Medicare Benefits Schedule (MBS) iPhone App: 25 PROMO CODES AVAILABLE & $1.99 (Normally $5.49)

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2.. Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481Designed for Aussie health professionals (doctors, nurses, proceduralists), myMBS offers the entire Australian Medicare Benefits Schedule directly on your mobile device. Made #2 ranking in the Medical section of the Apple App Store – now comes the latest update – myMBS 3.0.
Source: com.au

Video: Medicare Australia and Seeing a Doctor: nib Health Insurance Explained

Medical Specialist Outreach Assistance Program

Services delivered to communities in Australian Standard Geographical Classification (ASGC) – Remoteness Area (RA) 2 (Inner Regional) to 5 (Very Remote) are eligible to be supported under this measure.  However, where possible the MSOAP-MS measure will focus on the delivery of outreach services in communities situated in remote (RA 4) and very remote (RA 5) locations.
Source: com.au

What is a Medicare Benefits Schedule number?

For in-hospital services, the Medicare rebate will pay 75% of the Medicare Benefits Schedule fee and if you have private health insurance your Health Fund pays the remaining 25% as a benefit towards your doctors’ bills.  Some doctors and specialists charge more than the MBS fee. If this happens, you have to pay the ‘gap’, which is the difference between the MBS fee and what the doctors charge.
Source: wordpress.com

Why You Can't Get An Annual Medicare Physical

THE SENIOR CITIZEN OR THE MEDICARE AGED PATIENT ALWAYS REQUIRES , A CARGIVER OR AN ATTENDENT. THIS IS AT TIMES, FAMILY, FREINDS USUALLY TAKE THEM OR GO WITH THEM TO THERE SCHEDULED ( BEFORE ) THE ACTUAL DAY OF APPT. THIS TAKES KNOWELEDGE OF KNOWING WHAT IS N WHAT IS NOT A COVERED BENEFIT. A WAY AROUND IT IS KNOWING DED DUES, COINS , COPAY. KNOWING THAT A STAFF IS THERE AT OFFICE TO KNOW THE MEDICARE CHANGES OR POLICY BENEFITS FOR THE PATIENT HELPS. SA STAFF, PATIENT KNOWELEDGE ,+ KNOWING A WAY AROUND THE PROCEDURE, THE PE, VS ILLNESS. THE ABOVE WOULD HAVE BEEN BILLED AS BOTH. A PT SEEN FOR ANNUAL PE OR EXAM, FOR CARRIERS DOCUMENTION MEDICAL RECORD WITH A DX ON THE ILLNESS ALSO. SOMETIMES THE PT IS NOT YET SCHEDULED FOR FURTHER TESTING FOR CONFIRMATION OF NEW DX. kNOW AHEAD WHAT IT IS THAT YOU ARE SCHEDULING BY KNOWING YOUR COVERED BENEFITS. HOW YOU CAN COINCIDE THEM BOTH HELPS.
Source: managemypractice.com

Magnetic resonance imaging in primary care

As there are no completed, large-scale epidemiological studies of cancer risk associated with CT, risk has been approximated using organ doses (or the distribution of dose in the organ) and application of organ-specific cancer incidence and mortality data derived from studies of atomic-bomb survivors on the peripheries of Hiroshima and Nagasaki.
Source: org.au

myMBS for iPhone – Search the Australian Medicare Benefits Schedule

News.iPhoneWorld.ca is a new service from iPhone World. We call it iNews aggregator, and rightly so: our iNews aggregator fetches the latest stories about all things i — Apple, iPhone, iPod, iTouch and iPad, as well as select tech news — from leading online publications. It’s automatically updated every 5 minutes, is categorized for easy browsing, currently contains close to 100 sources with more being added all the time. Registered users can create custom news feeds and vote up articles. iNews Aggregator is still in an early beta testing stage, though it’s open for the public. As such some things might not work as expected, while the category filters are still slightly off. We’re working on fixing these features and are in the process of adding new ones. May 5, 2010: iNews Aggregator now features a comments system and a brand new design. Stay tuned for more coming soon!
Source: iphoneworld.ca

Development of a quality framework for the Medicare Benefits Schedule: discussion paper

In the 2009-10 Budget, the federal government announced that it would provide $9.3 million over two years to develop and implement a new evidence-based framework for managing the MBS into the future – the MBS Quality Framework. The Quality Framework will establish new listing, pricing and review mechanisms that ensure that prospective and already listed items are effective and safe, likely to lead to improved health outcomes for patients and represent value for money. The government will consider the future of the program in the 2011-12 Budget.
Source: org.au

Cancel Medicare Advantage

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSBecause of their flexibility, the ability to move states and the fact that the insurance company cannot change the plan are just a few of the reasons we prefer Medicare Supplement Insurance Plans to MAPD. If you would like to hear more about the reasons a Medicare Supplement can be a better fit for your insurance, please fill out the short form at the top of the page and one of our experts will get you a new medicare supplement quote and help explain how you can save the most off your medicare cost.
Source: medicarecost.net

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

Medicare and Medicare Supplemental Insurance

Medicare supplemental insurance is the easiest way to bridge the coverage gaps in traditional Medicare coverage.  The Medicare supplement plans will cover varying numbers and combinations of the nine gaps.  The most popular and expensive of the plans is plan F because it covers the all of the gaps, while plan A tends to be the least expensive because it only covers the minimum of four gaps.  Each plan has its merits but knowing which one to get can only be based off of your individual needs and budget. You can get a free quote of medicare supplement rates here.
Source: tablib.org

AFLAC Medicare Supplement Plans Now Released in Indiana

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

Anthem Blue Cross Blue Shield Medicare Supplement Plans Are Affordable…

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

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

What is a Medicare Supplement Plan?

AARP AARP Connecticut AARP Medicare AARP Medicare Complete AARP Medigap AARP Medigap 2013 AARP Rates 2013 AARP Supplement AARP Supplement 2013 Anthem Anthem High F plan Anthem Medicare Anthem Medigap Anthem Supplement Coverage Gap Donut Hole Drug Help High Deductible F supplement LIS Connecticut Medicare Medicare Advantage Medicare Advantage plans Medicare Complete Medicare Complete connecticut Medicare Connecticut Medicare for Dummies Medicare part B Medicare part D Medicare prescription drug plans Medicare Rx Medicare Saving program Medicare Supplement Medicare Supplement Connecticut Medigap Medigap rates 2013 Medigap rates NY 2013 MSP Connecticut Original Medicare Part D Part D Drug help Rx Help Rx help connecticut united healthcare United Healthcare AARP United Medicare complete 2013
Source: croweandassociates.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

Medicare Supplement Plan F

At first glance this doesn’t make any sense at all since I just told you that it was more expensive on a monthly basis, but when you break down what it covers and the risk involved the Medicare supplement plan f will save you money in the long run.  With the coverage gaps left by Medicare Part A and Part B you can choose any of the ten Medicare supplement plans.  The problem is that each plan covers a different amount or combination of those coverage gaps.  So if you choose plan A you are still open to extra costs from a need for skilled nursing care, the Medicare part A deductible of $1,156, the Medicare part B deductible of $140 annually, any foreign travel expenses, and an charges that fall under Medicare Part B that are above the Medicare approved amount.  In this example if you went into your doctor’s office he would charge you $140 before any of your coverage comes into play.  If that same doctor decided you need to be admitted to the hospital you would then owe the $1,156 for being admitted.  After that you would be subject to additional charges if they moved you to a skilled nursing facility.  Just one quick incident can add up fast and instead of worrying about all this you can moderate your life by just getting a Medicare supplement plan F.
Source: dzida.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

Older Americans Have Been Highly Resistant to Medicare Changes

Posted by:  :  Category: Medicare

Rogue Magazine (October 1964)  Volume 9 Number 5 - Water Balloons ...item 1.. routinely use devious devices -- wears us down like rabid trial lawyers until we give in (August 15, 2011 / 15 Av 5771) ... by marsmet542The income gap among Republicans and Republican leaners is about as large as the difference between GOP supporters of the Tea Party and non-supporters. Among Republicans and Republican leaners who agree with the Tea Party, 57% view deficit reduction as more important than preserving Social Security and Medicare benefits as they are. Among Republicans and leaners who do not agree with the Tea Party, just 36% say that reducing the deficit is more important than maintaining benefits.
Source: people-press.org

Video: Improving Medicare in 2011

Medicare: can we protect what works and still fix delivery, financing?

