for health insurance subsidies, the new exchange has to bring together information about you and your family from the Treasury Department and IRS, the Department of Homeland Security, the Department of Justice, as well as your Social Security number — all coordinated by the Department of Health and Human Services (Stephen T. Parente and Paul Howard, 12/6).
Source: kaiserhealthnews.org

Washington State First to Receive Approval to Implement a Managed Fee

Under the MOU, Washington will build on its Medicaid Health Homes plan by targeting Medicare-Medicaid enrollees (dual eligibles) with chronic health conditions. The state will contract with a Health Home Lead Entity who will in turn subcontract with a Health Home Coordinated Care Organization (HCCO). The HCCO is paid to provide care coordination services that complement the existing fee-for-service system. Under this managed fee-for-service model Washington will be eligible to receive a payment based on its performance on beneficiary experience, quality and savings criteria.
Source: communitycatalyst.org

Working Family Advocates From 33 States Travel to Washington D.C. to Tell Congress: No Benefit Cuts to Medicare, Medicaid, Social Security, Let Top 2% Bush Tax Cuts Expire

“Working people, jobless people and retirees, who just voted for a middle-class economy, shouldn’t have to sacrifice their health care and retirement security so that the richest 2% can continue getting more tax breaks,” said AFL-CIO President Richard Trumka. “It’s time to protect Social Security, Medicare and Medicaid benefits that support our working families. It’s time to eliminate tax breaks for the richest 2%. That’s fair, reasonable, and good public policy. ”
Source: nhlabornews.com

Daily Kos: More polling showing public wants Medicare left alone

curb table, the American public keeps saying “don’t do it.” Here’s the lateset poll from National Journal. The health care program for the elderly is at the center of discussions, and prominent panels that have studied the deficit and issued recommendations have often targeted it. But a full 79 percent of those surveyed want the fiscal-cliff negotiators not to cut the program at all. Only 17 percent would be willing to see it cut some, and a minuscule 3 percent would be OK with it being cut a lot. The public wasn’t riven over Medicare in the election, which the folks at Democracy Corps remind us from their election day polling. We gave voters a choice between two statements—one acknowledging the federal deficit as a big problem, but arguing against major spending cuts in Social Security and Medicare and the other arguing that deficits are such a national crisis that broad spending cuts must include “possible future cuts” to Social Security and Medicare.  Even with this cautious statement, the “no cuts” position won by almost a two-to-one margin (60 percent to 33 percent) and with great intensity; almost half of all voters (47 percent) strongly believe that cuts to Social Security and Medicare should be off the table. As the Democracy Corp memo says, this is critical stuff for the American public: “The polling shows the mandate is to protect Medicare and Social Security, not cut them. And Washington will face a TARP-like reaction if they read the election wrong.” The election results give Democrats all the mandate they need to fight for keeping these programs safe. The next election should give them the impetus to do it.
Source: dailykos.com

Travel for Seniors: Washington State

This post is a guest post by John Walters who is a freelance writer who attended the 1973 Clarion West science fiction writing workshop and is a member of Science Fiction Writers of America.  He writes mainstream fiction, science fiction and fantasy, and memoirs of his wanderings around the world.  For many years he lived in Greece with his Greek wife and five sons and taught English as a second language to help pay the bills, but he has recently moved back to the United States and now lives in San Diego. 
Source: medicareecompare.com

The Medicaid Expansion and Washington State Hospitals

The incentives for states to expand Medicaid are substantial.  People who enroll in expanded Medicaid will have their health care fully funded by the federal government in the first three years, slowly declining to 90 percent funding in 2020.  The state projects that expanding Medicaid could actually save state funds because people currently enrolled in Disability Lifeline and Basic Health would be totally federally funded.  Health coverage for these enrollees is currently paid half by the state government and half by the federal government, costing the state hundreds of millions of dollars.
Source: stateofreform.com

Understanding Medicare: Tackling End

Posted by:  :  Category: Medicare

Will the Lame Duck Congress Poop on Social Security? by DonkeyHoteyMedicare also needs to lay some ethical groundwork if it’s to expand this much-needed benefit. The medical system has traditionally defaulted to heroic measures to treat people in their final months, even though those treatments will do little to prolong or preserve some modest quality of life. And since several diseases don’t follow a strict timeline—especially cancer and other chronic maladies—the decision timeline on when to offer hospice or palliative care (or both) is muddled. A bioethicist should be brought in to discuss the alternatives over a period of time instead of offering only the one-shot consultation. 
Source: reportingonhealth.org

