Need Advise for Medicare Related Question

Posted by:  :  Category: Medicare

I was approached by a client of mine to see if I could get insurance for her daughter. The daughter has an auto-immune disease and is on some pretty expensive medication. I tried several carriers, with the predicted outcome, offered a guarantee issue plan, which she declined, and am wondering if she would be eligible for a medicare advantage plan since she is on disability but the prescription portion of the disability won’t kick in until June. She just lost her cobra coverage a week or so ago. thanks for any comments.
Source: insurance-forums.net

Video: Lawmakers Consider Raising Medicare Age of Eligibility

Extending Social Security and Medicare Eligibility Ages

In light of the increase in life expectancy after age 65 and the decline in physically demanding jobs, it would be reasonable for the eligibility age for social security to rise to 68 or 70. The average age of retirement from the labor force for Japanese males is already only a little below 70, which shows that much higher retirement ages is feasible. Persons who are physically or mentally incapable of working would then opt for disability status. This is a rapidly growing category in most developed countries, despite the increase in physical and mental health of older persons, because of a weakening of qualifying standards. With more flexible labor markets for the elderly, such as reducing the fear of companies that they will be sued for discrimination against older workers, older men and women could retire from more demanding jobs, and take jobs that are less taxing. This is what happens to older men in Japan.
Source: becker-posner-blog.com

– Does my disability affect my eligibility?

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

? About Disability & Medicare

I have a friend who owns a small school bus company with his wife. He was put on permanent disability 3 years ago and has a family plan that he pays a heavy premium for. Is he eligible for Medicare if he still works in the office and receives a paycheck? Do you have to receive SSI in order to get the Medicare side of it? Thanks
Source: insurance-forums.net

Question about calculating Medicare eligibility date

Hi, I have a question about how to calculate my Medicare eligibility date and I’m finding some conflicting information on the web so I’m hoping someone here can provide a better answer. I filed for disability in 9/2012. SS determined that my medical onset date is 9/2010. They have my entitlement date as 9/2011. I understand that there is a 24 month waiting period before one is eligible for Medicare. My question is do they start counting from the onset date (the first date they found I was disabled) or the entitlement date (which is the 1 year prior to my application date, which is apparently as far back as they can go)? I’ve seen some sites say they go from the onset date (in which case I would be eligible) but other sites say you actually have to receive benefits for 24 months (so using the entitlement date, basically). I was at the SS office today and the lady helping me thought it was calculated from the entitlement date, but she wasn’t certain. I’m hoping someone here has had experience with this issue and can shed some light on it. Thanks for any information!
Source: psychcentral.com

What is Medicare Part B Medical Insurance?

Eligible individuals can automatically be enrolled in Medicare Part B, along with their Part A coverage, when they turn age 65 or after receiving Social Security or Railroad Retirement Board disability benefits for 24 or more months if they are younger. A red, white, and blue Medicare card is automatically mailed to eligible beneficiaries three months before the month they become eligible for the program. However, Medicare Part B is a voluntary program and beneficiaries can follow the instructions that come with the card to refuse enrollment.
Source: ehealthmedicare.com

Social Security & Medicare for Adult Disabled Children

If you or your spouse are retired or disabled and receiving Social Security benefits and have a disabled adult child who has been denied the SSDI benefits, the experienced attorneys at Littman Krooks, LLP can assist you in filing an appeal, so that your child can obtain the benefits they are entitled to. Our firm represents adult children with disabilities in SSDI appeals on a contingent fee basis, which means that there is no out of pocket legal costs for filing the appeal.
Source: specialneedsnewyork.com

If I Win my SSDI Case, When do I Become Eligible for Medicare?

For many of my clients, Social Security disability income benefits are a lifesaver. The $1,500 to $2,000 per month typical in SSDI cases plus a $20,000 to $30,000 lump sum can mean the difference between living with dignity and not. However, monthly income benefits are not the only result of a favorable disability decision. SSDI claimants also become eligible for Medicare, although this eligibility is not immediate. There is a 24 month waiting period from the first date you become eligible to receive SSDI payments and the date you become eligible for Medicare. Here are a couple of examples that might help you better understand the 24 month waiting period: Example 1: Sue’s last day of work is August 10, 2010. She files for SSDI on August 11, 2010 using August 10 as her alleged onset date. Sue and her lawyer appear at a hearing in July 2012 and she is approved as of her alleged onset date. Sue first becomes eligible for SSDI payments as of February 1, 2011. This is because the five month waiting period for SSDI runs September, 2010 – January, 2011. Note that the five month waiting period refers to five full months – thus, August, 2010 does not count towards the five month waiting period. Sue becomes eligible for Medicare on the 25th month after her first SSDI payment, or March 1, 2013. Example 2: Tom stops working due to severe back problems on March 3, 2005. He does not apply for SSDI until July 18, 2008. Tom appears at a hearing in September, 2010 and receives a fully favorable decision using the March 3, 2005 onset. Tom first becomes eligible for SSDI payments in July 2007. His five month waiting period runs from April, 2005 through August, 2005, but he can only collect benefits one year prior to the date of his application, which is July 18, 2007. His Medicare eligibility begins as of September, 2008, which is during the 25th month after his first eligibility for SSDI payment. Here is a link to SSA’s page about Medicare eligibility – http://1.usa.gov/11CbEEW.
Source: jdsupra.com

Social Security Disability Insurance and Medicare

: Once the applicant qualifies as disabled, the recent work test and duration of work tests are administered. The recent work test is based on age; according to the Social Security administration, the age of the applicant at the time of the disability determines how long the applicant needs to have worked in order to qualify. The duration of work test is meant to prove that the applicant worked under Social Security (and paid Social Security taxes) for long enough to qualify. SSDI eligibility is based on “work quarters”, or three month periods during which the applicant needs to have worked.  Please click here to view the specific guidelines that the Social Security administration has outlined in regards to the duration of work and the recent work test.
Source: specialneedsplanning.net

Take Care Of Your Very Own Wealthy Health In Medicare Health Procedures

Posted by:  :  Category: Medicare

SCOTUS Obamacare Decision Makes Individual Mandate A Fact & Universal Healthcare Coverage A Fiction by watchingfrogsboilMight the most certainly known governmental body insurance program definitely is Medicaid. Offered to low purchases individuals, it can be jointly funded by both the united states and state government, and managed created by each individual claim separately. One of the most very important aspects for training course is that your applicant be believed to be located at or below the current police arrest records poverty level, which probably varies from year to year. Assets include also taken involved with consideration, and this person or family may be thought to be ineligible if their assets exceed a particular amount.
Source: merang-redd.org

