New Household Discount for Aetna Medicare Supplement Plans

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



On July 15, 2013, American Continental Insurance (ACI) and Continental Life Insurance Company of Brentwood, Tennessee (CLI) will begin offering a 5% Household Discount on all currently marketed Medicare Supplement plans issued in Georgia, Iowa, Illinois, Louisiana, Mississippi, Nebraska, and Texas.
Source: khiagents.com

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

Massachusetts / Rhode Island NATP Chapter: New IRS Form 8959

The IRS has issued a draft of its new Form 8959 which will be used to calculate the portion (if any) of the Medicare Tax W-2 withholding which may be applied against income tax liability arising from the 3.8% surtax on certain high-income taxpayers. The issue for taxpayers and tax preparers is that the medicare surtax is an addition to the regular income tax which applies, so it is included in the calculation of required payments/withholding necessary to avoid an underpaid tax penalty.  If the payroll system gets it right and withholds more than the otherwise required 1.45% on payroll to which the surtax applies, the Form 8959 then Identifies this supplemental medicare withholding included in box #6 on the W-2 form and reports it as part of the total federal income tax withholding on line #62 of Form 1040. Likewise, there is a separate section on the form for calculating the portion (if any) of the medicare tax on self-employment and/or railroad retirement income which is supplemental and, therefore, eligible for reclassification as income tax withholding reported on line #62. This form, although complicated in presentation because almost everything associated with Obama Care is complicated, appears to be something which good tax preparation software can handle without the active involvement of the tax preparer.
Source: blogspot.com

Survey: Physicians Mixed on Medicare Payment Data Transparency

The survey was spurred by the recent movements in healthcare data transparency along with an overturned ruling that prevented the Centers for Medicare and Medicaid Services (CMS) from releasing information about payments to individual physicians, ACPE says. In May and June, the CMS released data on hospital outpatient charges for hospitals nationwide. Local governments, like in North Carolina, have gotten in on the act, requiring hospitals to provide public pricing information on medical procedures and services.
Source: healthcare-informatics.com

More Good News on Health Care: Medicare Costs Are Down, Down, Down

The financial crisis and economic downturn […] do not appear to explain much of the slowdown. First…from 2000 to 2005, the growth in the average payment rate programwide was similar to growth in the CPI-U. Second, we did not find evidence to suggest that beneficiaries’ considerable loss of wealth and reduced income growth significantly affected their collective demand for care. Third, it is not clear whether the recession played a role in reducing the rate at which providers purchased new, cost-increasing technologies. Finally, and in contrast, some evidence suggests that high unemployment during the recession boosted providers’ incentives to deliver services to Medicare beneficiaries by reducing the demand for care in the private sector, though we could not empirically confirm the mechanisms by which unemployment might have had such an effect.
Source: motherjones.com

CMS Announces Medicare Providers Must Begin to Revalidate Enrollment By March 2013

In the continued effort to reduce fraud, waste, and abuse, CMS implemented new screening criteria to the Medicare provider/supplier enrollment process beginning in March 2011.  Newly-enrolling and revalidating providers and suppliers are placed in one of three screening categories – limited, moderate, or high – each representing the level of risk to the Medicare program for the particular category of provider/supplier, and determining the degree of screening to be performed by the Medicare Administrative Contractor (MAC) processing the enrollment application. More information on the screening categories is here.
Source: managemypractice.com

CMS 1500 Medicare Claim Form Gets ICD

CMS also released a tentative outline for phasing in the new documentation. The version 02/12 form will likely be accepted by Medicare in January of 2014, but providers can still use the old forms until April 1, 2014, when only the 02/12 form will be accepted. NUCC notes that the timeline may change, and urges providers to check with their payers and clearinghouses to determine when they will begin to accept the new 1500 form. NUCC has also provided an instruction manual for using the new 02/12 form, and asks providers to keep an eye out for any CMS updates to the process.
Source: advanceweb.com

TEXAS MEDICAID APPLICATION

Posted by:  :  Category: Medicare

In order to participate in Medicaid, federal law requires states to cover certain population groups (mandatory eligibility groups) and gives them the flexibility to cover other population groups (optional eligibility groups). States set individual eligibility criteria within federal minimum standards. States can apply to the Centers for Medicare & Medicaid Services (CMS) for a waiver of federal law to expand health coverage beyond these groups. Medicaid is an entitlement program, which means the federal government does not, and a state cannot, limit the number of eligible people who can enroll, and Medicaid must pay for any services covered under the program. In December 2011, about one in seven Texans (3.7 million of the 25.9 million) relied on
Source: texasmedicaidapplications.com

Video: How Do I Apply For Medicaid

Southeast Texas Seniors Guide to Medicare Advantage Plans Courtesy of the EPO Physician Network : SETX Seniors

Cost if you rarely visit doctors. If you rarely have to go to a doctor, your out-of-pocket costs will generally be lower with a Medicare Advantage Plan than if you enroll in original Medicare and buy a Medicare supplement policy. Some Medicare Advantage plans don’t charge a premium in addition to the Medicare Part B premium but will have deductibles, coinsurance, and copayments that you’ll have to pay. If you see doctors frequently, the plan may cost more even if you don’t pay a premium to the plan.
Source: setxseniors.com

Medicare gives Texas hospital 90 days to shape up

The agency gave the hospital until Oct. 6 to fix the problems or lose funding. “We’ve still got work to do, and that’s our focus,” said Carrie Williams, spokeswoman for the Texas Department of State Health Services, which operates state hospitals. “The extra time will let us continue to work on the hospital, make improvements and meet the standards we expect from our state hospitals.” The Medicare agency was expected to reveal its detailed findings at the end of the month after the state has a Medicare-approved plan to remedy the hospital’s shortcomings, the American-Statesman reported. The investigation began in April after the American-Statesman made the agency aware of the 2012 death of Terrell State Hospital patient Ann Simmons. The 62-year-old woman died at the hospital 30 miles east of Dallas after being left in restraints for 55 hours. Medicare investigators concluded that improper care was responsible for her death and a continued threat to the lives of other patients. After warning the state of urgent deficiencies, which the state has remedied, the Medicare agency began a comprehensive investigation of the hospital. The agency’s letter stemmed from that investigation, the American-Statesman reported. Since April, state officials have forced the hospital’s superintendent to resign and closed its 20-bed medical unit.
Source: modernhealthcare.com

House Committees Examining Medicare Reform

Because Medicare is the dominant insurance provider in many areas, “hospitals and physicians organize themselves around that program,” he said. Medicare is responsible for much of the way America’s health insurance market works today, Capretta argued earlier this year in a policy paper for the American Enterprise Institute.
Source: freebeacon.com

Medicaid Expansion: Can Texas Be Turned? :: The RPM Report :: Elsevier Business Intelligence