So here’s my take: Medicare is a popular program but its cost is not sustainable. Cost shifting by providers borne by the privately insured is not a long-term solution to the $105 trillion obligation owed current and future beneficiaries. And solutions that incrementally modify the program’s funding—higher premiums, delayed eligibility, required co-payments in MediGap coverage, changes to its annual cost formula using the Chain Consumer Price Index (CPI), a voucher-type alternative and others—without fundamentally restructuring the delivery of services will fall short. While possibly effective in changing what the Medicare program spends, these might not solve the larger issues of costs and cost shifting, or the fundamental challenge of overtreatment and unnecessary care. So the issue is not just what to do with Medicare costs; it’s what to do with health costs! For seniors today, cost is the problem. Tragically, 46% die with virtually no financial assets, largely because their out-of-pocket health costs exceeded their savings.
Source: deloitte.com

Avoiding The ‘Fiscal Cliff’ Likely Means Changes In Medicare

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

National Provider Call on FY 2014 Medicare DSH Changes

On January 8, 2013, CMS hosted a National Provider Call to discuss the changes to Medicare disproportionate share hospital (DSH) payments under section 3133 of the Affordable Care Act.  Beginning in FY 2014, Medicare DSH payments will be cut to 25% of the amount expected to have been paid under the preexisting methodology.  The remaining 75% will be reduced by a factor based on the percent change since 2013 in the under-65 uninsured population.  What money remains will form the available “pool” for an additional payment to be redistributed according to each hospital’s proportion of the estimated, aggregate amount of uncompensated care.  Thus, the two main unknowns driving the reduction and redistribution of Medicare DSH payments are how CMS will measure (1) the change in the uninsured population; and (2) each hospital’s share of uncompensated care.  During the call, a number of issues were raised by listeners with respect to each of these factors.  Providers will have to wait for the FY 2014 Hospital IPPS Proposed Rule for answers.  Stakeholders are invited to submit formal comments on the implementation of section 3133 via email to Section3133DSH@cms.hhs.gov by January 15th for consideration in the Proposed Rule.
Source: jdsupra.com

Medicare changes: What you need to know this year — Health — Bangor Daily News — BDN Maine

The site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

Medicare Home Health Changes for 2011 & Beyond

The 36-month rule was actually put in place under the 2010 payment rule, but the 2011 payment rule provides further guidance on the application of the rule after a year of confusion. The 36-month rule prohibits the conveyance of the home health provider agreement to a buyer if the selling agency started within 36 months or a prior change of ownership took place in the last 36 months. Under these circumstances, the buyer must enroll in Medicare as a new, or initial, agency. The 2011 payment rule confirms it does apply to both asset and stock transactions. However, it will only be applied to changes in “majority” ownership, and several exceptions to the rule are provided, including death of an owner, indirect ownership changes and changes in entity structure. Take Action Now
Source: healthcarereforminsights.com

New Medicare Benefits and Changes for 2011

Once your total drug costs reach $4,550 (see the Ms. Medicare column "Paying Less for Drugs in the Doughnut Hole" for details about how this is calculated), you are eligible for "catastrophic coverage" and your prescription costs drop to a lower copay for the remainder of the year. Last year, when there were no doughnut-hole discounts, $250 rebate checks were sent to all affected Part D subscribers. Because of the discounts now in place, there will be no rebate checks for 2011 expenses. Another 2011 change for Part D subscribers is that if you have a high annual income (more than $85,000 for individuals and $170,000 for couples) and pay higher-income premiums for Part B, you’ll also pay a higher premium for Part D drug coverage.
Source: aarp.org

Health Care Reform Brings Major Medicare Changes

In addition, Centers for Medicare and Medicaid Services has begun this month reimbursing hospitals for Medicare services based on how well they follow “best practices” or clinical guidelines and how their patients respond to satisfaction surveys. This is known as “value-based purchasing” or “paying for performance.” Some hospitals will be paid less while higher-performing hospitals will be paid more. Beginning this month, Medicare is reducing payments to hospitals that had higher-than-expected readmission rates over the last three years for patients who returned within 30 days of being discharged after pneumonia, heart attack or heart failure. More conditions will likely be added in the future.
Source: northcarolinahealthnews.org

Medicare’s Past and Uncertain Future for People with Disabilities

Posted by:  :  Category: Medicare

National debate dragged on until the 1960s, when it became painfully obvious to private insurance companies and the federal government that the elderly could not afford adequate health insurance on their own to cover rising costs for care. This was a group of Americans who had paid into the Social Security system through work but now had less than half the income they once had and three times the need for medical care.
Source: freedomdisability.com

Video: Six Steps to Applying for Disability

ITEM Coalition Issues Survey RE Medicare Beneficiaries and Access to Assistive Technology Devices; Please Complete.

ITEM is currently surveying people with disabilities and chronic conditions to find out if they are experiencing problems accessing the devices needed to function independently.  ITEM is interested in medical device and assistive technology users that live in areas where Medicare has implemented a selective provider contracting program known as the DME Competitive Bidding Program.
Source: drnpa.org

Your Money Matters: Healthcare in Retirement

Medigap In general Medigap is supplemental insurance specifically designed to cover some of the gaps in Medicare coverage. Although the name might lead you to believe otherwise, Medigap is provided by private health insurance companies, not the government. However, Medigap is strictly regulated by the federal government. There are 10 standard Medigap policies available (Plans E, H, I, and J are no longer available for sale, however, if you already have one of these plans you can keep that plan). All plans may not be offered in your state, yet all are standardized and certified by the U.S. Department of Health and Human Services so that each plan provides exactly the same kind of coverage no matter what state you live in (except for Massachusetts, Minnesota, and Wisconsin, which have their own standardized plans). Every Medigap policy offers certain basic core benefits, such as coverage of certain Medicare Part A and B coinsurance and co-payments. Other plans offer additional benefits, such as coverage of Medicare Part A and B deductibles, and charges that result when a provider bills more than the Medicare-approved amount for a service. Medicaid
Source: wgntv.com

