Fast facts on Illinois health insurance exchange plans

Posted by:  :  Category: Medicare

HIV/AIDS patient lost insurance coverage because of US patent laws #important by See-ming Lee 李思明 SMLA. The federal government will operate an exchange website for online enrollment, a call center for telephone enrollment and customer support, and a so-called “Navigator” program offering in-person enrollment assistance. The state also will offer an In-Person Assistance program to supplement the federal Navigator program, focused on geographic and demographic populations not served by the federal program.
Source: chicagobusiness.com

Video: What a Single Payer Health Insurance Plan Looks Like

5 Questions About Arkansas’ Health Insurance Exchange Plans

WHERE DOES ARKANSAS STAND? – Arkansas has been given conditional approval to set up a partnership on its health insurance exchange with the federal government. The state already has received about $27.5 million from the federal government in grants for planning and establishing the exchange. Some Republican legislators, however, have said they may push for a federally-run exchange during this year’s session. Arkansas is expected to meet an Oct. 1 deadline to begin open enrollment.
Source: arkansasbusiness.com

Choose the Best Health Insurance Plan for You

Next, think about co-pays, the costs you share with the insurance company. You may be responsible for a set amount, say $15, for an office visit, and $100 for a trip to the emergency room. Insurance plans also often have co-insurance, where you’ll share an 80/20 or 90/10 or similar agreement with the insurance company. They’ll pay 80 percent of the bill, and you’ll be responsible for the balance, up to your out-of-pocket maximum, after which insurance should pick up 100 percent of the bill. The higher your out-of-pocket maximum is, the lower your premiums will be. You should weigh this aspect of each plan carefully.
Source: patch.com

Health insurance application rejected? Review these 5 options

Insurers of last resort: Check your state’s designated insurer that’s required to provide coverage to everybody. Created under healt reform, pre-existing condition insurance plans (PCIPs) provide federally administered insurance coverage to people who previously have been denied insurance because of a pre-existing condition. But be aware that it could be costly. “The expenses may be high,” says Zaleznick, “but if you really need medical care, it could be extremely valuable for right now.” (See: “Uncle Sam slashes PCIP health plan premiums.”)
Source: insurance.com

White House Proposes Giving Religious Employers Chance To Opt

The White House also proposes opt-out accommodations for additional non-profit religious organizations that: -Opposes providing coverage for some or all of any contraceptive services required to be covered under the law on account of religious objections; -Is organized and operates as a nonprofit entity; -Holds itself out as a religious organization; and -Self-certifies that it meets these criteria and specifies the contraceptive services for which it objects to providing coverage.
Source: consumerist.com

Q&A: Health insurance exchanges will transform market

Here is the problem with healthcare today and why this won’t help. Insurance is not a direct form of payment for care. Doctors hospitals and other health care businesses will still see it as not the people paying for it. Why would a Doctor care if they charge 3 times to much for something. If they can say well the insurance company is paying it so who cares. Other companies say the same thing and then you see the difference in pet care and human care with the same tool from the same company. One cost about $500 total for a mri the other cost thousands and use the same machine. But because the people have insurance and the dog don’t the dog won’t be able to pay it. CEOs will make a killing off this plan and medical business of all kind will come out ok. But care won’t change much as companies absorb all they can with no regard to waste. No improvement just more money thrown on the stack.
Source: nbcnews.com

Health Insurance Deductible Many Health Insurance Plans Require People To Pay What Is Known As A Deductible!

Research the advantages and disadvantages to a list will be costly but often cover most health problems that may arise, While preferred provider organizations PPOs or point-of-service POS plans limit the expense and the patient is apt to pay the rest of the bill. Research the advantages and disadvantages to a list Company Limited Star Health and Allied Insurance Company Limited Tata AIG The New India Assurance Co. With the assurance plot, the insurer will pay a List of top health insurance companies in india Apollo DKV Insurance Company Ltd. Under the Reimbursement arrange, the insurer pays a percentage of task of finding the right health insurance plan to suit your needs. Picking the right one for yourself can be troublesome in the you will have to use the health care giver that the insurer chooses. Managing health care devices are better for the average qualities Chennai, Delhi, Kolkata, Bangalore and anywhere else in India.
Source: unblog.fr

Obama Admin Widens Exemption for Contraception Coverage

The contraception policy previously exempted religious organizations that had “inculcation of religious values” as their main purpose and primarily employed and served people who shared their religious tenets. But other religious organizations that offer services (like meals, education, or health care) to and employ people not of their faith worried that they might not qualify for the exemption. With the new accommodation, those
Source: motherjones.com

Finding Affordable Medical Insurance Plan For Self

One huge benefit of being self-employed is the write offs. Depending on your situation, you may be able to write off the cost of your health care and insurance. Though it is certainly difficult for many small business owners to  afford insurance, it is important to have insurance coverage. Because every state has different laws, it is crucial to research the different plans available in your state. Some state laws make it very easy for anyone to qualify for insurance, as laws exist to protect consumers. Other states offer almost no protection for their citizens. Either way, you should never avoid having insurance just to save a little bit of money.
Source: medicalinsuranceadvocacy.com

Uwe E. Reinhardt: Comparing the Quality of Care in Medicare Options

Posted by:  :  Category: Medicare

NEW REPORT HIGHLIGHTS MEDICARE ADVANTAGE INSURERS’ HIGHER ADMINISTRATIVE SPENDING by Leader Nancy PelosiBoth traditional Medicare and Medicare Advantage plans are monitored annually through surveys of patients, using the Consumer Assessment of Health Care Providers and Systems, known in the trade as Cahps. The findings from this survey make it possible to compare traditional Medicare with Medicare Advantage plans on quality. As Medpac reports in Table 12-8 of Chapter 12 of the March 2012 report, the commission found little difference in the relatively few quality-performance scores of the traditional Medicare and Medicare Advantage plans.
Source: nytimes.com

Video: Parts A & B – Traditional Medicare

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

Kaiser: Medicare Reform Ideas

American Medical Association cancer CBO consumer driven health care diabetes doctors drugs electronic medical records email emergency room EMR ER exercise FDA genetics Health Care Access Health Care Costs health care quality health insurance health IT health policy Health Reform Health Savings Accounts heart disease hospital HSA insurance life expectancy Massachusetts Medicaid Medicare medicare advantage NHS ObamaCare obesity pay for performance public option SCHIP seniors socialized health care Social Security stimulus tax unemployment Uninsured
Source: ncpa.org

