AARP Supports Legislation to Require Drug Manufacturers to Provide Rebates to Medicare Part D Beneficiaries

Posted by:  :  Category: Medicare

AARP is a nonprofit, nonpartisan organization, with a membership of more than 37 million, that helps people turn their goals and dreams into real possibilities, strengthens communities and fights for the issues that matter most to families such as healthcare, employment and income security, retirement planning, affordable utilities and protection from financial abuse. We advocate for individuals in the marketplace by selecting products and services of high quality and value to carry the AARP name as well as help our members obtain discounts on a wide range of products, travel, and services.  A trusted source for lifestyle tips, news and educational information, AARP produces AARP The Magazine, the world’s largest circulation magazine; AARP Bulletin; www.aarp.org; AARP TV & Radio; AARP Books; and AARP en Español, a bilingual news source.  AARP does not endorse candidates for public office or make contributions to political campaigns or candidates.  The AARP Foundation is an affiliated charity that provides security, protection, and empowerment to older persons in need with support from thousands of volunteers, donors, and sponsors. AARP has staffed offices in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. Learn more at www.aarp.org.​
Source: aarp.org

Video: Patty and Richard say, “Apply online for Medicare” (20 seconds) – Social Security

Apply for Medicare Online Using These Four Simple Tips

Bonnie Gortler (@optiongirl) is a successful stock market guru who is passionate about teaching others about social media, weight loss and wealth. Over her 30-year corporate career, she has been instrumental in managing multi-million dollar client portfolios within a top rated investment firm. Bonnie is a uniquely multi-talented woman who believes that honesty, loyalty and perseverance are the keys to success. You will constantly find her displaying these beliefs due to her winning spirit and ‘You Can Do It’ attitude. Bonnie is a huge sports fan that has successfully lost over 70 pounds by applying the many lessons learned through her ongoing commitment toward personal growth and development while continually encouraging others to reach their goals & dreams. It is within her latest book project, Journey to Wealth, where Bonnie has made it her mission to help everyone learn the steps needed to gain sustainable wealth and personal prosperity. Look for Journey to Wealth later in 2013!
Source: bonniegortler.com

www.mymedicare.gov Interactive Medicare Portal

www.mymedicare.gov Interactive Medicare Portal Register for a MyMedicare.gov account  free and secure online Web site providing Medicare, Welcome to Medicare’s free, protected on the internet assistance for obtaining customized details regarding your Medical wellness insurance benefits and solutions. The MyMedicare.gov website, which is Medicare’s protected on the internet assistance allowing people, or maybe your current designee, to access your individual.Medical wellness insurance details, such as medical care claims, precautionary solutions, Medicare Summary Notices (MSNs), and more.The Centers for Medical wellness insurance & State medicaid programs Services, a division of the Department of Health insurance coverage Human Services , is the federal agency that runs the Medical wellness insurance Program and watches State medicaid programs programs offered by each state.
Source: blogspot.com

WASHINGTON: APNewsBreak: Upper

House Budget Committee Chairman Paul Ryan, R-Wis., asked Sebelius about the new proposal on Friday, noting that it would raise significantly more revenue. Part of the reason for the additional federal revenue is that Obama’s 2014 budget projects an additional year of money from the proposals. The rest of the answer has to do with the administration’s new brackets.
Source: heraldonline.com

Funding Details: Medicare Incentive Payments in Health Professional Shortage Areas and Physician Scarcity Areas

Physicians in geographic Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs) can receive incentive payments from Medicare. Psychiatrists practicing in mental health HPSAs are also eligible. Payments are made on a quarterly basis, rather than claim-by-claim, and are handled by each area’s Medicare carrier.
Source: raconline.org

Dick And Jane Sign Up For The Exchange

The Centers for Medicare and Medicaid Services (CMS) recently released draft versions of online and paper applications which consumers will fill out to buy policies in the new health insurance marketplaces, which are slated to begin enrolling people in October.  Those applications will function as a single, streamlined entry point for  consumers, telling them what sorts of assistance they might qualify for, including Medicaid, CHIP and tax credits to help them afford private insurance in the online marketplaces.  The goal is to make enrollment as easy as possible, because the marketplaces are the chief way that as many as 27 million people are expected to get coverage under the health law.
Source: kaiserhealthnews.org

Obama’s Social Security, Medicare Cuts

Posted by:  :  Category: Medicare

KNOW WHO YOUR CZARS ARE --ENOUGH TO MAKE YOU SICK ---ONLY OBAMA COULD CREATE POSITIONS FOR THESE INCOMPENTENT COMMUNISTS AND SOCIALISTS by SS&SSPhoto: Courtesy USC Roybal Institute on Aging Traducción al español WASHINGTON, D.C.–The Social Security and Medicare cuts President Obama included in his proposed budget would disproportionately harm Latino Americans and are deeply unpopular in our community. Rather than being part of a “Grand Bargain” offered to Republicans in exchange for possible tax increases, these cuts are a great betrayal of a group that proved essential to the president’s victory in the 2012 election. President Obama won an unprecedented 71 percent of the Latino vote nationwide, allowing him to edge out Mitt Romney in the key swing states of Colorado, Florida, Nevada and New Mexico. What many may not know is that like most Obama supporters, Latinos voted for the president in no small part, because they believed they could rely on him to protect Social Security, Medicare and Medicaid. Latinos Depend More on Social Security Latino voters believed President Obama in his 2011 State of the Union speech when he said we must “strengthen Social Security . . . without putting at risk current retirees, the most vulnerable or people with disabilities; without slashing benefits for future generations; and without subjecting Americans’ guaranteed retirement income to the whims of the stock market.” Social Security matters to Latinos, because we depend on it more than any other group. Three in four (77 percent) Latino households ages 65 or older rely on Social Security for a majority of their income, and over half (55 percent) rely on it for 90 percent of their income. That means Latino seniors are 18 percent more likely than the overall U.S. population to rely on Social Security for a majority of their income and 52 percent more likely to rely on it for 90 percent of their income. A major benefit cut in the president’s proposal would be to switch the formula for calculating annual cost-of-living adjustment (COLA) in Social Security and other programs. This so-called chained-Consumer Price Index (chained-CPI), would allow inflation to erode program benefits over time—and would hit Latinos especially hard. Because we are more likely to have lower career earnings, our Social Security benefits tend to be more modest to begin with—$12,491 each year for the average Latino senior and only and $10,438 per year for the average Latina senior. After 20 years receiving benefits under the chained-CPI—when they would be in their 80s–the average older Latino would lose an accumulated $7,774 in benefits, and the average Latina elder would lose $6,307. After 30 years, the cuts would grow, resulting in total benefit cuts of $17,049 for average Latino seniors and $13,832 for average Latina seniors. Change Would Increase Poverty Worse still, the chained-CPI punishes Latinos for being blessed with higher-than-average life expectancy, often combined with greater levels of chronic illness. Because the chained-CPI cuts benefits more as beneficiaries age, it would hit long-living Latinos harder than most. It’s no coincidence then that some experts fear that the chained-CPI will increase poverty among Latino seniors. More than one in four Latino seniors already lives in poverty—nearly twice the rate among white seniors. The White House claims it will protect “the most vulnerable” chained-CPI, with a special “birthday bump” increase for those seniors at age 76. But in the past, such carve-outs have proven inadequate. An analysis by Social Security Works showed that protecting all vulnerable groups from the chained-CPI would erase half of the budget savings from the measure. Even if significant numbers of Latinos were shielded from the chained-CPI due to their lower incomes, this birthday bump might have unintended consequences. Carve-outs—special treatment–of any kind are likely to be misconstrued as handouts for ethnic groups. We already have to deal with enough nasty stereotypes portraying us as recipients of “welfare” or “government handouts.” Proposed Medicare ‘Pain’ The Medicare benefit cuts President Obama proposes are also a step in the wrong direction that would cause Latino seniors real pain. Rather than dealing with the high costs of health care, the budget shifts health costs to beneficiaries by increasing deductibles, premiums and co-payments. The president’s plan would also create a new surcharge. The White House claims these cuts will make Medicare beneficiaries better health care consumers, but this is a flawed argument. Doctors–not beneficiaries—make medical decisions, so the idea that seniors can shop around for health care is ludicrous. As a result, Latino seniors who cannot afford the higher out-of-pocket costs are liable to forego needed care—until their conditions become more acute and costly to treat. So-called means testing of Medicare will not only affect the rich—over time, it would increase premiums for Latino seniors making up to $47,000 a year. Seniors already spend three times more of their incomes on their direct health care costs as the rest of the population. Under the president’s budget, the reduction in Latino seniors’ income would be two-fold: They would be hit by the chained-CPI, and their out-of-pocket health care costs would increase on top of that. In addition, the president’s budget provision requiring a $100 co-payment per episode for home health care services could severely impact those who depend on home health aides to treat their diabetes and other chronic diseases. This would disproportionately affect Latino seniors who have higher rates of diabetes than the overall population. For example, in Chicago, where diabetes is the most prevalent in the country, 25.8 percent of Latinos over 65 suffered from diabetes compared with 15 percent of non-Hispanic whites. The White House has defended the proposed Social Security and Medicare reductions as “not ideal” measures needed to achieve a compromise with Republicans in Congress. Not the Problem—But a Solution There is no question that the president faces difficult choices as he navigates unprecedented Republican obstruction. But at times, President Obama appears to have adopted the Republican framing as well: That our budget problems are due to over-generous Social Security and Medicare benefits. In fact, Social Security does not and legally cannot contribute one penny to the annual deficit and cumulative national debt. Medicare’s rising costs are due to skyrocketing private health care costs. In fact, Medicare has proven far more effective at controlling medical inflation than its counterparts in the private insurance market. Latinos voted for a president bold enough to start a new conversation about the challenges of aging, health care and economic security, not someone beholden to the same old Republican talking points. A real “adult” conversation on our aging boomer population would begin by acknowledging that America has a retirement security and health care crisis. Social Security and Medicare are the solutions to those crises, not the problem. The Latino community appreciates President Obama’s leadership on immigration rights and health care reform. Now it is time for him to honor his promise to Latinos and other vulnerable elders to protect and strengthen Social Security and Medicare. Eva Dominguez is the executive director of Latinos for a Secure Retirement, an advocacy group in Washington, D.C.
Source: newamericamedia.org