Philadelphia Social Security Disability Attorneys

If you are receiving long-term disability benefits, the Philadelphia Social Security attorneys at Silver & Silver can answer all your questions about the Medicare plans offered and what benefits you are entitled to receive.  Our law offices are located in Ardmore, Pennsylvania, and are easily accessible from communities throughout the Philadelphia area and its surrounding suburbs of Delaware County, Montgomery County, Bucks County, Chester County, and Berks County, as well as in the South Jersey communities of Camden, Burlington, Cherry Hill, Voorhees, Haddonfield, Moorestown, Mt. Laurel, Gloucester, Atlantic County and others. Call us at 1-800-94SILVER (1-800-947-4583) to schedule a free consultation or contact us online.
Source: silverandsilver.com

Medicare For Those With Disabilities

• If you have End-Stage Renal Disease you are not automatically enrolled in Medicare, but you can apply if you have worked the required amount of time according to Social Security or the Railroad Retirement Board, or if you are the spouse or dependent child of someone who has. Contact Social Security for details. You would need both Medicare A and B to cover certain dialysis and kidney transplant services. The coverage usually starts the fourth month of dialysis treatments.
Source: medicareecompare.com

The Medicare age is still 65

At the web­site, you’ll find more than just the online Medicare appli­ca­tion. You’ll also find infor­ma­tion about Medicare, and have the oppor­tu­nity to watch some short videos about apply­ing for Medicare online. One is a fam­ily reunion for the cast of The Patty Duke Show. In another, Patty Duke and George Takei go boldly where you should be going — online. Why go online to apply for Medicare? Because it’s fast, easy, and secure. You don’t need an appoint­ment and you can avoid wait­ing in traf­fic or in line. As long as you have ten min­utes to spare, you have time to com­plete and sub­mit your online Medicare application.
Source: thepennews.com

The Connecticut Social Security Disability Lawyer Blog: Do I Automatically Get Medicare with SSDI?

…this is definitely one of the questions most often asked by my clients…  Clients also ask me a lot about whether they will get Medicaid.  I will address these questions separately below: MEDICARE: You will receive Medicare after you receive Social Security Disability Benefits for 24 months. When you become eligible for disability benefits, the Social Security Administration will automatically enroll you in Medicare.  It is important to note that Social Security starts counting the 24 months from the month you were entitled to receive disability, not the month when you received your first check.  This two year period starts five months after your disability began.  (This is due to the fact that there is a five month waiting period to receive SSDI.) However, special rules apply to: End-stage renal disease (permanent kidney failure). People with permanent kidney failure get Medicare beginning:
Source: blogspot.com

Medicare Disability Home Care Rules Eased Thanks to Settlement

Additional requirements of the settlement include requiring the federal court in Vermont to certify a nationwide class of more than 10,000 people who were denied claims for skilled nursing and therapy services before January 18, 2012. Medicare officials will be required to host an education campaign to publicize the changes among health care providers, government employees and contractors who make decisions regarding the coverage of these services. It is important to understand that the settlement does not guarantee coverage.
Source: amsvans.com

Social Security Field Offices Cut Wednesday Hours, Allsup Reports

Belleville, Ill.—Jan. 14, 2013—On Jan. 2, Social Security Administration (SSA) field offices began closing to the public at noon on Wednesdays. With less access to assistance from SSA employees, it’s important for disability applicants to consider seeking representation, according to Allsup, a nationwide provider of Social Security Disability Insurance (SSDI) representation and Medicare plan selection services. The early Wednesday closure follows a November 2012 announcement that field offices would close to the public daily at 3 p.m., which is 30 minutes earlier than previous office hours.
Source: posterous.com

Social Security Disability Income, Medicare and Medicaid cuts may be in store in 2013

Still, an increase of just “a tiny fraction would generate a fair amount of money,” said Democratic Representative Earl Blumenauer of Oregon. These sorts of changes probably won’t provide enough savings for Republicans to accept in return for increasing taxes for high earners, said G. William Hoagland, a former Republican staff director for the Senate Budget Committee. He’s now a vice president at the Bipartisan Policy Center in Washington, which studies ways to cut the deficit.
Source: lifesparknetwork.com

Social Security Disability Benefits: Job Incentives for Disabled Youth Receiving Social Security Benefits

Young adults who receive SSI and Social Security Disability Insurance cash benefits are faced with the dilemma of losing their monthly stipends and their Medicare part A health care coverage if they get a job. This is especially troubling for youth with low cognitive or social functioning, because many entry-level and low-end, service-oriented jobs that would be appropriate and available to these youth often do not include benefits, nor pay enough to compensate for lost cash benefits. Further, these employment disincentives are contradictory to the mission of IDEA, ADA, and other legislation and policies aimed at increasing successful transitions for young adults with disabilities and reducing dependency on welfare and other entitlements.
Source: socialsecurityexpress.com

Does Medicare or Medicaid Come with Disability?

Do you get Medicare coverage if you were approved for SSI? Claimants who are approved for SSI only typically receive Medicaid coverage in most states. And like SSI, Medicaid is subject to income and asset limitations. Medicaid is a needs-based, state- and county-administered program that provides for a number of doctor visits and prescriptions each month, as well as nursing home care under certain conditions. Can you ever get Medicare if you get SSI? Medicare coverage for SSI recipients does not occur until an individual reaches the age of 65 if they were only entitled to receive monthly SSI disability benefits. At the age of 65, these individuals are able to file an uninsured Medicare claim, which saves the state they reside in the cost of Medicaid coverage. Basically, the state pays the medical premiums for an uninsured individual to be in Medicare so that their costs in health coverage provided through Medicaid goes down. 
Source: disabilitysecrets.com

New & Question about getting married (page 2)

I used to live in Michigan for 10 years – My husband at the time was Canadian and had a visa to work & live in the U.S. The children and I had dependency visas. When he passed away suddenly we had to report to the border within 10 days. At that time our visas were taken away and I was given just over a month to settle things and leave the country. He paid into the system for 10 years. I called social security and they had me come in and fill out piles of paperwork. They gave us social security numbers but said they were only good for the survivor benefit, nothing else. I received one check for around $900. That’s it. I’ve never gotten anything else. Back in Canada, I receive only a child tax benefit and a bereavement supplement from what he paid into the canada pension plan. He only worked here in Canada for about 6-8 years so I don’t know how long that’s going to last. I have been a stay at home since my oldest was born. I feel like I’m struggling in either country.
Source: mdjunction.com

Reader Response: Medicare Options and Quality of Care

Posted by:  :  Category: Medicare

1st Medicare Iveco Daily by EssexTechMedicare beneficiaries self-select into traditional Medicare or Medicare Advantage plans. They may differ systematically in characteristics that could indirectly affect readmission rates. Age and health status are two characteristics that can usually be measured and might be included in the available data set; but there may be others not included. Researchers try as best they can to make statistical adjustments for differences in the characteristics among self-selecting beneficiaries, as the authors of all of the studies cited in my previous post did. But the adequacy of these adjustments depends on the available data. Typically researchers acknowledge such limitation of their studies forthrightly in their reports.
Source: nytimes.com

Video: Medicare Options – Making Sense of Them All!