Rice’s Jones is a little less pessimistic but not by much. “At this time I don’t think the Obama Administration is willing to bend that much in its negotiations with Texas, which leads me to believe that Medicaid expansion will most likely have to wait until the 2015 regular legislative session when Gov. Rick Perry’s likely successor, Greg Abbott, may be more open to negotiating with the Obama Administration and working with the Texas Legislature to craft a “Texas Solution” that is both acceptable to the president as well as a large number of GOP state legislators.” Jones notes that the next governor would not necessarily need to obtain legislative approval for any Medicaid expansion.
Source: elsevierbi.com

Texas SMP Medicare Scam Workshop

Crockett Resource Center for Independent Living (CRCIL) will be hosting a workshop about the Senior Medical Patrol Project (SMP) on Thursday, August 29th, 2013 at 10:00 a.m.  Presenter, Rick Rameriz, Texas SMP Project Coordinator, reports that there are many different ways Medicare is defrauded and each year, billions of dollars are stolen by scam artists and crooks.  The SMP presentation will educate seniors on how to protect, detect, and report fraud, waste, and abuse of the Medicare system.
Source: countylifeonline.com

Texas Children’s Hospital Goes To Court Over Medicaid Cutback

“We’re trying to balance being available for all our kids, we don’t differentiate by who can pay. So when 55% of our kids are Medicaid, you know, we want to balance that equation to figure out a way to sustain ourselves on that.”
Source: kuhf.org

Perry aide: Texas request for health law funds ‘isn’t about ObamaCare’

“This is not about Obamacare. The state of Texas has been providing these types of services via Medicaid waiver for decades,” Perry spokesman Josh Havens said in a statement. “Additionally, this has nothing to do with expanding Texas’ Medicaid program. We do not support expanding Medicaid under Obamacare, and are not doing so here.”
Source: thehill.com

Healthcare Trust of America, Inc. Announces $28 Million Investment in Texas

The forward-looking statements included in this press release are subject to numerous risks and uncertainties that could cause actual results to differ materially from those expressed or implied in the forward-looking statements. Assumptions relating to the foregoing involve judgments with respect to, among other things, future economic, competitive and market conditions and future business decisions, all of which are difficult or impossible to predict accurately and many of which are beyond HTA’s control. Although HTA believes that the expectations reflected in such forward-looking statements are based on reasonable assumptions, HTA’s actual results and performance could differ materially and in adverse ways from those set forth in the forward-looking statements. Factors which could have a material adverse effect on HTA’s operations and future prospects include, but are not limited to:
Source: htareit.com

Recent Health Articles: Kaiser Permanente's Medicare Website Receives Top Marks, Hailed as Best in Nation

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/newscenter.
Source: blogspot.com

Video: Kaiser Permanente Commercial

MedicareIsSimple: 5 Star Rated Medicare Advantage Plans for 2013

At Medicare is Simple, we look to educate and enable you to choose among Medicare plans to find the policy that best fits your needs. Get free quotes instantly using our advanced quoting technology. HealthCare Reform is a hot topic of interest to people of all ages, so we look to keep you updated on the issues relevant to learning more. Medicare Is Simple 233 W Main St Lewisville, TX 75057 800-442-4915 inf@medicareissimple.com
Source: blogspot.com

Hospitals Penalized for High Readmission Rates

The Centers for Medicare and Medicaid Services has opposed adjusting for such socio-economic factors as race and income, arguing that that would be an acceptance of poorer performance by hospitals that serve poorer patients, according to MedPAC. In a June report to Congress, the advisory committee suggested ways the program could be adjusted, such as comparing readmission rates for hospitals with a high percentage of low-income patients against similar hospitals, instead of comparing them to the national average. Making that change would require intervention by Congress.
Source: asq.org

Taking a gander back to year

Planning for Health editors ran a cover story in the winter of 1969 edition about the 1960s as the “Decade of Change for Medicine.”  The article’s author wrote: “Experimental organ transplants, Medicare and The Pill collected headlines during the past decade, but medicine made gigantic strides forward in less glamorous areas as well. . . examples are the almost complete eradication of polio through universal immunization (and) the development of vaccines for mumps, measles, and Rubella (German measles) . . . ”
Source: kaiserpermanentehistory.org

Kaiser Permanente's Medicare Website Receives Top Marks, Hailed as Best in Nation

Each day, 11,000 new seniors become eligible for Medicare, and kp.org/medicare provides beneficiaries with easy access to information about the four parts of Medicare (Parts A, B, C and D). The site outlines eligibility requirements, and clearly illustrates cost and coverage options. Eligible customers can enroll in Kaiser Permanente’s Medicare plan directly from the website. In 2012, the site recorded nearly 2 million visits, a 100 percent increase over the previous year.
Source: virtual-strategy.com

Medicare and the Federal Budget: Comparison of Medicare Provisions in Recent Federal Debt and Deficit Reduction Proposals

Many of the budget proposals and debt-reduction plans being considered by Congress and the Administration include proposals that would achieve substantial savings from the Medicare program over time. This brief features a side-by-side comparison of the key Medicare provisions in three major budget and debt-reduction plans:
Source: kff.org

Medicare Reveals What Hospitals Charge For Many Procedures

Los Angeles Times: Patient Is Out Of Network, Out Of Luck A worrisome abdominal pain drove Jalal Afshar to seek treatment last year at health care giant Kaiser Permanente. … Kaiser granted his request to see a specialist in Arkansas. But it ultimately declined to pay for his treatment there. By June, Afshar said, Kaiser was arranging for hospice care so that he could die at home. Afshar, 58, refused to accept that. Despite Kaiser’s stance, he went back to Arkansas for six months of stem-cell transplants, chemotherapy and other treatments that he says saved his life. Now he owes $2 million for his care and is suing the company in state court for breach of contract and unfair business practices (Terhune, 5/10).
Source: kaiserhealthnews.org

FREE Kaiser Permanente Medicare Health Plan Straight

This seminar is free with no obligation. Kaiser Permanente is a health plan with a Medicare contract. You must reside in the Kaiser Permanente Senior Advantage service area in which you enroll. A sales person will be present with information and applications for Kaiser Permanente Senior Advantage (HMO). For accommodations of persons with special needs at sales events, call toll free (TTY 711), seven days a week, 8 a.m. to 8 p.m. Eligible Medicare beneficiaries may enroll in a Medicare Health Plan and/or Medicare Prescription Drug Plan only during specific times of the year. For more information, please contact Kaiser Permanente. Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305.
Source: eastcobber.com