Video: How to Understand Medicare Plans

Medicare 102: Understanding Medicare Enrollment Periods

The Key word here is “SPECIAL.” If you have a special circumstance, such as moving out of a plan’s service area, or an involuntary loss of employer coverage because you are retiring at the age of 65 or older, than you may qualify for an SEP. There are many other circumstances which may make you eligible for an SEP. The length of the SEP can vary based on the circumstance. If you have enrolled into an Advantage Plan for the first time in your life during ICEP, or have dropped a Medigap policy to go into an Advantage Plan for the first time in your life, you have an SEP which lasts for the first 12 months of your enrollment in the Advantage Plan. This allows you to revert back to Original Medicare, enroll into a Medigap policy without being underwritten (though you may be subject to a higher premium due to age), and purchase a prescription drug plan.
Source: amac.us

Understanding Medicare Glossary and Managing your Health Information Online

The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. A benefit period begins the day you are admitted as an inpatient in a hospital or skilled nursing facility. The benefit period ends when you have received any inpatient hospital care (or skilled care in a SNF) for 60 days in a row. If you go into a hospital or a skilled nursing facility after one benefit period has ended, a new benefit period begins. You must pay the inpatient hospital deductible for each benefit period. There is no limit to the number of benefit periods.
Source: indoamerican-news.com

Most Medicare patients don’t understand the program

Knowing whether they could use the doctors and hospitals they prefered to use was the most important thing they wanted to know when making decisions about Medicare coverage, the survey found. They also cited benefits and services covered; an estimate on out-of-pocket expenses based on coverage choices; and cost of deductibles, co-payments, coinsurance and premiums. Cost and quality of plans were only the most important takeaway to less than 5 percent of Medicare patients.
Source: benefitspro.com

Understanding Medicare Care, Cost, Control and Consequences

Here is another excellent source of information about how the ACA addresses the central issues related to Medicare.  You have heard about the Congressional Budget Office (CBO).  This is a non-partisan body; it does the real numbers crunching and updates us on the facts. The Medicare News Group is a direct source that helps us to understand what the numbers from the CBO means when applied factually, and not spun by partisan pundits.  At the link below there is a very comprehensive article that breaks down the facts as they pertain to the ACA and Medicare. 
Source: ning.com

Understanding Medicare Coverage for Behavioral Health Treatment

The first step in finding help for a substance abuse or behavioral health problem is recognizing that there is a problem. Changes in behavior, social patterns or communication may indicate that something is wrong.  It is important to regularly touch base with your friends and family so that you can identify when there is a behavioral health issue.  It is especially important for seniors to have regular social interaction, as it is easy for them to slip into isolation and depression. The cost of behavioral health treatment should not prohibit anyone, especially seniors from seeking treatment.  Let’s explore what is covered under Medicare.
Source: benbrafman.com

‘Understanding Medicare’ seminar is Oct. 6

FARMINGTON – There will be an educational seminar, “Understanding Medicare & Your Options”, held on Saturday, Oct. 6 from 9:30 am until noon at the North Dining Hall in the Olsen Student Center at UMF. The seminar is a must for anyone approaching age 65 and for those who wish to learn more about the Medicare system and the options available to you.
Source: dailybulldog.com

“Understanding Medicare and Medicaid Fraud Prevention”

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Source: wordpress.com

Understanding Obamacare’s $716 Billion in Cuts to Medicare

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Source: heritage.org

Florida’s Medicaid increases hinge on legislative ruling

Posted by:  :  Category: Medicare

George W. Bush by cliff1066™Medical associations complain that Medicaid rates in Florida are so low many doctors don’t accept the state-federal insurance that covers the poor. Federal policymakers want the increased payments to provide better primary care to keep people out of expensive visits to emergency rooms, and to increase the number of doctors taking Medicaid to prepare for a large expansion of the program slated for 2014.
Source: typepad.com

Video: Paul Ryan Talking Medicare in Florida

Whistleblower Alleges Overbilling Of Medicare By Florida Hospice

Douglas Stone was an executive at the Hospice of the Comforter, based in Altamonte Springs, when he learned that the company was overbilling Medicare for patient stays. He filed a whistleblower lawsuit alleging Medicaid/Medicare fraud against the Florida nursing home a year ago; the U.S. Department of Justice recently intervened and will now be pursuing the Medicare fraud claims.
Source: federalwhistleblowerlawyers.com

Ryan Vows to Protect Medicare at Florida Retirement Community

Betty Ryan Douglas was on stage with her congressman son Saturday at the world’s largest retirement community as the Republican campaign tried to blunt withering criticism from President Barack Obama and his allies. The Democratic team charges that presidential candidate Mitt Romney and Ryan would gut programs for older people.
Source: theroot.com

Ryan's Medicare Plan: How Big a Factor in Florida?