Video: Medicare Part D Donut Hole

Closing Medicare Coverage Gaps

Medicare supplement plans cover varying amounts and combinations of the nine coverage gaps listed above. These plans are regulated by the government. No matter which provider you seek coverage with, you will get the same coverage. They are also identical state to state. So if you purchase a Pennsylvania Medicare supplement, you will have the same coverage as the same plan in Idaho. The only exception is if you live in Massachusetts, Wisconsin, or Minnesota, where they have chosen to adopt their own supplement plans. If you go with Plan F you will be completely covered and have no additional out of pocket expenses. They are taken everywhere that Medicare is accepted and can insurance that you will not have a nasty surprise should you need medical services. Overall this is the simplest way to insure the coverage gaps in Medicare.
Source: dotmac.info

Medicare Health Insurance Supplemental Insurance Plans Are Easily For Sale

Probably the most well known governmental body insurance program has always been Medicaid. Made available to low income individuals, it is jointly funded through the process of both the federal and state government, and managed due to each individual position separately. Without doubt one of the most extremely important aspects for qualification is that a very applicant be considered as to be lifetime at or in the following paragraphs the current federal government poverty level, which varies from year upon year. Assets will definitely be also taken at consideration, and a person or family members members may be considered to be ineligible if their assets exceed a certain amount.
Source: 7wief.org

What on Earth is the Donut Hole? A Brief Explanation of Medicare Part D and the “Donut Hole” » The NeedyMeds Blog

In 2013, you get out of the coverage gap when you have paid $4,750 out-of-pocket for covered drugs since the start of the year. When you reach this out-of-pocket limit, you get catastrophic coverage. The costs that help you reach catastrophic coverage include what you spent on drugs while in the donut hole and most of the discount on brand-name drugs you received in the coverage gap. If someone else pays for your drugs on your behalf, this will also count toward getting you out of the coverage gap. This includes drug costs paid for you by family members, most charities, State Pharmaceutical Assistance Programs, AIDS Drug Assistance Programs and the Indian Health Service. You continue to pay your drug plan’s monthly premium during the gap, but the premium does not count toward the $4,750 out-of-pocket limit. The amount your drug plan paid for your drugs in your initial coverage period also does not count.
Source: needymeds.org

Medicare Part D Donut Hole, Coverage and Changes 2013

Medicare Part D 2013 Changes for this year include, once you hit the donut hole you will be eligible for a onetime $250 rebate cheque. You will also receive a 50% discount on brand name drugs in the donut hole; you will also pay less and less for your generic part D drugs in the donut hole. It is planned that as from 2020 the coverage gap will have been closed such that there will be no donut hole. In this case you will only pay 25% of the cost of your drugs until you reach the spending limit. You will also get continuous Medicare coverage throughout this time for your prescriptions as long as you are in the prescription drug plan There is no need to keep track of your retail drug costs or retail drug spending, your Medicare part D plan provider will gather all the retail costs and keep a keen track of your record till you reach the donut hole Phase. You can also check out:
Source: medicalbillingcodings.org

A Health Insurance Disaster: Falling Down the Medicare Donut Hole

Furiously logging into my insurance account did not, in fact, reveal a way for me to submit a claim for reimbursement. It revealed the fine print that I’d conveniently ignored. All of my prescriptions for the rest of December cost me hundreds more than I normally paid, because I’d reached the coverage gap in my insurance. Had I paid attention to the details, I’d have planned for this expense. Instead, I was sideswiped by massive added expenses at the worst possible time of the year. Ultimately, this mistake cost me $1,362.
Source: thesimpledollar.com

Medicare Supplement Insurance Plans Could Be The Best

It might be the most perfectly known governmental health insurance program has always been Medicaid. Supported to low revenues individuals, it is jointly funded in both the government and state government, and managed created by each individual state separately. Without doubt one of the most most important aspects for qualifying measures is that a very applicant be considered as to be living at or below the current government poverty level, just what varies from year upon year. Assets seem to be also taken at consideration, and the perfect person or family may be reckoned ineligible if the assets exceed a particular amount.
Source: mandrakeinn.com

Cigna Earnings Call Nuggets: Budget Sequestration and Medicare Advantage

Posted by:  :  Category: Medicare

: First, as you frame the Medicare book of business where you started, when you think about our seniors portfolio, let me go back to the HealthSpring model is based on a model that the reimbursement structure with a vast majority of the physicians are actually tightly correlated to Medicare reimbursement. So the alignment there is very tight. That enables us to be able to flex the model as we go forward and any movement in Medicare reimbursement, point one. Point two, as you know, we have a range with any of our outlook and guidance. And point three is you should look that the range of our outlook and guidance contemplates any reasonable movement from a sequestration standpoint in 2013.
Source: wallstcheatsheet.com

Video: Medicare Quotes

Free Insurance Agent Websites: Cigna Medicare Advantage plans

CIGNA Medicare supplement plans have been an integral part of the insurance industry with having served customers for over 220 years. This kind of insurance plan can be very beneficial for all people including senior citizens who may be suffering from constant medical issues due to their advanced ages. The company enjoys a lot of goodwill among the community and here are some of the benefits that come with buying this plan.
Source: blogspot.com

Cigna, Humana form benefits alliance

Medicare Advantage plans are privately run versions of the government’s Medicare program. They provide health coverage for the elderly and disabled. Subsidized by the government, the plans offer basic Medicare coverage topped with extras or premiums lower than standard Medicare rates.
Source: hartfordbusiness.com

Cigna’s Management Presents at Barclays Global Healthcare Conference (Transcript)

Well, there’s a lot of resource and effort put into it. At the end of the day though, what you’re fundamentally talking about is changing the business operations of the primary care physician’s office to focus on a totally different set of metrics and incentives than they have in fee-for-service, and it’s extremely helpful. Here in Miami, the Leons only do business — the only patients they see are Medicare Advantage patients. So it’s not easy, but it’s at least a lot more practical to change those business operating models to focus on the right kinds of incentives. In most network models, you have a range of offices. You might have thousands of primary care doctors in some of these networks, some of whom only have 5% or 10% of their business in Medicare Advantage. And it’s a lot more challenging to get the kinds of changes it takes. The other thing for us that’s been a challenge — we’ve actually made pretty good progress on the Part C side. A couple of years ago, CMS changed the measures and more heavily weighted a lot of Part B measures on the pharmacy side. And we’ve been slower than I’d like to react to that. I hope we’re focused and have the right tools in place to improve our scores on Part D, but that’s really been more of what’s kept us below 4 stars in a lot of our markets.
Source: seekingalpha.com

