Reminder: Optometrists subject to $500+ fee for Medicare DMEPOS enrollment

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSThe Medicare DMEPOS registration fee is distinct from the health plan’s DMEPOS provider surety bond requirement, from which optometrists have been exempted unless they provide eyeglasses to the public without any sort of examination of the patient, and separate from the DMEPOS accreditation requirement, until the CMS decides to implement supplier standards for physicians.
Source: newsfromaoa.org

Video: EHR: Medicare Incentive Program Attestation Webinar for Eligible Professionals

Registration Due for Medicare Seminar

The program, titles “Welcome to Medicare” will be presented by Crossroads’ SHIPP volunteers. The program will cover Medicare Parts A, B, and D, as well as Medicare Advantage plans and Medicare supplemental insurance. Registration for the September 22nd program is required by next Tuesday.
Source: kniakrls.com

Confetti Wine Glasses, Medicare Enrollment This Week

Craft your own set of four confetti wine glasses to give as a gift or use for your holiday entertaining on Saturday, December 8 from 1 p.m. – 3 p.m.. Samples will be on display at the Library. Class is limited to 20 participants. Registration required and can be done at the Circulation desk. Friends registration begins Nov. 11 – fee is $15. General public registration begins Nov. 18 – fee is $18.
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

Medicare coverage and its supporting products are so difficult to understand?

each year.  Some insurance agencies hold informational meetings to help outline the differences in each plan.  Your health needs could change from year to year.  One year, you may find that you need only basic coverage.  Throughout the next year, your healthcare requirements increase and you see that adding additional coverage is necessary.  An insurance professional can work with you, looking up the tiers your medication falls in on the drug formularies published by insurance carriers or help you find participating providers in a Medicare Advantage HMO or PPO.
Source: foglegroup.com

2013 Medicare Guidelines Course

Are you bulletproof? This course will cover all aspects of Medicare requirements as well as the latest changes for 2013. From audits and billing procedures to documentation requirements, Dr. Fucinari, a certified Insurance Consultant and Medical Compliance Specialist, will clear the muddy waters of Medicare. Are you handling Medicare appropriately? This comprehensive course is designed for doctors, staff and billing personnel.
Source: askmario.com

Peter Orszag Chart Shows Medicare Costs Slowing

“Presumably, the weak state of the economy is a factor, but given the magnitude of the slowdown in national health spending and the timing of that slowdown, which seems to have started before the recession, we and most analysts think there are probably structural factors at work as well,” he said. Those structural factors could include slower growth of spending on prescription drugs, changes in the health care delivery and payment system, and higher out-of-pocket spending for consumers, according to Elmendorf.
Source: businessinsider.com

What’s New at the Senior Center: Navigate Medicare Open Enrollment

Art History: “American Art” Part 3 (1950-90)—Wednesday, Oct. 3, 10:30 a.m., at Avery Crossings. In the second half of the 20th century, America breaks free of its European bonds to defy convention and then dominate the entire art world. There was an explosion of creativity on this side of the ocean. American Art grows up and demonstrates its own unique personality—innovative, and sometimes controversial. But whether you swear by it, or at it, it is always fun.  Join us for a look at how art in America evolved in the modern era, from Pop Art to Grandma Moses, how it took the seat of power with all its new directions, energy and nerve. You can’t “like” it all, but you may go home with more than you thought. Where in the world do you think it is going next? This program is free, with no registration required.
Source: patch.com

Folk Regulation Records: Medicare Open Registration Offers Opportunity For Beneficial…

Wesley At the. Wright as well as Molly Special Abshire are attorneys with all the company regarding Wright Abshire. Wright is actually board-certified from the Texas Board of Legal Specialization inside Property Preparation and Probate Legislation. Wright as well as Abshire are Licensed Parent Regulation Lawyers (CELAs) from the Country wide Parent Law Base. Go to www.wrightabshire.com. Nothing at all found in this particular distribution should be considered since the object rendering of legal services to the persons particular case, but should be thought about general details.
Source: peterustinov.org

Registration Began for Medicare EHR Incentive Program

Not all areas of the country will be implementing registration at the same time, so it is important to have an EHR representative to guide your facility through the process. Registration for the EHR incentive program will launch in January for Alaska, Iowa, Kentucky, Louisiana, Oklahoma, Michigan, Mississippi, North Carolina, South Carolina, Tennessee and Texas.
Source: belarusnavigator.com

Queen & Any On Medicare Insurance Open

Available enrollment is actually beneath means for Medicare insurance coverage, that is mainly for retired people age groups sixty-five and also more mature. When thats an individual, your open application season runs through Dec. seven. As we all know, medical care options might be confusing. To obtain clarity, we talked together with Nancy Metcalf, any medical care professional along with Buyer Reviews within Yonkers, MODERNE, whos recently been creating, writing a blog and answering on the internet questions regarding Medicare insurance and health care insurance coverage in the past five years.
Source: drdot.tv

What You Should Know About Choosing a Medicare D Plan

 What drugs are you on? You may want to speak with your physician about changes that could reduce costs.  What pharmacy do you want to use? You need to be sure your pharmacy accepts the plan you’re considering.  How much does the plan cost?  Do you want to go “a la carte” with a free-standing prescription drug plan (PDP) or choose one that combines medical benefits and prescription drug plans (MA-PD)?  Are you on a retiree plan that limits your choices?  Does your choice of plan affect your spouse’s plan? Be sure you understand the details of how the two interact. Where Can I Get Help? There are several excellent tools available to help you examine all of the plans and analyze your options. As a care manager, I have used all of these tools with great success:
Source: jewishcentralvoice.com

Preventive & screening services

Posted by:  :  Category: Medicare

SCOTUS Obamacare Decision Makes Individual Mandate A Fact & Universal Healthcare Coverage A Fiction by watchingfrogsboilThe 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 Drug Coverage

Medicare Coverage for Immune Deficiency Care at Home Advanced by House

The proposal (HR 1845), passed 401-3 under suspension of the rules, garnered wide bipartisan support in the House, with more than 40 Democrats and more than two dozen Republicans signing on as co-sponsors to Brady’s bill. Proponents contend the legislation is needed to enhance therapeutic innovation and further patient access to plasma protein therapies.
Source: primaryimmune.org

Oral cancer patient fights Medicare for coverage 

alcohol cancer CDC Cervarix cervical cancer cetuximab chemotherapy chewing tobacco cigarettes cisplatin DNA early detection erbitux FDA Food and Drug Administration Gardasil head and neck cancer HPV HPV-16 human papilloma virus human papillomavirus lung cancer mouth cancer National Cancer Institute nicotine oral cancer oral cancer foundation oral sex oropharyngeal cancer radiation radiation therapy radiotherapy smokeless tobacco smokers smoking snus squamous cell carcinoma surgery survival The Oral Cancer Foundation throat cancer tobacco vaccination vaccine xerostomia
Source: oralcancernews.org

