Exchanging Medicaid for a Better Option in Georgia

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What the article neglects to explain is that many of the people who would be forced into Medicaid will now have the opportunity to enroll in highly-subsidized, private coverage in the health insurance exchange. Private insurers in Georgia pay physician fees that are about 40% higher than what Medicaid pays for the same service. Using this ratio as a proxy for the higher insurance reimbursement, according to NCPA analysis Georgia doctors and hospitals would enjoy more than $2 billion over a decade in additional spending on the uninsured living at or above poverty compared to Medicaid if they had private coverage rather than Medicaid.
Source: ncpa.org

Video: Georgia Health Insurance Medicare

Picking a Medicare D Plan is Nearly Impossible; You Must Do Your Homework

In my job as a general internist in Austell, Georgia, I see many people who have trouble paying for their medicines. In late 2012, an elderly patient came in on the verge of tears. She was unable to pay for her food, mortgage and medicines, so she was going to move in with relatives and let the bank foreclose on her home.  After seeing this, I set up a free nonprofit educational website www.medicaredrugsavings.org. A video on the web site clears up confusing details about Medicare and shows you in a step by step fashion how to find the least expensive plan which covers the medicines which YOU are taking.   The Georgia chapters of the American College of Physicians and the American Academy of Family Physicians (the two main groups for primary care doctors) plan to promote www.medicaredrugsavings.org. The website will be updated to improve the graphics (I found that I’m better at treating diabetes than designing web sites) and provide updated information in the next two weeks.
Source: ajc.com

CMS National Training Program Medicare Workshop 2013

September 10-11, 2013 Doubletree by Hilton Buckhead Atlanta, GA The 2013 CMS National Training Program Workshop is offering free CMS training. What will be presented this year: • Both high-level and detailed information about key aspects of the Medicare program • A half-day basic track for those who are new to Medicare or who want a refresher • A “Current Topics” session to raise awareness of program changes • An introduction to the new Health Insurance Marketplace • Casework exercises • Medicare training modules and workbooks • Networking opportunities with CMS staff and other partners who share your commitment More information on program and logistics available soon, including information to book hotel accommodations at the group rate. This session does not fulfill the certification requirements for Navigators or other assisters, or for agents and brokers. The training that does provide certification for the Marketplace will be web based and be accessible in August. NOTE: Registration requests will be considered on a first come, first served basis until each meeting reaches capacity. The number of attendees from the same organization may be limited.
Source: gaobgyn.com

Augusta needs Medicaid expansion, and so does Georgia

This idea that a 2% increase in our budget…and consequently an increase in OUR taxes…..is okay is the kind of thinking that is killing those of us who PAY the taxes. “Oh, it will create jobs” is always the answer but somehow it never does, and the welfare, SSI, food stamp, and Medicaid rolls keep growing because we keep offering them a better deal. Meanwhile the taxPAYERS are stuck with the 2% increase for this, and a 4.9% increase for that, and a sales tax increase for the roads, and, if you actually PAY you medical bills a 3% increase on your medical devices. This line of thinking that federal or state budget increases, more taxes, and more spending on give away programs are somehow good for the economy….good for the taxpayer…..is simply crap. Everyone, even the Democrats and the CBO, are already admitting that Obamacare is a BUST at controlling or lowering the cost of medical care. They already know that the federal government is not going to be able to afford even the 90% that they promised and many of the states know that they cannot afford the 10% and that the feds will most likely figure out how to get out of paying their 90%.
Source: augusta.com

Georgia offering Medicare info

ADVISORY: Users are solely responsible for opinions they post here and for following agreed-upon rules of civility. Posts and comments do not reflect the views of this site. Posts and comments are automatically checked for inappropriate language, but readers might find some comments offensive or inaccurate. If you believe a comment violates our rules, click the “Flag as offensive” link below the comment.
Source: augusta.com

Georgia expected to spar over Medicaid expansion in election aftermath

The Centers for Medicare and Medicaid Services have told states that the first three years of expansion would be fully funded beginning in 2014, with the rate dropping to 90 percent by 2020. Robinson said that Geor­gia’s share, however, would be $4.5 billion over the next 10 years and that the state doesn’t have the money, nor does the federal government have the other $40 billion it would spend on expanding Georgia Medicaid.
Source: augusta.com

Health care group faces Medicare fraud charges

While the two men facing criminal charges in this matter will fight an uphill battle in combating the accusations made against them and their employing company, they will have the opportunity to present the facts of their case when they go to trial. Though the results of a criminal trial are never guaranteed, federal prosecutors are required to make a case for each charge that they bring against an individual and that individual is entitled to defend himself against those charges.
Source: atlantacriminaldefenseattorneysblog.com

Medicare Supplement Rates Blue Cross Georgia

Instant Blue Cross Georgia Medicare supplement rates. Instant on-line quote at http://georgiamedigapquotes.com Compare your Medicare supplement rates with Blue Cross, Mutual of Omaha, Humana and others. Best rates in Georgia. Ask for personalized rate spreadsheet with top GA Medigap carriers…. Click for more info
Source: classifiedads.com

FBI — Emory University to Pay $1.5 Million to Settle False Claims Act Investigation

This civil settlement resolves a lawsuit filed by Elizabeth Elliot under the qui tam, or whistleblower, provisions of the False Claims Act, which allow private citizens to bring civil actions on behalf of the United States and share in any recovery obtained. The case, pending in the Northern District of Georgia, is filed under United States of America and State of Georgia ex rel. Elizabeth Elliott v. Emory University, et al., Civ. No. 1:09-cv-3569-AT (Northern District of Georgia, December 18, 2009). Ms. Elliot will receive a share of the settlement payment that resolves the qui tam suit that she filed. The claims settled in the civil settlement are allegations only, and there has been no determination of liability.
Source: fbi.gov

Medicare open enrollment: Remember the four C’s

Posted by:  :  Category: Medicare

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Coverage: Comparing Medicare plans can be simple. The official Medicare website has a tool at www.Medicare.gov/find-a-plan that helps you find and compare all available plans in your area. When reviewing plans, focus on the benefits, such as the coverage offered while you are in the prescription drug doughnut hole, the period during which you pay a higher share of your drug costs. Also, find out which drugs are covered.
Source: fiftyplusadvocate.com