Proposed 2014 Medicare Advantage rates cut insurer payments

Should the rules become final, Skolnick said she would expect UnitedHealth to exit many Medicare Advantage markets and experience a significant or severe contraction in that business. But she said that as with past rule changes, expected lobbying over the next few weeks by insurers may affect the final rule.
Source: medcitynews.com

home sweet home: Cigna CEO: Stop Dwelling on Saving Money

Davos alpine air is full of talk about how health care is too expensive. Wrong message to deliver to the people back home, said David Cordani, chief executive of health insurer Cigna (CI). People get nervous when they said that the government needed to cut spending, Cordani said in an interview today at the World Economic Forum in Davos, Switzerland. They understood Forrester-code language to cut back on their care. Therefore the effectiveness of speaking fear of death panels.A smart message, Cordani said, is for lawmakers and business executives to say that the quality of health services should improve. That is something that people can get behind. Higher quality is cheaper in the long run, not less, because people will be healthier and less waste, Cordani found. He cites estimates that $ 750 billion annual health care spending goes to waste.The key to getting a higher quality for less money to move away from fee-for-service approach is traditional, if which gives doctors and hospitals incentives to provide a lot of treatment, and not necessarily the right treatment, Cordani argues.About last year the company purchased HealthSpring, a company composed of senior citizens enrolled in Medicare Advantage. For those who are younger, Cigna has established a “collaborative care responsibility” agreement with a physician that includes more than half a million customers in more than 50 cities. Cordani was bragging about both the initiative during a meeting of the World Economic HealthSpring Forum.Cigna clinics have social centers where customers can socialize, get some exercise, a healthy cooking lesson, or the Internet . The result is “more important adults,” who, statistics show, are more likely medication schedules and follow doctors ‘orders to diet and exercise, Cordani says.In collaboration with physicians’ group, Cigna establishes a bonus pool which pays out if the quality of service exceeds a certain limit, as measured by such things as avoiding unnecessary hospital readmissions. This gives doctors financial incentives to care about the overall outcome for the patient. The doctor suddenly began referring patients to surgeons and hospitals to provide the best care, as a result of a big bonus for them, Cordani says.Doctors partnership must want to have their treatment monitored and compared to the way it never has before. But Cordani said that after they saw the results better care for their patients, and they do not get the bonus before they love it. Some of Nashville, Tenn.., Voluntarily travel to other cities to preach the gospel, Cordani says.Cigna almost the only company to do this vision, which sometimes goes by the slogan but “medical home.” Cordani encouraging idea tough. He expects 1 million customers in more than 100 collaborative accountable care group at the end of 2014. “Change is hard for everyone,” Cordani said in Davos. To Make Changes The only more difficult if the person receiving the message is all about cutting. Improve the quality, he said, and the savings will follow.
Source: blogspot.com

Medicare Advantage – or DISAdvantage?

Following a 20-year career as a corporate insurance executive, Wendell Potter left his position as head of communications for Cigna in 2008 to advocate for comprehensive health care reform. He is now an analyst at the The Center for Public Integrity and president of Wendell Potter Consulting. He has also served as a consumer representative to the National Association of Insurance Commissioners. His book, Deadly Spin: An Insurance Company Insider Speaks Out on How Corporate PR Is Killing Health Care and Deceiving Americans, was awarded the Ridenhour Book Prize for “outstanding work of social significance” in 2011. Previously, he wrote A helping hand for Marsha Blackburn and  Want to fix health care? Watch this movie. for the Health Insurance Resource Center Blog.
Source: healthinsurance.org

Cigna Acquires Medicare Advantage Plans From Humana Covering 3,500 in Texas

The federal government required Humana to sell the Medicare Advantage plans as part of approval for buying Arcadian Management Services. Cigna will offer the new customers Medicare Advantage plans through its subsidiary HealthSpring, which the Bloomfield-based health insurer acquired in January for $3.8 billion.
Source: courant.com

Possible Medicare Advantage Pay Reductions Cause Insurer Stocks To Slip

Modern Healthcare: Insurers See Proposed Medicare Advantage Rates Hitting Revenue Health insurance companies are expecting reduced Medicare Advantage payments to unfavorably impact revenue next year. The CMS on Friday released its proposed 2014 rates for Medicare Advantage plans, prompting negative reaction from payers and investors. Shares of health insurance plans such as Humana, Universal American Corp. and Health Net took a dive on the news when they opened for trading this morning. The CMS proposal calls for a 2.2% decline in Medicare Advantage benchmark payment rates. Humana, which derives most of its revenue from Medicare Advantage, saw one of the largest decreases in its share price (Kutscher, 2/19).
Source: kaiserhealthnews.org

Minimum Medicare Supplement Rate Offered

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSAt hand are other things that may be necessary that end up being not covered by just Medicare as skillfully. Needs types of as vision care, dental care and thus hearing care is designed to all become responsibility of you see, the individual if he or she do not have the proper extra insurance. Now with the skyrocketing deals of healthcare expressing no signs in slowing down could possibly soon, it has not take awfully long at all for the research in Medicare rrnsurance policy coverage to quickly become financially ruinous because of an individual stock with the entire bill. This can have any kind of a devastating effect concerning the financial constancy of any person that is unable to operate due to a disability or can be living on a set income.
Source: aiccsocal.org

Video: How to Find Best Medicare Supplement Rates In Florida

Some Information on Medicare Supplement Plans

Now if you are interested to buy a Medicare Supplement Policy for the first time or if you want to replace your current policy with another one, it is really easy. You can also obtain the rates by simply completing an online quote on the Internet. And after receiving an email back with quote comparison you can decide the one most suitable for you with the help of your agent. And after that you need to submit a simple application and you get your policy documents within a few days. In this respect insurance agents can be most helpful as they can help you navigate the underwriting process since they are much familiar with the company guidelines.
Source: allabout101.com

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

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

Professional Liability Insurance HQ

Multiple medical requirements that the AARP Medicare often cover are protected by AARP Medigap. New Jersey Medicare supplemental insurance is one with the best places for those who want to hold a private insurance company. To get the supplemental detail for this insurance, the New Jersey Medigap is info about the subject location to get involved touch too. The policies of this medical insurance would cover the discount of New Jersey Medicare. Brand new Jersey Medigap gives you twelve plans all in all. The What Exactly Does Medicare Supplement Insurance Cover? On the internet services is depending on the topic of where you be living. If you are questioning those plan will acquire for your requires greater to appear at subsequent paragraph.
Source: myprofessionalliabilityinsurance.net

A Brand New Brief Overview Pointing To Gerber Medicare Medications

Reserved companies sell Medigap Plans. Hence, generally premium too typically is a bit elevated. These offers may prove quite expensive for persons so, who do not need their policies seriously often throughout these year. However, for those who really need hospitals combined with doctors more often, these plans may possibly possibly prove to try to be beneficial. It is for all of this reason that the latest person wanting to go for Medigap, should list depressed all the health care services that, he/she requires annually. Then one have got to work out, in which way many of consumers medical expenses are hands down paid by Medicare health insurance and how a lot does he/she have definitely to spend as out-of-pocket expenses.
Source: bibar.org

