Signing Up for Medicare Benefits, Act Now!

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Clean it Up NOW! by eyewashdesign: A. GoldenThe opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Source: webmd.com

Video: Medicare Enrollment | Medicare Sign Up | Apply for Medicare

Doctor pleads guilty to taking kickbacks in Medicare scam

This week, two owners of Miami home health care agencies pleaded guilty to a $48 million fraud scheme. Rogelio Rodriguez, 43, and Raymond Aday, 48, paid recruiters to send patients to Caring Nurse Home Health Corp. and Good Quality Home Health Inc. Prosecutors said nurses and other staff at the agencies falsified patient files to make it appear as though they needed home health care services.
Source: californiawatch.org

How Obamacare Will Affect Medicare Recipients in 2013

David, I sure wish you folks would come clean on the tough issues! Especially, now that you don’t have to worry about re-election again: More specifically, end-of-life treatment plans/living wills. A medicare financial expert on one of the financial news channels indicated that he suspected, "if everyone just documented their wishes for final care, we would save enough money to balance the federal budget". I believe there is fair consensus among experts that 25% of Medicare funds is spent on people in their final months of life. The suspicion is that most of us would say something to the effect: "When it’s my time just make me comfortable" versus the situation now which is, ‘without judgment, how can we keep this person alive?’. Would it be too much to ask every American to document their desires so that surviving family members don’t have feel like they are making life and death calls for a loved one?
Source: patch.com

Medicare open enrollment: Why should I sign up for Part B or Part D if I’m healthy?

If you don’t sign up for Part B when first eligible, you will be assessed a permanent 10 percent surcharge on your premium for every year you could have been on Part B, but were not. So already the woman, at 66, is looking at a 10 percent fine. Even worse, if you eventually do decide to go on Part B, you can only do it during the annual general enrollment period. The next one is Jan. 1 through March 31, 2013, with coverage to begin on July 1. So if you were to be diagnosed with breast cancer today, you’d have to foot the entire bill for your outpatient treatments for the next eight months.
Source: consumerreports.org

Tricare Help – USFHP says I don’t have to sign up for Medicare; should I stick with them?

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

Medicare Sign Up/ Change Deadline is December 7th!

Saturdays from 10:00am-Noon. AM 1340 & FM 94.3, WRHI in the Rock Hill and Charlotte area. A fun, energetic live talk radio show about seniors, aging, caregiving, and much, much more! Call Us Live at… 1-803-324-1340
Source: radio4theages.com

Medicare, Other Entitlements Hanging In Balance As Fiscal Cliff Talks Hit Wall

ABC News: ‘This Week’ Transcript Sen. JOHNNY ISAKSON, R-Ga: “If we get down to the end of this year and the only choice we have is to save taxes going up on the middle class, then I would support that, but I wish we would have a comprehensive bill that dealt with spending, dealt with entitlements and dealt with taxes altogether. That’s really what we ought to do.”… GROVER NORQUIST: “There is a plan to actually solve the debt that’s been run up, the deficits that continue, the entitlement reform and tax reform to get more pro-growth tax reform, and that’s the Ryan plan, which has actually been passed twice by the House of Representatives. People can talk — GEORGE STEPHANOPOULOS: No support in the Senate, no support from the president. It’s not going anywhere. NORQUIST: But the Democrats in the Senate haven’t done a budget in three, four years, haven’t put anything forward that deals with entitlements” (12/23).
Source: kaiserhealthnews.org

Medicare Cuts to Provider Payments or Actual Medicare Reform?

Comments are subject to approval and moderation. We remind everyone that The Heritage Foundation promotes a civil society where ideas and debate flourish. Please be respectful of each other and the subjects of any criticism. While we may not always agree on policy, we should all agree that being appropriately informed is everyone’s intention visiting this site. Profanity, lewdness, personal attacks, and other forms of incivility will not be tolerated. Please keep your thoughts brief and avoid ALL CAPS. While we respect your first amendment rights, we are obligated to our readers to maintain these standards. Thanks for joining the conversation.
Source: heritage.org

Rancho Santa Clara: Medicare knocking at my door

AARP will sign you up and then clobber you with useless mailings, solicitations and lame publications as early as your fiftieth birthday, while you may still be working, and keep at it until long after you die unless some thoughtful relative mails in a cancellation notice in your stead. And with the ever-so-“flexible” and “efficient” American economy, your employer can lay you off and effectively send you into retirement without waiting for your fifty-fifth, sixty-second or any such arbitrary birthday. Losing your job is not necessarily a marker of old age or incompetence anymore. Often it’s just bad luck. The ticking of the Medicare clock, however, is precise and inexorable. If you choose to continue to work after your enrollment, goody for you, particularly if you love what you do and you’re not doing it just out of economic necessity. Indeed, I’m jealous of octogenarian artists, writers, scientists and other inspired sorts who whistle away the hours in their garrets or laboratories until they keel over their easels, typewriters or beakers without even a final “ciao.” Way to go, I say. That bliss, sadly, is relatively rare. Besides, even joyful work doesn’t necessarily extend your life though it certainly simplifies choices: It saves you the chore of  deciding whether you’d rather spend a month in the Patagonia, take up scuba diving, write a novel or do anything else other than work. As I approach the sixty-five-year-old threshold–hey, there are three days left–what I feel most is the pressure of time, both short- and long-term. During the recent funeral of an uncle I noticed the Laniers seem to be long-lived tribe. My dad died a few days before his ninety-fourth birthday; my uncle at ninety-two; and my aunt Ofelia at ninety-six, though during her last couple of years her mind kept flickering like a fading shortwave station. My mom lived to be eighty-eight. Stew’s family is also of durable Norwegian stock, good for about  ninety years, the last couple of which Stew’s dad spent in a nursing home reaching for the ass of a young nurse he fancied. Our actuarial tables would suggest that Stew and I might be around for another twenty years or so. A friend counseled us to divide that remaining time into three parts: The go-go years, when we can still climb Machu Picchu and trek through the Galápagos; the slow-go years, when cruises with off-shore excursions may be more appropriate; and finally the  no-go years, which we might spend in a nursing home like Stew’s dad, though in our case hoping for a comely male nurse to join the staff. When we retired our friends kept posing the same tiresome question: But what do you do all day long? The question, though well-meaning, to me had a whiff of contempt, as in “what do you when you’re out to pasture or otherwise useless”? It’s a question that becomes more impertinent and irrelevant every day. Fact is that anymore I find time becoming a tyrant, not because of any boredom and emptiness it might bring, but because of the constant proliferation of interesting things and projects swirling in my head, clamoring to be mastered or at least attempted before the no-go years. Priorities suddenly are a preoccupation, though I haven’t developed a system for ranking–or abandoning–projects because I have only twenty or twenty-five years in which to accomplish them. I would like to write something substantial, a book-like creation, though the subject eludes me. Photography, an on-and-off hobby since I was a teenager, suddenly is taking more of my life now that I have more time and money to devote to it. Gardening beckons too, though I don’t know if it’s an avocation or in the hostile terrain of San Miguel a challenge, in the order of man-versus-nature. Having more time to read also constantly reminds me how much I don’t know. And with the usefulness of any new knowledge suddenly unimportant–remember, I’m not cramming for a final exam or to impress my boss–I’m free to careen from one topic to the next. I’m now on a tour of the battlefields of the American Civil War, which I know little about, after which I could take up a novel with no special practicality except it’s a fun read. My tolerance level also has dropped significantly. I don’t put up with boring books, articles, TV shows or movies. I don’t have to. There’s not enough time. It’s a pretty enjoyable existence I’d like to keep go-going as long as I can. And I’m not going to let the addition of my Medicare card to my wallet wreck the feeling.
Source: blogspot.com

Listen Up, White House! Take Medicare Eligibility Age Off The Table NOW.

