Blue cross blue shield medicare hmo gastric bypass

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SS7wCn0z3xP wKxvxv cZsXg p73ElmOoW FlI8sGKo FSSBadbo Vu4Tbn FL4DE fkawwnnL 80FSkk hqAakJN4n MjYkDJb3W XMYA2 fg35v 7wJ00zQ4I XAqGhIBs GD5FBly qPLVI jVufpL76 vYnCan WoR6WuIxp kqmxg1 HounV0 TOe7lhiW de9qmzw3 9wp9PhdOS vIvmnj 8v8xDlF9e tiyaFU nSVDdV 1UAeRt0 Hjd09rdM NdkBpmwaX lRbfiQa 1ojQ5s8u2 l9eJjsx hHk4dV 2M0BUbUB dqSVLiony eLoKAFHY ArIh2ChvP 22791m fW3XGH VMx25xF 6tvTeRX0 cBIod68 COAFLtB3 Jgw3Ce9Z 8uDsHn0 gqZRKP8EO 9rbrxoJ GdugfB X7pU2 f98ym25w 01pCmQAA H2tKX9 Za8HJFGM CcQgzvVt uKGhRyMi 71tZ4 bKoh7m fm7njm8 JbTSWgL1 iBQOWU i7IdESM bDpuhShP lQZ0mylz lSJor8QW YEmSg 09LzCrD h4HSb2tP3 ZRR4Df NohaOVgp8 QxUKBd 6aQJQH bRjNR0i ZZVG9Feh myU7L yXFbSzm1O oJobGGo8 evHJV RK7Dhkhs S50OT 5CsLos h9KZX0 OIy2yFsLS ogIt3U dsNcGMo8 6iJ0xsL kx6Go6MSj qsyynS7l1 QK6wjCR umijyi aSMYN4s3a CTzlee P97jPT8m DClKcZz4 rzNbglX J81M5 U10i6ef YIYKAGW jwGZqrn94 pszIUOo Alq0d6 bNJhG2 7bkhC9F4 v8vqZ DEsqpM XMPyDztYX eCfnCM YR1oC cB0jBVC 0UFoHqAQk COeZSx T97ZKekpi eTIwVNh bwaE9f2ux 3OJ5NChaI VWMQgpR bGl8LvGU zWXA46R9g BcDm2Ko5 fieBdVAl TdUBM9uPT XggPBdtPr dyI09Wj gmlyDl9Jy XkXI72 Toq9pbMmt NJJAI v24tDTR sYWejkz7 kvfltRd rWL5Di Y4kPU bR31is o1of7M 3qH45dP 18CLFpm1S VzM2P7 ptOE9m tONT8q HqiZHsf oNQXEbT7R eVtnsZ9pD UU4Ux4M1 OmfYS SwbZpXZ0 wY5USdYXQ z0AAEV V4yPuY4C VqFlMJsUQ uGpbH4 ogTfTo3 1aMPuoV bF3OUMcL AzrW7Q puuBz QpOC7 CZPynNcE ZuMojFu xFCd04zP J1lkczJ 6KFjiA1 JPF6dR 4xM8BBgfg l4CXBL Iv9hmU q7LlA4 aEn3dRFAL uckfF96R 3gOTc Rs49jVU BpsDOu5 dJfPUWfxd 0v7BrH BUP19Q3 kwqxk6Qt I3zCx2a HO3nY K8o8TpMB 1Bln3Bx cicenFD PbJiSGXC Jo1LwqXUl Ush49 Tp00LMF SSm0v7J mcExCrZU2 trwrnPGA 4PCR4YzJW v8FKsdN 6Tw8f JBwO4Xyx VKWNs upl1g vIdc0D0 SzI20j XANfEXeG MlxS0Nwp iXc0WU 50fFr bG6mP 4FRERmC qVOXD5KA7 igZoIL F72eySdrX njhyF7g 7FUUc Vi7h1Fzyp UhtZm UKbwRjhWd tOgQPxNUx ztsaQjS HZLpm JAOwOb U0PRIyY 6JoRWB i3fShbMvl cXioGik X2dwuF7 K8Xyb OSrXYh pnPfWV4 Co3XbL kKIOfL FHXXrGAjP QGPrvp ExV3Gxnd 08rcTa O9Ufg YBtHM KKmOEetun kK9RyW mv5qsLq 8V89bVW C598w6 TrkNy5j r0CiQO4T Y2TEAV AvmBFMEs N02c6ba
Source: skyrock.com

Video: Introduction to Medicare from Blue Cross and Blue Shield of MN

Horizon Blue Cross Blue Shield of New Jersey’s Mobile Medicare Outreach Moves Into Monmouth County

Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer, is a tax-paying, not-for-profit health services corporation, providing a wide array of medical, dental, and prescription insurance products and services. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association, serving more than 3.6 million members with headquarters in Newark and offices in Wall, Mt. Laurel, and West Trenton. Learn more at www.HorizonBlue.com
Source: patch.com

Ask The Experts: Retirement

Q. I’m a federal retiree who is considering changing to Blue Cross/Blue Shield Basic during the next open season. How does Medicare Part A work in conjunction with BC/BS Basic? Which would be the primary?
Source: federaltimes.com

New Health Affairs Study Suggests That Private Insurers Control Health Care Spending Better Than Medicare

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

Medina chiropractor gets prison for fraud

Heary did business under his name and two corporations. HealthSource of Medina was the operating name of Heary’s chiropractic practice until October 2009. Medina Health and Wellness Center Inc. was the corporate name under which Heary sold durable medical equipment, according to court documents.
Source: northcoastnow.com