Medicare reduces coverage to YKHC for readmitted patients

The Yukon Kuskokwim Delta Regional Hospital is one of 4 hospitals in Alaska being penalized by the federal Medicare program for having too many readmissions per patient within a short period of time. This is an effort by Medicare to encourage higher quality treatment the first time around, such as making sure Medicare patients are clear on the follow-up care they need after a hospital admission.
Source: kyuk.org

Medigap: Providing Financial Security and Peace of Mind for Medicare Beneficiaries

Proponents of limiting first-dollar coverage in Medigap often cite the findings from a 1970’s RAND experiment to make the case zero cost-sharing leads to higher health care spending.  AHIP commissioned a white paper to examine the relevance of this study to current Medicare beneficiaries. The white paper found that the RAND study “was set in a reimbursement environment far different from today’s Medicare,” and noted that “a higher proportion of Medicare beneficiaries are low income (and low wealth), and so the impact of higher cost-sharing may be magnified for this population.” The authors conclude that “an across-the-board ban on first-dollar coverage Medigap plans is an overly blunt tool for lowering healthcare expenditures and invites adverse, unintended consequences.”
Source: ahipcoverage.com

Medicare Advantage Plans Offer No Clinical Trial Coverage

The pur­pose of the National Cov­er­age Deter­mi­na­tion was to elim­i­nate the dis­crim­i­na­tion and penal­iza­tion of patients who were com­mit­ted to advanc­ing treat­ment against this for­mi­da­ble dis­ease. Yet, as a result of a loop­hole in the cur­rent law, Medicare Advan­tage Plan enrollees are los­ing treat­ment options by exclu­sion of par­tic­i­pa­tion in clin­i­cal tri­als beca­sue of finan­cial bur­den. Please join me in sup­port­ing this much needed change in leg­is­la­tion. Con­tact your state rep­re­sen­ta­tive to dis­cuss this impor­tant oncol­ogy issue, and ask them to advo­cate for and sup­port an amend­ment to the National Cov­er­age Deter­mi­na­tion to include cov­er­age of oncol­ogy clin­i­cal tri­als by Medicare Advan­tage Plans.
Source: onsconnect.org

Ohio Consumers for Health Coverage Statement on Raising of the Medicare Eligibility to Age 67

Would yield only $5.7 billion in actual federal savings in 2014 when the costs of federal ubsidies for 65-66 year olds buying health coverage in the Exchange is considered, along with the federal government’s contribution to Medicaid for persons newly eligible under the Affordable Care Act and the loss of Medicare premium receipts. This is approximately one percent of the total annual cost of Medicare.
Source: progressohio.org

Obamacare ‘Surprise’ Threatens Access to Medicare Advantage Coverage, AMAC Charges

The Association of Mature American Citizens [http://www.amac.us] is a vibrant, vital and conservative alternative to those traditional organizations, such as AARP, that dominate the choices for mature Americans who want a say in the future of the nation.  Where those other organizations may boast of their power to set the agendas for their memberships, AMAC takes its marching orders from its members.  We act and speak on their behalf, protecting their interests, and offering a conservative insight on how to best solve the problems they face today.
Source: amac.us

Daily Kos: Should Congress be covered by Medicare? (a poll)

The fact that our Senators and Representatives and President are covered by a comprehensive health care plan designed especially for them and their families gives them a sense of privilege that distances them from the real world experience of living with the nuts and bolts of the average (not the extreme case, as is so often argued) Medicare recipient. ALL Medicare recipients (present and future) deserve representatives who understand as fully as possible the realities of these programs and have no easy temptation to distance themselves from the real live, in the neighborhoods and on the streets living and breathing people.
Source: dailykos.com

The Patient Protection and Affordable Care Act

Other provisions of PPACA that impacts employers and employees include changes to family insurance coverage and Health Spending Accounts. First, expanding on an employee’s ability to purchase family insurance coverage from an employer, now children under 27 years of age may be included on their parents plan. Pre-tax insurance coverage typically is provided by an employer via a cafeteria plan or similar arrangement and now allows an employee to cover his/her children who have not yet reached age 27 regardless of whether the child qualifies as a dependent for tax purposes. Typically this will permit working parents to continue to provide their grown children with access to health insurance coverage for a longer period of time after high school (and college) before the child must obtain their own independent coverage. Second, the cost of over-the-counter medicine or drugs cannot be reimbursed from Health Savings Accounts (“HSA”), Flex Spending Arrangements (“FSA”) or Health Reimbursement Arrangement (“HRA”) without a prescription. This new “prescription” restriction does not apply to insulin or medical devices eyeglasses, and contact lenses. Third, penalties on nonqualified distributions from “HSA” accounts (i.e. when funds are not used for qualified medical expenses) will increase to 20% from the 10% under current law and annual contributions to an “FSA” are modified under PPACA, as the amount will now be limited to $2,500 per year.
Source: langdoncpa.com

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

Left Behind: Will Cutting Medicare Hurt Seniors?

If blunt tactics like lowering the Medicare eligibility age or slashing provider reimbursement across the board aren’t the right way to control Medicare costs, then what is? What the Annals authors suggest will sound familiar to anyone paying attention to fundamental changes already underway in the health care delivery system. They (as do others) urge greater focus on providing more efficient care for each individual’s particular condition through physician use of comparative effectiveness research abetted by “organizational incentives” to reward providers of high-quality, cost-effective care.
Source: healthworkscollective.com

Choosing Between Original Medicare and Medicare Advantage

Posted by:  :  Category: Medicare

Medical Drugs for Pharmacy Health Shop of Medicine by epSos.deOriginal Medicare, Medicare Advantage and the maze of alphabet options can be hard for anyone to understand. It is difficult to get a clear comparison of what benefits each has to offer with the costs associated. Let’s focus on choosing between Original Medicare and Medicare Advantage based on six areas: premiums for drug coverage, prescription costs, extra benefits, overall plan costs, co-pays and access to doctors and hospitals.
Source: bradeninsurance.com

Video: Guide to Medicare Part A and Part B

Switching from Medicare Advantage to Original Medicare & Supplement

Individuals are guaranteed to be issued Medicare Supplements if they apply for one within six months of the date they turn 65 and are enrolled in Part B. After that period expires, individuals must go through underwriting before a policy will be issued.  There is a wide variety in underwriting guidelines among the companies offering supplemental insurance. Some may be very difficult while others may only ask a couple of questions. Those couple questions are generally, (1) has the applicant been discharged from a hospital within 90 days and, (2) has the applicant been told that they need some sort of surgery or procedure (waiting to have surgery). If an applicant can answer those two questions honestly in the negative, he or she can qualify for a supplement.  If one company turns down an individual, they would do well to try others. This means that even people in a nursing home and on Medicaid can get a Medicare Supplement.
Source: parrilaw.com

Medicare Open Enrollment: More is better

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

WHAT IS THE MEDICARE ANNUAL DISENROLLMENT PERIOD? WILL IT AFFECT ME?