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

Really Should You Choose Medicare Health Insurance Supplemental Insurance

Multiple medical requirements how the AARP Medicare will never cover are covered by AARP Medigap. New Jersey Medicare supplemental health insurance is one among the best places for anyone who want to have a private insurance policy. To get the supplemental statistics for this insurance, the New Shirt Medigap is info about the subject location to obtain it touch too. The policies for the medical insurance would cover the reduction in price of New Jersey Medicare. The new Jersey Medigap comes with twelve plans all in all. The www.medigapplansguide.com/medicare-supplement-rates Nj is depending on the topic of where you am living. If you are questioning just what plan will acquire for your values greater to read the subsequent paragraph.
Source: flloecdelft.org

On The Topic Of Medicare And Medicare Supplement Plans

medigap plans are the optimum health care products that provide specific amount of serenity to seniors in addition , disabled people to protect your life all over health care plans. This specific type of supplemental health insurance programs covers the gaps between original Medicare payments and has comfortable planning to find providing interesting help and advice to Medicare supplemental plans. May very challenging time period taking health really do care thrillingly, which creates the process of applying health maintenance plans very easy and simple. Moreover, you will take advice from expert insurance agents, who provide smart guidance for safeguarding your life thankfully.
Source: isn-buenosaires-2012.org

Access Information On Medicare Supplements First

Lastly, CMS proposes into exempt physicians who e-prescribe, but primarily just for types pointing to visits that never will count toward 10-eRx minimum. Among the visits that do count, identified by other than fifty CPT codes, are almost five levels related to both the absolutely new patient and experienced patient office or sometimes other outpatient excursions (codes 99201-99205 as well as 99211-99214). To be able to the extent which is anesthesiologists or hurt physicians e-prescribe, not to mention submit claims for many outpatient or place of work visits to medicare supplement plan f, but do not actually normally write any other prescriptions associated from those visits, they might be able to demonstrate hardship and be presented exemptions.
Source: iranfemschool.com

Choosing the best Medicare Supplement

The second consideration is, simply, rates. Life Insurance Companies determine rates on a number of factors including the claims history in your specific geography. This leads to the fact that a Life Insurance Companies may be very competitive in not in another. We strongly recommend that you work with an independent agent that represents many Life Insurance Companies to ensure that you will get the best rate on the right plan.
Source: bestmedigaprate.com

Medicare Insurance in Northwest Indiana for soon to be Retirees

Posted by:  :  Category: Medicare

DO we shelf little old ladies on Medicare? by kennethkonicaYour medical bills will be shouldered by Medicare only up to a certain point. On average, the social insurance program shoulders approximately one-half – 48%, to be exact – of the total bills but the actual amount can vary depending on the coverage chosen (i.e., Part A, Part B, Part C, and Part D). Our suggestion: Talk with the expert in Medicare insurance here at Hefty Insurance so that you can choose which of the Medicare Parts will best serve your needs.
Source: companyblog.biz

Video: Trish Davis – Indiana – Health, Life, Supplemental, & Medicare Insurance Video

KANE: The Trouble With Medicaid

To make matters worse, these programs and their incentives have contributed to the demise of marriage and the traditional family unit, to the detriment of the children that are raised in unstable environments, lacking the demonstrable benefits of a two-parent family. These social costs cannot be fully captured by empirical data but they may well outweigh any of the other costs and benefits typically referenced in the debate over expanding Medicaid.
Source: thehayride.com

Public hearings set to discuss Medicaid expansion, Healthy Indiana Plan

The hearings come on the heels of an exchange between Statehouse Democrats and the governor over an apparent oversight by the administration to meet appropriate deadlines for a waiver application. Democrats continue to push for an extension of health care coverage in Indiana, citing the potential for 30,000 new jobs, the injection of billions of dollars into local communities and the extension of health care services to an estimated 400,000 more Hoosiers. Read more>>
Source: wordpress.com

State of Indiana Selected Press Ganey to Conduct Nursing Home Satisfaction Surveys

Press Ganey Associates, Inc. Recognized as a leader in performance improvement for nearly 30 years, Press Ganey partners with more than 10,000 health care organizations worldwide to create and sustain high-performing organizations, and, ultimately, improve the overall health care experience. The company offers a comprehensive portfolio of solutions to help clients operate efficiently, improve quality, increase market share and optimize reimbursement. Press Ganey works with clients from across the continuum of care – hospitals, medical practices, home care agencies and other providers – including 50 percent of all U.S. hospitals. For more information, visitwww.pressganey.com.
Source: knowledgeservices.com

8 Recent Medicare, Medicaid Issues

Here are eight issues dealing with Medicare or Medicaid that occurred in the past week, starting with the most recent. 1. President Barack Obama released his budget proposal for the federal government’s 2014 fiscal year, and the budget included roughly $400 billion in Medicare cuts over the next decade. 2. Illinois Department of Health and Family Services Director Julie Hamos, who oversees the state Medicaid program, said there may not be enough physicians to take care of the newly insured. 3. CMS Acting Administrator Marilyn Tavenner went before the Senate Finance Committee, and senators who conducted the hearing said they expect to vote on her appointment as early next week. 4. A report from Moody’s Investors Service said the 2 percent Medicare cuts from sequestration will further impair the “already challenging operating environment” of hospitals, physician practices and other healthcare organizations. 5. Indiana and Ohio lawmakers have blocked bills to expand Medicaid in both states. 6. Maine officials debated how to pay off $484 million in Medicaid debt owed to its 39 hospitals. 7. In an effort to reduce administrative burdens on hospitals and other providers, CMS reduced the minimum medical record requests from Medicare Recovery Auditors — formerly known as Recovery Audit Contractors, or RACs. 8. A report from the Safety Net Hospital Alliance of Florida found if the state Senate goes through with its plan to change how hospitals are reimbursed for providing Medicaid care, non-profit safety-net hospitals could lose tens of millions of dollars to for-profit hospitals.
Source: beckershospitalreview.com

Medicare Supplemental Insurance Plans For Your Ultimate Retirement

Posted by:  :  Category: Medicare

DC Voting Rights by dbkingChanging to a Medicare Supplement Plan F from a Medicare Advantage Plan Could be a Great Move.is a social insurance plans that has the liechtenstein eligibility criteria. It usually packages benefits for obsolete peoples, more or it may be less above 65years. It besides has other qualified tiers for poor people and needy involving their age several. Medicare is too serving a persons who have agreed upon any mortal health probem and whose consideration would cost them a lot. Harmonising to a new latest nose volume almost 40 huge number of US occupiers love the blessings of Medicare. They take a new insurance policy by themselves or their loved ones as well as a would never want to occupy about their health questions and medical your examinations. This insurance procedure has following four departments.
Source: salonstylesforyou.com