As Obama for America’s Florida press secretary, Eric Jotkoff, put it: “If the headlines don’t tell the story, then certainly Floridians can say that Mitt Romney and Paul Ryan are simply out of touch and have no idea what’s important to the people of Florida. Whether it’s a budget that could end Medicare as we know it forcing Florida seniors to pay $6,350 a year out of their pockets or a tax hike which would burden hard-working middle-class families, Romney and Ryan’s campaign is toxic in the Sunshine State, and they will have a hard time convincing voters to choose them in November.”
Source: realclearpolitics.com

Is Florida Medicare Insurance Different From Other States?

Florida Medicare Insurance differs because many seniors have trouble paying out-of-pocket co-pays and deductibles after their Florida Medicare Insurance Part A and B pays their share. Currently, Floridians have the highest insurance rates in the country. And, the amount they pay for their Florida Medicare Insurance depends on the county they live in.
Source: seniorcorps.org

Florida Medicare Part D Plans

Anyone who require for this medical facility can opt for this service in any case if he or she is with limited source of income. Those who do not earn much have facility of getting extra help for various services that included in medication part D plan. $4,000 is almost amount that you will get as an extra help from these medication plan. Monthly premium and it can also be your prescription payment for which you will get all help. This can act as big saving for those who do not earn much. So make sure that are you clearing criteria of getting that much help.
Source: medicare-supplement-advisor.org

Kenneth Rijock’s Financial Crime Blog: ALERT FOR 86 MEDICARE FRAUD FUGITIVES IN FLORIDA

A US law enforcement agent has publicly disclosed, during an interview, that there are eighty-six Federal fugitives, all believed to be in the South Florida area, who are wanted on charges of Medicare Fraud. Some of these individuals are also accused of money laundering. This is of relevant interest to compliance officers at South Florida financial institutions, and broker-dealers, because many of there fugitives have defrauded the United States out of millions of dollars in Medicare payments, and therefore have substantial assets. You are advised to look carefully at new customers who fit the following profile: (1) High net worth individuals or closely-held corporations with larger amounts of cash to deposit. (2) Dominican or Cuban nationality, or Cuban-Americans who are resident in Florida. (3) Little or no prior credit agency history. (4) Present or prior health care industry connections or involvement. (5) Medical supply store owner or operator. (6) Individuals who have been resident in the United States for a short period of time. Many medicare fraudsters import front men from the Dominican Republic, or the Republic of Cuba,  and return them to their native countries after the fraud has been successfully perpetrated. Is he totally monolingual, with no English-speaking ability ? If so, he may be a recent arrival. Does he exhibit regional slang in his Spanish that may indicate he is not a long-time resident of Florida ? (7) Request to deposit US Government cheques in large amounts.
Source: blogspot.com

FBI descubren a hispanos que defraudaron al Medicare en Florida, Georgia, Luisiana y las Carolinas

La Fuerza Especial Contra el Fraude a Medicare, encabezada por el Departamento de Justicia y el Departamento de Salud y Servicios Humanos, en coordinación con otras dependencias, abrió una investigación luego de recibir denuncias de algunos beneficiarios de Medicare. En 2010, el jefe de la banda de defraudadores, Michel de Jesús Huarte, fue sentenciado a 22 años de prisión por fraude al sistema de salud. Otras nueve personas fueron sentenciadas, mientras que el ecuatoriano Orlin M. Tamayo Quiñonez (en inglés) y los cubanos Ramón Fonseca y Juan Carralero (en inglés), se encuentran fugitivos.
Source: lafamiliadebroward.com