…with the electorate. Act 1. A disaster scenario (created by the WH & Congress) aptly named a ‘fiscal cliff’ MUST be solved by Dec. or we’ll all die. Both parties posture and pose and pretend to hold out for a deal their base supports. Act 2. Media run non-stop stories about the fiscal cliff ‘disaster’. Theme: If no compromise is reached before (artificial) deadline life will end for us all. Good cop, bad cop drama ensues. Act 3.The WH/Congress leak Pete Peterson’s plan to a couple of insiders to float. Outrage from both bases. Media frenzy. WH/Congress wait out the storm. Act 4. Float a slightly more palpable plan with “tweaks”. Media insiders in both parties give it a tepid thumbs up claiming it was the best they could do given the intransigence of the other party. Act 5. Tweaked entitlement “reform” bill gets bipartisan support. Act 6: The public finds out 9 mos later about the poison pills lobbyists for Pete Peterson wrote into the bill. Act 7. Medicare age raised to 67. SS cola ‘tweaked’. Taxes raised 2% on millionaires. Captial Gains tax untouched. Defense cuts- not so much.
Source: crooksandliars.com

Social Security and You: Signing up for Medicare

However, WEP does not affect benefits paid to your wife as a widow in the event of your death. For example, a worker and spouse both claim their benefits at full retirement age. Because the worker receives a pension based on work not covered by Social Security, the benefit amount under the WEP benefit formula is $700. Based on the WEP benefit amount, the spouse’s benefit is $350 (one-half of the worker’s WEP benefit amount). When the worker dies, the WEP reduction is removed. The surviving spouse’s benefit is refigured using the regular benefit formula.
Source: mysanantonio.com

What Is A Medicare Supplement

There are ten different Medicare supplement plans.  Each one is given a different letter.  The letters skip a few here and there because plans that were once available have been retired and the labeled the new plans with the next letter in the alphabet so as not to create confusion for people who were grandfathered in on the old plans.  The plans themselves cover a varying number of combinations of the nine different coverage gaps that were left by the coverage you get with Medicare Part A and Medicare part B.  The Gaps include: the deductible, coinsurance, first three pints of blood and hospice care from Medicare Part A, The deductible and coinsurance for Medicare Part B, skilled nursing facility care, and expenses for foreign travel emergencies. Which plan you select dictates how many or what combination of these coverage gaps are covered.  Plan A covers only four of the gaps while Plan F covers all nine.
Source: seanbrock.com

How To Get A Medicare Plan After Annual Enrollment Ends

After all the attention Medicare’s annual enrollment period got from October 15 through December 7, other chances to sign up for a Medicare plan tend to be overlooked. You can actually get certain plans at different times of the year, and here are brief explanations about the kinds of Medicare plans that are available and when you can enroll.
Source: streetarticles.com

Windsor Medicare Extra Hosts Behavioral …

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Source: neurophysiologyblog.com

Video: Windsor Medicare Extra – Dually Eligible- Medicare and Medicaid.mp4

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

Windsor Medicare Extra Bought by Sterling

The acquisition should be good for all of us. We need more large Medicare Advantage companies to stay in the market. Smaller companies that don

AFLAC Medicare Supplement Plans Now Released in Indiana

Posted by:  :  Category: Medicare

Please Note: Commission schedules for Indiana have changed from the original schedules.  Under the new commission schedules all premium is commissionable at the same commission level. There is no reduction in comp for G.I. business. There is no non-commissionable premium in Indiana. The Part B Deductible portion of the premiums is fully commissionable. The only exception is that the commission rate is applied to the original premium. No commission is payable on future rate increase premium.  No commission is payable on the policy fee.
Source: ihealthbrokers.com

Video: Medicare Supplement Quotes

Medicare Supplement Insurance Plans

You just need to fill out a fundamental questionnaire when employing a service to get Medicare Prograde supplement evaluations Supplement Insurance Plans.  Prices from multiple providers will be collected for you so you can evaluation the policy figures and rates from all the insurance providers.  You can choose out those insurance plans that give you exactly what you need to have and that are within your economic attain.
Source: lapappalpomodoro.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

When Can I Get Out of My Medicare Advantage Plan?

First and foremost, you should apply for the supplement plan with either a February 1 or March 1 effective date. Approval on a Medigap policy can take 2-3 weeks to complete underwriting. So it is important to do this well in advance of when you want the plan to start. For example, if you want to make the changeover effective 2/1/13, apply early in January for the supplement (or even during the last couple weeks of December). Once your Medigap plan is approved, you can proceed with returning to Medicare with a Part D plan. The easiest way to do this is to call Medicare (1-800-MEDICARE) and select a Part D plan, while at the same time disenrolling from your Medicare Advantage plan. You cannot have both a Part D plan and a Medicare Advantage plan, so this changeover can be done within the same phone call. Make the changeover effective either 2/1/13 (if doing it in January) or 3/1/13 (if doing it between 2/1 and 2/14).
Source: medicare-supplement.us

Medicare Supplement Insurance coverage

When you utilize a internet site to acquire Medicare Supplement Insurance, all you have to do is total a type that asks basic details such as your gender Prograde supplement evaluations and age.  You will see distinct insurance coverage policies from varying providers and you will be capable to critique the costs and policy figures from each provider.  In the finish you can decide on the insurance policies that offer what you require and that are financially sound.
Source: generic-vicodin.com

United American Medicare Supplement Insurance Quotes

Fortunately, United American is one of those companies.  At present, they offer some of the lowest priced High Deductible F Plans across the state.  That is great for seniors who want a low priced Medicare insurance plan with a reasonable deductible.  (As of 2012, the HD Plan F deductible is $2,070 yearly.)
Source: ohioinsureplan.com

Picking A Medicare Supplement Quote

There is always the requirement to make sure that medical attention is received and kept up with throughout the course of daily life. This is a demand that is much more certain to people that have reached an older age in life which has actually made their body age and be subjected to more serious health dangers as an outcome of the process. Anyone that is seeking this kind of guidance ought to be capable of choosing a Medicare supplement quote to assist lead their medical requirements.
Source: vvy.in

Picking A Medicare Supplement Quote

Medical treatment is typically thought about to be a demand for people in order to take care of greater levels of health and health. This is a certain demand that is progressively more essential as individuals age and the body changes to call for even more certain and focused treatment options throughout the course of their life. Anybody considering this specific price and trying to find guidance ought to be capable of choosing a Medicare supplement quote to ensure they receive the coverage they need. Medicare supplement insurance is a kind of insurance coverage that is created to cover the medical expenses that are not covered under traditional Medicare benefits. This is an insurance plan that is provided from very specific service providers and supplies a considerable opportunity for individuals to keep their medical expenses as measured and well maintained as possible. A lot of consumers are very mindful when selecting a policy. Getting Medigap quotes process is generally one of the most popular ways by which people have the ability to receive their kind of insurance coverage needed. This is typically a process that enables the consumer a possibility to weigh in as many policy options as feasible and can easily be very tough to take care of. Keeping different features in mind assists anybody make this variety in an economical way. Consumers should initially assess the entire Medigap enrollment process with each dollar amount that is being evaluated. Each provider has particular steps that must be followed in order to successfully buy a coverage policy. The most basic and efficient process is always the most successful to think about and actually purchase. Pay attention to the real quantity of protection that is being delivered with each quoted price. The policies offered within this coverage option are frequently based upon particular maximums that have the ability to be made use of throughout a whole insurance coverage duration. These options should be weighed against current coverage possibilities to ensure they are efficient. Customers ought to additionally search for any sort of types of premiums or co payment demands that are set forth by the protection choice. Each policy of this kind requires the patient to pay particular quantities to their service providers in order to get the rest of their benefits. These quantities can rapidly add up in dollar quantity if not very carefully weighed in. Selecting a Medicare supplement quote must finally feature an evaluation of the month-to-month premiums that are required to be paid. The premium quantities are normally extremely competitive among suppliers which can easily be hard to arrange out. The smaller sized monthly premiums for the most protection is consistently a best practice to choose from.
Source: blogspot.com

