…comes to care in a nursing home where their spouse lives. Prior to this guidance, a beneficiary in a same-sex marriage enrolled in a Medicare Advantage plan did not have…
Search Results for: medicare advantage
Ten Advantages of Being Older that We Can Be Thankful for This Thanksgiving
…experience brings about wisdom that simply can’t be learned otherwise. Along with the wisdom that comes from learned experience, another advantage of old age is the ability to empathize. Empathy…
What are some of the free preventative health services provided under the Affordable Care Act (ACA)?
…free yearly wellness exam is available from doctors who participate in Medicare. The wellness exam supplements a one-time “Welcome to Medicare” exam that is free to people who take advantage…
Implications of ACA Repeal for Seniors
…Medicare. According to Elder Law Answers, “(r)epealing the ACA may eliminate those provisions, potentially destabilizing Medicare. The ACA also established programs to reduce Medicare waste, fraud, and abuse. Thanks to…
New Medicare out-of-pocket home health care expenses for Seniors on the horizon?
The Medicare Payment Advisory Commission suggested Thursday one strategy to cut health care spending; the strategy would force Medicare recipients who receive home health care to pay an out-of-pocket cost….
Medicare’s Web Site and Rx Drug Plan Finder Improved
Last year, many people enrolling in Medicare Part D (Prescription Drug Coverage) found Medicare’s Website difficult to use. Medicare recently updated its Web site, allowing greater comparisons of cost, coverage…
Will Medicare Cover Alzheimer’s Brain Scans?
…component” of the Medicare annual wellness visit for any seniors over the age of 65 to establish a cognitive baseline so practitioners can compare responses from year to year. Assessments…
Why Take Advantage of End-of-life Care Talks?
Dear Baxter, I just read that Medicare will fund end-of-life planning discussions with doctors, as of Jan. 1, 2016. Why is this important? My doctor already does this for free….
Medicare Part D Drug Discount Included in Affordable Care Act is Saving Seniors Money
A new report issued by the U.S. Government Accountability Office (GAO) confirms that the Medicare Part D drug discount included in the Affordable Care Act (ACA) is working as intended…
Advocacy Group on New Medicare Hospice Law: “An Issue that Must be Closely Watched”
…physician must order Medicare home health services and must certify a patient’s eligibility for the benefit,” according to Center for Medicare and Medicaid Services (CMS). Moreover, “[before certifying] a patient’s…
Are You Being “Observed”?
Every year, thousands of Medicare patients spend time in the hospital for “observation,” but are not officially admitted. Many Medicare recipients don’t realize that the time they spend in the…
Have a Piece of Cake. . .
…Human Services, Tommy Thompson, renames HCFA to The Centers for Medicare & Medicaid Services (CMS). 2003: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173) establishes…
Her Hospital Bracelet Said She Was “Admitted.” But We Found Out After Her Discharge That She Wasn’t.
…Medicare, the initial steps of the appeals process are pretty simple. In order to appeal, you must wait for your Medicare Summary Notice (MSN) to arrive. Copy the notice and…
CMS Issues Final Rules for Home Health Agencies and Patients’ Rights
…for in-home care, and patients have more rights. Currently, there are more than 5 million Medicare and Medicaid beneficiaries receiving home health care from nearly 12,600 Medicare and Medicaid-participating home…
When Will I Receive My Replacement Medicare Card Without my Social Security Number?
Dear Bebe, I heard Medicare will be replacing our current cards with cards that don’t have our Social Security number on them. Do you know the timeframe for getting a…
Ten of the Most Common Myths About Long-term Care
…the largest share, 38%, expected Medicare to foot the bill. “ Medicare will not pay for your long-term care needs. While Medicare is designed to help those over the age…
What the New Outlook for Social Security and Medicare Means for You
Each year the Trustees of the Social Security and Medicare trust funds report on the current and projected financial status of the two programs. The new 2021 annual report was…
What’s the Deal with the Donut Hole in 2022?
Dear Angel, This year, the 2022 Medicare and You handbook didn’t include all the information regarding the Medicare Part D deductibles and the “Donut Hole.” What am I missing? Thanks…
PACE is Expanding to Provide Services to Enable More Seniors to Age-in-Place
…some patients dislike that idea. What You Pay for PACE Depends on Your Financial Situation If you qualify for Medicare, all Medicare-covered services are paid for by Medicare. If you…
Almost All Nursing Home Beds Are Medicaid Beds
…as it would be illegal for them to do so. Nursing homes must follow federal law because approximately 99.9% of all nursing homes accept federal funding through Medicare and Medicaid….
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