Popular Questions about Medicare and the Health Insurance Exchange

Posted by:  :  Category: Medicare

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I’m about to turn age 65 in a few months and will be eligible for Medicare, should I buy a plan in the Exchange? If you’re about to turn 65 and you currently don’t have health insurance, you can buy a health plan in the Exchange. However, when you officially enroll in Medicare, you’ll need to drop your Exchange plan. Note: Any plan you buy in the Exchange between Oct. 1 and Dec. 31, 2013, won’t take effect until Jan. 1, 2014.
Source: crisisclinic.org

Video: Medicare Supplement Plans | Questions about Medicare Supplement Plans

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: kaiserhealthnews.org

Update and breaking: Medicare Advantage information from the Illinois Senate Democratic Caucus. “Questions abound.”

IEA members will have access to a full overview of their insurance (deductibles, co-pays, premiums and insurance providers) within the next 72 hours when the information will be posted to the CMS website.
Source: wordpress.com

Medicare Open Enrollment FAQ

Review your benefits and costs for 2014, compare alternatives and decide whether to keep or change plans during Medicare’s annual open enrollment period Oct. 15 through Dec. 7. This year, Medicare’s open enrollment overlaps with open enrollment for the new insurance marketplaces or exchanges created under the Affordable Care Act, also commonly referred to as Obamacare — but don’t let that throw you. Medicare’s 50 million-plus beneficiaries, most of them seniors, will steer clear of the marketplaces. Got questions? Here’s what you need to know about Medicare’s open enrollment in the marketplace era.
Source: aarp.org

Top Story Podcast 10/25/13

Medicare Questions? Rod Haynes from the Region 10 Medicare/Medicaid office in Seattle talks about new rules and answers questions. Chelby has the CSI update. Does your doctor ask if you have guns in your home?
Source: newsradio1310.com

Medicare Questions Answered at Johnston Public Library

Are you currently enrolled in Medicare or do you have a family member with Medicare questions? Come to Johnston Public Library on Saturday, November 2nd at 10:30 am for a free Welcome to Medicare program, facilitated by SHIP counselors. SHIP, a free, confidential service of the State of Iowa, helps Iowans make informed decisions about Medicare and other health coverage. SHIP counselors will be on hand to answer Medicare queries ranging from Medicare Parts A and B coverage, benefits, eligibility requirements, and health care costs. Pre-register online at www.johnstonlibrary.com or by calling the library at 515-278-5233.
Source: iowalivingmagazines.com

What is the difference between Social Security and Medicare taxes?

The Social Security tax is 6.2% and is based on each employee’s wages (including salaries, bonuses, commissions, etc.) up to the first $94,200 of annual wages in the year 2006. (The base amount increases each year.) The Social Security tax is withheld from each employee’s wages and is also matched by the employer. This makes the total Social Security tax equal to 12.4% of each employee’s annual wages up to $94,200. The Medicare tax is 1.45% and is based on each employee’s wages without limit. The Medicare tax is withheld from each employee’s wages and is matched by the employer. This makes the total Medicare tax equal to 2.9% on every dollar of wages. The combination of Social Security taxes and Medicare taxes is referred to as FICA. Often we refer to the FICA tax rate as 7.65% (6.2% Social Security + 1.45% Medicare) of each employee’s first $94,200 of annual wages in 2006. Employee wages in excess of $94,200 are taxed only for Medicare at 1.45% for the employee and 1.45% for the employer. This makes the total FICA tax 15.3% (7.65% employee + 7.65% employer) on the first $94,200 and 2.9% (1.45% employee + 1.45% employer) on 2006 wages in excess of $94,200. (Self-employed persons are responsible for both the employee and employer portions.) Social Security involves retirement and disability benefits. Medicare involves health care for people 65 years of age and older. Learn more about Payroll Accounting, Bookkeeping.
Source: accountingcoach.com

How to Cut Medicare Spending: Attack Large Claims!!

Posted by:  :  Category: Medicare

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I would attack drug costs with reference pricing. In each therapeutic class, the most cost-effective drug would be paid for in full and patients would pay the entire difference for more expensive drugs unless they couldn’t tolerate the cheaper drug for some reason which would probably happen about 10%-20% of the time. For devices, we need to get rid of the confidentiality agreements that currently preclude disclosure of actual contract, as opposed to list, prices. Let hospital discover what their competitors are paying and maybe we can get some convergence toward the lower prices paid by the larger, high volume hospitals.
Source: thehealthcareblog.com

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

What is an MSP Code And Claim Exclusion: FK PSBR0500 MISSING INSURANCE TYPE CODE

5010 AAPC Adoption ADP AdvancedMD AHIMA ASTD Charge Entry checklist Claims Processing Classes CMS Credit Card Processing Demographics Design Education EHR EOM EOY Financials HIMSS ICD-10 ICD-10 training iLearn Implementation Internet Explorer Learning Solutions Login Meaningful Use Medicare Fee Schedule Payment Entry Period Close Plan Practice Management Regulatory Reports System Setup System Updates TD Magazine Templates Tips Training transition Updates Webinars
Source: advancedmd.com

CMS Proposes to Significantly Increase Reward for Reporting Medicare Fraud

CMS noted that it expects its proposed enhancement to the IRP reward to encourage more people to come forward with information, leading to an increase in the recuperation of health care fraud funds. This expectation is based on the success of an Internal Revenue Service (IRS) program that pays individuals for reporting IRS tax code violations. The IRS reward program—which pays whistleblowers 15–30% of the amount collected by the IRS for all claims filed after July 1, 2010 and pays 15% of the amount collected for claims under $2 million filed before July 2010—has both paid out more rewards and collected more money than the IRP. Since its inception in 1998, the IRP has paid out only 18 rewards, totaling $16,000 in reward payments and less than $3.5 million in collected funds. The IRS program, on the other hand, paid out approximately $193 million in rewards and collected almost $1.6 billion from 2007–2012. CMS did not comment on whether it believes there is a comparable level of Medicare and tax code fraud.
Source: regblog.org

Medicare Secondary Payer: Web Portal to Collect Data on Conditional Payment Amounts and Claims Detail 

Within 30 days of securing a settlement, the beneficiary or his or her attorney or other representative must submit information specified by the settlement.  CMS says that the settlement information will be the same information that the Medicare agency typically collects to calculate its final demand amount.  The information includes the date of the settlement, the total settlement amount, the attorney fee amount or percentage, and additional costs borne by the beneficiary to obtain his or her settlement.[11]  If the beneficiary does not submit the settlement information within the 30 day period above, the final conditional payment amount obtained through the web portal will expire.[12]  The web portal will also have the capacity for beneficiaries to request a "claims refresh." That refresh will be initiated no later than 5 business days after the electronic request is initiated.
Source: medicareadvocacy.org

