Florida Blue Medicare Plans

Posted by:  :  Category: Medicare

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These days, everyone is looking for a few ways to save money. With Florida Blue Medicare plans, securing a low rate is easy because they can offer discounts and reduced rates that many newer companies cannot. The reason is simple. Florida Blue has been serving the residents of Florida for generations and they’ve built a solid customer base of happy satisfied clients. As a consequence, they’re not driven by profit margins, and don’t need to be concerned with building a loyal following. Instead, they can offer deep discounts and low rates creating the most affordable Medicare plans to keep you happy.
Source: frederiksted.org

Video: Blue Cross Medicare Advantage – Popular Plan Options

Medicare Blue Button Makes Health Records Accessible

But the body of information doesn’t end there. With the advent of Medicare Blue Button—a program that lets people download personal health records to a file—patients can also come to appointments with their medical history in tow. Until recently, retrieving medical records was the duty of a physician’s administrators or a third-party record retrieval firm, but now Medicare patients can use Blue Button to avoid waiting for their information to arrive at the doctor’s office.
Source: altmannporter.com

New medical plans for faculty, staff for 2013 / UCLA Today

Some big changes and new choices in medical plans are coming to Open Enrollment this fall. UC is offering a revamped menu of plans for 2014 that offers better value and clearer choices, including two new plans: Blue Shield Health Savings Plan, which features a UC-funded health savings account; and UC Care, UC’s own three-tier PPO plan that offers members access to UC doctors and hospitals as well as the Blue Shield PPO network. Health Net Blue & Gold, Kaiser Permanente, Western Health Advantage and Core (administered by Blue Shield) will still be available. Four plans — Anthem Blue Cross PPO and PLUS, Anthem Lumenos with HRA and Health Net Full HMO — are being discontinued.   “The 2014 plans provide clear and distinct choices to meet our employees and retirees’ diverse and changing needs,” said Michael Baptista, executive director of benefits programs and strategy. “The designs of these plans have very little overlap. Everyone can choose a plan based on what’s most important to him or her, whether that’s having predictable costs or the widest choice of doctors.” UC employees and retirees will continue to have a broad choice of providers — including UC medical center doctors, hospitals and medical groups — and plan designs to fit their needs. The provider networks for both the Blue Shield Health Savings Plan and UC Care include 97 percent of the providers in the current Anthem Blue Cross network, so most people in those discontinued plans should be able to keep their doctor. Employees currently in Anthem Blue Cross PPO, Anthem Blue Cross PLUS and Health Net HMO will also pay smaller monthly premiums next year, regardless of the new plan they choose. Savings will depend on the new plan, salary band and dependents covered. The Blue Shield Health Savings Plan premiums are expected to be similar to the premiums for Anthem Lumenos PPO with HRA. Premiums for Health Net Blue & Gold, Kaiser and WHA are expected to increase from $2 to $10 per month, depending on the plan, salary band and dependents covered. UC will continue to cover an average of about 85 percent of the cost of the premiums. The final premiums will be available in early October. The 2014 plan offerings are the result of a comprehensive review of UC’s medical plan portfolio aimed at providing high quality medical insurance that is more specific to individual needs, while limiting cost increases to employees and the university. The review also offered an opportunity to leverage UC’s outstanding medical centers and take advantage of the changing medical-insurance marketplace. “We know how important quality medical insurance is to our employees and retirees, and we are continually looking for ways to ensure good benefits while limiting cost increases for employees and the university,” said Baptista. “Health care reform and a changing medical-insurance marketplace provided a good opportunity to rethink our benefits while still maintaining choice and quality.” Two Plans In, Four Plans Out The two new plans offer broad, nationwide networks of doctors and hospitals through Blue Shield, including UC’s medical centers, and both are expected to have lower monthly premiums than Anthem Blue Cross PPO, Anthem Blue Cross PLUS and Health Net HMO. UC Care is a new health plan created just for UC employees, retirees and families with coverage wherever you live, worldwide. You can get care from UC doctors and medical centers as well as the entire Blue Shield network of providers. You pay a fixed copayment when you use UC and other select providers near all UC campuses and coinsurance when using the other 65,000 Blue Shield providers. You also have coverage for out-of-network care. The Blue Shield Health Savings Plan is a high-deductible PPO plan paired with a health savings account (HSA) that lets you pay your out-of-pocket health care costs with tax-free dollars. UC provides an initial contribution and you can also make pre-tax contributions. You can use the funds any time for qualified medical expenses or save them for future health care needs. Your HSA balance carries over from year-to-year and you own the balance in the account, even if you transfer to another medical plan or leave UC. Blue Shield’s large PPO provider network offers a wide choice of doctors and hospitals or you can see out-of-network providers if you want to pay more. UC is eliminating the Anthem Blue Cross PPO and PLUS plans and the Health Net full HMO plan because they no longer provide the right value. “The costs for these plans continue to increase at a much faster rate than the other plans,” Baptista said. “Neither the university nor employees can continue to absorb double-digit annual increases.” The Anthem Lumenos PPO with HRA is being replaced with the Blue Shield Health Savings Plan. Employees are finding plans with health savings accounts to be more popular because of the tax advantages, the portability of the account and the ability to use the account to save for future retirement insurance needs. New for retirees Retirees and employees planning to retire in 2014 will have similar choices as employees. All six employee plans will be available to retirees not yet eligible for Medicare. Medicare-eligible retirees in California will have five plan options: Kaiser Senior Advantage, Health Net Seniority Plus, Blue Shield PPO, Blue Shield PPO without prescription drug coverage and Blue Shield High Option Supplement to Medicare. The Blue Shield Medicare plans are very similar to the current Anthem Blue Cross Medicare plans. For Medicare-eligible retirees living outside California, UC is taking a new approach. For those Medicare-eligible retirees with all covered family members in Medicare, UC will fund a Health Reimbursement Arrangement (HRA) which retirees will use to purchase individual coverage through Extend Health, a company that sponsors a Medicare Exchange. With the assistance of Extend Health’s licensed and trained benefit advisors, each covered family member will choose an individual Medicare plan that’s best for them. That includes Kaiser and other Medicare Advantage plans available in the retiree’s location. With the growing market for individual plans, many retirees will have more choices, many of which could meet their needs better than the UC plans currently available. In 2014, due to other changes in the UC-sponsored medical plan portfolio, only the Medicare PPO and the High Option Supplement to Medicare plans would have been available to those outside of California. UC plans extensive communication and education about medical plan choices throughout the fall to help faculty, staff and retirees make good choices. Watch for additional news stories, in-home mailings and campus events where you can learn more. Find all the details here.
Source: ucla.edu