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

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

Provider Concentration in Markets for Physician Services for Patients with Traditional Medicare by Samuel A. Kleiner, Sean Lyons, William White :: SSRN

The geographic extent of markets for physicians is an important but little-explored issue for antitrust. Using patient flow data from a 2009 20% sample of Medicare beneficiaries, we define physician specialty-specific geographic markets for selected communities and calculate concentration within these markets. We find considerable variation in geographic market size by physician specialty and evidence of substantial concentration within physician markets, especially for specialists in smaller geographic areas. Additionally, given that our market definition methodology has been shown to define overly expansive markets, our concentration measures likely reflect a lower bound.
Source: wordpress.com

Ending traditional Medicare would hurt people 55 and older

In 2012, Representative Paul Ryan (R-WI) introduced legislation that would end traditional Medicare and put seniors at the mercy of private insurance companies, dramatically increasing their health care costs and limiting their choice of doctors. The House-passed Republican Budget Resolution, which was introduced by Budget Committee Chairman Ryan, would have achieved savings for the federal government by privatizing Medicare and shifting rising health care costs to seniors. Beginning in 2023, when people became eligible for Medicare they would not enroll in the current program; rather, they would receive a capped payment to be used to purchase private health insurance or traditional Medicare. The amount of the payment would not keep pace with health care inflation, so over time beneficiaries would be paying more out-of-pocket to keep up with rising costs.
Source: blogspot.com

Kaiser: Medicare Reform Ideas

John C. Goodman is president of the National Center for Policy Analysis, a free-market think tank established in 1983. The Wall Street Journal and the National Journal have called Goodman the “Father of Health Savings Accounts.” Goodman’s health policy blog is the premier right-of-center health care blog on the Internet. It is the only place where pro-free enterprise, private sector …
Source: healthworkscollective.com

ICYMI: Health Affairs Article: Medicare Advantage Provides Higher

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

Business Roundtable attacks Medicare and Social Security

• Expand Competitive Models of Care: By 2015, Medicare should offer seniors the opportunity to choose among competing and comprehensive private plans and traditional Medicare. The private plans would offer a benefit similar to the existing Medicare program with the flexibility to innovate, sell across state lines, and create greater value strategies. Plans would be required to accept all applicants and would risk adjust the premium to take into account age and health status. The traditional fee-for-service program would compete for enrollment with private plans on cost, quality and a more innovative benefit structure. We believe that competition in the provision of health care to America’s seniors will bring substantial benefits, as it has to most all other categories of personal expenditure. The recent experience of competition in the Medicare Part D program serves as a persuasive indication of the potential savings and improvement in care available through the provision of choice to well-informed seniors.
Source: pnhp.org

Doctors Reconsidering Their Participation with Medicare

Posted by:  :  Category: Medicare

Mitt Mobile in the Final Stretch by DonkeyHoteyAdvertising Branding Brand Relationships Brochure Design Brochure Printing Domain Names Drug Companies Fonts Frequency Health Care Health Care Marketing Home Care Sales Home Health Care Home Health Care Brochures Hospice Care Internet Marketing Leadership Logos Marketing marketing reps Memory Motivation Name Recognition Office of the Inspector General OIG Orthopedic Surgeons Orthopedic Surgery Personal Relationships Physical Therapy Physical Therapy Brochures Pre-Surgical Visits Print Print Advertising Referral Sources Sales Sales and Marketing Sales Coaching Sales Management Sales People Sales Training Target Audience Top of Mind Awareness Transitional Care Management Website Websites
Source: bma-advisor.com

Video: I am a Medicare Advisor for Texas, South Carolina Michigan and California

Healthcare is America’s Real Problem

Medicare covers a disproportionately high share of expensive cases – and we would expect structural change to affect such cases most, which would explain the pattern we have seen. Three shifts support this idea: a move to value-based payments; digitisation and associated management changes; and better-informed consumer behaviour. To see what a big deal slower growth in health costs could be, consider this: if they rose 50 basis points faster than income each year, they would still be rising much faster than the growth rate of the past three years. And yet, with that more moderate growth assumption, our long-term fiscal gap would look almost manageable.
Source: floridawealthadvisors.com

Daily Kos: Romney adviser/Forbes contributor spreading Romney Medicare lies

How’s this for a combination: “Forbes health policy blogger Avik Roy – also an health care advisor to the Romney campaign.” According to public health expert Harold Pollack, it’s a dishonest combination. Roy has published a “flurry of blog posts” at Forbes about the negative impact Obamacare will have in—you guessed it—battleground states. And he’s not been exactly truthful. It’s also not just Pollack calling Roy out, it’s his fellow Forbes writer, Rick Ungar, who writes about the example of a post Roy did focused on Wisconsin. Avik’s article argues that, as a result of Obamacare, the price of individual health insurance policies in Wisconsin will increase by an average of about 30 percent. There is certainly truth in that statement for some Wisconsin residents.
Source: dailykos.com

Medicare and the Third Rail

Posted by:  :  Category: Medicare

Senate Dems Protest Medicare Cuts by Talk Radio News ServiceNot that Democrats are more honest. The attack on Romney-Ryan for “ending Medicare as we know it” studiously ignores the unpleasant reality that Medicare as we know it cannot continue. Meanwhile, an Obama campaign video of Floridians bemoaning the GOP team’s Medicare plan (“It’s my No. 1 priority now that I’m going on 65,” one woman says) somehow omits the salient fact that current beneficiaries and those near retirement would be unaffected.
Source: realclearpolitics.com

Video: Progress Illinois: No cuts to Medicaid, Medicare and Social Security press conference

Gene Sperling: Medicaid Is Safe, Medicare Is Not

The one upside to the Supreme Court making the Medicaid expansion in the Affordable Care Act optional is that it has stopped the Obama administration from trying to cut it. Senior economic adviser Gene Sperling confirmed that the administration sees taking Medicaid completely of the table as necessary to make Obamacare function; but since President Obama is still obsessed with deficit reduction, he will instead focusing on cutting Medicare. The Hill:
Source: firedoglake.com