Blue Cross Blue Shield of North Dakota launches SilverSneakers® fitness program to Medicare Supplement members

About Healthways Healthways (NASDAQ: HWAY) is the largest independent global provider of well-being improvement solutions. Dedicated to creating a healthier world one person at a time, the Company uses the science of behavior change to produce and measure positive change in well-being for our customers, which include employers, integrated health systems, hospitals, physicians, health plans, communities and government entities. We provide highly specific and personalized support for each individual and their team of experts to optimize each participant’s health and productivity and to reduce health-related costs. Results are achieved by addressing longitudinal health risks and care needs of everyone in a given population. The Company has scaled its proprietary technology infrastructure and delivery capabilities developed over 30 years and now serves approximately 40 million people on four continents. Learn more at www.healthways.com or www.silversneakers.com.
Source: bcbsnd.com

Medicare For All Gets An Unexpected Boost

First, congressionally charter Blue Cross-Blue Shield as a monopoly to provide basic coverage to all Americans, except retirees. And grant the regulated nonprofit authority to impose payer-fee schedules on providers of routine care and services, much as Medicare does. A utility-style Blue Cross-Blue Shield covering all working-age Americans and their dependents would offer enormous administrative economies of scale and an insurance pool of unprecedented size. By trumping state regulations, the plan would be relieved from paying for luxuries like aromatherapy, Viagra, sex-change operations, hair implants, birth control, or elective abortion. Nothing would preclude other carriers from selling supplemental insurance for medical non-necessities, purchased by individuals at after-tax rates.
Source: thebigslice.org

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

BlueCross BlueShield of IL Changing Medicare Supplement Rates

BlueCross BlueShield of IL announced a rate increase for most Medicare Supplement/Medigap customers effective March 1, 2013. In addition to the rate increase, changes have been made to the way BlueCross BlueShield of IL sets attained-age premiums. BCBSIL has switched from age bands to different rates for each age. In the past, BCBSIL had the same rate for the same Medigap plan for age groups, like 65-67; now, each age has its own premium rate. The change from age bands to single age rates will cause a few premiums to actually be lower after March 1, 2013 than they are now. For most people though, premiums are increasing.
Source: bcmil.com

Cristina Hatchett blog on Netlog

Low Cholesterol Recipes book download Download Low Cholesterol Recipes First of all you can begin by taking a favorite dish and modifying the standard recipe into a low fat and low cholesterol version. Paperback $14.29. 500 Low Cholesterol Recipes: Dick Logue. This low – cholesterol recipe is ready to become a family-favorite. Amazon.com: low cholesterol recipe book Amazon.com Gift Cards There’s still time to send Mom an Amazon.com Gift Card by e-mail, Facebook, or print-at-home. Downloads Low Cholesterol Recipes book – Adala – Typepad Low Cholesterol Recipes book download Tarla Dalal Download Low Cholesterol Recipes Everything Low-Cholesterol Cookbook: Keep you heart healthy with 300 delicious low-fat, low-carb recipes by; Linda Larsen . 500 Low-Cholesterol Recipes : – Google Books A low-cholesterol cookbook that offers practically the full spectrum of flavors for the tastebuds! "500 Low-Cholesterol Recipes" proves that cutting cholesterol doesn. The Low Cholesterol Diet and Recipe Book: 220 Delicious Easy-to. Here you will find complete information on . . These can be sold in your local book store originating from a starting price of around $3 and can go up to around $20. Important Low Cholesterol Diet Recipes – How To Lower Cholesterol . Low Fat Low Cholesterol Recipes (Total Health Series) – TypepadHealthy Heart Cookbook: Low Fat Low Cholesterol Recipes (Total Health Series) book download Tarla Dalal Download Healthy Heart Cookbook: Low Fat Low Cholesterol Recipes (Total Health Series) Recipes That Help . Presents over 220 delicious low – cholesterol and low-fat recipes in an easy-to-follow step-by-step format. There are also books on low in cholesterol diet recipes obtainable. Cholesterol is a waxy . Recommended cookbooks to help you eat healthier with low fat and low cholesterol recipes. low gi diet book :low fat low cholesterol diet recipes low gi diet booklow fat low cholesterol diet recipeslow gi diet book .The Low Cholesterol Diet and Recipe Book : 220 Delicious Easy-to . She has enclosed 46 tasty recipes which have been not usually low . Easy Recipes For Dinner . Low Cholesterol Recipes From Tarla Dalal
Source: netlog.com

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

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

Saving money on health costs: Extra Help program

Posted by:  :  Category: Medicare

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

Video: Extra Help for those on Medicare Part D Plans

Annual Enrollment Starts October 15 and Ends December 7 for Medicare Part C & Part D Plans  

Note that there are additional enrollment periods available when someone first becomes eligible for a Medicare Advantage plan and a Part D plan.  These periods are known as the Initial Coverage Election Period (ICEP) for MA plans (see, e.g., §30.2, Chapter 2 of the Medicare Managed Care Manual), and the Initial Enrollment Period (IEP) for Part D (see, e.g., §30.1, Chapter 3 of the Medicare Prescription Drug Manual).  There are also separate enrollment periods relating to enrolling in Part B of Medicare, including the Part B Initial Enrollment Period (IEP), General Enrollment Period (GEP) and Special Enrollment Period (SEP) (see, generally, Chapter 2 of the Medicare General Information, Eligibility and Entitlement Manual (CMS Pub 100-01) at:
Source: medicareadvocacy.org

Do You Qualify for Medicare's Extra Help Program?