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

Florida Blue Medicare Plans

Most people realize that while the coverage is similar, all Medicare plans are not priced the same. The truth is, there are significant differences between companies in out-of-pocket expenses as well as premiums and different providers charge different rates. Florida Blue Medicare plans have the advantage of being well known and reputable, making it possible for them to offer the most competitive prices without worrying about profits. As an established company, Florida Blue can offer deep discounts and provide the same quality coverage at lower rates on account of customer loyalty and the fact that they already have a large base of happy and satisfied customers.
Source: davebroggi.com

Republicans, Democrats Paint Different Pictures Of Americans’ Views Of ACA.

Lawmakers Trade Barbs On ACA. Noting that “this has been a busy week for the Founding Fathers,” the Washington Post  (10/1, Fahrenthold) reports on how “legislators name-checked at least three of the Federalist Papers (numbers 45, 57 and 62) and 28 of the 56 signers of the Declaration of Independence” as part of the growing debate over the Affordable Care Act. The invocation of the Founding Fathers by Sens. Ted Cruz (R-TX) and Mike Lee (R-UT), as well as Reps. Steve King (R-IA), David Scott (D-GA), Ron DeSantis (R-FL), and Doc Hastings (R-WA) is noted. The Post adds, “In recent days, Republicans have repeatedly cited James Madison to defend a controversial tactic: withholding funding for the entire government in order to force a weakening of the health-care law.”
Source: bluebridgebenefits.com

Ask The Experts: Retirement

Q. I will be retiring from federal service Jan. 31, 2014. I am covered by FERS. I am 65 now and will be 66 when I retire. I enrolled in Medicare Part A during the time frame I was supposed to enroll (when I turned 65) and when I enrolled in Medicare part A, I declined Part B because I have health coverage (Blue Cross/Blue Shield) under the government program for such.
Source: federaltimes.com

Cigna Medicare Plans But Blue Cross Medicare Insurance Plans An Overview

Have just turning forty eight or enrolling during Medicare for to start with? If the answer is truly yes, you are undoubtedly looking to find the best Medicare Supplement Think about available. You can find several ways to get to know plans and numerous resources available automobiles information. However, it is in order to have an concept regarding what you want. In addition, might be equally important to be aware questions to solicit. Companies, plans, and prices will be different and everyone will likely have a different opinion regarding your best option.
Source: ifmsa-asturias.org

Medicare Advantage: The canary in the coal mine

The goal is obvious: destroy the incentive for patients to enroll in Medicare Advantage and push patients back to traditional Medicare. This effect is antagonistic to the stated objectives and selling points Democrats use to vehemently defend the controversial law. While progressives stump for the law and brag about its so-called market-based approach, their prized legislation quietly eliminates healthcare freedom for the more than 14 million current Medicare Advantage enrollees, gradually using market forces to push them all into the Medicare fee-for-service system. In effect, the phase-out from Medicare Advantage to fee-for-service is nothing more than a move from markets to a government monopoly.
Source: dailycaller.com

Statistics Show Dramatic Rise in Healthcare Fraud Prosecutions

Posted by:  :  Category: Medicare

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The spike in fraud investigations and prosecutions should come as no surprise given that the Obama administration has placed heavy emphasis on fraud, waste and abuse recoupment as a means of funding new healthcare reform legislation. On top of this, healthcare enforcement authorities are using new and more advanced means (e.g., enhanced technology and cooperative task force operations) to identify fraud and abuse. And, frankly, there is still plenty of fraud, waste and abuse in the system. It is often said that desperate times lead to desperate measures and as the economics of healthcare delivery get tighter, I expect we will see healthcare providers more willing to enter into riskier arrangements than they might in better economic times. All of these factors of course spell a potential “perfect storm” from a healthcare compliance perspective, so physicians and providers should take careful stock of there compliance efforts, including regular documentation and billing audits and a regular review of contractual arrangements to ensure compliance with applicable federal and state fraud and abuse legislation.  
Source: foxrothschild.com

Video: Politics Breaking News: Feds Step Up Medicare Anti-Fraud Efforts

Medicare Advantage: The canary in the coal mine

The goal is obvious: destroy the incentive for patients to enroll in Medicare Advantage and push patients back to traditional Medicare. This effect is antagonistic to the stated objectives and selling points Democrats use to vehemently defend the controversial law. While progressives stump for the law and brag about its so-called market-based approach, their prized legislation quietly eliminates healthcare freedom for the more than 14 million current Medicare Advantage enrollees, gradually using market forces to push them all into the Medicare fee-for-service system. In effect, the phase-out from Medicare Advantage to fee-for-service is nothing more than a move from markets to a government monopoly.
Source: dailycaller.com

FBI — Former Office Manager for Health Care Solutions Network Sentenced in $63 Million Medicare Fraud

Court documents reveal that Palmero was aware that HCSN-FL personnel were fabricating patient medical records. Many of these medical records were created weeks or months after the patients were admitted to HCSN-FL for purported PHP treatment. Palmero was also aware that medical records were fabricated for “ghost patients” who were never admitted to the HCSN-FL PHP. During her employment at HCSN-FL, Palmero actively concealed the fabrication of medical records by preparing, and causing others to prepare, documentation that was later utilized to support false and fraudulent billing to government-sponsored health care benefit programs, including Medicare and Florida Medicaid.
Source: fbi.gov