Another ObamaCare Medicare Gimmick

ObamaCare supporters sometimes like to talk about the legislation’s “delivery system reforms,” which are supposed to change the way health care services are organized in ways that make health care less costly and more efficient. The bulk of these delivery system reforms are essentially payment reforms — restructuring the way medical providers are reimbursed in hopes of changing their incentives. But the sheer complexity of the way Medicare pays providers means that these sorts of payment games are not only commonplace, but key drivers of administrative decisions in medical facilities. Medicare’s size also means that its decisions often have ripple effects throughout the medical payment ecosystem.
Source: reason.com

Daily Kos: GOP’s health care agenda: Crippling Obamacare and Medicare vouchers

On Monday, Franken again expressed his opposition to the tax he voted for.  “I want to repeal the medical device tax altogether,” the senator and former comedian said in a statement.  “But I am concerned that we are running out of time before this job-killing tax goes into effect. So, for now, the best thing to do to ensure that this important industry continues to create jobs and producing life-saving devices is to delay this unwise tax.”  Franken and other want Reid to include a provision to delay the tax in the ongoing fiscal cliff negotiations.
Source: dailykos.com

What Medicare doesn’t cover

Well i’ve had back problems since 1985 or so. I get an injection of medication every two to three months for a pain in the lower back, that never really helps that much.I called on a t.v. add out of Tampa Fl. that a 1/2 hour laser surgery will cure me, and make me feel like a million bucks, and I will walk with the best of them with in 2 hours after surgery. Point being I have to come up with $13.500 out of pocket, them medicare kicks in, then my private insurance. I wonder what the presidents plan will do to help me on my down payment. ( anybody got a dime )
Source: bankrate.com

Long Waits For Consumers When Medicare Is ‘Secondary Payer’

In one case involving an 80-year-old man who was injured in a car accident in Kentucky in November 2011, it took more than a year to get a final figure from CMS detailing how much the agency was owed, says Linda Magruder, an attorney in Louisville who was the victim’s co-counsel in the case. That amount, for treatment for soft-tissue injuries to the man’s right hip, left foot, back and neck, was $2,640. But the agency first claimed it was owed more than $26,000, she says, because it included bills for care not related to the accident.
Source: kaiserhealthnews.org

Making a Heart Healthy Resolution

Did 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

10 Recent Medicare, Medicaid Issues

Here are 10 issues dealing with Medicare or Medicaid that occurred in the past week, starting with the most recent. 1. A top economic adviser within the White House said President Barack Obama will not make any federal Medicaid cuts in his upcoming budget proposal, but that means Medicare may be more vulnerable to upcoming reductions. 2. CMS announced that more than 500 healthcare organizations will start participating in its Bundled Payments for Care Improvement initiative. 3. CMS also announced it will pilot its competitive bidding program for durable medical equipment in 91 additional major metropolitan areas after its initial one-year pilot in nine cities saved the program approximately $202.1 million with no negative health impacts on hospitalizations and other metrics. 4. With just one year remaining before the largest parts of the federal health reform law take effect, 2013 will be a busy year for hospitals as they prepare for the biggest changes in healthcare since Medicare was introduced in 1965. 5. Aggregated membership from the seven largest health insurers grew 2.6 percent year-over-year, but Medicare and Medicaid enrollment grew much more quickly, jumping 17.2 percent and 6.2 percent, respectively, between September 2011 and September 2012. 6. California Gov. Jerry Brown’s efforts to cut Medicaid provider pay 10 percent were halted again by the 9th U.S. Circuit Court of Appeals via a petition for review. 7. The healthcare law’s Independent Payment Advisory Board, which will make decisions regarding Medicare spending, has been under fire from many on all sides of the political spectrum since it was proposed, and a report found that filling its 15 seats with qualified healthcare experts may be its greatest challenge yet. 8. American Hospital Association President and CEO Rich Umbdenstock criticized members of Congress who proposed reducing Medicare payments for hospital outpatient services. 9. A report from the Missouri Hospital Association found if Missouri does not expand its Medicaid program under the healthcare reform law, state hospitals may be forced to cut more than 9,000 jobs and cost shift more than $1 billion to commercially insured patients. 10. In the first six months of implementing seven best practices, Washington state emergency departments reduced Medicaid patients’ “unnecessary” ED visits by 23 percent and saved costs that are estimated to reach $31 million for the fiscal year.
Source: beckershospitalreview.com

Kaiser: Medicare Reform Ideas

American Medical Association cancer CBO consumer driven health care diabetes doctors drugs electronic medical records email emergency room EMR ER exercise FDA genetics Health Care Access Health Care Costs health care quality health insurance health IT health policy Health Reform Health Savings Accounts heart disease hospital HSA insurance life expectancy Massachusetts Medicaid Medicare medicare advantage NHS ObamaCare obesity pay for performance public option SCHIP seniors socialized health care Social Security stimulus tax unemployment Uninsured
Source: ncpa.org

FBI raid more about Medicare fraud than Sen. Bob Menendez.

“Any allegations of engaging with prostitutes are manufactured by a politically motivated right-wing blog and are false,” Menendez’s office said in a statement Wednesday, following the raid on Melgen’s clinics in West Palm Beach and two other South Florida locations.
Source: typepad.com

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

Hospital groups denounce Medicare cuts

From admission and discharge to billing and record keeping, today’s hospitals use technology along every point of the care continuum. But challenges remain, especially when so many clinicians and staff access patient records across multiple points, and often on different equipment. This webinar will examine how UC Irvine and other providers are simultaneously using multiple technologies to boost physician access while ensuring data security. Register now!
Source: fiercehealthfinance.com

Physicians and Experts Discuss Medicare Reform

A senior official from Blue Cross Blue Shield of Massachusetts Tuesday said trying to find significant health care savings by cutting benefits is a “fool’s errand.” Dana Safran said the effort in her state has shown that greater savings can be achieved through the supply side of health services. She spoke at an event on Medicare costs and outcomes hosted by the National Journal in Washington. The discussion looked at ways to end Medicare’s current structure, which pays based on the quantity of services provided rather than the health of the patient.
Source: c-span.org

U.S. expects big Medicare savings from competitive bid program

Wednesday’s announcement illustrates the savings that traditional fee-for-service Medicare could achieve at a time when analysts, policymakers and lawmakers are considering ways to reduce spending as part of deficit reduction. Some have recommended broad use of the competitive bidding process for a host of private operators that do business with Medicare, including private insurers.
Source: medcitynews.com