Rubio: Ryan’s Medicare Plan Helps Romney in Florida

When Mitt Romney tapped Paul Ryan to be his vice presidential running mate, conventional wisdom dictated that Romney had put himself at a distinct disadvantage in the key battleground state of Florida, where Ryan’s controversial plan to reform Medicare wouldn’t sit well with millions of government-dependent seniors. Florida Sen. Marco Rubio isn’t buying it. In an interview with National Journal, Rubio argued that Ryan’s proposal will help — not harm — Romney’s chances of winning the Sunshine State. He predicted that older voters will support Romney and Ryan because they are trying to “save Medicare” instead of pretending that nothing is wrong with the fiscally unsustainable program. “Look, you have three million people in the state who are on Medicare — one of whom is my mom, one of whom is Paul Ryan’s mom,” Rubio said. “These are people who understand the reality of Medicare: that it’s spending more money than it takes in; that anyone who’s in favor of leaving it the way it is is in favor of bankrupting it.” Rubio praised the GOP ticket for tackling the hot-button topic of entitlement reform at a time when many politicians won’t acknowledge the problems facing the Medicare program. “They’re looking for real solutions on how to solve this,” Rubio said. “Mitt Romney and Paul Ryan are offering a way to save Medicare that doesn’t change it at all for current beneficiaries. And I think people here are going to be excited about that.”
Source: nationaljournal.com

To Gain Edge on Medicare, a Personal Tale

The Romney campaign argued that lower payments would lead to fewer services. “In an imaginary world where government simply controls everything and everyone, this might sound like an effective way to control cost,” Lanhee Chen, Mr. Romney’s policy director, wrote in a memo distributed on Saturday. “In the real world, the result will be fewer providers accepting Medicare payments, and worse care for today’s seniors.”
Source: aliefpost.com

Insurer halts Medicare Advantage sales in Georgia

Public HealthHealth InsuranceHealth CostsHospitalsHealth ReformMedicaidDelivery of CareChildren’s HealthMental HealthPhysiciansSafety NetDisabilitiesCaregivingMedicareUninsuredHealth DisparitiesPrescription DrugsLong-Term CareNursesHealth QualityQuality of CarenursingRural Healthhospital
Source: georgiahealthnews.com

Medicare Advisory Group Recommends 1% Increase In Hospital Rates

Posted by:  :  Category: Medicare

Newsweek Magazine (February 16, 2009) ... Lenders Add Bigger Fannie, Freddie Fee – Thanks to Payroll Tax Cut (January 15, 2012) ...item 2.. Dupuy: GOP trying to sell pyrmaid scheme to voters (September 3, 2012) ... by marsmet526CQ HealthBeat: MedPAC Considers 1 Percent Payment Increase For Hospitals The Medicare Payment Advisory Commission on Thursday in a draft recommendation called for a modest 1 percent increase in inpatient and outpatient hospital payments in 2014, at a time when providers are dreading the impact of possible Medicare cuts under sequestration or as a result of budget negotiations. A staff analysis used for the draft recommendation found that Medicare paid two percent more to hospitals in 2011 compared to 2010, as well as a continued shift to services provided in an outpatient setting rather than in hospital beds. The quality of care is generally improving as well, the analysis said. But commissioners continued to chafe at a fee-for-service system that they say too often rewards volume over quality and efficiency. “I believe $117 billion in spending on acute care is too much,” said Scott Armstrong, president of Group Health Cooperative in Seattle, Wash., referring to total inpatient Medicare costs in 2011 (Norman, 12/6).
Source: kaiserhealthnews.org

Video: Medicare Supplement Insurance Plans – Where Do I Start?

New Boehner budget offer: Lower tax rate for rich, cut Medicare

“The Republican letter released today does not meet the test of balance. In fact, it actually promises to lower rates for the wealthy and sticks the middle class with the bill. Their plan includes nothing new and provides no details on which deductions they would eliminate, which loopholes they will close or which Medicare savings they would achieve. Independent analysts who have looked at plans like this one have concluded that middle class taxes will have to go up to pay for lower rates for millionaires and billionaires. While the President is willing to compromise to get a significant, balanced deal and believes that compromise is readily available to Congress, he is not willing to compromise on the principles of fairness and balance that include asking the wealthiest to pay higher rates. President Obama believes – and the American people agree – that the economy works best when it is grown from the middle out, not from the top down. Until the Republicans in Congress are willing to get serious about asking the wealthiest to pay slightly higher tax rates, we won’t be able to achieve a significant, balanced approach to reduce our deficit our nation needs.”
Source: americablog.com

ICYMI: Health Affairs Article: Medicare Advantage Provides Higher

A recent article in the latest edition of Health Affairs provides further evidence that Medicare Advantage plans are delivering higher-quality care to seniors and people with disabilities than the fee-for-service (FFS) part of Medicare.  Data from the article show that Medicare Advantage beneficiaries utilize some health care services, such as the emergency department and ambulatory surgery or procedures, at a rate 20-30 percent lower than those in FFS Medicare.  This data suggests that Medicare Advantage enrollees “might use fewer services and be experiencing more appropriate use of services than enrollees in traditional Medicare.”
Source: ahipcoverage.com

