Medicare EFT form submission instruciton

Posted by:  :  Category: Medicare

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 By your signature on this form you are certifying that the account is drawn in the Name of the Physician or Individual Practitioner, or the Legal Business Name of the Provider or Supplier. The Provider or Supplier has sole control of the account to which EFT deposits are made in accordance with all applicable Medicare regulations and instructions. All arrangements between the Financial Institution and the said Provider or Supplier are in accordance with all applicable Medicare regulations and instructions with the effective date of the EFT authorization. you must notify CMS regarding any changes in the account in sufficient time to allow the contractor and the Financial Institution to act on the changes.
Source: medicalbillingcptmodifiers.com

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

Wellpoint nextrx prior authorization forms for medicare part d

jWDf86Ju zeue3K1 csb4B qO4W1Vt2 fWtP3 eAGlExjl pU5Bepqa 4oEB3H5XV ode3pSey ZtNqJKGK XR0nGqk zW1bF FREM9H37 t3lMyOHF 4VULA7 6EqlgFoHq aDlhW F53GKVWU vnT3Aciw In8y5fT HfA2b4b ulGr1 0l8Qz jBWiRr 2o6Td U1uznnrQ KYjUAr7pa Xi1RMvl QMrMmmpf fNrM3 vNJOc aVsLy0Mx pXjLvwizg ku9gXj dYWMgnf twwthXJgv vPSQ0 KzuztKUvN Popa33CjW GxMB9kky n9Ind6o Ihcx6N5S KcXOP YBqhh KmzkLL o0PEdSQm Oh0lWd1m4 6SyGLH7Q Ct07PPWvr sxtn1Yd iMBGa9i2o 71rPk6T adOcQef WAiOwxL piYDYDqrO GjuZhsfQ oo8w3X wfapM siYuX8e Ta272fU0 HXl81 0TGqxCqB bNXzF7HPa 0WMiW M8XYU ZuVEOM fXBaG U3K35 qyPlpaL Nbsx10fJC 5RQjmc tRiPD ZpoUI8 vIcPsYPs 9oTAdC WqEtbk3m 9fMZqwL Q2MXs6i SK9LA2nk8 AxKdejb Kgb5EAOp5 UoVmv 1hWgTg9MQ BmKs9Y 1dLgUONv FjJ3lxMA0 3wgD48 K6UDyDdQ4 z4kOKzrma 5Ki7RJ Amukf5 u5U5Wc rwgwXX rMLxbt xYtnwX5W ncckY O5RBb1 fTznv2DEE 6o3mT6KW4 iigxNUdn CSeK2d 29xPO FN0UPPH pWVv1k8 K69IkAz5q I7iNm bVmxSiijf 6zOjkeqN 9w5vK deoHuX Q9jEQ Vm40K3ZBd ZROc1nw Mx7eTJQHN eSL4bY YlQ8Cwjr3 hr3tK pZUMAD MAteD ZipB4f KfbfCm6 FVw2n 3Rz768Gsp IG0s7c 2oT00fhA N2LWc8C9 5Bx1Pur oKt2fgEV2 vau6rqd xzwq95x EYe1Fp5rP Ht7MKG SPKOMjGOD DaRmiVf T8eZd KRVumhlH5 MmfmRtx4 9Bq8i2H Fqt14OC ImM9r GNB9e OM8NPXl TYLkOUIn BFXAI3h SWpzbLo6 9cIwyV7 8j9iK61 HhMxB LakoGE ezKg0Z5 aVCs5 6iQ1syq 07c31 we9Qm4ac 8VjPqh 0K6Gzc ogJNxI k6nPOSgjt nK7FjJR 8xpANi sqSO2X ZjQIjLET b1wm6H4x0 xvAD7miZ bn4siFn vZ3iZjB TAk36jjhX R6En668NB URhZxzXXt oRQxXAqDO BqpfOk 6EjFSYK0f A7nJDLxTn EzZWT aAvQ5 Pkq6Ids HWF41 K5XY5O 4HPCs HCU3cGr uftuaor gjxtb 10MUv4T GQ4sA zi5lh CVZ018x0 EuQ2f6T nyaKfYh VM26MEay5 8Vw5Up2nL bkvWP vuO7ELJP3 6QsJHnSx9 vlaIKhPX IXkIIc tbYQpB1M5 Kp9X6F p46GAh cwKizK J4VvugCwl 3brjaL g3WAwcfL OXXsTo LelgZL asan1GG NZJYjs5Q jw8Yjq fq1zYJFX HxIaN3prW LR7lx PROG7xZf8 tkDDb 9YbAu K32m2s3y c3LkO 6rdzhahg7 bFqnvD0 4gpcgwT
Source: skyrock.com

89 arrested in crackdown by Medicare Fraud Strike Force

JOIN THE DISCUSSION We welcome comments. To post one, you must sign in using either your McClatchyDC login or your login for Facebook, Twitter or Disqus. Just click the appropriate box below. Please keep your comment civil, short and to the point. Obscene, profane, abusive and off topic comments will be deleted. Repeat offenders will be blocked. If you find a comment abusive or inappropriate, please flag it for the moderator by placing your cursor on the comment, then clicking the “flag” link that appears. Thanks for your participation.
Source: mcclatchydc.com

Visionary Enterprises Inc. Blog

On April 1, 2013, Wisconsin Physician Services (WPS) Medicare Part B J8 MAC eNews update provided information regarding additional documentation needed when billing Modifier 22. When the Modifier 22 is used, WPS requires two separate documents to support the claim: 1. An operative report, and 2. A separate statement indicating how the service differs from the usual. Please visit the Forms page of the WPS Medicare website for an optional form (Modifier 22 Documentation Form) for the separate statement describing the unusual service. The Modifier 22 Documentation Form is located under the heading Claims at http://www.wpsmedicare.com/j8macpartb/forms/.
Source: veicorp.com

2013 Form 941 And Instructions Include New Line For Additional Medicare Tax

In addition to withholding Medicare tax at 1.45 percent, employers must withhold a 0.9 percent Additional Medicare Tax (AMT) from wages paid to an employee exceeding $200,000 in a calendar year. AMT withholding must begin in the pay period in which wages exceeding $200,000 are paid and must continue for each pay period until the end of the calendar year. AMT is only imposed on employees; there is no employer share of AMT. All wages subject to Medicare tax are subject to AMT withholding if they exceed the $200,000 withholding threshold.
Source: jdsupra.com

Older Americans Month 2013: Unleash the Power of Age!