9 Recent Medicare, Medicaid Issues

Here are nine issues dealing with Medicare or Medicaid that occurred in the past week, starting with the most recent. 1. Protecting Medicare and implementing online health insurance marketplaces were among Americans’ top priorities in a recent poll conducted by the Kaiser Family Foundation, Robert Woods Johnson Foundation and Harvard School of Public Health. 2. Medicare Recovery Auditors, also known as recovery audit contractors, set a new record for most overpayments collected in a quarter, as they recouped $744.8 million from hospitals and other providers in the first quarter of the federal government’s 2013 fiscal year. 3. A bill temporarily halting the nation’s $16.4 billion debt ceiling through mid-May passed the House 285-144, but automatic cuts to Medicare and other programs are still scheduled to take effect March 1. 4. Maryland found it may lose more than $1 billion in Medicare payments by losing its eligibility for a waiver that grants it full reimbursement from CMS, rather than the discounted rates all 49 other states receive unless the state can suppress its healthcare cost growth. 5. A Kaiser Family Foundation report showed many states have increased Medicaid access and eligibility over the past year, though a few have added restrictions to eligibility. 6. The U.S. Supreme Court issued a unanimous opinion that reversed and remanded a circuit court ruling that hospitals could appeal decisions by the Provider Reimbursement Review Board that are up to 25 years old. A group of 18 hospitals challenged their Medicare disproportionate share adjustments for 1987 through 1994. 7. A study found the number of all-cause 30-day rehospitalizations and all-cause hospitalizations decreased more in communities where quality improvement initiatives were led by Medicare Quality Improvement Organizations than in communities without these initiatives. 8. Hospital executives are on board with Arizona Gov. Jan Brewer’s plan to impose a provider fee to expand the state’s Medicaid program. 9. President Barack Obama gave airtime to the need to reform healthcare entitlements in his second inaugural address Monday, but he defended their existence and pushed back on calls to make drastic cuts to the Medicare and Medicaid programs.
Source: beckershospitalreview.com

Tricare Help – Since when do retirees have to pay for Tricare and Medicare Part B?

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

All About Medicare – Policy changes result from nationwide class action settlement

Medicare beneficiaries and legal advocates are familiar with Medicare’s practice of placing the burden of proof on the hospital consumer or patient to demonstrate a ‘likelihood of improvement’ before Medicare will pay for skilled care or continue skilled care in a rehabilitation facility after 20 days.  Most impacted are consumers who need skilled care at home and those who require physical or occupational therapy following a hospitalization for a fall, fracture, extended hospital stay, or diagnosis of a chronic disease.  To explain the denial or termination of Medicare coverage, medical professionals and nursing homes often used the terms ‘plateau’  or ‘stabilized’ or ‘not improving’.  When Medicare stops paying, the consumer must either privately pay for the needed care or therapy, or attempt to qualify for Medicaid.   
Source: wordpress.com

Daily Kos: Poll finds majority support for exchanges, Medicaid, Medicare

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

For House Democrats, election will be all about ‘Medicare, Medicare, and Medicare’

“Medicare, Medicare, and Medicare,” is going to be the mantra for Congressional Democrats going into this year’s election, said Rep. Steve Israel (R-NY), chairman of the Democratic Congressional Campaign Committee. On Monday’s Hardball, Israel said he was telling other Democratic representatives to run against the Ryan plan for Medicare now that Paul Ryan had become the Republican candidate for vice president.
Source: msnbc.com

Medicare Reform: Not So Toxic After All?

KHN notes that polls show that voters still oppose Romney’s (maddeningly vague) plan to transform Medicare into a voucher-style premium support system. And yet amongst seniors in the swing state of Florida, that hasn’t been enough to turn support against the GOP candidate. As The Wall Street Journal reports, “polls now show Mr. Romney leading among the state’s elderly voters by 6% to 12%—a sign he may be weathering reasonably well the charges by Democrats that he and running mate Paul Ryan would undermine Medicare. Among all voters in Florida, Mr. Romney leads Mr. Obama by an average of less than 2%.”
Source: reason.com

Cuts to Medicare Pay, Other Reductions Likely To Take Effect in March

On Wednesday, lawmakers predicted that mandated spending cuts under sequestration would take effect in March, as they work to come up with a longer-term solution for curbing the national debt, the Washington Post’s “Federal Eye” reports (Hicks, “Federal Eye,” Washington Post, 1/23).
Source: californiahealthline.org

What, Why, and Who of supplement insurance to Medicare

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSOur commitment is to humanitarian ideals, art and music and not the sectarian politics that often drives comments and article content. Those who have a lengthy comment, please take a look at our “Be Our Guest” feature and request a guest post article. We enjoy having guests and welcome you to express your ideas and to let us know of humanitarian projects, ideas, individuals and those issues that relate to what we believe matters most–caring for each other and the creatures of our world.
Source: greenheritagenews.com

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

Medicare and Medicare Supplemental Insurance

Medicare supplemental insurance is the easiest way to bridge the coverage gaps in traditional Medicare coverage.  The Medicare supplement plans will cover varying numbers and combinations of the nine gaps.  The most popular and expensive of the plans is plan F because it covers the all of the gaps, while plan A tends to be the least expensive because it only covers the minimum of four gaps.  Each plan has its merits but knowing which one to get can only be based off of your individual needs and budget. You can get a free quote of medicare supplement rates here.
Source: tablib.org

Medicare Supplemental Insurance Comparison Website Created by Senior Citizen Announces 25,000th Customer Helped

Medicare Supplemental Insurance Comparison (MSIC) announced today that they have successfully assisted their 25,000th customer. For anyone who has searched for Medicare supplemental insurance they know it can be a challenging process. The advent of the internet has certainly made the process easier, but only until recently clients still had to part with sensitive information such as their name, age and home address. Medicare Supplemental Insurance Comparison was created with the researcher’s privacy in mind, and is one of the first comparison websites of its kind to give insurance quotes while only requiring a zip code. “This is what allowed us to take our website to the next level,” said Steven Pewter, creator of the MSIC. “I’m a senior citizen myself and I wanted to create something that anyone could be comfortable using. The majority of our clients just aren’t OK with giving personal information up front. Our goal was to allow people to search for supplemental insurance anonymously, and I think our success with that has made us so popular.” “Hitting the 25,000th visitor helped is indeed a fine achievement,” said David Bartholomew, director of marketing. “We’ve found that as soon as anything ‘personal’ is requested people immediately click away. They just don’t want that, it feels completely invasive. With our site people can search all the most reputable Medicare supplemental insurance providers in their area and do so 100% anonymously. They can contact the companies on their own terms, and the fact that they get competing price quotes puts them in the place of power during negotiations.” MSIC also recently announced that they have added 250,000 companies to their database, all of them vetted according to reputation and years in business. To learn more, or to get a fast comparison of all the highest rated insurance companies in a specific area, please visit: http://medicaresupplementalinsurancecomparison.net/ About MSIC Medicaresupplementalinsurancecomparison.net (MSIC) was created in September of 2012 to help shoppers get the best rates for Medicare supplemental insurance. The website utilizes the absolute latest in price quote technology, and has already received rave reviews from the industry.
Source: sbwire.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

California Birthday Rule Medicare Supplement

Because of the “equal or lesser value” restriction in the California Birthday Rule for Medicare Supplements, it is often best for new enrollees to choose the highest level plan they can afford. You can always keep this plan for a year, and then downgrade later to save money if needed. However, if your health is adversely affected and you find you are using your supplemental insurance more and more, you’ll be glad you have access to the higher coverage plan.
Source: healthbrokerdave.com

Looking Into Different Aspects Of Medicare Supplemental Insurance

One issue that is near and dear to our hearts when considering health insurance is prescription drug coverage.  It is notable to understand that any Medicare Supplemental Policy you currently purchase will not come with prescription drug coverage.  This is something that needs to be purchased through separately and is referred to as Medicare Part D prescription drug coverage.
Source: seniorhealthdirect.com