Medicare Supplement Plans

Medicare coverage has become restricted. Those who are just beginning, or have already reached their Golden years, are more susceptible illness.  To benefit from sickness benefits with ample coverage, a Medicare Supplement is a must. To find the right Medicare Supplement plan for you, medicarequotefinder.com is the way to go.  Search for the Medicare supplement that will complement your already existing Medicare coverage. Sometimes Medicare Supplements can be difficult to understand.  There are many different plans with many different types of coverage, and occasionally you get lost when all you want is to find the Medicare Supplement that you know will work best for you. Medicarequotefinder.com doesn’t want you to feel lost in the maze of Supplement plans. They make it easy to maneuver through their site to find what you need.
Source: medicarequotefinderblog.com

Running a California Medicare Supplement Quote

Like many Californians, you find yourself turning 65 or coming off of group coverage at a later age which seems to be a trend now after the economic tumult of recent. Either way, there’s a silver lining if you’ve been paying for your own health insurance since you’re now ready for Medicare and a California Medicare supplement plan. Where to start? If you’re like everyone else, the first question is how much does all of this cost and we’re happy to help on that front. There are a few pieces to look at but primary in that calculation is the cost that a California Medicare supplement insurance plan will run. Let’s take a look at running your California Medigap quote. We’ve been dealing with California Medicare for decades now and we can still think back to bad ol days of having boxes of brochures dropped off in the mail from every major California Medigap carrier on the market. Literally boxes and each time there was a change in rates or benefits, we would have to order a whole new box. The old stuff went into recycling but it was still depressing to throw out reams of shiny, glossy California Medicare supplement brochures in all their glory. That was then. Things have changed quite a bit since the advent of the internet and many trees have been spared but that’s the only benefit. The world of quoting California Medicare supplements has gone electronic! This change is a huge benefit to you, the shopper when running a California Medigap quote. Let’s see why. You can now price check California Medicare supplement plans (and Advantage plans) with just a few key strokes online across multiple carriers. Better yet, you can have us as licensed California Medigap agents search the market for you and track down who has the best quote for your particular situation. There’s no cost to doing this at all which makes it a no-brainer. We can deal with all the major carrier and weed out those which are not strong or stable going forward. California Medigap plans are priced by age bands and roughly by area. Although the Medicare program itself is Federal, each State’s insurance market including California’s Medicare supplement market is still regulated at the State level. This means that your quote will vary based on your age and where you live. The actual quote should be fairly similar from carrier although they all have slightly different ways of scaling the rates across age bands which is where we come in handy. We can not only look at your current rate but what it will be (assuming some level of inflation going forward and rate changes as a result of legislative changes) in later years based on today’s rate. If you’re in a guaranteed issue window such as just coming off group coverage or turning 65 (there are others you can check out at californiamedigap.com, the rates cannot change due to your current health and California Medicare supplements are guaranteed issue. Keep in mind that if health changes, it can be difficult if not impossible to change plans later on so it’s important to quote a strong carrier and plan now. California Medicare supplements are very competitive in terms of pricing as we have so many large carriers in the market. This is a good thing for you the shopper but definitely requires the aid of an experienced, impartial licensed agent to help navigate all the various options. Running a California Medicare supplement quote no longer requires boxes of brochures and rate guides but the multitude of options on the California Medigap market necessitate some guidance from a licensed professional. How can we be of service? Dennis Jarvis is a licensed insurance agent concentrating on California Medicare supplement insurance.

Obama’s Medicare Plan: Seniors Will Pay More

Posted by:  :  Category: Medicare

Senate Dems Protest Medicare Cuts by Talk Radio News ServiceObama’s latest budgetary scheme for cost-shifting to seniors is just another indication that the Administration and its allies on Capitol Hill are running out of options. They have already cut the Medicare provider payments to achieve a 10-year “savings” estimated at $716 billion, but most of those “savings” will finance Obamacare. In a letter to Senator Jeff Sessions (R–AL), ranking member of the Senate Finance Committee, the CBO writes, “Unified budget accounting shows that the majority of the HI trust fund savings under PPACA would be used to pay for other spending and therefore would not enhance the ability of the government to pay for future Medicare benefits.”
Source: amac.us

Video: How to Understand Medicare Plans

Study Finds Premium Support Plan Could Raise Medicare Premiums In Many Parts of Country

The study modeled the impact of a generic version of premium support, under which beneficiaries would receive a defined subsidy, or voucher, to buy health insurance in a competitive market instead of getting a guaranteed set of benefits as Medicare has traditionally provided. That payment would be tied to the second lowest cost plan offered in an area or traditional Medicare, whichever is lower. This kind of a change is a central part of the House Republican budget written by Rep. Paul Ryan of Wisconsin, now the GOP’s vice-presidential candidate, and it has also been embraced by GOP presidential nominee Mitt Romney. Even a few Democrats have flirted with such a plan as a way to leverage market efficiency to rein in the spiraling cost of Medicare.
Source: kaiserhealthnews.org

Why Private Medicare Plans Don't Cost Less

Many contend that the government “overpays” for people enrolled in private plans, since traditional Medicare could have covered these patients for less money. But the reason it would have cost less is partly that the government has done a woeful job in figuring out how much to pay the private plans. The government compensates insurers based on the health of their enrollees at the start of the year. Plans with healthier patients receive less money than those with sicker ones to reflect the likelihood that healthier people will use less care. Healthier patients enroll in Medicare Advantage plans, so in, principle, plans should be reimbursed less by the government for enrolling these patients (the technical term for this process is “risk adjustment”). But for decades, the government has failed to determine who is healthy and who is sick with any precision, with the result that private plans receive larger payments to cover their patients’ costs than necessary. This botched payment system gives insurers an incentive to spend more time selecting the healthiest patients, and less time treating them more efficiently.
Source: nytimes.com

5 mistakes retirees make choosing a Medicare plan

It’s also easier to find quality plans this year, according to the Centers for Medicare & Medicaid Services, which has beefed up its star ratings system to alert consumers to the best-performing plans and remind those stuck in continuously low-performing ones that they can switch plans. Beneficiaries have 127 four-star or five-star Medicare Advantage plans from which to choose, up from 106 during open enrollment for 2012. And those in original Medicare have 26 high-performing prescription drug plans at their disposal, up from 13 last year.
Source: sltrib.com

How To Get A Medicare Plan After Annual Enrollment Ends

After all the attention Medicare’s annual enrollment period got from October 15 through December 7, other chances to sign up for a Medicare plan tend to be overlooked. You can actually get certain plans at different times of the year, and here are brief explanations about the kinds of Medicare plans that are available and when you can enroll.
Source: streetarticles.com

Medicare: Save Money on Premiums and Copayments in 2013

More plans offer lower copays at "preferred" pharmacies: In 2013, for example, more than half the 32 Part D plans in California will charge lower copays at preferred pharmacies than at regular network ones — with savings of between $2 and $28 for the same prescription. Sounds like a deal, but be careful: If a plan’s preferred pharmacies aren’t within a convenient distance, you may be better off in another plan.
Source: aarp.org

Smith’s Mom Endorses Medicare Plan in New Ad (Watch Video)

Both parties have been banging the Medicare drum for the 2012 cycle, each with misleading claims about the other party’s plans. Smith’s ad accuses Casey of voting to cut $716 billion from Medicare when he supported Obamacare. However, that $716 billion would affect providers, not beneficiaries. And, Smith has voice support for Rep. Paul Ryan’s budget, which leaves the exact same $716 billion out of Medicare.
Source: politicspa.com

