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New York Medicare Advantage Plans for 2015 from Touchstone Health
On January 1, 2016 Touchstone Health HMO, Inc. will no longer offer coverage of Medicare Advantage benefits to our Medicare members in the following service area: Bronx, Queens, Kings, Richmond, New York, Westchester and Orange counties.
Workers Compensation & Medicare
If Peter accepts the payout, then all workers’ compensation benefits are terminated. Now, if you remember, early on we learned that Peter was eligible for Social Security Disability (SSD) benefits. A component of SSD is Medicare. Recently Medicare has set up a program where by they insist that if there is a settlement of a third-party suit and if workers’ compensation has been terminated (not simply on holiday) then Peter will be required to spend down a certain portion of his settlement before Medicare pays one dollar towards medical benefits as a result of the injuries that the settlement is based upon. Under these circumstances, Peter is required to set up a Medicare Set Aside Trust (MSA). This trust will be funded by part of the proceeds of the settlement and Peter will be required to spend for his medical costs related to the injury out of this trust before Medicare kicks in and picks up the medical bills.
Find a 2016 NY Medicare Advantage Plan
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Find a 2016 NY Medicare Part D Plan
- Cost Sharing – These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in “tiers”. Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. Plans can form their own tiers, so you should contact the plan or reference it’s summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the “Max. Co-pay Tier 1 (Generics)” field.)