Cancel Medicare Advantage

Because of their flexibility, the ability to move states and the fact that the insurance company cannot change the plan are just a few of the reasons we prefer Medicare Supplement Insurance Plans to MAPD. If you would like to hear more about the reasons a Medicare Supplement can be a better fit for your insurance, please fill out the short form at the top of the page and one of our experts will get you a new medicare supplement quote and help explain how you can save the most off your medicare cost.
Source: medicarecost.net

Comparing Medicare Supplemental Insurance Benefits

These plans, called “Medigap” plans, each have different medical care coverage. Variable benefits of coverage to be considered are: • Coinsurance plus coverage that last 365 days after medicare benefits end (Medicare Part A) • Coinsurance/Copayment for medicare part B. • Pints of blood (transfusions, first three pints) • Hospice care copayments or coinsurance • Coinsurance for Skilled Nursing Facilities • Part A medicare deductible • Part B medicare deductible • Part B excess charges • Emergencies during foreign travel • Preventative care coinsurance, per Medicare Part B If any of these are important for you to have covered, comparing medicare supplemental plans that include benefits is the only way to ensure they are included.
Source: seniorcorps.org

How To Know If You Need Medicare Supplemental Insurance

If you require a lot of medical attention, getting the most coverage you can afford makes sense. Whether you have cancer, chronic illnesses, a major health condition, or regular visits to hospitals and specialists, supplemental insurance will help ensure that everything you need is covered and affordable. Getting Medicare supplemental insurance is also a good idea if your regular Medicare policy does not cover something specific that you need, such as a prescription medication, a certain type of service, or additional medical care that you need. Talk to your doctors and healthcare providers about your current health and the steps you will need to take in order to stay healthy. This will give you a good idea of what you need, and whether Medicare will cover it. If not, seek out a supplemental insurance plan.
Source: dzida.org

Part V: Medicare Supplemental Insurance

You can only obtain Medicare supplemental insurance, or Medigap, if you enroll in Traditional Medicare. While Medigap covers the out of pocket costs that arise under Medicare Parts A and B, it does not usually pay for any costs under Part C, Part D or private health insurance plans. Many private insurers offer Medicare supplemental insurance, and coverage comes in 10 different options: A, B, C, D, F, G, K, L, M and N. Some of these options do provide prescription drug coverage through Part D.
Source: wordpress.com

Medicare age divers and supplemental insurance coverage

If US medicare works like it does in Canada, medicare reimburses out-of-country emergency hospital care AT CANADIAN HOSPITAL RATES which are well below what most hospitals south of the border (and elsewhere) would charge. In fact, if you don’t carry out-of-country insurance, and you get sick out-of-country, you can face a shockingly high medical bill. So most Canadians are very used to carrying out-of-country health insurance if they travel. But I recall a case about 10 years ago that hit the media here: an immigrant family travelled to the US for a holiday and their kid broke his neck in some sort of water-related accident. They had no out-of-country insurance and assumed the Canadian health care system would pick up the tab. The kid had to be air-lifted back to Canada after a lengthy hospital stay on a respirator and in a coma. The bill was in the hundreds and hundreds of thousands of dollars and I imagine they are still paying for it. I guess the thinking is that if you are sufficiently well off to afford to travel, you should also be able to afford the insurance. In addition to DAN, we always tack on extra out-of-country health insurance when we go to Mexico for the winter. Mostly the latter plans DON’T cover diving accidents.
Source: scubaboard.com

Making a Heart Healthy Resolution

Posted by:  :  Category: Medicare

Medicare Survey at ESL School 10-24-06 (9) by Korean Resource Center 민족학교Did you know heart attacks and strokes are the first and fourth leading cause of death in the U.S.? The Million Hearts™ initiative, launched in 2012, is aiming to prevent 1 million heart attacks and strokes by 2017. CMS and the Centers for Disease Control and Prevention are working with other federal agencies, communities, health systems, non-profit organizations and private-sector partners to help educate Americans on how to make a long-lasting impact against cardiovascular disease.
Source: medicare.gov

Video: Medicare

Reader Response: Medicare Options and Quality of Care

Medicare beneficiaries self-select into traditional Medicare or Medicare Advantage plans. They may differ systematically in characteristics that could indirectly affect readmission rates. Age and health status are two characteristics that can usually be measured and might be included in the available data set; but there may be others not included. Researchers try as best they can to make statistical adjustments for differences in the characteristics among self-selecting beneficiaries, as the authors of all of the studies cited in my previous post did. But the adequacy of these adjustments depends on the available data. Typically researchers acknowledge such limitation of their studies forthrightly in their reports.
Source: nytimes.com

Daily Kos: Poll finds majority support for exchanges, Medicaid, Medicare

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

UCLA Health System chosen as a Medicare Shared Savings Program accountable care organization / UCLA Newsroom

The UCLA Health System, which comprises the UCLA Hospital System and the UCLA Medical Group and its affiliates, has provided a high quality of health care and the most advanced treatment options to the people of Los Angeles and the world for more than half a century. Ronald Reagan UCLA Medical Center, the Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and UCLA Medical Center, Santa Monica (which includes the Los Angeles Orthopaedic Hospital) deliver hospital care that is unparalleled in California. Ronald Reagan UCLA Medical Center is consistently ranked one of the top five hospitals in the nation and the best in the western United States by U.S. News & World Report. UCLA physicians and hospitals continue to be world leaders in the full range of care, from maintaining the health of families to the diagnosis and treatment of complex illnesses.
Source: ucla.edu

Truven Health Analytics Healthcare Blog: Comparing the Quality of Care in Medicare Options

While the results of studies comparing quality outcomes in Medicare Advantage (MA) programs to those in traditional Medicare programs are variable, they do tend to show that patient outcomes in Medicare Advantage are in general better than in traditional Medicare. For example, hospital readmission rates, considered an excellent barometer of hospital quality are substantially lower in MA than under traditional Medicare; the evidence is clear that Medicare Advantage programs are better for special needs populations, such as those suffering from chronic diseases like end-stage renal disease and diabetes; and another study has shown that Medicare Advantage patients have fewer avoidable hospital admissions than those in traditional Medicare.
Source: truvenhealth.com

Health Department Holds Tibetan Medicare System Review Meeting

The Tibetan Medicare System (TMS) experience sharing meeting started on 21s January at Micro Insurance Academy (MIA) conference hall with a welcome speech by the chairman of MIA, Prof. David Dror and a keynote address by Health Kalon Dr. Tsering Wangchuk. It was later followed by presentations by various health executive officers from numerous Tibetan settlements.
Source: tibet.net

How to Rein in Medicare Spending Without Hurting Seniors

The administration pays attention to CAP. Recently Bloomberg News described CAP as “the intellectual wellspring for Democratic policy proposals, including many that are shaping the agenda of the Obama administration.” This suggests that the report’s proposals may offer a preview of “adjustments to Medicare spending” that the president would consider.
Source: healthbeatblog.com

Difference between Medicare and Medicaid

Eligibility for Medicaid:  May differ by state.  People with disabilities are eligible in every state.  Too much space would be needed here to get into all of the details of eligibility so I reccommend you use the Medicaid eligibility tool.  Here is the link:  http://finder.healthcare.gov/
Source: medicarehealthplans.com