MedicareBob’s Blog: Robert Bache aka “MedicareBob” endorses Medicare Shield:

“Medicare Fraud, Waste, and Abuse is a real problem for our Government / tax payers and Medicare beneficiaries. Medicare Fraud may not feel real until it effects you, but what people need to understand is the Medicare Fraud affects every single tax payer! Billions of tax payer dollars EVERY YEAR are lost due to Medicare Fraud. In addition to the lost money, the emotional heartache that a senior experiences when they fall victim may have a bigger impact. Medicare Shield is a free service that empowers Medicare beneficiaries with the ability to easily monitor all of the claims that are filed using their social security number / Medicare Claim Number, and if they see a fraudulent claim, Medicare Shield makes it easy to report it”, Robert Bache, President Senior Healthcare Direct. Medicare Fraud, what is it? It is fraud when Medicare is billed for services or supplies you never received. Medicare loses billions of dollars to fraudulent claims every year. Why is it important to stop Medicare fraud? Medicare fraud results in higher health care costs for everyone. Eliminating fraud cuts costs for families, businesses, and the federal government. It also increases the quality of services for those who need care.
Source: blogspot.com

Medicare to deny claims with no NPI : Getting Paid

Physicians and others who want to continue ordering and referring items and services need to establish their Medicare enrollment record and make sure they’re of a specialty that is eligible to order and refer. You can enroll in the Medicare program here: Internet-Based Provider Enrollment, Chain, and Ownership System (PECOS). Physicians who have a valid opt-out affidavit on file are not required to enroll in Medicare. CMS also has a shorter enrollment form, known as the CMS-855-0, for use by physicians and other health professionals who refer and order services but do not bill Medicare directly.
Source: aafp.org

PA Medicaid expansion update

Posted by:  :  Category: Medicare

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Corbett wants the Centers for Medicare and Medicaid Services to allow the state to charge existing Medicaid recipients a monthly co-pay of $25 to $35 instead of a $10 co-pay for doctor’s visits that is now in place. He also wants approval to require some Medicaid recipients to show proof of employment or proof that they are looking for work by logging onto a state website that tracks job openings and job training opportunities.
Source: mcall.com

Video: Best Pa Medicare Plans | Medicare Advantage Plans or Medicare Supplement Plans

Daily Kos: Some Republican states still considering Medicaid expansion

The job search requirements in Corbett’s plan could be a poison pill for the administration, which would have to provide a waiver to allow the program to go forward. But a waiver that would privatize Medicaid has been approved for Arkansas. Next week, New Hampshire’s legislature will convene in special session to consider the expansion. There isn’t a deadline for Medicaid expansion: States can accept the additional funding at any time. The 100 percent federal funding for it, however, only lasts through 2016. After that it starts slowly phasing down the match until 2020 (and for all subsequent years), when it will pay 90 percent of the costs of covering these individuals.
Source: dailykos.com

Pa. Governor Proposes Private Sector

“Next week, the governor is going to outline his vision for a Pennsylvania-specific plan to increase access to quality and affordable health care for all Pennsylvanians,” said Jennifer Branstetter, Corbett’s policy secretary, who declined to give details. “Gov. Corbett has consistently said Pennsylvania cannot afford to grow an entitlement program, and that we need to look at a number of other options – based on commonsense reforms – to increase access to affordable health care.”
Source: kaiserhealthnews.org

Pennsylvania to take Medicaid funds, with a catch

The federal Centers for Medicare & Medicaid Services said it was “encouraged” by signs of movement toward expansion in Pennsylvania and emphasized a willingness to show “flexibility” to states that offer alternative versions. But as of Monday afternoon, the agency hadn’t received a formal proposal from Corbett, and it’s unclear if the plan would meet federal muster. The agency has emphasized that private-sector Medicaid plans must provide the same level of benefits and cover as much of the cost of coverage as the traditional program.
Source: politico.com

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November 17, 2013

Middlesex YMCA: Medicare Made Clear

Posted by:  :  Category: Medicare

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Determining which insurance coverage is best for you can be confusing, and its even more so when you add in all of the Medicare options. To help you sort through all of the information and get answers to your questions, the Middelsex YMCA is proud to host two FREE information sessions called “Medicare Made Clear”. Choose the one session that is most convenient for you. And please invite a friend. Session A- Wednesday, November 10th 11:00 am in the Hazen Room of the YMCA Session B- Friday, November 12th 9:30 am in the Hazen Room of the YMCA Each session will be approx 1 hour and we will provide coffee. To reserve your seat please stop by the Front Desk of the YMCA or contact Helen at (860) 343-6230 or hpeaslee@midymca.org
Source: blogspot.com

Video: How to Understand Medicare Plans

Understanding Medicare important for seniors’ well

, the news is full of more health care and insurance jargon than ever: Health insurance marketplaces. Premium subsidies. Essential health benefits. All of this buzz can make it difficult for the more than 270,000 Medicare beneficiaries in the Las Vegas area to cut through the clutter and find the information they need about their Medicare options for 2014. That may help explain why the Medicare Made Clear Index, a survey of 1,000 older adults conducted earlier this year, found that most beneficiaries’ understanding of Medicare is limited. Baby boomers in their early 60s, who are approaching Medicare eligibility and may be a caregiver for a parent or loved one who receives Medicare benefits, reported the lowest confidence levels in their Medicare knowledge of all survey participants, with most saying they have a “fair” or “poor” understanding of the program. This is concerning because Medicare is not a one-size-fits-all program, and coverage decisions can have a significant impact on beneficiaries’ health — and wallets. Whether you’re a baby boomer preparing to enroll in Medicare for the first time, a beneficiary considering making a change to your coverage, or a caregiver for someone who receives Medicare benefits, you should know that these decisions require thoughtful planning. The good news: They don’t have to be a struggle. The goal of National Medicare Education Week (Sept. 15-22) was to help people learn more about Medicare so they can find coverage that’s a good fit for their individual needs. It starts one month before Medicare’s annual Open Enrollment Period (
Source: lasvegastribune.net

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November 17, 2013

THE EVERETT CLINIC ANNOUNCES THEIR 2014 MEDICARE ADVANTAGE HMO PLANS

Posted by:  :  Category: Medicare

The Everett Clinic announced on October 29th that they have contracted with Regence on the PPO plan for 2014. This is great news for nearly 1,000 VibrantUSA customers as they may have needed to make a change. If you had the Regence PPO plan and made a change for 2014 with another carrier, please contact our office to speak with your agent to make sure that the plan you have selected for 2014 is still the best option for you.
Source: vibrantusa.com

Video: Medicare HMO-POS – What Are The Benefits?