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

Tackle Medicare concerns, learn about death

Richard Jaffe: Birmingham Attorney & Author Thursday, Feb. 7 at 6:30 p.m. in the large auditorium Join library staff as they welcome nationally acclaimed Birmingham attorney Richard Jaffe, author of “Quest For Justice: Defending the Damned.” Jaffe is a renowned attorney who has successfully represented innocent people accused of murder and wrongfully sentenced to serve time on death-row as lifelong inmates. In “Defending the Damned,”Jaffe spotlights sensational murder cases in conjunction with his own representation of the Olympic and Birmingham bomber, Eric Rudolph. A book signing will follow Jaffe’s talk.
Source: al.com

Physicians and Experts Discuss Medicare Reform

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSA senior official from Blue Cross Blue Shield of Massachusetts Tuesday said trying to find significant health care savings by cutting benefits is a “fool’s errand.” Dana Safran said the effort in her state has shown that greater savings can be achieved through the supply side of health services. She spoke at an event on Medicare costs and outcomes hosted by the National Journal in Washington. The discussion looked at ways to end Medicare’s current structure, which pays based on the quantity of services provided rather than the health of the patient.
Source: c-span.org

Video: Blue Cross Blue Shield Medicare Supplement-Compare 180 Comp

Newsroom – Blue Cross Blue Shield of Michigan broadens Medicare options with new Medicare Advantage PPO product

October 1 is the first day BCBSM and Medicare Advantage carriers across the nation can market their Medicare Advantage products for 2010. Beneficiaries in BCBSM Medicare Advantage products will receive letters in the next 10 days about the new product line-up. "Blue Cross remains fully committed to providing products to Medicare beneficiaries and will continue to have the broadest array of Medicare Advantage products in the state," said Mark Owen, BCBSM vice president for federal and individual business. "It’s important for Medicare beneficiaries to know that there is no immediate change to their coverage. They have until the end of the year to make their selection for 2010." In addition to the three BCBSM products for 2010, seniors also can select from three Medicare Advantage products offered by Blue Care Network, the BCBSM-affiliated HMO. "We will be working with insurance agents and other groups across the state to reach out to Medicare beneficiaries to help them navigate these product and premium changes," said Owen. Seniors who meet low income guidelines can receive subsidies from the state and/or federal government to pay for all or part of their premiums. Medicare Advantage premiums vary by product and region. The new PPO product is expected to provide beneficiaries with value for their premium. For example, the BCBSM Medicare Plus Blue PPO, which includes Part D prescription drug coverage, will cost between $61 and $141 a month (premiums vary by geographic region), while traditional BCBSM Medicare Supplemental (Medigap) Plan C plans cost $183 when combined with a stand-alone Part D BCBSM prescription drug program. Medicare Advantage plans offer Medicare benefits through private health insurance plans and most include Part D prescription drug coverage. When you purchase a Medicare Advantage plan, you do not need to also purchase a Medigap policy. Medicare Advantage plans are regulated solely by the federal government, while Medigap plans are regulated by the state. The announced product changes are only for Medicare beneficiaries who directly purchase their Medicare Advantage products, not for beneficiaries enrolled in a group plan. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Source: bcbsm.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

Blue Shield Medicare in San Jose, CA

This brings me to my next point of the mysterious bill you get in the mail from Medicare.  One of our current clients just signed up for a Blue Shield Medicare Supplement plan.  The plan is about $97/mo which is great!  However, she got a bill in the mail from “Medicare” asking her to pay over $500.  What?!  We were just as confused.  I called up Blue Shield last week to check and see if everything had gone correctly and she was enrolled for exactly the $97/mo and no penalties had been given.  Nope—just fine on the Blue Shield side.   I called and emailed said client back and let her know not to worry about her Medicare Supp plan, but we’d like to review that bill she received in the mail from “Medicare.”
Source: brauerinsurance.com

health care solutions, Medicare FAQ, Questions about Medicare

As an alternative to Part A and B, beneficiaries can select a Part C plan, which is also referred to as a Medicare Advantage plan. Private companies contract with the federal government to offer these plans, which pay for everything covered by Original Medicare and often provide additional services.  Such as dental, hearing, vision benefits and maybe even a gym membership. Beneficiaries usually pay a monthly premium and some other fees, such as copayments and deductibles.
Source: ahealthiermichigan.org

Blue Cross Blue Shield of North Dakota sponsoring free Medicare workshops for seniors

The workshops will be held in Grand Forks on Oct. 15, Bismarck on Oct. 17, Fargo on Oct. 18 and Minot on Oct. 23. The workshops are free and open to all North Dakotans who are eligible or soon to be eligible for Medicare. Seniors are encouraged to register for one of the free workshops online at www.medicareworkshopsnd.com or by calling 1-888-235-3905. The first 25 to register for one of the workshops will receive a free pedometer.
Source: bcbsnd.com

Blue Medicare Advantage: Blue Cross Blue Shield of Illinois

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

Dave Fluker’s California Health Insurance Blog: Blue Shield of California Extends “Birthday Rule” Medi

Blue Shield has raised Supplement rates for the first time in 2 years effective December 1, 2012.  They also reduced the “new to Medicare” first year monthly discount from $20 per month to $15 per month and increased the discount for paying by check/savings deduction from $2 per month to $3 per month.
Source: blogspot.com

Medicare Targets Health Plans With Low Ratings

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

State Senate unanimously passes Blue Cross overhaul without abortion language

“I’m so eager to get this stuff done, because we’ve worked on it for probably the better part of a decade. You know, I’ve talked with Chairman (Pete) Lund and he’s got, I think maybe eight new committee members in the House Insurance Committee. So it’s going to take a little bit of time,” Hune said.
Source: michiganradio.org

Saco Residents eligible for Medicare may qualify for Silver Sneakers Plan

I am a mom of three teenage boys. Our family has struggled with multiple chronic health issues for many years. It was for this reason that I became interested in Xocai healthy chocolate. Our entire family eats healthy chocolate every day as a supplement and I am currently losing weight with the Xocai X-protein meal shake. I have struggled with Fibromyalgia for over 10 years. If you are struggling with your health, you owe it to yourself to check this out. This is the best way I have found to incorporate significant antioxidants into our diet. Feel free to email me if you have any questions. I look forward to hearing from you!
Source: healthchocoholic.com

Saving money on health costs: Extra Help program

Posted by:  :  Category: Medicare

HELP ME HELP MYSELF! by eyewashdesign: A. Goldenmonthly premiums, annual deductibles, and prescription copayments in your Medicare drug plan. Did you know that the Extra Help program is estimated to be worth about $4,000 dollars per person, per year? Even if you’re not sure you’d qualify, it’s worth filling out an application to see.
Source: medicare.gov

Video: medicare extra help

Do You Qualify for Medicare's Extra Help Program?