Critiquing The Medicare Part D Low

At the outset, however, it is important to note that we agree on the basic goal: a Part D program that displays effective cost containment in a very tight federal budgetary environment.  The good news is that the existing program is quite successful in this regard. Since 2007 per capita costs in Part D have grown at a compound annual rate of 1.8 percent, while costs in Part A and B have grown at 3.6 percent and 3.7 percent, respectively. The program’s negotiated rebates between large purchasers and drug manufacturers, and the ability for consumers to compare plan prices and benefits, have resulted in lower than expected Part D spending overall.  (In contrast, note that from 1990 to 2005, average annual drug cost growth in the Medicaid program was about 13.1 percent per year.)
Source: healthaffairs.org

UCLA Health System Selected As Medicare Shared Savings Program Accountable Care Organization

“UCLA Health System is one of only a few academic medical centers to participate in this program,” said Dr. Samuel A. Skootsky, chief medical officer of the UCLA Faculty Practice and Medical Group. “This Medicare Shared Savings Plan challenges hospitals and doctors, together with their patients, to re-evaluate and redesign patient care to be more patient-centered and efficient—across all care settings, including at home.”
Source: bhcourier.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Between January 1–February 14, if you’re in a Medicare Advantage Plan, you can leave your plan and switch to Original Medicare. If you switch to Original Medicare during this period, you will have until February 14 to also 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.
Source: medicare.gov

Md. officials still negotiating with feds to retain Medicare waiver worth billions

The waiver discussed above arises from a 36-year old “demonstration project” under Section 1814(b) of the Social Security Act. The “waiver test” compares the national Medicare growth in the payment per admission to the growth in Maryland Medicare payment per discharge from January 1981 through the current period. Such test apparently is provided in regulation and, as such, the Federal government can change it to accommodate Maryland’s negotiating position without Congressional approval.
Source: marylandreporter.com

MHANJ Offers Free Medicare Benefits Counseling through “SHIP”

Counseling is free, objective and confidential and encompasses assistance with questions about Medicare, Medigap, Medicare Advantage, Medicare Part D, Long-Term Care Insurance and Dual-Eligibility. Sessions are conducted by telephone so that travel is not necessary.       
Source: mhanj.org

Reader Response: Medicare Options and Quality of Care

Posted by:  :  Category: Medicare

just chillin' in my medicare funded ride by MalingeringMedicare beneficiaries self-select into traditional Medicare or Medicare Advantage plans. They may differ systematically in characteristics that could indirectly affect readmission rates. Age and health status are two characteristics that can usually be measured and might be included in the available data set; but there may be others not included. Researchers try as best they can to make statistical adjustments for differences in the characteristics among self-selecting beneficiaries, as the authors of all of the studies cited in my previous post did. But the adequacy of these adjustments depends on the available data. Typically researchers acknowledge such limitation of their studies forthrightly in their reports.
Source: nytimes.com

Video: “STOP! In the Name of Health” Activist Flash Mob Protest

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

Why You Can't Get An Annual Medicare Physical

THE SENIOR CITIZEN OR THE MEDICARE AGED PATIENT ALWAYS REQUIRES , A CARGIVER OR AN ATTENDENT. THIS IS AT TIMES, FAMILY, FREINDS USUALLY TAKE THEM OR GO WITH THEM TO THERE SCHEDULED ( BEFORE ) THE ACTUAL DAY OF APPT. THIS TAKES KNOWELEDGE OF KNOWING WHAT IS N WHAT IS NOT A COVERED BENEFIT. A WAY AROUND IT IS KNOWING DED DUES, COINS , COPAY. KNOWING THAT A STAFF IS THERE AT OFFICE TO KNOW THE MEDICARE CHANGES OR POLICY BENEFITS FOR THE PATIENT HELPS. SA STAFF, PATIENT KNOWELEDGE ,+ KNOWING A WAY AROUND THE PROCEDURE, THE PE, VS ILLNESS. THE ABOVE WOULD HAVE BEEN BILLED AS BOTH. A PT SEEN FOR ANNUAL PE OR EXAM, FOR CARRIERS DOCUMENTION MEDICAL RECORD WITH A DX ON THE ILLNESS ALSO. SOMETIMES THE PT IS NOT YET SCHEDULED FOR FURTHER TESTING FOR CONFIRMATION OF NEW DX. kNOW AHEAD WHAT IT IS THAT YOU ARE SCHEDULING BY KNOWING YOUR COVERED BENEFITS. HOW YOU CAN COINCIDE THEM BOTH HELPS.
Source: managemypractice.com

Medicare open enrollment: Can I put my wife and 20

So you’re going to need to purchase health insurance on the individual market for your wife and son. Don’t delay; going without health insurance is risking financial disaster if an unexpected illness or injury strikes. Here’s our guide to what good insurance looks like, and here are instructions on how to shop for an individual plan.
Source: consumerreports.org

Oh Medicare, My MedicareSeattle

Oh Medicare, my Medicare Why don’t you pay for long-term care? Insurance premiums are insane, My nest egg’s going down the drain. The rotunda of the Capitol Dome Will soon become my permanent home. The whole Congress will see me there, My misery I’ll make them share.
Source: raginggrannies.org

Watchdog Blog Blog Archive

I was impressed when I first enrolled in Medicare how genuinely interested the government official who handled the paperwork was in doing what was in my interests. I had no sense of an adversarial relationship or that the government had an agenda separate from mine. The feeling of confidence that Medicare was on my family’s side was buttressed during every step of my wife’s prolonged illness. Her eventual death was more bearable by the virtually hassle-free experience of dealing with Medicare during her illness.
Source: niemanwatchdog.org

Docudharma:: "Keep Your Hands Off My Medicare"

The popularity for Medicare, Medicaid and Social Security, the three programs that are the major components of the social safety, is overwhelming. According to an ABC News/ Washington Post Poll (pdf) 79% of Americans do not want Medicare cut at all. By a large majority (65%) they would prefer tax hikes on the wealthy than reduction of payments to hospitals and doctors. Meanwhile, the Republicans in the House and Senate, who still think they won in November, are demanding drastic cuts after they campaigned against those very cuts.
Source: docudharma.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

Medicare: why no app for that?

The second prong of my being emotionally wounded that day was looking down at the change in my hand, as I walked away. I realized that my dignity had suffered a severe hit and that the extra change only amounted to roughly 30 cents.  Should I insist on paying the standard price or simply put the extra change in my pocket and walk away gracefully?  At the end of this exercise, I realized I discovered that my dignity was only worth 30 cents. I pocketed the extra change and have been enjoying rather nice senior coffee for cheap ever since. I have never been carded over it. I guess the cute young girl was right.
Source: appledailyreport.com

Leggings ARE Pants, Sweetie Pie

Before I even saw this post, I’d spent a fair amount of time this week thinking about clothes, particularly shoes and boots. Inspired by Michelle Obama’s insanely fabulous Inaugural leggings boots (ok, I guess since she is not yet a grandmother), I’ve been thinking about favorite boots and shoes of days gone by, wondering if I can balance on 3 inch boot heels in the snow, feeling cheeky at the thought of sitting at my desk, rocking those Michelle boots, opening the latest mail from yet another insurance company hot to get my Medicare Part D coverage business. It is a world of confusion, my little brain. You wouldn’t want to live here.
Source: ning.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

Brad DeLong : David Cutler: Hey Republicans! Stop Misusing My Medicare Study!