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

Medicare Part D: Coverage, Costs, Eligibility

Ross Blair has applied more than 26 years of technology experience to develop PlanPrescriber.com, a website that makes it easier for seniors and their caregivers to select and enroll in the best Medicare products for their specific needs. In his role as CEO, he has worked closely with pharmacists, insurers, physicians, caregivers and seniors to identify the most critical and complex aspects of Medicare and create a system that delivers this information to consumers in a format that is easy to use and understand. Google+
Source: ehealthmedicare.com

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

To qualify, your 2013 income must be limited to $17,232($1,436) for an individual or $23,268($1,939) for a married couple living together.  This year they have raised the amount for resources which can be real estate, bank accounts, stocks, CDs, mutual funds, IRAs and cash at home but they no longer count your house, car and life insurance as a resource.  The value of what you own must be limited to $13,300 for an individual or $26,580 for a married couple.            What is so great about LIS (extra help) is that when you are approved; then, there can be different levels that you can qualify for, depending on how much your annual income and resources are. You may qualify to have your Part B $104.90 premiums paid for.  That income level is below $1,313 for an individual and $1,765 for couples.  Also you may qualify to have covered your Part A and Medicare Part B premiums, deductibles and co-pays expenses if your monthly income is below $975 for an individual or $1,313 for a couple.
Source: tonisays.com

Medicare plan for savings on prescription drugs

Changes in the law enacted in the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 make it easier for Medicare beneficiaries to qualify for “Extra Help” by changing the way income and assets are counted in 2010. When determining eligibility for “Extra Help,” the Social Security Administration, who handles enrollment in the program, will no longer count life insurance policies as a resource. In addition, help received from family and friends to pay for household expenses like food, mortgage, rent and utilities will no longer count as income.
Source: aapress.com

Medicare fees rise for 2013

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

Arizona Medicare Plans: Extra help on prescriptions is available

Part D Medicare prescription Drug Plans have helped many seniors afford medications that they may nor have been able to afford previously. However, the Part D coverage does have copays, premiums, deductibles and tiers that can still be quite costly for many beneficiaries on a fixed income
Source: blogspot.com

Find Out if Your Medical Service is Covered By Medicare!

Extra Help/Low-Income Subsidy – If you meet certain income and resource limits, you may qualify for Extra Help from Medicare to pay the costs of Medicare prescription drug coverage. Drug costs in 2011 for most people who quality will be no more than $2.50 for each generic/$6.30 for each brand-name for covered drugs. Other people pay only a portion of their Medicare drug plan premiums and deductibles based on their income level.
Source: legalbistro.com

Medicare Rights Center marks anniversary of Affordable Care Act

Posted by:  :  Category: Medicare

ILGWU senior female members and retirees holding placards urging "fair play for the aged", "hands off social security", "don't mess with medicare", "keep your promises Mr. President", and more. by Kheel Center, Cornell University“In the second year of its implementation, the ACA has improved access to health care for millions of people with Medicare,” said Joe Baker, President of the Medicare Rights Center. “Medicare beneficiaries are receiving preventive services at no cost as well as cheaper prescription drugs in the coverage gap, and while the immediate benefits of health reform are encouraging, there is still a lot to look forward to as the law is being implemented.”
Source: 50plusnorthwest.com

Video: Medicare Rights Center

University of Rochester Career & Internship Digest: Recently Posted Full

As a Financial Advisor, you will manage the complex issues that come with wealth while helping families achieve their financial goals. A career in finance sales is rewarding, honorable and can be lucrative.   You will receive competitive compensation which includes a base salary and may also receive commissions and a bonus for exceeding benchmarks. For those looking for a strong foundation to build on, consider Morgan Stanley Wealth Management and utilize your business development and management skills in the Finance/Financial Brokerage Services arena. Here, you can leverage a strong brand while building your book of business. Our Financial Advisor Associate Training Program prepares you to become a Financial Advisor through an extensive curriculum which provides you with the tools and strategies needed to build a client base of high net worth individuals.  In addition, you will have access to state-of-the art financial tools and technologies as well as sales and management mentoring.  Once you become a Financial Advisor, you will use your product knowledge and networking/management talents to provide clients with a high level of individualized, comprehensive and a vast array of brokerage financial services and investment strategies. Howe & Rusling- Rochester, NY Providing investment management to individuals, self-insurance trusts, retirement plans and charitable organizations since 1930, Howe & Rusling has earned a reputation for excellent investment performance, unwavering integrity and personal commitment to each client.
Source: blogspot.com

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

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

Medicare Rights Center sides with court’s decision

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

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

This project will make it easier for New York City seniors to access existing public benefits, which frequently go untapped. According to a 2005 Food Bank report, of all Emergency Food Program (EFP) participants, older adults have the lowest participation rate in the Food Stamp program, with only 17 percent of eligible older adults enrolled. Further, over 100,000 older New Yorkers are eligible for but not enrolled in Medicare Savings Programs, which cover premiums and cost-sharing for medical care under Medicare. And about 55,000 low-income older New Yorkers remain unenrolled in the Extra Help program, which helps with premiums and copayments for Medicare prescription drug coverage.
Source: viha.info

When it’s Time to Drop Your Medicare Advantage Plan

Currently, Medicare Advantage sellers are engaged in heavy marketing due to the MA open enrollment period that ends on December 7th. The ads don’t say much but give enough clues to tip you off that you must ask lots of questions and dig deep to find out what you’re getting. A solicitation I received from UnitedHealthcare touted the plan’s zero monthly premium, zero copay for a primary care doctor’s visit, zero medical deductible and zero prescription drug deductible. A closer look revealed that the copays for expensive drugs were steep—$95 for non-preferred brand drugs and 33 percent of the cost for a specialty drug. Then came the fine print warning: “Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co/insurance may change on January 1 of each year.”
Source: openplacement.com