News Article/Update on State Medicare Advantage Plans

The complete program information is now available on the CMS website for both the College Insurance Program (CIP) and the State Employees’ Group Health Program. The TRAIL Decision Guide includes an explanation of plan options, plan comparison chart, rate chart, coverage map, and contact information for the four plan administrators. The site also offers a comprehensive FAQ (Frequently Asked Questions) sheet for CIP and State Employees.
Source: surs.com

EMPIRE BC/BS Changing 2014 Medicare Advantage Individual Plans

We will reduce the service area of Empire MediBlue Freedom I LPPO plans in Columbia, Delaware, Greene, Montgomery, Warren and Washington counties. We will reduce the service area of Empire MediBlue Freedom II LPPO plans in Clinton, Columbia, Essex, Fulton, Montgomery, Rensselaer, Suffolk, Sullivan, Ulster, Warren and Washington counties. We will reduce the service area of Empire MediBlue Freedom III LPPO plans in Albany, Greene, King, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington counties.
Source: nacmed.org

Emblem Health Medicare plan receives four quality stars

About EmblemHealth: EmblemHealth, Inc., through its companies Group Health Incorporated (GHI) and HIP Health Plan of New York (HIP), provides quality health care coverage and administrative services to approximately 3.4 million people. Groups and individuals can choose from a variety of PPO, EPO and HMO plans, as well as coverage for prescription drugs and dental and vision care. EmblemHealth offers a choice of networks, including quality doctors and other health care professionals throughout the region, leading acute care hospitals across the tristate area, and physicians and hospitals across all 50 states. For more information, visit www.emblemhealth.com.
Source: ifawebnews.com

RIVERSIDE COUNTY: New Court Executive Officer Named

PE.com is now using Facebook Comments. Comments are subject to Facebook’s Privacy Policy and Terms of Service on data use. If you don’t want your comment to appear on Facebook, uncheck the ‘Post to Facebook’ box. To find out more, read the FAQ.
Source: pe.com

ibm medicare options: IBM Medicare Aetna PPO & HMO participants don’t use Extend Health

I just helped someone this morning who used an IBM Aetna PPO plan in 2013.  She will be able to use that Aetna PPO plan for 2 more years.  The same deal applies for people who used the Aetna HMO plan.  She doesn’t use Extend Health to enroll and there is no dealing with Extend Health for any reimbursements.  She uses the IBM Service Center to enroll.  Because she is still on a corporate group plan she also will be able to keep her Met Life Dental plan and her Anthem Vision plan.        These Aetna plans were corporate group plans created for a consortium of companies know as Retiree Health Access.  I will guess that there were a lot of IBM retirees enrolled in these plans and it would have dramatically affected the price structure of the plans for them to abruptly drop out.  What a pity that people who were on Aetna Integration plans which were also offered out of RHA weren’t given the same option.     What a shame that IBM is phasing out of Aetna RHA.  That is a real corporate health exchange that put us in a big insurance pool because it was funded and used by many companies.  It gave us excellent choices and my bet is the cost of our insurance would not have dramatically risen because of the size of the insurance pool.  Of course, it meant that IBM would have to spend all the subsidy money instead of betting we will be bumbling idiots and forget to do the paperwork to suck all the money out of our HRA accounts.  Shame on IBM for being so ruthless.  Shame, shame, shame.
Source: blogspot.com

Cigna HealthCare of Arizona Medicare Advantage HMO Plan Rated Among the Highest in Arizona for Third Consecutive Year by CMS

CIGNA is a Philadelphia-based health insurance company, providing health care plans to both business and individuals, that dates back to 1792. Competitors inclue Aetna, WellPoint and UnitedHealth Group.
Source: prsync.com

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November 17, 2013

The Ins and Outs of Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

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Yes! So how does this relate to Medicare’s coverage? There is a general rule of thumb that is called the “80/20 rule.” Outside of some of the preventative items like mammograms, colorectal screenings, and some psychiatric care, Medicare covers the first 80 percent of medical bills, leaving you to cover the last 20 percent. Medicare will also cover certain medically-necessary pieces of equipment like seat lift mechanisms and diabetic shoes (fitted by a specialist, of course). It doesn’t seem so bad at first, especially if you’re a healthy individual, but if something happens that requires you to need urgent medical care or even an operation, you may have to spend tens- to hundreds-of-thousands of dollars. A June 2011 report from the Kaiser Family Foundation predicted that by the year 2020 the median out-of-pocket spending for seniors with Medicare is projected to reach 26 percent of all income, with the most money being spent in the last five years of their life. This is why supplemental Medicare insurance is a necessity for every senior. Not only do you really need Medicare supplemental insurance, you need it before something happens to you, and you likely won’t use it much until the last 5 years of life. So two points to keep in mind 1) If you wait until a procedure is needed or something unexpected happens to you, you’ve waited too long, and 2) Don’t make the mistake of cancelling your Medicare supplement policy because you’ve’ paid in more than you use. It’s health insurance and in this case it works best if it’s held to its natural end point.
Source: insideeldercare.com

Video: California Senior Citizens Medicare Supplement Insurance Plans

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

Brookhaven NY Auto, Business Insurance and Medicare Supplement Insurance

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

What Exactly Is Medicare Supplemental Insurance Program

Medicare health insurance Part A often is hospital insurance, which takes care of inpatient hospital keeps and care on the inside hospice, home physical health care, and assisted living facilities. Medicare Part C is medical program. It covers services from the doctors, outpatient services, and preventative assistance. Medicare Part C, recognized as as a Medicare health insurance Advantage Plan, carries Part A, Element B, and prescription drugs. The fourth, Medicare insurance Part D, is without question prescription drug coverage, and may upwards lowering costs to get prescriptions overall.
Source: jimm-skachat.com

Medicare Supplemental Insurance Insurance Costs Additionally Benefits

I’m of the idea that if you can to pay limited for Medigap also Part D Plan in advance (and it really pay to company around) that you pay the charges and be finished with it. Should you not afford it however, there may without be plans present protection over and so above Original Medicare health insurance (plans for exercise that provide a considerable Maximum Out from Pocket, or MOOP). It can be extremely essential which fully grasp of one’s outset that these named “strategies, ins due to enable you to get Medicare arrives in 2 diverse “parts.” Unit A is only the fundamentals Medicare health bundle, even though Side B should end up being paid for in the monthly premiums. Bear this on the inside thoughts for dual important reasons. Some of the plans are completely standardized by ones Federal Government, that mean that cost also company reputation have always been the primary equivalence factors that a person need to stop in mind. Strategies E, H, I, and J will be able to cease to existing. These plans is designed to not be produced by any insurance plan company after July 1, 2010. Yet, if the individual are currently signed up in Plans E, H, I, in addition J, then your company can be “grandfathered” in to control the policy. Please keep living in mind that a lot of insurance companies really does let you chang your coverage to help you one of some sort of new “modernized” medicare supplement plans policies. Actually be a extremely opportunity as usually there could be much higher renewal premiums available for E, H, I, and J all the way through the future triggerred by the be lacking of premiums ranging from new recipients pertaining to that coverage. If you be put off to convert this specific supplement the allotted days period, then nicely need to check out through medical underwriting and thus threat decline. Medical is the most significant asset that you’ll want to take care skillfully. There are many things in a lifetime that you want to make efforts to take care of them. Astonishingly too is a single. You cannot lead the latest contended life with out great health. In life, you will confront a wide involving medical problems and as well dealing with each of them will surely be rather an expensive party. In this scenario, you will are looking for an excellent choice that will assist you in preparing pay off a medical expenses. This is precisely what you will gain with Medicare extra insurance. That this new law equally eliminates late application penalties payable a subsidy-eligible individuals with reference to Medicare Facet D. Which may be the Voluntary Pharmaceutical Drug Benefit Routine. In the past, them who elected not considered to enroll wearing Part D, challenged penalties if many people changed their kisses and tried time for enroll at in the future. Medicare health insurance Part An is referred to basically hospital coverage. This plan identifies overhead incurred in the hospital setting so much as; room and then board, impatient health care within an expert nursing facility, surgery care and compulsory home health cleaning.
Source: typepad.com