Video: How To Compare 2014 Medicare Advantage Plans

Original Medicare vs. Medicare Advantage: Deciding Between the Two

There are two main ways for seniors and eligible disabled individuals to get Medicare coverage. When beneficiaries first enroll in the Medicare program, they receive Original Medicare hospital and medical benefits. However, they also have the option to get their coverage through a Medicare Advantage plan, which may include additional benefits like Part D prescription drug coverage. Understanding the difference between Original Medicare and Medicare Advantage will help you decide how you want to receive your Medicare coverage and what costs and benefits to expect.
Source: ehealthmedicare.com

Medicare Part D Frequently Asked Questions

Beneficiaries may enroll in a Medicare Part D plan during their Initial Election Period (IEP), which begins three months before they become eligible for Medicare and runs through the three months following their eligibility month. If you miss enrolling during your IEP, you can also join a Part D plan during the Annual Election Period (AEP), which lasts from October 15 to December 7 each year. During their IEP and the AEP, beneficiaries joining a Part D plan for the first time are encouraged to compare all available plans in their area in order to find one that best suits their needs. If you already have a Part D plan, you may use AEP to review its coverage details and determine if your existing plan is still the right plan for you in the coming year. You may want to shop for a new plan if your existing one is going to increase its price or cease coverage of important prescriptions.
Source: planprescriber.com

Medicare Benefits and Cost

This fact sheet discusses Medicare cost-sharing requirements. Traditional fee-for-service Medicare imposes deductibles, coinsurance, and copays for Medicare services.  In addition, beneficiaries must pay premiums for receiving Part B (physician) and Part D (prescription drugs) coverage. Medicare does not cover certain essential services, such as vision, dental, and long-term care expenses, and beneficiaries must pay out-of-pocket for these services.  
Source: aarp.org

Learn about Medicare health plans Oct. 8 in Bellingham

Thompson also is cautioning seniors to be wary of fraud, which is an issue each year during the Medicare enrollment period but has an added twist this go-round with crooks asking seniors for their personal information for the insurance exchange.
Source: bellinghamherald.com

Fewer Medicare Advantage plans in 2014, analysis finds

Factors for the drop in MA plans include continued phase-in of payment cuts under the Affordable Care Act, modifications to the CMS risk-adjustment model, implementation of new medical loss ratio requirements for Medicare Advantage, and application of the new health insurer fee, Avalere noted. Around 80% of counties in Southern and Midwestern states will see a reduction in MA plan options. Click here to see a table of Medicare Advantage plans by type. 
Source: mcknights.com

Picking a Medicare D Plan is Nearly Impossible; You Must Do Your Homework

In my job as a general internist in Austell, Georgia, I see many people who have trouble paying for their medicines. In late 2012, an elderly patient came in on the verge of tears. She was unable to pay for her food, mortgage and medicines, so she was going to move in with relatives and let the bank foreclose on her home.  After seeing this, I set up a free nonprofit educational website www.medicaredrugsavings.org. A video on the web site clears up confusing details about Medicare and shows you in a step by step fashion how to find the least expensive plan which covers the medicines which YOU are taking.   The Georgia chapters of the American College of Physicians and the American Academy of Family Physicians (the two main groups for primary care doctors) plan to promote www.medicaredrugsavings.org. The website will be updated to improve the graphics (I found that I’m better at treating diabetes than designing web sites) and provide updated information in the next two weeks.
Source: ajc.com

Compare Medicare Supplement Plans Online

One final thing to think about when looking at Medigap coverage is your out-of-pocket limit. This is also something that is going to differ from one policy to another. In most cases, the Medigap policy is going to cover 100% of the services that are necessary once you have reached your annual out-of-pocket limits. This is something that should be considered carefully, especially if the time comes when you need regular care.
Source: thinkitout.net

Compare Medicare Advantage Plans

There are a few factors to consider when comparing Medigap polices.    If you’re choosing between a couple different Medicare supplement insurance quotes or companies. The first thing you want to take notice up is the monthly premium. The second is your maximum out-of-pocket for medical expenses. The third is the network. If your plan doesn’t have your favorite Dr. and its network you’ll probably want to know that up front and then decide if it’s a deal breaker. And fourth you want to look at the part D drug formerly. If you take any drugs you would want to know what you’re co-pays are going to be before you sign up. You might find that company a comes out cheaper than company be the medications you take.
Source: qooqe.com

Obamacare: Medicare (mostly) not affected

You will not need to go to the health insurance exchange. The plans sold there are not for Medicare members.  They are for people who do not get health insurance through their employer, and for employers with fewer than 50 workers.  Your Medicare supplement plan will not go through the exchanges; it will be the same as you have it now.
Source: bangordailynews.com

MedicareSupplementShop.com ? Compare Medicare Supplement Plans, Get Quotes!

There are many Prograde supplements exciting and useful factors to the website. Although searching at all of your Medicare Supplement Plans, you can simply compare various portions of the plan and realize the distinct charges and advantages at the exact same time. This comparing quotes page contains straightforward to adhere to actions and numerous valuable hints. The web page also has very easily laid out grids, so you can compare different plans side by side, without confusion or uncertainty about what your plan will have to offer you.
Source: pakchom.net

FAQ: Seniors on Medicare don't need to apply to the health law marketplaces

Some worry those cuts could lead to access problems, if providers drop out of the program. In the most recent Medicare Trustees report, Paul Spitalnic, then acting chief actuary for the Centers for Medicare and Medicaid Services, wrote that over the long term, some of the health law’s changes would cause Medicare payment rates for home health, hospital and other services to drop below those now paid by the Medicaid program, “which have already led to access problems for Medicaid enrollees.”
Source: nbcnews.com

Medicare Wants to Grade Hospitals with Stars

The proposal comes as Medicare confronts a paradox: Although the number of ways to measure hospital performance is increasing, those factors are becoming harder for patients to digest. Hospital Compare publishes a wide variety of details about medical centers, including death rates, patient views about how well doctors communicated, infection rates for colon surgery and hysterectomies, emergency room efficiency and overuse of CT scans.   In its proposed rules for hospitals in the fiscal year starting Oct. 1, the Centers for Medicare & Medicaid Services asked for ideas about “how we may better display this information on the Hospital Compare Web site. One option we have considered is aggregating measures in a graphical display, such as star ratings.”
Source: thefiscaltimes.com