[…] The Medicare Advantage Disenrollment Period (January 1 through February 14 of each year) allows an individual in a Medicare Advantage Plan (HMO) to leave a Medicare Advantage Plan and return to Original Medicare (Part A and B) and be allowed to sign up for a stand-alone drug plan.    Be aware, however, that by making the change to be on Original Medicare, the individual would then be responsible for the copays/coinsurances that Original Medicare does not cover.   Source: personalmedicareadvisor.com […]
Source: personalmedicareadvisor.com

Local Public Forums Provide Original Medicare Education

Our four not-for-profit hospitals—Health First Cape Canaveral Hospital in Cocoa Beach, Health First Holmes Regional Medical Center in Melbourne, Health First Palm Bay Hospital in Palm Bay, and Health First Viera Hospital which opened in Viera on April 2, 2011- form the core of Health First’s family in Brevard County on Florida’s Space Coast. Other services include outpatient centers; the county’s only trauma center; home care; specialized programs for cancer, diabetes, heart, stroke, and rehabilitative services; central Brevard’s largest medical group; four fitness centers; and Medicare Advantage, commercial POS, and commercial HMO health plans.
Source: spacecoastdaily.com

What’s the Difference between Original Medicare and Medicare Advantage

For Part A/B/C Medicare Advantage health plans, the premium support is supposed to average less than the amount that the Federal government would otherwise spend in premium support for someone in the same county on Original Medicare Parts A and B. However the Federal government has added incentive payments – used more elsewhere in the United States than in Massachusetts — to encourage lower premium costs for the senior poor in rural areas and in the inner city who do not qualify for Medicaid. In addition the government uses a formula based on the health of the plan’s beneficiaries that typically adds to the per-capita cost of the A/B/C plan.
Source: typepad.com

Illinois Medicare Advantage Disenrollment Period

Luckily, if you’re not satisfied with your Illinois Medicare Advantage plan, you have options. Switching back to Original Medicare may make it easier to get the medical care you need by eliminating networks or restricted coverage often associated with Medicare Advantage. If you’re looking for more options that can help you pay for out-of-pocket expenses associated with Medicare, a Medicare Supplement plan may be the right solution. The right Medigap plan can also save you money. A high deductible plan F offers the same great coverage but for reduced monthly payments. That’s convenience and peace of mind that when you need medical attention, you can get it- no questions asked.
Source: ssiinsure.com

People with Medicare save $4.8 billion on prescription drugs because of the health care law

The health care law also makes it easier for people with Medicare to stay healthy. Prior to 2011, people with Medicare had to pay part of the cost for many preventive health services. These costs made it difficult for people to get the health care they needed. For example, before the health care law passed, a person with Medicare could pay as much as $160 in cost-sharing for a colorectal cancer screening. Because of the health care law, many preventive services are now offered free to beneficiaries (with no deductible or co-pay) so the cost is no longer a barrier for seniors who want to stay healthy and treat problems early.
Source: valleysentinel.com

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

Which is better? Medicare or Medicare Advantage?

6. What is the Medicare Advantage plan’s star rating? The 5-star rating system is used by Medicare to monitor Medicare Advantage plans and determine if they meet certain quality standards.  The ratings also make it easier for someone on Medicare to compare plans based on quality and customer service. The star rating system considers 53 quality measures, such as success in providing preventive services, managing chronic illness, and keeping consumer complaints to a minimum. The higher the plan’s rating, the better. It’s not a bad idea to target plans that have a rating of 3.5 or higher.
Source: ehealthinsurance.com

Texas Medicare Advantage Disenrollment : Learn Your Options

If saving money is a goal, you may want to consider a Medicare Supplement Plan. In Texas, there are several different plans to choose from, all with different combinations of benefits and coverage options.  High deductible plan F may be a good solution for reducing out-of-pocket expenses and the monthly cost may be significantly lower than you might expect. With great benefits, no network restrictions and lower costs, a Medicare Supplement plan may be a good alternative to your Texas Medicare Advantage plan.  Remember, if you choose to disenroll in your Medicare Advantage plan, you will still need to qualify for a Medicare supplement plan and you will be enrolled in Original Medicare.
Source: texasmedicarehealth.com

Choosing Between Original Medicare and Medicare Advantage

Original Medicare is made up of two parts: Part A and Part B. Part A is a hospital insurance plan that helps to cover the costs associated with home health care, inpatient hospital care, hospice and nursing home care. Part A typically does not carry a premium, as the cost is covered by workers’ Medicare taxes. Medicare Part B is a medical insurance plan that covers part of the cost of outpatient care, certain doctors’ visits, approved medical supplies and preventative care. Just as with other health insurance policies, recipients pay a monthly premium for coverage.
Source: reversemortgagecalculator.com

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

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

Medicare Payments Could Be Subject to a Drastic Cut

Posted by:  :  Category: Medicare

In honor of Tax Day by swanksalotConsumers could suffer in several ways if the cuts remain in place. For example, according to Heritage’s Center for Data Analysis calculations, under ACA regulations, an individual with an income of $85,000 in 2017 who is enrolled in Part B and Part D would have a combined premium increase of $874.44 for that year. A married couple with an income of $170,000 in 2017 who are enrolled in Part B and Part D would be subject to a combined premium increase of $1,748 for that year.
Source: gohealthinsurance.com

Video: Medicare Payments For… Penis Pumps?!

MedPAC Issues Draft Recommendations for 2014 Medicare Payment Update Factors

Further, MedPAC also called for a repeal of the sustainable growth rate formula (SGR), which is to cut Medicare physician payments by 26.5% starting on Jan. 1.  Instead of the SGR formula, MedPAC suggested ten years of statutory payment updates.  MedPAC also issued recommendations for a .5% payment increase for ASCs in 2013.  Additionally, it recommended it be mandatory for ASCs to submit cost data starting in CY 2014.
Source: jdsupra.com

Medicare Payments For Anemia Drug Too High

The Washington Post: Medicare Overspending On Anemia Drug The U.S. health-care system is vastly overspending for a single anemia drug because Medicare overestimates its use by hundreds of millions of dollars a year, according to an analysis of federal data. The overpayment to hospitals and clinics arises because Medicare reimburses them based on estimates rather than the actual use of the drug (Whoriskey, 8/9).
Source: kaiserhealthnews.org

Warning: Medicare Payment Limits Are Bad for Health! 