The Harvard researchers looked at the (limited and constricted) private-plan option already operating in Medicare today—a program called Medicare Advantage … and found that, on average, the Medicare Advantage plans cost far, far less than federally run fee-for-service Medicare. This is the opposite of what Democrats were saying a year ago. Then, they were touting a Congressional Budget Office study that estimated the private plans offered to Medicare beneficiaries in the system Ryan envisions would cost much more than traditional fee-for-service Medicare, and thus require higher premiums—$6,400 higher in 2022—to be paid by beneficiaries. This new study shows otherwise, and proves the very point that champions of premium support have been making for years.
Source: typepad.com

Your Money: In the New Economy

The financial crisis of 2008 has ushered in a new facet of the “New Economy.” Whatever you say about the origins and course of this financial crisis, this new dramatic development will be a major influence in our economic future. I will discuss the financial crisis and where it has led us. I will then look at how this “New Economy” will affect your job prospects, investment strategies, retirement plans, personal finance. We are in an entirely new phase of our economic progress reinforced by a new administration coming into office. It will be exciting to some and of concern to others. But we all must understand it and use it to our advantage. — Leo Cecchini (Ethiopia 1962–64)
Source: peacecorpsworldwide.org

CMS: Medicare RACs Take Back $745M in Overpayments in 1Q of 2013

Posted by:  :  Category: Medicare

CMS Director Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana CareMedicare Recovery Auditors, also known as recovery audit contractors, set a new record for most overpayments collected in a quarter, as they recouped $744.8 million from hospitals and other providers in the first quarter of the federal government’s 2013 fiscal year, according to the latest figures from CMS (pdf). The previous high for a quarter was $657.2 million, which occurred in the third quarter last year. CMS did not indicate how many recouped dollars in the first quarter were in the appeals process or had been successfully appealed by providers. Medicare RACs also returned $34.4 million to providers in underpayments, bringing total corrections to $779.2 million. Medicare RACs have ramped up their overpayment collections significantly over the past two years. In December, CMS reported that in federal FY 2012, Medicare RACs collected $2.29 billion in overpayments from providers, a record that nearly tripled overpayment collections from FY 2011. Since the program started in FY 2010, RACs have taken back $3.9 billion. Once again, RACs cited medical necessity of cardiovascular procedures as the top overpayment issue. Minor surgery and other treatments billed as inpatient when they should have been outpatient or observation was the other top reason. CMS did not disclose the most common issues for underpayments. Of the four RAC companies — DCS, CGI, Connolly and HealthData Insights — Connolly was involved with the most overpayments and underpayments in the first quarter (pdf). Connolly, which oversees HHS Region C, recorded $244 million in overpayments and $11.4 million in underpayments.
Source: beckershospitalreview.com

Video: CMS Medicare Plan part A 2013, Medicare plan explained in under 10 minutes

Tying Medicare Payment to Quality

The Hospital Value-Based Purchasing Program is one of a host of Affordable Care Act programs that put patients at the center of the Medicare system.  We’ve known for a long time that when Medicare paid providers based on how much work they did and not on how well they did for patients, too often patients got services and tests that didn’t improve their health.  Providers already must publicly report the steps they take to provide quality care to Medicare beneficiaries; Hospital Value-Based Purchasing gives these efforts additional teeth. 
Source: cms.gov

Medicare Covers Illegals, Incarcerated

The Center for Medicare and Medicaid services (CMS) paid more than $125 million to providers for treatment of 11,619 prison inmates and 2,575 individuals who were in the country illegally from 2009 through 2011, according to a pair of reports released Thursday by the inspector general of the Department of Health and Human Services.
Source: freebeacon.com

Senators Urge CMS To Reform Medicare Fraud Prevention Program

Last week, a bipartisan group of senators urged the Obama administration to reform a program designed to identify and deter Medicare fraud following an HHS Office of Inspector General report that found the program to be ineffective, The Hill’s “Floor Action Blog” reports (Cox, “Floor Action Blog,” The Hill, 1/11).
Source: ihealthbeat.org

Senators Urge CMS To Reform Medicare Fraud Prevention Program

The OIG report looked into activities from April 2010 to March 2011 and found that the Medicare Drug Integrity Contractor, or MEDIC, program identified most of the few cases referred to law enforcement through passive and external means, such as a fraud hotline, rather than proactive, internal means, such as research and investigation. Specifically, the report found that:
Source: californiahealthline.org

CMS angling to ease providers’ burdens from Medicare Administrative Contractors

CMS has called for provider contact information so the agency can survey a random sample of long-term care operators. This will help the agency determine just how satisfied providers are with the recently instituted Medicare Administrative Contractors (MACs). The Social Security Act names provider satisfaction as a MAC performance standard.
Source: mcknights.com

CMS Approves 106 New ACOs

Modern Healthcare: CMS Announces Over 100 New ACO Contracts Medicare nearly doubled the size of one accountable care program as of Jan. 1 with 106 new ACO contracts that offer hospitals and doctors financial incentives to improve quality and slow health spending. The CMS announced its latest and largest round of accountable care organizations under the Medicare shared-savings program, which launched in April last year with 27 ACOs. Another 89 ACOs were named to the program last July. The Center for Medicare and Medicaid Innovation separately launched 32 Medicare ACOs known as Pioneers roughly one year ago. CMS said half of ACOs are physician-led and care for less than 10,000 Medicare enrollees. Jonathan Blum, the CMS acting principal deputy administrator and director for the center for Medicare, said it is too soon to release results from Medicare accountable care efforts launched last year (Evans, 1/10).
Source: kaiserhealthnews.org

President Obama Signs Bipartisan Medicare Law

Just a few days ago, President Obama signed H.R. 1845 (112th), the bipartisan Strengthening Medicare and Repaying Taxpayers (SMART) Act, which was introduced by Reps. Tim Murphy (R-PA) and Ron Kind (D-WI) in the House and Sens. Ron Wyden (D-OR), Rob Portman (R-OH), Ben Nelson (D-NE) and Richard Burr (R-NC) in the Senate.
Source: waelderabuse.com

CMS announces over 100 new ACO contracts

Medicare nearly doubled the size of one accountable care program as of Jan. 1 with 106 new ACO contracts (PDF) that offer hospitals and doctors financial incentives to improve quality and slow health spending. The CMS announced its latest and largest round of accountable care organizations under the Medicare shared-savings program, which launched in April last year with 27 ACOs. Another 89 ACOs were named to the program last July. The Center for Medicare and Medicaid Innovation separately launched 32 Medicare ACOs known as Pioneers roughly one year ago. CMS said half of ACOs are physician-led and care for less than 10,000 Medicare enrollees. Jonathan Blum, the CMS acting principal deputy administrator and director for the center for Medicare, said it is too soon to release results from Medicare accountable care efforts launched last year. Blum, speaking with reporters after the CMS announced the latest ACOs, said the agency was optimistic the contracts would reduce costs. Accountable care, an experimental payment model that has also emerged among commercial insurers, was among a few policies in the health reform law that seek to more closely tie payment to performance, though critics contend that incentives in such programs are too modest. Hospitals and doctors in Medicare’s shared-savings program may select from two incentive options, including one with greater incentives but also carries the risk of potential losses. So far, eight shared savings ACO have selected his option. The other shared-savings option offers only bonuses but no risk of losses. Pioneer accountable care contracts require all hospitals and doctors to be at risk for losses starting this year.
Source: modernhealthcare.com