Medicare Insurance Supplement Insurance Shall Change In 10

Are going to do you want which will pay for herpes virus costs out related your pocket? Often times, medications that we spend money for on some monthly basis ought to range up involved in the hundreds most typically associated with dollars. Giving this type concerning payment would be more extremely difficult because a senior, when you are most retired and stressed to pay simple living expenses. Fortunately, the insurance provides life insurance coverage for prescription is priced at. There are hands down some prescriptions a are not addressed in the primary Medicare program, which is why your family need to approve up to one particular service like here insurance.
Source: starship7170.com

Medigap Plans from Gerber Life Insurance

All of these Medicare supplement plans offered through Gerber life will cover your major out-of-pocket costs, those being the part a and part B deductibles and other costs associated risk receiving treatment from a Medicare contracted provider such as outpatient lab testing, outpatient surgeries and Dr. visits.
Source: qooqe.com

Is Medigap for wealthy people who want more health care?

MedPAC has provided us with the numbers that indicate how patients respond to Medigap incentives. When Medicare beneficiaries elect to purchase Medigap plans, their premiums triple, no matter the status of their health. But look at their out-of-pocket expenses, excluding the premiums. If they are healthy, the out-of-pocket expenses are not much different, whether or not they are enrolled in a Medigap plan. If they are not healthy, the out-of-pocket expenses are quite a bit higher, but still with not much difference between those with and those without a Medigap plan.
Source: pnhp.org

Medigap vs. Medicare Advantage Plan

Medicare Advantage comprises a variety of private health plans — most often HMOs and PPOs — that Medicare offers as a coverage alternative to the traditional program. Every plan must cover all the same benefits that traditional Medicare covers. But the plans can charge different copayments (often lower than the traditional program but not always) and offer extra benefits. Most charge a monthly premium in addition to the Part B premium, but some don’t. Most include prescription drug coverage at no additional cost. Some cover routine hearing and vision services, usually as a separate package for an additional premium. Another difference from the traditional program is that most plans require you to go to doctors and other providers within their service network or pay higher copays for going out of network.
Source: aarp.org

Medicare Supplemental Insurance

We also offer a Plan F High Deductible Medicare Supplement Insurance plan* that is designed to save you money if you stay healthy and keeps the cost of insurance affordable. There is a one-time deduction that must be met each year with this plan. With a Medicare Supplement Insurance plan from Pekin Life Insurance Company you will also have access to discounts on eye exams, eyeglasses, contact lenses, LASIK correction surgery, hearing aids, hearing exams, and more at NO CHARGE.
Source: pekininsurance.com

The Cost of Minnesota’s Average Medigap Plan

By pressing “Click Here And Get Your Quote ” above, (1) I consent to receive phone calls from TZ Insurance Solutions LLC or its affiliates, or one of its third-party partners, or their service provider partners on their behalf, regarding their products and services, at the phone number provided above, including my wireless number, if provided, and (2) I agree to this website’s privacy policy and terms and conditions. I understand that these calls may be generated using an automated technology. Partners may include SelectQuote, Allied Insurance, United Medicare, Insphere, eHealth and Coventry. You are not required to grant consent as a condition of purchasing any property, goods or services.
Source: medicaresupplement.com

What Are the Advantages and Disadvantages of Medigap?

Buying Medigap coverage may not, however, suit everyone. These plans cost money and will not be funded by Medicare. They are also applied to the individual and cannot be set up to cover couples. If you use your plan, then you may make savings when you need treatment. But, if you don’t, then you are paying for coverage you won’t use. As with any insurance policy, you pay higher premiums for more features but it’s worth noting that not all plans cover 100% of benefits so you could still end up with some out of pocket costs. Plus, not all options are offered in all states.
Source: suite101.com

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November 17, 2013

Ask The Experts: Retirement

Posted by:  :  Category: Medicare

A. While I can’t advise you on what to do, I can confirm some of what you’ve written. First, to be enrolled in Tricare, you must be enrolled in Medicare parts A and B. Second, if you drop Tricare, you can’t re-enroll in it. Third, if you drop you FEHB coverage when employed, you could re-enroll later but would be required to be enrolled for the five consecutive years after that re-enrollment to continue the coverage into retirement. Fourth, after retiring you could suspend — not drop — your FEHB enrollment and reactivate it if your Tricare coverage ended.
Source: federaltimes.com

Video: (Part 1) Using TRICARE and Medicare

Tricare charging more for Medicare

Tricare For Life consists of Medicare as first payer and Tricare Standard as second payer. VA facilities are not allowed to bill Medicare, so Tricare has been acting as primary payer, reimbursing VA up to 80 percent of the allowable charge for care. It should have been paying no more than 20 percent.
Source: armytimes.com

Veteran’s Day, the Affordable Care Act, and Sarah Palin Still Has It Wrong

What the ACA – Obamacare – brings to the American public is what Veterans who have served a career in the military earn – healthcare for all.