Video: New Mexico and Medicare Supplements

How Medicaid Expansion Strengthens Communities

Basic services remained unavailable in-county because this huge expenditure was draining the budget. Local government has been forced through mandatory sentencing and other laws, to spend extraordinary amounts of money on law enforcement and preventable emergency room costs. Medicaid reform offers us the opportunity to build a health care system that focuses on producing health over profit, and enables us to provide basic preventive care close to home. Working with state government to return $3.3 million per year to our county for badly needed preventive care could result in 60-70 jobs. We will keep people healthy while enabling an additional 70 adults to remain close to families and neighbors during daytime hours.
Source: momsrising.org

ICYMI: New Report Confirms CMS Can Base Medicare Advantage Payments on Likely Congressional Action

In comments submitted to the agency, AHIP also raised concerns about CMS’ assumption about the SGR: “Our key issues and recommendations…begin with a discussion of the Sustainable Growth Rate (SGR). To prevent the MA program from going into a tailspin, the agency needs to implement a solution that will be big enough to solve the problem. Without beginning here, no consideration of other strategies on their own will be enough to prevent major cutbacks that seriously jeopardize beneficiary access to the coordinated systems of care provided by Medicare Advantage plans.”
Source: ahipcoverage.org

New Mexico Medicare Advantage Disenrollment Period

and is the right time to make changes to your New Mexico Medicare Advantage plan. If you haven’t already done so, take a few minutes and review your current plan to decide if you would be better off returning to Original Medicare with or without part D coverage. A Medicare Supplement plan may be able to save you money while giving you more options and fewer restrictions. Remember, MAPD ends February 14
Source: newmexicomedicarehealth.com

Medicaid Expansion Puts Spotlight On Access To Primary Care

The authors of the Affordable Care Act foresaw that there would be a growing shortage of primary care doctors for Medicaid when expansion occurs January 1, 2014. That’s why the law includes a provision that raises the Medicaid fees paid to doctors practicing primary care medicine to the same levels Medicare pays for those services. The Medicare-Medicaid match went into effect January 1 this year and will remain in effect for two years. Best of all from the states’ point of view, in most cases the federal government will bear the entire cost of that increase. (Most other Medicaid costs involve both state and federal contributions.)
Source: kaiserhealthnews.org

Republican Governor of New Mexico Plans to Expand Medicaid

While there are some indications that a few of the reluctant GOP governors may decide to expand Medicaid in the future, in the meantime their decisions will cost millions of low income people access to health insurance. In addition, it is going to create a patchwork of coverage across a large section of the country which should make the already problematic implementation of the ACA even more difficult. Fully federalizing the Medicaid program remains the best and easiest way to address this issue.
Source: firedoglake.com

Gov’t cuts might force NM Cancer Center to stop treating some Medicare patients

Reporter RSS Feed The Albuquerque-based New Mexico Cancer Center might have to stop treating up to 300 Medicare patients because of cuts to Medicare brought on by the federal sequestration budget cuts, the Cancer Center

Medicare hike could also hit some in middle class

Posted by:  :  Category: Medicare

Rockefeller Introduces Legislation to Protect Almost 90,000 West Virginia Seniors and Reduce Deficit By $141.2 Billion by SenRockefellerThe latest proposal ramps up the reach of means testing and sets up a political confrontation between AARP and liberal groups on one side and fiscal conservatives on the other. The liberals have long argued that support for Medicare will be undermined if the program starts charging more for the well-to-do. Not only are higher-income people more likely to be politically active, they also tend to be in better health.
Source: publicradio.org

Video: Medicare vs Medicaid 612-309-9184 Minnesota Medical Assistance Minneapolis Elder Law Attorney

Medicare Secondary Payer Act Compliance

There are no simple answers when complying with the Medicare Secondary Payer Act in your workers’ compensation, no-fault/automobile or liability claim.  In any of these cases where future medical care and treatment is closed out, it is important to consider and protect Medicare’s future interests—do not forget about conditional payments too!  Failure to address these issues at the time of settlement may result in Medicare considering the entire settlement null and void, regardless of what “Medicare savings” language you use.
Source: mnbenchbar.com

Bill aims to reduce hospital re

“This innovative RPM technology has the ability to revolutionize patient care and dramatically reduce the amount of money Medicare spends on hospital readmissions each year,” said Thune. “Not only could this technology reduce costs and improve health outcomes, but it also offers patients the individual freedom to stay in their homes, reducing costs associated with nursing homes and long-term care facilities. I’m pleased to have worked with many industry stakeholders in developing this legislation over the past few years, and I look forward to working with my colleagues on both sides of the aisle to move this legislation through Congress.”
Source: echopress.com

Daily Kos: Bachmann update MN

sceptical observer, rasbobbo, Lujane, Chaddiwicker, Swoof, suesue, Garrett, DirkFunk, doesnotworkorplaywellwithothers, VeloDramatic, SoCaliana, Anne933, NonnyO, Morgan Sandlin, ChicDemago, operculum, myboo, hyper, geebeebee, Tomtech, Brian B, here4tehbeer, Youffraita, jacey, gchaucer2, sailmaker, rapala, marabout40, Susan from 29, reflectionsv37, UniC, humphrey, elwior, jazzence, liberte, Creosote, Bob Duck, dadadata, EquityRoy, forbodyandmind, renzo capetti, sodalis, Maverick80229, Shotput8, MNDem999, meralda, Obama Amabo, Actbriniel, ichibon, RuralLiberal, wilderness voice, Dobber, shanesnana, deep, Alan Arizona, KateCrashes, Oh Mary Oh, Gary Norton, Boy Howdy, The Pollster, ItsSimpleSimon, kevinpdx, IndieGuy, MKinTN, Sylv, Whitefish, peterj911
Source: dailykos.com

Progressive Caucus says SSI cuts hurt the economy

“One hundred seven Members of the House of Representatives, a majority of the Democratic Caucus, have already stated our vigorous opposition to cutting Social Security, Medicare, or Medicaid benefits. Americans all over the country depend on every single dollar they get from Social Security to put food on the table and pay for housing.Using chained CPI will shift more costs onto already struggling American families, seniors, veterans – including our 3.2 million disabled veterans who also depend on the Social Security calculation for their Veterans Affairs benefits – individuals with disabilities, and children on survivors’ benefits.
Source: aapress.com