Sacred Heart Hospital Closed Due to Medicare Fraud and Medical Malpractice

Located in the West Side, the hospital’s owners were charged with running a “kickback” scheme that profited them millions through fraudulent Medicare and Medicaid billings. A notice from the state alleged that the hospital was “not fit, willing and able to provide a proper standard of care”.  Although it closed this past July, the revocation of its license effectively suspends any chance of the hospital reopening in the near future.
Source: injurylawyerchicagoblog.com

Leveraging PEPPER Reports in SNFs

With the government’s watchful eye on reducing Medicare fraud, payments to skilled nursing facilities were identified as highly vulnerable to abuse. A PEPPER report contains your facility’s Medicare claim statistics for any “at risk” areas for potential Medicare fraud. PEPPER is now available to skilled nursing facilities, as reports were sent out at the end of August. The reports contain data statistics on the Medicare claims that your facility has made in the past three fiscal years and benchmarks you against the rest of your state, the entire country and the Medicare Administrative Contractor/Fiscal Intermediary jurisdiction.
Source: cmscompliancegroup.com

Couple charged with Medicaid fraud in Texas town highlighted for exorbitant health care costs

Yet public-health statistics show that cardiovascular-disease rates in the county are actually lower than average, probably because its smoking rates are quite low. Rates of asthma, H.I.V., infant mortality, cancer, and injury are lower, too. El Paso County, eight hundred miles up the border, has essentially the same demographics. Both counties have a population of roughly seven hundred thousand, similar public-health statistics, and similar percentages of non-English speakers, illegal immigrants, and the unemployed. Yet in 2006 Medicare expenditures (our best approximation of over-all spending patterns) in El Paso were $7,504 per enrollee—half as much as in McAllen. An unhealthy population couldn’t possibly be the reason that McAllen’s health-care costs are so high. (Or the reason that America’s are. We may be more obese than any other industrialized nation, but we have among the lowest rates of smoking and alcoholism, and we are in the middle of the range for cardiovascular disease and diabetes.)
Source: trueslant.com

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

Posted by:  :  Category: Medicare

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: kaiserhealthnews.org

Video: Patty and Richard say, “Apply online for Medicare” (20 seconds) – Social Security

Health Insurance Open Enrollment 2013

You can choose health insurance that best meets your needs. This includes initiating or dropping coverage, or picking among such options as monthly premium costs, copayments, annual deductibles and prescription drug coverage. Participating insurance companies can’t turn you away or charge you more because you have an illness or medical condition.
Source: aarp.org

For Medicare Recipients, Online Exchanges Don't Apply

Scrubs & Suits is an independent destination for ALL healthcare industry professionals to connect, teach, learn and discuss issues we face in our careers. We are an association dedicated to the diversity of the healthcare landscape.
Source: scrubsandsuits.com

Medicare Advantage: The canary in the coal mine

The goal is obvious: destroy the incentive for patients to enroll in Medicare Advantage and push patients back to traditional Medicare. This effect is antagonistic to the stated objectives and selling points Democrats use to vehemently defend the controversial law. While progressives stump for the law and brag about its so-called market-based approach, their prized legislation quietly eliminates healthcare freedom for the more than 14 million current Medicare Advantage enrollees, gradually using market forces to push them all into the Medicare fee-for-service system. In effect, the phase-out from Medicare Advantage to fee-for-service is nothing more than a move from markets to a government monopoly.
Source: dailycaller.com

Medicare Advantage And Medigap Applications Connecticut 2013

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 Medicare Anthem Medigap 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 Wellcare medicare
Source: croweandassociates.com

Public forum on Medicare and Cover Oregon in Oregon City on Oct. 13

Janine Settelmeyer, a volunteer with AARP, and Ken Meyers, a former health care administrator, will explain how the Affordable Care Act impacts both insured and uninsured Oregonians, as well as seniors on Medicare.
Source: oregonlive.com

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Source: federaldaily.com

Families USA Executive Director Explains How To Understand Medicare Premiums

Part D premiums are similarly tied to the costs of prescription drugs. Medicare Advantage premiums are determined by a more complicated process, but they also reflect trends in costs. Because Part D and Medicare Advantage plans are run by private companies, premiums can vary a lot.
Source: smmirror.com

How the Government Shutdown May Impact Social Security and Medicare

Not all of it. By law, essential government services relating to public safety and national security must continue. This means that the military, air traffic controllers, the Border Patrol, the FBI, prison guards and many other U.S. government employees will remain on duty. But many facilities will close and many services will be unavailable. In a five-day shutdown in 1995, 800,000 federal employees were told not to report to work. Several weeks later, 240,000 employees were furloughed in a 21-day shutdown.
Source: aarp.org

How to Apply Online for the CMS Hardship Exemption from the 2012 eRx Medicare Payment Reduction

To help eligible professionals and group practices understand the key provisions and impact of the 2011 Medicare Electronic Prescribing (eRx) Incentive Program Final Rule, A Quick Reference Guide has been posted to the eRx Incentive Program website on the “Educational Resources” page.  Frequently asked questions (FAQs) addressing the 2011 eRx Final Rule, as well as other information and resources about the eRx Incentive Program can be found at the eRx Incentive Program website here.
Source: managemypractice.com

Apply for Social Security Benefits Online

Patty Duke applies for benefits If you file online, you’ll be in good company. Stage, screen and TV actress Patty Duke recently celebrated her 65th birthday by going online to file for Social Security and Medicare benefits. As you’ll see if you watch this video, Duke had a bit of help from her husband, Michael Pearce, but her application took only a few minutes to complete. For the past three years, Duke has volunteered her time to promote Social Security’s online services in a series of public service announcements.
Source: aarp.org