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November 17, 2013

Compare Medicare Part D vs. Medicare Supplement Plans

Posted by:  :  Category: Medicare

Costs associated with Medicare Part D plans can vary by location and carrier. General plan costs include monthly premiums, yearly deductibles, coinsurance, and copayments. A unique aspect of Medicare Part D plans is the coverage gap, also known as the “donut hole.” In 2013, once you and your plan have spent $2,970 on covered prescription drugs, then you enter the coverage gap. In this gap, you are responsible for the total cost of your prescription drugs. There are discounts available in this coverage gap. Once you have spent $4,700, your plan coverage begins again.
Source: ehealthmedicare.com

Video: Medicare Part D – 5 Things To Know Before You Enroll in a Part D Plan

Look Out for Changes to Premiums and Deductibles for Medicare Part D Plans

Keep in mind that there may be other important changes to a plan, such as those to its formulary or cost sharing structure. For example, the deductible for Blue MedicareRx Value plan double in 2014, and it is also losing about 700 drugs from its formulary. On the other hand, this plan and others might see increases in deductibles or premiums correspond with lower co-pays or better donut hole coverage, which could save you a lot of money.
Source: pharmacycheckerblog.com

Prepare for Open Enrollment

If you are a Medicare recipient, or if you are eligible for Medicare, you are or will be eligible to add prescription drug coverage to your Medicare benefits. The new addition to Medicare is known Part D. It is called PDP (Prescription Drug Plan.) Anyone who has the Medicare is eligible to enroll in one of the prescription drug plans.
Source: 5thaveins.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

Humana Enhanced PDP for Seniors on Medicare

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

The Medicare Prescription Drug Benefit Fact Sheet

CBO estimates that Part D spending will total $60 billion in 2013 (net of premiums and state transfers).  The average annual Part D per capita growth rate was 3.7% between 2006 and 2011, but is projected to rise at a more rapid rate (5.6%) between 2011 and 2021 (2012 Medicare Trustees), in part due to slowing of trend toward greater generic drug use. Total spending depends on several factors: the number of Part D enrollees, their health status and drug use, the number of low-income subsidy recipients, and plans’ ability to negotiate discounts and rebates with drug companies and manage use (e.g. promoting use of generic drugs, prior authorization, step therapy, quantity limits, and mail order).  The MMA prohibits Medicare from negotiating drug prices directly.
Source: kff.org

Analysis Shows 88% of Florida Seniors Can Expect to Pay Higher 2014 Medicare Part D Drug Plan Premiums

Q1Medicare.com is one of the largest independent online resources for Medicare Part D prescription drug plan and Medicare Advantage plan information. Q1Medicare offers a large selection of Frequently Asked Questions, online tools, and a free Medicare Part D Newsletter all designed to help Medicare beneficiaries, healthcare professionals, advocates, advisers, caregivers, and insurance agents better understand both the Medicare Part D prescription drug and Medicare Advantage programs. Q1Medicare.com is operated by Q1Group LLC (Saint Augustine, Florida).
Source: lensaunders.com

Qooqe.com Announces the Addition of 2014 Medicare Advantage Plans and 2014 Medicare Prescription Part D Plans

Medicare Part D is the drug plan that covers prescription drugs. The 2014 Medicare Prescription Part D plans are helpful for seniors who are in a fixed income, or lower income, to pay for their prescriptions. Various private health insurance companies that have been approved by Medicare offer Part D plans. Seniors can enroll in a stand-alone Prescription Drug Plan (PDP), if desired. The PDP will be added to Original Medicare. Another option is Medicare Advantage Plans that already comes with prescription drug coverage (MA-PD). Even though there is an extra monthly premium, there are low-income subsidies available for seniors. There are various plans to choose from and they differ by region and insurance company. This can be a difficult maze to navigate and to choose the right 2014 Medicare prescription Part D plan. Qooqe.com now includes the latest 2014 Medicare Part D drug data recently released by the Centers for Medicare and Medicaid Services (CMS). Qooqe provides an overview of all prescription drug plans available by region and help seniors make an informed decision when choosing Medicare prescription plans.
Source: only-the-news.com

Surviving the Medicare Part D Coverage Gap

The coverage gap in the Medicare Part D prescription drug plan, known popularly as the Medicare “donut hole” or “doughnut hole,” is expected to affect over one million seniors in 2010, according to a House of Representatives press release. The good news is, this coverage gap, inside which enrollees must pay for prescription medications fully out of pocket, is slated to be reduced and even, by the year 2020, completely eliminated due to the passing of the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (otherwise known as the “health reform bill.”) Meanwhile, seniors participating in this prescription drug plan (PDP) who fall into the donut hole must weather the storm.
Source: suite101.com

Opinion: Noise over ACA shouldn’t distract seniors from Medicare enrollment

On the positive side, one PDP (WellCare Classic) that implemented a preferred-pharmacy network forecasts a 38 percent drop in premium costs. Preferred-pharmacy networks can offer lower premium costs as long as policyholders fill their prescriptions within the plan’s network of pharmacies. Several other PDP plan providers with preferred-pharmacy networks can offer similar savings.
Source: healthpolicysolutions.org

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November 17, 2013

What is Medicare SELECT and How Does it Work?

Posted by:  :  Category: Medicare

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This kind of insurance has to give the same benefits as a regular Medigap policy but usually comes in at a lower cost based on its additional conditions. If you are prepared to be restricted to the plan’s network, then this could give you cheaper premium costs. You can, of course, choose to use a hospital/doctor outside of the network but, although Medicare will cover its costs as usual, you would then have to pay for any gaps otherwise covered in-network by a SELECT policy.
Source: suite101.com

Video: How to select a Medicare Supplement or Medicare Advantage Plan

Humana, Mission Health sign new Medicare agreement

“Our new partnership with Mission Health highlights Humana’s commitment to growing the provider network and ensure our Medicare members achieve and maintain their maximum health and well-being,” said Tim Moorhead, Humana’s North Carolina vice president of Senior Products. “We are excited this new partnership will substantially increase health care options for Humana’s Medicare members and State of North Carolina retirees who live in the greater Asheville area.”
Source: carolinapublicpress.org

Medicare Penalties To Top A Quarter Million Dollars For Select Readmissions

The American College of Surgeons expressed concerns in a letter to CMS signed by David B. Hoyt, MD, FACS, Executive Director. In it, ACS notes, “While we understand that excess readmissions can be an indicator of poor quality of care and wasteful spending, we urge CMS not to further expand the Hospital Readmissions Reduction Program beyond the current and proposed conditions unless adequate guidelines exist for future conditions and the associated measures can be properly risk adjusted. Hospital readmissions for chronic illnesses are related to both pre-existing chronic conditions as well as to the education level and socioeconomic status of patients, all of which are major determinants of outcome. Outcomes for chronic illnesses can vary widely, resulting in potentially unfairly penalizing hospitals and physicians for readmissions that are not under their control. Another unintended consequence would be penalizing hospitals that care for the highest acuity Medicare patients and the potential that these hospitals will decrease their care for such patients, thereby creating an access issue. As such, these other drivers of readmission and mortality should be taken into consideration in the risk adjustment process. In addition, readmission measures should exclude readmissions for conditions that are unrelated to the original admission, such as “readmission” due to traumatic injury.”
Source: healthcaretechnologyonline.com

MOVIES: ‘Thor’ sequel in select IMAX screens

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Source: pe.com

What is an MSP Code And Claim Exclusion: FK PSBR0500 MISSING INSURANCE TYPE CODE

5010 AAPC Adoption ADP AdvancedMD AHIMA ASTD Charge Entry checklist Claims Processing Classes CMS Credit Card Processing Demographics Design Education EHR EOM EOY Financials HIMSS ICD-10 ICD-10 training iLearn Implementation Internet Explorer Learning Solutions Login Meaningful Use Medicare Fee Schedule Payment Entry Period Close Plan Practice Management Regulatory Reports System Setup System Updates TD Magazine Templates Tips Training transition Updates Webinars
Source: advancedmd.com

Who Can Issue Medicare Select Coverage?