UCLA Health System chosen as a Medicare Shared Savings Program accountable care organization / UCLA Newsroom

The UCLA Health System, which comprises the UCLA Hospital System and the UCLA Medical Group and its affiliates, has provided a high quality of health care and the most advanced treatment options to the people of Los Angeles and the world for more than half a century. Ronald Reagan UCLA Medical Center, the Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and UCLA Medical Center, Santa Monica (which includes the Los Angeles Orthopaedic Hospital) deliver hospital care that is unparalleled in California. Ronald Reagan UCLA Medical Center is consistently ranked one of the top five hospitals in the nation and the best in the western United States by U.S. News & World Report. UCLA physicians and hospitals continue to be world leaders in the full range of care, from maintaining the health of families to the diagnosis and treatment of complex illnesses.
Source: ucla.edu

Remember Online CMS Disclosure for Prescription Drug Coverage

The size of the employer does not matter. What matters is if the employer offers prescription drug benefits to any Medicare Part D eligible individual on the beginning date of the plan year. If it does, the entity must complete the Disclosure to CMS Form for that plan year. Employers that applied and were accepted for the Retiree Drug Subsidy (RDS) are exempt from filing the Disclosure to CMS Form for the individuals and the plan options for which they are claiming the RDS. CMS has detailed information on its website that you might find helpful. See http://www.cms.gov/Medicare/Prescription-Drug-Coverage/CreditableCoverage/index.html.
Source: basusa.com

ODs have one month to earn dual bonuses under new Medicare EHR

Health care practitioners who qualified for bonuses through the Medicare Electronic Health Records (EHR) Incentive program during 2012 may also qualify for 2012 payment bonuses under the Physician Quality Reporting System (PQRS), if they enroll in the new Medicare PQRS-EHR Incentive Pilot Program by Feb. 28, 2013, according to the U.S. Centers for Medicare & Medicaid Services (CMS).
Source: newsfromaoa.org

President Signs Bipartisan Medicare Law

The SMART Act was signed by President Obama on January 10, 2013. It is designed to streamline the Medicare Secondary Payer system to ensure that seniors and persons with disabilities get timely assistance and taxpayers are repaid millions of dollars every year. It is a significant step forward toward eliminating the confusion and uncertainty inherent in past CMS procedures by providing more clear, efficient and definitive information.
Source: sadowworkerscomplaw.com

UCLA Health System Selected As Medicare Shared Savings Program Accountable Care Organization

“UCLA Health System is one of only a few academic medical centers to participate in this program,” said Dr. Samuel A. Skootsky, chief medical officer of the UCLA Faculty Practice and Medical Group. “This Medicare Shared Savings Plan challenges hospitals and doctors, together with their patients, to re-evaluate and redesign patient care to be more patient-centered and efficient—across all care settings, including at home.”
Source: bhcourier.com

Agent Pipeline Offers Cigna Medicare Supplement Solutions

Posted by:  :  Category: Medicare

Anytime we have the opportunity to offer a product from a carrier as prestigious and trusted as Cigna, we’re happy to do so. Cigna and its predecessor companies have been in the insurance field for more than 200 years. It is active in 30 countries and has 71 million customer relationships around the world. As a National Marketing Organization (NMO), we are pleased to be able to offer FMO, MGA and agent level contracts to our network of partners in the Senior Market.
Source: agentpipeline.com

Video: CIGNA Medicare Supplement Plan Launch

Top Medicare Part D Plan Costs Spike in 2013

The 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

Cigna Announces New Medicare Supplement Product

BLOOMFIELD, Conn., January 16, 2013 – On February 4, 2013, Cigna will begin sales of its new Medicare Supplement Plans insured by American Retirement Life Insurance Company. The program will be marketed and administered through Cigna’s Supplemental Benefits division in Austin, Texas. The new Medigap plans have been filed for approval with the states and are already approved in AL, IA, NM, OK & SD. Medicare Supplement plans help America’s seniors cover some of their health care costs, including deductibles and coinsurance payments, not covered by Medicare Part A or Part B.
Source: prsync.com

Cigna Announces New Medicare Supplement Product

Cigna Corporation (NYSE: CI) is a global health service company dedicated to helping people improve their health, well-being and sense of security. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including American Retirement Life Insurance Company. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits and other related products including group life, accident and disability insurance. Cigna maintains sales capabilities in 30 countries and jurisdictions, and has approximately 71 million customer relationships throughout the world. To learn more about Cigna
Source: dlvr.it

The Cigna Medicare Plans Phoenix AZ Seniors Choose

Choosing the cigna medicare plans phoenix az residents prefer can be tricky. There are different plans that Medicare offers and they each have specific features. The coverage called Part A is for hospital insurance and covers most stays and associated costs. Part B covers most other medical expenses not covered by Part A. Part D is the prescription drug plan that is only available to those who have enrolled in either Part A or B. Part C is a combination of A and B, but also automatically includes the prescription drug plan. Understanding the Medicare coverage and supplemental packages can be confusing, but will offer the best coverage for good care.
Source: tucsonhospitalityinn.org

Poe Priscilla Reviews Cigna Provides Medicare Advantage Plans For Senior Citizens

Cigna is a well-known insurance carrier for quit some time and they’ve made it their responsibility to provide a selection of health care insurance plans like Medicare Advantage Plans intended for senior citizens in the United States. It is frequently tough for seniors who might have quite a few health conditions to obtain good insurance coverage but they would have the capacity to through Cigna. Together with offering a selection of health care coverage the firm likewise has a legal contract with the government to provide Medicare plans to seniors. Due to this they’re able to offer a number of helpful Medicare plans that an individual who is eligible for the government assisted insurance will be able to select.They not only provide your health coverage they likewise provide your medical care through Cigna Medical Group (CMG). By providing health coverage and medical care together you are able to build a solid connection with your medical doctor and your care team – experts that are committed to aiding you get the most out of your health so you can get the most out of life. And along with their CMG staff you gain access to an extensive network of more than 4000 specialists in the community – find out about medicare plans with Cigna.To start with Cigna offers Medicare prescription medication plans. As everyone knows prescription medications could be very costly. A few of the medicines could cost more than one hundred dollars a month. Numerous senior citizens have to take several medications each day and that can cost more than a fixed income could afford. Cigna offers two different prescription medication plans that you can take into consideration. The details of the two are below.Cigna Medicare RX Basic would go in conjunction with most parts of Medicare and it’s obtainable in every state of the nation. The plan has a selection of valuable benefits. For instance it does not include a deductable that will keep you from having to pay with your own money. Furthermore it would continue to pay for prescriptions even through the Medicare donut hole which will cut off most healthcare coverage. Generally generic medication through this plan would cost nothing out of pocket. Cigna Medicare Select Plus Rx is only included in the state of Arizona and it will work just with Medicare HMP plans. With this option you will actually get some healthcare together with prescription medications. The plan doesn’t have any monthly cost and it has no deductibles to reach. Prescriptions are available at a discount and the plan would even help to pay on physician’s appointments.In addition to these two prescription plans Cigna likewise offers Medicare Advantage Plans. They just recently eliminated the option of the HMO plans yet others are available to people who qualify for Medicare. Not all of these plans are available in every state so it would be important to research precisely what is available in your state before determining if these plans are best for you.
Source: fc2.com

Report: Seniors face premium hikes for top Medicare drug plans — Health — Bangor Daily News — BDN Maine

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Source: bangordailynews.com