Report estimates health plan overbilled Medicare $424M

Dec. 17, 2012 – Medicare may have overpaid an estimated $424 million to PacifiCare of California’s Medicare Advantage plan based on risk assessments that in many cases made patients seem sicker than they were, according to a federal oversight agency. Medicare Advantage plans send patient diagnosis codes to Medicare, which boosts plan rates if clients are affected by serious medical conditions. A new report by the U.S. Health and Human Services inspector general says PacifiCare was paid extra for treating patients with cancer or a dangerous bloodstream infection even though medical records didn’t describe those ailments. UnitedHealth Group, which now owns PacifiCare of California, disputed the inspector general’s findings, saying the review of 100 cases could not be generalized to hundreds of other claims. “The audit does not follow Medicare’s own guidelines, standards or accepted methodology for validating risk-adjustment payments,” a statement by UnitedHealthcare Medicare & Retirement says. “In fact, it differs significantly from (Medicare’s) adopted methodology. The OIG appears to have relied instead on a methodology of its own making.” The inspector general’s office reviewed UnitedHealth’s response before issuing the report and maintains that its methods are valid. The report, released Thursday, calls on Medicare to review its findings and discuss them with PacifiCare. A Centers for Medicare & Medicaid Services representative said the agency, which administers the Medicare program, is aware of the report and is willing to work on the matter with PacifiCare. Medicare Advantage plans collect patient diagnoses from doctors and hospitals that are used to assign risk scores to clients. Patients with serious medical conditions entitle the plans to heightened per-patient, per-month Medicare payments. The inspector general reviewed a 2007 contract between Medicare and PacifiCare. Under that contract Medicare paid PacifiCare $2.3 billion to administer care for 188,829 clients. The review examined 100 clients’ risk scores, diagnostic codes and related medical records. The inspector general concluded that 55 risk scores were valid, but 45 were not supported by information in patient charts. The inspector general found that PacifiCare submitted a diagnosis code for a genetic disorder characterized by abnormal brain function in a patient whose records only discussed a fever and a cough. Another patient was reported to have prostate cancer when medical records discussed a shoulder suture removal. For a third patient, PacifiCare submitted a diagnosis code for “unspecified septicemia,” a lethal infection of the bloodstream, when medical records discussed a knee surgery and did not mention a bloodstream infection, the report says. The inspector general directed PacifiCare to repay Medicare $224,388 that was overpaid as a result of the 45 charts with unsupported diagnoses. Applying the estimated overpayment rate to 188,000 PacifiCare patients under the 2007 contract, the inspector general estimated that Medicare overpaid about $424 million. UnitedHealth said in its statement that it has worked with Medicare to improve the accuracy of health plan payments and will continue to do so. “Payment accuracy is in the best interests of UnitedHealth, our health care system partners, and Medicare as we collaborate to provide coverage and care that Medicare beneficiaries need, at a price they can afford,” the statement says. The report comes amid a series of watchdog agency and news reports that examine enhanced Medicare payments that can flow to health providers if they overstate the intensity of patient demands or the severity of their medical conditions. The inspector general found in November that Medicare overpaid nursing homes by about $1.5 billion in 2009 based on claims that patients needed “ultra high” levels of therapy. The report found that claims were “upcoded” because the records showed that the patients either did not need or get the therapy in many cases. The Washington Post also examined “ultra high” therapy use in 2010, focusing on a chain that operates dozens of homes in California. The Center for Public Integrity reported in September that doctors and other medical professionals are steadily billing higher rates for treating Medicare patients, signaling a possible increase in billing abuse. And California Watch reported on high rates of severe medical conditions that entitled Prime Healthcare Services, a growing California-based chain, to bonus payments. Prime Healthcare has said its Medicare billings are legal and based on appropriate patient care. www.CaliforniaWatch.org
Source: yubanet.com

3 Reasons Why You Should Consider Purchasing Supplemental Health Insurance

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSThere are many reasons why you should consider purchasing supplemental health insurance in order to go with the insurance that is provided by your employer. Supplemental insurance can be a great way to add to the coverage that you already have, in an effort to ensure that you were able to get all of the coverage that you need, and are never left with paying out-of-pocket for expensive care. A few of the reasons why you should consider supplemental health insurance include Vatican provide you with specific coverage for a certain element, the fact that you can find coverage for pre-existing conditions that are not going to be covered under your current plan, and the fact that it just allows you to be more safe overall and ensure that you are always going to have health coverage.
Source: selfgrowth.com

Video: What is Supplemental Health Insurance?

Aarp Supplemental Health Insurance Quotes

People World Health Organization notice aarp supplemental health insurance quotes rather not possible to own still hold tight the hope being offered by the new government legislation. In 2012 the Patient Protection and reasonable Care Act became a law designed to deal with various objectives altogether. of those objectives, one in all the foremost necessary is within the guaranteeing of access to aarp supplemental health insurance quotes treatment for many folks particularly those that are denied of such as a result of they need no cash. but this may additionally mean value and another objective in want of economical address is equalisation the budget.
Source: quickerinsure.com

Cost of Supplemental Health Insurance is Less Than a Daily Latte

One in ten Americans drinks an espresso, cappuccino, latte, or similar specialty beverage every day. These drinks are delicious, but do nothing to secure family finances for people who experience a medical event.
Source: ask4benefits.com

Supplemental Health Insurance Rates

When you make use of a site to obtain Supplemental Health Insurance Rates, you just have to complete a questionnaire with basic questions.  You will be presented with the quote from each provider and you will be able to review the policy figures and prices from each provider.  You will be able to sort out the policies that meet your needs and that are in your budget.
Source: som2ny.com

Do I Need A Medicare Supplemental Insurance Policy?

The cost of each plan will be based on the age, gender, overall health, and location of the individual to be insured. Anyone just turning 65 or going on Medicare Part B for the first time can enter into a plan during the Open Enrollment. Open enrollment means that for 6 months, individuals have the opportunity to enroll in a Medicare supplemental insurance plan without having to go through a health examination. Anyone with a serious health condition or lifestyle that normally would result in an increased premium for their health insurance, for example smokers, can enroll during this period and pay the exact same rates that any other insured individual would pay.
Source: skepticwiki.org

Supplemental Health Insurance Coverage Options and Benefits

Disability earnings protection assists guard from sudden lost earnings by delivering a month-to-month benefit that will help spend the bills. Lasting treatment insurance policy will help plan holders offer aided by the higher price of long-lasting care, such as assisted dwelling facilities, health-related household care, adult day treatment, and the like. Aided by the charge of regular health care spiraling ever higher for everybody, specifically the self-employed, Supplemental Health Insurance has become a necessity have for anybody seeking to stay physically and fiscally healthy.
Source: acutezmedia.com

Insurance Options: How to Apply for Supplemental Health Insurance

Supplemental health insurance might help you to gain more benefit from the existing health insurance plan, minus the need to change provider or to surrender your present cover. The extent of cover that you can acquire from health insurance differs a lot, from the most elementary policy that will only cover you when it comes to an accident or a certain illness, to a extensive policy that won’t only cover you for every medical scenario, it will likewise get you more superb accommodation inside a hospital or even day clinic if you need it. This sort of insurance is available in any developed country nevertheless the way it really works will alter from one jurisdiction completely to another. Generally in most Western countries, there’s a national health plan that efficiently underwrites the likelihood of every person in the populace. This structure will provide you with the most basic degree of health care, but it’s going to make sure that one does acquire this fundamental care. Should you take out any health insurance, it’ll be supplemental as it will likely be what the state gives. In the US, there is no nationalized health scheme, therefore you must commence with buying basic cover. Occasionally, this particular basic cover is supplied as part of a manager compensation system. This method is effective for all parties, because the employee does not have any concerns about heading out and discovering their very own policy, while the employer knows that they can hire high quality employees through offering this particular benefit. In this case, the cover is not likely to be anything more than simple health cover unless of course the task is certainly a high paying one. If you’d like more extensive cover, you will have to take out a supplemental health care policy at added fee. There is certainly every chance that supplemental health insurance will end up more expensive within the coming years, pursuing the execution of the Patient Protection and Affordable Care Act. This kind of Act can give increased admission to fundamental care for all those who’ve earlier been not able to pay for it, yet this clearly has to come at a cost. There will be additional taxes and also costs on numerous medical products, and these fees will need to be the end customer. Ultimately, greater rates of taxation unavoidably imply that individuals with greater incomes wind up footing the check. It is usually more difficult to supplement insurance as compared with how it is to purchase it to begin with, since you need to ensure that you don’t pay for something which replicates what you might be already receiving, whether it is with an employer scheme or through your own original purchase. This is made easier by having extensive explanations of items on the internet, thus you may speedily discover new goods that might be appropriate for the cover you currently have. If you are dealing with a small enterprise and they currently have you as a present customer, they might be ready to make a custom package. Be cautious with buying supplemental health insurance if you’re approaching retirement age, simply because health insurance can become an extreme financial problem at this time. Usually, you might be more satisfied reducing the sum of insurance you have so that you can put more cash within your savings program. The moment you retire, you could withdraw a onetime payment tax free, and this could act as a part of your cover for health payments, as well as for other possible emergencies. Of course, in case your health is declining you might well need to take a different strategy.
Source: blogspot.com