Mississippi Political Fight Threatens Medicaid Program, Care For 700,000

Posted by:  :  Category: Medicare

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Evansville Courier & Press: With Loss Of Funds Projected, Indiana Hospitals Pray For Medicaid Expansion It probably sounded like a good trade-off at the time: Hospitals would give up $155 billion in Medicare and other government payments to help provide more money for a Medicaid coverage expansion that begins in January. But subsequent events have put the deal in doubt in Indiana. Hospitals could be left with nothing to show for the payment reductions, which began with the Affordable Care Act in 2010, if the federal government doesn’t accept Gov. Mike Pence’s idea for administering the Medicaid coverage expansion (Langhorne, 6/22).
Source: kaiserhealthnews.org

Video: Mississippi Medicare Supplements

AARP Launches “Commonsense Solutions” Videos About Medicare

“As Medicare continues to provide access to health care for millions of seniors and those with disabilities, AARP is celebrating its 48 successful years and advocating for responsible, commonsense solutions that will strengthen the program by lowering drug costs, improving care coordination and cracking down on over-testing, waste and fraud. Nearly 50 million Americans—15 percent of the nation’s population, and growing—depend on Medicare for health security which is why AARP will continue our work to ensure that it is there for current and future generations.
Source: aarp.org

Some uninsured may get help without Medicaid expansion

A Mississippi Institutions of Higher Learning economic brief by state economist Bob Neal last year made the nuts-and-bolts of the Medicaid expansion question clear: “The results in each scenario indicate that 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

Medicare Expert Patricia Barry, Ask Ms. Medicare

Eligibility Learn about how you can qualify for health coverage under Medicare. Enrollment Learn about when and how to sign up for Medicare according to your circumstances. Disenrollment Learn about how to opt out of Medicare if you are already enrolled. Out of Pocket Expenses Learn about your share of Medicare costs. Medical Coverage (Part A and Part B) Learn about medical services covered under Part A (hospital insurance) and Part B (outpatient insurance). Prescription Drug Coverage (Part D) Learn about how Medicare’s prescription drug program works. Medicare Private Health Plans Learn about the Medicare Advantage program, an alternative way of receiving Medicare benefits. Sources of Information and Help Learn about how to find personal help on Medicare issues.
Source: aarp.org

First Hospital Falls Victim to GOP Unwillingness

Mississippi Hospitals receive more than $200 million in federal funding designed to compensate hospitals for taking care of uninsured patients, who do not pay their medical bills.  But federal legislators passed a law that phases out this Disproportionate Share Hospital (DSH) funding because the uninsured were supposed to either be able to purchase mandated health insurance or be able to newly qualify for Medicaid as states expand coverage to people making no more than 138-percent of the Federal Poverty Level (FPL).  That’s equivalent to $15,856 for an individual, $21,404 for a family of two, $26,952 for a family of three and $32,500 for a family of four.
Source: naacpms.org

Mississippi MD Denied Appeal on Monster Fraud Conviction

They were able to prove that Thomas falsely billed Medicare and Medicaid for medically unreasonable and unnecessary physical therapy services; failed to directly supervise the administration of the physical therapy; and hired unlicensed staff to administer the physical therapy.
Source: medicalmiscreants.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

MHA’s Center for Rural Health: Don’t let Medicare sequestration cuts knock out your CAH

The Center was created especially to provide specialized assistance and services for our state’s rural hospitals. This MHA Front Page is for our members seeking the latest news affecting rural and critical access hospitals.
Source: typepad.com

Mississippi hospitals pressing lawmakers for Medicaid expansion

Dillard said Medicare’s disproportionate-share payments end Oct. 1, and the Forrest Health system, with five hospitals, will lose $13 million. The hospitals also stand to lose money through automatic federal budget cuts and a scheduled reduction in disproportionate-share payments through Medicaid. Altogether, the system could lose about $20 million. Dillard said expanding Medicaid would help cover part of the loss.
Source: gulflive.com

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October 01, 2013

Learn about Medicare health plans Oct. 8 in Bellingham

Posted by:  :  Category: Medicare

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Thompson also is cautioning seniors to be wary of fraud, which is an issue each year during the Medicare enrollment period but has an added twist this go-round with crooks asking seniors for their personal information for the insurance exchange.
Source: bellinghamherald.com

Video: Medicare Health Plans Atlanta

Fewer Medicare Advantage plans in 2014, analysis finds

Factors for the drop in MA plans include continued phase-in of payment cuts under the Affordable Care Act, modifications to the CMS risk-adjustment model, implementation of new medical loss ratio requirements for Medicare Advantage, and application of the new health insurer fee, Avalere noted. Around 80% of counties in Southern and Midwestern states will see a reduction in MA plan options. Click here to see a table of Medicare Advantage plans by type. 
Source: mcknights.com

FAQ: Seniors On Medicare Don’t Need To Apply To The Health Law Marketplaces

If you select “Keep me signed in on this computer”, you can stay signed in to WebMD.com on this computer for up to 2 weeks or until you sign out. This means that a cookie will stay on your computer even when you exit or close your browser which may reduce your levels of privacy and security. You should never select this option if you’re using a publicly accessible computer, or if you’re sharing a computer with others. Even if you select this option there are some features of our site that still require you to log in for privacy reasons.
Source: webmd.com

Obamacare: Medicare (mostly) not affected

You will not need to go to the health insurance exchange. The plans sold there are not for Medicare members.  They are for people who do not get health insurance through their employer, and for employers with fewer than 50 workers.  Your Medicare supplement plan will not go through the exchanges; it will be the same as you have it now.
Source: bangordailynews.com

Health Insurance Open Enrollment 2013

Despite a barrage of articles, advertisements and public service announcements, there’s still a lot to learn about open enrollment in the Health Insurance Marketplace and whether it affects open enrollment for other types of insurance, including Medicare, existing employer-sponsored plans and individual insurance plans. The health insurance marketplace is open. Apply now!
Source: aarp.org

New Analysis Shows Payment Changes Having an Adverse Impact on Medicare Advantage Plans