Aligning with Medicare to reduce data collection burden

Posted by:  :  Category: Medicare

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The 2013 Federal Budget Reconciliation Act allows Medicare to recognize providers who participate in clinical data registries that are able to generate quality measures for Medicare. This change has opened the door for providers to meet the requirements of federal programs by participating in reporting processes such as MNCM’s. In February 2013, the Centers for Medicare and Medicaid Services (CMS) issued a Request for Information to solicit responses from the public about how clinical registries  could be used for the Physician Quality Reporting System (PQRS) and Meaningful Use (the Electronic Health Record Incentive Program). These registries could include those operated by specialty boards or societies, regional health improvement collaboratives (or RHICs) such as MNCM, or other non-federal reporting programs.
Source: mncm.org

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

Navigating Health Insurance Exchanges

If you have expensive individual health coverage or are unhappy with your current health insurance for other reasons, you can compare new health insurance policies by completing a quick online questionnaire for options in your area. Go to HealthCare.gov and click on See Your Options to fill out the questionnaire and get all the information you need to make an informed decision and purchase new health insurance.
Source: carpenterevert.com

The Cost of Minnesota’s Average Medigap Plan

While most of America (47 states) must consign to the National Association of Insurance Commissioners (NAIC) standardization of Medigap policies, Minnesota does not. Minnesota is one of the three waiver states that standardized their Medicare supplement plans before NAIC’s involvement in 1990. Because of this, so long as the plans offered cover the basic requirements, Minnesota (along with Massachusetts and Wisconsin) is able to continue issuing their Medicare supplement plans.
Source: medicaresupplement.com

Shakopee, MN Tax Expert Guides You Through The New World of Medicare Decisions

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

Minnesota Retirement Communities & Assisted Living from Lang Nelson, Inc.

, a nonprofit agency, has been providing services to seniors and their families for over 60 years in Hennepin and Wright Counties.  The Medicare Health Insurance Counseling program has been part of our services for over 20 years.  We have over 50 staff and volunteers that provide Medicare counseling to Medicare beneficiaries and their families in the entire state of MN.
Source: langnelson.com

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October 05, 2013

Nationwide Medicare Fraud Sweep Leads to 10 Brooklyn Arrests

Posted by:  :  Category: Medicare

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Source: wnyc.org

Video: Buy Best Medicare Leads – Don’t Get BURNED!

Medicare Advantage: The canary in the coal mine

The goal is obvious: destroy the incentive for patients to enroll in Medicare Advantage and push patients back to traditional Medicare. This effect is antagonistic to the stated objectives and selling points Democrats use to vehemently defend the controversial law. While progressives stump for the law and brag about its so-called market-based approach, their prized legislation quietly eliminates healthcare freedom for the more than 14 million current Medicare Advantage enrollees, gradually using market forces to push them all into the Medicare fee-for-service system. In effect, the phase-out from Medicare Advantage to fee-for-service is nothing more than a move from markets to a government monopoly.
Source: dailycaller.com

Early imaging, diagnosis of Alzheimer’s leads to changes in patient care, better outcomes / UCLA Newsroom

“Patients exhibiting Alzheimer’s-like neurodegenerative changes in cerebral metabolism were over three times more likely to be prescribed medications in the first year following PET when results of the scans were immediately released,” the abstract being presented at the meeting notes. “This, in turn, was associated with significantly better performance on neuropsychological tests of memory, executive function and general cognitive status over a two-year follow-up period. This study provides the first direct evidence for improved cognitive outcomes attributable to a neuroimaging test of any kind.”
Source: ucla.edu

Some companies offer Medicare leads in real time, while others do not

There are a lot of myths floating around out there about what types of leads are the best for what you want to accomplish. Frankly, the decision as to which type of lead works best for your circumstances is up to you. Just know that with real time Medicare leads, the chances of closing are much higher, largely because you are usually calling this kind of lead within minutes after they have asked for information. That is provided you are online at the same time. Otherwise, you would still be responding quickly; part and parcel of offering good service.
Source: benepath.net

Receiving Medicare Supplement Sales Leads

An individual belong to a bonus plan, you might get your coverage using the insurer. As an alternative to handing a general practitioner or hospital an Medicare card, shortly show them ones card from in which you insurer. Must not lose your amazing Medicare coverage although. You are free shed out of method. You may wish to go back within order to original Medicare. You are always still protected after all of typically the laws, rules, and then regulations of the very center For Medicaid and additionally Medicare (CMS). CMS oversees Medicare insurance in the Our business.
Source: annoyedandroid.com

Early imaging, diagnosis of Alzheimer’s leads to better outcomes 

The findings come from the Metabolic Cerebral Imaging in Incipient Dementia study, an ongoing national clinical trial sponsored by the Centers for Medicare and Medicaid Services (CMS). The interim data show that patients whose doctors gleaned information from a brain PET scan performed with the tracer FDG — which measures energy being used throughout regions of the brain — did better over two years of follow-up than those whose doctors were randomized to not have access to the scan information.
Source: universityofcalifornia.edu

Medicare Sales with free online leads provided

Crowe & Associates is looking for agents to work their Medicare lead program in the Texas area. We will provide online Medicare leads at no cost. Lead volume and area can be determined by the agent. The online leads are exclusive and not shared with […]
Source: telecommuteanywhere.com

Having Medicare Supplement Sales Leads

Pretty MA plans maintain a network of all medical service assistance. With some plans, you have time for get your well being services from the perfect network medical help provider in control for those functions to be hidden. With some pointing to the plans, they may choose to be able to leave the network, but you might be suffering from to pay great deal more for covered alternatives. When you look that your extremely favorite doctors include already on each plan, you might possibly be more met with the cell tower network. If you will probably rather have way more freedom to decide and choose doctors, you may not too be happy using this type of limitation. This is the fact is quite similar regarding the way PPO or HMO desires work on routine health insurance rrnsurance plans.
Source: highschoolfootballhq.com