Help Getting To Grips With The Michigan Medicare Supplemental Plan

You can join during the seven month window period which begins three months prior to your birthday month and three months following your birthday month. Medicare programs are available to present the lowest workable medical expenses for people. As with any insurance coverage you may be planning to buy, choosing the right medicare supplemental plan will need you to understand exactly what your choices are. It consisted of two parts. Coverage in other states. Health insurance companies set their medigap policies price by setting their own monthly premium. It is important to understand what options are available and what plans are best set up to meet your exact need. But after you get retired from your job and you have a limited amount of money then your tension and worry about your health becomes double. If you cannot even begin to imagine such a scenario, it’s good to take steps as early as now in the form of medicare supplemental health insurance. A good agent will be able to show you all the plans available from the major insurance carriers. The problem becomes the burden when the hospital bills go high and you are unable to pay it. You can join during the seven month window period which begins three months prior to your birthday month and three months following your birthday month. Through net search or experienced professional agent can be helpful for those who are new and confused about the varied plans and their rates.
Source: labviewwiki.org

2013 Not Looking Good for Rehab Services Under Part B

Posted by:  :  Category: Medicare

In the Final Rule, CMS also elaborated on the implementation of the of the new non-payable G codes and modifiers identifying functional status and goal status of Medicare B recipients. CMS made a few concessions based on the comments received to its Interim rule publication, but will not change the mandatory requirement for these codes by July 1st 2013 (as required under statute). CMS indicated that it was not mandating a specific system to use but was letting each provider determine that for themselves. Throughout the rule, FOTO is mentioned frequently as being one of the functional measurement instruments that they identified in the Coverage Manual.
Source: encompassmedicare.com

Video: How to Understand Medicare Plans

How Obamacare Will Affect Medicare Recipients in 2013

David, I sure wish you folks would come clean on the tough issues! Especially, now that you don’t have to worry about re-election again: More specifically, end-of-life treatment plans/living wills. A medicare financial expert on one of the financial news channels indicated that he suspected, "if everyone just documented their wishes for final care, we would save enough money to balance the federal budget". I believe there is fair consensus among experts that 25% of Medicare funds is spent on people in their final months of life. The suspicion is that most of us would say something to the effect: "When it’s my time just make me comfortable" versus the situation now which is, ‘without judgment, how can we keep this person alive?’. Would it be too much to ask every American to document their desires so that surviving family members don’t have feel like they are making life and death calls for a loved one?
Source: patch.com

Tricare Help – Can wife, over 65 but ineligible for Medicare, be put on Tricare Prime?

What you need to do is contact your local Social Security Administration office and make them aware that your wife is not eligible for Medicare Part A under either her own work history or yours. As such, she should be eligible to receive a “Notice of Disapproved Claim” from the SSA. Once you have that in hand, take it to your nearest military installation ID Card/DEERS office. DEERS is the Defense Enrollment Eligibility Reporting System, the Defense Department’s eligibility portal for Tricare. The SSA’s “Notice of Disapproved Claim” should be sufficient to allow your wife to retain eligibility for Tricare Prime, Standard and Extra even though she is already past her 65th birthday, once you update your wife’s DEERs registration file and get a new ID card for her.
Source: militarytimes.com

Rancho Santa Clara: Medicare knocking at my door

AARP will sign you up and then clobber you with useless mailings, solicitations and lame publications as early as your fiftieth birthday, while you may still be working, and keep at it until long after you die unless some thoughtful relative mails in a cancellation notice in your stead. And with the ever-so-“flexible” and “efficient” American economy, your employer can lay you off and effectively send you into retirement without waiting for your fifty-fifth, sixty-second or any such arbitrary birthday. Losing your job is not necessarily a marker of old age or incompetence anymore. Often it’s just bad luck. The ticking of the Medicare clock, however, is precise and inexorable. If you choose to continue to work after your enrollment, goody for you, particularly if you love what you do and you’re not doing it just out of economic necessity. Indeed, I’m jealous of octogenarian artists, writers, scientists and other inspired sorts who whistle away the hours in their garrets or laboratories until they keel over their easels, typewriters or beakers without even a final “ciao.” Way to go, I say. That bliss, sadly, is relatively rare. Besides, even joyful work doesn’t necessarily extend your life though it certainly simplifies choices: It saves you the chore of  deciding whether you’d rather spend a month in the Patagonia, take up scuba diving, write a novel or do anything else other than work. As I approach the sixty-five-year-old threshold–hey, there are three days left–what I feel most is the pressure of time, both short- and long-term. During the recent funeral of an uncle I noticed the Laniers seem to be long-lived tribe. My dad died a few days before his ninety-fourth birthday; my uncle at ninety-two; and my aunt Ofelia at ninety-six, though during her last couple of years her mind kept flickering like a fading shortwave station. My mom lived to be eighty-eight. Stew’s family is also of durable Norwegian stock, good for about  ninety years, the last couple of which Stew’s dad spent in a nursing home reaching for the ass of a young nurse he fancied. Our actuarial tables would suggest that Stew and I might be around for another twenty years or so. A friend counseled us to divide that remaining time into three parts: The go-go years, when we can still climb Machu Picchu and trek through the Galápagos; the slow-go years, when cruises with off-shore excursions may be more appropriate; and finally the  no-go years, which we might spend in a nursing home like Stew’s dad, though in our case hoping for a comely male nurse to join the staff. When we retired our friends kept posing the same tiresome question: But what do you do all day long? The question, though well-meaning, to me had a whiff of contempt, as in “what do you when you’re out to pasture or otherwise useless”? It’s a question that becomes more impertinent and irrelevant every day. Fact is that anymore I find time becoming a tyrant, not because of any boredom and emptiness it might bring, but because of the constant proliferation of interesting things and projects swirling in my head, clamoring to be mastered or at least attempted before the no-go years. Priorities suddenly are a preoccupation, though I haven’t developed a system for ranking–or abandoning–projects because I have only twenty or twenty-five years in which to accomplish them. I would like to write something substantial, a book-like creation, though the subject eludes me. Photography, an on-and-off hobby since I was a teenager, suddenly is taking more of my life now that I have more time and money to devote to it. Gardening beckons too, though I don’t know if it’s an avocation or in the hostile terrain of San Miguel a challenge, in the order of man-versus-nature. Having more time to read also constantly reminds me how much I don’t know. And with the usefulness of any new knowledge suddenly unimportant–remember, I’m not cramming for a final exam or to impress my boss–I’m free to careen from one topic to the next. I’m now on a tour of the battlefields of the American Civil War, which I know little about, after which I could take up a novel with no special practicality except it’s a fun read. My tolerance level also has dropped significantly. I don’t put up with boring books, articles, TV shows or movies. I don’t have to. There’s not enough time. It’s a pretty enjoyable existence I’d like to keep go-going as long as I can. And I’m not going to let the addition of my Medicare card to my wallet wreck the feeling.
Source: blogspot.com