Every individual who qualifies represents an important potential benefit to our tribal communities. Social security is responsible for implementing that benefit; we call it “extra help.” Many Medicare beneficiaries won’t have to file for assistance because they’ll automatically get it based on benefits they receive.
Source: indiancountrytodaymedianetwork.com

Medicare Extra Help Program

Medicare’s “Extra Help” program may help you pay for Medicare prescription drug coverage premiums, copayments, and deductibles. To qualify, you must make less than $16,755 a year (or $22,695 for married couples). Even if your annual income is higher, you still may be able to get some extra help. Your resources must also be limited to $13,070 (or $26,120 for married couples). Resources include bank accounts, stocks, and bonds, but not your house or car. Apply online at www.socialsecurity.gov/prescriptionhelp or call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778). You can also apply through the Aging and Disability Resource Center which has a staff person at the Ward 5 office on Monday and Thursday. Call (202) 529-8701.
Source: batesareacivicassociation.org

Medicare and the Third Rail

Not that Democrats are more honest. The attack on Romney-Ryan for “ending Medicare as we know it” studiously ignores the unpleasant reality that Medicare as we know it cannot continue. Meanwhile, an Obama campaign video of Floridians bemoaning the GOP team’s Medicare plan (“It’s my No. 1 priority now that I’m going on 65,” one woman says) somehow omits the salient fact that current beneficiaries and those near retirement would be unaffected.
Source: realclearpolitics.com

In the Donut Hole…I Need Help!!! » Toni Says

To qualify, your 2012 income must be limited to $16,335($1,361.25) for an individual or $22,065($1,838.75) for a married couple living together.  This year they have raised the amount for resources which can be real estate, bank accounts, stocks, CDs, mutual funds, IRAs and cash at home but they no longer count your house, car and life insurance as a resource.  The value of what you own must be limited to $12,640 for an individual or $25,260 for a married couple.              What is so great about LIS (extra help) is that when you are approved; then, there can be different levels that you can qualify for, depending on how much your annual income and resources are. You may have your Part B $99.90 premium paid for, your Part D premium also can be paid for and your prescriptions co pays will be reduced to $2.60 for generics or $6.50 for brand name drugs.  One thing that is really great about LIS (extra help) is that the “Donut Hole” can be eliminated if you qualify so a $200 or $2,000 or whatever the cost of a brand name  prescription will only be $6.50.
Source: tonisays.com

Medicare fees rise for 2013

I see attacks on our president for problems wth our social security and medicare and am amazed how few people ignore the fact that congress is the major force behind plans to cripple and cut the programs each of us rely on. Over the last few years it is the GOP who have been hucking these programs under the buss they view the program that most of us will use to survive our senior years as a charity supported by rich people wrong it is a fund we have paid into all our working lives and i am offended every time i hear the word entitlement.
Source: bankrate.com

New “Twist” in Medicare Law

aging Alzheimer’s Association Alzheimers Arms Around Family Caregivers cancer care caregiver Caregivers caregiving CEO messages companionship courtesy dementia depression diet disease elderly exercise family family caregiver family caregivers Health healthy Heart holiday home home care independence Life Time Learning medical memory pain personal care Peter Tourian recovery respite safety senior seniors social stress stroke Synergy HomeCare veteran Veterans
Source: synergyhomecare.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

How Does Extra Help For Medicare Help Me?

For a single person to qualify for Extra Help for Medicare they must have a yearly income of less than $16,245.00 and have assets valued at less than $12,510.00. Your assets will not include set aside expenses for burial of up to $1,500.00, home, car or any life insurance policies. For couples the income cannot exceed $21,855.00 with assets not exceeding $25,010.00. If you are covered by Medicaid, receive state assistance to cover your Medicare Part B payments or receive Social Security Supplemental Income (SSI) you will automatically qualify for the Extra Help For Medicare program. Income guidelines are different for Hawaii and Alaska, residents of these areas will need to verify the income brackets through their state Department of Insurance.
Source: seniorcorps.org

Medicare’s “Extra Help” Program Helps Those With Limited Income Pay For Prescription Medications

It’s easy and free to apply for “Extra Help.” You or a family member, trusted counselor, or caregiver can apply online at www.socialsecurity.gov/prescriptionhelp or call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778). All the information you give is confidential. Medicare beneficiaries can also receive assistance in their local communities from their State Health Insurance Assistance Program (SHIP), Area Agencies on Aging (AAA), the Aging and Disability Resource Centers (ADRC) and many tribal organizations.  For information about how to contact these organizations go to www.eldercare.gov.  If you need assistance in Chinese/Korean/Vietnamese, you can call NAPCA’s Chinese/Korean/Vietnamese helpline respectively at 1-800-582-4218/1-800-582-4259/1-800-582-4336.
Source: asianweek.com

Prescriptions too expensive?

[…] If the information on the website states that you cannot have any insurance, including Medicare, still call the program and ask to make sure.  Often these programs will help someone (even with Medicare) if their income is as high as 250% of federal poverty guidelines (single $2327 a month; married $3152 a month).  These programs often do not ask about your assets.  You may have to spend a certain percentage of your income before receiving help (for example 5%), but it can still be an amazing savings.  You will need to provide proof of income and have your prescribing physician complete some forms, but it is definitely worth the added effort for some very expensive drugs.Source: retirementeducationplus.com […]
Source: retirementeducationplus.com

In The News: Enfield, Vernon Medicare beneficiaries get extra help with prescriptions : JoeCourtney.com

“Throughout the year, as more seniors hit the doughnut hole, the number of beneficiaries and the total amount of assistance will continue to increase,” U.S. Rep. Joseph D. Courtney, D-2nd District, said. “In the wake of the Supreme Court’s ruling upholding the Affordable Care Act, seniors can now rest assured that this assistance is permanent, and will continue to grow until the doughnut hole is closed entirely in 2020.”
Source: joecourtney.com