The Center for Medicare Advocacy has represented Medicare beneficiaries since 1986. As one of the few advocacy organizations in the nation solely serving Medicare beneficiaries, we strongly oppose home health episodic payment caps or any other such defined payment limits. Experience with such limits – caps on outpatient therapy – demonstrates that payment caps create barriers to necessary care for people with long-term and chronic conditions. Similarly, home health episode caps would be harmful to some of those in greatest need of home care. By the same token, any set payment limits arbitrarily restrict access to Medicare coverage and necessary care – in essence, they amount to vouchers for care in various care settings that are harmful to beneficiaries.
Source: medicareadvocacy.org

Bucks County Specialty Hospital gets highest Medicare scores in Philly metro

The biggest Medicare winner locally, based on so-called process of care and patient satisfaction standards, is the Bucks County Specialty Hospital in Bensalem, an orthopedic facility majority-owned by the Rothman Institute. It will receive a 0.67 percent bonus over standard Medicare payments.
Source: medcitynews.com

Medicare Payments & the Sustainable Growth Rate (SGR)

To reduce cost, health policy experts have recommended a number of actions: better coordination of patient care among providers; the use of electronic medical records;  increased patient accountability; the elimination of duplicative or unnecessary tests; and, the replacement of the fee-for-service method of reimbursement with models that do not reward physicians based on the number of services they perform.
Source: rmhp.org

Take Quality into Account in Medicare Payments  Broydrick and Associates

There is a simple way to save Medicare money and no hurt beneficiaries:  take quality (outcomes and per capita cost) into account in Medicare payments. The Congressional Budget office would score it as savings and it would reward Wisconsin for good behavior as well as several other states like Oregon, Minnesota, and Virginia. This process was begun with a study in the Affordable Care Act  and show be adopted over time in the Medicare reimbursement formula.
Source: broydrick.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

SEQUESTER: Reductions to Medicare Providers, Biomedical Researchers Could Take Effect Jan. 1

Meanwhile, biomedical researchers are concerned that a long-term stay over the fiscal cliff could result in job losses and significantly reduced grants, the U-T San Diego reports. According to U-T San Diego, scientists would be able to sustain research efforts if the government goes over the cliff for a short period because most scientists funded by NIH receive multiyear grants, and most institutions have some discretionary funds. However, in the long term, NIH could be forced to significantly cut research grants, likely providing smaller and shorter awards (Robbins, U-T San Diego, 12/29/12).
Source: ahlalerts.com

Medicare payments tied to patient surveys

I was born in the great State of Texas. I love to sing, write and cook. I went to college and got my Bachelors of Science Degree in Biology. I love writing and I love keeping informed and abreast with what’s going on in the political world. Event if you’re not into politics, politicians actions have a profound effect in our lives. It is important in my opinion for voters to know who they vote for before they vote.
Source: birchindigo.com

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

Left Behind: Will Cutting Medicare Hurt Seniors?

If blunt tactics like lowering the Medicare eligibility age or slashing provider reimbursement across the board aren’t the right way to control Medicare costs, then what is? What the Annals authors suggest will sound familiar to anyone paying attention to fundamental changes already underway in the health care delivery system. They (as do others) urge greater focus on providing more efficient care for each individual’s particular condition through physician use of comparative effectiveness research abetted by “organizational incentives” to reward providers of high-quality, cost-effective care.
Source: healthworkscollective.com

Medicare Rebates Available

Posted by:  :  Category: Medicare

SCOTUS Obamacare Decision Makes Individual Mandate A Fact & Universal Healthcare Coverage A Fiction by watchingfrogsboilMedicare, Worksafe and TAC Rebates are available to suitable clients with our Pathways Director, Carina Thomas. Carina is a Somatic Psychologist specialising in the interplay of mind and body. A GP referral is required, please contact Carina or the team for further information.
Source: com.au

Video: Medicare rebate – Nick Xenophon

Physiotherapy Medicare Rebates

Clients can either choose to claim the rebate onsite after their treatment or by going into Medicare. For clients who choose to claim onsite we require an eftpos card (linked to a savings or cheque account) and your Medicare card. We will charge $61.10 to your account, then swipe your Medicare card to attain the rebate then reswipe your eftpos card to place the $51.95 back into your account. If clients to choose to go into Medicare we can print them a receipt with all the necessary details to claim the rebate.
Source: com.au

Claiming a Medicare rebate: :: Centred MGP

Every woman is entitled to have a midwife, unfortunately if you see your GP you don’t get to see a midwife until you go for your hospital visit at 19/20 weeks. This means you have missed out on vital information and building a valued relationship. This is regretable because it is beneficial for women to see a midwife from the moment she is pregnant or at least between 8 – 10 weeks. A midwife gives the woman unbiased information allowing the woman to choose different options of care, rather than the straight route to an obstetrician because she has private cover. Now with midwives having a Medicare provider number, this means that a pregnant woman can see a private midwife to discuss options of care and claim for a refund just like going to the doctors. Midwives work in collaboration with doctors and midwives are all to happy to refer the woman when it is required and the woman wishes to do so.
Source: centredmgp.com

Medicare rebate only 16 per cent of AMA's recommended hospital fee

NATALIE Barrington’s second bundle of joy has been welcomed into the world – but like many mums, she believes Medicare could offer more financial support for families. Her baby girl Shiloh Jennifer Barrington was born at Calvary Hospital on December 11 more
Source: auplurk.com

William Henning: Medicare cuts bad medicine for vulnerable California communities

Meanwhile, Part D has been a singular fiscal success, posting what is nothing short of an astonishing record for a federal program. The Washington-based think tank Heritage Foundation found that Part D’s cost growth has come in 41.8 percent below its original cost estimate — a total savings projected at $264.6 billion for taxpayers. Additionally, according to the Journal of the American Medical Association, improved access and adherence to medicines through Part D saves Medicare about $1,200 per year in hospital, nursing home and other costs for each senior who previously lacked comprehensive drug coverage — a $12 billion-per-year savings for Medicare.
Source: santacruzsentinel.com