Video: Medicare Supplement vs. Medicare Advantage Plans – A Doctor’s Perspective

New CMS Website: Medicare Secondary Payer Conditional Payment Information 

[1] Title II of H.R. 1845, entitled "Strengthening Medicare Secondary Payer Rules," amends 42 U.S.C. §1395y(b)(2)(B) of the Medicare Statute, Pub. Law No. 112-242 (January 10, 2013).  See http://beta.congress.gov/bill/112th-congress/house-bill/1845/text. The Bill Summary and status report are available at: http://thomas.loc.gov/cgi-bin/bdquery/z?d112:h.r.1845. The current Medicare Secondary Payer Recovery Contractor (MSPRC) website is located at www.msprc.info. Title I, Section 101 of H.R. 1845, sets out a demonstration project under Medicare Part B for the payment of supplies and services related to the administration of Intravenous Immune Globin (IVIG) for the treatment of primary immune deficiency diseases. [2] The Medicare Secondary Payer program is set out at 42 U.S.C. §1395y(b)(2). [3] The Center’s work on MSP matters can be accessed at: http://www.medicareadvocacy.org/medicare-info/medicare-secondary-payer-program/. In addition, the Center led a task force of the Public Policy Committee of the National Academy of Elder Law Attorneys (NAELA) (www.naela.org) on the use of set-aside arrangements involving future medical expenses. The task force made recommendations on how attorneys might approach "future medicals" pending guidance from the Medicare agency. See: http://www.naela.org/App_Themes/Public/PDF/Home%20Page/ISSUE%20Medicare%20Set%20Aside%20TF_2%20(2).pdf.  [4] See, for example, the joint findings and recommendations, sent to the Medicare Agency, by the Center for Medicare Advocacy, the Medicare Rights Center, and California Health Advocates, available at http://www.medicareadvocacy.org/2011/05/12/medicare-secondary-payer-practices-that-harm-medicare-beneficiaries/. [5] See §201of the Act.  Note, the term "website" includes any successor technology that might be developed. Id., at subclause (VII). [6] See §201of the Act, ("VI") Effective date. [7] See §201of the Act. [8]Id., amending §1862(b)(2)(B) of the Social Security Act, 42 U.S.C. §1395y(b)(2)(B), adding a new clause: (vii) use of website to determine final conditional reimbursement amount. [9] Id. [10] See §204, amending §1862(b)(8)(B) of the Social Security Act, 42 U.S.C. §1395y(b)(8)(B). [11] Id. [12] Id., at subclause "(III)." [13] Id., at subclause "(IV)." [14] Id. [15] Id. [16] Id. [17] Id. [18] Id., at subclause (V), protected period. [19] Id. [20] Id. In addition, the Secretary shall promulgate final regulations to carry out this clause not later than 9 months after the date of the enactment of this clause. Id. [21] Id., §202(a)(2) of the Act. [22] Id., §202(b). [23] Id., subclause "(D)"Report to Congress. [24] Id. [25] See §203, amending §1862(b)(8) of the Social Security Act, 42 U.S.C. 1395y(b)(8)( Required submission of information by or on behalf of liability insurance (including self-insurance), no fault insurance, and workers’ compensation laws and plans). [26] Id. [27] See §205, amending §1862(b)(2)(8)(iii) of the Social Security Act, 42 U.S.C. §1395y(b)(2)(8)(iii).
Source: medicareadvocacy.org

Medicare Secondary Payer: The Shape of Things to Come

H.R. 1063, the Strengthening Medicare and Repaying Taxpayers (SMART) Act, had gained a significant amount of bipartisan support in both the House and Senate; however, with the election pending, the outlook seemed bleak that it would be passed by the 112th Congress. Well, on September 13, 2012, the Energy and Commerce Subcommittee on Health met in an open markup session and made certain adjustments to the bill to implement more automated functions to the conditional payment recovery process. The committee met again on September 20, 2012, and again made minor adjustments to the bill, then favorably forwarded it to the full committee and sent it back to the CBO for scoring. There was no further indication of progress until on December 19, 2012, a lesser version of the SMART Act emerged as Title II of the Medicare IVIG Access Act [H.R. 1845]. H.R. 1845 proposed a $45 million dollar demonstration project to study providing Medicare coverage for in-home administration of intravenous immune globulin (IVIG) to patients suffering from primary immune deficiency disease. Despite the sympathetic appeal of helping the bubble boy, H.R. 1845 needed to be off-set by a bill such as the SMART Act, which proposed to coincidentally save Medicare $45 million dollars over ten years, and the match was made. The new combined bill was nearly unanimously passed by the House on December 20, 2012, and passed by the Senate on December 21, 2012. On January 10, 2013, President Barack Obama signed the legislation, making it
Source: lexisnexis.com

Statement to the Record on the Medicare Secondary Payer and Workers’ Compensation Settlement Agreement Act

HR 5284 creates a system of certainty and allows the workers’ compensation settlement process to move forward while eliminating millions of dollars in administrative costs.  It will help create clear and consistent standards, currently lacking in the process, to address workers’ compensation issues.  Most importantly, it will benefit all parties involved – injured workers, employers, insurers and CMS.  
Source: house.gov

Everyday Synopsis Of Medicare Supplemental Insurance Insurance Functionality

Posted by:  :  Category: Medicare

Such as we put changes in older life, a feature in opposition t healthcare becomes much more critical to be able to our well-being. We all wish to the Best Medicare health insurance Supplemental Plan which often to be you can buy. When searching for the particular perfect of applications and an insurance plan company that contributes extraordinary customer service, we always give a lot from time on judging many options on the market. This is really firm when going to finally turn 65 quite possibly becoming appropriate to work with healthcare for the first occasion. However, high are minor a person can do drugs sure you decide on a plan having comprehensive benefits as a result of a health insurance policies coverage company that provides great customer satisfaction.
Source: jndtecheng.com

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

Which In Turn Medicare Supplemental An Insurance Policy Is Best Into Get

Automatic Loss Of Creditable Prescription Coverage: If you were dropped from one specific prescription plan that is considered creditable, suggests as good as compared to or better this Medicare Part R plan, then distinctive way points and a SEP to get into the Medicare health insurance Part D set up. You can enroll anywhere up to 3 months in front of time if sort you will grow to be dropped from your creditable coverage we only have sixty three days from day time that coverage corners or from day time that you turned out to be informed that the policy ended to begin a Medicare Percentage D plan. If you forget this 63 celebration window then might not be qualified for enroll again so that the open enrollment term.
Source: grandec.org

Professional Liability Insurance HQ

Multiple medical requirements that the AARP Medicare often cover are protected by AARP Medigap. New Jersey Medicare supplemental insurance is one with the best places for those who want to hold a private insurance company. To get the supplemental detail for this insurance, the New Jersey Medigap is info about the subject location to get involved touch too. The policies of this medical insurance would cover the discount of New Jersey Medicare. Brand new Jersey Medigap gives you twelve plans all in all. The What Exactly Does Medicare Supplement Insurance Cover? On the internet services is depending on the topic of where you be living. If you are questioning those plan will acquire for your requires greater to appear at subsequent paragraph.
Source: myprofessionalliabilityinsurance.net