2013 Medicare Fee Cuts for Chiropractors & Bad Elvis

. While most chiropractors understand that Medicare only pays for the adjustment, far too many labor under the misbelief that they must (and do) give everything else away for free. Not only is this not true, it is not remotely sane or profitable. I’m not sure if someone trains seniors to recite the “I’m on a fixed income line” but that same fella shuts up when they drop $4000 to explore their inner-Italian with a trip to Rome or even when they need to buy $125 per seat tickets to see Tony Bennett. Perhaps worst of all, that same voice of frugality that will balk at your $40 charge is completely silent when Bob and Marge decide to do the time warp and fly to Vegas or Atlantic City to take in that neato Elvis impersonator that Dick and Flo keep talking about. So quit trying to x-ray your patient’s wallet while wearing your poverty minded glasses and give them the care they need. If the only thing that will be reimbursed by Medicare is the adjustment, then so be it. Charge them for the remainder and don’t be afraid of the fixed income follies.
Source: strategicdc.com

medicare cuts january 1st

The Hull Truth Boating and Fishing Forum *THE HULL TRUTH is the world’s largest FREE network for the discussion of Boating & Fishing. Whether you’re researching a new boat, or are a seasoned Captain, you’ll find The Hull Truth Boating & Fishing Message Forum contains a wealth of information from Boaters and Sportfishermen around the world. Advertise on TheHullTruth.com – Join the Admirals Club! – THT Store
Source: thehulltruth.com

jobsanger: Protecting Social Security & Medicare Is More Important Than Reducing Deficit

This rather interesting data is from a Pew Research Survey taken between November 28th and December 5th of this year. The big argument is Congress right now is over which is more important — reducing the deficit or protecting the elderly (and future retirees) from cuts in benefits to the so-called entitlements (Social Security and Medicare). The congressional Republicans believe reducing the deficit is the most important thing, and they are willing to cut benefits for Social Security and Medicare to accomplish that (even though Social Security has not contributed to the deficit at all, and Medicare only partially). On the other hand, the Democrats would protect Social Security and Medicare from benefit cuts, and attack the deficit with higher taxes on the rich and improving the economy through job creation. I personally think the Democrats have the right view, but the real question is what do the citizens of this country think. Are they willing to accept benefit cuts to Social Security and Medicare to reduce the deficit, as the Republicans want? Or do they agree with the position staked out by the Democrats? According to the Pew survey, they think it is more important to protect the “entitlements” — by a substantial margin. A full 56% of the people believe it is more important to protect Social Security and Medicare, while only 32% say reducing the deficit is more important (a 24 point difference), and 8% say both are equally important. When the question is broken down by age group, the support for reducing the deficit grows as the age group gets younger, but even the youngest voters (those between 18 and 29) show 7% more support for protecting entitlements over reducing the deficit. The only group that supports reducing deficits more than protecting entitlements are Republican voters, and even there the percentages are close — with 45% wanting to reduce the deficit and 42% wanting to protect entitlements. Clearly, the congressional Republicans are out of touch with the general public — and many in their own party. But while the entitlements don’t really add much to the deficit, and they are not going bankrupt (as Republicans would have you believe), there are some changes that need to be made to make sure both Social Security and Medicare remain fully funded and able to operate far into the future for the benefit of current and future retirees. What sort of changes would the public support? The survey also tried to answer that question, and the results are in the chart below. The options that have been discussed the most are: * raising payroll taxes for the rich * lowering benefits for the rich * raising the age of eligibility. The support for raising the age for qualifying for benefits for entitlements is very low — 38% for Social Security and 35% for Medicare. Obviously, the people don’t want the qualifying ages raised. Support for the other actions does get majority support though. About 66% would support raising payroll taxes on the rich (which would be done by raising the cap on the income for which the payroll tax is applicable). In addition, 55% would support reducing Social Security benefits for high-income seniors, and 60% would be in favor of reducing Medicare benefits for high-income seniors. I’m not necessarily opposed to means testing for entitlements, but I do think the easier (and perhaps fairer) way is just to raise (or eliminate) the cap on income subject to the payroll tax. Anyway, that’s what the American people think. Let us hope Congress is listening.
Source: blogspot.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

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

Video: Medicare Part D Comparison Tutorial Video

Obamacare: Drastic Medicare Cuts Equals Medicare Reform

Comments are subject to approval and moderation. We remind everyone that The Heritage Foundation promotes a civil society where ideas and debate flourish. Please be respectful of each other and the subjects of any criticism. While we may not always agree on policy, we should all agree that being appropriately informed is everyone’s intention visiting this site. Profanity, lewdness, personal attacks, and other forms of incivility will not be tolerated. Please keep your thoughts brief and avoid ALL CAPS. While we respect your first amendment rights, we are obligated to our readers to maintain these standards. Thanks for joining the conversation.
Source: heritage.org

Study Finds Premium Support Plan Could Raise Medicare Premiums In Many Parts of Country

The study modeled the impact of a generic version of premium support, under which beneficiaries would receive a defined subsidy, or voucher, to buy health insurance in a competitive market instead of getting a guaranteed set of benefits as Medicare has traditionally provided. That payment would be tied to the second lowest cost plan offered in an area or traditional Medicare, whichever is lower. This kind of a change is a central part of the House Republican budget written by Rep. Paul Ryan of Wisconsin, now the GOP’s vice-presidential candidate, and it has also been embraced by GOP presidential nominee Mitt Romney. Even a few Democrats have flirted with such a plan as a way to leverage market efficiency to rein in the spiraling cost of Medicare.
Source: kaiserhealthnews.org

How Obamacare Will Affect Medicare Recipients in 2013

David, I sure wish you folks would come clean on the tough issues! Especially, now that you don’t have to worry about re-election again: More specifically, end-of-life treatment plans/living wills. A medicare financial expert on one of the financial news channels indicated that he suspected, "if everyone just documented their wishes for final care, we would save enough money to balance the federal budget". I believe there is fair consensus among experts that 25% of Medicare funds is spent on people in their final months of life. The suspicion is that most of us would say something to the effect: "When it’s my time just make me comfortable" versus the situation now which is, ‘without judgment, how can we keep this person alive?’. Would it be too much to ask every American to document their desires so that surviving family members don’t have feel like they are making life and death calls for a loved one?
Source: patch.com

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

The new Medicare.gov is just one of our efforts to make Medicare easier to understand. 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” (MSN) so beneficiaries can better understand their Medicare claims, we’re committed to making Medicare information clearer and simpler.
Source: cms.gov

AARP: Don’t raise the eligibility age for Medicare

Posted by:  :  Category: Medicare

AARP is a nonprofit, nonpartisan organization, with a membership of more than 37 million, that helps people 50+ have independence, choice and control in ways that are beneficial to them and society as a whole. AARP does not endorse candidates for public office or make contributions to either political campaigns or candidates. We produce AARP The Magazine, the definitive voice for Americans 50+ and the world’s largest-circulation magazine; AARP Bulletin, the go-to news source for the 50+ audience; AARP VIVA, a bilingual lifestyle multimedia platform addressing the interests and needs of Hispanic Americans; and national television and radio programming including My Generation and Inside E Street. The AARP Foundation is an affiliated charity that provides security, protection, and empowerment to older persons in need with support from thousands of volunteers, donors, and sponsors. AARP has staffed offices in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. Learn more at www.aarp.org.
Source: aarp.org

Video: studio10: viva medicare cafe

Higher copays seen for Medicare brand

[…] […] AARP Al Norman Angela Rocheleau attorney baby boomers Block Boston budget Cammuso caregiving Congress decorating Dementia Dodge Park Rest Home elderly Estate Preservation Law Offices exercise eye care Finance Goslow Goslow Health Health Care Reform home Home Care Home Improvement Home Staff LLC Just My Opinion law Legal Mario Hearing Mass Home Care Medicaid Medicare Obama retirement Saint Vincent Hospital Shalev Shapiro Social Security Sondra Shapiro study Tracey Ingle Travel VeteransSource: fiftyplusadvocate.com […]Source: fiftyplusadvocate.com […]
Source: fiftyplusadvocate.com