Posted by:  :  Category: Medicare

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For 50 years, May has been the month we celebrate older adults across the nation. You could say that Older Americans Month is coming of age. This year’s theme—“Unleash the Power of Age!”—emphasizes older Americans’ potential for energy and activism and urges them to embrace it.
Source: medicare.gov

Video: Debunking the “Raise the Medicare Eligibility Age” Argument

Daily Kos: White House: No Medicare age increase, cut Social Security instead

Meteor Blades, GainesT1958, DeminNewJ, mimi, Bryce in Seattle, mint julep, shanikka, oceanview, recontext, Getreal1246, Eric Blair, musiccitymollie, RebeccaG, dkmich, Sybil Liberty, drofx, joanneleon, marina, 3goldens, qofdisks, MT Spaces, Laurence Lewis, Burned, begone, RJDixon74135, Nance, irishwitch, pengiep, blueoasis, praenomen, JVolvo, el cid, Timothy J, Dreaming of Better Days, kurt, shaharazade, NancyWH, BentLiberal, SpecialKinFlag, bigjacbigjacbigjac, Mary Mike, david mizner, gustynpip, suejazz, HCKAD, GeorgeXVIII, angry hopeful liberal, Chacounne, Blueslide, allie123, cybrestrike, LinSea, gharlane, Zotz, rbird, zaka1, cassandraX, Just Bob, chambord, Lady Libertine, Johnny Q, implicate order, jm214, smiley7, PorridgeGun, Wolf10, peregrine kate, whaddaya, ratcityreprobate, quill, mrbond, anodnhajo, IndieGuy, Eric Nelson, This old man, Forest Deva, lunachickie, AverageJoe42, Marjmar, Purplehead, Australian2, alice kleeman, Jason Hackman, richardvjohnson, SEAlifeguard, OldSoldier99, Capt Crunch
Source: dailykos.com

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

Ryan’s Medicare Plan Said To Back Away From Age Cutoff

The Medicare NewsGroup: Rewind, Rehash And Reject: No Movement Expected On Medicare Reform In 2014 Budget At least one thing is certain in this congressional budget season: disagreement will be the order of the day. The president and Congressional leaders have already failed to avert billions in across-the-board spending cuts under sequestration, setting the stage for more fighting over how to shrink the deficit. When it comes to Medicare reform, most experts say that they expect to see the same plans that lawmakers laid on the table last year and they don’t expect that the feuding parties will reconcile their considerable differences. GOP congressional members have already pulled out old ideas, blown off the dust and called them by different names. Since the election, Republicans have reintroduced premium support proposals under the new moniker “competitive bidding.” Rep. Paul Ryan (R-Wis.) and the House Republicans are poised to be the first out of the gate with another premium support proposal (Adamopoulos, 3/5).
Source: kaiserhealthnews.org

Obama No Longer Open to Raising Medicare Age To Avoid Sequestration

According to data released by the US Census Bureau in 2011, the average household headed by someone 65 or older had 47 times the wealth of a household headed by someone 35 or younger–the largest gap recorded since recordkeeping began. Yet we continue to protect “vulnerable seniors” as if they were living off cat food. The poverty level for seniors is the lowest of any demographic. Yet Congress wants to enact every-higher taxes on those who are working (i.e. younger) to maintain unsustainable benefits for seniors. What’s wrong with this picture?
Source: californiahealthline.org

www.CMS.gov/medicareprovidersupenroll

Posted by:  :  Category: Medicare

Go to the website, you can submit your Medicare enrollment application online. With the Internet-based system, you can enroll, view and change your enrollment, check your status easily. You can also download Enrollment Application Guide Files, and use the Frequently Asked Questions link to get answers to commonly asked questions.
Source: hotbuzz4u.com

Video: Medicare Enrollment | Medicare Sign Up | Apply for Medicare

Medicare General Enrollment Ends March 31st: Opportunity for Some to Access QMB Coverage 

Even if unable to get a clear answer, one might pursue such enrollment as follows: Secure a Form 795 from the Social Security Administration (SSA) (available online at www.ssa.gov/online/ssa-795.pdf)  and type or write  into the large blank (lined) space the following:  "I wish to enroll for Hospital Insurance under Medicare on a monthly premium basis, which is in addition to my current coverage for Medical Insurance (or "I also wish to apply for Medical Insurance" if the client does not have Part B).  I understand that the State will pay my premium based on my eligibility for Medicaid (Medical Assistance) as a Qualified Medicare Beneficiary.  I also understand that if I am terminated under Medicaid (Medical Assistance) as a Qualified Medicare Beneficiary, I will have to pay my premium if I want to keep my Medicare Part A Insurance."  The beneficiary should give the form to SSA with her/his application for Part A, but also make a copy for her/himself to take to the Medicaid agency to apply for QMB benefits.
Source: medicareadvocacy.org

Ambulance Billing Services: Proposed Rule Tightens the Screw for Ambulance

What this means is ambulance companies, especially new ones, are going to need to plan ahead. New ambulance suppliers will probably elect to file the application, wait on the approval from the MAC (probably a minimum or 90-days processing for the best-prepared application for most MACs) and then begin operating. That might be okay when the service has the luxury of waiting. But, what about those scenarios where the ambulance service is stuck between a rock and a hard place? For example, many States are encouraging local non-profit, sometimes volunteer-based ambulance services to merge. Given the shrinking volunteer pool, fire-based EMS are increasingly looking to merge companies together to make the best use of both manpower and equipment resources, while also saving on duplicated costs for increasingly expensive supply purchases. So ABC Fire Department, which provides ambulance service to the community, decides to merge with the neighboring XYZ Fire Department, which also has an EMS division. Previously, each department billed Medicare under two provider agreements. The day that the new fire department is formed into one, it is licensed under the new name by the State and is incorporated with a brand new unified Federal Tax ID number. Those departments now must cease to submit claims for Medicare services under their former individual identities. However, if CMS enacts this proposed rule, these two departments would never be compensated for the ambulance services they provided to Medicare beneficiaries from the point that the new joint department was officially recognized until the MAC issues Medicare billing privileges.  For a relatively small to medium-sized company who has partial-career or all-career staff, this could spell financial disaster.
Source: ambulancebillingservices.com