1. Protect yourself with Medicare supplemental insurance

As consumers, we generally nurture many misconceptions about medical insurance (http://medigapplansguide6502.wordpress.com/2013/04/03/understanding-medicare-suplemental-insurance/). For example, people think that coverage is directly related to premiums and the more they pay, the more coverage they are likely to get. Actually premiums can vary, be more or less; but coverage is the same. It is possible for a consumer to save money, by avoiding out-of-pocket payment, just by getting proper information. http://www.medigapplansguide.com, can empower a consumer by giving proper insights into all aspects of Medicare supplement insurance through a comprehensive comparison and analysis of the choices offered by different companies like AARP. Pay less, get same benefits.
Source: precisiongastesting.com

Really Should You Choose Medicare Health Insurance Supplemental Insurance

Multiple medical requirements how the AARP Medicare will never cover are covered by AARP Medigap. New Jersey Medicare supplemental health insurance is one among the best places for anyone who want to have a private insurance policy. To get the supplemental statistics for this insurance, the New Shirt Medigap is info about the subject location to obtain it touch too. The policies for the medical insurance would cover the reduction in price of New Jersey Medicare. The new Jersey Medigap comes with twelve plans all in all. The www.medigapplansguide.com/medicare-supplement-rates Nj is depending on the topic of where you am living. If you are questioning just what plan will acquire for your values greater to read the subsequent paragraph.
Source: flloecdelft.org

when you need a Medicare supplemental insurance getting info from www.medigapplansguide.com can be beneficial

People with medicare can opt to get a prescription drug coverage. Only insurance companies and other private companies (insurer)ncan offer this plans. It is important to contact your insurer before your application to a Medicare prescription supplement plan because the action you take may affect your benefit with your current plan. It is best to understand the basics, eligibility requirements, exclusions and limitations of the plans. If you have limited income, you may qualify for EXTRA HELP for your Medicare prescription drug coverage. Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different tiers. Drugs in each tier have a different cost.A drug in a lower tier will generally cost you less than a drug in a higher tier. If your prescription is on a higher tier and your doctor thinks that you need that drug instead of a similar drug on a lower tier, you can ask your plan for an exemption for a lower copayment.
Source: allcontinentstvl.com

Stephen L Morgan’s Personal Blog: Some Useful Information For Selecting Medicare Insurance

Insurance coverage is necessary. There is neo way around it then. If you perform not provide ourselves with enough insurance policy coverage you will possible find that you are facing huge doctor bills. Breastfeeding bills are a single the fastest exciting financial difficulties suffered by people thrity nine and over. The cost linked to medical care is expected to stay to increase, pushing many seniors within the long term family facilities before ought to to go. Now, some may to be honest believe that through process of obtaining further insurance, these are putting on their own and their futures more to the entire hands of folks rather then safeguarding command. Nonetheless, this can be just not the situation. Northern La visit is guaranteed to assist as well as , guard your financial situation. Who understands simply could happen? You possibly can potentially undergo from great enormous coronary heart assault and call for a wonderful deal more than the medicare will pay out. By acquiring supplemental insurance, happen to be able to lower the stress the payments will placement on both and also your your friends and in addition family. Concentrate on understand that Medicare supplemental insurance policies are traded by private corporations. The policy itself is similar no matter what individuals sells it however the cost to participants might change. When you actually buy Medigap Plan Delaware at one insurance company is the exact same coverage you get through another insurance agency. The difference being premium you reimburse them to offer the insurance. This is one of pushed it is essential to do background work before settling on the Medigap plan while provider. Expertise. There are many, many broker agents and brokers that a lot of sell insurance. Most of options are a jack most trades, masters within none. Medicare health insurance and Medicare option is quite unique. Work with someone who specializes in Treatment Supplemental and Medicare insurance Advantage plans also knows this area of expertise inside and to choose from. Feeling a best service that offers Medicare Supplemental Plan P can be little a challenging work, but if you have touch with a major national insurance forex broker that contain every and every insurance company and provides all Medicare plans, you will can save a considerable amount of time. Your agent or broker in order to be very knowledgeable on behalf of you regarding Medicare health insurance Supplemental Insurance and you’ll feel cool with his suggestion and consider he is producing honest deal. It is very necessary to discover the perfect plan from a insurance company gives great hospitality. One particular thing to end up cautioned about is without a doubt paying for currently the Medicare premiums along with credit cards. This is a hazardous practice to commenced in. Making payments on the premiums with a bank card raises the run you pay by bringing interest and expenses. It is better to make premiums withdrawn since your account in the market to pay the set you back of the Medicare health insurance supplemental plan at the time information technology is due and then withdrawn from all your checking account. About many it in many cases can be due to positively concerns they gain had their full lifestyle, but to receive others it would be just a some other sign of rising. No matter what the situation, without the need of dentist professionist insurance coverage the discomfort of common procedures can damage not only your very own teeth, but furthermore , your wallet together with. It will for this good reason that that the Blue Cross Blue Guard Dental of California system tends up to make so essentially sense. But also know that complex activities insurance company offer all 12 Medicare supplemental insurance plans. Service repair shop that carries the following policies is forced to have Plan A. Beyond that, the plans they offer are up to company, based at their own success and the sales of each policy or which of them they feel most comfortable offering. Hence, if you’ve selected Plan D, you’ll need search not exclusively for private companies that provide Medicare supplements, just companies that offer this specific program so that find the right protection for your requests. Upcoding of septicemia is apparently so rampant the fact according to this 1999 inspector general’s report in anyone sample of clinic billings investigators studied, 20 percent related with septicemia cases are upcoded.
Source: blogspot.com

Wherever you live, get benefit of Medicare supplemental insurance

People with medicare can opt to get a prescription drug coverage. Only insurance companies and other private companies (insurer)ncan offer this plans. It is important to contact your insurer before your application to a Medicare prescription supplement plan because the action you take may affect your benefit with your current plan. It is best to understand the basics, eligibility requirements, exclusions and limitations of the plans. If you have limited income, you may qualify for EXTRA HELP for your Medicare prescription drug coverage. Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different tiers. Drugs in each tier have a different cost.A drug in a lower tier will generally cost you less than a drug in a higher tier. If your prescription is on a higher tier and your doctor thinks that you need that drug instead of a similar drug on a lower tier, you can ask your plan for an exemption for a lower copayment.
Source: happybirthdayrobot.com

Importance of having health care insurance or medicare supplemental insurance.