Medicare Select is a managed health care system. If you have purchased a Medicare Select supplemental insurance policy, you have to use a hospital that is approved and on their list of approved health car providers. You can still use your own doctor but you have to use a hospital that is an approved provider of the Medicare Select program. The approved hospitals are local hospitals who have agreed to charge a designated sum as approved by the private insurance companies that underwrite private supplemental insurance to bridge the gap between Medicare and meeting qualifying deductibles, which means how much you have to pay before Medicare covers your health care.
Source: seniorcorps.org

Medicare Health Insurance Supplement Aarp Design F Select Can Be A Good Option

Medical insurance for Priest market is really overwhelmed with outstanding consumers looking for reasonable health insurance health rewards. Many consumers are excited observe great savings of a cobra benefits they are going to left behind. We are proud that we might help people in discovery better individual insurance coverage coverage in his time of be required with the monetary climate where it was a student in and job bereavement at a doc high. Still while dealing eating plans clients who are unquestionably saving money to be able to their previous medicare part f we are searching some people are actually confused by all of the rules and underwriting regulations in the personal health insurance market segment.
Source: brasucawebsolution.com

Medicare Health Insurance Supplement Aarp Design F Select Can Be A Good Option

Once always, be certain to keep your seed coverage in region until a good company has approved your application as well as offered you satisfactory coverage and expensive. Can be further evidence so why ? seniors who own questions about Medicare insurance and the newly purchased health law may choose to reach out which will service organizations to suit assistance, indicates Weinstock. A are probably witout a doubt familiar with some sort of way Medicare other plans are prearranged. As towards 2013, there are probably essentially 10 very different plans to choose from. All coverage for each individual one plan is near regulated by police arrest records laws so just that all Medigap Choose A offers use exactly the the same scope. Our own simplest plan could be Plan A regularly made of the all basic coverage materials while Plan P oker offers the significantly more comprehensive plans. There are generally special plans outside of Plan F and as well as up to Technique N which designed up of deductibles according to allow them to percentages. Carry out you just turning forty eight or enrolling back in Medicare for before? If solution is yes, are generally undoubtedly looking for your Best To Learn More Click www.MedigapPlansGuide.com Master plan available. Can be a several ways to look into plans and a number of different resources available automobiles information. However, it is in order to have an principle regarding what you want to for. Present in addition, it is also important to exactly what questions to ask yourself. Companies, plans, and their prices will all alter and everyone will have a multiple opinion about the best longterm option. Brand new created these methods as a means for beneficiaries to receive their health coverage through a private insurance contractor. This action was intended and give people more choices. In fact, major name for diets was Medicare Positive Choice. Folks also call all of them with Part C coverage. Till 2006, Medigap products were available the included some involving prescription drug but today could not the argument. This is because associated with us us that require to have an application of cover that pay out in medical drugs are currently required to sign on for the Treatment part D option. Easily prior to shopping a person’s plan, pin down the main wide variety you can two or you have to 2 plan remedies. Before noticing this loan quotes, performed not confine someone to ultimately basically one plan manner. Who knows when you can go convenient offers you and your family that will targeted your requirements nonetheless meet your spending habits.
Source: typepad.com

Medicare Administrative Contractors Announce Intent to Review Hospice Claims

Similarly, CGS announced its intent to expand its existing hospice length of stay edits. Currently, the CGS Medical Review Department uses established edits to evaluate and select the most vulnerable claims.  CGS currently uses edit 5048T to select hospice claims with a length of stay 999 days or more but has decided to phase out edit 5048T in favor of a new edit that will identify claims earlier.  New edit 5118T will select claims with a length of stay between 150 and 365 days for providers that bill to CGS within the states of New Hampshire, Idaho, Georgia, Utah, Colorado, Delaware, Missouri, Alabama, Arkansas, Kansas, Tennessee and West Virginia. Widespread edit 5048T will be discontinued once edit 5118T is implemented.
Source: hallrender.com

6 Reasons to Choose a New Medicare Part D Plan for 2014

By Emily Brandon Retirees have the option to switch Medicare Part D prescription drug plans between now and Dec. 7. Most seniors who stick with their current plan in 2014 can expect to pay higher premiums and other out-of-pocket costs than they did in 2013. Only 13 percent of participants picked a new prescription drug plan voluntarily during this annual enrollment period between 2006 and 2010, according to a Kaiser Family Foundation analysis of Centers for Medicare and Medicaid Services data, but many of these retirees were able to significantly decrease their premium costs. Here’s why you should consider picking a new Medicare Part D Plan for 2014. Medication changes. Your medication needs could change throughout your retirement. If you are now using new medications or think you might in the coming year, you should consider evaluating which plan will cover you best going forward. Plans can and do change which medications they will cover each year and how much participants are charged for each medication. Just because your medications were covered with a given copay in 2013 doesn’t mean they will continue to be covered at the same level or at all in 2014. “Because plans can change pretty much every feature of the benefit design, including the list of drugs that they cover, people might want to switch out of a plan if, for example, the plan stops covering a drug that they are taking,” says Juliette Cubanski, a policy analyst at the Kaiser Family Foundation. “It might cost them a lot of money if they had to pay for it out of pocket outside of Part D.” Find lower premiums. The average premium is expected to increase by 5 percent from $38.14 in 2013 to $39.90 in 2014 if retirees stay in their current Part D plan, according to a recent Kaiser Family Foundation analysis of 2014 plan offerings. Many beneficiaries (44 percent) will pay between $1 and $10 more if they remain in their current plan in 2014, and 14 percent will experience a monthly increase of more than $10. Premiums will increase by more than 50 percent next year in United HealthCare’s AARP Medicare Rx Saver Plus and First Health Value Plus. Retirees enrolled in the First Health Essentials and the Humana Preferred Rx Plan will also face double-digit premium increases unless they switch plans. Avoiding high premiums is the most common reason retirees select new prescription drug plans. Nearly half (46 percent) of enrollees who switched plans paid at least 5 percent less in premium costs the following year, compared to 8 percent of those who did not switch plans, KFF found. More than a quarter (28 percent) of beneficiaries facing a monthly premium increase of $20 or more switched prescription drug plans during the annual enrollment period, versus 7 percent of those facing a more modest premium increase of up to $10 or no change in their premium. “Some plans do increase their premiums quite considerably from one year to the next,” Cubanski says. “When faced with that kind of sticker shock, that can motive people to go and look at what other plans are available that the person might think is more affordable.” Seek lower copays and other cost sharing. Besides premiums, Medicare Part D beneficiaries face a variety of other out-of-pocket expenses, including deductibles, copayments, coinsurance and costs in the coverage gap. When both premiums and cost sharing for drugs are considered, 44 percent of retirees who switched plans had overall costs that were at least 5 percent lower than the previous year. Only 28 percent of seniors who didn’t switch plans saw their out-of-pocket costs decline by at least 5 percent. “If the particular drugs you use are on more expensive tiers or not on the formulary, that can lead to higher out-of-pocket costs,” says Jack Hoadley, a health policy analyst at Georgetown University. “Go on the online plan finder on Medicare.gov and use your current mix of drugs to calculate your total out-of-pocket costs and not just the premiums.” Reduce your deductible. Just over half of prescription drug plans will charge a deductible in 2014, and most charge the maximum possible amount of $310 before any drug costs will be covered. The share of plans with a smaller deductible has declined from 24 percent in 2010 to just 4 percent in 2014. However, 47 percent of plans will charge no deductible in 2014, meaning retirees will get coverage on their first prescription, often in exchange for a higher monthly premium.
Source: dailyfinance.com