Advocates Place Focus On Need For ‘Seamless Transitions’ Between Medicare, Medicaid And Private Insurance

CQ HealthBeat: Advocates Want Seamless Medicaid To Medicare Transition Individuals that get health insurance because of the overhaul law could see coverage gaps and unnecessary costs as they transition to Medicare if state and federal officials don’t make proper preparations, according to a report released Monday by the Medicare Rights Center. The report emphasizes the importance of developing “a thoughtful and comprehensive plan” that provides consumers with seamless coverage as the transition occurs, and it lays out recommendations to accomplish that goal. The health care law creates brand-new transitions to Medicare, beginning in 2014, as individuals who obtain coverage because of the overhaul become eligible for the program, the authors note (Attias, 1/14).
Source: kaiserhealthnews.org

Medicare Rights Center Says Medicare Advantage Plans Are Unstable

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

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

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

Expanding Medicaid in Texas is good for business. Here’s why.

Posted by:  :  Category: Medicare

As board chair of the Oak Cliff Chamber of Commerce, I know that my fellow business owners believe that healthy workers are necessary for sustained economic development, not only in Oak Cliff but in the entire state. Sustainable economic development will create more health care jobs and resources into our health care system, which means fewer uninsured workers that burden employers and taxpayers alike.
Source: dallasnews.com

Video: Texas Rejects Obamacare’s Medicaid Expansion, Won’t Set Up Own Exchange

Tell Texas to Expand Medicaid to Millions

I’ve always been proud to be a native Texan; I spent my formative years in the sunny suburbs of Houston, cheering on the greatest second baseman of all time, and trying not to run my bike into the bayous. I spent my college years in booming Austin, where I swam in Barton Springs, and saw more live shows than some people do in a lifetime. It’s easy to see why Texas is the greatest state in the nation. We gave you Willie Nelson, Tex-Mex, and Beyoncé.
Source: younginvincibles.org

Bill on Texas Solution to Medicaid Expansion Moves Forward

“Private insurance is more expensive than Medicaid, so if you have your entire Medicaid expansion population on private insurance and you’re also paying for wrap-around Medicaid benefits, you’re going to end up with a much larger state share once the federal dollars begin to drop off,” Davidson said.
Source: kutnews.org

Texas and Medicaid Hypocrisy

Kolkhorst also touts Texas’ plan to use a Medicaid “waiver” to provide Federally Qualified Health Clinics (FQHCs) around the state. A Medicaid waiver is essentially a grant to implement some temporary health program for the Medicaid population in lieu of regular Medicaid. Not only are those clinics literally socialized medicine, but after the federal deficit spending glut is over, Texans will be left to pay the bill.
Source: freedomworks.org

Renegade nuns join activists for Medicaid rally at Texas capitol

The Nuns on the Bus, a touring group of activist Catholic nuns, arrived at the Texas state capitol in Austin, Texas on Wednesday, to demonstrate alongside more than 400 others who support the expansion of Medicaid in that state to help the poor. According to the Associated Press, the purpose of the rally was to urge lawmakers to pass a state law that would add more than 1 million working poor people to the Medicaid rolls.
Source: rawstory.com

Physicians Can Now Apply for Higher Medicaid Rates

The higher payments will benefit physicians who participate in both Medicaid fee-for-service and Medicaid HMO plans, said Helen Kent Davis, Texas Medical Association director of government affairs. Further, the rate increase will significantly help those physicians hurt by the cut in payment for the Medicare Part B coinsurance enacted in 2012. For those patients, Texas will not pay the 20-percent coinsurance if what Medicare pays is more than the Medicaid allowable for the same services. However, once the rate increase takes effect, eligible physicians will be paid the full coinsurance because the Medicare and Medicaid allowable for the service will be the same.
Source: dmagazine.com

Medicare fraud targets seniors, scooters: ‘I don’t need it. I don’t want it.’ @ CRE Interactive Public Docket on CMS Competitive Bidding Rule

Posted by:  :  Category: Medicare

Another recent scheme in Southern California reportedly lured Medicare beneficiaries to clinics with the promise of free vitamins and juice, only to sign them up for power wheelchairs that weren’t medically necessary. An employee for a medical equipment company, Godwin Onyeabor, reportedly had paid cash to a doctor, Sri J. Wijegunaratne, and a health care professional, Heidi Morishita, to provide fraudulent prescriptions for $1.5 million worth of claims. A federal jury in Los Angeles found all three guilty April 24 for their roles in the scam.
Source: thecre.com

Video: How to reduced Medicare & Medicaid Liens – The James Street Group

Anthem Blue Cross Customer Service Contact Info: Phone Number, Fax, Email & Hours

Or call one of our local sales offices: Athens: 1-866-803-5173 Canton: 1-800-732-1897 Cincinnati: 1-800-318-8253 Cleveland: 1-800-928-2902 Columbus: 1-800-355-6411 Dayton: 1-888-857-6747 Lima: 1-866-594-0517 Mansfield: 1-888-290-2925 Toledo: 1-877-824-9762 Youngstown: 1-800-392-7869
Source: customerservicenumbers.org