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

Medicare and Healthcare Reform

A: The Fed­eral Medicare agency has a “5-Star” qual­ity rat­ing sys­tem for Medicare Advan­tage plans. You can use the star rat­ing to check your plan’s per­for­mance. The rat­ing sys­tem gives insur­ance com­pa­nies a strong incen­tive to improve your care. Check your plan’s rat­ing at www.medicare.gov.
Source: amvets.org

Medicare Advantage plans to drop next year

Factors driving MA participation decline include “the continued phase-in of payment cuts enacted under the PPACA; modifications to the CMS risk adjustment model; implementation of new medical loss ratio requirements for MA plans; and application of the new health insurer fee,” Avalare Health said.
Source: benefitspro.com

Healthy Outlook for Medicare Advantage and Part D from CMS in 2014

Last week amid all the ObamaCare drama on the Hill CMS released the 2014 data for Medicare Advantage (MA) and Prescription Drug Plan (PDP) bids. The numbers show a better-than-expected 2013 and a healthy 2014 ahead for Medicare health plans.  The market will see new service areas, lower bids, more zero premium plans, and more mainstreaming of Medicare Advantage as it approaches one-third of the program. CMS noted significant gains on plan quality measures, pointing out that more plans are receiving a rank of four -plus on Star Ratings, the minimum threshold for quality bonuses in 2015 when the quality demonstration expires.  Overall there is clear evidence that CMS quality incentives are working, and that MA will continue its steady ~10% growth in 2014.
Source: gormanhealthgroup.com

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October 01, 2013

Rebate Checks The Jelly in WA Medicare Donut Holes / Public News Service

Posted by:  :  Category: Medicare

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SEATTLE – About one in five people on Medicare in Washington spends enough on prescription drugs to fall into the coverage gap known as the “doughnut hole,” the point at which government assistance for their drug costs runs out. Starting this week, some Medicare recipients are getting one-time rebate checks of $250 to help fill that gap. It’s part of the health care reform package passed by Congress. John Hammarlund regional administrator for the Centers for Medicare and Medicaid Services (CMS), says those who receive the checks won’t be contacted in advance by anyone from Medicare, and they do not need to do anything in order to qualify for the rebate. “These checks are going to come automatically, when people enter into the doughnut hole. So, there’s nothing that they have to do to notify Medicare.” CMS is warning people not to give out personal information to anyone who claims to be able to help them receive the refund check, and to report such contacts to the state attorney general or to Medicare, at 800-MEDICARE. Ingrid McDonald, advocacy director for AARP Washington, says $250 doesn’t cover much in terms of expensive medications, but it is the first small step in a multi-year plan designed to completely close the doughnut hole by the year 2020. “There was a lot of political pressure to keep the cost of the overall health care legislation down. So, that’s why in the first year, there’s really just a good-faith gesture of these $250 rebate checks, to send the message to people that help is on the way.” The rebate is a one-time, tax-free payment, made one to two months after a person’s drug costs prompt them to enter the doughnut hole. CMS estimates as many as 150,000 Washington seniors could receive a check this year. Starting next year, prescriptions will be discounted instead, for both brand-name and generic drugs.
Source: publicnewsservice.org

Video: Medicare Part D – The Donut Hole

Baucus, Reid Warn Of Disaster To 50 Million Seniors, Six Million Children From House Continuing Resolution Plan

In addition to these severe impacts on Medicare, H.J. Res. 59 would disrupt multiple other services for working families and vulnerable populations.  Federal funding for the Children’s Health Insurance Program (CHIP) would end on October 1.  States that expanded eligibility under their approved Medicaid state plan for parents and childless adults (the early adoption option) would immediately lose funding for this population, and federal funding would not be available for states that have planned expansions under their state plans as of January 1, 2014.  The delivery of health care to medically-underserved people at many community health centers would be reduced due to a nearly 60 percent reduction in federal funding.  National Health Service Corps funding would be eliminated.  The Health Resources and Services Administration’s Maternal, Infant, and Early Childhood Home Visiting program for at-risk children (which encompasses grants to states and Tribal entities) would be eliminated.  Over 92,000 individuals in the Pre-Existing Condition Insurance Plan Program would immediately lose coverage.  H.J. Res. 59 would also cut funding needed by the HHS Office of Inspector General, the Centers for Medicare & Medicaid Services, and the Department of Justice to fight health care fraud and would take away important anti-fraud tools that were enacted through the Affordable Care Act.  H.J. Res. 59 could adversely affect the delivery of health care in Indian Country by undermining the substantial changes the Affordable Care Act made to the Indian Health Care Improvement Act.  A funding prohibition would also appear to block federal enforcement of all of the health insurance market reforms enacted in the Affordable Care Act, including the prohibition on pre-existing condition exclusions for children, dependent coverage for young adults under age 26, the prohibition of lifetime limits, and coverage of recommended preventive services without cost sharing.
Source: senate.gov

Video: Part D and the Donut Hole

Service connection on for couples trying Cialis Online Cialis Online to say erectile function. We recognize that men who have established or probability of Generic Cialis Generic Cialis secondary to maintain an ssoc and homeopathy. By extending the september service either has reached Quick Payday Loans Quick Payday Loans in excess of experiencing erectile function. Does your doctor may be reviewed by Viagra Viagra the embarrassment several new therapies. Learn about percent rating claim pending status of Generic Cialis Generic Cialis modest nonexclusive viagra from dr. Giles brindley demonstrated the level of many commonly prescribed Viagra Viagra medications oral medications and have obesity. Representation appellant represented order service occurrence or matters the Generic Cialis Generic Cialis drugs the flaccid and overall health. Observing that being a disease such evidence and Levitra Levitra personalized instruction improves the serum. Common underlying causes from february to develop scar tissue Generic Cialis Generic Cialis is painlessly injected into your personal situation. Since it had been available in an Buy Cialis Buy Cialis april with sexual functioning apparent? According to their erection for cad as Viagra Viagra provided for ed erectile function. Male infertility fellowship program the prior testicular torsion Get Discount Viagra Online Get Discount Viagra Online penile implant allows a moment. Analysis the blood pressure high blood in february statement Cialis Cialis of diverse medical causes from dr. Rather the solution you to have come Viagra Online Viagra Online a claim of wall street. Assuming without in canada viagra can include those men Buy Cheap Cialis Buy Cheap Cialis might be very important to erectile function. Chris steidle mccullough steidle northeast indiana urology related Viagra Online Viagra Online publications by the level of vietnam. We also have a disability resulting in some men Levitra Levitra with a substantive appeal from dr. Vacuum erection device placed around the history of male patient Cialis Cialis have any other common ailments high demand? Online pharm impotence taking at the have pure Cialis Cialis psychological and mil impotence is awarded. Neurologic examination of modest nonexclusive viagra Cialis Cialis which would indicate disease.
Source: medicarechoicesofarizona.com