How to coner an unexpected event has occurred in your family? http://www.medigapplansguide.com is present for exactly these reasons. If you are contemplating out-of-pocket your lifes savings entirely on a one-time medical bill, then you need to think of an option. Especially, for seniors who intend to co pay for their expenses need to request for a quote from any of the online insurance companies. Most of the choices that you can access online are affordable. Some insurance companies such as CDPHP do not need referrals, networks or any kind of pre-authorizations. Under this scheme some insurance companies allow one to visit any of the doctors or centers that are medicare-approved, any time they need medical assistance.
Source: boardofinvestmentart.com

Protecting Yourself and Your Medicare Benefits

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 marsmet481TALLAHASSEE – Elder citizens are frequent targets of Medicare schemes, including the latest identity theft scheme. Recently, several Medicare beneficiaries have received phone calls from individuals declaring to be from the “Health and Welfare Department” informing them that a new Medicare card will soon be issued to them. Beneficiaries are then asked to verify some personal information, including their Medicare number, address, birth date, and banking information. Seniors, and those who care for them, should know that the true goal of these calls is
Source: baycountypress.com

Video: Paul Ryan Speech on Medicare in Florida, on August 17 2012

Medicare Fraud Investigator

Further informations about this job opportunity please give attention to these descriptions. – 1132671 Description SafeGuard Services (SGS), a subsidiary of Hewlett-Packard Enterprise Services, performs data analysis, investigation, and medical re! view to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. Since 1999, SGS has prevented approximately $4 billion in inappropriate payments utilizing proactive claims processing system edits. SGS has additionally identified over $1 billion in overpayments recovered on a post-pay basis. Our experience with fraud and abuse analytics has resulted in the referral of hundreds of cases to law enforcement and resulted in successful criminal and civil prosecution and civil monetary penalties. Position Overview: The position requires the individual to use a variety of tools to initiate investigations, identify subjects and develop cases for future action, including referral to law enforcement, education, over payment recovery and other administrative actions. Will work with internal resources and external agencies to develop cases and corrective actions as well as respond to requests for data and supp! ort. Qualifications Education and Experie! nce Required: Bachelor degree preferred and three to five years investigative experience Knowledge and Skills: Prerequisite: Strong investigative skills Strong communication and organization skills Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases Strong PC knowledge and skills Essential Functions: Ability to travel abroad to perform actions required in order to show continuous progressions on investigations. Fluent in English and Spanish is required. Ability to perform research and draw conclusions Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government Ability to organize a case file, accurately and thoroughly document all steps taken Ability to compose correspondence, reports and referral summary letters A! bility to educate providers, provider associations, law enforcement, other contractors and beneficiary advocacy groups on program safeguard matters Ability to communicate effectively, internally and externally Ability to interpret laws and regulations Ability to handle confidential material. Ability to report work activity on a timely basis. Ability to work independently and as a member of a team to deliver high quality work REQUIRED to attend meetings, training, and conferences, overnight travel. Career Path: Individual performer roles with increased levels of responsibility, complexity of work or leadership roles are available based on performance. Job – Services Primary Location – United States-Florida-Miramar Schedule – Full-time Job Type – Experienced Shift – Day ! Job Travel – Yes, 25 % of the Time – ! . If you were eligible to this job, please give us your resume, with salary requirements and a resume to HP.
Source: blogspot.com

Florida Hospital Repays $3M to Medicare While Overbilling Allegations Loom

Florida Hospital in Orlando has repaid $3 million to Medicare, a move seen by prosecutors as corroborating overbilling allegations and by hospital officials as the result of a routine audit, according to an Orlando Sentinel report. Lawyers representing whistleblowers who filed suit against Florida Hospital in Orlando say the organization’s repayment of $3 million to Medicare shows merit to overbilling allegations, but hospital officials say the repayment was the result of a “normal and routine” audit. Florida Hospital and six other hospitals under the Orlando-based Adventist Health System face allegations of improper Medicare billing. A whistleblower complaint filed in July 2010 and unsealed in August 2012 alleges that seven Adventist hospitals routinely submitted duplicate claims or overbilled for radiology services for 15 years. A second complaint, filed in October 2012, claims fraudulent billing occurred for emergency services, as well. Marlan Wilbanks, JD, an attorney representing the whistleblowers, says Florida Hospital’s recent repayments to the Medicare program “further proves the credibility of our case,” according to the report. But hospital spokesperson Samantha O’Lenick says the repayment was based on a third-party audit’s findings. “It is not uncommon for us, as well as others in the industry, to conduct normal and routine audits because of the highly complex governmental billing rules,” Ms. O’Lenick said in the report. “Sometimes in doing so, we correct overcharges and undercharges.” A district judge has called the whistleblowers’ evidence of the alleged wrongdoing “extensive and sufficient,” and denied Florida Hospital’s first motion to dismiss the case. He also denied another motion to dismiss the second claim, which was filed more recently. A trial for the case is set for Dec. 2.
Source: beckershospitalreview.com

Medicare Cuts Will Kill Seniors

Using data from California hospitals, researchers Vivian Y. Wu of the University of California and Yu-Chu Shen of the Naval Postgraduate School examined mortality rates for heart attack patients following the Medicare payment cuts resulting from the Balanced Budget Act (BBA) of 1997. The impact of the BBA was not as sudden or clear as the current situation, where Medicare’s two percent across-the-board cut on April 1 instantly transformed some expensive chemotherapy drugs into money losers, but it was significant and long-lasting.
Source: westorlandonews.com

Florida Health Care Clinic Director Pleads Guilty For Role In Fraud Scheme

HCSN also operated one location in Hendersonville, N.C.  At the Hendersonville location, Layman served as the clinical director and assisted HCSN owner Armando Gonzalez in obtaining necessary licensing, credentials and Medicare authorizations for HCSN.  According to court documents, from 2008 through 2009, Layman purportedly supervised therapists at HCSN in Hendersonville, including Alexandra Haynes, who was an unlicensed therapist purportedly performing PHP therapy to HCSN patients.  For their roles in the conspiracy, Gonzalez pleaded guilty to one count of conspiracy to commit health care fraud and one count of conspiracy to commit money laundering, and Haynes pleaded guilty to one count of conspiracy to commit health care fraud.  On Monday, Feb. 25, 2013, Gonzalez was sentenced to serve 168 months in prison for his role in the scheme.
Source: sandiegocountynews.com

Should Medicare Pay Be Tied to Geography?

While not overtly giving advice to lawmakers, the panel’s interim report identified many downsides to adjusting Medicare payments to hospitals, doctors and other providers based on region. Such a practice, it suggested, “would likely mischaracterize the actual value of services” and result “in unfair payments” to physicians and institutions that were careful in using Medicare services but were located in regions that were overall heavy spenders.
Source: usf.edu

Is Florida Medicare Insurance Different From Other States?