It’s reassessment time for Medicare Part D beneficiaries

If you’re comfortable using a computer, you can easily compare Medicare’s drug plans yourself online. Just go to Medicare’s Plan Finder Tool at medicare.gov/find-a-plan, and type in your ZIP code or your personal information, enter in how you now receive your Medicare coverage, select the drugs you take and their dosages, and choose the pharmacies you use. You’ll get a cost-comparison breakdown for every plan available in your area so you can compare it to your current plan.
Source: tacticalminc.com

Connecticut comments: Wait Until The Seniors Understand What Just Happened

A big headline today in the Wall Street Journal is that literally thousands of doctors have been dropped from Medicare Advantage health plans by United Healthcare.  I wonder just how many people understand what that means. First of all, let’s consider Medicare Advantage.  That is a program that covers about a quarter of all folks over 65 who qualify for Medicare.  Basically it is a private insurance plan paid for mostly by the government to provide coverage for seniors who select it rather than regular Medicare.  It actually cost the government slightly less than regular Medicare for each person enrolled. United Healthcare runs a series of different plans including the biggest of all the Medicare Advantage plans:  the one sponsored by AARP.  There are literally millions of folks in the United Healthcare plans.  That means that when United Healthcare drops thousands of doctors off the rolls, it affects huge numbers of people. When Obamacare was passed, one change that the architects of the law insisted on was to limit reimbursements for Medicare Advantage plans.  Even though these plans cost the government less per patient than regular Medicare while providing better coverage than regular Medicare, the drafters of the Obamacare law were offended that private insurers were profiting from Medicare Advantage and decided to take some of those profits in order to pay the exorbitant cost of Obamacare.  This was part of the 700 billion dollars that Obamacare took from Medicare. Not surprising, since Obamacare squeezed the reimbursement rates for Medicare Advantage, the insurers are trying to lower their costs in order to stay in business.  This means cutting payments to doctors, a move which has resulted in some medical practices leaving the program.  Also, in order to make the Medicare Advantage programs more desirable for the doctors, United Health has been forced to reduce the number of doctors so that participation in the program brings more patients to the offices of those in the program.  Like the punchline of the old joke, these doctors make it up in volume. When one puts this all together, the result is that seniors on Medicare who are in Medicare Advantage plans may not be able to keep their doctors.  So, not only did Obama lie when he told folks under 65 that they could keep their health plans and their doctors, he also lied to seniors when he told them that they too could keep their doctors. I wonder how long it will take for this realization to sink in.
Source: blogspot.com

Medicare Beneficiaries: It’s that time of year to compare health plans for your best fit

AARP Vice President of Health and Family Nicole Duritz, explains “It is important for Medicare beneficiaries to know that during the open enrollment period you don’t have to do anything new. You certainly should not buy any new insurance coverage as a result of the Affordable Care Act. Your Medicare coverage satisfies the federal requirement that you have health insurance.”
Source: aarp.org

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November 17, 2013

Daily Kos: Media parrot GOP Katrina talking point, ignore Bush Medicare drug debacle

Posted by:  :  Category: Medicare

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The nonpartisan Government Accountability Office (GAO) ruled that some of the administration’s ads promoting the new program were illegal while others were misleading. GAO investigators also found that the White House illegally withheld data from Congress on the cost of the new law. The Congressman who crafted the bill soon left Capitol Hill for K Street, where he made millions of dollars annually as a heath care lobbyist. The new federal web site allowing people to compare plans and prices was delayed by weeks, while just 300 customer service reps manned the phones to help new enrollees. Yet over six million people immediately lost their coverage, while hundreds of thousands more would be refused treatment because of malfunctions in the computer systems linking providers and insurers. In response to the mushrooming crisis, governors in mostly Democratic states spent billions to continue coverage for their residents, while the President pleaded with insurance companies not to cut off their current policyholders. Nevertheless, the White House sided with insurers and rejected bipartisan calls to delay the enrollment deadline even as public approval plummeted to 25 percent. It’s no wonder John Boehner called the rollout of the President’s signature domestic policy achievement “horrendous.” And yet, the differences between Medicare Part D then and the ACA now are just as telling. Most important, despite the fact that they overwhelmingly opposed the passage of President Bush’s giveaway to drug firm and private insurance companies, Democrats in Washington and the states worked hard to ensure the troubled program’s success. And the differences, as we’ll see below, don’t end there.
Source: dailykos.com

Video: Medicare Supplemental Insurance Comparison

Fact Checking DeMint On Medicare/Obamacare Comparison And President On Premium Cost

The Washington Post: President Obama’s Claim That 6 Of 10 Uninsured Will Pay Less Than $100 A Month In Premiums Whether health insurance premiums go up or go down is a central part of the debate over the Affordable Care Act, a.k.a. Obamacare. The research and policy arm of the Department of Health and Human Services released a report last month asserting premiums before tax credits were 16 percent lower than projected — a claim immediately challenged by skeptics of the law as a “load of spin.” So what about the study referenced by the president? The study, titled “Fifty-Six Percent of the Uninsured could pay $100 or less per month for Coverage in 2014,” turns out to also be an in-house study produced by HHS — a fact that the president failed to mention. Moreover, it really is not based on an examination of premiums at all, but household composition and income data (Kessler, 10/22).
Source: kaiserhealthnews.org

Most Seniors Compare Medicare Plans Without Prescription Drug Costs

This data comes from a recent study conducted by eHealth. When we looked back at the 2013 Medicare Annual Election Period (also known as the Medicare Annual Enrollment Period or AEP), our researchers found that fewer than one-in-four shoppers (22%) entered the names and dosages of prescription drugs they were taking while comparison shopping for Medicare Advantage Prescription Drug (MAPD) plans or stand-alone Medicare Prescription Drug Plans (PDPs) at eHealthMedicare.com or PlanPrescriber.com.
Source: ehealthmedicare.com