Update: Upcoming CMS Jurisdiction JE Medicare Contractor Change

Posted by:  :  Category: Medicare

Update The clearinghouse has received the following information regarding the Jurisdiction JE Medicare Contractor change to Noridian Administrative Services, LLC (NAS). Please be aware: • The clearinghouse is working closely with Noridian’s Electronic Data Interchange Support Services (EDISS) to ensure a transparent and efficient transition: – The clearinghouse will conduct transition submission testing – The clearinghouse is currently reviewing the option of Early Boarding • Total On Boarding (TOB) has been updated with provider’s transactions and contact information: – TOB is Noridian’s online registration tool that allows providers to update basic facility information, manage NPIs, update lines of business, add or change vendor associations and select electronic transactions online – Providers should familiarize themselves with the Noridian Total On Boarding registration system for registering new providers – Providers can contact the payer directly at 800-967-7902 for more information • Noridian is offering providers a variety of training opportunities such as Web-based workshops, in-person workshops tutorials, and teleconference. A schedule of events can be found at https://www.noridianmedicare.com/je/schedule.html • Provider Contact information for Jurisdiction JE EDI Support Service is: – Phone 855-721-4184 – Fax 701-277-7850 – Email: support@edissweb.com – Website www.edissweb.com Action Required: Providers should contact Noridian Medicare Services at 855-721-4184 or by email support@edissweb.com with questions regarding the Jurisdiction JE Medicare Contractor change. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Video: BCBSND “Bolder Shade of Blue – Treadmill”

Noridian doubles its federal business volume with new contract

Noridian will be the Medicare Administrative Contractor (MAC) for Medicare Part A and Part B for California, Nevada, Hawaii, Guam, American Samoa and the Northern Mariana Islands — Jurisdiction E (JE). This area represents 9 percent of the total volume of Medicare Fee-for-Service claims administration business nationwide. Combined with its other existing Medicare claims contracts, Noridian will now administer a total of approximately 15 percent of Medicare’s national volume of business.
Source: ndakotabusiness.com

Noridian Medicare Now Covers Renessa(R) Treatment for Incontinenc… ( NEWARK Calif. Feb. 24 /

Related biology technology : 1. QMed, Inc. Reports July Medicare SNP Enrollments 2. Change in Medicare and Medicaid Legislation Creates Market for Antimicrobial Coatings In the U.S. 3. House and Senate Pass Medicare Legislation to Freeze 2008 Reimbursement for Therapeutic Radiopharmaceuticals at 2007 Levels 4. Medicare Coverage Recommended for In-Home Sleep Testing 5. MedicareCRM(TM) to Speak at IIR Medicare Advantage Congress 6. STAAR Surgicals Collamer(R) IOL Designated as a New Technology Intraocular Lens by the Centers for Medicare and Medicaid Services 7. Medicare Approves in Home Sleep Apnea Testing 8. Medtronic Unit to Pay $75 Million to Settle Whistleblower Medicare Fraud Case 9. Medicare Exemplary Provider Accreditation Awarded to Regenesis Biomedical 10. Arcadian Health Plan Addresses Medicare Doctor Payment Cuts 11. Netsmart Technologies Web Seminar Helps Behavioral Health Organizations Understand Electronic Prescribing and the Importance of New Medicare-Related E-Prescribing Legislation
Source: bio-medicine.org

FDA Law Blog: Medicare Revokes Payment for ARANESP

FDA Law Blog is published for informational purposes only; it contains no legal advice whatsoever. Publication of FDA Law Blog does not create an attorney-client relationship. FDA Law Blog is the blog of Hyman, Phelps & McNamara, P.C. (“HPM”) and it is intended primarily for other attorneys and regulatory professionals. No part of FDA Law Blog –whether information, commentary, or other– may be attributed to HPM’s clients. Readers should be aware that HPM represents many companies in the food, drug, medical device, and health care industries, and therefore FDA Law Blog may occasionally report on news that relates to HPM clients. FDA Law Blog will always strive to be unbiased in its reporting. All information on FDA Law Blog should be double-checked for its accuracy and current applicability. Copyright 2011 Hyman, Phelps & McNamara, P.C.
Source: fdalawblog.net

Medicare Administrator Issues Draft Decision Adding Myriad's Prolaris Test to Non

A Max Planck Institute for Biology of Ageing-led team reports on the discovery that mutations in maternally transmitted mitochondrial DNA, or mtDNA, may aggravate aspects of normal human aging. The investigators created a series of mouse mutants to investigate the impact of inherited mtDNA mutations on aging, and they found that maternally transmitted mtDNA mutations can induce mild aging phenotypes in some wild-type mice. They suggest that this is because the inherited mutations provide a baseline mutation load upon which somatic mtDNA mutagenesis can act. Follow-up studies showed a combination of maternally transmitted and pre-existing mutations leading to brain malformations that were equally common in both sexes, but required large somatic mutations in mtDNA.
Source: genomeweb.com

Michael E. Roback, LCSW: Medicare Update

Medicare will be transitioning to a new administrator, Noridian, later this month. As this office will need to update all systems and procedures,  there will be limited availability to accept new Medicare patients into treatment temporarily. Feel free to contact the office with any questions.
Source: michaelroback.com

Medical Management Strategies®

(1) Noridian Medicare: (DME Billing) Noridian Medicare has been experiencing major issues with processing 5010 claims since January 1st. Their 5010 system is experiencing intermittence outage. Noridan is working to fix the problem. You may experience delay in payment compensations. (2) Medicare Update on 2012Payments: a) Medicare has begun to release EOBs (Explanation of Benefits) for the beginning of January dates of service and releasing the 10 day hold. b) Medicare is still delaying their 5010 implementation until April 1, 2012. During this 90 day non enforcement period (1-1-3-31-12), Medicare will have the systematic capability to perform up or down version conversions of incoming claim formats (either converting these to the 5010 format when necessary for cross over claims (billing secondaries) and/or leaving them in the 4010 EDI format. What has been occurring is these transitions are not always perfect and has created its own set of issues as well. (3) Medicare and Blue Cross Medical Management Strategies has also noticed that with all the changes going on in the industry for Electronic Data Information going to the new version 5010, there have been a number of significant issues that have occurred for Medicare and Blue Cross payers particularly. Medicare has had a number of issues to deal with this January which included revamping fee schedules, processing claims from clearinghouses in the older version since they put a hold on converting to the 5010 until April 1st, applying deductibles, etc. as well as crossover issues. Although they’ve been trying to notice everyone of how these transitions have been dealt with, there are still a number of issues particularly with clearinghouses to Medicare as well as crossover claims. Clearinghouses are reporting acknowledgements of claims going to Medicare and Medicare then stating they never received the batches.
Source: mmsofslo.com