Money, Medicare & the Iron Range: MN

The third MN-8 debate is on for noon today, but here’s another view of the race that’s been collecting in the oak barrel I keep outside my back door. There’s more in there, of course. Always more. Fundraising: Surprisingly, Rick Nolan out-raised Chip Cravaack in the final quarter before the election. Cravaack enters these final weeks with much more cash on hand, but the turnaround by Nolan shows that the campaign did have some fundraising game in the end. As this MPR story by Catharine Richert shows, however, the campaign spending in this race is paltry compared with the party and outside group spending. Cravaack-aligned groups are crushing Nolan-aligned groups on this front. This is an example of what Citizens United has wrought. Fundamentally, those most emboldened by large, anonymous political spending are groups funded by conservative, wealthy individuals. This is good news if that’s your side, bad news if it isn’t. In practice, however, when you watch local TV in Duluth the result is a series of consecutive ads that show Nolan telling people Cravaack will kill Medicare, Cravaack telling people Nolan will kill Medicare with Obamacare and then two guys from WI-7 across the bridge saying the same things. My own perspective is that all this has a numbing effect. Attacks: Cravaack has stepped up his attacks on Nolan, moving into the details of Nolan’s resume. Specifically, Cravaack has spent a lot of time and ink lately attacking Nolan’s tenure as President of Gov. Rudy Perpich’s World Trade Center during the 1980s, along with his other business dealings. This is, incidentally, the same line of attack that Tarryl Clark tried during the primary. She said then that her attacks were light compared to what the Republicans would do, and, you know what? They seem about the same. They seem like the kind of thing you put out when you’re down 1-5 points heading into an election. But Cravaack has much more money and is being very aggressive during debates on this issue. Nolan has spent a lot of time trying to convince people that Cravaack and aligned-groups’ attacks on him over “killing Medicare” are bogus. Of course, those particular charges are widely regarded as bogus by reputable fact-checking sites, but the old adage is “if you’re explain,’ you ain’t gainin’.” Nolan had hoped that Cravaack’s vote for the Paul Ryan budget, which is in actually a major re-envisioning of Medicare that would reduce benefits over time, would be his major point of attack, but as I said before, both sides are saying the same thing which makes that a harder punch to land. Iron Range: I’ve written broadly about how Cravaack is trying to soften the DFL’s hold on the Iron Range with his policies in favor of mining in this election. Nolan later won the Steelworker’s endorsement, which helped him build a decent firewall here, but you can tell DFLers are really taking this seriously when you see Iron Range firebrand Rep. Tom Rukavina do a video like this: Normally a web video is no big deal, but I have learned that a substantial radio ad buy featuring a similar Rukavina speech will air across northern Minnesota. We’re also waiting to see if a major Iron Range national campaign event will be held this year. In 2004, then VP-nominee John Edwards gave a big rally for the national ticket at the Hibbing Memorial Building. In 2008, it was Hillary Clinton. Because Minnesota has, amazingly, been left off the radar screens of both the Obama and Romney campaigns, we are left wondering if the campaigns will even send surrogates to Duluth, much less the Range. In the past three presidential cycles, both Republicans and Democrats have sent their presidential, vice-presidential or “super special surrogate” into the Duluth market during October. So far, it’s been whisper quiet on that front. A major ticket visit would probably create some helpful enthusiasm for either Cravaack or Nolan, something I’m sure the campaigns are seeking. I would be mildly disappointed if we didn’t have the classic Iron Range DFL rally at the Memorial Building. There is such history there. Nolan, too, would surely appreciate the boost that might bring him. The polls: As we said last week, the polls show a tie, perhaps a slight lead for Nolan. Today’s debate and the one scheduled for Oct. 31 in Virginia, MN on the Iron Range are important. Just as important, however, might be the presidential debate tonight. National winds will have a big impact on this race. If President Obama wins Minnesota handily and the election generally, he might provide Nolan the boost he needs. If the race slips away from him Cravaack will reap the benefits.
Source: minnesotabrown.com

FactCheck.org : July 15: MN Cigarette Tax, Debt Ceiling, Medicare

No. The IRS used $20,000 in a hypothetical example to illustrate how it will calculate the tax penalty for a family that fails to obtain health coverage as required by law. Treasury says the figure “is not an estimate of premiums.”
Source: factcheck.org

Medicare Leads for $2.00 « Insurance News from Crowe & Associates

Posted by:  :  Category: Medicare

Deal 3, Table 7: Initiation enter Trick A~ contract taker leads King of Risks by KevinHutchins314In order to participate in this program, agent/brokers will need to hold their Medicare contracts through Crowe & Associates.   This offer is available in most states. Brokers can set their own lead territories and stipulate the daily volume of leads to be received.
Source: croweandassociates.com

Video: FREE MEDICARE LEADS/ MEDICARE SUPPLEMENT LEADS/ INSURANCE SALES LEADS

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

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

Medicare Supplement Leads Are Hot Items

If you want to kick start a certain segment of your business, let’s say, Medicare supplement sales, the best way to do this is to buy Medicare supplement leads. Yes, you can try cold calling, if you must, but buying ready to go leads cuts down on your anxiety level and saves you time and money. Sure, they are less expensive than exclusive Medicare supplement leads, but they do not sell as well. Why? They don’t tend to sell as well because they are shared leads, may be older than you would like and in many instances, turn out to be false leads.
Source: seonewswire.net

Use Of Custom Filters In Support Of Fresh Medicare Addition Leads

Regarding complete medical health insurance coverage, a person will definitely need so that you can choose a medigap policy. Fortunately how do you can choose the medicare supplement policy. You need to check with the State department of medigap insurance, as that would which are some different medigap policies that are generally there for you. You might usually be referred in order to the SHIP. SHIP is that program that is without question funded by your current federal government to positively help all those types medigap recipients in making an informed decision. Facing making your assessment you might really want to check finally out whether you undoubtedly need the procedure. More most often than not, insurance companies often allow all their retired employee a brand new number of health benefits. You and your family also should know all about most of the different plans with the supplement insurance cover quotes.
Source: thepalmbeachsteakhouse.com

Using Custom Filters Needed For Fresh Medicare Element Leads

Regarding complete medical medical care insurance coverage, a person will definitely need so that you can choose a medicare supplemental insurance policy. Fortunately how do a choose the medicare supplement policy. You may need to investigation with the Think department of medigap insurance insurance, as to which are your current different medigap rrnsurance policies that are there for you. You might also be referred in the market to the SHIP. SHIP is this program that is without question funded by typically the federal government to positively help all those medigap recipients in about making an informed decision. Sooner than making your leap of faith you might really want to check finally out whether you really need the insurance cover. More often than not, insurance companies often allow their retired employee a great number of overall healthiness benefits. Clients also should know all about your different plans with regards to the supplement insurance coverage quotes.
Source: jndtecheng.com

In Swing States, Obama Leads on Handling of Medicare

Mr. Romney and Mr. Ryan have called for curbing the growing costs of Medicare by making major changes to the program. Their plan would change Medicare for people who are now under 55 so that when they are eligible for coverage they would no longer receive a government-guaranteed, fee-for-service health plan but rather a fixed amount of money each year that they would use to purchase private health insurance or buy into a version of the existing Medicare program. But they have not provided enough details of their plan to assess how much it might increase out-of-pocket costs for future beneficiaries. Mr. Obama has pledged to preserve Medicare in its current form, but has spoken less about its rising costs.
Source: nytimes.com

Kaiser Permanente Leads the Nation in 13 Medicare Measures

About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: kp.org

Sequester Leads Cancer Clinics to Turn Away Medicare Patients

Okon revealed that he had conversations with nearly 150 practice administrators all over the country and they said that they never thought of sequester to get implemented for Medicare. Moreover, he said that no one ever thought that there will be cuts in the cost of the fixed costs of drugs.
Source: net.nz

The Senior Insider: Anthem is working to protect your Medicare Advantage Plan

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSHere are the facts.The Medicare agency has proposed changes to Medicare Advantage payments that will impact the 14 million seniors and people with disabilities who rely on this critically important part of Medicare. Combined with the cuts included in the health reform law, these changes will likely result in seniors facing higher out-of-pocket costs, reduced benefits, and fewer health care choices. Contact your senators today at
Source: blogspot.com

Video: Anthem Medicare Advantage Plans | Enroll in Medicare

Will My Anthem Medicare Supplement Fill In All The Gaps?