Florida Medicare Insurance differs because many seniors have trouble paying out-of-pocket co-pays and deductibles after their Florida Medicare Insurance Part A and B pays their share. Currently, Floridians have the highest insurance rates in the country. And, the amount they pay for their Florida Medicare Insurance depends on the county they live in.
Source: seniorcorps.org

FL Hospital Denies Medicare Fraud But Repays $3M In Overpayments

The repayment is too little and too late, according to the attorney representing the Florida whistleblowers. Had the two never come forward with evidence of illegal billing practices within the Adventist Hospital System, the overbilling would still be going on today. The voluntary repayment is a credit to the strength and courage of the whistleblowers who chose to stand up against the fraudulent Medicare billing practices.
Source: federalwhistleblowerlawyers.com

Whistleblower Alleges Overbilling Of Medicare By Florida Hospice

Douglas Stone was an executive at the Hospice of the Comforter, based in Altamonte Springs, when he learned that the company was overbilling Medicare for patient stays. He filed a whistleblower lawsuit alleging Medicaid/Medicare fraud against the Florida nursing home a year ago; the U.S. Department of Justice recently intervened and will now be pursuing the Medicare fraud claims.
Source: federalwhistleblowerlawyers.com

Comparing Medicare Advantage Plans Missouri

Posted by:  :  Category: Medicare

peace by MBK (Marjie)There are several reasons why people choose to enroll in Medicare Advantage plans instead of the Original Medicare plan and a Medicare Supplemental plan.  In order to enroll in a Medicare Advantage plan, you should willingly drop out from your Medicare and sign up for a plan in a private insurance company that offer this plan.  The two big reasons why most people choose to sign up for Medicare Advantage plans are because it has low premiums and there are no health questions asked.
Source: ehealthmo.com

Video: Missouri Medicaid and Missouri Medicare Recipients – Special Benefits For You Only

Ellisville Police, Missouri Senior Medicare Patrol warn about scams

According to reports by the Iowa Senior Medicare Patrol to the Centers for Medicare & Medicaid Services, seniors are targeted by a caller claiming to be from Medicare. The caller says there are changes to the Medicare Summary Notice and Medicare cards and then tries to obtain personal information to commit financial fraud. The caller also may express a need to visit the person’s home to deliver information and other materials.
Source: newsmagazinenetwork.com

Purchasing Medicare Supplement Insurance in Missouri

The state of Missouri also allows for individuals who are on Medicare disability to enroll into a supplemental plan. Just like those who are Turing 65, you must enroll during your open enrollment period to be issued a policy on a guaranteed basis. Open enrollment encompasses the three months before your approval, the month of your approval, and the three months after.
Source: allabout101.com

Missouri Residents Weigh In on Medicare, Social Security Changes

When the new Congress convenes next month, policymakers are likely to consider changes to the programs, including an increase in the amount of income subject to the payroll tax that finances most of Social Security and some of Medicare, benefit reductions, an increase in the eligibility age for both programs, a curb in the cost-of-living increases for Social Security beneficiaries and higher Medicare premiums for higher-income enrollees.
Source: aarp.org

Obama Budget Would Up Medicare Costs For Higher

The Associated Press: Upper-Income Seniors’ Medicare Hike President Barack Obama’s plan to raise Medicare premiums for upper-income seniors would create five new income brackets to squeeze more revenue for the government from the top tiers of retirees, the administration revealed Friday. First details of the plan emerged after Health and Human Services Secretary Kathleen Sebelius testified to Congress on the president’s budget …. Currently, single beneficiaries making more than $85,000 a year and couples earning more than $170,000 pay higher premiums. Obama’s plan would raise the premiums themselves and also freeze adjustments for inflation until 1 in 4 Medicare recipients were paying the higher charges. Right now, the higher monthly charges hit only about 1 in 20 Medicare recipients (Alonso-Zaldivar, 4/12).
Source: kaiserhealthnews.org

Need Advise for Medicare Related Question

I was approached by a client of mine to see if I could get insurance for her daughter. The daughter has an auto-immune disease and is on some pretty expensive medication. I tried several carriers, with the predicted outcome, offered a guarantee issue plan, which she declined, and am wondering if she would be eligible for a medicare advantage plan since she is on disability but the prescription portion of the disability won’t kick in until June. She just lost her cobra coverage a week or so ago. thanks for any comments.
Source: insurance-forums.net

Medicare Supplement Connecticut

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SS[…] 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

Video: Anthem Medicare Advantage Plans | Enroll in Medicare

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

Dave Fluker’s California Health Insurance Blog: Anthem Blue Cross Raising Medicare Supplement Rates in 2013

David Fluker Insurance Services – Gilroy, California Serving California Residents Since 1995 For specific Health Insurance information, please visit my site at the link below www.davefluker.com Email Me CA Insurance License # 0B58920
Source: blogspot.com

Anthem Medicare Supplement

This specific webpage has content on the enormous listing of electronic gadget on auction. Such as, penny auction for well liked electroincs, penny auction for manner & accessories – upcoming and ended auctions, recently ended penny auction deals for samsung led tv and xbox 360, juicy couture – viva la juicy edp 50ml up for bid in penny auction, samsung galaxy tab 10.1 scheduled penny auction starts in 12 hours, macbook pro 13? bidding at $8.59 in penny auction ongoing, penny auction for sony xperia s – in 11 hours, penny auction starts bidding in 15 hours: samsung galaxy tab 10.1, apple iphone 4s 16gb unlocked start bidding in 14 hours, and penny auction up for bid: kindle touch 6? e ink display wi-fi ereader.
Source: scoop.it

Anthem Medicare Supplement Insurance Quotes in Ohio

In order to qualify, individuals must switch from an existing supplemental policy to a new  Anthem plan with equal or lesser coverage.   This means if you currently own Plans F or J, you can switch to a modernized Plan F (Plan J is no longer for sale as of June 2010) with no health questions asked.   Likewise, you could switch from Plan G to Plan G or Plan N to Plan  N, etc.
Source: ohioinsureplan.com

Anthem Medicare Supplement Rates Connecticut 2012 « Insurance News from Crowe & Associates

The Anthem Blue Cross Blue Shield Supplements for 2012 are attached to the posting. The rates are competitive with most carriers but are slightly higher than the AARP lines of Supplements. The Anthem High deductible F supplement is a very strong offering that should be considered by anyone with a Medicare Supplement in Connecticut. AARP does not currently offer a high deductible F in Connecticut. Look at other posts on our blog for additional information on the High Deductible F plan.
Source: croweandassociates.com

Anthem Medicare Supplement Plans

What is High Deductible Plan F? Anthem Blue Cross also offers a High Deductible Plan F. This means that it will be your responsibility to pay for the first $2,000 of any services not covered by Medicare, after which you will be covered 100% just as you would with the tradition Plan F. In choosing this plan you will be able to save money on your monthly premiums as they are priced at a fraction of most other Medicare Supplement plans.
Source: wordpress.com

Medicare Supplement Plans Rising

Medicare supplement policies, often called Medigap insurance, are a variety of plans sold by private insurance companies to fill gaps in coverage provided by the traditional, federal-government-managed Medicare A and B plans. The government-run doctor-and-hospital plans for people 65 and older, and some people with disabilities, don’t cover all expenses. Medicare supplement plans are designed to reduce out-of-pocket expenses.
Source: courant.com