Medicare Issues Chiropractic Software and Documentation Alert

Get a Preventative Audit. Many don’t like that term, so I prefer to call them a Documentation Review.  For those who like in far corners of the earth, can’t bear to leave the office, or get a sudden onset of ADD when they sit in a seminar, this may be a good option for you.  Essentially, you submit your notes (along with your billing and coding) and I will scrutinize them with a fine-toothed comb making sure that your services are properly documented and that you used the appropriate CPT code and bill the services performed.  Following my review of your notes, you will review a painstakingly (and perhaps, painfully) detailed written review of your shortcomings and areas needing improvement according to published guidelines and my experience as a former Insurance Claims Analyst and my training as a Certified Professional coder and Certified Professional Medical Auditor.  For more specifics on the Documentation Review process and fees, send an email to info@strategicdc.com.
Source: strategicdc.com

Altering A Medicare Deductible

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



The United States offers the health care program to the elderly as well as disabled category in the country, and this health care program is termed as Medicare. It is offered to people who have worked in the United States for a minimum of ten years. There are over 40 million people who enjoy the benefits of Medicare. This permits people to approach doctors, who accept Medicare. The patients who enjoy these benefits would have to pay a deductible, which is the amount which you will be paying before Medicare comes to your help. But are medicare premiums tax deductible? Even though it would not be possible to alter the deductible, you can however alter the plan associated with it.
Source: taxpremium.com

Video: High Deductible Medicare Supplement Plan F

Anthem High Deductible F Supplement

AARP AARP Connecticut AARP Medicare AARP Medicare Complete AARP Medicare Supplement AARP Medicare Supplements AARP Medigap AARP Medigap 2013 AARP Rates 2013 AARP Supplement AARP Supplement 2013 aetna Medicare Anthem Anthem High F plan Anthem Medigap Anthem Supplement Crowe and associates how to choose a Medicare Advantage plan How to choose a Medicare plan how to choose a plan How to choose a supplement how to enroll in a medicare plan MAPD Med Advantage Medicare Medicare A Medicare A and B Medicare Advantage MEdicare Advantage Connecticut Medicare Advantage plans medicare b Medicare Complete Medicare part B Medicare part B cost Medicare plan Medicare Supplement Medicare Supplement Connecticut Medigap Medigap connecticut Medigap rates 2013 Medigap rates NY 2013 Original Medicare sign up for medicare United medicare complete United Medicare complete 2013
Source: croweandassociates.com

Research Roundup: Use Of High

Health Affairs: Premium Rate Variation In Exchanges Is An Eye Opener Like a burlesque strip tease for health policy wonks, the slow motion unveiling of premiums for state health insurance exchanges has generated a lot of attention, unease, and, yes, excitement. The 2014 premiums, the first for Obamacare’s centerpiece feature of health insurance marketplaces, represent nothing short of a referendum on the “affordable” in the Affordable Care Act. … We took a look at the rates for silver plans, the ones most closely watched as they form the basis for computing the premium subsidies. … While it is not surprising that rates would vary among states and regions within a large state, it is surprising to see the large variance of rates within the same regional market at the same metal level. … What does all this rate variation portend for the future of the ACA? The news is likely good. The marketplace will present potential plan members with clear choices within metal levels. Plans with relatively high premiums may choose to reduce premiums, or risk being eliminated by market forces. Alternatively, these plans may find a successful niche offering premium products to a segment of the population. Both outcomes would indicate success in market-based competition (Ario, Block and Spatz, 8/7).
Source: kaiserhealthnews.org

Deductibility of Medicare premiums as Self Employed Health Insurance Deduction

Background Prior to 2010, self-employed individuals were not allowed to take an above the line self-employed health insurance deduction under Section 162(l) for Medicare premiums. Health insurance is only considered deductible under the statute if it is established by your trade or business.  The purpose of the health insurance deduction is to equalize the treatment of owners of corporations who are allowed to exclude health care benefits as a fringe benefit and self employed individuals who cannot. Since Medicare is established by the Federal government the IRS did not consider Medicare premiums deductible as self employed health insurance. Recently the IRS reversed their opinion on the matter referencing Notice 2008-1. Notice 2008-1 states that as long as the self employed individual’s business ultimately pays for the health insurance and follows certain reporting requirements, the health insurance premium payments are deductible as above the line for the self employed individual. The Office of Chief Counsel IRS Memorandum extended Notice 2008-1 to apply to self employed individuals who pay Medicare premiums. Now all Medicare premium parts-A, B, C and D-paid by the self-employed individual for themselves, their spouse and dependents are deductible as self employed health insurance. The premium payments need not be paid directly by the self-employed individual. For example, the S corporation of a more-than-2% shareholder can make the payments directly and the self-employed individual is entitled to the deduction. 
Source: marcumllp.com

Letter to Ways & Means Committee re: Cost Sharing Proposals 

[3] Kaiser Family Foundation, “How Does the Benefit Value of Medicare Compare to the Benefit Value of Typical Large Employer Plans?” (April 2012) [4] National Association of Insurance Commissioners, “Medigap PPACA (B) Subgroup, Cost-sharing Research and Literature” (as of June 2011); Katherine Swartz, “Cost-Sharing: Effects on Spending and Outcomes” (December 2010), Robert Wood Johnson Foundation Research Synthesis Report No. 20 [5] Under the plan circulated by the Subcommittee, income-related premiums would be restructured as follows: premiums would increase within income brackets; four additional income brackets would be introduced, moving from five to nine brackets; and starting in 2017 income thresholds would be frozen until one in four Medicare beneficiaries paid income-related Part B and D premiums. [6] See LCAO Issue Brief: “Further Income-Relating (Means Testing) Medicare Premiums Would Shift More Costs Onto the Middle Class” (January 2013) [7] Under the plan circulated by the Subcommittee, the Part B deductible would be increased as follows: $25 would be added to the Part B deductible in 2017, 2019 and 2021 for new beneficiaries. This policy would create two beneficiary cohorts, those with unchanged deductibles and those with higher deductibles based on the year of Part B enrollment. income on health care and are most at risk. This is, in part, because the Medicare low-income protection programs are inadequate and need to be improved. The additional upfront costs of a higher Part B deductible for physician visits and other outpatient services will make necessary care unaffordable, leading some beneficiaries to forgo needed care altogether. Faced with a higher deductible, some people with Medicare will have no choice but to self-ration needed care or other basic needs, like food or heating.
Source: medicareadvocacy.org

Programs that help seniors with health care costs

To help you find out if you’re eligible for these programs, use the National Council on Aging Web-based tool at benefitscheckup.org. You’ll need to fill out an online questionnaire that asks things like your date of birth, ZIP code, expenses, income, assets and a few other things. Once completed you’ll get a report detailing which programs you may qualify for, along with downloadable application forms and, in the case of Extra Help, allow you to complete your entire application online. The program even knows the specific MSP eligibility rules in your state.
Source: pomeradonews.com

Humana Enhanced PDP for Seniors on Medicare

Non-Preferred Brand: After you pay your yearly deductible, you pay the following until total yearly drug costs reach $2,930: – $69 copay for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy. – $197 copay for a three-month (90-day) supply of drugs in this tier from a preferred mail order pharmacy. Specialty 33% coinsurance for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy.
Source: qooqe.com

Part 1 of 6: Does Medicare or Traditional Health Insurance Pay for Elder Care Services in Indianapolis Indiana?

