You pay a premium whether you receive Part D coverage from a singke Medicare Prescription Drug Plan, a Medicare Advantage plan that includes a Prescription Drug Plan, or a Medicare Cost Plan that includes Medicare Prescription Drug Plan. This affects you even if you receive Part D coverage through your employer. This 2013 IRMAA changes… Read More »
2. They don’t accept assignment. This means they can still see Medicare patients, but the claim payments are not assigned to the provider, though the provider is still required to file the claim with Medicare. In this case the provider is allowed to charge excess charges of 15% (actually 9.25% as previously noted) above the… Read More »
This facility fee is a windfall for hospitals, and it is perhaps the reason why hospitals are continually expanding their facilities. This continual expansion of facilities is one of the reasons that he United States has the most expensive healthcare system in the industrialized world, and not necessarily the best. The healthcare industry often argues for… Read More »
Republicans believe forcing people to buy private health insurance as the place to reduce cost. Democrats believe that the insurance fee-for-service model is at fault. For Republicans, the fix is the free market: people should buy whatever health insurance, or health care, they want and can afford. If all they can manage is cheap insurance… Read More »
Now Medicare is doing something about it, and it is saving money. About one in five Medicare patients who are hospitalized end up bouncing right back within 30 days, so reducing unnecessary hospital readmissions has become a bit of a holy grail. The 2010 health reform law includes new penalties for hospitals that have particularly… Read More »
From Yahoo Finance, this announcement: “Traditional Medicare includes cost sharing and benefit limitations that can result in significant and unlimited out-of-pocket expenses. Medicare Supplement plans are designed to assist seniors in covering those unexpected costs and provide stability in their out of pocket health care expenses. These new plans are competitively priced and policyholders, applicants… Read More »
…, “What Affect Will Obamacare Have On Medicare Supplement?“ The answer to that question is easy. Obamacare has zero effect on Medicare Supplement insurance. All the fear mongering and warnings that drastic changes to senior’s Medigap will be made as a result of the PPACA are false and just political spin. The fact is that… Read More »
Joe lives in Illinois. Joe is 73 with COPD. Joe is retired from ACME manufacturing in Ohio. The retirement package from ACME included an Anthem Medicare Supplement and Part D plan for all employees including Joe. ACME decides plan is too expensive. ACME decides to switch to an Anthem Medicare Advantage plan for retirees effective… Read More »
For seniors, a key source is Medicare, the federal program for people age 65 and over. But Medicare doesn’t cover everything. “What the government pays in benefits doesn’t always cover what the doctors and hospitals charge,” said Bob Moos, spokesman for the Centers for Medicare & Medicaid Services. “People with traditional Medicare must pay deductibles… Read More »
Some think that when they turn 65 that all their health insurance needs will be taken care of by the US government via Medicare. That may work in Israel but unfortunately not here in the United States. Medicare part A, which covers hospital needs, is automatically given to those who are turning 65 and have… Read More »