Medicare Rights Center And Food Bank For New York City Awarded $1 Million To Increase Enrollment Of Low

Posted by:  :  Category: Medicare

ILGWU senior female members and retirees holding placards urging "fair play for the aged", "hands off social security", "don't mess with medicare", "keep your promises Mr. President", and more. by Kheel Center, Cornell UniversityThis project will make it easier for New York City seniors to access existing public benefits, which frequently go untapped. According to a 2005 Food Bank report, of all Emergency Food Program (EFP) participants, older adults have the lowest participation rate in the Food Stamp program, with only 17 percent of eligible older adults enrolled. Further, over 100,000 older New Yorkers are eligible for but not enrolled in Medicare Savings Programs, which cover premiums and cost-sharing for medical care under Medicare. And about 55,000 low-income older New Yorkers remain unenrolled in the Extra Help program, which helps with premiums and copayments for Medicare prescription drug coverage.
Source: viha.info

Video: Medicare Rights Center

Medicare Rights Center sides with court’s decision

The Supreme Court’s decision means that seniors and people with disabilities will be able to look forward to the law’s future benefits, including closure of the Medicare Part D doughnut hole by 2020; a new requirement that Medicare Advantage plans use at least 85 percent of revenues on beneficiaries’ medical services rather than overhead and salaries; and increased solvency of the Medicare Hospital Trust Fund for an additional 8 years, until 2024.
Source: benefitspro.com

Medicare Rights Center marks the first anniversary of the Law of care at affordable prices

One year after the health care reform has become the law of the country, millions of Americans have better access to health care they need, said Joe Baker, president of the Medicare Rights Center. We know that real people see the benefits of the ACA, including the phasing out of the hole in the donut and greater access to preventive care, because we hear our national hotline. Their stories are important in affecting the benefits of reform and serve as a reminder of why the law should be applied.
Source: catholic-wiki.com

Marci’s Medicare Answers

Original Medicare, the traditional fee-for-service Medicare program offered directly through the federal government, covers 100 percent of its approved amount for these tests, even before you meet the Part B deductible. A deductible is the amount you must pay out-of-pocket before your insurance begins to cover your health care services. You will not have to pay anything for these screenings if you see doctors or other health care providers who accept Medicare and take assignment. Doctors who accept Medicare and take assignment cannot charge you more than the Medicare approved amount.
Source: homeboundresources.com

8 Top Financial Analysts and Business Advisers Who Help Us Save Money

The Oracle of Omaha is considered the most successful investor in the modern world. In recent years he’s also been a loud proponent of higher taxes for the rich, so he may want to watch his back at the next neighborhood Billionaire’s Barbecue. 
Source: aarp.org

Medicare Open Enrollment Begins October 15th This Year

In addition, a recording of our recent webinar explaining the Fall Open Enrollment Period is now available on our online training service, Medicare Rights University, free of charge. You can view the webinar any time here: www.medicarerightsuniversity.org/webinars/fall-open-enrollment-period
Source: hemophiliafed.org

Complexity Of Medicare Drug Benefit Is Hazardous To Health, Expert Testifies At House Paperwork Reduction Hearing

Glucotrol Xl Sans Ordonnance Acheter Glucovance Sans Ordonnance Acheter Grifulvin Sans Ordonnance Acheter Gyne-lotrimin Sans Ordonnance Acheter Hard On Sans Ordonnance Acheter Hard On Oral Jelly Sans Ordonnance Acheter Hytrin Sans Ordonnance Acheter Hyzaar Sans Ordonnance Acheter Ilosone Sans Ordonnance Acheter Imdur Sans Ordonnance Acheter Imitrex Sans Ordonnance Acheter Imodium Sans Ordonnance Acheter Imuran Sans Ordonnance Acheter Inderal Sans Ordonnance Acheter Inderal La Sans Ordonnance Acheter Indocin Sans Ordonnance Acheter Indocin Sr Sans Ordonnance Acheter Intagra® Sans Ordonnance Acheter Isordil Sans Ordonnance Acheter Isordil Sublingual Sans Ordonnance Acheter Kamagra Effervescent Sans Ordonnance Acheter Kamagra® Sans Ordonnance Acheter Kamagra® Oral Jelly Sans Ordonnance Acheter Kamagra® Soft Sans Ordonnance Acheter Keflex Sans Ordonnance Acheter Kemadrin Sans Ordonnance Acheter Kytril Sans Ordonnance Acheter Lamictal Sans Ordonnance Acheter Lamictal Dispersible Sans Ordonnance Acheter Lamisil Sans Ordonnance Acheter Lamisil Cream Sans Ordonnance Acheter Lamprene Sans Ordonnance Acheter Lanoxin Sans Ordonnance Acheter Lariam Sans Ordonnance Acheter Lasix Sans Ordonnance Acheter Levaquin Sans Ordonnance Acheter
Source: wordpress.com

Signing Up for Medicare Benefits, Act Now!

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

Medicare Rights Center Says Medicare Advantage Plans Are Unstable

According to the Medicare Rights Center (MRC), a non-profit consumer advocacy group, Medicare Advantage plans have major deficiencies when compared to original Medicare coupled with Medicare Supplement insurance, also known as Medigap. The MRC cites that costs for skilled nursing care, home health care and for hospitalizations run much higher in Medicare Advantage plans than they would with traditional Medicare coverage with supplemental insurance benefits provided by a private Medigap plan. In addition, The MRC reported that Medicare Advantage plans lack stable protection because many of these plans can abruptly stop coverage and restrict the use of physicians, hospitals and other providers and may make it difficult to obtain emergency or urgent care.
Source: coloradomedicareclassroom.com

Medicare Rights Center And Food Bank For New York City Awarded …

-9658-160 abstract adobe advertising archives article author authorchoice biology books business california children china copyright current-issue development education facebook flash georgia google google-scholar health healthcare home india industry information journal management medicine movies neurophysiology news pdf power press psychology science technology uncategorized united-states university wordpress
Source: neurophysiologyblog.com

Medicare Rights Center marks anniversary of Affordable Care Act

“In the second year of its implementation, the ACA has improved access to health care for millions of people with Medicare,” said Joe Baker, President of the Medicare Rights Center. “Medicare beneficiaries are receiving preventive services at no cost as well as cheaper prescription drugs in the coverage gap, and while the immediate benefits of health reform are encouraging, there is still a lot to look forward to as the law is being implemented.”
Source: 50plusnorthwest.com

Report: Texans need expanded Medicaid

Posted by:  :  Category: Medicare

In contrast to arguments that the Medicaid expansion would cost Texas too much money, Hamilton finds state spending on the Medicaid expansion could be met “many times over” with existing funds that the state, local jurisdictions and hospitals already spend on unreimbursed charity care for low-income adults. An estimated $1.8 billion in new state revenue generated by the expansion could offset the state’s match for the Medicaid expansion from 2014 to 2017, Hamilton says, adding that an estimated 231,000 jobs, $2.5 billion in local revenue and $67.9 billion in total economic output could be generated by 2016.
Source: smmercury.com

Video: What documents do I need before we proceed with a Medicaid application?