Julie Sullivan is the Owner at GreatCare of Indianapolis IN. GreatCare is a licensed, personal services agency, providing in-home care services to the Indianapolis, Indiana and surrounding areas. We serve the personal health and daily care needs of seniors or individuals who prefer to stay at home, but require assistance with everyday activities, such as dressing, personal hygiene, meal preparation, laundry or errands. Our team of certified nurse aids and home health aids can provide you with personalized, in-home care services to meet your needs, including: Daytime hourly in-home care Temporary or post-hospital respite care 24-hour, around-the-clock home care Morning and evening care Overnight / Slumber care In addition, we offer our Care Compass service, to assist in setting the course for the next stage in your loved ones life. We guide you through the currents of aging, and help you find your true north. Our licensed nurses, with experience in hospice and geriatric care, will help guide you through the complex and often sensitive journey of selecting an in-home care service, and will provide a smooth transition to a new way of life for your loved one, without the anxiety and fear.
Source: ineedgreatcare.com

Comments Off  :  Add Comment
September 03, 2013

Seniors: Medicare Wants YOU to Help it Fight Fraud

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



“I feel like I help every client I get,” says Badger, now in his seventh year in the program. While he knows that his victories are not even the tip of the iceberg, he has seen how many calls reported to Medicare can lead to bigger things. Last year, Badger reported a billing irregularity to Medicare involving a healthcare provider and a durable medical equipment supplier, and then watched from the sidelines as law enforcement brought down a multimillion-dollar kickback scheme. They needed multiple reports about the same provider to tie up the case.
Source: thefiscaltimes.com

Video: You Can Help Fight Medicare Fraud

Medicare Open Enrollment Period Begins Oct. 15, 2013

Medicare recipients reaching the drug donut hole will benefit from lower costs. The gap in prescription drug coverage starts when someone reaches the initial coverage limit, estimated at $2,850 in 2014. It ends when they have spent $4,550, when catastrophic coverage begins. (These are reductions of $120 and $200, respectively, from 2013.) During the donut hole, all costs are covered by individuals out of their own pocket. In 2014, those who reach the donut hole can receive a 52.5 percent discount on brand-name drugs and 28 percent discount on generic drugs (an increase from 21 percent in 2013).
Source: disabled-world.com

Petitions Help Bring the Voices of Americans into Social Security, Medicare Discussions

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 Spanish-language website addressing the interests and needs of Hispanics. 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

AMC Health helps Humana manage CHF in Medicare population

The pilot is for 450 individual patients who will be enrolled in the program for 9 months. The program and results published by Geisinger were for their 30-day Post-Discharge Transition of Care program using IVR (Interactive Voice Response) to supplement Geisinger existing Care Management model. Humana’s program is different in that it involves the transmission of real time weight and blood pressure measurements from patients in their homes which is then reviewed and acted upon by AMC Health nurses.
Source: mobihealthnews.com

How Generic Medicines Can Help Alleviate the Medicare Cash Crunch [STUDY]

Researchers analyzed data for 145,056 low-income subsidy beneficiaries and 1,040,030 non-low-income subsidy beneficiaries enrolled in a large, national Part D health insurer in 2007. They compared average daily costs of the original drugs to costs of each possible substitution (generic or therapeutic).  Then, they calculated potential cost savings to consumers, health plans and the government.
Source: affordablepharmacyaction.com

Programs that help seniors with health care costs

To help you find out if you’re eligible for these programs, use the National Council on Aging Web-based tool at benefitscheckup.org. You’ll need to fill out an online questionnaire that asks things like your date of birth, ZIP code, expenses, income, assets and a few other things. Once completed you’ll get a report detailing which programs you may qualify for, along with downloadable application forms and, in the case of Extra Help, allow you to complete your entire application online. The program even knows the specific MSP eligibility rules in your state.
Source: pomeradonews.com

Pro Bono: How Providers Can Help Reduce the Impact of Medicare Payment Cuts

“Paint a Clear Picture.” Your PCR documentation must be accurate, complete and honest, and it should paint a clear picture of the patient’s condition. It should allow the reader to visualize the patient just as you saw the patient on the scene. Medicare’s standard for medical necessity for an ambulance comes down to this: Medicare will only pay for ambulance service when other means of transport are contraindicated. Your PCR documentation must address the issues that relate to this standard. Why does the patient need to go by ambulance now? When reading the documentation, is it clear why the patient cannot be safely transported by wheelchair van, car or taxi? In what position was the patient found, and how was the patient moved to the stretcher? What is the patient complaining of now, and what does the physical assessment reveal? What treatment was provided, and what was the response to this treatment? These are just a few of the questions that relate to “medical necessity” that your PCR documentation should address. Clearly, not all ambulance transports will meet the Medicare medical necessity rules, but your documentation must be complete, accurate and honest so that those who must decide whether the claim is billable will have all the objective information they need to make that decision.
Source: jems.com

Maximize Your Medicare: The Blog: 45 Day Sprint: Help Me Help You

The government and insurance companies are restricted in perverse ways. Government doesn’t explain the parts that Medicare doesn’t cover, it is involved in a “Medicare is great” campaign. Insurance companies are regulated and want to sell their own offerings. Division on Aging and other government-sponsored advocate groups are involved in activities they are entirely unqualified to execute with no liability whatsoever. 
Source: blogspot.com

Comments Off  :  Add Comment
September 03, 2013

Audit: NY overpaid providers $11.4M for Medicaid

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



99th Assembly District 2009 Westchester County fair housing settlement 2013 Westchester County executive race Albany Andrea Stewart-Cousins Andrew Cuomo Bob Cohen budget Chuck Lesnick Clinton Young Dan Schorr David Paterson deficit Democratic primary Election 2010 endorsements Ernest Davis inspector general John Murtagh Jose Alvarado Ken Jenkins Kirsten Gillibrand lawsuit Maureen Walker mayoral election Mike Spano Mount Vernon Mount Vernon City Council Noam Bramson Phil Amicone Philip Zisman Playland Park primary Rob Astorino Robert Flower Sandy Annabi Suzi Oppenheimer Westchester County Westchester County Board of Legislators Westchester County Executive Rob Astorino Yonkers Yonkers Board of Education Yonkers City Council Yonkers Public Schools Yorktown
Source: lohudblogs.com