Medicare fees rise for 2013

After putting in some of my hard earned wages and our goverment “at work” borrowing it, Social Security should not be cut. Our president and congress continue getting their same salary for life while some of us are barely keeping our heads above water. These politicians should only be paid when they are in office and limited to the time they are working for us. They miss votes, get paid for public appearances, write books, campaign, travel all over, appear on TV shows and we are paying those costs plus their salary. Even with my 401K, it is a struggle. I was a casualty of the crash. Too young to afford to retire and too old to find another job in a difficult market. I had to go on Social Security as soon as I was eligible. My $950 a month doesn’t cover my expenses but I can’t do without it. Gas, groceries, taxes, have all gone up but my benefit keeps shrinking. Being a woman and being paid less than my male counterparts hurts me more now than it did when I was working. Change was for the worst and I’m certainly not moving forward!
Source: bankrate.com

Doctors billing Medicare patients at higher rates, report finds

“This is an urgent problem,” Dr. Mark McClellan, who directs the Engelberg Center for Health Care Reform at the Brookings Institution in Washington, told the CPI. McClellan, a former director of the Centers for Medicare and Medicaid Services, or CMS, said the agency must send a message that it “won’t stand by and do nothing … that they are paying attention to this.”
Source: nbcnews.com

Medicare and The Fiscal Cliff

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Source: annuitythinktank.com

Jon Chait’s Miserable Endorsement of Raising the Medicare Eligibility Age

What’s more, raising the Medicare retirement age would help strengthen the fight to preserve the Affordable Care Act […] The political basis for the right’s opposition to universal health insurance has always been that the uninsured are politically disorganized and weak. But a side effect of raising the Medicare retirement age would be that a large cohort of 65- and 66-year-olds would suddenly find themselves needing the Affordable Care Act to buy their health insurance. Which is to say, Republicans attacking the Affordable Care Act would no longer be attacking the usual band of very poor or desperate people they can afford to ignore but a significant chunk of middle-class voters who have grown accustomed to the assumption that they will be able to afford health care. Strengthening the political coalition for universal coverage seems like a helpful side benefit — possibly even one conservatives come to regret, and liberals, to feel relief they accepted.
Source: firedoglake.com

Democratic Party of DuPage County, Illinois: Why Raising the Age of Medicare Eligibility Doesn’t Fix The Deficit

