Medicare
Consumer beware: There's fraud in the Healthcare Marketplace (gasp)
New legislation introduced to count observation stays toward Medicare inpatient requirements
Senator Schumer (D-NY) announced on Feb. 20 his intent to introduce legislation to require Medicare to count hospital observation stays towards the three-day mandatory inpatient stay required for post-acute skilled nursing care. Currently, Medicare only covers care if the patient is moved from three days of inpatient care at a hospital to the nursing facility. … Read more
Ruling changes how Medicare views custodial care
Custodial care is the care you get when you need help with activities of daily living (ADL) such as bathing, dressing etc. The non-medically trained help you get to do these things are not helping you make progress to a state of not ever needing care again. Medicare doesn’t pay for custodial care. It says … Read more
High rate of success makes Medicare disputes worth appealing
Only about 10 percent of all legal cases are reversed according to Ruggero Aldisert, a federal appeals judge. Even worse, an appeal over social security disability benefits wins in only 2 percent to 3 percent of cases. So you might think it likely that Medicare appeals would also have low rates for reversal but not … Read more
Clients with high deductible plans avoid preventive care
Under the 2010 Affordable Care Act many preventive screenings and treatments are covered even for those individuals with high deductible insurance plans. High deductible plans were created to encourage consumers to make better educated decisions about their health care expenses but consumers get confused. According to research by Kaiser Health News, many consumers with high … Read more
Is it time to raise the Medicare retirement age?
Will Obamacare make it easier to raise Medicare’s retirement age to be on par with Social Security’s retirement age? That’s what Forbes contributor Avik Roy suggests. It’s an option Senator Joe Lieberman recommended this summer and something that 56 percent of Americans are okay with according to a Wall Street Journal poll. If the retirement … Read more
Medicare liens cannot recover more than medical expenses
Question authority! That is what many Baby Boomers grew up with – and for a good reason. If you ever need to access long term care benefits under Medicaid, understand that Medicaid will place a lien on the property you own. That lien can be attached at the time of your passing. The state will … Read more
Medicare Advantage or Medicare Supplemental-choices, choices, choices
Fall Open Enrollment is here and the deadline is fast approaching for changing your Medicare coverage. Even if you like your current coverage, it’s important to make sure that the plan you’ve selected still features the benefits you need. The simplest way to do that is to read your Annual Notice of Change.
However, if you are choosing a plan for the first time or you are handling someone else’s plan for the first time the options can be boggling. If you are trying to decide on a plan and which option is best for you, you must first understand what the two different plans are and the differences between the two.
Medicare officials actively try to dissuade users of poorly performing plans to switch
Some people will keep making bad decisions no matter what is put in place to keep them from doing it. That’s what Medicare officials are finding when it comes to individuals selecting Medicare Advantage plans according to an article by Kaiser Health News journalist, Susan Jaffe. It’s open enrollment time again and Medicare officials are pulling out all the stops to encourage the half million beneficiaries that continue to choose one of 26 private poorly performing drug and medical plans to look elsewhere.