Will Texas Reverse Decision, Provide Medicaid To 1.5 Million?

“Is it the state’s fault that we have 23 some percent uninsured? I would submit, no. If it is not the state’s fault then is it the state’s responsibility to provide care to those people and I would say also, no. Many uninsured can afford insurance and they just choose not to have it,” Deuell said.
Source: kutnews.org

Official News Blog of The Christian Chronicle

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Source: christianchronicle.org

New Report Details the Incredible Stupidity of Texas’ Rejection of Medicaid Expansion

“Criticism that expanding Medicaid would be expanding ‘socialism’ is incorrect,” Hamilton writes in the report’s executive summary. “In a socialist system, the government not only funds but also operates hospitals, hires health care providers and controls every aspect of health care. Medicaid does not do these things; patients and their health care providers make health care decisions. The state accepts federal funds for many other similarly funded programs.”
Source: dallasobserver.com

Medicaid Eligibility in Texas

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

Money fears vs. real benefits in Medicaid choice

Louisiana’s health secretary, Bruce D. Greenstein, is concerned that the Medicaid expansion could replace private insurance for many low-wage workers in his state, dragging down quality throughout the health care system because the program pays doctors and hospitals far less than private insurance. He says the Obama administration and Congress missed a chance to overhaul Medicaid and give states a bigger say in running the program.
Source: publicradio.org

Legal immigrants get healthcare. Texas po’? Screwed!

“If anyone was in doubt, we in Texas have no intention to implement so-called state exchanges or to expand Medicaid under Obamacare. I will not be party to socializing healthcare and bankrupting my state in direct contradiction to our Constitution and our founding principles of limited government. I stand proudly with the growing chorus of governors who reject the Obamacare power grab. Neither a ‘state’ exchange nor the expansion of Medicaid under this program would result in better ‘patient protection’ or in more ‘affordable care. They would only make Texas a mere appendage of the federal government when it comes to health care.”
Source: beaumontenterprise.com

Contacting Railroad Medicare when a beneficiary dies

Posted by:  :  Category: Medicare

If you have received a Medicare Summary Notice (MSN), Palmetto can discuss the claims on that notice. If you have not received an MSN, a representative can order an MSN to be sent to the beneficiary’s address. Their representatives can also tell you whether or not we have received or processed a claim for a specific date of service.
Source: utu.org

Video: Screw Medicare – Family Responsibility (Senator)

Another ObamaCare Medicare Gimmick

ObamaCare supporters sometimes like to talk about the legislation’s “delivery system reforms,” which are supposed to change the way health care services are organized in ways that make health care less costly and more efficient. The bulk of these delivery system reforms are essentially payment reforms — restructuring the way medical providers are reimbursed in hopes of changing their incentives. But the sheer complexity of the way Medicare pays providers means that these sorts of payment games are not only commonplace, but key drivers of administrative decisions in medical facilities. Medicare’s size also means that its decisions often have ripple effects throughout the medical payment ecosystem.
Source: reason.com

Medicare Pty Ltd: searching for reliable persons

Date: 2012/10/6 Subject: WORK WITH US To: Dear Sir/Madam, I am Conrad B. Blake, Marketing Director, Universal Medicare Limited based in United Kingdom, our company is the largest manufacturers and suppliers of healthcare products to the UK and overseas markets, offering unbeatable pricing and excellent service. With our vast supplier network, we are able to source and deliver a massive range of the highest quality medical products. We are presently in search for reliable companies or individuals in America or Canada to partner with. Partnership scope includes placing orders for products from customers and receiving payments for products supplied. Please if you are interested in serving as a link between our company and our customers in America /Canada we will be glad. Please contact the director; Nourlan Sougourov with the below details for more information. FULL NAME: AGE: FUL CONTACT ADDRESS: OCCUPATION: RELEVANT EXPERIRIENCE: COMPANY NAMES (IF ANY): TELEPHONE: FAX NUMBER: BRIEF DESCRIPTION OF COMPANY/INDIVIDUAL: CONTACT PERSON; * * * * * * * * * * * * Mr. Nourlan Sougourov, Managing Director Tel: +44-740-177-1226
Source: bittenus.com

Hosting for Hartmann, Karl Talks Obamacare, Medicare and More

Guests Included: Hour 1: Max Richtman of National Committee to Preserve Social Security, Daniella Gibbs-Leger of Center for American Progress, Aaron Smith of Young Invincibles and Gordon Bonnyman of Tennessee Justice Center. Hour 2: Kellan Baker of LGBT Progress, Ethan Rome of Health Care for America Now (HCAN), Dr. John McDonough of Harvard School of Public Health, and Sister Simone Campbell of Nuns on the Bus. Hour 3: Rick Johnson of Lake Research Partners, comedian and civil rights leader Dick Gregory, and Dee Mahan of FamiliesUSA.
Source: karlfrisch.com

Real Estate Professionals Navigating the New 3.8% Medicare Tax

In the real estate industry, the 3.8% Medicare tax generally will apply to rental income, gain from the sale of investment real estate (including a second home that is not a primary residence) and gain from the sale of an interest in a real estate partnership, LLC or S corporation with respect to which an individual is considered a passive owner. Many individuals in the real estate industry that are actively involved in their business may simply assume that their rental income will not be subject to the 3.8% Medicare tax. Unfortunately, without proper planning, some will be surprised to learn that their rental income is subject to this new tax.
Source: newmiamiblog.com