AOA offers Compass, checklist for new practitioners

7. Enroll as a Medicare provider – Physicians, non-physician practitioners, and other health care suppliers must enroll in the Medicare program to be eligible to receive Medicare payment for covered services provided to Medicare beneficiaries. The Medicare enrollment application is used to collect information about the practice and to secure the necessary documentation to ensure health care practitioners are qualified and eligible to enroll in the Medicare program. The Medicare Enrollment Application for Physicians and Non-Physician Practitioners (Form CMS-855I) is used by individual physicians or non-physician practitioners to initiate the Medicare enrollment process or to change their Medicare enrollment information. The Medicare Enrollment Application for Clinics/Group Practices and Certain Other Suppliers (Form CMS-855B) is used by group practices or other organizational suppliers to initiate the Medicare enrollment process or to change their Medicare enrollment information. Medicare Enrollment Application for Reassignment of Medicare Benefits (Form CMS-855R) is used by health care practitioners in group practices to initiate a reassignment of a right to bill the Medicare program and receive Medicare payments. In addition to filing paper application forms, health care practitioners can apply using the Internet-based Provider Enrollment, Chain and Ownership System (PECOS), which is scheduled to be made available to all health care practitioners later this year. For additional information regarding the Medicare enrollment process, including Internet-based PECOS, go to www.cms.hhs.gov/MedicareProviderSupEnroll.
Source: newsfromaoa.org

CMS Proposes To Further Tighten Medicare Provider Enrollment Rules

Ms. Stamer has extensive experience advising and assisting health care providers and other health industry clients to establish and administer compliance and risk management policies and to respond to DEA and other health care industry investigation, enforcement and other compliance, public policy, regulatory, staffing, and other operations and risk management concerns. A popular lecturer and widely published author on health industry concerns, Ms. Stamer continuously advises health industry clients about compliance and internal controls, workforce and medical staff performance, quality, governance, reimbursement, and other risk management and operational matters. Ms. Stamer also publishes and speaks extensively on health and managed care industry regulatory, staffing and human resources, compensation and benefits, technology, public policy, reimbursement and other operations and risk management concerns including a number of programs and publications on OCR Civil Rights rules and enforcement actions. Her insights on these and other related matters appear in the Health Care Compliance Association, Atlantic Information Service, Bureau of National Affairs, World At Work, The Wall Street Journal, Business Insurance, the Dallas Morning News, Modern Health Care, Managed Healthcare, Health Leaders, and a many other national and local publications.  You can get more information about her health industry experience here. If you need assistance with these or other compliance concerns, wish to ask about arranging for compliance audit or training, or need legal representation on other matters please contact Ms. Stamer at (469) 767-8872 or via e-mail here. 
Source: wordpress.com

What is the Cost of Medicare: 2013 Medicare Costs for Coverage

Keep in mind that each insurance company decides how it wants to set its premiums for Medigap policies. There are three ways in which Medigap policies may be priced or “rated.” Community-rated plans, also known as no-age-rated plans, are priced at the same monthly premium for all beneficiaries enrolled in the policy, regardless of age. Issue-age-rated plans, also known as entry-age-rated plans, prices premiums based on your age when you are issued the policy. Pricing for attained-age-rated plans are based on your current age, which means that the premium for your plan will go up as you get older. Outside of these pricing factors, Medigap premiums may also go up because of inflation and other factors. Depending on how a Medigap policy is rated, it will affect the cost of your coverage now and in the future.
Source: ehealthmedicare.com

Kusserow’s Corner: A Dozen Reasons to Not Like the GSA Debarment List

There are no specific CMS regulations requiring providers to screen against the GSA debarment list. However, the Medicare Enrollment Application for Institutional Providers requires applicant hospitals to have a compliance plan that states that the hospital checks all managing employees against the exclusion/debarment lists of both the OIG and the GSA. Also, under 42 CFR § 424.516(a)(3)(ii), providers may not contract with any individuals or entities that are debarred by the GSA as a condition to maintaining active enrollment status.  CMS also requires managed care plans to screen against the GSA EPLS prior to the hiring or contracting of any new employee, temporary employee, volunteer, consultant, governing body member, or First Tier, Downstream or Related Entity (FDR), and on a monthly basis thereafter. Additionally, debarred providers who apply for Medicare shall be denied and debarred providers enrolled with Medicare shall have their Medicare billing privileges revoked. 
Source: wolterskluwerlb.com

CMS Announces PECOS Activation for May 1, 2013

The Affordable Care Act, Section 6405, “Physicians Who Order Items or Services are Required to be Medicare Enrolled Physicians or Eligible Professionals,” requires physicians or other eligible professionals to be enrolled in the Medicare Program to order or refer items or services for Medicare beneficiaries. Some physicians or other eligible professionals do not and will not send claims to a Medicare contractor for the services they furnish and therefore may not be enrolled in the Medicare program. Also, effective January 1, 1992, a physician or supplier that bills Medicare for a service or item must show the name and unique identifier of the attending physician on the claim if that service or item was the result of an order or referral. Effective May 23, 2008, the unique identifier was determined to be the National Provider Identifier (NPI). The Centers for Medicare & Medicaid Services (CMS) has implemented edits on ordering and referring providers when they are required to be identified in Part B, DME, and Part A HHA claims from Medicare providers or suppliers who furnished items or services as a result of orders or referrals.
Source: hcafnews.com

Feds OK Va plan for Medicaid

Posted by:  :  Category: Medicare

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The CCC provides a single program serving more than 78,000 Virginians enrolled in both Medicare, the federal health insurance program for the disabled or people 65 or older, and Medicaid, the federal-state program for the poor, elderly, blind and disabled.
Source: nbc12.com

Video: medicare vs medicaid

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

Medicaid v. Medicare payment rates

ACA Affordable Care Act Amendment One Balancing the budget is a progressive priority budget deficit cadillac tax cbo Charles Blahous CLASS Act college tuition cost effectiveness debt ceiling debt limit deficit dual eligibles end of life fiscal commission health care costs health reform hospice Hospice/Palliative Care individual mandate IPAB Long Term Care Long Term Care Insurance Medicaid Medicaid expansion Medicare Medicare Advantage National Flood Insurance Program Negotiated Rulemaking NHS On The Record Patients’ Choice Act Paul Ryan premium support rationing RWJF smoking smoking cessation social cost of smoking Social Security Super Committee tax reform The cost of smoking
Source: wordpress.com

No cuts to Social Security, Medicare, Medicaid or Veterans’ Benefits.