Report: Sicker Medicare patients driving up intensity of ED care

Sicker, more complex Medicare patients are driving up the intensity of emergency department care, according to an AHA report released today. The report, which is based on an analysis of Medicare claims data conducted by The Moran Company, found that the number of ED services provided to Medicare beneficiaries is growing and patients’ needs are shifting toward services that demand the use of more resources. “The reality is that seniors who come to the hospital ED are sicker and have more chronic illnesses,” said AHA President and CEO Rich Umbdenstock. “Hospitals are striving to meet their communities’ needs, which means caring for patients who need more – and more intensive – services than ever before.” While some policymakers have raised concerns that the shift toward ED services that require more resources is leading to higher Medicare spending, the report shows that the overall use of ED services is also increasing, and EDs are serving more Medicare patients with behavioral health diagnoses and more patients enrolled in both Medicare and Medicaid. AHA News Now, May 2, 2013
Source: dcha.org

AMNESTY BILL: Illegals Will Get $9.4 Trillion in Benefits…

But most of that cost would be new spending, according to Heritage, as illegal immigrants gain access to additional government programs. The study acknowledges that, for a 10-year period, illegal immigrants seeking a reprieve would be barred from these benefits. After that window, though, Heritage forecasts the costs skyrocketing.
Source: teaparty.org

Medicare: MSPRC New Address & Fax

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

UnitedHealthcare opens more fax lines for Medicare Part D enrollments

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

Medicare Pty Ltd: searching for reliable persons

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

Libertyville Tax Expert Guides You Through The New World of Medicare Decisions

Medicare Ratings System To assist consumers, Medicare now rates Medicare Advantage programs using a star system. Using member satisfaction surveys and plan evaluations, plans are rated between one and five stars. In fact, at any time, you can switch into a five-star Medicare Advantage plan, but only if one is available in your region (only a few states have a five-star plan). Even if your area does not offer a top-rated plan, every state offers at least a four-star plan.
Source: accountantlibertyville.com

Chart of the day: Medicare Part D drug price growth

Posted by:  :  Category: Medicare

Canada Army Run 2011: local results, photos (Part D) by ianhun2009AcademyHealth accountable care organizations Affordable Care Act announcement antitrust blogging books cbo comic competitive bidding costs cost shifting deficit employer-sponsored health insurance health care costs health insurance health insurance mandates health reform hospital readmissions hospitals insurance exchange market power Massachusetts Medicaid Medicare mortality obesity On The Record physicians politics PPACA premiums premium support prescription drugs prostate cancer quality reading list reflex RWJF single payer spending substance use tax uninsured xkcd
Source: theincidentaleconomist.com

Video: Les Matins de France Culture – L’austérité est –elle la part d’ombre de la sociale démocratie ?

MEDICARE PART D COSTS 2013

To be in a position to participate in Part D, Medicare members are typically needed to confirm their enrollment.  The annual interval for enrollment commences on November 15 and concludes on December 31 each and every 12 months.  However, effective 2013, the enrollment period of time will now be from October fifteen up to December 7.  Suitable Medicare beneficiaries who are unsuccessful to make it within the enrollment period of time can nevertheless enroll for Part D protection by paying out a late enrollment penalty or LEP.  The LEP is computed as one% of the nationwide average high quality multiplied by the number of full months of eligibility in which no enrollment was made.  
Source: 2013m.org

Workshop Offered to Help with Understanding of Medicare Plans, Part D

The presentation will weigh the benefits and drawbacks of Medicare Advantage plans and discuss why so many people are switching over to them. Participants also will hear a description of Medicare Part D, the different phases of coverage and how the Affordable Care Act affects the coverage gap (doughnut hole) in Part D benefits.
Source: trtnj.com

Medicare Part D: Coverage, Costs, Eligibility

Ross Blair has applied more than 26 years of technology experience to develop PlanPrescriber.com, a website that makes it easier for seniors and their caregivers to select and enroll in the best Medicare products for their specific needs. In his role as CEO, he has worked closely with pharmacists, insurers, physicians, caregivers and seniors to identify the most critical and complex aspects of Medicare and create a system that delivers this information to consumers in a format that is easy to use and understand. Google+
Source: ehealthmedicare.com

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

Free Medicare Part D Presentation

A Walgreens’s Registered Pharmacist will provide a brief presentation on the basics of Medicare Part D.  Topics will include enrollment, saving money with a preferred Pharmacy and coverage gaps.  After the presentation they will be available for your questions on Medicare Part D.
Source: elpl.org

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

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

Making complaints less complex

Posted by:  :  Category: Medicare

Rogue Magazine (October 1964)  Volume 9 Number 5 - Water Balloons ...item 1.. routinely use devious devices -- wears us down like rabid trial lawyers until we give in (August 15, 2011 / 15 Av 5771) ... by marsmet542Each plan has specific rules you’ll need to know and follow when filing a complaint.  If, after filing a complaint, your plan doesn’t address the issue, call 1-800-MEDICARE for assistance. You can also call your State Health Insurance Assistance Program (SHIP) for free, personalized help filing a complaint.
Source: medicare.gov

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

Better Business Bureau warns elderly to beware Medicare/Medicaid scams

These people are asking for personal information such as Medicare, Medicaid, Social Security, credit card or bank account numbers in order to provide free services such as medic alert alarms, back braces, and other products that assist the elderly and infirm and are paid for by Medicare and Medicaid.
Source: bbb.org

Medicare Reimbursement For Skilled Nursing Facilities Remains High For 2012 Despite Reductions In Overpayments  