John Hunter’s Blog: Medicare Rebate at November 2010

JOHN HUNTER, provides Medicare rebatable counselling in the Melbourne CBD at 253 Lonsdale Street, Melbourne and in Burwood East near the K-Mart complex. Please call Mobile 0405 107 476 or 9539 2200 for appointments and enquiries. Voice messages will be answered as promptly as possible. John Hunter, BSW, MAASW (Accredited), Mobile 0405 107 476, Landline (03) 9539 2200 Visit: www.johnhunter.net.au
Source: blogspot.com

White House Touts Medicare Rebates

“You the American people have made it clear that you don’t want Obamacare,” Mr. Herger said on the video. “You told the president and Speaker Pelosi at town hall meetings, public rallies and at the ballot box. They rammed their government takeover of health care through anyway. But House Republicans are listening. That’s why we have introduced a bill that would fully repeal Obamacare and replace it with common-sense, incremental solutions that would actually help bring down skyrocketing health care premiums by up to 20 percent.”
Source: nytimes.com

Caregivers Struggle with Medical Costs and Medicare

Posted by:  :  Category: Medicare

Grand Bargain Watch - Save Social Security by DonkeyHoteyThe 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: What is a Medicare health insurance exchange?

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 Payments Could Be Subject to a Drastic Cut

Consumers could suffer in several ways if the cuts remain in place. For example, according to Heritage’s Center for Data Analysis calculations, under ACA regulations, an individual with an income of $85,000 in 2017 who is enrolled in Part B and Part D would have a combined premium increase of $874.44 for that year. A married couple with an income of $170,000 in 2017 who are enrolled in Part B and Part D would be subject to a combined premium increase of $1,748 for that year.
Source: gohealthinsurance.com

Democrats Wary Of Medicare Benefits Cuts Being Discussed In Fiscal Talks

The Hill: Democrats Want GOP To Show Hand On Medicare In Deficit Negotiations Democrats wary of accepting any entitlement benefits cuts are asking Republicans to show them their plans if they want to make Medicare means-testing a part of a lame-duck fiscal package. GOP leaders have floated the idea of hiking Medicare costs for wealthier beneficiaries – a proposal President Obama has repeatedly backed – as a condition of any deal to prevent a slew of tax hikes and spending cuts from taking hold Jan. 1. But Speaker John Boehner (R-Ohio), the GOP’s point man in the negotiations, has declined to specify the Republicans’ wish-list for entitlement reform – at least publicly. And it’s unclear whether means-testing would be enough to win GOP support for a deal that would also hike tax rates on households with annual family income above $250,000 (Lillis, 12/16).
Source: kaiserhealthnews.org

Some Forms Of Federal Health Insurance Such As Medicare, Also Require People To Pay Co

While insurance use to be something that most people got as a benefit may be uncomfortable, to say the least, the minimum tax. Instead of telling people to work the system to get medical care for free, I learned to stretch my dollar using coupons, I taught myself to be more frugal not cheap but live without Health Insurance before I find another Health Care Plan to cover myself. Health Insurance Deductible Many health insurance plans require a qualified health insurance broker who represents many carriers. Continental General Insurance Company Golden Rule Insurance same insurance that they had just a few years ago, and they probably already have a higher deductible. Health Care Premiums  In addition to deductibles and co-pays, List of top health insurance companies in india Apollo DKV Insurance Company Ltd.
Source: unblog.fr

Health Insurance: Medicare Rebates and Private Health Insurance Cover for Osteopathic Treatment in Australia

If you want to commit an osteopathic treatment in Australia, it is important to know how your treatment will be covered by Medicare, the scheme of the government universal health care or private health insurance funds. Medicare One patient in Australia with a chronic disease (eg, a condition long musculoskeletal system), which is overseen by a family physician, is entitled to Medicare for up to five sessions of osteopathic treatment in a calendar year, such as by an osteopath with the Osteopathy Board of Australia are registered. However, there are certain conditions that can be applied in the order for a patient to be eligible for the rebate. First, the treatment must be an osteopath from a chronic disease management MBS physician services provided to the patient and the patient’s GP Management Plan (GPMP) and the detention orders are recommended. Team (ATC) A reference GP is necessary for a referral form, which is provided by the Australian Department of Health and Ageing, this form must be submitted to the osteopaths the first treatment. After all five sessions have been committed, if further treatment is necessary, a new benchmark GP is required. Second, if more than five sessions of osteopathic treatment is undertaken, the following sessions are not covered by Medicare. Third, the osteopath needed a reference GP written report. Usually at the end of treatment that provide detail the proposed treatment, tests or analyzes and plans for the future management of the patient A patient who has private health insurance, chose not to seek a guarantee that their osteopathic treatment, but to their Medicare claims is also entitled to the cost of five treatments each year civil claim above conditions are provided fulfilled. Private health insurance Osteopaths in Australia as allied health professionals are a patient with osteopathic treatment required by their private health insurance does not start treating doctor’s recommendation. Generally have a private health insurance either a form of collateral or Extras: right of a patient to a specific number of sessions of osteopathy during the calendar year, depending on the amount of coverage, or to pay a contribution towards the cost of osteopathic treatment, to for an agreed amount. However, it is important that patients check with their health insurance, that osteopathic treatment is covered in her special diet, and other expenses that they can be held accountable. It is also important that patients who decided to have not claim the cost of osteopathic treatment on their private health insurance, know, and instead to claim their Medicare rebate can not use their private health insurance for Any shortfalls between Medicare and fees to pay for the processing.
Source: blogspot.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

California insurance firm over billed Medicare $424 million

Accident Arnold Schwarzenegger Arrest Arroyo Grande Atascadero Avila Beach California Cal Poly Campaign 2012 Court Crime Environment Estate Financial Inc. Event Photos Fire Grover Beach Guns Jerry Brown Kelly Gearhart Labor Unions Lawsuit Medical Marijuana Morro Bay Music New Job Nipomo Oceano Opinion Paso Robles Paso Robles Police PG&E Pismo Beach Politics Public Education Public Health Sad Sam Blakeslee San Luis Obispo San Luis Obispo County San Luis Obispo County Sheriff San Luis Obispo County Supervisors San Luis Obispo Police Taxes Water Wine
Source: calcoastnews.com

Left Behind: Will Cutting Medicare Hurt Seniors?