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October 05, 2013

New medical plans for faculty, staff for 2013 / UCLA Today

Posted by:  :  Category: Medicare

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Some big changes and new choices in medical plans are coming to Open Enrollment this fall. UC is offering a revamped menu of plans for 2014 that offers better value and clearer choices, including two new plans: Blue Shield Health Savings Plan, which features a UC-funded health savings account; and UC Care, UC’s own three-tier PPO plan that offers members access to UC doctors and hospitals as well as the Blue Shield PPO network. Health Net Blue & Gold, Kaiser Permanente, Western Health Advantage and Core (administered by Blue Shield) will still be available. Four plans — Anthem Blue Cross PPO and PLUS, Anthem Lumenos with HRA and Health Net Full HMO — are being discontinued.   “The 2014 plans provide clear and distinct choices to meet our employees and retirees’ diverse and changing needs,” said Michael Baptista, executive director of benefits programs and strategy. “The designs of these plans have very little overlap. Everyone can choose a plan based on what’s most important to him or her, whether that’s having predictable costs or the widest choice of doctors.” UC employees and retirees will continue to have a broad choice of providers — including UC medical center doctors, hospitals and medical groups — and plan designs to fit their needs. The provider networks for both the Blue Shield Health Savings Plan and UC Care include 97 percent of the providers in the current Anthem Blue Cross network, so most people in those discontinued plans should be able to keep their doctor. Employees currently in Anthem Blue Cross PPO, Anthem Blue Cross PLUS and Health Net HMO will also pay smaller monthly premiums next year, regardless of the new plan they choose. Savings will depend on the new plan, salary band and dependents covered. The Blue Shield Health Savings Plan premiums are expected to be similar to the premiums for Anthem Lumenos PPO with HRA. Premiums for Health Net Blue & Gold, Kaiser and WHA are expected to increase from $2 to $10 per month, depending on the plan, salary band and dependents covered. UC will continue to cover an average of about 85 percent of the cost of the premiums. The final premiums will be available in early October. The 2014 plan offerings are the result of a comprehensive review of UC’s medical plan portfolio aimed at providing high quality medical insurance that is more specific to individual needs, while limiting cost increases to employees and the university. The review also offered an opportunity to leverage UC’s outstanding medical centers and take advantage of the changing medical-insurance marketplace. “We know how important quality medical insurance is to our employees and retirees, and we are continually looking for ways to ensure good benefits while limiting cost increases for employees and the university,” said Baptista. “Health care reform and a changing medical-insurance marketplace provided a good opportunity to rethink our benefits while still maintaining choice and quality.” Two Plans In, Four Plans Out The two new plans offer broad, nationwide networks of doctors and hospitals through Blue Shield, including UC’s medical centers, and both are expected to have lower monthly premiums than Anthem Blue Cross PPO, Anthem Blue Cross PLUS and Health Net HMO. UC Care is a new health plan created just for UC employees, retirees and families with coverage wherever you live, worldwide. You can get care from UC doctors and medical centers as well as the entire Blue Shield network of providers. You pay a fixed copayment when you use UC and other select providers near all UC campuses and coinsurance when using the other 65,000 Blue Shield providers. You also have coverage for out-of-network care. The Blue Shield Health Savings Plan is a high-deductible PPO plan paired with a health savings account (HSA) that lets you pay your out-of-pocket health care costs with tax-free dollars. UC provides an initial contribution and you can also make pre-tax contributions. You can use the funds any time for qualified medical expenses or save them for future health care needs. Your HSA balance carries over from year-to-year and you own the balance in the account, even if you transfer to another medical plan or leave UC. Blue Shield’s large PPO provider network offers a wide choice of doctors and hospitals or you can see out-of-network providers if you want to pay more. UC is eliminating the Anthem Blue Cross PPO and PLUS plans and the Health Net full HMO plan because they no longer provide the right value. “The costs for these plans continue to increase at a much faster rate than the other plans,” Baptista said. “Neither the university nor employees can continue to absorb double-digit annual increases.” The Anthem Lumenos PPO with HRA is being replaced with the Blue Shield Health Savings Plan. Employees are finding plans with health savings accounts to be more popular because of the tax advantages, the portability of the account and the ability to use the account to save for future retirement insurance needs. New for retirees Retirees and employees planning to retire in 2014 will have similar choices as employees. All six employee plans will be available to retirees not yet eligible for Medicare. Medicare-eligible retirees in California will have five plan options: Kaiser Senior Advantage, Health Net Seniority Plus, Blue Shield PPO, Blue Shield PPO without prescription drug coverage and Blue Shield High Option Supplement to Medicare. The Blue Shield Medicare plans are very similar to the current Anthem Blue Cross Medicare plans. For Medicare-eligible retirees living outside California, UC is taking a new approach. For those Medicare-eligible retirees with all covered family members in Medicare, UC will fund a Health Reimbursement Arrangement (HRA) which retirees will use to purchase individual coverage through Extend Health, a company that sponsors a Medicare Exchange. With the assistance of Extend Health’s licensed and trained benefit advisors, each covered family member will choose an individual Medicare plan that’s best for them. That includes Kaiser and other Medicare Advantage plans available in the retiree’s location. With the growing market for individual plans, many retirees will have more choices, many of which could meet their needs better than the UC plans currently available. In 2014, due to other changes in the UC-sponsored medical plan portfolio, only the Medicare PPO and the High Option Supplement to Medicare plans would have been available to those outside of California. UC plans extensive communication and education about medical plan choices throughout the fall to help faculty, staff and retirees make good choices. Watch for additional news stories, in-home mailings and campus events where you can learn more. Find all the details here.
Source: ucla.edu

Video: Anthem Medicare Advantage Plans | Enroll in Medicare

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 Medicare Anthem Medigap 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 Wellcare medicare
Source: croweandassociates.com

Why Should You Consider Anthem Medicare Preferred?