Video: New York: Medicare Fraud Summit Civil Law Panel

NY Times Prints Apples vs. Oranges Study on Medicare Costs and Income

The problems with the latest study are identical with those in the comparable “study” issued by the Social Security Administration through the office of Sen. Marco Rubio (R-Fla.). That document showed that if you take a snapshot of the situation you will find that immigrants pay more into the Social Security Trust Fund than they take out, as discussed in this CIS report. The SSA’s tabulations did not touch on the life-long balance of Social Security costs of natives and immigrants, just the short-term balances, which are heavily influenced by the relative youth of the adult migrants.
Source: cis.org

Underuse of Hospice Care by Medicaid

Patients and Methods Using linked patient-level data from California (CA) and New York (NY) state cancer registries, state Medicaid programs, NY Medicare, and CA Surveillance, Epidemiology, and End Results–Medicare data, we identified 4,797 CA Medicaid patients and 4,001 NY Medicaid patients ages 21 to 64 years, as well as 27,416 CA Medicare patients and 16,496 NY Medicare patients ages ≥ 65 years who were diagnosed with stage IV lung cancer between 2002 and 2006. We evaluated hospice use, timing of enrollment, and location of death (inpatient hospice; long-term care facility or skilled nursing facility; acute care facility; home with hospice; or home without hospice). We used multiple logistic regressions to evaluate clinical and sociodemographic factors associated with hospice use.
Source: ascopubs.org

Brookhaven NY Auto, Business Insurance and Medicare Supplement Insurance

Commercial insurance means offering the right products for markets of every size. Brisotti & Silkworth Insurance can provide what you need when you need it. Whether you have basic commercial insurance needs or more complex and difficult exposures, our experienced agents will work with you to help you provide your customers with a comprehensive insurance program. Brisotti & Silkworth Insurance (BSI) sells and services many lines of commercial insurance throughout New York. Like auto insurance protects you from the risks of the road, commercial insurance protects you and your business from the risks you encounter every day.  If you own a business, you want to make sure it is always protected. More than likely, you have invested a large sum of money into your business to get it started. Every day, you will encounter risks that have the potential to bring down your business, and potentially your personal finances as well. In order to protect your business and personal finances, business insurance is necessary. Don’t do business without it.
Source: bsiins.com

New York Health Benefit Exchange

Federally subsidized premium tax credits will be available for New Yorkers who purchase coverage for themselves, based on income level, to help further reduce their costs.  Individuals can determine if they qualify for the tax credits through the application process.
Source: mymedicaremadesimple.com

Roundup: Feds Cut N.Y. Medicaid Payments $1.2B; 93,000 Fewer Kids Enroll In CHIP In Pa.

California Healthline: Changes Set Stage For ‘Shakeout’ Of Medical Suppliers, Services Shifts in contracting practices — part of the trickle-down effects of health care reform — are going to change the landscape of medical equipment and service suppliers in California, stakeholders predict. … Bob Achermann, executive director of the California Association of Medical Product Suppliers … predicted the number of California businesses providing medical supplies and services may be cut in half over the next few years. Two changes are at the heart of the “thinning of the herd,” as Achermann calls it. One is state-driven: California is shifting beneficiaries of Medi-Cal — California’s Medicaid program — from fee-for-service to managed care. The second is a federally mandated change in the way Medicare contracts with suppliers (Lauer, 4/1).
Source: kaiserhealthnews.org

Court of Appeals Holds that School District’s Long

The New York State Court of Appeals recently ruled that a school district’s voluntary payment of Medicare Part B premiums for over-65 retirees, after a contractual requirement to do so was dropped, gave rise to a binding expectation that it would continue providing such benefits. In Chenango Forks CSD v. New York State Public Employment Relations Board, 2013 WL 2435066 (June 6, 2013), the Court noted that the dispute arose when the school district circulated a memorandum to its faculty and staff announcing that, due to the cost, it was terminating its long practice of reimbursing Medicare Part B premiums to retirees 65 or older.  The district was at one time required by its health care insurance plan to reimburse these premiums.  The parties then negotiated a switch to a new plan, reflected in a collective bargaining agreement (CBA) between the parties that was silent regarding that benefit.  Subsequent CBAs between the parties were also silent on the issue but, nonetheless, the district continued to provide it. 
Source: hancocklaw.com

Comments Off  :  Add Comment
September 03, 2013

No Shopping Zone: Medicare Is Not Part Of New Insurance Marketplaces

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



Enrollment in health plans offered on the marketplaces, also called exchanges, begins Oct. 1 and runs for six months. Meanwhile, the two-month sign-up period for private health plans for millions of Medicare beneficiaries begins Oct. 15. In that time, seniors can shop for a private health plan known as Medicare Advantage, pick a drug insurance policy or buy a supplemental Medigap plan. And in nearly two dozen states, some Medicare beneficiaries who also qualify for Medicaid may be choosing private managed care plans. None of these four kinds of coverage will be offered in the health law’s marketplaces.
Source: webmd.com

Video: Guide to Medicare Part A and Part B

Medicare Insurance Provider San Diego Talks Part D

SBHIS.net can help you enroll in the Part D prescription drug plan.  The Medicare Prescription Drug Plan adds drug coverage to your existing Medicare coverage. It can help you save thousands. According to the latest reports, individuals saved $1,061 per year on average. That’s a significant figure for most seniors on a tight budget.
Source: pomeradonews.com

Closing the Medicare Part D Coverage Gap

The health care law adds benefits to help make your Medicare prescription drug coverage more affordable. If you reach the Medicare Part D coverage gap, you can get discounts on your prescription drugs. The discounts will gradually increase until the coverage gap disappears in 2020.
Source: aarp.org

Medicare Open Enrollment Period Begins Oct. 15, 2013

Medicare recipients reaching the drug donut hole will benefit from lower costs. The gap in prescription drug coverage starts when someone reaches the initial coverage limit, estimated at $2,850 in 2014. It ends when they have spent $4,550, when catastrophic coverage begins. (These are reductions of $120 and $200, respectively, from 2013.) During the donut hole, all costs are covered by individuals out of their own pocket. In 2014, those who reach the donut hole can receive a 52.5 percent discount on brand-name drugs and 28 percent discount on generic drugs (an increase from 21 percent in 2013).
Source: disabled-world.com