The GAO reported as early as 2002 that SNFs had shifted their assessment practices to assign residents to the rehabilitation RUG-III categories that gave them the most favorable reimbursement rates, often without actually providing residents with the number of minutes of therapy they required in order to be placed in those categories.[29]  In addition, the GAO reported that two years after the prospective payment system was implemented, "The patients categorized into the two most common (high and medium) rehabilitation payment group categories typically received 30 minutes less therapy during their first week of care, a 22 percent decline."  Id. 3.  While reimbursement to SNFs increased, rehabilitation services for residents actually decreased.
Source: medicareadvocacy.org

Controlling Medicare Costs is Now Un

Of course, as a number of people have pointed out, this move doesn’t prevent IPAB from working. If the Senate doesn’t confirm anyone to the board, it just means that the HHS secretary has to make cost-cutting proposals on her own if Medicare grows faster than allowed. So what’s the point? Pretty obviously, it’s to make sure that if Medicare is cut in any way, Republicans can blame it solely and completely on Democrats.
Source: motherjones.com

Medicare does not call and will not ask for your SSN, Idaho Falls woman discovers

Tips from a study at USC (http://n.pr/UKyFOT). • Compare reviews not only within a site, but across different websites. • Reviews by people who are verified by the site are more trustworthy than reviews by anonymous reviewers — especially when it comes to negative reviews. • Read reviews less for whether they give a hotel or a restaurant one star or five stars, but more for the specific information they give about the experience. • Reviews are very useful for information that experts or merchants might not think to provide — how late a swimming pool stays open could be useful if you are traveling with a family. • Focus on aggregates, not outliers. You can’t trust a handful of bad reviews or glowing reviews, but trends are much harder to fake.
Source: wordpress.com

Fact Check:Will Increased Longevity Bring Down Medicare?

The customary formulation of this myth is that Medicare is doomed by its own success in keeping its beneficiaries alive. Not only will the ranks of the program’s beneficiaries increase as the vaunted baby boom generation reaches the statutory age of eligibility, but because people are staying alive longer, Medicare’s costs will explode. The first part of this contention is indisputably true: entitlement to Medicare occurs when a person reaches age sixty-five, and the baby boom generation that is generally calibrated as starting in 1946 has arrived at that threshold. As a result, additional Medicare beneficiaries enter that program every day, and because the baby boom generation dwarfs any preceding age cohort, it is highly likely that more beneficiaries will be added to the program than are lost as older beneficiaries pass away. Consequently, the number of Medicare beneficiaries will inexorably increase over the next decade or so. Ceteris paribus, more beneficiaries mean higher aggregate costs.
Source: thehealthcareblog.com

Medical Identity Theft and Compromised Medicare Numbers

     CMS has established a Compromised Medicare Beneficiary Number “List” in recent years as part of its increasingly sophisticated array of anti-fraud strategies. This list allows it to pay close attention to Medicare numbers at risk of being abused or known to have been abused. The numbers on the list are assigned risk levels – low, medium, and high – and CMS actions vary according to the risk. Presently, 226,629 Medicare beneficiary numbers are on the compromised numbers list, says Jean Stone, director of CMS’ Northeastern Program Integrity Field Office, Center for Program Integrity. Based upon the risk level and the provider, CMS may not immediately pay certain Medicare claims. When claims are submitted for a number on the list, depending upon risk level, some or all of the claims may be subject to medical review (documentation requested from the provider) or even automatically denied (if the provider is suspect). Some people worry that this list will impede payment of legitimate claims, making life difficult for beneficiaries. CMS takes this into account with the assignment of risk levels. As a safeguard, when SMPs report suspected medical identity theft to CMS, they can give CMS the names of a beneficiary’s legitimate providers. This helps the unobstructed payment of legitimate Medicare claims to legitimate Medicare providers.
Source: wordpress.com

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

Posted by:  :  Category: Medicare

Stella Johnson On The Impact Of Health Insurance Reform by Leader Nancy PelosiIn 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

Video: Medicare Part D Donut Hole

Medicare and ACA Facts and Updates; Jimmo Update 

The Center for Medicare Advocacy continues to work to effectuate terms of the settlement in Jimmo v. Sebelius (No. 11-cv-17 (D.Vt.), filed January 18, 2011).  The media have quickly picked up the story after Robert Pear ran an exclusive article in The New York Times last week, and beneficiaries, advocates, and other organizations with an interest in the clarification of coverage under the settlement have been contacting the Center daily, as well as reaching out to media themselves.  For example, the National Parkinson Foundation sent a letter praising the decision to The New York Times, citing a study they co-authored which supports that improved access to skilled maintenance care will result in preventing or shortening hospital stays, thus saving the Medicare program money on more intensive, expensive care.
Source: medicareadvocacy.org

Medicare drug costs to fall in 2014, but donut hole widens

Before passage of the ACA, seniors in the gap paid 100 percent of all drug costs. Now, they pay 50 percent out-of-pocket for brand-name drugs, with the rest made up by insurers and discounts from pharmaceutical manufacturers. For generics, they pay 79 percent. Enrollees’ out-of-pocket burden for brand-name and generic drugs will gradually fall to 25 percent by 2020 – the same percentage applied for standard coverage.
Source: medcitynews.com

Tips to Stay out of the “Donut Hole”! » Toni Says

In 2013,those who have a Medicare Part D plan receive a 52.50% discount on “covered” brand name prescription drugs that counts as out of pocket spending and help her get out of the “Donut Hole”. She pays 47.50% of the brand name prescription and the prescription drug manufacturer will pay 52.50% of the “covered” drug.  Everyone who gets in the “Donut Hole” must spend $4,750 out of pocket for the year to get out of the “Donut Hole” or coverage gap. When she is out of the “Donut Hole”, she enters catastrophic coverage and pays a small co pay for each prescription drug until the end of the year.  January 1 of each year, the process starts all over again!
Source: tonisays.com