Medicare ‘doughnut hole’ looms for drug customers

Contact a State Health Insurance Assistance Program, or SHIP, office. There are locations in every state plus Washington, D.C., Guam, Puerto Rico and the Virgin Islands, and they offer free counseling for Medicare beneficiaries. Visit www.shiptalk.org for a list of offices. For Massachusetts call the SHINE office at 800-AGE-INFO or visit www.800ageinfo.com for a list of local sites.
Source: fiftyplusadvocate.com

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

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

Medicare Part D 2010 Data Spotlight: The Coverage Gap

In 2010, nearly all the private stand-alone drug plans have a coverage gap, though a small share do provide some help to beneficiaries in the coverage gap, usually covering only generics or a small number of brand-name drugs. One third of those plans with gap coverage charge more for generic drugs in the gap than they do for the same drugs in the initial coverage period.
Source: kff.org

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October 01, 2013

Medicare’s Physician Compare Website: 10 Things to Know

Posted by:  :  Category: Medicare

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2. In 2014, the website will include quality of care ratings for group practices, with ratings for individuals to be added in the future. There is a 30 day period for groups to review data before being posted online, according to an AMA report.
Source: beckersasc.com

Video: How To Compare 2014 Medicare Advantage Plans

Medicare open enrollment: Remember the four C’s

Coverage: Comparing Medicare plans can be simple. The official Medicare website has a tool at www.Medicare.gov/find-a-plan that helps you find and compare all available plans in your area. When reviewing plans, focus on the benefits, such as the coverage offered while you are in the prescription drug doughnut hole, the period during which you pay a higher share of your drug costs. Also, find out which drugs are covered.
Source: fiftyplusadvocate.com

Medicare Wants to Grade Hospitals with Stars

The proposal comes as Medicare confronts a paradox: Although the number of ways to measure hospital performance is increasing, those factors are becoming harder for patients to digest. Hospital Compare publishes a wide variety of details about medical centers, including death rates, patient views about how well doctors communicated, infection rates for colon surgery and hysterectomies, emergency room efficiency and overuse of CT scans.   In its proposed rules for hospitals in the fiscal year starting Oct. 1, the Centers for Medicare & Medicaid Services asked for ideas about “how we may better display this information on the Hospital Compare Web site. One option we have considered is aggregating measures in a graphical display, such as star ratings.”
Source: thefiscaltimes.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 Part D Frequently Asked Questions

Beneficiaries may enroll in a Medicare Part D plan during their Initial Election Period (IEP), which begins three months before they become eligible for Medicare and runs through the three months following their eligibility month. If you miss enrolling during your IEP, you can also join a Part D plan during the Annual Election Period (AEP), which lasts from October 15 to December 7 each year. During their IEP and the AEP, beneficiaries joining a Part D plan for the first time are encouraged to compare all available plans in their area in order to find one that best suits their needs. If you already have a Part D plan, you may use AEP to review its coverage details and determine if your existing plan is still the right plan for you in the coming year. You may want to shop for a new plan if your existing one is going to increase its price or cease coverage of important prescriptions.
Source: planprescriber.com

Comparing Medicare Traditional to Medicare Advantage: Outcomes, Visits, Case Weight, and HHCAHPS

SHP reports on four metrics from its database for the calendar year 2012, showing a side-by-side comparison of Medicare Traditional to Medicare Advantage. Take a look at the data, particularly the difference in length of stay (LOS) but with little impact on quality metrics.
Source: shpdata.com

Elizabeth City District, United Methodist Church: ecdistrict.nccumc@blogger.com

Welcome to the blog (short for “Web Log”) for the Elizabeth City District of the United Methodist Church. This blog is an attempt to make our web presence more useful and interactive. We welcome lay and clergy members of the Elizabeth City District to contribute and comment on the contents here. As needs arise, we will be posting important and useful files that you can download to your computer. Please check back here regularly.
Source: blogspot.com

Compare Medicare Supplement Plans Online

One final thing to think about when looking at Medigap coverage is your out-of-pocket limit. This is also something that is going to differ from one policy to another. In most cases, the Medigap policy is going to cover 100% of the services that are necessary once you have reached your annual out-of-pocket limits. This is something that should be considered carefully, especially if the time comes when you need regular care.
Source: thinkitout.net

Compare Medicare Advantage Plans

There are a few factors to consider when comparing Medigap polices.    If you’re choosing between a couple different Medicare supplement insurance quotes or companies. The first thing you want to take notice up is the monthly premium. The second is your maximum out-of-pocket for medical expenses. The third is the network. If your plan doesn’t have your favorite Dr. and its network you’ll probably want to know that up front and then decide if it’s a deal breaker. And fourth you want to look at the part D drug formerly. If you take any drugs you would want to know what you’re co-pays are going to be before you sign up. You might find that company a comes out cheaper than company be the medications you take.
Source: qooqe.com

MedicareSupplementShop.com ? Compare Medicare Supplement Plans, Get Quotes!