Income Thresholds For Medicare Part B And Part D Premiums

While the surtax due to higher Medicare premiums that resulted from the Roth conversion was not huge, at only 1.6%, it nonetheless represents an entirely manageable – and potentially avoidable – surtax that planners and clients should carefully consider. For instance, the client might have decided to convert only $27,000 in the prior example – rather than $39,350 – to keep from exceeding the $87,000 AGI threshold that triggers the first Medicare premium increase, allowing the conversion to have a cost of "only" the 25% marginal tax bracket, and not 26.6%. On the other hand, if the client’s income was higher, the impact would have been more severe. For instance, if AGI was already $85,000, then a $5,000 conversion would result in $1,250 of taxes (at a 25% tax) plus the same $619.20 (for additional Medicare premiums), which leads to a marginal "tax" of $1,869.20 and a marginal tax rate of 37.4%; on the other hand, if the conversion was $10,000, the marginal rate would only be 31.2% (since the additional taxes would rise to $2,500 but the Medicare premium impact would still be the same $619.20/year). The end result: the closer clients are to an income threshold, the better it is to either stay right below the line, or rise far above it until the next threshold (or a new tax bracket) approaches, because the additional Part B and Part D premiums are a flat additional amount even if clients are just $1 across the line (unlike tax brackets, which are always a percentage of additional income). And because the premium adjustments are calculated based on AGI, anything that increases AGI can impact exposure, from IRA withdrawals and Roth conversions, to capital gains, to dividends and interest and income from pass-through entities; on the other hand, any deductions that are taken above the line, such as capital losses or certain business losses, can also reduce exposure.
Source: kitces.com

9 Ways to Beat the Medicare Surtax

Among growth oriented assets, tax-efficient funds are preferable because they offer diversification. The most tax-efficient funds are index funds, exchange traded funds and those funds with the mandate of operating tax efficiently. Tax-efficient investing requires active involvement. That starts with looking for tax-efficient mutual funds as discussed above. The portfolio will also need to be monitored so losses are harvested to offset gains when appropriate. It’s important to keep in mind that investing tax-efficiently is a balancing act. The reality is there will always be trade-offs, your overarching goal should be to minimize taxes while still attempting to achieve superior investment returns. Some investors make the mistake of holding even when it’s not wise to do so, rather than selling if the sale produces a capital gain. Remember, the tax decision should never overrule the investment decision. Assessing the tax consequences of your investments at each stage—contribution, accumulation, and distribution—is the key to success in the world of tax-advantaged investing.
Source: rodgers-associates.com

Medicare Parts A, B, C, D

-Medicare Part B covers Medically Necessary Services used to treat or diagnosis an illness (Includes things such as Clinical Research, Ambulance Services, DME (Durable Medical Equipment), Mental Health, Second Opinions before Surgery, and Outpatient Drugs) or to prevent an illness.
Source: stratasan.com

Does the “IRMAA” Income Rule to Medicare Part D Affect You??? » Toni Says

If your income is above a certain limit, then you will have to pay more.  Since your additional amount is $29.90, it tells me that your modified adjusted gross income as reported on your IRS tax return from 2 years ago was $107,001-$160,000.  The bottom line is if your income is over $85,000 as an individual or $170,000 for a couple, and you have your Medicare prescription drug plan from a Medicare Advantage (Part C) or Stand alone Medicare Prescription Drug plan (Part D), you will have more premiums deducted from your Social Security check.
Source: tonisays.com

Florida Elder Law and Estate Planning: Good news, seniors: Medicare Part D costs to remain stable for 2014

If you are signing up for Medicare for the first time, you are not required to sign up for Part D. If you do not take expensive prescription medications, you may choose not to enroll. However, if you pass on Medicare D and want to sign up later, you will pay a late enrollment penalty, which increases by 1%  for each month you are not enrolled. The donut hole for prescription drugs is also shrinking. In 2013, the donut hole was the point at which you and your plan together paid $2,970 on prescriptions until you spent $4,570 out of pocket. The donut hole will shrink in 2014, when the upper end decreases to $4,550. The donut hole is expected to close entirely by 2020.
Source: blogspot.com

Time for Medicare choices

The Medicare Part B premiums will increase from $104.90 per month in 2013, but the amount hasn’t yet been announced. The announcement will be made before open enrollment begins. If you earn more than $85,000 for a single person or $170,000 for married people filing jointly, you’ll pay additional premiums based on your income. Part D premiums also are subject to these sliding scales. These income levels haven’t increased since 2010, so more people will face these income penalties.
Source: bankrate.com

Medicare FAQ: What is Original Medicare, Part A and Part B?

These individuals will want to enroll during their seven month Initial Enrollment Period (IEP), which starts three months before they become Medicare eligible and lasts for three months afterwards. If they do not sign up during their IEP, they can sign up during the General Enrollment Period. This enrollment period lasts from January 1 and March 31 of each year with coverage starting on July 1. However, this means that you will have to pay a higher monthly premium for late enrollment. The length of these late enrollment penalties will depend on how long you could have enrolled in Part A and/or Part B coverage and did not.
Source: planprescriber.com

Railroad Medicare is Part B Medicare for retirees

If a provider or supplier you want to work with participates in Medicare, but states “not Railroad Medicare,” Palmetto GBA recommends that they call Palmetto’s Provider Contact Center at (888) 355-9165. Palmetto’s staff is trained to discuss these matters with all Part B providers and suppliers. They also recommend providers or suppliers visit Palmetto’s website at www.PalmettoGBA.com/RR.
Source: utu.org

Part 1 of 6: Does Medicare or Traditional Health Insurance Pay for Elder Care Services in Indianapolis Indiana?

Julie Sullivan is the Owner at GreatCare of Indianapolis IN. GreatCare is a licensed, personal services agency, providing in-home care services to the Indianapolis, Indiana and surrounding areas. We serve the personal health and daily care needs of seniors or individuals who prefer to stay at home, but require assistance with everyday activities, such as dressing, personal hygiene, meal preparation, laundry or errands. Our team of certified nurse aids and home health aids can provide you with personalized, in-home care services to meet your needs, including: Daytime hourly in-home care Temporary or post-hospital respite care 24-hour, around-the-clock home care Morning and evening care Overnight / Slumber care In addition, we offer our Care Compass service, to assist in setting the course for the next stage in your loved ones life. We guide you through the currents of aging, and help you find your true north. Our licensed nurses, with experience in hospice and geriatric care, will help guide you through the complex and often sensitive journey of selecting an in-home care service, and will provide a smooth transition to a new way of life for your loved one, without the anxiety and fear.
Source: ineedgreatcare.com

Comments Off  :  Add Comment
September 03, 2013

Obamacare Card Calls are Scams

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



In a related scam targeting Medicare enrollees, scammers claiming to be “from Medicare” tell consumers that Obamacare requires them to report their personal financial information in order to keep getting benefits. They may even claim that Obamacare is replacing Medicare, which of course, is not true.
Source: about.com

Video: Iranian Social Work, USCIS Help Center, SSI, Disability, Medical, Medicare Application

How to Protect Yourself from Medicare Fraud

In rare cases, Social Security representatives may call Medicare beneficiaries if they need more information to process applications for Extra Help with Medicare prescription drug costs. If a phone call is needed, you will receive an official letter to arrange a phone interview, and you should be asked to confirm the date of your telephone interview by returning an acknowledgement form to Social Security.
Source: ehealthmedicare.com

Medicare allows for replacement of oxygen equipment if supplier leaves

In those instances, the oxygen equipment will be considered lost and a new 36-month rental period and reasonable useful lifetime will begin for the new supplier furnishing replacement oxygen equipment, on the date that the replacement equipment is furnished to the beneficiary.
Source: alpha-1foundation.org

How Do I Obtain A Replacement Medicare Card?