If blunt tactics like lowering the Medicare eligibility age or slashing provider reimbursement across the board aren’t the right way to control Medicare costs, then what is? What the Annals authors suggest will sound familiar to anyone paying attention to fundamental changes already underway in the health care delivery system. They (as do others) urge greater focus on providing more efficient care for each individual’s particular condition through physician use of comparative effectiveness research abetted by “organizational incentives” to reward providers of high-quality, cost-effective care.
Source: healthworkscollective.com

CHAMPVA Supplemental Insurance

Posted by:  :  Category: Medicare

In general the CHAMPVA program covers most health care services and supplies that are medically and psychologically necessary. Upon confirmation of eligibility, you will receive program material that specifically addresses covered. » CHAMPVA Supplemental Insurance
Source: arrivenews.com

Video: Tom Udall’s Health Reform Q&A with MomsRising

All You Need to Know About the CHAMPVA Insurance

If you are an eligible beneficiary, the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is designed to aid you pay for health attention services and supplies that are vital in different medical and psychological situations. First, you have to confirm that you are eligible for CHAMPVA insurance. To be eligible for CHAMPVA, you must never meet the qualifications of TRICARE. Tags: 1
Source: timberlandfordonline.com

healTHousands: Extending Coverage for CHAMPVA Insurance: My Story

This whole experience has made me extremely passionate about equal access to health care, especially to those whose family has given the ultimate sacrifice to this country to protect individuals and allow individuals to still have their freedom. It sickens me that our country does little to help those individuals AND their families… because his injury doesn’t just affect my father, it has affected our entire family. Repeatedly, I hear arguments from people such as “Why would we support deadbeat kids of disabled Veterans anyways?”, “I DON’T want to pay for someone else’s insurance”, “It’s your father’s benefit, not yours”… blah blah blah. However, just as many individuals with parents who have insurance through their employment, insurance is a benefit of the job of being in the military, and therefore although the employer IS the United States government, still means that everyone should be entitled to benefits that have been legal by recent legislative changes. We still are required to pay the same medical costs and have deductibles and all that jazz, so, really, the insurance plan is exactly the same as any private provider such as Golden Rule. In addition. if an individual becomes disabled during their employment, often their insurance plans will allow them to keep their insurance, up to a cap, just like my mother’s did.  As a person planning on becoming a physician, equal access to health care is something I am extremely passionate about.
Source: blogspot.com

Thompson/Beasley: ChampVA insurance

It has come to my knowledge that Baton Rouge/New Orleans, LA VA is not receiving any ChampVA patients anymore. After calling the Champva office in Colorado, I was told that it was due to the remodeling of the New Orleans center, and this probably would not be permanent. I surely hope so. I realize the veterans need medical attention first, but we ChampVA patients who depend on the VA for our medical attention need a place to go.
Source: blogspot.com

Bill aims to fill health reform gap, extend coverage for vets’ children

I have a 17 year old son about to graduate high school 2013, I worry about his ability to maintain health coverage if he decides to persure an education beyond age 23 and how this will enable him to suceed as I and his father a 100% disabled vietname veteran want. My husband did not make the ultimate sacrifice to only see his son struggle due to his inability to provide as a man and father would simply because of his service connected disabilities.
Source: ifawebnews.com

Wounded Times: Difference between TRICARE and CHAMPVAWounded Times

Can someone please explain the difference to Romney? The Wall Street Journal: Romney Pledges To Expand Programs To Help Veterans Mitt Romney vowed Wednesday to expand employment and tuition assistance for veterans, taking a quick detour from the Republican National Convention to unveil new policy details in a speech here. … “Right now the VA has a shortage of mental health care professionals. I’ll hire more,” Mr. Romney told the convention. “Any time a veteran is unable to receive timely health care from the VA system, he or she will be allowed to see a Tricare provider at the VA’s expense.” (Murray, 8/29). Maybe then someone can also explain that CONGRESS is responsible for this mess along with the higher fees? Difference between TRICARE and CHAMPVA TRICARE (Formerly CHAMPUS) . Medical Insurance Program Through Dept of Defense . Must Be Retired Military . Retirement can be from longevity of service, given retirement status due to disability, or early out. . Must be enrolled in DEERS. . No disability criteria to be eligible. . Veteran, Spouse, and Dependent Children are eligible to participate in the program . Participants receive medical services preferably from in-network private physicians who participate in the Tricare program. . VA primary care doctors are not part of the in-network physicians for Tricare. Therefore, it does not benefit Tricare members to receive medical services by VA doctors under Tricare. . Note: VA specialty doctors may be Tricare in-network doctors. . There are three levels of Tricare benefit packages. . There is no annual fee for Tricare Standard or Extra, but deductibles apply. . There is an annual fee for Tricare Prime; but there are no deductibles for basic care services. . There are numerous sources for obtaining prescriptions. . Local participating pharmacies, active military installations, and mail out. TRICARE Resources DEERS Enrollment Support Office Attention: CO, 400 Gigling Rd. Seaside, CA 93955 1-800-538-9552 Tricare Enrollment Office 1-800-444-5445 Tricare Local Office 931 S. Semoran Blvd., Winter Park, FL 32792 Tricare Claims Service 1-800-403-3950 Tricare Web Site www.tricare.osd.mil CHAMPVA . Medical Insurance Program Through VA . Cannot Be Retired Military. . If veteran is also retired military, dependents would not be CHAMPVA eligible and must apply for Tricare. . No DEERS enrollment for CHAMPVA. . Veteran must be 100% SC disabled, or died on active duty, or died as a result of a SC disability. . Spouse and Dependent Children are eligible to participate in the program. . Veteran is not eligible to participate in the program. . Veteran is eligible to receive all medical care through VA medical facilities. . Dependents may go to participating VA medical facilities for medical services. . Each VA medical facility may elect to provide or not to provide services to CHAMPVA participants. . There are no annual fees for CHAMPVA. . CHAMPVA participants are not eligible for obtaining prescriptions through active military installations, but may obtain prescriptions through local participating pharmacies and mail out. CHAMPVA Resources CHAMPVA Center – Registration Post Office Box 469064 Denver, CO 80246-9064 1-800-733-8387 CHAMPVA Center – Claims Post Office Box 469063 Denver, CO 80246-9063 1-800-733-8387
Source: blogspot.com

Bill would extend health coverage to adult children of CHAMPVA beneficiaries

The bill, S. 3801, would raise CHAMPVA eligibility for dependent children to age 26. Coverage for children under the insurance program currently expires when they turn 18 unless they are full-time students, in which case they continue to receive care until they turn 23 or stop attending school on a full-time basis. It was referred to the Senate Veterans’ Affairs Committee for consideration.
Source: govexec.com

Are you ready for 2013? 4 questions to ask yourself

Posted by:  :  Category: Medicare

Drug questions by Ano Lobb. @healthyrxDon’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