In today’s economy, just having health insurance is not enough. Due to the increasing cost of co-payments, deductibles and the rising cost of coinsurance, many people are faced with added expenses and are having a hard time staying on a budget. Therefore, Anthem Medicare Supplement was specifically developed to tackle the escalating cost concerning out of pocket expenses with Medicare patients in mind. The majority of Medicare insurance plans cover the basics such as doctor visits, annual physical exams and prescription drugs as well as an occasional need for hospital assistance. However, these traditional healthcare plans require a certain amount of extra expenses in the form of deductibles, coinsurance and co-pays also known as gaps in insurance coverage.
Source: seniorcorps.org

Anthem medicare prior authorization forms for medications

blue cross blue shield of michigan medication prior authorization form (PDF download) Aetna Prior Authorization Form Papers and Research , find free PDF download from the original PDF search engine. Please have your physician complete and fax the attached document. If your doctor should need to contact Humana regarding a particular medication, they can call 1-800 blue cross blue shield of michigan.  
Source: rediff.com

Medicare Advantage: Anthem Medicare PPO Alternative in Las Vegas, NV

The second option is to upgrade to a Medicare Supplement.  Because your plan is not renewing, you have the guarantee issue right to a supplement.  You cannot be denied for health history.  The monthly cost will be higher than that of the PPOs, but a supplement will give you freedom to see any doctor that accepts Medicare and you will no longer have co-payments if you select a Medicare Supplemental Plan F.
Source: suncityfinancial.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

Medigap Plans Connecticut

[…] AARP AARP Connecticut AARP Medicare AARP Medicare Complete AARP Medigap AARP Medigap 2013 AARP Rates 2013 AARP Supplement AARP Supplement 2013 aetna Medicare Anthem Anthem High F plan Anthem Medicare Anthem Medigap Anthem Supplement Donut Hole High Deductible F supplement how to choose a Medicare Advantage plan How to choose a Medicare plan how to choose a plan How to choose a supplement how to enroll in a medicare plan MAPD Med Advantage Medicare Medicare Advantage Medicare Advantage plans Medicare Complete Medicare Complete connecticut Medicare Connecticut Medicare part B Medicare part D Medicare plan Medicare prescription drug plans Medicare Supplement Medicare Supplement Connecticut Medigap Medigap rates 2013 Medigap rates NY 2013 Original Medicare Part D united healthcare United Healthcare AARP United medicare complete United Medicare complete 2013Source: croweandassociates.com […]
Source: croweandassociates.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

Anthem Opinions: Medicare Callers…Beware…It’s a Scam

Today I received a phone call that the individual tried to state he was from Medicare and they were issuing new cards to individuals. He had my correct name,address,city ,zip code and that I bank at Bank of America.
Source: blogspot.com

California Medicare Insurance: 2013 Anthem Medicare PPO

This plan is also offered in other states but here in California it is now a Local PPO as opposed to a Regional PPO, which means its limited to particular counties The plan used to cover the entire state of California and now only a handful of counties will be able to have access to Medicare Advantage PPO network. In addition. only 3 of the counties will continue to receive the “Zero Cost” option; Los Angeles, San Diego and Ventura. All other counties will now have a monthly premium for this plan ranging from $40-131/mo. For some this is no problem but for many Medicare beneficiaries who are dependent upon Social Security or on a fixed income, this raises huge issues. 
Source: blogspot.com

Anthem Suddenly Changes Medicare Advantage Plan Insurance Families.com

Two weeks later, Anthem sent out a second letter, to the same customers. This one was labeled “Important Notice”, (two words you never want to hear from your insurance company). The letter explained “Your Medicare coverage is changing.” It went on to say that Anthem Blue Cross would no longer be offering the Medicare Advantage plan in 2012. So much for wanting to provide outstanding service “for years to come”!
Source: families.com

Medicare Advantage Plans Connecticut « Insurance News from Crowe & Associates

Aetna- Currently offer plans in Fairfield, Hartford, Litchfield and New Haven county. They have a $0 premium plan HMO, $94.00 HMO and a $90 PPO plan. The $0 premium plan has benefits second only to Wellcare when compared to the other $0 premium plans in the state. They also have a substantial network to go with the plan and allow for access to any Aetna Medicare HMO provider nation wide. The Aetna PPO is not competitive at this point due to a $1,000 out of network deductible.
Source: croweandassociates.com

Medicare Advantage: Providing Quality Care to More than 14 Million Beneficiaries

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2.. Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481Medicare Advantage plans are a valuable resource in protecting beneficiaries from unpredictable out-of-pocket costs. In 2012, all Medicare Advantage plans offered an out-of-pocket maximum limit for beneficiary costs, and about 78 percent of Medicare Advantage enrollees are in plans that have annual out-of-pocket maximums of $5,000 or less. These out-of-pocket maximums – which are not offered by the Medicare FFS program – help protect Medicare beneficiaries from catastrophic health care expenses that otherwise might pose a serious threat to their financial security.  Medicare Advantage plans also help reduce out-of-pocket costs for enrollees by reducing premiums for Part B and Part D, and by limiting cost-sharing for Medicare-covered services, including primary care physician visits and inpatient hospital stays.
Source: ahipcoverage.com

Video: How to Understand Medicare Plans

Check Medigap Plans Medicare Supplemental Insurance Florida

Every person hard to track down online scammers. Therefore, precaution is better than cure. You must never give your fragile information online and not pay through wire-transfers. Do actually click on contraptions in emails from unknown sources mainly because they may contain adware and and spyware that put you at the risk of masterplans scams. Use the internet only from creditworthy e-commerce stores and do not accept any job role offers online with no having checking the credentials of the work. By taking small precautions, get ready to experience a hassle-free online experience and watch over yourself from rip-off. Attributed to the fact that different airlines were offering quite a few benefits, Congress and also took action, went laws and controlled the sale akin to the Medicare programs. Relative in which to Congress regulation, the perfect number of Medigap Plans were modified and were set it based on the needs that might arise in circumstances. This then eliminated any disadvantages of last insurance policies, those were hard as a way to compare before Congress standardized them. With the changes, the Medicare strategies in Texas are getting to be better and more applicable to your current needs of the specific elderly Texan. Guidelines for scooters, also known as POVs (power-operated vehicles) include the qualifying measures above; however, the type of scooter must be prescribed by a a specialist in Neurology, Rheumatology (arthritis), Orthopedic Surgeon, or Physiatrist (physical medicine). Child scooters require more control of the trunk along with the arm strength in order to use the tiller. Strategies some people who are able to successfully fulfill the eligibility criteria coming from all both Medicare not to mention Medicaid substance as a result that they were old (age more 65 years ) and needy possibly at the exact time, with the case regular rootage of revenue. Such peoples exactly who are members in both formations in the same time recognized as Medicare dual eligible. The United States population ascertain AARP and moreover its health insurance policies rattling worthwhile. If you have original Medicare and never want to switch the signal from a Medicare Good thing plan, then you’ll need to enroll in a meaningful stand-alone MA-PD to a late signing up penalty (unless you need to creditable coverage). While many Medicare Advantage plans in addition provide prescription drug coverage as part of the plan, there are a handful of that don’t. If you have a Medicare Advantage think about that doesn’t offer you drug coverage, you will want to find a stand-alone MA-PD. The person really should try to need the supply wheelchair use when it comes to the home. Power mobility unit that is would need only for ease and comfort or for recreational purposes does possibly not qualify for Medicare health insurance benefits. Certainly the person may use the might wheelchair to head out; however, if, perhaps that is often the only purpose in order for the power wheelchair, the equipment undoubtedly not be that allowable charge. Or even many things time for consider when evaluating What are the most important things to look for when shopping Medicare Supplement Rates? Advantage dreams during this year’s annual enrollment period. Remember, the annual in order to register period this 365 days runs from April 15 – February 7. Babies boomer is a kid who was born in a period of increased birth rates, or Baby boom, and the term is especially added to those born in post-World War The second period of risen birth rates. In the usa states, the interval is classic in addition to properly capitalized for the reason that Baby Boomers. Treatment Supplement Plans, also called Medigap Insurance coverages policies, are diet plans that are marketed by private insurance companies to discuss healthcare costs who seem to are not guaranteed by Medicare in just Original Medicare Plans. Individuals are qualified to receive for Medicare healthcare coverage if these kinds of products are at minimum 65 years elderly or have a good solid qualifying disability. Now in the United states there are that’s just universal governmental softwares on health insurance. People could be more senior 60 years and a meaningful part of invalids of younger our age can receive breastfeeding aid within these limits of application Medicare. An majority of Us consumers insure the condition at the choice of the recruiters.
Source: loans911.org

Compare Medigap Plans Medicare Insurance Supplemental Insurance Florida

‘If the request primarily based on a law or regulation restraining eRx, the professional medical must cite markets legal provision and describe how them restricts his or even her ability in order to e-prescribe. Why Medicare Supplement Rates Vary Widely Between Companies regulations are ensure you subject to enhancement. Indeed, an organization called RAMP (Restore Access to Transportability Partnership) is in today’s market lobbying for alteration in the Medicare natural laws that would be sure those who would like such equipment should get it. Currently, there are 18 different types connected Medicare Supplement Plans, labeled Plan The actual through Plan L. Each different plan offers an upmarket set of solutions. Different plans may be that make up different parts of the nation. Ones new N process has similar conveniences to plan C except there may be a copayment for doctor excursions and copayment for emergency family room visits. Some of these co-pays apply correct the 5 deductible is paid. The new Wish M also provides you similar benefits in the market to Plan D, but also will only cover up 50% of the Part A allowable and none of the Part P deductible. Cash necessary of Plan N is around 70% of the set you back of Plan S. And, the cost having to do with Plan M is very much approximately 85% of a the cost of F. Basic the number Medigap Plans have been decreased from 12 tasks to 10 plans. It will be clear to finally libertarians that the of America’s aged were defrauded made by America’s politicians and the fraud with all of The united state’s younger wage-earners moves on. Baby Boomers today are regarded as be a number of unhappy people. Besides, they purchase the right to remain unhappy. Task quite because aside by way of slow growth for the economy, high sums of layoffs are and additionally existent. You’ll have to targets of layoffs are people who are considered to participate the baby seniors era. This kind of policy may be very unsettling and will certainly make anyone born within the baby boomers years cringe. Keep in mind that every narcotic deaths plan currently along with a donut depression. The good news, however, usually that many people do not reach the donut hole. Specifically more, there are perhaps discounts available on brand and generic drugs for those that do reach some sort of donut hole, along with the coverage gap should be phased out together by the year 2020. All people should be more aware of currently the gaps in their policy and avail the best possibilities option to bag these gaps with ensure they really are fully covered by case of well being emergencies. Another choice to all of this confusion is Medicare health insurance Advantage Plan. This plan is in place of Medicare plan A and Medicare plan B, as well as any Medigap insurance. Medicare Advantage deals with HMO’s, PPO’s and other options. Remedy . to remember would be the fact Medicare Advantage is option that further allows doctors and simply hospitals to choose. They don’t have to take this coverage. It truly is a private option no more through the presidency but rather run through private insurance enterprises.
Source: typepad.com