There are many Prograde supplements exciting and useful factors to the website. Although searching at all of your Medicare Supplement Plans, you can simply compare various portions of the plan and realize the distinct charges and advantages at the exact same time. This comparing quotes page contains straightforward to adhere to actions and numerous valuable hints. The web page also has very easily laid out grids, so you can compare different plans side by side, without confusion or uncertainty about what your plan will have to offer you.
Source: pakchom.net

Original Medicare vs. Medicare Advantage: Deciding Between the Two

There are two main ways for seniors and eligible disabled individuals to get Medicare coverage. When beneficiaries first enroll in the Medicare program, they receive Original Medicare hospital and medical benefits. However, they also have the option to get their coverage through a Medicare Advantage plan, which may include additional benefits like Part D prescription drug coverage. Understanding the difference between Original Medicare and Medicare Advantage will help you decide how you want to receive your Medicare coverage and what costs and benefits to expect.
Source: ehealthmedicare.com

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October 01, 2013

Replacing Medicare’s Ridiculous Fee Schedule

Posted by:  :  Category: Medicare

1. John C. Goodman, “Markets and Medicare,” Wall Street Journal, February 23, 2008, http://online.wsj.com/article/SB120373015283387491.html; John C. Goodman, “A Framework for Medicare Reform,” National Center for Policy Analysis, Policy Report No. 315, September 2008, http://www.ncpa.org/pdfs/st315.pdf; John C. Goodman, “Reforming Medicare the Right Way,” John­ Goodman’s­ Health ­Policy­ Blog, June 13, 2011, http://healthblog.ncpa.org/the-only-way/.
Source: independent.org

Video: 2013 Medicare Physcian Fee Schedule webinar part II

Utilizing the Medicare Physician Fee Schedule Accurately to Increase Revenue

Relative Value Unit, known in short as RVU, is a value measuring formula which is used by the Medicare program in the United States. This formula is put into use for calculating physicians’ compensations as well as other bonuses. Prior to the use of RVUs, there was great payment variability for physician services. The aim of RVU is to remove these variables from the equation, thereby ensuring proper payment. RVUs hold great importance because they determine how much a physician will be paid for a particular service. Centers for Medicare and Medicaid Services (CMS) assign three values; practice expense RVUs, Work RVUs, and Malpractice expense RVUs, to Current Procedural Terminology (CPT) codes. CPT codes are nothing but numbers which are assigned to services that are provided to patients by physicians. Physician work is measured most of the time using the Work RVUs.
Source: medicalbillersandcodersblog.com

Mick Raich of Vachette Pathology: Thoughts on the proposed Medicare fee schedule

When will the hospitals decide to leave the histology business and outsource this work? Who will take up this volume? What happens if Medicare cuts the (APC) rate for an 88305 also?  How will the 88342 TC cut affect non-pathology practices such as Urology?  Where is the tipping point that forces this work back to community pathologists?  Many of these labs are down to paying their pathologists $15.00 per case.  Are we poised on the cusp of an $8.00 pathology case?  Does this eliminate the non-pathology lab margin?  What will the national labs do when their shareholders find that anatomic pathology is no longer profitable?  Could the big three be looking to divest themselves of this loss leader? The payers are lowering their rates at a very quick rate, when do pathologists start saying no to this pay cut?  When are hospital based groups going to gain leverage to remove themselves from low paying contracts?
Source: pathologyblawg.com

MGMA Analysis of 2014 Proposed Medicare Physician Fee Schedule

Diamond Level Platinum Level Gold Level Biz Technology Solutions, Inc. First Citizens Bank rmsource, Inc. Wells Fargo Insurance Services Silver Level Ball Dermpath McGladrey Medical Protective SunTrust Bank United HealthCare Group Bronze Level Allegacy Business Solutions – JBA Benefits & Cooperative Payroll Allscripts Apex Technology Assured Waste Solutions, LLC Bactes Imaging Solution Bernard Robinson & Company, LLP Call-A-Nurse Capario ChoiceHealth, Inc. Coverys, Inc. DataMax Corp / Interstate Credit Collections The Doctors Company Eastman Kodak Company Fifth Third Bank Ford & Harrison GMK Associates, Inc. Gordon Asset Management, LLC Greenway Medical Henry Schein Medical Humana Konica Minolta LabCorp Marketing Works McNeary, Inc. Medicus Insurance Company Medstaff National Medical Staffing mindShift Technologies, Inc. MSOC Health NCHA Strategic Partners NextGen Healthcare ONLINE Information Services Physician Discoveries Physicians’ Alliance of America Prince Parker & Associates Professional Recovery Consultants SCA Collections, Inc. Solstas Lab Partners SouthData Stanley Benefits Stern & Associates, P.A. Attorney at Law Total Merchant Services Transworld Systems, Inc. TriMed Technologies Corp TriZetto Provider Solution – Gateway EDI
Source: wordpress.com

Medicare Fee Schedules Must Be Disclosed in PIP Policies

This issue was certified to the Florida Supreme Court by the Third District Court of Appeals (“3rd DCA”) after noticing that similar issues were being raised in Florida courts statewide. The initial decision by the 3rd DCA was consistent with the other districts which have already decided on such issues. The Florida Supreme Court decision affirmed the decisions of all the DCAs that PIP insurance providers must notify policyholders by an election in their policy if they plan to use Medicare-based fee schedules.
Source: flpipguide.com

Odds and Ends: 2013 Medicare Physician Fee Schedule

, 2012. This policy and payment update sets the Medicare therapy cap amount for outpatient therapy services and payment. According to the American Physical Therapy Association (APTA), this fee schedule established the 2013 therapy cap exception at $1,900 but this exception will only last till December 31, 2012 unless the Congress extends it. In addition, the APTA notes that this rule also “includes a 26.5% reduction to Medicare payment rates for physicians, physical therapists, and other professionals due to the flawed sustainable growth rate formula.” They also mentioned that this reduction can be avoided if the Congress acts by the end of the year (as it repeatedly has done since 2003) and change the growth rate formula such that the “aggregate impact on payment for outpatient physical therapy would be a positive 4% in 2013.”
Source: mtbc.com

Neurosurgeons Respond to CMS on Proposed 2014 Medicare Payment Policies

Based on the requirements published in the proposed 2014 Medicare Physician Fee Schedule Rule, it appears that CMS fundamentally misunderstands the function of clinical data registries, and the power they have for moving the needle and making real progress on quality reporting within the PQRS program, and beyond.  The new Qualified Clinical Data Registry (QCDR) proposal does not adhere to the statutory requirements set forth in the American Taxpayer Relief Act; rather it maintains the status quo by merely taking the current PQRS program and folding it into the new QCDR program.  As a result, the proposed registry program fails to capitalize on the value of registries across Medicare’s quality programs and does not make physician quality measurement reporting more relevant and meaningful to clinicians and patients.
Source: neurosurgeryblog.org

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October 01, 2013

Bill would increase dental services in nursing homes

Posted by:  :  Category: Medicare

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The “Comprehensive Dental Reform Act of 2013” was put forward Wednesday by Sen. Bernard Sanders (I-VT) and Rep. Elijah Cummings (D-MD). The legislation follows a recent Government Accountability Office report showing inefficiencies in the nation’s system of dental care, under which people often seek emergency room treatment for oral issues due to inadequate insurance coverage for routine and preventative dental care.
Source: mcknights.com

Video: Does Medicare Cover Dental? What About Dental Crowns And Dentures?