Thousands of people watched along at home, and even more have seen it since. That’s why Social Security Works put together this video of the highlights—so you can join Senators Bernie Sanders, Elizabeth Warren, Jack Reed and Al Franken and Representatives Keith Ellison, Jan Schakowsky, Peter DeFazio, Ted Deutch and David Cicilline in standing up for the benefits we have all earned over a lifetime of hard work.
Source: occupyqueens.net

Pulling It Together: Medicare, Medicaid, and The Multiplier Effect

The multiplier effect for Medicare should be obvious, but it also helps explain why the program is nearly sacrosanct. Because Medicare is a universal program for people over age 65 (and people who are disabled), nearly everyone will eventually be on Medicare.  In 2008 (the most recent year we have data about the family status of Medicare beneficiaries), there were about 75 million children of Medicare beneficiaries, plus about 4 million spouses who were not themselves on the program. That is in addition to the 48 million current beneficiaries. So counting the multiplier effect for family members (and excluding friends), Medicare touched the lives of more than 125 million Americans that year, not the 48 million we normally think about. And this definitely understates the effect.  For example, many Medicare beneficiaries have grandchildren who are involved in their lives. The multiplier effect can also apply to parts of programs. For example, the 8 million people under age 65 who are covered by Medicare because they are disabled may have children and parents who are concerned about Medicare.  We know that Medicare beneficiaries are resoundingly positive about the program and protective of it. The reach of the program and its base of support is much broader than we think.
Source: kff.org

Doctor charges monthly rate instead of insurance, Medicare or Medicaid

act affordable aging analysis app business care doctor ehealth emergency er getmedcallassist health healthcare hospital industry insurance iphone IT legislation market medcall medicine mhealth mobile obamacare patient phone physician plan report research robot room senior small study telecare telehealth telemedicine telephone time video virtual ways
Source: getmedcallassist.com

12 Recent Medicare, Medicaid Issues

Here are 12 issues dealing with Medicare or Medicaid that occurred in the past week, starting with the most recent. 1. CMS issued a proposed rule increasing Medicare payments to skilled nursing facilities by 1.4 percent in FY 2014. 2. An issue brief from the American Hospital Association found Medicare patients are getting sicker and are visiting the emergency department more often. 3. A study published in the New England Journal of Medicine found Medicaid enrollment helps patients’ mental health, financial well-being and utilization of healthcare services, but the program does not show evidence of improved health outcomes. 4. CMS paid more than $290 million to 1,016 eligible providers and hospitals under the Medicare and Medicaid electronic health record incentive programs in the first three months of 2013. 5. West Virginia Gov. Earl Ray Tomblin announced his support of an expanded Medicaid program in his state, becoming the last Democratic governor to confirm or imply his approval for the provision of the health law. 6. Florida’s GOP-led legislature successfully blocked several bills to expand Medicaid in the state as the legislative session draws to a close for the year. 7 CMS proposed a rule that would increase Medicare payments to hospices by 1.1 percent, or $180 million, in FY 2014. 8. Washington, D.C., awarded a $542 million Medicaid contract to health insurance startup Thrive Health Plans. 9. A report from the Engelberg Center for Health Care Reform at The Brookings Institution outlined reforms in four areas that could save the U.S. healthcare system $300 billion in the next decade, and almost $1 trillion in the next two decades. 10. Medicare paid for most of the total amount spent on treating hypertension among adults in 2010. 11. Colorado lawmakers passed a bill to expand the state’s Medicaid program. 12. CMS issued its proposed rule for acute-care hospitals paid under the inpatient prospective payment system, recommending Medicare rates to hospitals increase by 0.8 percent, or $27 million, in fiscal year 2014.
Source: beckershospitalreview.com

CMS Audits: Overview, Sample Letter, and Supporting Documentation

The Centers for Medicare & Medicaid Services (CMS), and its contractor, Figliozzi and Company, will perform audits on Medicare and dually-eligible (Medicare and Medicaid) providers who are participating in the EHR Incentive Programs. States, and their contractor, will perform audits on Medicaid providers participating in the Medicaid EHR Incentive Program.
Source: wordpress.com

New York Medicaid and Medicare Part D: Working Together

Any individual currently receiving or about to begin receiving New York State Medicaid must join a Medicare prescription drug plan, or they will lose their Medicaid benefits. When an individual becomes eligible for both Medicare and Medicaid, he or she will automatically be assigned to a Medicare Prescription Drug Plan in order to not miss even one day of coverage. Though a prescription drug plan is mandatory, enrollment in Medicare Part D is not; enrollment in another plan which better meets prescription drug needs is allowed. Patients are able to switch to another plan at any time.
Source: elderlawnewyork.com

unicare medicare part d 2011

Posted by:  :  Category: Medicare

Special Features: Find a 2013 Part D Plan (Rx Only) Find a 2013 Medicare Advantage Plan (Health and Health w/Rx Plans) Browse Any 2013 Medicare Plan Formulary (or SHINE Counselor: Medicare Part D Special Features: Find a 2013 Part D Plan (Rx Only) Find a 2013 Medicare Advantage Plan (Health and Health w/Rx Plans) Browse Any 2013 Medicare Plan Formulary (or Medicare Part D, Medicare Part D Prescription Drug Coverage, Medicare Part D Enrollment and resources to help consumers understand Medicare drug plans. CMS recently released their ratings for Part C and Part D plans. There are two resulting impacts on the marketplace for 2013 that SHINE counselors should be aware of. Uni Care Prescription Drug Plan
Source: blog.cz

Video: Unicare Medicare Health Insurance – Compare to 180+ Compani

Unicare Dental Plan, Uni Care Health Care, Unicare Health Plans, : UniCare Medicare Prescription Drug Plan Individual Enrollment …

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Source: projectedu.com

UniCare to Reimburse AHIP Online Certification Course Fee

[…] UniCare recently announced that we would be using the new AHIP Certification Course to meet CMS requirements for marketing representative certification. The cost of this course is $149. However, UniCare was able to secure a negotiated rate of $100 which we pass on to you.Source: ritterim.com […]
Source: ritterim.com

UniCare MedicareRx Rewards Part D

Alabama, Alaska, Arizona, Arkansas, Connecticut, Delaware, Florida, Hawaii, Idaho, Illinois, Iowa, Kansas, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Montana, Nebraska, New Jersey, New Mexico, New York, North Carolina, North Dakota, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Washington, Washington D.C., West Virginia and Wyoming.
Source: affordablemedicareplan.com

News Round Up: UniCare Will Drop Health Coverage For Virginians; Hawaii Concerned About Lack Of Physicians