Comparison of Medicare Premium Support Proposals

The brief compares the premium support provisions of these proposals, including how the level of premium support for beneficiaries would be determined; whether traditional Medicare would remain an option; what protections would be provided for low-income beneficiaries; and whether and how the proposals would cap federal spending on Medicare. These differences have important implications for Medicare beneficiaries, the federal budget, health care providers, and private health plans.
Source: kff.org

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 Advantage vs. Traditional Medicare

The Medicare Advantage plans also tend to have limited coverage for some outpatient therapy services, mental health services, and for skilled nursing and rehab. It is very common that seniors will need to stay in a skilled rehab facility post hospitalization for therapy prior to returning home. Such reasons for admittance to a rehab facility for recovery include pneumonia, post hip and knee replacement surgery, heart attack and congestive heart failure, stroke, and falls resulting in injury. For times when a slow recovery is likely, it would be detrimental to have limited skilled nursing and rehab coverage. With this being said, one should really examine all aspects of both plans beyond just the financial. Many in good health will find these plans to be very desirable. However, if your condition suddenly changes limited coverage could put you in a very bad situation. To learn more about difference on Medicare Advantage plans and traditional Medicare you can refer to Medicare.gov and the AARP website.
Source: caravitahomecare.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

Medicare Health Insurance Supplement Comparison Upcoming Plans & Many Prices

A person been just turning 63 or enrolling using Medicare for the moment you see? If the solution is yes, you undoubtedly looking for that Best MedigapPlansGuide.com Plan in advance available. Can be a several ways to look into plans and a range of resources available automobiles information. However, it is in order to have an tactic regarding what you are waiting for. All over addition, it is evenly important to exactly what questions to speak to. Companies, plans, and their prices will all differ and everyone are going to have a multiple opinion about the only option.
Source: bul-ich.net

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

It’s reassessment time for Medicare Part D beneficiaries

If you’re comfortable using a computer, you can easily compare Medicare’s drug plans yourself online. Just go to Medicare’s Plan Finder Tool at medicare.gov/find-a-plan, and type in your ZIP code or your personal information, enter in how you now receive your Medicare coverage, select the drugs you take and their dosages, and choose the pharmacies you use. You’ll get a cost-comparison breakdown for every plan available in your area so you can compare it to your current plan.
Source: tacticalminc.com

Medicare Insurance Supplement Comparison Upcoming Plans & New Prices

Masses of rules are turning out to be written now, only one clear change health reform brings is usually that Medicare will starts paying 0 all the way through annual rebate individuals in the insurance policy coverage gap of its “donut hole” pertaining to Medicare Part Defense. Historically, this “donut hole” has have an effect on no less rather than 300,000 Floridians. The 0 discount check will get sent within ninety days after a senior’s lapse in Treatment D coverage starts up in a chosen year. Examination actually person is planet “donut hole”, and in addition receives the check, no other Medicare health insurance funds are attainable. Well over 10 times this extent may be lived out of funds before catastrophic protection from Medicare begins till year-end. The cycle starts again the make a point and is a high concern for countless Americans. All around this time, health insurance coverage providers need to be able to accept you minus regard to the best preexisting wellness terms. There are undoubtedly 3 things any person should learn nearly Medicare extra insurance program rates. Each first is that a majority of paying a larger premium will actually provide you from additional benefits. A person will are probably probably familiar with some sort of way Medicare supplement plans are built. As about 2013, there tend to be essentially 10 new plans to from. Specific coverage for every single plan is seriously regulated by police arrest records laws so it all Medigap Structure A offers use exactly the the same scope. Some sort of simplest plan would be Plan A containing of the lots of basic coverage materials while Plan P oker offers the extra comprehensive plans. There are usually special plans exceeding Plan F and as well as up to Blueprint N which comes with deductibles according into percentages. Carry out you just turning 60 or enrolling using Medicare for glad? If response is yes, are generally undoubtedly looking for your Best MedigapPlansGuide.com Master plan available. You will several ways to examine plans and many excellent resources available automobiles information. However, it is in order to have an decision regarding what you are searching for. Back addition, it is evenly important to exactly what questions to speak to. Companies, plans, and cost ranges will all show a discrepancy and everyone are going to have a various opinion about your best choice. A multitude of Medicare Advantage Projects have very affordable or even actually zero plan premiums. Many folks observe this and picture for a moment that they can be found getting something for free. The in the is however, far from that simple. Co-pays, Co-insurance as well as the higher drug requires with many akin to these plans can easily actually cost great deal more than premiums to achieve a Medigap quote. Should you want to assist you to pay for herpes virus costs out relating to your pocket? Often times, medications that we pay off for on a new monthly basis ought to range up involved in the hundreds of the dollars. Allowing this type along with payment would choose to be extremely difficult although a senior, when you are possibly retired and deteriorating to pay simple living expenses. Fortunately, this is what insurance provides life insurance coverage for prescription values. There have proven to be some prescriptions why are not secured in the primary Medicare program, these is why someone need to approve up to a functional service like that insurance. Vehicle individuals who entitled to the QMB program broadly also do certainly not need, and probably should not pay for, Medicare supplement coverage. Those who do not suitable QMB because of the excess income may also qualify for the actual required Low-Income Medicare Person Program (SLMB) or possibly a Qualified Individual Services (QI). Backyard gardeners usually wonder incomes within 120% – 135% from the federal poverty levels are eligible regarding SLMB or Chi coverage. However, SLMB and Chi only pay for that Medicare Part L monthly premium. Therefore, SLMB and furthermore QI individuals might still want to expense Medigap insurance whether they can afford to manage this.
Source: typepad.com

Comparison Friction: Experimental Evidence from Medicare Drug Plans

Consumers need information to compare alternatives for markets to function efficiently. Recognizing this, public policies often pair competition with easy access to comparative information. The implicit assumption is that comparison friction—the wedge between the availability of comparative information and consumers’ use of it—is inconsequential because information is readily available and consumers will access this information and make effective choices. We examine the extent of comparison friction in the market for Medicare Part D prescription drug plans in the United States. In a randomized field experiment, an intervention group received a letter with personalized cost information. That information was readily available for free and widely advertised. However, this additional step—providing the information rather than having consumers actively access it—had an impact. Plan switching was 28 percent in the intervention group, versus 17 percent in the comparison group, and the intervention caused an average decline in predicted consumer cost of about $100 per year among letter recipients—roughly 5 percent of the cost in the comparison group. Our results suggest that comparison friction can be large even when the cost of acquiring information is small, and may be relevant for a wide range of public policies that incorporate consumer choice.
Source: nber.org

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