When ordering a Medicare Card you have a few options. You can do this by internet, the telephone, or you can visit one of your local Social Security Offices. To order a Medicare Card by internet you can visit www.socialsecurity.gov/medicarecard, to complete the application. To order by telephone, the toll free number is 1-800-772-1213. If you prefer to order your card in person, you can call the toll free number to find the nearest Social Security Office or go to www.socialsecurity.gov/locator and type in your zip code to find the location nearest you.
Source: seniorcorps.org

The Affordable Care Act Prompts New Medicare Fraud

As a result of Medicare fraud, and its disproportionate impact on Hispanic older adults, the National Hispanic Council on Aging developed the National Hispanic Senior Medicare Patrol – a Medicare fraud prevention program that uses linguistically, culturally and age-appropriate outreach and education to help Hispanic older adults to detect, protect and report fraud. If you suspect that you or a loved one has been a victim of Medicare fraud, please call 1-866-488-7379 or visit http://programs.nhcoa.org/medicare/ for more information.
Source: nhcoa.org

Medicare Supplement OR Medicare Advantage Plan, which is better?

Candid MedicareBob: I assist roughly 100 people per month with choosing which Medicare Coverage is the best for them, and 70% of the time, the choice is a Medicare Supplement Plan. This does not mean that I do not like Medicare Advantage Plans, to me it really comes down to the pricing that is available for the Medicare Supplement Plans in your area. If a Medicare Supplement Plan F, G, or Plan N is $100 or less per month, than a Medicare Supplement makes a lot of sense for most people. This being said, I do have clients that cannot afford a Medicare Supplement, this is when I assist them in choosing the right Medicare Advantage Plan for them. As I mentioned previously, both Medicare Supplement Insurance and Medicare Advantage Plans typically offer better insurance than you have had while you were working.
Source: srhealthcaredirect.com

Comments Off  :  Add Comment
September 03, 2013

Understanding Medicare Part A, Part B, Part C and Part D

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



But as complicated as all that sounds, there’s a single key choice at the core of all your decision-making: Will you go with the Original Medicare plan, which is run by the federal government and consists of Parts A and B, or a Medicare Advantage plan (also called Part C) that is offered by a private insurer and approved by Medicare? Medicare Part A — Your Hospital Coverage When you apply to Medicare, you are automatically enrolled in the Part A plan. Part A is your hospital insurance plan. It covers nursing care and hospital stays, although not doctors’ fees. Part A also covers some home health services, skilled nursing care after a hospital stay and hospice care. You likely won’t have to pay a monthly premium for Medicare Part A, thanks in part to all the payroll taxes you paid while you were employed. You must, however, pay a yearly deductible before Medicare will cover any hospitalization costs. For 2011, the Part A deductible is $1,132.
Source: aarp.org

Video: Linda Meckler Medicare Parts ABCD.MP4

Why the Politics of Obamacare Implementation Could Be Very Different From Medicare Part D

On the other hand, the implementation of Obamacare was designed to feature a mix of winners and losers. Low income people who qualify for Medicaid will be clear winners, yet many other people will see themselves as worse off because of the law. Certain middle income people who buy their own insurance could see big premium increases. Some business owners will be hit with a significant penalty for not providing insurance, while some workers might see their hours cut to avoid this penalty. Parts of the health care industry will also face new taxes.
Source: firedoglake.com

The A, B, C’s, and D’s! of Medicare

Helping You Understand Your Medicare Benefits and Other Plans Many people expect to kick back and relax from budgeting during retirement years. With skyrocketing healthcare costs, it’s important that older Americans understand their Medicare benefits, the role of additional insurance, and the coordination of any other health insurance plans. Use the resources available from your doctor to understand how to take advantage of your Medicare benefits and keep your out-of-pocket expenses to a minimum. The knowledgeable team at AlphaMed is also happy to guide you in the right direction. If you have a parent that is nearing 65 years of age, make time to talk about Medicare insurance and other health concerns. It could be a life changing discussion.
Source: tnhealthandwellness.com

The ABCD’s of Medicare

Part D Tip: Each year since 2010, the donut hole amount has been reduced by 10%. It will continue to go down 10% each year until it disappears in 2020. Then, you will only pay your normal 25% coinsurance after you reach your deductible. Coinsurance means Medicare pays 75%, you pay 25%. Since it’s 2012, and you still have a donut hole, the government has negotiated with brand name drug manufacturers to offer 50% off some prescriptions. Check with your local pharmacy to see if the discount applies to your medications.
Source: hoopayz.com

Should You Apply for Medicare Even Though You're Still Working?

Even if you’re not receiving Social Security benefits at age 65, you’re still eligible for full Medicare benefits. This includes the premium-free Part A (hospitalization), as well as Part B (doctors visits and outpatient care) and Part D (prescription drugs) for each of which you pay a premium. But it’s up to you to contact Social Security to sign up, and you must do this within what’s called your Initial Enrollment Period. Generally, this period extends from three months before the month you turn 65 until three months after the month you turn 65—a seven-month period in total. If you want your Medicare benefits to start right when you turn 65, you have to sign up during the three months before your birthday.
Source: schwab.com

How Much Does Medicare Part D Cost?

Hello, I had ssi in 1997 to 2008 soc. Sec told me i wS working and hD been cut off before working. I never received a dime or med care or apied after i was cut off when i apied again i. 2008, due to denials, i went to court, and reinstated from time applied in 2008. They took money to be paid to them from 1997. From my back pay. I never once teceived one letter saying i wS on part d. I was td all benefits ceased at that time of cut. I paid my kaiser from work, and did without insurance and medical care when no insurance. Even had hospital events and medicare or no soc sec paid. Never even heRd fr
Source: seniorcorps.org

What’s The Difference Between Medicare And Medicaid?

Unlike Medicare, which is available to everyone, Medicaid has strict eligibility requirements. The rules vary by state (beyond the basics set forth in the federal guidelines), but the program is designed to help the poor, so many states require Medicaid recipients to have no more than a few thousand dollars in liquid assets to participate in the program. There are also income restrictions. For a state-by-state breakdown of eligibility requirements see these websites Benefits.gov and BenefitsCheckUp.org.
Source: investopedia.com

Comments Off  :  Add Comment