Posted by:  :  Category: Medicare

Love it! Improve it! Medicare for All! by TheeErinBy Dale Bowling Republicans made it clear that if the US is going to avert the Fiscal Cliff, it’s going to be primarily through government spending cuts. They wouldn’t list what they wanted to cut because they knew taxpayers would be up in arms -the things Republicans want to cut the most are the most popular programs that benefit the most Americans. Go figure. Now we finally have an explicit policy idea from Republicans: raise the age of Medicare eligibility. This sounds like a common sense idea. Medicare is expensive. It will be less expensive if fewer people are on it. Well, that actually is true. Raising the age that seniors qualify for Medicare would save taxpayers $113 Billion over the next decade. That sounds like a lot, but actually this $11.3 billion a year savings is less than NASA’s budget. The Bush Tax Cuts and the Wars in Iraq and Afghanistan added trillions to the Deficit. Trillions with a “T”. Republicans think that $11.3 billion a year savings from raising the age Seniors can get Medicare is going to dent that? This is the party of fiscal discipline? Really? By contrast, President Obama’s plan of returning to the Clinton era tax rates for the top 2% of earners would produce $1.6 Trillion over the next decade. This is over ten times more than the savings to be had from raising the age of Medicare eligibility to 67. To understand why raising the age of eligibility for Medicare doesn’t save more money, you have to think for a second about how insurance works. Money comes from all policyholders and money goes to those who are sick right now. Healthier people help pay for the folks who are sicker in the pool of policyholders. On average the healthiest are the youngest people in a given pool of policyholders. If you take the youngest out of the pool of Medicare patients, then the cost for the rest has just increased per person. The risk is spread over fewer, sicker people and this is going to mean higher costs to patients on Medicare. Also, since most people retire before 67 nowadays there is going to be a few years where you’re not covered by your current insurance, but aren’t yet eligible for Medicare. Is it going to be cheap (remember- you’re retired) to get coverage at age 65 from a private insurer? You’re typically the least healthy of that pool and insurers charge accordingly. Raising the age of Medicare eligibility is such a terribly bad idea when the benefits are weighed against the disadvantages that you have to wonder about it. It will hardly touch the Deficit, but it will cost Seniors big time. Shouldn’t Republicans have thought of all that? This could be another attempt by Republicans to Break Big Government, so that it doesn’t work and then complain loudly about how Big Government doesn’t work. Then maybe people will start to believe the Private Sector is always the way to go. Or it could be that Republicans haven’t really thought out all the consequences of their policy changes. As I have said before, not what you want from the people who are making huge decisions about your life and well-being. Or it could be that they’ve come to believe their own propaganda. Government is always the problem, never the solution and basic mathematics and polls showing how satisfied Medicare patients are can’t pierce the veil that Republicans have wound around themselves. So there again are your choices with Republicans on the Fiscal Cliff: Dishonest, Clueless, Crazy. An alternative put forth by President Obama is that Medicare should be able to use its buying power to get bulk discounts on prescription drugs. Medicare’s prescription drug benefit created by Republicans didn’t allow that or the purchasing of generics because it was largely a taxpayer-funded giveaway to Big Pharma. By eliminating that restriction, Taxpayers could get the same savings from Medicare age changes, but patients on Medicare wouldn’t see their costs go up. If anything, they’d go down. America needs to tell its Representatives what it thinks. Contact your Senators and Congressional Representatives and tell them what a terrible idea raising the age of eligibility for Medicare would be for America’s Seniors. Congresswoman Judy Biggert- Illinois 13th Congressional District Address: Judy Biggert United States House of Representatives 2113 Rayburn HOB Washington, DC 20515-1313 Phone: 202-225-3515 Website:  http://biggert.house.gov/ Facebook: http://www.facebook.com/judybiggert Twitter: http://twitter.com/judybiggert Congressman Peter Roskam- Illinois 6th Congressional District Address: Peter Roskam United States House of Representatives 227 Cannon House Office Building Washington, D.C. 20515-1306 Ph: 202-225-4561 Website: http://roskam.house.gov/ Facebook: https://www.facebook.com/RepRoskam Twitter: @PeterRoskam Illinois Senator Dick Durbin Address: Sen. Dick Durbin United States Senate 711 Hart Senate Bldg. Washington, DC 20510 Ph: (202) 224-2152 Website: http://www.durbin.senate.gov/ Facebook: https://www.facebook.com/SenatorDurbin Twitter: https://twitter.com/SenatorDurbin Illinois Senator Mark Kirk Address: Senator Mark Kirk 524 Hart Senate Office Building Washington DC, 20510 Phone: 202-224-2854 Facebook: https://www.facebook.com/SenatorKirk Twitter: http://twitter.com/SENATORKIRK
Source: blogspot.com

Video: Free Medicare seminars for Illinois residents

Changes to Illinois All Kids Medicaid Program Harmful to Thousands

Families that make 300% above the poverty level will no longer be eligible to put their children into this health care program. That percentage equates to about $60,000 for a family of four. The result is that 4,300 children in Illinois will suddenly be completely without health insurance. Many of these children have cancer, or other serious health conditions. Parents, or caregivers, of these children will soon be forced to figure out how to pay for the cost of things like chemotherapy, prescription medications, and hospital visits without the help from the All Kids program.
Source: families.com

Illinois suspends Medicaid payments to controversial psychiatrist

A joint 2009 investigation by the Tribune and ProPublica, a nonprofit investigative journalism group, revealed Reinstein’s unusually heavy reliance on clozapine, which has been linked to at least three deaths. In 2007 he wrote more prescriptions for clozapine than all the doctors in Texas combined, the investigation found. The Illinois Department of Financial and Professional Regulation mentioned the series in its complaint.
Source: chicagotribune.com

Democurmudgeon: Illinois Democrats Medicare Ad Most Effective Way to Defend the Program.