Video: Medicare Advantage | Questions about Medicare Advantage Plans

Medicare revalidation, DMEPOS fee still prompt questions among ODs

“Medicare covers post-op eyeglasses for cataract patients only if the glasses are provided by a DMEPOS supplier who is enrolled in Medicare,” Dr. Jordan said. “If the optometrist is not enrolled in Medicare for DMEPOS, then the glasses are not covered. Neither the doctor nor the patient can obtain reimbursement for the glasses from Medicare if the supplier is not enrolled. If a Medicare beneficiary wants to pay out-of-pocket for eyeglasses from a supplier who is not enrolled in Medicare, she or he may do so, but the doctor should be sure to explain to the patient that the glasses would be covered if they were obtained from another supplier who is enrolled in Medicare. In addition, the doctor should be certain to have an ABN form signed by the patient acknowledging that although she/he could have these glasses covered elsewhere she/he agrees to pay the doctor out-of-pocket and that he or she cannot get reimbursement from Medicare.”
Source: newsfromaoa.org

The Prognosis of Medicare

With the fate of the Affordable Care Act now assured, we have received many questions about what Health Care Reform means for Medicare and will there be further cuts in benefits in 2013.  The short answer is no, at least not yet.  This fall has been an especially confusing time for Medicare beneficiaries.  The elections coincided with the Medicare open enrollment period where all the insurance companies aggressively advertise and try to woo people to join their plans.  All of these events together create confusion with a deluge of information, misinformation and rumors about what is likely to happen to Medicare next year.
Source: insuranceconnection.net

HANYS Benefit Services: Questions and Answers on the Additional Medicare Tax

If a former employee receives group-term life insurance coverage in excess of $50,000 and the resulting income is in excess of $200,000, how does an employer report Additional Medicare Tax on this? The imputed cost of coverage in excess of $50,000 is subject to social security and Medicare taxes, and to the extent that in combination with other wages it exceeds $200,000, it is also subject to Additional Medicare Tax. When group-term life insurance over $50,000 is provided to an employee (including retirees) after his or her termination, the employee share of social security and Medicare taxes and Additional Medicare Tax on that period of coverage is paid by the former employee with his or her tax return, and is not collected by the employer. An employer should report this income as wages on Form 941, Employer’s Quarterly Federal Tax Return (or the employer’s applicable employment tax return), and make a current period adjustment to reflect any uncollected employee social security, Medicare, or Additional Medicare Tax on group-term life insurance. However, unlike the uncollected portion of the regular (1.45 percent) Medicare tax, an employer may not report the uncollected Additional Medicare Tax in box 12 of Form W-2 with code N.
Source: hanysbenefits.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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

Dems Face Internal Divide On Medicare, Safety Net Questions

National Journal: Bold Medicare Reform May Require Going Beyond The CBO Score Liberal Democrats would rather not see any cuts to entitlement programs — period. Instead, they argue, the U.S. government needs to put policies in place that will bring down the costs of health care overall. Make care cheaper to administer, the argument goes, and Medicare and Medicaid won’t cost the federal government so much. It’s a beguiling idea with one big flaw: The Congressional Budget Office isn’t always able to put a dollar figure on how much money Democrats’ ideas would save. As Washington negotiators work toward a debt-reduction deal, Democrats want reducing the cost of care to be part of the conversation. But budget negotiators want to be able to talk in dollars. CBO’s scoring rules “much too much embed the status quo. They require levels of certainty about the costs and benefits that defy many forms of innovation,” said Donald Berwick, a Center for American Progress senior fellow and former administrator of the Centers for Medicare and Medicaid Services (Quinton, 11/20).
Source: kaiserhealthnews.org

Are you ready for 2013? 4 questions to ask yourself

Posted by:  :  Category: Medicare

TWO YEARS OF RUIN by SS&SSDon’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

Video: Medicare Part B_1.wmv

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

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

GAO Report Looks at Medicare Spending on Part B Drugs

3rd Party Studies ACOs Admin Costs affordability Age Rating Cadillac Tax cbo Cost-Shift Employers Essential Benefits Exchanges GRP Health Insurance Tax Health Plan Innovations Health Plan Satisfaction House hearings House legislation HSAs KI MA McCarran-Ferguson Medical Prices Medical Tests medicare medigap MedMal MLR Morning Headlines MT Patient Safety premiums Profits Provider Consolidation PWC Quality Rate Review Readmissions Reform RZ Senate hearings Senate legislation Small Business The Link Vilification Waste Fraud and Abuse
Source: ahipcoverage.com

Ohio Consumers for Health Coverage Statement on Raising of the Medicare Eligibility to Age 67

Would yield only $5.7 billion in actual federal savings in 2014 when the costs of federal ubsidies for 65-66 year olds buying health coverage in the Exchange is considered, along with the federal government’s contribution to Medicaid for persons newly eligible under the Affordable Care Act and the loss of Medicare premium receipts. This is approximately one percent of the total annual cost of Medicare.
Source: progressohio.org

Federal Judge Affirms Denial Of IV Drug Coverage Under Medicare Part B

BURLINGTON, Vt. – A federal magistrate judge on Nov. 28 affirmed a decision by the U.S. Department of Health and Human Services (HHS) and Secretary Kathleen Sebelius regarding coverage of a prescription antibiotic via an intravenous (IV) external infusion pump. The magistrate judge concluded that neither Medicare Part A nor Part B cover the administration of daptomycin through an IV, adding that the drug can be injected instead (Kathryn Ottinger v. Kathleen Sebelius, Secretary of the U.S. Department of Health and Human Services, No. 2:12cv2, D. Vt.; 2012 U.S. Dist. LEXIS 168498).Full story on lexis.com
Source: lexisnexis.com

The A, B, C and D of Medicare

These plans change every year and it is expected that the monthly premium for part D of a basic plan will be about $30, which is no change from this year.  If you are not settling for a basic plan, review your options.  Some plan premiums have risen dramatically from last year and there are also more bargain plan options.  If you are already enrolled in a plan, you may want to give it a once over to ensure there is no premium hike on it and then compare it to some of the bargain options.  Also before you make your final decision on which drug plan you would like to go with ensure that the deductible is not too high that it may be well worth paying a higher premium elsewhere.  Plans, for 2013, can tack on deductible of up to $325.00.
Source: fiohinvestments.com

Are You Set for the New Year With Medicare Enrollment Over

You can switch to a Medicare Advantage plan or prescription drug plan with a higher quality rating. Whether you have traditional Medicare or Medicare Advantage, you can switch to a Medicare Advantage plan that has a five-star quality rating if one of these plans is available in your area. If you have a prescription drug plan, you can switch to one with a five-star rating. You can make the switch at any time during 2013, but you can only do it once.
Source: allsup.com