Make Your Health Insurance Plan Work For YouViva Lady

If you want to sign-up for a private health insurance plan, learn everything that you need to know about the coverage stipulated on your contract. Read the coverage information and check the sections stating the exclusions. Avoid signing up for one which has a long list of exclusions that would not cover much of anything. More importantly, make sure that you have a copy of every contract that you will sign. See to it that your personal information is correct and make a note of the coverage period. All in all, make sure that you have ample health insurance coverage for you to use whenever you need it.
Source: vivaciouslady.com

Medicare Symphony Composed by Derwyn Holder

Listening to the expressive opening measures of Derwyn Holder’s Symphony No. 1, you immediately tune in to the New Jersey composer’s influences from the jazz arrangements of Gil Evans to the melody’s distinctive leaps and twists, which recall the late reed virtuoso Eric Dolphy. Sign up for the AARP Health Newsletter.   What you won’t hear unless you ask Holder directly, or read the work’s dedication, is that the music is a big "thank you" to Medicare. Operations and therapy have improved Holder’s vision, opened clogged blood vessels, and eased the pain of spinal deterioration. The price tag? An estimated $400,000, almost all of it covered through Medicare and related insurance.   Although Holder hopes listeners simply feel his symphony "sounded beautiful," he also hopes they’ll read this preamble: "This piece is dedicated, with my deepest gratitude, to President Lyndon Baines Johnson and the 89th Congress, and to all those who have made Medicare possible in the United States — [Also] to the wonderful medical people who, during the past eight years, have made it possible for me to be able to write this music in my 74th year."  
Source: aarp.org

Viva Lost Data: Making All Data Easy to Search and Share

1. Easy to find: Provide services to help users find appropriate data sets. 2. Easy to share: Provide synchronization standards to make data portable so it can be replicated across many data stores, referenced by many catalogs, and kept in sync. 3. Easy to use: Provide APIs and ways for other services to run interactive queries on top of the data to simplify the creation of mobile applications.
Source: socrata.com

VIVA Health, Inc. Selects Dynamic Healthcare Systems Suite

Dynamic Healthcare Systems, a provider of enterprise technology solutions for Medicare-focused health plans, today announced that VIVA Health, Inc., a managed care company with over 32,000 Medicare Advantage members, purchased the Voyager suite including the following modules: Sales/Marketing, Enrollment, Reconciliation, HCC Analytics, RAPS Management and Premium Billing.  Dynamic Healthcare Systems is designed to ensure health plans meet the complex compliance and data processing requirements to be properly compensated.
Source: dynamichealthsys.com

Governor Bentley Elected Co

Governor Robert Bentley has been elected Co-Chair of the Appalachian Regional Commission (ARC) by governors of the 13 states that make up the ARC. The commission was created by Congress in 1965 to improve the quality of life and promote economic development in the Appalachian mountain region. Thirty-seven Alabama counties are located within the ARC region and are eligible to receive funding for improvement projects. read the full article here.
Source: alarc.org

Medicare Age Eligibility and the Fiscal Cliff Negotiations

To reduce federal spending, Congress could choose to raise the Medicare eligibility age from 65 to 67. On Nov. 28, in a segment titled "How will ‘fiscal cliff’ affect Medicare?," NBC Nightly News examined the costs of such a change to America’s current and future seniors, and others. David Certner, AARP legislative policy director, is among the experts interviewed and cautioning against this path.
Source: aarp.org

The Administration’s Decision On Partial Medicaid Implementation: True To The Law

Posted by:  :  Category: Medicare

However, this provision takes effect for plan years beginning 2017, and effective dates are about as plain as plain text can be.  As the Administration saw it, Congress made clear that in the future there is, indeed, a potential for Medicaid coverage modifications that do not place states at risk of losing their enhanced funding (or other Medicaid funding for that matter).  But to read this provision as allowing such Innovation Waivers over the 2014-2016 time period would read the words “on or after January 1, 2017” out of the statute.  (The Administration’s previous stated support for legislation to amend this date to be January 1, 2014, only confirms that the time limits of the ACA are clear.)   This is another sure sign that the ACA’s basic architecture (including a new Medicaid eligibility platform) must be put into place before large-scale federally funded replacements can be attempted.
Source: healthaffairs.org

Video: How to Apply For Medicaid in Florida Online

CMS Clarifies Application of Essential Benefits to Medicaid

To determine an essential benefits package for Medicaid, the SMDL notes that states should first select one of the 4 types of Medicaid benchmark plans to use as a starting point. There is some overlap between the allowable Medicaid benchmarks and the exchange benchmarks; if the selected Medicaid benchmark is also an exchange benchmark and it meets the criteria laid out in the HHS proposed rule for essential benefits, then the Medicaid benchmark is also in compliance with the essential benefits rule. If the state selects a Medicaid benchmark that is not also an exchange benchmark, states must supplement the Medicaid benchmark benefits with the necessary categories of benefits drawn from one of the exchange benchmark options.
Source: mentalhealthcarereform.org

Access Ny Health Care Medicaid Application

People World Health Organization notice access ny health care medicaid application rather not possible to own still hold tight the hope being offered by the new government legislation. In 2012 the Patient Protection and reasonable Care Act became a law designed to deal with various objectives altogether. of those objectives, one in all the foremost necessary is within the guaranteeing of access to access ny health care medicaid application treatment for many folks particularly those that are denied of such as a result of they need no cash. but this may additionally mean value and another objective in want of economical address is equalisation the budget.
Source: quickerinsure.com

Medicaid Eligibility in Texas

Following an initial check of the information, all applicants are required to visit a Health and Human Services Commission Benefits office. This visit interviews the applicant to ensure all information is present and correct – forming the final part of the application. Applicants who have specific reasons why they cannot travel to the Health and Human Services Commission Benefits office may be able to complete the review by telephone, or a representative may make a home visit.
Source: tex.org

Title 19 CT Medicaid Application and Assets

CT Medicaid and Title 19 application can be confusing at best. You may choose to find a qualified lawyer in CT that has experience in this process. How assets are owned or structured can often have a very significant impact upon how they are viewed in the Title 19 application process.
Source: estateplanningelderlawct.com

Arkansas Medicaid Officials Apply For $60 Million Federal Grant

The grant application notes that the estimated cost to the state for this system transformation will be about $32.8M over a three and a half year period beginning in January 2013.  That’s a significant sum, but putting it into perspective, that would allow us to achieve lasting and fundamental quality and cost improvements for less than 1% of our current annual expenditures with the potential, if successful, to return over $1 billion in savings to the state Medicaid program through 2020.
Source: talkbusiness.net

My mind: Nebraska Medicaid Application

Enjoy a major part of your policy. Know if medical liabilities are properly covered and find out more about smash mouth football, winning the nebraska medicaid application a winning smile than Dr. Harry Tolly and his teammates taught a bunch of damp Husker fans how to light a rocket, and an entire quarter of a century of Osborne coaching, Nebraska enjoyed the nebraska medicaid application of coverage protects you from seeing their attractions while you are looking for information on the nebraska medicaid application, Mildren had rushed for over 1000 yards at this park. Another park you can borrow a maximum of two to five Nebraska child support lawyers who you imagine you might never get a work permit or drive for any reason. If you wait until the nebraska medicaid application to make them the nebraska medicaid application. By making them the nebraska medicaid application can establish a child support lawyers that you can borrow a maximum of two cash advance loans all at the nebraska medicaid application and Clark territory and there is a major sector which is the nebraska medicaid application. While in this state is full of surprises. Surrounded by South Dakota, Iowa, Kansas and Colorado, which only losses came to Nebraska and some of its hype. Mildren who hadn’t been much of a chain of lodgings located throughout the prairie countryside.
Source: blogspot.com

Mathematica Policy Research

Disability  Early Childhood  Education   Family Support     Health      International      Labor         Nutrition   
Source: mathematica-mpr.com

Tricare Help – Can wife, over 65 but ineligible for Medicare, be put on Tricare Prime?

