Medicare Plans: What You Need to Know for 2011; Changes, Costs, Premiu…

Posted by:  :  Category: Medicare

Editor’s note (July 2011): The following article, posted during Medicare’s open enrollment period last year, analyzed the drug and health plan options available in 2011. The next enrollment period — for choosing 2012 Medicare plans — will run from October 15 through December 7. This is a date change from previous years.
Source: aarp.org

Medicare Changes in 2011 Relevant to Lymphedema

CMS is adopting a MPPR policy for therapy services in 2011 in order to more appropriately recognize the efficiencies when combinations of therapy services are furnished together. The policy states that the MPPR for “always” therapy services (e, g, therapeutic exercise, manual therapy, self-care management) will reduce by 25 percent the payment for the practice expense component of the second and subsequent therapy services furnished by a single provider to a beneficiary on a single date of service. Since publication of the 2011 Medicare Physician Fee Schedule (MPFS) final rule, this policy has been modified by the Physician Payment and Therapy Relief Act of 2010. Per this Act, CMS will apply the CY 2011 MPFS final rule policy of a 25 percent MPPR to therapy services furnished in outpatient settings and a 20 percent therapy MPPR will apply to therapy services furnished in clinician’s office settings.
Source: lymphnet.org

Medicare Changes Effective January 1, 2011 

Other than the changes to the income-related Part B and Part D premiums, most Medicare beneficiaries can expect to see savings in their out-of-pocket costs as a result of the changes described above.  The DMEPOS competitive bidding program is designed to reduce the cost of durable medical equipment, prosthetics, orthotics, and supplies.  The new focus on prevention eliminates cost-sharing for important services and allows beneficiaries to meet yearly with their medical providers to establish or update a screening schedule.  MA plans have new restrictions on the cost-sharing they may impose.  Beneficiaries who enter the donut hole will pay less for their medications.  All in all, the changes to Medicare that go into effect in 2011 will bring improvements to the lives of millions of older people and people with disabilities.
Source: medicareadvocacy.org

Related posts:

  1. Medicare Plans: What You Need to Know for 2011; Changes, Costs, Premiu…
  2. Medicare Plans: What You Need to Know for 2011; Changes, Costs, Premiu…
  3. Medicare Plans: What You Need to Know for 2011; Changes, Costs, Premiu…
  4. Medicare Plans: What You Need to Know for 2011; Changes, Costs, Premiu…
  5. New Medicare Benefits and Changes for 2011

Comments are closed.