Compare Medigap Plans Medicare Supplemental Insurance Florida

In spite of generational diversity to the workforce shows a broader opportunity of talent, it can often entail conflicting ideas and stereotyping – those Baby Boomers think Version X needs every stronger work ethic, Gen X sees the Boomers as self-absorbed workaholics – and everyone knows Generation Y is selfish and self-entitled. First, you must connect with your plan’s insurance deductible (this year, the type of deductible can end no higher then 5). Instantly that, you’re responsible for 25 percent of this cost of covered prescription drugs until finallyl together you as well as plan have spent ,400. At this time you’ve reached some Part D policy gap or “donut hole,” in which you must pay complete cost of medicines. Huge car . be clear to finally libertarians that each and every one of America’s retirees were defrauded by America’s politicians and the fraud against all of The usa’s younger wage-earners starts. The single thing to be cautioned about is cash on the medicare supplement rates with credit s. This is a dangerous practice to begin in. Paying of the premiums with a credit card raises the cost you pay by giving interest and prices. It is better to have payment withdrawn from your bank account to pay eliminate the cost of the Medicare extra plan at period it is a consequence of and withdrawn in the checking account. How the Medigap Plans A you can N, cover different types of degree of risk and fill unique gaps in usually the original Medicare solutions. Plan A for time is the central plan with the coverage not as extensive as opposite plans but the specific premiums are less costly. Plan B offers everything that Agenda A does of course you can also takes look after of Medicare Some A deductibles. The benefits accelerate this way on the other hand the premium of course increases. Nearly plans, except A, B and K provide foreign vacations emergency coverage. All plans further provide preventive protection coinsurance. NOTE: Not all formularies are created the same as! Many times you will find your main drug on specific formulary and but not on another. Also, it is typical to find your very own drug on diverse Tiers on different formularies. Creosote is the be informed that a Medical Advantage solution may be better steep than typical plan, nonetheless in common situations it may be cheaper. An additional consideration is could possibly stipulate that could possibly only use health professionals and health factories that are part of the Advantage association. There are ideas distinctive programs that fall under generally Medical Advantage lessons. These are: PPOs (Preferred Provider Organizations), HMOs (Health Repair Organizations), PFFS (Private Fee-for-Service programs), MSAs (Medical Savings Accounts), and SNPs (Special Needs programs). Once Medicare experienced paid for an important power wheelchair actually POV, they should be able to not pay for a manual wheel chair. If the friend has a guidebook wheelchair that is in fact currently being rented by Medicare, the concept must be rebounded to the Long-lived Medical Equipment (DME) provider. Assuming the chair has been paid basically Medicare, the mobility device is property akin to the beneficiary. The manual motorized wheel chair need not usually returned in that case. If inside of doubt, contact the Regional Medical Equipent Carrier for your new region, or email the DME corporate that provided your current manual wheelchair. How will your immediate medications be mentioned under the plan you are focusing on? If a person will take only start drugs, you should not have a nightmare – but design drugs can be covered differently ranging from plan to organize. Under a range of plans, co-pays for the same model name drug can be dramatically defined. This ought to add up on to hundreds of us each year.
Source: typepad.com

Need Help Picking Right Medicare Advantage Plan for Mom!! » Toni Says

*Some plans are $175 co pay per day for 20 days which can be a maximum                                       $3500 if you are in the hospital for over 20 days or might be $150 co pay per                             day for days 1-5 with a maximum of $750 maximum stay if you are                                                 inpatient hospital for more than 5 days (example only)
Source: tonisays.com

Five Ways The President’s Budget Would Change Medicare

Provider Cuts: Hospitals are none too happy about Obama’s plans to cut their Medicare payments for bad debt and graduate medical education over the next decade. Medicare now pays hospitals 65 percent of debts resulting from beneficiaries’ non-payment of deductibles and co-insurance after providers have made reasonable efforts to collect the money. Starting in 2014, the president’s plan would decrease that amount to 25 percent over three years, which the administration says would be closer to private payers that typically pay nothing on bad debt. The reductions would be in addition to those hospitals and other providers face as part of the 2010 health law.
Source: kaiserhealthnews.org

Medicare Chief Queried on Medicare Part D Preferred Pharmacy Plans

In recent months, significant questions have been mounting regarding preferred pharmacy plans in the Medicare Part D drug benefit. They have been expressed by patients, community pharmacists (including NCPA), 30+ Members of Congress and a key congressional advisory panel known as the Medicare Payment Advisory Commission. Most recently, they played out at a U.S. Senate Finance Committee hearing April 9 concerning the nomination of Marilyn Tavenner to be the Administrator for the U.S. Centers for Medicare & Medicaid Services (CMS), the agency that runs Medicare.
Source: wordpress.com

Florida Healthcare Lawyers

GAO estimated that cumulative Medicare Advantage (MA) risk scores in 2010 were 4.2 percent higher than they likely would have been if the same beneficiaries had been enrolled continuously in Medicare fee-for-service (FFS). For 2011, GAO estimated that differences in diagnostic coding resulted in risk scores that were 4.6 to 5.3 percent higher than they likely would have been if the same beneficiaries had been continuously enrolled in FFS. This upward trend continued for 2012, with estimated risk scores 4.9 to 6.4 percent higher.
Source: flhealthlaw.com

CMS Finalizes Medicare Advantage, Part D Drug Plan Rates for 2014 : Health Industry Washington Watch

With regard to Part D, CMS notes that for the first time in the Part D program’s history, the costs of beneficiary coverage are falling, with the 2014 defined standard Part D prescription drug benefit having lower co-payments and deductible than in 2013. CMS also is adopting a number of policy changes for 2014, including requiring Part D plan retail and mail pharmacies to obtain patient consent to deliver a prescription, new or refill, prior to each delivery (CMS also encourages Part D plans to implement this consent requirement for the remainder of this year). While CMS had proposed requiring Part D sponsors to place beneficiary-level prior authorization requirements on certain categories of drugs which may be covered under the hospice or end stage renal disease (ESRD) benefits, so as to ensure that these drugs are appropriately payable under Part D before the prescriptions are filled, the final policy permits sponsors to use other approaches, such as pay-and-chase, to resolve payment responsibility in these situations.
Source: healthindustrywashingtonwatch.com

William E. Lovett’s Personal Blog: Medicare Supplements Plans Enormously Helpful For Online Citizens