Signing up with an Anthem Medicare Preferred PPO plan gives you advantages like low monthly premiums, low copayments, flexibility and choice in doctors, additional prescription coverage under Part D, and easy eligibility requirements to meet. Within the Anthem Medicare family, you’ll find a reputable organization that has an extensive network, making it possible to offer the best possible coverage at the lowest rates around. Because everybody’s needs are unique, there could be a plan out there that’s a better fit, but Anthem Medicare offers an excellent combination of coverage and low cost. If you’re not sure which California health insurance plan to get, it might help to start with a Medicare plan from Anthem Blue Cross.
Source: benefitpackages.com

Medicare Insurance And Medicaid Products And Services For The Ill

The one is higher? The short alternative is it is dependent up on your own personal needs. You should reflect on if you use medical issues which is require expensive treatment method. Second, you really should consider how very often you travel or perhaps a if you plan in advance to move just. Thirdly, you have to weigh your individual options from an income basis. Do you want unhindered access toward medical care, or are you willing to spend a small number of time shopping very own options to a few?
Source: lutherwrightandthewrongs.com

Will My Anthem Medicare Supplement Fill In All The Gaps?

In today’s economy, just having health insurance is not enough. Due to the increasing cost of co-payments, deductibles and the rising cost of coinsurance, many people are faced with added expenses and are having a hard time staying on a budget. Therefore, Anthem Medicare Supplement was specifically developed to tackle the escalating cost concerning out of pocket expenses with Medicare patients in mind. The majority of Medicare insurance plans cover the basics such as doctor visits, annual physical exams and prescription drugs as well as an occasional need for hospital assistance. However, these traditional healthcare plans require a certain amount of extra expenses in the form of deductibles, coinsurance and co-pays also known as gaps in insurance coverage.
Source: seniorcorps.org

Anthem Medicare Supplemental Insurance Reviews

With Anthem Medicare Supplemental Insurance you’ll have the freedom to rely upon coverage for deductibles and co-insurance that traditional Medicare coverage doesn’t cover. You will also have the liberty of enjoying the security of knowing these benefits will not change regardless of the changes in your health. Freedom to choose plans offering 100% coverage for the basic benefits is also standard and that includes preventative care service as well. You will also have the option of selecting plans that cover well-trained nursing facilities, Medicare Part B Excess fees, and even far-off travel emergencies while exploring the world.
Source: ihealthcoalition.org

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October 05, 2013

Medicare Advantage: The canary in the coal mine

Posted by:  :  Category: Medicare

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The goal is obvious: destroy the incentive for patients to enroll in Medicare Advantage and push patients back to traditional Medicare. This effect is antagonistic to the stated objectives and selling points Democrats use to vehemently defend the controversial law. While progressives stump for the law and brag about its so-called market-based approach, their prized legislation quietly eliminates healthcare freedom for the more than 14 million current Medicare Advantage enrollees, gradually using market forces to push them all into the Medicare fee-for-service system. In effect, the phase-out from Medicare Advantage to fee-for-service is nothing more than a move from markets to a government monopoly.
Source: dailycaller.com

Video: Florida Medicare Supplement Plans, CALL 954-381-1766 visit www.insuranceaccesstoday.com/medicare.php

Medicare Enrollment in Florida 2014: Medicare Independent Agent in Tampa Bay

Medicare Advantage vs. Original Medicare with Medigap: Florida Full Coverage Choices If you’re concerned that an HMO or PPO health plan will overly limit your care, a Medicare Advantage Plan is not your only option. For a small amount more in your monthly premium you can have the best senior healthcare available. When you keep your Original Medicare and supplement it with Medicare Part D and supplemental Medicare Insurance, you have full coverage with very few restrictions. Medicare supplement insurance (Medigap) in Florida protects you from the risk of big hospital and doctor bills. You will be relieved to know that all supplement plan available in Florida are standard. That means you have the benefit of shopping by best price.
Source: tampabaynewswire.com

Florida Medicare Advantage Plans from Freedom Health

Since the health maintenance organization (HMO) deals strictly in Medicare and Medicaid plans, its medicare supplemental coverage is offered in combination with an existing Medicare or Medicaid policy. Therefore, to qualify for one of their health plans, you will already have to be enrolled in a Medicaid policy or Medicare Part A and Part B. Freedom Health has several different Medicare Advantage plans to choose from. These include plans that provide prescription drug coverage and have Part B premium reductions, as well as those aimed at customers with chronic conditions and those who have coverage with both Medicare and Medicaid.
Source: qooqe.com

Medicare Annual Election Period

Also important during this time is evaluating your options to ensure that you are still on the plan that is best for you.  Be sure to compare the changes to your current Medicare Plan and any others in your area.  Plans change yearly, some more than others.  Some plans may add extra benefits, while others may drop them. Compare not only the monthly plan premiums but also the co-payments for primary & specialty physician visits, inpatient hospital stay amounts, outpatient surgery, and the changes to the drug formulary.
Source: floridamedicareplans.com

Medicare, Medicaid To Keep Running Despite U.S. Government Shutdown – WebMD

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

Ryan’s Medicare Rhetoric Could Hurt in Florida

Start with a person who was born in 1944, began work at age 21, retired at age 65 and enrolled in Medicare. Over the course of his life he paid the Medicare tax out of his wages. According to the 2009 Medicare Trustees Report, the average Medicare benefit per person in 2008 was $11,012. We subtract the average Medicare premium of $1,288 to produce an average net benefit of $9,724. I’ll assume that this person collects the average Medicare benefit from age 65 through age 83 (his life expectancy as of age 65).
Source: thetakeaway.org