I was in Chicago over the weekend, and came across this ad on one of the local channels for Democratic congressional candidate Brad Schneider. The ad features a clip of President Lyndon Johnson describing the reason why he pushed so hard for Medicare. This ad should have been from the Obama campaign. Incredibly effective, it shows Medicare was created to solve a problem, not spread socialism.
Source: blogspot.com

Illinoisans Erect Shanty Town To Call For Fair Fiscal Cliff Solutions (VIDEO)

Congressional Republicans countered with a plan of their own, which they said would increase taxes by $800 billion over 10 years through a revamping of the tax code, not by raising tax rates. Most of the savings within the proposal focused heavily on reductions in spending, with $600 billion in cuts to health programs and another $600 billion in cuts to other programs. All in all, the plan is projected to reduce the deficit by $2.2 trillion over 10 years.  
Source: progressillinois.com

Blue Medicare Advantage: Blue Cross Blue Shield of Illinois

In addition to your Part B premium, there are small copayments to receive care.  With copayments as low as $7 for Medicare covered primary care doctor’s office visits, $45 for Medicare covered specialist visits and $3  for generic prescription drugs, it’s easy to get the care you need when you need it. An Advantage plan includes all of your Part A and Part B Medicare benefits, prescription drug coverage and emergency care if needed for an additional $65 copayment. Coverage is convenient and hassle free, and with an extensive provider network, there are always quality doctors nearby, ready to help from a wide range of specialties.
Source: ssiinsure.com

Select Medicare Supplemental Insurance Illinois To Cover Gaps

To get good rates, many people get several rate quotes for Medicare supplemental insurance Illinois residents over 65 are eligible for. Aged people experience different medical conditions and need supplemental policies to offset the cost of this government program. Many patients will have medical conditions that existed before they joined with this program and will not be covered. The patient could be required to pay all expenses if other policies do not exist.
Source: vvy.in

Through Medicare Supplemental Insurance Illinois Residents Save Money

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Source: omc-host.tk

Big Education Ape: Democurmudgeon: Illinois Democrats Medicare Ad Most Effective Way to Defend the Program.

I was in Chicago over the weekend, and came across this ad on one of the local channels for Democratic congressional candidate Brad Schneider. The ad features a clip of President Lyndon Johnson describing the reason why he pushed so hard for Medicare. This ad should have been from the Obama campaign. Incredibly effective, it shows Medicare was created to solve a problem, not spread socialism.
Source: blogspot.com

Obama proposes Medicare changes that will limit drug development

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

Medicare plan D what do you do about the "doughnut hole"

Posted by:  :  Category: Medicare

William D. Novelli by Center for American ProgressWe haven’t done any shopping yet this year, but our pharmacist usually helps us research & compare each year & most years we do change companies. Without knowing your pharmaceutical needs, it’s hard to say, but I can tell you that 2012 was the first year my husband managed to avoid the donut hole . . . I suspect that’s because the ACA kicked in a little, and it will be kicking in even more as time goes on. We each pay less than $40/mo. for our Part D policies & we usually need different companies too; we could never afford the top-of-the-line policies, but together with MoRx, a needs-based assistance program, we are able to get the meds we need without going broke. Perhaps California has something similar to MoRx – you could ask your doctor or pharmacist.
Source: diabetesforum.com

Video: Medicare Part D

Expert Tips to Simplify Open Enrollment for Medicare Plan D

 Part D Plan is a network pharmacy that offers covered drugs to plan members at lower out-of-pocket costs than what the member would pay at a non-preferred network pharmacy. This can make huge difference in what you’ll pay. For example, Walmart is a preferred pharmacy on multiple plans including the Humana-Walmart Preferred Rx Plan. They provide access to the top ten hypertension drugs for just one cent. So if you’re one of the 70% of Americans over the age of 65 who have high-blood pressure, you can get a month’s worth of the medication you need for just one penny!   Just one specific example of how it can pay to do your homework.”
Source: alexisabramson.com

2013 Open Enrollment Coming to a Close, But Part D Should Remain Top

First, it is important that Part D beneficiaries take full advantage of the power of consumer choice offered to them by this successful and highly popular program. Over the next year, those enrolled in Part D plans (and the family members and friends who can lend a hand with this) should keep a record of prescribed medications and diagnosed health conditions so that, come the next open enrollment period in 2013, they are well equipped to choose the Part D plan that provides the best and most affordable coverage. Individuals need to take an active role in protecting and improving their own health.
Source: phrma.org

State announces changes to prescription drug plans for retirees, pensioners

Some individuals qualify for extra help to pay for prescription drug premiums and costs. Those who want to see if they qualify can call Medicare at 1-800-MEDICARE (1-800-633-4227) any time (TTY users should call 1-877-486-2048); the Social Security Office at 1-800-772-1213 between 7 a.m.-7 p.m., Monday through Friday (TTY users should call 1-800-325-0778); or the state Medicaid office.
Source: udel.edu