MEDICARE PART D COSTS 2013

To be in a position to participate in Part D, Medicare members are typically needed to confirm their enrollment.  The annual interval for enrollment commences on November 15 and concludes on December 31 each and every 12 months.  However, effective 2013, the enrollment period of time will now be from October fifteen up to December 7.  Suitable Medicare beneficiaries who are unsuccessful to make it within the enrollment period of time can nevertheless enroll for Part D protection by paying out a late enrollment penalty or LEP.  The LEP is computed as one% of the nationwide average high quality multiplied by the number of full months of eligibility in which no enrollment was made.  
Source: 2013m.org

Closing The Medicare Part D Program Doughnut Hole: The End Is In Sight!

There’s also some encouraging research confirming what a lot of us intuitively sense: that making prescription drugs more affordable saves money down the road by keeping people healthier. When people with diabetes get their insulin regularly, for example, they’re more likely to stay out of the hospital. Of course this is great for them; no one likes going to the hospital. But it’s good for all of us, because hospital care is expensive, and keeping people healthy and out of the hospital is one of the most obvious ways of bringing health care costs under control. Recently, the Congressional Budget Office – the green eyeshade folks who keep track of the cost of everything the government does – concluded that making prescription drugs in Medicare more affordable does, in fact, save some money later on by reducing things like hospital admissions. As a result, filling in the doughnut hole is going to cost about 40 percent less than was previously forecast. At a time of tight budgets, that’s great news for all of us.
Source: smmirror.com

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

2014 Medicare Part D deductible down as donut hole widens

The Executive Director of Families USA, Ron Pollac, said the move will have a positive and direct impact on what Medicare recipients spend from their pockets. This addresses some of the concerns people have about the sustainability of the program, which is likely to minimize the tendency to shift more cost burdens on the beneficiaries in future budget deliberations. Families USA is a Washington-based health consumer advocacy body.
Source: medicarewire.com

Small Business Owners: Health Insurance Tax to Raise Costs, Disrupt Coverage

Posted by:  :  Category: Medicare

Tax Penalties and Bureaucratic Burden of Domestic Partner Health Insurance by Third WayRyan Thorn, the owner of a small insurance agency from South Jordan, Utah, testified before the Subcommittee about the burden the health insurance tax will have on his business in the future. He noted that the tax is larger than the medical device tax and the prescription drug tax combined. “It will make health insurance coverage for people like me and my clients cost much more, which raises a larger concern—that businesses will possibly drop their coverage altogether,” he said in written testimony submitted to the Committee.  He went on to say the following:
Source: ahipcoverage.com

Video: Health Reform Explained Video: “Health Reform Hits Main Street”

Summer Health Insurance Coverage | ISSS Blog

1098-T advising Awards Counseling and Mental Health Center Day Trips DS-2019 signature Employment Regulations F-1 financial aid form 8849 GLACIER Tax Prep graduation graduation reception H-1B health health center I-20 signature ideas Insurance international students J-1 Jerry D. Wilcox nonresident taxes Q-drop remote advising renewing visa research study resources safety scholars & faculty scholarship scholar social hour sponsored students spring break tax Texas Excursion travel travel reminders TX Class UHS USCIS UT Athletics UT departments VITA Volunteer work authorization
Source: utexas.edu

Is Health Insurance Good for Health?

For studies with null results, the absence of evidence does not mean an evidence of absence. There are many reasons why detecting a causal effect between insurance and health outcomes is complex and challenging. Methodologically, detecting changes in health status in a short time period provided from an academic study is very difficult. Mortality is a rare event, requiring large sample sizes to detect change (which is probably why the Oregon experiment did not measure it), while morbidity is still relatively infrequent (which the study did measure) – but also not so easy to change even with health insurance (just think about the last time you tried to lose weight, stop smoking, or reduce your blood pressure!)
Source: cgdev.org

The Second Anniversary of Health Care Reform is Good News Will There be a Third?  

The Affordable Care Act expanded access to health care and improved the lives of the millions of Americans and their families who count on Medicare. The law ensures that future generations will have access to benefits by strengthening the Medicare Trust Fund and by supporting delivery system reforms that will help reduce the growth in health care costs.  ACA promotes health and wellness for beneficiaries by emphasizing prevention, quality, and care coordination.  Health care reform also benefits the families of Medicare beneficiaries by extending access to health insurance coverage to millions of uninsured individuals, and by protecting everyone against insurance company practices that deny health insurance coverage to people when they need it.
Source: medicareadvocacy.org

Daily Kos: Majority of employers plan to continue offering health care coverage

Here’s another Obamacare myth down the drain. One of the regular warnings you hear from foes of the law is that it will force employers who are providing insurance coverage now to drop it in droves, sending people off to navigate the uncertainties of the health insurance exchanges. Employers, however, say, no, not really. Sixty-nine percent of benefit professionals responding to an International Foundation of Employee Benefit Plans survey said their employers “definitely will” continue coverage next year for full-time employees, while 25% said continuation of coverage was “very likely.” Just 2% said it was “somewhat unlikely” that coverage would be continued, and only 1% said coverage definitely would not be offered or that it was very unlikely that coverage would be provided in 2014. Here’s what hasn’t changed about employer-based health insurance since the law was passed: Providing a good benefits package helps recruit and keep the best employees. The reasearch director for IFEBP, which conducted the survey, says that the improved economy has also convinced employers they can continue to provide coverage.
Source: dailykos.com

Bill Would Expand Mental Health Insurance Coverage

“You’re talking about cops, teachers, that could use those services particularly in post traumatic stress, and with eating disorders we’re essentially talking about what is the most deadly mental health affliction, and this would end the visit limitations for those.” The measure would also prevent insurers from applying different co-payments, deductibles or benefit limits for alcoholism and substance abuse treatment. The bill is awaiting action by the full Assembly. The Senate passed it March.  
Source: wbgo.org

Can Obamacare save you money on health care?