The Washington Post: “About 3,000 Virginians who have health insurance through UniCare, a private insurer, will lose that coverage Jan. 1, a UniCare spokesman said Monday. Most live in Northern Virginia and get their coverage through the individual market, officials said. The termination will affect only health insurance. UniCare life, dental, vision, disability and Medicare coverage will not be affected” A UniCare spokesman said that “the company is leaving the Virginia market because of competitive pressures” (Sun, 6/29). The Associated Press/Honolulu Star-Advertiser: “Health care leaders from across the state are meeting this week to discuss the worsening shortage of physicians in Hawaii.  … The Hawaii Physician Workforce Assessment concludes that the state has about 20 percent fewer doctors than it should when compared to physician-to-population ratios nationally” (6/28). The Boston Herald, on state Rep. Charles Murphy’s 2009 campaign committee: “Even though he didn’t run for re-election, the Burlington Democrat’s campaign committee brought in $245,710 in donations. … Drug makers had a strong showing. Representatives from Merck, Abbott and Bristol-Myers Squibb all donated. … He is behind an effort to repeal Chapter 111N, the state’s landmark law that bans drug makers and medical device firms from giving doctors gifts worth $50 or more. The controversial law went into effect one year ago, but the real heart of it doesn’t begin beating until later this week.” A spokesman for Murphy said the legislator “made the move after hearing from convention planners and restaurant groups. Both groups told him the state’s decision to prohibit drug companies from treating doctors and their staffs to fancy dinners is hurting business” (McConville, 6/29). The Associated Press/Boston Globe: “Rhode Island health officials are expanding an investigation into the distribution of unauthorized birth-control devices” such as “intrauterine devices in women that were not approved for use by the Food and Drug Administration. Health officials say they can’t vouch for the devices’ effectiveness, but that there’s no urgent need for women to have them removed” (6/28). The Los Angeles Times: “The federal Department of Veterans Affairs has approved $20 million in funding to convert a little-used building at the West Los Angeles VA campus into therapeutic housing for chronically homeless veterans — a plan that has been years in the making. The action was jointly announced Monday by U.S. Sen. Dianne Feinstein (D-Calif.), U.S. Rep. Henry A. Waxman (D-Beverly Hills) and Los Angeles County Supervisor Zev Yaroslavsky. Yaroslavsky said the commitment marked a milestone that ‘has been a long time coming'” (Groves, 6/29).
Source: kaiserhealthnews.org

Unicare to Pull Out of VA

Unicare pulled out of Illinois and Texas on January 1st of this year (2010). All of their customers were transferred over to Blue Cross of Illinois/Texas at the same premium. No complaints from these customers for a few months and then BCBS started increasing the premiums up to what is "normal" for existing BCBS customers. Our telemarketing department is now getting a bunch of leads from these BCBS insureds. An across-the-board increase of 13% is supposed to kick in for all BCBS-IL customers on 8/1/10, just a few days from now.
Source: insurance-forums.net

UNicare Health Insurance Drops 3,000 Virginians

That’s intersting, I never knew the two were affiliated. I’ve got to bone up and read on some of this shit to figure out what my next move is. I’ve had a cheapo, high deductible policy for years and always thought I’d offset it by staying in good shape. Oh well, I guess this is my wakeup call to go look for a product that fits my present needs and try not to get whored while I’m at it. pgens Wrote: ——————————————————- > Voter___ Wrote: > ————————————————– > —– > > Felts said UniCare’s decision in Virginia is > not > > related to recently enacted health-care > > legislation but is the result of competition > from > > larger carriers, such as CareFirst and Anthem > Blue > > Cross and Blue Shield that “UniCare has been > > fighting for years.” > > Please… try to put things together. Both > UniCare and Anthem are part of WellPoint. Shortly > insurance companies will be forced to accept > people with pre-existing conditions. Why not have > one of your subsidiaries drop customers in a > market serviced by another subsidiary BEFORE that > happens and charge more for the pre-existing > condition or drop those risky people altogether > for a while? > > This is why I was in a very small minority > suggesting the insurance company mafiosas get > written out of the system completely and move to > single-payer. They are a meddlesome middleman > that tacks cost onto the entire system. If you > believe the timing for what UniCare did was > coincidence (and believe a press release from a > health insurance carrier) you are naïve. > > Here’s another clue to the truth from the article: > “The termination will affect only health > insurance. UniCare life, dental, vision, > disability and Medicare coverage will not be > affected.” Wow, UniCare was kicking Anthem’s ass > in dental and all the Medicare coverage, pretty > much everything BUT what the impending legislation > is going to affect… whew, good thing they didn’t > drop those! ———————————– ***BRING BACK YOUTUBE EMBEDDING!***
Source: fairfaxunderground.com

Singing River health executive Chris Anderson carries Medicaid expansion banner to Mississippi lawmakers

Posted by:  :  Category: Medicare

Flickr

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“In 2016, if nothing changes from where we sit today and we don’t expand Medicaid, the reduction will be about $30 million a year in funding,” Anderson said. “But if the state expands Medicaid, we’ll get a portion of that back and we will get better at providing care.”
Source: gulflive.com

Video: Mississippi Medicare Supplements

Mississippi aims to jail women for stillbirths, miscarriages

Sen. Jason Rapert, author of the patently unconstitutional bill to ban most abortions in Arkansas at the 12th week of pregnancy, took heart yesterday at Judge Susan Webber Wright’s indication that she was inclined to uphold the part of the law that requires women seeking an abortion in the 12th week of pregnancy or later to have an ultrasound and to be shown the results of that test. /more/
Source: arktimes.com

Daily Kos: States that rejected Medicaid also have most uninsured, poorest health

ferg, MsSpentyouth, eeff, sponson, Iberian, Eyesbright, cosette, Dirk McQuigley, marina, Jensequitur, Sun Tzu, Rogneid, BlueInARedState, Gorette, KenBee, Libby Shaw, JVolvo, Dreaming of Better Days, BentLiberal, Cronesense, puakev, JML9999, HappyinNM, Sixty Something, Involuntary Exile, elwior, exMnLiberal, Gemina13, luckylizard, JamieG from Md, greengemini, jennylind, 57andFemale, jfromga, jpmassar, porchdog1961, ruscle, FogCityJohn, slice, Liberal Capitalist, Mr MadAsHell, OhioNatureMom, Ojibwa, BarackStarObama, marshstars, ArtemisBSG, orpurple, a2nite, This old man, terrybuck, etherealfire, Glen The Plumber, simple serf, aresea, alice kleeman, Ishmaelbychoice, Catkin, TheDuckManCometh, OldSoldier99, Elizaveta, Capt Crunch
Source: dailykos.com

Mississippi Medicaid and Probate

In accordance with applicable federal law and rules and regulations, including those under Title XIX of the federal Social Security Act, the division may seek recovery of payments for nursing facility services, home- and community-based services and related hospital and prescription drug services from the estate of a deceased Medicaid recipient who was fifty-five (55) years of age or older when he or she received the assistance. The claim shall be waived by the division (a) if there is a spouse; or (b) if there is a surviving dependent who is under the age of twenty-one (21) years or who is blind or disabled; or (c) as provided by federal law and regulation, if it is determined by the division or by court order that there is undue hardship.
Source: fortenberrylaw.com