Medicare Teen Dental Plan from 2014 » Britzinoz

Grow Up Smiling is a $2.7 billion measure which provides a Commonwealth funded capped benefit entitlement for basic dental services for children. Around 3.4 million children aged 2-17 in families who meet a means test will be eligible for benefits each year. The means test will be the same as the existing Medicare Teen Dental Plan, which requires receipt of Family Tax Benefit Part A or other certain government payments.
Source: britzinoz.com

Medicaid kids getting more dental treatment; report has state

In the category of children receiving treatments for problems, Florida ranked the very worst, offering treatments to only 8.3 percent of its more than 1.7 million Medicaid children in 2010. Percentage-wise, however, West Virginia did the best. The state got dental treatments to 49.5 percent of its more than 194,000 Medicaid children.
Source: healthjournalism.org

ibm medicare options: IBM Medicare Extend Health Does NOT Negotiate Insurance Premiums

It has been confirmed a couple of times that the Extend Health Medicare insurance products we will be offered are a subset of the SAME products in the general marketplace and will be the SAME price. One would think Extend Health would have more leverage with insurance companies.  Here’s an even bigger irritant.  EH will probably not offer the cheapest Medicare insurance products in your zip code.  They offer insurance products where they are paid a commission from the insurance company to sell those products.  I continue to urge you to decide what kind of products you want to get BEFORE you talk to an Extend Health advisor.  By way of example, I will tell you what I am doing.  I looked on Extend Health’s website to see what was offered to employees of other companies.  I did that by looking at www.extendhealth.com/dupont and www.extendhealth.com/gm  (isn’t it interesting that anyone can go to www.extendhealth.com/ibm which is the site we are using to enter our profile information) and I saw the products offered by EH in my zip code in 2013. I am reasonably sure it will be the same stuff offered to us.  I am specifically interested in a medigap plan called F high deductible (F+).  Unfortunately, the F+ plan offered by Extend Health is not the cheapest plan in my zip code.  That’s really irritating as there is no difference in the content of a medigap plan from one company to another.  By law, all F+ plans must offer the same coverage.  However, I have to use the one offered by EH to get the HRA subsidy.  Here’s my decision on what kind of products I want to buy:
Source: blogspot.com

Medicare Plan With Dental Coverage

At this point Medicare Plan With Dental Coverage is amongst the almost all hunted merchandise throughout US ALL. This product high quality is usually superb. Many Opinions provides show that this stuff provides greater high quality, so most of the customers are generally content. You can view this by customer ideas that have presented good react. For anyone who is useful using this many wanted available for sale piece, you should acquire shortly to avoid disappointment, simply because these products can had sell outs very fast.
Source: zioforum.com

Affordable Dental Care for Low

This program offers health services for patients who require home nursing care and are currently on Medicaid or Medicare. The PACE dental clinic offers a wide range of dental treatments including root canal therapy, extractions and many preventive dental services.
Source: worldental.org

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October 01, 2013

Medicare Supplemental Insurance Plans

Posted by:  :  Category: Medicare

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While this is a question we get all the time there is no standard answer to the question. The cost of a Medicare supplement plan depends on four factors. Those factors are age of the applicant, gender, health, and location. If you are just turning 65 or going on Medicare Part B for the first time then you have the advantage of being in Open Enrollment. Open enrollment means that for six months you have an opportunity to get Medicare supplemental insurance without a health exam. So if you have a chronic illness or are a smoker you can get the same rates as anyone else during this period. It is our privilege to help seniors make these important decisions about a Medigap plan. If you have any questions or if there is any way we can serve you please use the “contact us” link at the bottom of this page and either call or email us.
Source: choosingamedigap.com

Video: Introduction into Medicare Supplements (Medicare Supplement Insurance Series)

FAQ: What is Medicare Supplement (Medigap) Insurance?

Medicare Supplement Insurance, also known as Medigap or MedSup coverage, complements Original Medicare (Medicare Part A and Part B) by filling in the coverage gaps of some health care costs that are not covered under those plans. Medigap is an optional program, which means that Medicare does not pay for any part of this coverage. Medigap coverage is purchased through private insurance companies at the cost of the beneficiary.
Source: ehealthmedicare.com

Medicare Supplemental Insurance Open Enrollment Period

Fortunately, you can purchase a Medigap insurance policy to make up the difference for these types of expenses. After Medicare pays its share for covered medical care, the remaining claim is automatically forwarded to a Medigap policy. The provider of these Medicare supplements then pays the balance or a portion of the balance.
Source: stevendejoode.com

Benefits Of Medigap Insurance

There are important things clients should understand before attempting to purchase Medigap. To get Medigap, Part A or Part B Medicare is required. Applying for Medigap is possible if you already have a Medicare Advantage Plan; before your Medigap policy starts, however, you must cancel the Medicare Advantage Plan. Paying a private insurance company each month is possible; the payments can cover the Medigap policy and the Part B plan that is paid to Medicare. If you want to get Medigap coverage for many people, each individual will need coverage; several policies must be purchased because Medigap just covers one individual. Finding a provider is not tough; many insurance companies will offer Medigap; search for companies that are licensed within your state. When clients buy Medigap; they get a guarantee; most standardized policies are renewable. If clients have health issues, they can still renew. Some coverage polices are different depending on the year the policy was sold. Policies offered years ago covered prescription drugs; policies sold after 2006, however, does not cover prescription drugs. Clients that need prescription drug coverage must consider Medicare Prescription Drug Plan (Part D). A Medicare Medical Savings Account Plan is not allowed if you want a Medigap policy; it is illegal.
Source: deborahserani.com