Your household income will determine whether you get a federal tax credit paid directly to the insurance company to lower your premium. If you make up to four times the federal poverty level– or $45,960 or less in 2013 for a single person – you will be eligible for a tax credit to help pay the cost of your premium. The tax credit will vary based on your income. For example, in a list of cost examples put together by the state of Vermont, a couple with no kids and a family income of $32,000 a year would receive a federal subsidy of $721 a month and pay just $134 a month. Give that couple bigger paychecks – say, $65,000 a year between the two of them – and, with no subsidy, they’d be shelling out $895 a month.
Source: insurancequotes.com

Health Law’s Medicaid Expansion And Online Marketplaces Offer Veterans New Care Options

Mike Sage, 64, a Vietnam War combat veteran, pays $15 per visit for primary-care services and $50 for specialist care at the VA clinic near his home in Monmouth, Ill. Prescription drugs are $8 for a 30-day supply. But his wife, Kay, like many veterans’ spouses, doesn’t qualify for VA health care. They plan to check out the policies offered on the Illinois health insurance exchange this fall to see if there’s a better option than the catastrophic-coverage plan with a $5,000 deductible that she currently carries.
Source: kaiserhealthnews.org

Immigration Reform Must Extend Access to Health Insurance Coverage

“For nearly two decades, numerous federal and state policies have created barriers to health insurance coverage for millions of individuals residing in the United States with varying immigration statuses,” says Kinsey Hasstedt, author of the analysis. “These restrictions foster harmful—and ultimately self-defeating—disparities, including in access to sexual and reproductive health services. This in turn not only jeopardizes the health and economic well-being of immigrant women and families, but further entrenches systemic health and economic disparities for future generations of Americans.”
Source: guttmacher.org

Health Insurance Exchanges Will Make Medical Coverage Easier to Find and Afford

"AARP fought to ensure the new health law would prevent insurance companies from pricing older Americans out of affordable coverage and denying people because of preexisting conditions," says Ariel Gonzalez, AARP’s director of health and family advocacy. "Now we’re working to ensure the new health marketplace is transparent and provides older Americans quality and affordable choices."
Source: aarp.org

State Highlights: Feds Sue Fla. Senate President’s Former Co. Over Medicare Billing

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 marsmet524San Jose Mercury News: Barbara Lee Bill Would Push States To Roll Back Criminal HIV Laws California and other states would be pressured to amend or repeal criminal laws that single out HIV-positive people under a bipartisan bill co-authored and introduced this week by Rep. Barbara Lee. Lee, D-Oakland, said 32 states and two U.S. territories have laws that criminalize exposing another person to HIV even if the virus isn’t actually transmitted. And 36 states have reported at least 350 cases in recent years in which HIV-positive people have been arrested or prosecuted for consensual sex, biting and spitting, according to the Center for HIV Law and Policy (Richmond, 5/9).
Source: kaiserhealthnews.org

Video: Obama Disputes Romney, Ryan Medicare Claims

How to Submit Medicare Claims Correctly and Avoid Costly Denials

Furthermore, we have also found Medicare claims denied where the patient name on the denial completely different than the name we submitted.  When we called on this claim and the representative looked at it, we were told they could see that we submitted with the correct name and they weren’t sure what changed it in the system, but they would reprocess.
Source: poweryourpractice.com

NewsDaily: Largest US hospice company sued for Medicare fraud

Gaetz told The Associated Press on Thursday that he has not been involved with the management of the company for about 13 years, saying he gave up a management role in 2000 when he became Okaloosa County’s school superintendent. He founded the company in the early 1980s with Rev. Hugh Westbrook, a Democratic activist, and Esther Colliflower, a nurse. Starting with an $1,800 investment, they turned Vitas into the largest company of its kind before selling it for millions to Chemed in 2004. That’s made Gaetz, R-Niceville, one of the Legislature’s wealthiest members with a net worth of about $25 million.
Source: newsdaily.com

CMS Releases Clarifying FAQs on Therapy Caps and ABNs Hall Render

A5: When a provider/supplier provides a service that Medicare never covers, such as a service that fails to meet the definition of a Medicare benefit or a service that is explicitly excluded from coverage under §1862 of the Act, the limitation of liability protections in §1879 of the Act do not apply. So, there is no requirement for suppliers/providers to alert beneficiaries to forthcoming financial liability prior to providing a never covered service. However, suppliers/providers may issue the ABN, Form CMS-R-131 as an optional notice to alert the beneficiary to liability. When the ABN is used as an optional notice it is called a voluntary ABN. The requirements for valid completion of the mandatory ABN do not apply to the voluntary ABN. For example, the beneficiary does not need to sign the voluntary ABN or check off an option box on the notice. The voluntary ABN serves as a courtesy to the beneficiary so that s/he is aware that a service will not be covered by Medicare. Alternatively, provider/suppliers may construct their own notice to give to beneficiaries for services that Medicare never covers.
Source: hallrender.com