Save time with medical health insurance

Posted by:  :  Category: Medicare

TTT #5... 259365 by paloeticIt was only a few seconds to log on to the insurance companies, especially health policy is required to purchase online to compare different companies to get the best health insurance deals. So why we can not just compare the best plans and medical insurance by buying online. Always remember that the best medical health insurance is more comprehensive and allows you unlimited benefits such as savings.
Source: meganewtons.com

Video: Health Insurance Hemet

Feds OK Health Insurance Exchange Plans For Three More States

Health Policy Solutions (a Colo. news service): Colorado Likely To Opt For Medicaid Expansion Gov. John Hickenlooper has tipped his hand that he’s likely to push for Medicaid expansion. In documents presented Wednesday to the Legislature’s Joint Budget Committee, the governor’s staff wrote: “we are likely to opt in to the expansion.” The governor insisted that the decision to expand rests solely with his office, a contention that lawmakers challenged. … Colorado Medicaid managers at the Department of Health Care Policy and Financing have not yet released long-awaited cost estimates. In response to questions from JBC analysts, Hickenlooper’s office said that cost estimates will be final by Feb. 15, 2013 (Kerwin McCrimmon, 12/20).
Source: kaiserhealthnews.org

Sofi Insurance Services Now Offers Consultation for Health Insurance Plans

Shopping for insurance on the individual market can be an overwhelming process. Numerous policies and plans are available. No plan is inherently better than another: Some plans are simply better fits for a specific person or family’s needs. When shopping for a health insurance plan, consumers will need to consider the overall cost of individual and children health insurance plans, the extent of the coverage and how easy it will be to locate the care they need and the flexibility they want.
Source: whatis-healthinsurance.com

Health insurance plans offer a vital supplement to your health care precautions

With an extensive Internet penetration and geographical reach, the new generation has become well acquainted with its power and capability, thus find it comforting to operate online. Insurance being a product and having an entire industry to its name, has become a fragment of this e-commerce concept. There is an array of insurance products sold online. Besides the generic life insurance policies, Medicalim policies are also gaining equal importance. Moreover, due to the collaboration with online markets, Insurance is establishing a strong and consolidated foothold in the market. Customers are shunning the services of an agent to buy health insurance India online plans. However, it is a smart decision to buy medical insurance online without the advice of an agent?
Source: freepressreleases.com

Affordable Individual Health Insurance Plans

While the costs for medical care continues to rise, there’s still a way to get affordable individual health insurance. Here’s how to find an affordable health insurance plan. Individual Health Insurance If you’re self employed or your employer does not offer health insurance, you may have to purchase your own health insurance. Although individual insurance plans cost more than group plans, there are still some ways to find affordable individual health care. Individuals and groups alike need to select the most affordable health plans they can find. That’s what makes a managed health care plan the plan of choice. Managed care plans work by providing medical health care through a network of doctors and hospitals. An HMO is the least expensive of the managed health insurance plans. As a member of an (HMO) health maintenance organization, you are provided with medical coverage including doctors visits, hospital stays, surgery, emergency care, x-rays, lab tests, and therapy. Usually, the doctors and hospitals you use must be in the network. With an (HMO) health maintenance organization, you benefit from lower premiums in exchange for accepting some policy restrictions. For example, you must select your health care provider from a pre-approved list called a network. In fact, you may receive no benefits at all if you go outside this network. In addition, you may need a referral from your primary doctor before you can see a specialist, and you may need to request approval from the HMO for specialty care. Depending on your needs you may want to include coverage for items such as maternity care, prescriptions, and vision care. Managed care plans can vary quite a bit from insurance company to insurance company so look at each plan carefully before deciding on which one to purchase. Affordable Individual Health Insurance Quotes One of the best ways to get affordable health insurance quotes is to go to a free insurance quote website. There you can get competitive quotes from up to 5 health insurance providers so you can compare plans and prices. After you have your quotes, you need to look closely at the policies and decide which one is the best for you.
Source: submityourarticle.com

Demystifying Georgia’s Plans for Health Insurance Exchange

Where Does That Leave Georgia’s Healthcare Consumers? Georgians will be able to utilize a federal health insurance exchange to shop for best-fit policies. According to a recent Healthcare IT News report, the federal exchange will include “an initial application, plan evaluation tools and consumer support such as a website with chat capability and 24-hour call center through which to compare plans, check eligibility for affordability programs and to enroll in a qualified health plan.” Those qualified health plans may begin submitting applications to join the federal exchange next April.
Source: ajc.com

After Newtown shootings, questions about mental health insurance coverage

Insurance companies now also farm out their mental health benefits to a third party so that ins company doesn’t have to follow parity rules because the primary ins company doesn’t “offer” mental health benefits. They still limit visits and require a ton of paperwork for approvals. If you have to fax records, spend hours on paperwork/the phone every 5 sessions, get properly submitted claims rejected regularly, and reimbursement gets magically cut below the rate you were originally given, you learn to avoid that company… so a person is left calling around struggling to find someone. The paperwork to get on many insurance panels (so you can bill them) takes months and you have to complete 100+ pages worth for some. Then they say sorry, we have enough providers in your area so aren’t accepting more. Then many of the providers on their list dropped the insurance company years ago but have not been removed so the company can say look at our long list. Many community mental health facilities have a 3 month plus wait because they are overwhelmed.
Source: nbcnews.com

Do I have to sign up for my employer health plan?

As you know, the health reform law allows your parents to keep you enrolled under their plan until age 26. Technically, however, if you are offered health insurance through your employer (even if you decline it), your parents’ plan is not required to extend coverage to you anymore. Ask your parents to contact their HR department to make sure they understand the company policy about dependent coverage in cases like this. Don’t try and pull a fast one by declining the employer coverage and sticking with your parents’ plan. They could find out a year later and have all your medical claims reprocessed as patient responsibility.
Source: ehealthinsurance.com

How health reform and health care trends will impact insurance over next two years

By the end of the year, Corlette says government rules regarding benefit packages, coverage of pre-existing conditions and other health reform requirements should be unveiled. While these rules will be of particular interest to health insurance companies, consumers will also want to pay attention to these details. The government regulations are expected to have a significant impact on both the costs and coverage of health insurance for individuals in 2014.
Source: insurance.com

Choosing a Health Insurance Plan?

You should take advantage of a new consumer benefit to help you compare health insurance plans. Beginning September 23, 2012, all private insurers must describe their health policies in a same way. Here’s an example of the first page of this description, so you know what to look for.
Source: consumersunion.org