Aflac Medicare Supplement Underwriting Update

To assist you in resolving any pended cases you may have in underwriting, we want to remind you that all communication to you regarding your new business is sent via email to the email address you provided at the time of your appointment.  CHCS Services, Pensacola, Florida, is the administrator for all Aflac Medicare Supplement business.  Anything related to policy administration, policy issue and commission is managed through CHCS Services.  If you submit an application that must be pended for any reason, you are immediately notified via email from CHCS Services of the outstanding requirements.  CHCS has indicated that some agents are not following up on the outstanding requirements.  We believe that this may be the result of your intended email going to your spam or junk folder.  Or, you may not be familiar with CHCS Services and like many people, fail to open an email from a recipient that you do not recognize.
Source: ihealthbrokers.com

Daily Kos: Unions air new round of ads against Medicare and Medicaid cuts

curb negotiations. The six-figure ad buy will target Sen. Claire McCaskill (D-MO), Sen. Mark Warner (D-VA), Rep. Denny Rehberg (R-MT) and Pat Tiberi (R-OH). “Cutting hundreds of billions of dollars from Medicare and Medicaid will short change the people who need it the most,” the ads say. “So if you don’t want seniors to come up empty, call [lawmaker] and tell [him/her] ‘Don’t make a bad deal that cuts our care.'” An earlier round of ads also ran in Colorado, targeting the Democratic senators there, and in “several dozen” Republican House districts.
Source: dailykos.com

CT Medicare Home Health TPL Project Year Five Instruction Packet 

Except for “adjusted” bills as described above, you must submit RAPs to Medicare for all episodes as necessary to include all of the services identified for TPL review.  Except for Condition Codes, the information on the RAP must be consistent with the information on the final claim. (Condition Codes are not to be included on the RAP, but only on the final claim.) For this reason, you should read the instructions relating to final claims (see Section 10 below) as well as the instructions relating to RAPs before submitting the RAPs themselves. If a final claim is not accepted by Medicare because it contains information which is not consistent with the original RAP, then the original RAP may need to be canceled, a new RAP submitted, and the final claim (now consistent with the RAP) resubmitted. The process of correcting and resubmitting RAPs and claims will cause delays, which might jeopardize your ability to get your final claims filed timely.  Therefore, it is crucial that accurate PPS episodes be identified when RAPs are submitted.
Source: medicareadvocacy.org

Medicare: MSPRC New Address & Fax

This Blog/Web Site is made available by the publisher for educational purposes only as well as to give you general information and a general understanding of the law, not to provide specific legal advice. By using this blog site you understand that there is no attorney client relationship between you and the Blog/Web Site publisher. The Blog/Web Site should not be used as a substitute for competent legal advice from a licensed professional attorney in your state.
Source: wordpress.com

Doctors praise bill to repeal Medicare cost

The AMA and other healthcare providers strongly oppose the IPAB, which would essentially have the power to make Medicare cuts now reserved for Congress — and thus subject to intense lobbying by groups trying to avoid a cut to their payments.
Source: thehill.com

UnitedHealthcare opens more fax lines for Medicare Part D enrollments

UnitedHealthcare (UHC) is having a great response to its Medicare Part D plans.  You may be experiencing busy fax lines when trying to submit your enrollments.  UHC is aware of the problem and is working to expand its capacity.  As a temporary fix, UHC has approved two additional fax numbers for Medicare Part D enrollments.
Source: wordpress.com

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

Webinar: Medicare Part D in 2013: Addressing Client Issues

Posted by:  :  Category: Medicare

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Source: nsclc.org

Video: 2002-09-13: Part D: China Tour: Yandangshan

Eric Dressen Epicly Later’d Part Three

This Raiders of the Archives features Legendary Big Brother magazine photographer Rick Kosick who gain even more fame by being a part of the MTV Jackass crew. Check out part 1 of 2 here where Rick digs through his old magazine collection and tells the story of hwo he got started in the skateboard industry and how Steve Rocco gave him an unlimited credit card.
Source: skateboardermag.com

Decoding Part D Marketing And Other News

Medpage Today: Medicare Fraud Efforts Queried Lawmakers are exploring ways to fight Medicare fraud and abuse as part of the effort to trim the federal budget and they’re looking to the private sector for suggestions. For instance, investigators at the health insurer WellPoint recently contracted with a company to mine data on practice patterns and spot spikes in payment or identify emerging areas of fraud potential, Alanna Lavelle, Wellpoint’s director of special investigations, told members of the House Energy and Commerce Health Subcommittee on Wednesday. The most egregious billers are flagged and investigated for potential waste, fraud, and abuse, Lavelle said (Pittman, 11/29).
Source: kaiserhealthnews.org

HealthSpring Part D Review

When you search for a plan on the official Medicare website you will find most plans are assigned a star rating based on past performance. Some plans are listed as too new to evaluate, while others include a warning that for three years in a row the plan has received poor ratings.
Source: partdplanfinder.com

Part D Perspectives: National Grange

This is especially true for the Grange, whose membership is primarily located in rural areas. To achieve this, we serve as a type of middle-man between the information and our members who need it, working to ensure programs developed on the national level are distributed down to the state and local Granges. We also help our membership enroll in the program and shop for the choice that best fits their needs. In health care, there is not a “one size fits all” plan to fulfill each person’s specific needs, so it really is important to look into all of the program’s options to find the one that is right for you.
Source: phrma.org

Figuring out the Medicare Part D market

Over the years, the marketers of Part D plans have made them increasingly complex, adding tiers of varying prices and using “medication management” techniques, which can make patients and doctors jump through veritable hoops to get a prescription filled. The Medicare News Group
Source: marketwatch.com

Where To Play Sport In London: Part D

Darts This is probably the only sport in the world where the pub is genuinely your training ground and ‘athletes’ are often fuelled by crisps and beer. Sadly however, London darts venues are diminishing as pubs are constantly closing down. They are also increasingly taking darts off their menus due to concerns about safety and licencing. Fortunately Justin Irwin, the self-proclaimed ‘Bachelor of Darts,’ has compiled a great list of London darts venues via Capital Arrows. He has detailed over 160 London darts venues, 114 within two miles of the city centre. Some of the best darts venues also tend to be in the main snooker chains such as Riley’s in Victoria and Twickenham which both offer specialist ‘darts zones’. The Hurricane Room chain also often have darts available in many their snooker venues scattered around London such as in Acton, Kings Cross and Colindale.
Source: londonist.com

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