Gov. Bryant Comments on Democrats’ Failure to Fund Medicaid

• Inpatient hospital • Outpatient hospital • Laboratory and X-ray • Nursing Facilities • Screening and Diagnostic Services for Children • Physicians • Home Health • Emergency Medical Transportation • Prescription Drugs • Dental Care • Eye Glasses • Services for the Intellectually Disabled • Family Planning • Clinic Services • Home and Community Based Waiver Services • Mental Health • Durable Medical Equipment and Medical Supplies • Disproportionate Share Payments to Hospitals • Upper Payment Limit Payments to Hospitals • Perinatal Risk Management • Nurse Practitioners • FQHCs, Rural Health Centers, and local Health Dept. • Inpatient Psychiatric • Hospice Care • Pediatric Skilled Nursing Facilities • Podiatrist • Assisted Living • Nonemergency transportation • Chiropractic Services • Medicare Premiums for the Dually-Eligible • Spinal Cord and Brain Injury • Nursing Facility for the Severely Disabled • Physician Assistant • Pediatric Long-term Acute Care Hospitals • Therapy • Pediatric Extended Care Centers • Dialysis Transportation
Source: governorbryant.com

Medicaid expansion fight now focusing on DSH funding (Sid Salter)

A Mississippi Institutions of Higher Learning economic brief by economist Bob Neal found these facts about Medicaid expansion: “Medicaid expansion will generate additional state Medicaid costs in years 2017-2025. From 2014-2020, cumulative state costs of Medicaid expansion, minus additions to state General Fund revenue, are projected to range from $109 million to $98 million. From 2014-2025, total state costs of Medicaid expansion, minus additions to state General Fund revenue, are projected to range from $556 million to $497 million.”
Source: gulflive.com

The Medicaid Program at a Glance

Generally, the same Medicaid benefits must be covered for all enrollees statewide. However, states have flexibility to provide narrower or different benefits for some beneficiaries, modeled on four “benchmark” plans specified in the Medicaid statute. Most people who gain Medicaid eligibility due to the ACA expansion will receive “Alternative Benefit Plans” (ABPs) based on these benchmark plans, but all benchmark coverage must be modified to include the ten “essential health benefits” (EHB) identified in the ACA. States can align their ABPs and traditional Medicaid plans by adding benefits to either package to match the other. People with disabilities, dual eligible beneficiaries, medically frail individuals, and specified other groups are exempt from mandatory enrollment in benchmark benefits (or ABPs, beginning January 1, 2014) and remain entitled to traditional Medicaid benefits.
Source: kff.org

The Bonddad Blog: A thought for Sunday: the best jobs program = allow Medicare eligibility at age 55

Posted by:  :  Category: Medicare

- by New Deal democrat Regular economic blogging will resume tomorrow (and I know, because the post is already cued up). In the meantime, consider the following thoughts over my Sunday morning coffee, which hopefully aren’t too incoherent…. One of the many ranting points I see on progressive blogs is against “the top 20%” who are apparently presumed to be the functional equivalent of Jamie Dimon. Not so. Many of “the top 20%,” in terms of wealth as opposed to income, are also known as “mom and dad.” If you look at the Census Bureau’s breakdown of average wealth by age group, the most prosperous are those on the verge of retirement. They’ve had 30 or 40 years to gradually build up savings. For example, a couple who each have $50,000 jobs (in today’s dollars) and live frugally by spending half of their net earnings and saving the other half (roughly giving them $30,000 savings per year) will become millionaires in about 25 years (thanks to compounding and return on investments). Obviously this isn’t the majority – the median wealth of people in the 55 – 64 cohort is something like $200,000 – but a non-trivial percentage of middle class workers ultimately reach this milestone. And you know what they would like to do more than anythings else? Retire! I know this not only from personal conversations with my fellow fossils, but also through a discussion with an accountant recently in which he told me that the number one reason most of his older clients haven’t retired yet is because they are afraid to before they are eligible for Medicare. Or they have to continue to work after age 65 themselves because they need their health insurance to cover their spouse until their spouse reaches age 65. Meanwhile, people like David Leonhardt in the New York Times are writing about Today’s Idled Youth,” describing how the ongoing Hard Times have hit the young perhaps harder than any other group. They bought into the American Dream of studying for a degree, becoming a professional of some sort, and hoping for a decent middle class existence. Instead, they are taking clerical or entry level service jobs, or even worse, unable to find a job. You can see where I’m going with this now, right? Here we have the older workers, hobbling to the finish line, but unable to end the race. And here we have young workers, itching to get started, and they can’t because there are no jobs, or no middle class jobs, for them. And the one thing that would cause the many older workers who have saved for retirement to be able to leave the workfoce, and clear the way for those frustrated younger workers, is guaranteed medical care. Fortunately, we have a program that provides exactly that: it’s called Medicare, and according to those already on it, it works really really well. And it works at much lower administrative costs than for-profit private coverage (If I recall correctly, Medicare’s administrative costs are something like 3%, vs. 15% for for-profit plans)(UPDATE: According to the CBO, Medicare’s administrative costs are 2%, vs. 17% for for-profit plans. And Medicare premiums have consistently risen less than private health insurer premiums) . And also unlike for-profit plans, in Medicare there’s no incentive to deny coverage. As in, yes you can buy into a private plan at age 60 for example, but it will be very expensive and you’d better pray they don’t come up with an exclusion if a disease of age catches up with you. Atrios has written a number of times about increasing Social Security payments. Balderdash, say I. If you really and truly want to make a dent in the persistent employment problem facing younger workers, allow anyone age 55 or above to buy into Medicare. Charge them annual premiums equal to what they would have to pay into Medicare at their same wage or salary until age 65 if they continued to work. You would be amazed to see how quickly Boomers can still move, cleaning out their offices and cubicles, when properly motivated. And then younger workers could move right in. It’ll never happen, of course, because it smacks of the New Deal, not the “21st Century” privatized solutions Barack Obama has touted since 2009. And of course the GOP will never allow it, not just because it smacks of the New Deal, but because if Obama came out in favor of it, they would oppose it for the simple reason of opposing everything Obama wants. But that doesn’t mean we shouldn’t acknowledge that it is a real solution to a real problem, and collectively rub Washington’s Very Serious People’s noses in it.
Source: blogspot.com

Video: Medicare Part 1: Eligibility and Enrollment

Medicare General Enrollment Ends March 31st: Opportunity for Some to Access QMB Coverage 