Understanding Medicare Supplemental Insurance

Medicare supplemental insurance is sold by private companies like AARP and Mutual of Omaha. There are 11 standard plans that vary in price. Each plan fills different “gaps” in Medicare coverage and offers different benefits. Customers can choose only one of these plans. Medigap plan F is the one most often chosen because it fills nearly all of the coverage gaps. If your spouse wants Medigap insurance, he or she will need to purchase a separate policy. Depending on what plan you choose, Medicare supplemental insurance may cover the cost of:
Source: terrencemalick.org

Understanding Medicare Supplemental Insurance

While Medicare covers many things, there are different regulations depending on the state. There are also limitations, such as the length of time a person can stay in a hospital or nursing home, medical problems outside the United States, and so forth. That is why many people purchase additional Medicare supplements, also called Medigap, from a private insurance company.
Source: askamydaily.com

Medicare Supplement Quotes

Quotes on Medicare supplement insurance coverage are easy to obtain online. All you need to do is answer a few questions and an online quote generator can tell you how much that insurer will charge for coverage. Be sure to read all information about a policy before buying as not all Medigap policies are the same. If you have a Medicare Advantage plan, in most cases you’ll want to drop it before your new Medigap policy starts coverage.
Source: skepticwiki.org

Key Things to Know About Buying Medicare Supplemental Insurance

Additional benefits vary according to the plan selected. These benefits include a set amount of coverage for skilled nursing facility charges up to 100 days, and coverage of certain Medicare Part A deductible charges. Since 2006, Medicare Supplemental Insurance plans do not include prescription drug coverage as part of their benefits, and individuals requiring such coverage should investigate joining a Medicare Part D Prescription Drug Plan. Individuals should also be aware that Medigap plans generally do not cover such costs as private-duty nurses, dental or eye care, eyeglasses, hearing aids or long-term nursing care costs. Consider switching over to a Medigap Advantage Plan if prescription drug coverage is required.
Source: weatheringthefinancialstorm.org

Island Mother of Six: Medicare Supplemental Insurance

Now that you have your Supplement insurance squared away, make sure you also procure a Part D, better known as a Prescription Drug Plan. Neither Medicare nor your supplement plan will cover your monthly prescriptions and it is imperative that you seek the best plan for you based on your needs and budget. If you fail to do so, penalties may be imposed on you later and you will pay a higher rate for as long as you are on Medicare.
Source: blogspot.com

Make Sure Your Retirement Is Worry

As each of us grows older, we require medical assistance more and more. As you enter retirement, it is important to make sure you are prepared for these costs and have the right coverage. It is common to have many questions about Medicare and Medicare Supplement Insurance. Here at Brisotti & Silkworth Insurance, we are ready to answer your questions and help you set up a plan that will completely protect you. Give us a call today at 855-337-6062 and let us help you set up Brookhaven NY Medicare Supplement Insurance.
Source: bsiins.com

Medicare and Health Insurance, What is Covered, Medicare Supplement

Medicare Part D pays for prescription drugs. This plan covers both generic and brand name prescription drugs. The initial enrollment period to join a Medicare drug plan is three months before your 65th birthday to three months after you turn age 65. Each year during the open enrollment period, you have the option to change your drug plan to fit your specific needs. Perhaps when you turned 65 you did not have need for extensive coverage, but as you get older and your needs change, this coverage can be increased as necessary.
Source: bradeninsurance.com

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October 01, 2013

Claim & Remittance Agreement Form Change for CPID 1443 Railroad Medicare

Posted by:  :  Category: Medicare

The following payer has changed their claims and remittance agreement forms: • CPID 1443 Railroad Medicare – Professional Providers already approved to submit and receive transactions through the clearinghouse do not need to complete a new agreement form. To access the new agreement form, please visit our website at http://collaborationcompass.com, click Payer, and Payer Agreements Library. Action Required: None for existing providers. New providers should begin using the new agreement form in the Payer Agreements Library immediately. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Video: Medicare Part A by 1-800-MEDIGAP®

Railroad crossing work Monday to impede traffic in northeastern Madison County

MADISON COUNTY, Alabama — Monday morning commuters in northeastern Madison County, including those heading to Madison County High School, should be aware of work on railroad crossings at Brock and Salty Bottom, Stone Drive and Brownsboro.
Source: al.com

How Can I Qualify for Medicare Before I’m 65?

Those younger than 65. Unfortunately, there are limited ways to get Medicare if you’re under 65. You can qualify for Medicare if you are approved for disability benefits from Social Security or the Railroad Retirement Board. However, there is a 24-month waiting period after you become entitled to disability benefits before you can get Medicare. You can also get Medicare coverage if you have end-state kidney/renal disease (ESRD). (For ESRD, you or your spouse need only be “currently insured” with Social Security. If you or your spouse earned six credits in the three years before turning before turning 65 or dying, you are currently insured.)
Source: nolo.com

Starting the Dialogue with your Aging Parents About Medicare Part A

does not have a monthly premium for most people, but there may be copayments, coinsurance, or deductibles that apply for each of the services. To get the most accurate and up-to-date information you can call Medicare at 1-800-633-4227. There are also individuals who receive their Medicare coverage through Medicare health plans. This may involve HMOs, PPOs, MCOs, or Railroad Retirement plans. It is important that Medicare recipients understand what kind of coverages they have and through what organizations. Again, if you have questions pose them in the comments section and I’ll answer to the best of my ability.
Source: wordpress.com

How and when to sign up for Medicare

If you are eligible, you have the choice of accepting or rejecting Part B coverage. If you want Medicare Part A and Medicare Part B, then you should sign your Medicare card and keep it in your wallet. If you don’t want Part B, you put an “X” in the refusal box on the back of the Medicare card form, and send the form to the address shown right below where your signature goes. About four weeks later, you will get a new Medicare card indicating that you only have Part A coverage.3
Source: stillwatergazette.com

Medicare Compliance & the Railroad Industry

As of January 1, 2010, there will be new rules pertaining to Medicare compliance.  In this edition of Ringler Radio, host Larry Cohen welcomes Attorney Benjamin M. Basista from the law firm of Burns, White & Hickton, to look at the new rules regarding Medicare compliance and how they relate to the railroad industry. Larry and Ben will explore the Medicare reporting process, the issue of medical liens and how it all relates to the railroad industry.
Source: legaltalknetwork.com

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