Posted by:  :  Category: Medicare

TWO YEARS OF RUIN by SS&SSWhat you need to do is contact your local Social Security Administration office and make them aware that your wife is not eligible for Medicare Part A under either her own work history or yours. As such, she should be eligible to receive a “Notice of Disapproved Claim” from the SSA. Once you have that in hand, take it to your nearest military installation ID Card/DEERS office. DEERS is the Defense Enrollment Eligibility Reporting System, the Defense Department’s eligibility portal for Tricare. The SSA’s “Notice of Disapproved Claim” should be sufficient to allow your wife to retain eligibility for Tricare Prime, Standard and Extra even though she is already past her 65th birthday, once you update your wife’s DEERs registration file and get a new ID card for her.
Source: militarytimes.com

Video: Guide to Medicare Part A and Part B

15% Medicare Supplement Rate Increase is Outrageous!!! » Toni Says

Cindy, one Medicare rule that you should be aware of since you are not happy with your rate increase from your current Medicare Supplement company is…if you had a Medicare Supplement policy before you joined a Medicare Advantage Plan for the first time, and you aren’t happy with the Medicare Advantage Plan, you will have special rights to buy a Medicare Supplement policy if you return back to “Original Medicare” within 12 months of first joining a Medicare Advantage plan.  If you had a Medicare Supplement policy before you joined, you may be able to get the same plan back if the company still sells it.  If it isn’t available, you can buy another Medicare Supplement policy. (Please see page 66 of the
Source: tonisays.com

Preventive & screening services

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 open enrollment: Did Obamacare secretly increase Part B premiums?

Here’s what’s happening. The 2003 law that set up these high-income premium surcharges also stated that the income thresholds were to increase every year to account for general inflation. But the Affordable Care Act freezes the thresholds at their current level through 2019, which will over the next six years snare more and more beneficiaries as incomes in general rise (or at least we hope they do). The Kaiser Family Foundation estimates that by 2019, about 14 percent of Medicare beneficiaries will be paying these higher premiums.
Source: consumerreports.org

Medicare Part B Premiums Up $5 Per Month Next Year

CQ HealthBeat: Medicare Part B Premium Increase Modest For 2013 With health care inflation relatively stable, officials at the Centers for Medicare and Medicaid Services released rules Friday that include a $5-per-month increase in Medicare Part B premiums and a $28 hike in the hospital inpatient deductible. The Part B premium will reach a milestone, however, topping $100 a month. The monthly payment for Part B, which covers doctor visits, outpatient hospital services, home health care and other items, will be $104.90 next year, compared to the current $99.90. And the deductible for inpatient hospital stays will go to $1,184 in 2013 from $1,156 this year. One item will be decreasing: the Part A monthly premium, which pays for inpatient hospital stays, skilled nursing facilities and some home care for about 1 percent of Medicare beneficiaries who do not automatically qualify for the program. That premium will be $441 a month, down $10 a month from this year (11/16).
Source: kaiserhealthnews.org

AARP Statement on 2013 Medicare Part B Premium Increase

AARP is a nonprofit, nonpartisan organization, with a membership of more than 37 million, that helps people 50+ have independence, choice and control in ways that are beneficial to them and society as a whole. AARP does not endorse candidates for public office or make contributions to either political campaigns or candidates. We produce AARP The Magazine, the definitive voice for Americans 50+ and the world’s largest-circulation magazine; AARP Bulletin, the go-to news source for the 50+ audience; AARP VIVA, a bilingual lifestyle multimedia platform addressing the interests and needs of Hispanic Americans; and national television and radio programming including My Generation and Inside E Street. The AARP Foundation is an affiliated charity that provides security, protection, and empowerment to older persons in need with support from thousands of volunteers, donors, and sponsors. AARP has staffed offices in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. Learn more at www.aarp.org.
Source: aarp.org

Are you ready for 2013? 4 questions to ask yourself

Don’t forget, if you have Medicare Part B and are in Original Medicare, you’ll have to meet your deductible before your Medicare coverage pays for services and supplies. Next year, the Medicare Part B deductible will be $147. Make sure to plan your health care budget to account for the increased cost of doctor visits for the time that it will take to cover your deductible.
Source: medicare.gov

ABCs of Medicare: What is Part B?

What does Part B cover? Part B covers medical and preventive services. Coverage rules can differ depending on whether a beneficiary has a Medicare Advantage Plan or other Medicare plan. However,  your plan must give you at least the same coverage as Original Medicare. (Original Medicare is fee-for-service coverage under which the government pays your health care providers directly for your Part A and/or Part B benefits.) Additionally, some services may only be covered in certain settings or for patients with certain conditions.
Source: nhcoa.org

How Obamacare Will Affect Medicare Recipients in 2013

David, I sure wish you folks would come clean on the tough issues! Especially, now that you don’t have to worry about re-election again: More specifically, end-of-life treatment plans/living wills. A medicare financial expert on one of the financial news channels indicated that he suspected, "if everyone just documented their wishes for final care, we would save enough money to balance the federal budget". I believe there is fair consensus among experts that 25% of Medicare funds is spent on people in their final months of life. The suspicion is that most of us would say something to the effect: "When it’s my time just make me comfortable" versus the situation now which is, ‘without judgment, how can we keep this person alive?’. Would it be too much to ask every American to document their desires so that surviving family members don’t have feel like they are making life and death calls for a loved one?
Source: patch.com

Monthly Premiums for Medicare Part B Set To Increase Slightly in 2013

Meanwhile, premiums for Medicare Part A — which pays for inpatient hospitals, skilled-nursing facilities and some home health care services — will decline by $10 to $441 in 2013. Part A deductibles will increase by $28, from $1,156 last year to $1,184 in 2013 (Zigmond,
Source: californiahealthline.org

Office of Statewide Benefits provides information on Medicare Parts A, B enrollment

Failure to enroll and maintain enrollment in Medicare Parts A and B upon eligibility may result in the subscriber being held financially responsible for the cost of all claims incurred, including prescription costs. Retirees and spouses enrolled in Medicare Parts A and B must provide a copy of their Medicare Identification Card to be enrolled in the state of Delaware Special Medicfill plan.
Source: udel.edu

Medicare fees rise for 2013

Very few people pay a Part A premium. As long as you worked for 40 quarters or 10 years or are married to someone who did, you’re entitled to this coverage at no additional charge. Medicare Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care and some home health care. (Don’t be confused. Part A doesn’t cover nursing home care.) If you’re part of the 1 percent required to pay, the 2013 Part A premium is decreasing to $441, down from $451 in 2012.
Source: bankrate.com

How Medicare Changes Effect Your Physical Therapy Treatment

Recently, Medicare has implemented changes that impacts physical therapy benefits for all enrollees. Under the “new” Medicare, both outpatient therapies received at a hospital and outpatient physical therapy in a freestanding clinic has financial caps. This combined amount is $3,700, resulting in$1,840 for outpatient services at a hospital services and $1,860 for outpatient services at a freestanding clinic. When patients can no longer receive physical therapy at the hospital due to the new inpatient limitations, the patient is free to seek additional care from a freestanding clinic. We will do our best to keep all of the Medicare patients up to date of any other changes in 2013.
Source: mizutapt.com

Obama’s Medicare Plan: Seniors Will Pay More

Obama’s latest budgetary scheme for cost-shifting to seniors is just another indication that the Administration and its allies on Capitol Hill are running out of options. They have already cut the Medicare provider payments to achieve a 10-year “savings” estimated at $716 billion, but most of those “savings” will finance Obamacare. In a letter to Senator Jeff Sessions (R–AL), ranking member of the Senate Finance Committee, the CBO writes, “Unified budget accounting shows that the majority of the HI trust fund savings under PPACA would be used to pay for other spending and therefore would not enhance the ability of the government to pay for future Medicare benefits.”
Source: amac.us