As well as to having essential prices, Gerber Life Medicare Supplement Coverages are the cheapest because this services has an “A” rating with Another.M. Best. Receive their customers satisfaction mind knowing they are extremely financially stable and will happen to be there to funds bills when medical services are that you need. In addition, this number puts them in the same ballpark as well known insurers for United Healthcare and Blue Cross. Overall health insurance has also been called many things, and some linked to them not nevertheless nice, by males who did not just understand what ended up actually available as a way to them in words and phrases of health rrnsurance policies. Sure, searching for that right kind with regards to health insurance to individual or relatives in a cutting edge state may grow to be a major nightmare, but it’s easy enough to get through to the bottom off the problem by talking to a good solid highly qualified, local, health insurance agent. This is unquestionably the right person to assist you start asking opt in but also opt out provisions. Your business enrolled in a definite Medicare Advantage process when you experienced been first eligible to sign up and within the 1st year, you want to switch back towards “original Medicare”. Medicare Advantage: Part C of the Medicare health insurance plan is likewise known as as Medicare Advantage. It is a constructive way to receive supplementary benefits more than exactly how normally agreed i’m able to Medicare program. The scheme runs by commercial insurers who are google’s paid by Medicare every single person that signs up. To be permitted to begin a Medicare Gain plan it is usually recommended to have 1st registered for Part A and W of Medicare. Here is a great another exception; diane puttman is hoping if you happen to already be in a plan. While you are today in a plan, you are within a position to opt in to medicare supplement plan f between January and March rather than usually the 15th of December to December thirty first. Another example, or exception, is where you are getting out of one group healthy care plan or else moving to an important different service town. Yes, opt in and out instances will vary. Have to deserve to getting treated royally as soon as everything they have inked in their much longer lives as persons of the U . s citizens. For this reason amid many others, Fla Medicare has ended up diligent in doing the Florida medicare plans which involve some schemes that are typical diverse and appeal to a variety of plans that take into account medical prescriptions, invoicing amounts. Your current main reason Gerber Life Medicare Enhancer Plans are so competitive is for the fact this company will not likely get themselves hooked on trouble. These businesses have very direct underwriting guidelines as well as low marketing business expenses. The savings that they can recognize is then passed on to the consumer in about the form attached to low prices. This is the particular win-win for all people. Sufficient reason for Medicare Part A complete and B recipients are able obtain supplemental insurance that assists fill in some of the gaps of just what not covered. Medicare supplemental plans A, B, C, D, F, G, K, L, N and N offer benefits ranging received from hospitalization co-pays to help you deductibles. Almost services not covered by Medicare all the very recipients’ responsibility except in cases where a Medigap deal has been purchased it through an private insurance company. Medigap is expression used for the insurance plan that is purchase to cover some gaps left by – Medicare. Most of us are used to having some out to do with pocket expenses and after that taking on included in the cost of human medical care. MA’s and MAPD’s are great for many people turning 65. In this post I am going to be going over Ohio Medicare Advantage Plans and Oh Medicare Supplement Policies also known as Medicare Part G ( Medigap ) and how these people can benefit owners. To enroll in a medicare insurance advantage plan owners go through a major private insurance reputable company which has at this time plan approved just by the medicare device. Medicare plus plans are same great for seniors who are in shape and want in the market to save money on there insurance monthly premiums.
Source: blogspot.com

Bipartisan Policy Center Releases Health Care Cost Containment Plan

In addition, the BPC’s plan would combine deductibles for Medicare parts A and B into a single $500 annual deductible, with a $5,315 cap on beneficiary out-of-pocket cost sharing. Further, the report proposes expanding cost-sharing assistance to Medicare beneficiaries with annual incomes of up to 150% of the federal poverty level, or $17,235 for an individual.
Source: californiahealthline.org

Some Top Benefits Florida Medicare Advantage Plans Have

There are some requirements that one has to fulfill in order to be considered for the wide range of medical plans that freedom health insurance company. These plans have been crafted in a way that they make full utilization of the Health Maintenance Organization network and this prevents one to have a view at the provider. With this point in consideration, it is always important that you realize that the plan only covers you when you are under the network.
Source: dwayneburno.com

Medicare Fraud via Phone Calls are affecting Seniors in 2013

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ... More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524The first thing to know is that Medicare will never call you. In the rare occasion that they may, they will never request sensitive information of you. Never carry your Medicare card in your wallet. Instead, keep it in a safe and secure spot where you’ll remember. If you have to carry your Medicare card on your person, make a copy of it and black out all but the last four digits with a marker. These cards do not expire. You are issued one as soon as you enroll and it never needs to be renewed. If you happen to lose it, contact Medicare directly in order to report a missing card. If you ever question the validity of a phone call, tell the caller you would like to call them back and ask for their direct number. This will usually make them hang up. A good rule of thumb is not to give out potentially sensitive information over the Internet, on the phone or to unsolicited strangers.
Source: ehealthmedicare.com

Video: Medicare vs Medicaid 612-309-9184 Minnesota Medical Assistance Minneapolis Elder Law Attorney

Medicare phone scams have hit Lincoln County 

A Medicare phone scam reported in the Willamette Valley has apparently moved into Lincoln County. The local Senior Medicare Patrol (SMP), run by RSVP (Retired and Senior Volunteer Program), was notified by a concerned Lincoln County resident about a suspicious phone call February 12. The caller identified himself as a Medicare representative and said he needed to issue the woman new Medicare card. The caller stated her mailing address and asked if it was correct. Then, the caller asked what bank she uses and asked for her bank account number. At this point, the local resident knew something fishy was going on and hung up the phone. SMP underscores that these types of callers are not with Medicare, and are not going to send new Medicare cards. They are scammers who want bank account numbers to drain the beneficiary’s bank account.
Source: kyaq.org

Protect yourself against Medicare/Medicaid fraud — Business — 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

Fraud Alert: Oklahoma seniors targeted by telephone phone scam

Callers are informing seniors there are new Medicare cards being sent but information for direct deposit is needed. The scammer asks which bank the senior uses and then provides its routing number before demanding the account number from the senior.  Routing numbers, the first set of numbers on the bottom of the check, are available online to the general public and allows scammers to give the impression they are officials of Medicare. When the scammers encounter resistance to provide an account number, they will threaten to withhold the “new Medicare” card.
Source: city-sentinel.com

Funding Details: Medicare Rural Hospital Flexibility Program

The Medicare Rural Hospital Flexibility Program (MRHFP, referred to as the Flex Program) operates as a mechanism for improving and sustaining access to appropriate healthcare services of high quality in rural America. This program supports conversion of small rural hospitals to critical access status, helping develop rural health care networks, and strengthening and integrating rural Emergency Medical Services (EMS). It will facilitate the development of model community-based rural collaborative systems of care in all grantee states.
Source: raconline.org

jorgecutlip: Strategies About The A Number Parts Of Medicare Health Insurance

Once Medicare suffered paid for their power wheelchair actually POV, they should be able to not pay as a manual wheelchair. If the person has a regular wheelchair that are currently being rented by Medicare, it must be charged back to the Long-lasting Medical Equipment (DME) provider. However, if the chair brings been paid courtesy of – Medicare, the wheelchair is property from the beneficiary. The manual motorized wheel chair need not usually returned in that position. If to doubt, contact the very Regional Medical Equipent Carrier for your region, or make contact the DME concern that provided each of our manual wheelchair. U.S. social security and Medicare Supplement Plans or Medicare Advantage Plans? taxes will nearly always not apply to money earned while working as staff outside of australia. However, there are several exceptions to you own .. Get ready America, we will on our great way. Baby Boomers are already on the verge of retirement. There are with regards to 78.2 million connected with us in the United States. Baby boomers normally born between 1946 and 1964. We are will also called boomers and boomies. A lot of people make up specific lion’s share created by the political, cultural, industrial and academic leadership class inside America. Medicare health insurance came into residing in 1965. It was shaped as one using the component locations of then-President Lyndon B. Johnson’s “Great Society” lead. The principal purpose pertaining to medicare was to produce a system pointing to healthcare for elderly U.S. citizens, i.e. individuals who acquired been sixty-five years to age or old. However, medicare benefits are unquestionably not simply to the elderly. Medicare is likewise availabe to those who are younger unlike what sixty-five and who just are disabled. Those who are approved for personal security disability benefits are eligible for medicare benefits a few years after their date of entitlement already been established and, an absense of doubt, this makes for a healthcare back-up for disabled folks who must survive on a relatively small monthly disability benefits benefit. Plenty of wonder if Medicare insurance Video commercials they pay a visit to offer the excellent medicare supplement solutions available today. There are several large organizations who usually consistently run these ads and make good name exposure because of it. Many people that I talk with on a daily basis ask me if these companies obviously have the best Medigap Plans on the showcase. Doctors, hospitals, and insurance organisations participate in HMOs, which provide treatment on a paid off basis. The hmo members pay a set monthly fee associated with how much health is needed in a given month. Most HMOs provide a wide variety because of services, but prospects must usually uncover medical treatment provided by in-network facilities and consequently physicians. This only probably not a reality. All non-exempt assets owned by the couple are added on together to decide on your eligibility for Medicaid. Which the spouse that intending into the elderly care facility is disqualified from receiving Medicaid through to the individual spouses’ profits total ,000 maybe less. The opposite spouse can hire their non-excludible assets to a more around 0,000 (it changes annually). States have quite a few laws pertaining in order to Medicaid eligibility. It is wise to check with your state to learn what the qualifying factors are typically. Bear in mind that every fatalities plan currently comes with a donut golf hole. The good news, however, normally many people absolutely not reach the donut hole. What has more, there usually are discounts available for both brand and generic drugs for those who do reach all donut hole, and also the coverage gap ought to phased out together by the new year 2020. A large proportion of anesthesiologists won’t face the Treatment payment deductions, however, because they can have billed for under 100 outpatient trips and/or because lower than ten percent inside of their Medicare allowed service fees will be attributable to such visits, inside first six a couple of months of 2011. CRNAs and AAs (and others) who do not have recommending privileges will even be exempt if customers report a various code (G8644) to help you Medicare before June 30.
Source: blogspot.com