Obamacare and You: If You Have Medicare…

Most of the other changes to Medicare affect how Medicare pays health insurance companies, hospitals and other health care providers for the care received by people on Medicare.  For example, the law reduced what Medicare pays HMOs and other private Medicare Advantage plans.  Other changes are designed to get hospitals, doctors and other health care providers to improve the quality of care they provide for people on Medicare, such as by encouraging providers to work more closely together to coordinate care for patients when they are discharged from the hospital and by taking steps to prevent unnecessary hospital readmissions.  Most of these efforts are in the early stages, and it will take time to see what kind of impact they have.
Source: kff.org

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

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

10 States With The Worst Health Coverage

These states have low rates of employer-provided insurance, Cunningham explained, because of the industries that are common in these states. Most of these states have lower proportions of higher paying jobs or unionized manufacturing jobs, in which employers tend to provide insurance. In fact, all but one of these states had below the national average manufacturing employment. “We all talk about the decline of American manufacturing, but it’s still the case that in a lot of states, the traditional manufacturing jobs still play a pretty big role.”
Source: 247wallst.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

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October 05, 2013

Medicare phone scam targeting local elderly

Posted by:  :  Category: Medicare

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Connell was very suspicious at this point as his bank information has nothing to do with his Medicare. The man then put another person on the line that repeated the same script, asking Connell to read the numbers on the bottom of his check. The numbers on the bottom of checks contain the account number for the check as well as the bank routing number and check number.
Source: tacticalminc.com

Video: Tutorial – CRM 2011 Contact Reference Numbers

CMS identifies ‘large number of overpayments’ for incarcerated Medicare beneficiaries

If a beneficiary did not inform the SSA of his or her release from custody, this may result in his or her record being incorrect. If a provider believes this is the case, the provider may wish to encourage the beneficiary to contact his or her local SSA office to have his or her records updated. It can take up to one month for the beneficiary’s Medicare eligibility file to be updated with the revised SSA information. If the beneficiary tells the provider that SSA is updating his or her records, we suggest the provider contact the Medicare Administrative Contractor using the contact information on the overpayment demand letter.
Source: hmenews.com

Administration will not release number of Obamacare enrollees on opening day

“As we have said before with any new product launch there will be glitches as things unfold and as things arise we will fix them. In this vein we do want to remind consumers who need help that they have several options including contacting our call center which is open 24/7, and we have received more than 81,000 calls so far,” Tavenner said, adding that local in person help is also available.
Source: dailycaller.com

Telephone Scam Aimed at Medicare Beneficiaries

A caller says they are from Medicare and asks you to verify that you received a new Medicare member ID card. They also ask for your Social Security number, bank account number or address. The caller may say they are verifying your account information and need to send you important information about your Medicare ID card. The caller may also be unwilling to give you their name and call back number.
Source: insurancestores.com

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, Medicaid To Keep Running Despite U.S. Government Shutdown – WebMD

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

Police warn of Medicare scam

(Press Release)  The Bishop Police Department would like to make the public aware of a phone scam circling the Bishop area. We have received reports advising the police department that local residents are receiving phone calls from a Medicare representative. A heavy accented speaking male subject tells the caller he is from Medicare and needs the name of the bank they use. If asked why, the representative continues by saying he needs the name of the bank and the banks routing number or else the Medicare card will be cancelled.  If you hang up the phone, they try again to call back and use scare tactics in order to obtain the bank information.
Source: sierrawave.net

Breitenfeldt Group: Offering simple Medicare solutions

Some of the things to consider include premium costs, benefits, provider choice, prescription drugs, pharmacy choice, convenience, travel and quality of care. What will you pay out of pocket? Are extra benefits available, like eye  exams or hearing aids? Does your doctor accept the plan? Do you spend a part of each year in another state? What will your prescription drugs cost? What pharmacy can you use? Do you have or are you eligible for other types of coverage? Do you qualify for extra help? These are some of the questions that will be answered as your Medicare “puzzle” is assembled.
Source: srperspective.com

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October 05, 2013

Aligning with Medicare to reduce data collection burden

Posted by:  :  Category: Medicare

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The 2013 Federal Budget Reconciliation Act allows Medicare to recognize providers who participate in clinical data registries that are able to generate quality measures for Medicare. This change has opened the door for providers to meet the requirements of federal programs by participating in reporting processes such as MNCM’s. In February 2013, the Centers for Medicare and Medicaid Services (CMS) issued a Request for Information to solicit responses from the public about how clinical registries  could be used for the Physician Quality Reporting System (PQRS) and Meaningful Use (the Electronic Health Record Incentive Program). These registries could include those operated by specialty boards or societies, regional health improvement collaboratives (or RHICs) such as MNCM, or other non-federal reporting programs.
Source: mncm.org

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

Peter Orszag: Will Medicare fixes lead to hospital mergers?

That difference between Medicare and private insurance, by the way, poses a fundamental dilemma for policy makers. The panel, like most other health economists and experts, strongly supports the health-care system’s shift away from fee-for-service payment and toward paying for value — through bundled payments or accountable care organizations, for example — because this should discourage unnecessary care. At the same time, it also loads more risk onto doctors and hospitals, as if they were the insurers. Yet many of them lack the scale to spread the risks efficiently. This is one reason so many providers are looking to merge with one another.
Source: politicsinminnesota.com

The Cost of Minnesota’s Average Medigap Plan

While most of America (47 states) must consign to the National Association of Insurance Commissioners (NAIC) standardization of Medigap policies, Minnesota does not. Minnesota is one of the three waiver states that standardized their Medicare supplement plans before NAIC’s involvement in 1990. Because of this, so long as the plans offered cover the basic requirements, Minnesota (along with Massachusetts and Wisconsin) is able to continue issuing their Medicare supplement plans.
Source: medicaresupplement.com