Even if unable to get a clear answer, one might pursue such enrollment as follows: Secure a Form 795 from the Social Security Administration (SSA) (available online at www.ssa.gov/online/ssa-795.pdf)  and type or write  into the large blank (lined) space the following:  "I wish to enroll for Hospital Insurance under Medicare on a monthly premium basis, which is in addition to my current coverage for Medical Insurance (or "I also wish to apply for Medical Insurance" if the client does not have Part B).  I understand that the State will pay my premium based on my eligibility for Medicaid (Medical Assistance) as a Qualified Medicare Beneficiary.  I also understand that if I am terminated under Medicaid (Medical Assistance) as a Qualified Medicare Beneficiary, I will have to pay my premium if I want to keep my Medicare Part A Insurance."  The beneficiary should give the form to SSA with her/his application for Part A, but also make a copy for her/himself to take to the Medicaid agency to apply for QMB benefits.
Source: medicareadvocacy.org

Medicare and Medicaid: Eligibility, Coverage, and Costs

Medicare is composed of many different parts, and beneficiaries have the option to decide which plans they want to enroll in. Many eligible beneficiaries are automatically enrolled in Part A, which covers hospital care, and Part B, which covers certain medical services. Once enrolled, beneficiaries can opt to enroll in Medicare-approved private insurance plans to cover out-of-pocket costs not already covered and/or provide additional benefits. All individuals who are eligible for this program are also offered prescription drug coverage, which can be attained through a stand-alone Part D Prescription Drug Plan (PDP) or a Medicare Advantage plan with medication coverage.
Source: ehealthmedicare.com

When Can I Join a Medicare Part D Prescription Drug Plan?

General Enrollment Periods: Each year, there are two general enrollment periods when anyone who is enrolled in Medicare Part A or B can sign up for a Medicare Prescription Drug Plan. The first period begins in April and continues through June. The second open enrollment is in October and continues through the first week of December. This is the easiest time to plan for coverage and change your enrollment options.
Source: bradeninsurance.com

Must Employers Carry Medicare Eligible Active Employees and Spouses?

There is no legal way to remove just Medicare eligible spouses of active employees from an employer group plan or to have Medicare pay as the primary insurer for those individuals.  The Medicare Secondary Payer statute (MSP) 42 U.S.C. §1395y was specifically enacted in 2003 to ensure that Medicare benefits are secondary to employer plans when dealing with non-retirees.  In the context of Medicare, a primary plan is defined as “a group health plan or large group health plan, a workers’ compensation law or plan, an automobile or liability insurance policy or plan (including a self-insured plan), or no-fault insurance.”  The MSP does not allow Medicare payment for services for which it can reasonably be expected that payment will be made under a group health plan.  Medicare’s designation as the secondary insurer is upheld even if state law or the group health plan states that its benefits are secondary to Medicare.  The statute does exclude group health plans of small employers.  Small employers are defined by the statute as having less than twenty (20) employees for each working day in each of twenty or more calendar weeks in the current calendar year or the proceeding calendar year.   As you’ve probably guessed, the purpose of the MSP was to reduce federal health care costs by shifting the burden of primary coverage from Medicare to private insurance carriers. 
Source: lexisnexis.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

Replacing Your Vital Documents

Posted by:  :  Category: Medicare

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 – Go to the National Archives website for guidance on requesting personnel records for former federal civilian employees. Current federal workers can get personnel records from their human resources office.
Source: usa.gov

Video: Using a Medicare card, Australia

Scammers claim to help with new Medicare cards

By the end of the call, this consumer had turned over her bank account number to the caller, but was able to close her bank account before any money was stolen. A number of consumers have complained on different scam-tracking websites about receiving similar calls from this group.
Source: riverfallsjournal.com

How To Order A Replacement Medicare Card Online

Also if you are getting Medicare or about to, you might want to start getting pro-active on keeping all your benefits. People not receiving Medicare do not want to pay for yours! Yes I know you paid for it. However it is crunch time for money for the government. I think if everyone just agreed to send them $10 more a month they might be okay and not have to fret it so much, but you know that if we all sent them $10, they would soon need 1,000. Our government does not know how to save!
Source: babyboomernewsletter.com

Phone Scams Target Medicare Beneficiaries in California

Callers claiming to be with the Medicare program tell their targets that a replacement Medicare card is coming in the mail but a bank account number is needed first, according to a press release from Ramsey’s office. Sometimes, the caller will ask for a Medicare card number, which can be used for identity theft since it’s tied to a Social Security number.
Source: medbill.net

Code Key for Medicare Card Explained

A: Social Security pays benefits to some 56 million people. They include retirees, widows and widowers, families who’ve lost their breadwinners, divorced spouses and people with disabilities. In order to keep track of such huge numbers, Social Security uses a series of codes to identify which individuals are receiving what types of benefits. The codes are assigned to people when they apply for benefits.
Source: aarp.org

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May 24, 2013

Medicare’s Role for Older Women

Posted by:  :  Category: Medicare

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These gaps in benefits and cost-sharing requirements, together with spending for premiums for Medicare and supplemental coverage (described further below), can translate into high out-of-pocket expenses for people on Medicare.  On average, older women spent more on health care (including premiums) than older men in 2009 ($4,844 versus $4,230), a greater financial burden given their lower incomes.  Notably, older women spent more than twice as much on average for long-term services and supports (LTSS). (Exhibit 3) For all older Medicare beneficiaries, out-of-pocket spending escalates as they age, but women ages 85 and older have considerably higher out of pocket costs than older men, largely due to their higher health and social needs and greater use of long-term care services.  Often the need for these services comes at the time when women have fewer resources.   Among women ages 85 and over, out-of-pocket spending amounts and the share with low incomes are higher than for younger women and men of all ages on Medicare (Exhibit 4).
Source: kff.org

Video: Older adults need hearing aid coverage!

Does Medicare Supplemental Insurance Pay For Hearing Aids?

The Medicare insurance program available to those 65 and older is where the confusion starts. Medicare insurance is not all inclusive on in its own right, and includes several “parts” to which the applicant must decide which is best for them. These parts are listed and identified by letters that represent the coverage offered in each of these parts or plans. Seniors must decide which plan is most appropriate for them by looking at each individual plan to decide if the coverage optional available in that plan is required for their personal health situation. Clients that have reduced hearing capacity should pay special attention to Medicare Part B. The Part B plan clearly states that routine hearing exams and hearing aids are not covered under this plan except for specific diagnostic hearing exams and then if only ordered by your doctor.
Source: seniorcorps.org

Are Hearing Aids Covered By Medicare?