Don't dismantle Part D

TParty and techfan, what disgusting and demeaning words you put out! Getting older is a part of nature, nothing can stop it, there will be illnesses connected with it. At least most seniors(now) did pay into Medicare, what can you say to those on Medicaid, (one of the biggest abused entitlements), food stamps, extended unemployment checks, etc.? Oh yeah, and what about all those obamaphones? Shame on both of you and the ones that go along with you………..
Source: augusta.com

Medicare Part D: It Pays to Shop Around

Politicians often tout the value of the free market, arguing that more choice results in a better deal for consumers. In the case of Medicare Part D coverage, the array of choices don’t always translate into better decision-making and more savings. Perhaps there are too many choices. Plans change from year to year, a drug that may have a high co-pay on one plan may have a tiny co-pay on another. A drug that was covered by a particular plan one year may be dropped from coverage the next.  The researchers conclude that “beneficiaries need more targeted assistance from the government to help them choose plans, such as customized communications about the most cost-effective plans that would cover their medication needs.”
Source: lexisnexis.com

Open Enrollment 2013: Medicare Part D Benefits Improve but Premiums an…

While Medicare Part D prescription drug plan premiums are generally expected to remain steady in 2013, this PPI Fact Sheet by Leigh Purvis and Lee Rucker finds that premiums for many popular plans will actually be considerably higher than they were in 2012. Many plans are also increasing cost-sharing and their reliance on utilization management tools for covered prescription drugs. Medicare beneficiaries should closely examine their 2013 prescription drug plan choices during open enrollment for Part D.
Source: aarp.org

Florida Medicare Part D Plans

Anyone who require for this medical facility can opt for this service in any case if he or she is with limited source of income. Those who do not earn much have facility of getting extra help for various services that included in medication part D plan. $4,000 is almost amount that you will get as an extra help from these medication plan. Monthly premium and it can also be your prescription payment for which you will get all help. This can act as big saving for those who do not earn much. So make sure that are you clearing criteria of getting that much help.
Source: medicare-supplement-advisor.org

The Hunt is Afoot For Medicare Part D

You can complete an easy-to-use online application for Extra Help at www.socialsecurity.gov. Click on Medicare on the top right side of the page. Then click on “Get Extra Help with Medicare Prescription Drug Plan Costs.” To apply by phone or have an application mailed to you, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778) and ask for the Application for Extra Help with Medicare Prescription Drug Plan Costs (SSA-1020). Or go to your nearest Social Security office.
Source: patch.com

Tips for Navigating the Medicare Part D Plan Selection Process

There are many factors to consider when reevaluating your prescription plan during open enrollment period. Each year, annual out-of-pocket expenses, premiums, deductibles and prescription co-payments can change, while the costs and drugs covered under Medicare Part D may vary according to plan and region. If your prescriptions have changed, you’re traveling more frequently or have moved, it’s important to reevaluate your current prescription plan. Opting for the right plan can help save you money and benefit your overall health. These may not necessarily be the first things that come to mind when you’re thinking about the open enrollment process, so talk to your pharmacist because we can help make the process a lot less confusing.
Source: agingabundantly.com

Medicare Part D: A First Look at Part D Plan Offerings in 2013

NOTE: Originally released in October 2012, this data spotlight was updated in November 2012 to reflect revised data from the Centers for Medicare and Medicaid Services. 
Source: kff.org

Medicare Part D: Choosing the Right PlanNetpharmd

All plans implemented tier system with: Tier 1(Lowest co-pay): This tier covers preferred commonly used generic drugs Tier 2(Low co-pay): Non-preferred generic drugs. Usually more expensive compared to those in tier 1. Tier 3(Medium co-pay): Preferred brand name drugs(and some higher‑cost generics) Tier 4(High co-pay) Non-preferred brand or generic drugs. Tier 5(No longer called co-pay , but rather co-insurance): Includes extremely expensive specialty drugs, for which you have to pay a part of total drug cost.
Source: netpharmd.com

Seniors Pay Too Much for Medicare Part D

Insurance companies offering Part D drug insurance are required to mail information about the coming years  premium costs and drug coverage to current members well in advance of the December deadline.  These hefty documents arrive just ahead of the busiest time of year and, after reading the cover letter stating they will be automatically signed up if they do nothing, many do just that: nothing.  Unlike other types of insurance, Medicare Part D drug coverage changes every year because new drugs, manufacturing costs, regulations and effectiveness findings come out literally every day.  As a result, insurance companies must change their formularies, the list of the drugs they cover and the cost, at least every year.
Source: californiahealthplans.com