Man Charged in Medicare Fraud Involving Minnesota Company

The indictment was filed in U.S. District Court of Eastern District of Pennsylvania, although Orthofix’s home office is located in Minnesota. The case says that Orthofix was able to submit claims directly to Medicare for reimbursement in the amount of 80% of the cost of the devices, ranging between $3,500 and $4,400 each. The Medicare policy also states that Medicare requires a written physician’s statement that says the bone fracture has not healed at all before and during treatment.
Source: caplanlaw.com

A Look At Services Affected By The Federal Gov’t Shutdown

WHAT CLOSES: * Any federal agency that’s subject to appropriations. Each agency has the discretion to decide who is “excepted” or “emergency”, and who is furloughed. * All National Parks. * All federally-funded museums, including Smithsonian and the National Zoo. * All federal government websites. * Research by Health and Human Services stops. So does the grant process. Depending on how long it lasts, that will also impact medical research at hospitals and universities. * Applying for Social Security. If you’re a new retiree, your application won’t be processed. * IRS walk-in centers. Your paper tax return will not be processed. * Loan applications for small businesses, college tuition, or mortgages. * All Library of Congress buildings. All public events will be cancelled and web sites will be inaccessible. * Federal contractors will be out of work. * Federal workers (except “excepted” or “emergency” personnel) will not be allowed to work, not even from home. No blackberry, no smartphone, no laptop. Not even allowed to check work email.
Source: cbslocal.com

Massachusetts, Minnesota, and Wisconsin Medicare Supplement Plans

Unlike most states, which offer the option to enroll in one of 10 standard Medigap policies, Massachusetts, Minnesota, and Wisconsin offer Medicare Supplement plan offerings that are unique to these states. Medicare Supplement (Medigap) plans are available as an option to get coverage for out-of-pocket costs not already covered by Part A and Part B. In most of the United States, eligible beneficiaries can choose from 10 standardized Medigap plan offerings, with plans named the same letter offering the same benefits no matter what state the plan is offered in. However, as stated previously, not all beneficiaries have the option to enroll in one of these standard Medigap policies.
Source: planprescriber.com

Confused?: Answers about the Affordable Care Act

Yet some aspects of the law — such as a provision requiring insurance companies to include adult children in coverage up to age 26 — already are in effect. And in two days, the online health insurance marketplace will open in all 50 states and the District of Columbia: That includes Minnesota’s version, MNsure, and the federal version to be offered in Wisconsin and 26 other states. The Obama administration hopes that 7 million currently uninsured Americans will sign up on the marketplace by March 30, when enrollment ends.
Source: duluthnewstribune.com

Breitenfeldt Group: Offering simple Medicare solutions

Some of the things to consider include premium costs, benefits, provider choice, prescription drugs, pharmacy choice, convenience, travel and quality of care. What will you pay out of pocket? Are extra benefits available, like eye  exams or hearing aids? Does your doctor accept the plan? Do you spend a part of each year in another state? What will your prescription drugs cost? What pharmacy can you use? Do you have or are you eligible for other types of coverage? Do you qualify for extra help? These are some of the questions that will be answered as your Medicare “puzzle” is assembled.
Source: srperspective.com

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October 05, 2013

Tax Medicare Benefits or require beneficiaries to pay 50% of Part B costs rather than 25%

Posted by:  :  Category: Medicare

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The chart of taxes paid versus benefits received is based on people retiring in 2030. We are not quite there yet but on average, people get more than they pay for from medicare. There is no doubt that in their present form, both social security and especially medicare are fiscal failures due to their Ponzi like structures and lack of legislative will to make necessary actuarial changes in a timely manner. The fact that the average “Joe citizen “doesn’t understand or take the time to educate themselves on the economics of the system doesn’t help the situation either. This country needs to go back to the drawing board and entirely revamp the tax code and all its loopholes, expenditures and preferences while at the same time getting a grip on entitlements. Anything short of this will just be putting rubber bands and sealing wax on a terribly flawed system. A perfect example of this is fixing a health care system with Obamacare. Do I think any of this might happen in the near future? That’s an unqualified NO, not with the current state of politics but if it doesn’t happen eventually, government shut downs and debt limit fights will seem like a walk in the park.
Source: quinnscommentary.com

Video: Tax Forms & Deductions : How to Calculate Medicare Taxes Withheld

Two Charged in a $190 Million Miami Medicare Fraud Scheme

According to federal prosecutors, Santoyo and Olivares served as patient brokers in an alleged scheme orchestrated by the owners and operators of American Therapeutic Corporation (ATC) and its management company, Medlink Professional Management Group Inc., in Miami. ATC operated purported partial hospitalization programs (PHPs) in seven locations throughout South Florida and Orlando.
Source: aronovitzlaw.com

Chiropractic Care and ABN Forms

Generally speaking, every single one of your Medicare patients should have an ABN on file. An ABN designates an Advanced Beneficiary Notice. Now if you don’t do this, or forget to do this for a while, generally speaking it’s not going to get you into real deep trouble with the federal authorities. If you end up being audited and don’t have an ABN form often times the authorities simply say that because you didn’t have an ABN form, if they’re asking for money back or they say that they overpaid you or something like that, the lack of having that ABN form makes it impossible for you to make the patient pay for that care that Medicare has now denied. So that’s the really big reason for keeping an ABN on file for all your Medicare patients. Otherwise, simply from a compliance standpoint, you’re not going to get into too much trouble by not having an ABN. However, you really should do it anyway, just as a smart course of action for all patients. It’s a good thing to let your patients know what’s going to be covered and what’s not going to be covered when they come in for their chiropractic treatment.
Source: clinicdr.com

What Is The Life Cycle Of A Medicare Form?

The life cycle of a Medicare form can be very important to many patients. Many patients all around the country happen to fill out those Medicare forms. You can show some real compassion to patients by helping out their Medicare forms. They want these things to end up lasting forever. The truth of the matter is that patients need to understand that the life cycle of a Medicare form happens to only last a couple of years at the most. The patient has to come to understand that the renewal process is a part of the life cycle of a Medicare form.
Source: seniorcorps.org

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