New action page to stop Medicare cuts

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Source: americablog.com

Health care reform leads to telephone scam

My elderly Mom lives in Washington state and this sounds like exactly what happened to her this week. Two people talked to her, she was told this same story about a Medicare card and asked to read all the numbers on the bottom of her check. She was asked to repeat them again to another individual who said the information was being recorded. When she began questioning them she was hung up on. Unfortunately she did not get their phone number but at least had the presence of mind to believe it to be a scam but she had already given out her banking information. I have spent the last 2 days closing her bank account and opening a new one. She feels totally mortified that she would fall for such a scam but of course it sounded like an official call and she was easily preyed upon because she is aging and vulnerable. I hope these crooks can be caught and stopped.
Source: csbj.com

Medical Identity Theft: How to Protect Yourself 

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Source: wisconsinsmp.org

Providers Face Growing Demands From Increasing Number of Medicare Contractors

First there is the general category of claims processing contractors, now mainly known as “Medicare administrative contractors” (MACs) but also referred to, still, in statutes, laws and judicial decisions, as fiscal intermediaries or carriers. MACs are involved in the first level of appeals and may contact providers for a variety of reasons, including the resolution of issues regarding initial and renewal enrollment applications; providing education and guidance on procedures for billing Medicare; resolving issues regarding claims; requesting medical records related to claims that have been submitted so the MAC can perform a medical review; paying providers for approved claims or explaining why some claims are not processed or are denied; and recovering overpayments on claims previously processed. CMS uses Qualified Independent Contractors to conduct reconsiderations, the second level of appeals.
Source: wolterskluwerlb.com

Medicare private plan enrollment hits 12.8 million

Posted by:  :  Category: Medicare

Greater participation in Medicare Advantage could lead to higher federal spending. Government studies have found that the Medicare Advantage program costs the government more than traditional fee-for-service, but the gap has narrowed somewhat in recent years. A few years ago, average payments to private plans were 113% of what the program paid under fee-for-service, said Jon Blum, CMS deputy administrator and director of the Center for Medicare. Today, it’s roughly 107% of fee-for-service.
Source: amednews.com

Video: Patty and Richard say, “Apply online for Medicare” (20 seconds) – Social Security

GRAY MATTERS: HICAP can help with Medicare

A series of free Medicare workshops is offered in Eureka and Del Norte County on a rotating basis. Workshops cover Medicare basics, supplemental Medicare and the Medicare Prescription Drug Plans. No registration is required. In Eureka, workshops are typically held the second Thursday of the month from 4 to 5 p.m. at the Area 1 Agency on Aging office and at the Del Norte Senior Center at various times. HICAP counselors are also available to make presentations to community groups about Medicare programs.
Source: times-standard.com

Caregiving, Medicare Open Enrollment Chat

If you’re a caregiver who’s helping a person with Medicare review their coverage or have questions about Medicare options, this free live chat session is for you.  Submit your questions in advance by clicking on the above module! You may also like:
Source: aarp.org

Purchase Priligy online no membership :: Order Online no Prescription
Matsui Announces Medicare Open Enrollment

The Centers for Medicare and Medicaid Services (CMS) recently released the purchase Priligy online no membership 2013 quality ratings for Medicare health and drug plans on their web-based tool “Medicare Plan Finder.” On this purchase Priligy online no membership website, Medicare plans are given an overall rating on a one- to purchase Priligy online no membership five-star scale, with one star representing poor performance and five stars representing excellent performance. During the purchase Priligy online no membership open enrollment period, people with Medicare can use the star ratings to purchase Priligy online no membership compare the quality of health and drug plan options and select the purchase Priligy online no membership plans that are the best for their needs.
Source: rafu.com

Covering the Bases: Clarifying insurance options and Medicare enrollment

Although Medicare allows a person a Special Enrollment Period when they are working (or their spouse is working) and this employer offers insurance, there are other rules that impact your decisions. A critical point is whether or not the employer covering you is a “small employer” or a “large employer.” A large employer is typically defined as more than 20 employees. However, you simply cannot count heads to determine if your employer is large or small. You must verify with your employer. If the employee is currently employed (as opposed to being retired) and the employer is a large employer group then the employer cannot force a Medicare-eligible person to enroll in Medicare; the employer must provide the same insurance as it does to other active employees (and their dependents) who are under age 65. Many people covered under the active employment of themselves (or their spouse) by a large employer group opt to postpone enrolling into Medicare until the retirement of the active employee.
Source: tradecompanyonline.com

www.mymedicare.gov Interactive Medicare Portal

www.mymedicare.gov Interactive Medicare Portal Register for a MyMedicare.gov account  free and secure online Web site providing Medicare, Welcome to Medicare’s free, protected on the internet assistance for obtaining customized details regarding your Medical wellness insurance benefits and solutions. The MyMedicare.gov website, which is Medicare’s protected on the internet assistance allowing people, or maybe your current designee, to access your individual.Medical wellness insurance details, such as medical care claims, precautionary solutions, Medicare Summary Notices (MSNs), and more.The Centers for Medical wellness insurance & State medicaid programs Services, a division of the Department of Health insurance coverage Human Services , is the federal agency that runs the Medical wellness insurance Program and watches State medicaid programs programs offered by each state.
Source: blogspot.com

HHA and DME Providers Must Verify Medicare Enrollment for Referring Physicians on ADVANCE for Respiratory Care and Sleep Medicine

Home health and durable medical equipment providers need to start verifying the enrollment status of their ordering/referring practitioners. The Affordable Care Act (ACA) included a provision that requires physicians and other practitioners that order home health services and durable medical equipment to be enrolled in the Medicare program even if those practitioners do not submit claims to Medicare. Currently, Medicare is providing “informational messages” to home health and durable medical equipment providers and suppliers concerning the enrollment status and specialty status of the ordering/referring practitioner. Effective May 1, 2013, Medicare will start denying claims submitted by home health and durable medical equipment providers when the ordering/referring practitioner is not enrolled in Medicare and not of the correct type/specialty to order those services. In order to avoid denied claims, home health and durable medical equipment providers need to verify the enrollment status of their ordering/referring practitioners.
Source: advanceweb.com

Medicare confusing, but don’t put off enrolling

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Source: fredericksburg.com

I’m Self Employed…Do I Have to Enroll in Medicare’s Part B? » Toni Says

Great Medicare question, Bill…Last week, I consulted with a person that is also self-employed, but was given wrong advise from a well-meaning friend about delaying his Part B.  His Medicare nightmare is now starting…Medicare does not recognize individual plans as creditable cover for delaying your Part B.  Now this fellow who is 66 will receive not only a 10% penalty for each year due to not enrolling in Part B at the right time, but a 20% penalty (2 years 65 and 66) each month for as long as he is on Medicare or should I say the rest of his life. The 20% penalty goes up as the Part B premium changes.  Stinks doesn’t it!!
Source: tonisays.com

Left In Alabama:: Funding Alabama Medicaid in the meantime

Posted by:  :  Category: Medicare

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Source: leftinalabama.com

Video: Medicare Alabama

Largely Dismissed Heart Failure Drug May Help Solve Costly Problem for Medicare and Hospitals

Along with the Ahmed and Bourge, UAB authors of the paper included Kanan Patel, MBBS, MPH, Inmaculada Aban, Ph.D., Connie White-Williams, RN, Ph.D., and Richard Allman, M.D., director of the UAB Center for Aging, who is also faculty at the Veterans Affairs Medical Center in Birmingham. Authors making important contributions from other institutions were Jerome Fleg, M.D., of the National Heart, Lung, and Blood Institute (NHLBI), Gregg Fonarow, M.D., of the University of California, Los Angeles, John Cleland, M.D., of Hull York Medical School, Kingston-Upon-Hull in the United Kingdom, John McMurray, M.D, of the University of Glasgow, Dirk van Veldhuisen, M.D., Ph.D., of the University Medical Centre of Groningen in the Netherlands, Mihai Gheorghiade, M.D., of Northwestern University, Michel White, M.D., of the Montreal Heart Institute, Gerasimos Filippatos, M.D., Ph.D., of Attikon University Hospital in Athens, Greece, and Stefan Anker, M.D., Ph.D., of the Center for Clinical and Basic Research, IRCCS, San Raffaele, in Rome. Drs. Fonarow and Gheorghiade disclosed consulting relationships with industry, with details included in the related journal article
Source: newswise.com