Most hearing problems are relatively easy to correct with hearing aids. The problem becomes that a large majority of the people that need the hearing aids are living on a fixed income and are unable to afford the $3,000 to $5,000 out of pocket. If medicare or medicaid would cover the hearing aids then these people would have the means to get them, resulting in a dramatic improvement in their quality of life. It is been proven over and over again that if you have a positive outlook on life and are happy then you are healthier. I wonder how much money would be saved on treatment of physical ailments if the insurance companies were to focus on improving peoples quality of life so that they are upbeat and happy. Providing hearing aids seems like an easy place to start.
Source: empowernetwork.com

What is Medicare Supplement (Medigap) Insurance

In order to sign up for Medicare Supplement coverage, you must already have Part A and Part B. These plans are offered by private insurance companies and come in 10 standardized policy types that are denoted by the letters A-N. The standardization of these plans means that no matter where you shop, the Medigap policy details remain consistent. For example, the benefits associated with Plan F are the same no matter where you buy it, though costs may differ across all carriers. Not every carrier of Medicare Supplement Insurance offers all 10 plan types, and three states in the U.S. have their own version of these plans: Massachusetts, Minnesota, and Wisconsin.
Source: ehealthmedicare.com

Hearing Aids and Medicare

Medicare doesn’t cover the cost of a regular hearing exam, or one that’s conducted during yearly check-ups. However, Medicare does cover a diagnostic hearing exam, which is based on an actual medical need. Consumers can tell roughly what Medicare will or won’t cover by asking this question: “Is this service/product medically necessary?” If your answer is yes, then it’s likely it will be covered by one of the many aspects of Medicare.
Source: boomers-with-elderly-parents.com

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May 24, 2013

Haslam remains undecided on Medicaid expansion

Posted by:  :  Category: Medicare

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Another hook is that after the first few years of implementation, federal subsidization of new TennCare enrollees would be reduced, leaving Tennessee to pay potentially upward of tens of millions of additional dollars on top of costs already outlined in the health care plan. In a budget presentation to Haslam last year, TennCare Chief Darin Gordon told the governor that implementation costs for the new law in Tennessee could be as much as $200 million over the next five and a half years. 
Source: nooga.com

Video: ABC’s of Medicare – Tennessee Medicare Supplements and Advantage Plans

Expanding TennCare would hurt patients, taxpayers

Beacon Center budget business-friendly cities charter schools corporate welfare corporate welfare reform death tax dr. milton friedman education education reform energy policy entrepreneurs estate tax government government handouts government reform government waste Governor Bredesen Governor Haslam healthcare income tax inheritance tax jobs Justin Owen legislation mass transit nashville ObamaCare pork Pork Report property rights regulation school choice small business state budget stimulus taxation tax credits taxes taxpayers tenncare reform transparency transportation Trey Moore welfare
Source: beacontn.org

Daily Kos: Tennessee’s plan to privatize Medicaid doesn’t fly with administration

a gilas girl, Angie in WA State, Paleo, eeff, Sandy on Signal, hnichols, Creosote, davelf2, roses, splashy, Eyesbright, ybruti, sebastianguy99, grimjc, basquebob, dewtx, Brooke In Seattle, Tunk, Over the Edge, RJDixon74135, flying shams, myboo, vigilant meerkat, wild hair, JVolvo, Dreaming of Better Days, joedemocrat, OIL GUY, leonard145b, TomP, GAS, Arlys, Involuntary Exile, bythesea, elwior, tofumagoo, Jeff Y, prettygirlxoxoxo, bekosiluvu, kevinpdx, Larsstephens, Polly Syllabic, slowbutsure, Susipsych, FarWestGirl, thomask, MinistryOfTruth, Mentatmark, anonymous volanakis, Liberal Granny, sow hat, This old man, peachcreek, tn mountain girl, Greenfinches, Icicle68, JKTownsend, H E Pennypacker
Source: dailykos.com

Elder Advocates, Knoxville, Tennessee based elderly health care guides Elder Advocates

Medicaid is a joint state and federal program that, among other things, pays for nursing home care when the patient meets all the medical, income, and asset eligibility criteria. In order for the federal government to help fund the State Medicaid program, federal law requires the State to institute an estate recovery program. This is so that the State may recover funds paid out for the Medicaid patient’s care. Usually, the only asset left in the patient’s “estate” after death is the home.
Source: yourelderadvocates.com

Page not found : MusicRow

April/May ’13 – Kenny Chesney Click to buy. Kenny Chesney never intended to make this record. There was never a point when any of these songs were in danger of becoming an album. Until life shifted and some songs he put on tape arose, Life On A Rock was just the moments in his life the songwriter/singer from Luttrell, Tenn. wanted to capture for himself. [Click to Read More]
Source: musicrow.com

Tennessee Governor Wheels and Deals with Feds on Medicaid Expansion

Instead of big government making decisions about your healthcare, it should be you and your family. In 1965, Medicare was projected to cost $9 billion by 1990. But in reality, by 1990 the cost of Medicare was up to $63 billion – seven times the original estimate! We all know that once a government program is implemented, it’s almost impossible to reverse it. With so many other governments around the world collapsing under socialism, why would we want to head in that direction? History proves that Socialism does not work. Big government promises equality for all, except for the chosen few. In a day and time when men are building towers to themselves, we need leaders who will hold to the Constitution in the spirit in which it was written and who will stand up to preserve liberty and freedom for the American people. http://www.youtube.com/watch?v=Ov_y-dE22ew
Source: teapartypatriots.org

Lamar & Bob Talk Medicare Cuts and Other TN Fiscal Cliff Notes

DesJarlais, of Jasper, Tenn., was one of 234 members of his caucus who listened in on a conference call Thursday with House Speaker John Boehner of Ohio. Boehner said the House will return to work Sunday at 6:30 p.m. and remain in session in case lawmakers and President Barack Obama reach agreement on a deal to avoid more than $600 billion in tax increases and spending cuts that will otherwise take effect on Tuesday. Economists fear the combination could jar the nation’s economy back into recession.
Source: knoxnews.com

Pioneering Care Management Solutions for Tennessee’s Medicaid Program

Gordon agrees that it was invaluable for him and his staff to be able to meet with peers and experts around the country to hear the best thinking on a wide range of policies and practices. But what surprised him was how much he got from the Institute’s leadership training component, which paired him with a personal coach, George Sweazey. His top staff also received training, including participation in an all-day leadership session with Ed O’Neil, director of the Center for the Health Professions at University of California, San Francisco, whose organization provides the leadership coaches and training for the Institute’s Fellows.
Source: rwjf.org

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