YOUR VIEW: Expansion of Medicare under ACA Needed in Alabama

Now that the ACA has been ruled on by the Supreme Court, and the President re-elected, our position makes no sense. It amounts to Alabama taxpayers sending millions of dollars to the federal government to be distributed to other states, while declining to get any back. Duh? Governor Bentley says he doesn’t want to have to set up the machinery to administer it. That sounds like something invented by political speech writers. Florida and Ohio Republican governors have recently signed on and he should also. If we don’t, it won’t be just those with less financial means that are hurt, but also Alabama hospitals and nursing homes who need this money.
Source: al.com

Bentley says Medicaid is broken, wants savings, flexibility before expanding Medicaid

A suggested expansion would open up Medicaid to those with household incomes up to 133 percent of the poverty level (although the first 5 percent is disregarded), or about $31,000 for a family of four. That could provide insurance to hundreds of thousands of Alabamians, although estimates on the exact number have varied. 
Source: al.com

Alabama health centers expanding facilities and hiring with Affordable Care Act funding

According to Healthcare.gov, due to their assistance with low-income, uninsured Americans, community health centers are an essential part of the Affordable Care Act. In 2014, the law will expand Medicaid coverage for millions of Americans and provide cheaper insurance for millions more through insurance exchanges — placing much of the responsibility of treating those new patients on community health centers.
Source: medcitynews.com

States Opting Out of Medicaid Expansion Risk Lower Ratings, Moody’s Says

The Patient Protection and Affordable Care Act (PPACA) (P.L. 111-148) and the Health Care and Education and Reconciliation Act (HCERA) (P.L. 111-152) require major cuts in funding for hospitals that serve a higher-than-average percentage of low-income, uninsured patients in every state. Specifically, both Medicare and Medicaid payments to disproportionate share hospitals (DSH) will drop October 1, 2013, when federal fiscal year (FFY) 2014 begins. The Medicaid expansion was supposed to make up much of the lost funding because adults with incomes up to 138 percent of the federal poverty level (FPL) would be covered, reducing the number of uninsured. When the Supreme Court decision in National Federation of Independent Businesses v Sebelius made the expansion of Medicaid optional, the plan for a continuum of affordability programs was disrupted.
Source: wolterskluwerlb.com

Holding Hands Home Environment Alternatives, Inc. Assisted Living

Holding Hands Home Environment Alternatives, Inc. is an assisted living facility. Assisted living facilities are an apartment-style habitat designed to focus on providing assistance with daily living activities. They provide a higher level of service for the elderly which can include preparing meals, housekeeping, medication assistance, laundry, and also do regular check-in’s on the residents. Basically, they are designed to bridge the gap between independent living and nursing home facilities. When thinking about how to pay for care, assisted living facilities are generally less expensive than nursing homes, if assisted living is a viable option for your loved one.
Source: ourparents.com

Alabama Home Health Provider Agrees to Pay Fraud Settlement

AAHomecare AARP Alliance for Home Health Quality and Innovation Almost Family Amedisys Inc. American Association for Homecare American Association for Long Term Care Insurance Apria Healthcare Group Brookdale Senior Living Care.com Center for Medicare Advocacy Centers for Medicar & Medicaid Services Centers for Medicare & Medicaid Services CMS Emeritus Senior Living Ensign Group featured Federal Bureau of Investigation Gentiva Health Services Gentiva Health Services Inc. Genworth HHS Home Health Depot Home Health International Humana IntegraCare Intel-GE Care Innovations Jordan Health Services Kindred Healthcare LHC Group Inc MedPAC NAHC National Association for Home Care & Hospice National Hospice and Palliative Care Organization New York Times Paraprofessional Healthcare Institute Partnership for Quality Home Healthcare PHI ResCare HomeCare Scripps Health Sentara Healthcare The Ensign Group VA Visiting Nurse Association Visiting Nurses Association
Source: homehealthcarenews.com

Peter Orszag: Medicare cost slowdown could close U.S. budget gap

Posted by:  :  Category: Medicare

Running Amok Again by elycefelizSince continuation of the recent slowdown would almost eliminate the projected increase in Medicare spending as a share of the economy, it’s crucial that we monitor closely the pickup in spending growth. And as I have emphasized previously, there is plenty more we can do to improve value and constrain cost growth in health care. Peter Orszag is vice chairman of corporate and investment banking and chairman of the financial strategy and solutions group at Citigroup Inc., and a former director of the Office of Management and Budget in the Obama administration. The opinions expressed are his own. To contact the writer of this article. email Peter Orszag at orszagbloomberg@gmail.com.
Source: politicsinminnesota.com

Video: Medicare vs Medicaid 612-309-9184 Minnesota Medical Assistance Minneapolis Elder Law Attorney

Medigap Plans Guide on Humana’s Medicare Prescription Drugs Plan

Medicare supplement insurance fills up the disparity between the Original Medicare has to pay and what the beneficiaries must pay out of their pocket for deductibles, co-insurance and co-payments. Supplement policies only pay for the services that the Original Medicare approved as medically necessary and payments are commonly based on the approved charge. Some of the benefits offered by supplement policies does not exist on Original Medicare, such as emergency care outside the country. Medicare supplements insurance are being traded by private companies that have license and regulated by TDI. However the supplement benefits are aligned by the federal government. You can check more details on supplemental (http://apollo98012.jimdo.com/2013/04/03/about-medicare-suplemental-health-insurance-medicare-insurance-questions/) insurance at http://www.medigapplansguide.com
Source: precisiongastesting.com

Minnesota's liberals lead the charge against Obama's budget

Obama’s budget proposal is close to a deal he pitched to Republicans during deficit negotiations last winter, though Republicans wouldn’t accept the plan, chained CPI and all, because Obama was looking to raise taxes along the way. Now, Democrats say, Obama has staked out his opening bargaining position too close to the center, and that Republicans might try pulling him even further right as the country approaches the federal debt limit this summer (the debt limit deadline lead to a large deficit reduction package, and spawned the derided sequestration cuts, in 2011).
Source: minnpost.com

DFL candidates rip Republicans on Medicare

“Republicans for Congress are resorting to these false attacks because they don’t want to be honest with seniors about what their plan really does for seniors and their families,” McCollum said. “But we are not going to let them mislead the public and we are not going to let them run away from the facts.”]]
Source: publicradio.org

Medicare Secondary Payer Act Compliance

There are no simple answers when complying with the Medicare Secondary Payer Act in your workers’ compensation, no-fault/automobile or liability claim.  In any of these cases where future medical care and treatment is closed out, it is important to consider and protect Medicare’s future interests—do not forget about conditional payments too!  Failure to address these issues at the time of settlement may result in Medicare considering the entire settlement null and void, regardless of what “Medicare savings” language you use.
Source: mnbenchbar.com

Medicaid News: Minn. Effort To Expand Program Praised

California Healthline: Access Denied? Implications Of Medi-Cal Pay Cut In 2014, about 1.5 million adults in California are expected to gain access to Medi-Cal under the Affordable Care Act. However, insurance coverage could be all they get, as some observers say there might not be enough doctors willing to treat them. The fiscal year 2013-2014 budget proposal that Gov. Jerry Brown (D) released this month could be read as contradictory. On one hand, he makes it clear that California will pursue a full expansion of Medi-Cal, offering coverage to individuals with incomes up to 138 percent of the federal poverty level. At the same time, however, the governor’s budget plan also counts on $488.4 million in savings from a 10 percent cut to Medi-Cal reimbursements. Medi-Cal is California’s Medicaid program. State officials maintain that the provider pay cut should not hurt access to care during the expansion, but others fear the reduction could be implemented at the worst possible time (Wayt, 1/30).
Source: kaiserhealthnews.org

Bill aims to reduce hospital re

“This innovative RPM technology has the ability to revolutionize patient care and dramatically reduce the amount of money Medicare spends on hospital readmissions each year,” said Thune. “Not only could this technology reduce costs and improve health outcomes, but it also offers patients the individual freedom to stay in their homes, reducing costs associated with nursing homes and long-term care facilities. I’m pleased to have worked with many industry stakeholders in developing this legislation over the past few years, and I look forward to working with my colleagues on both sides of the aisle to move this legislation through Congress.”
Source: echopress.com

Daily Kos: Bachmann update MN

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Source: dailykos.com

PoliGraph: GOP claim on Obama Medicare cuts misleads

Rather, the law slows the future growth of the program by reducing payments to Medicare Advantage, a private insurance alternative to the traditional Medicare program, and ties reimbursement to performance. Additionally, the law slows future growth in payments to hospitals and other providers, according to a joint reporting project by the Washington Post and the Kaiser Family Foundation’s Kaiser Health News.
Source: publicradio.org

Why political campaigns are so meaningless

Are campaigns meaningless because of the coverage? I think it’s a chicken and egg thing between the two. Candidates and consultants have better media management skills these days and are able to leverage to a journalist’s constraints (can’t openly call out the BS) in coverage. Get a canned response from both sides, move on.
Source: publicradio.org