People can delay enrollment in Medicare Part B if they are working beyond their 65th birthday or are covered by their spouse’s employer health insurance.
How does Medicare work with other insurance coverage, such as a group health plan from a former employer or union?
When you spend the night in the hospital, you would assume you had been “admitted” to the hospital – but you could be wrong.
Read the small print when signing papers for durable medical equipment!
How often can you get preventive screening tests? The answer varies from test to test.
How much will you pay for a colonoscopy?
What home health services does Medicare cover?
The latest news is that CMS will not follow through on the proposed 2% payment cuts to Medicare Advantage plans. Instead, CMS will increase payments by 3% for 2014.
UPDATED MAY 2013. Here is a list of changes to Medicare that have been proposed by various interest groups over the last several years. So far, it’s all just talk.
Brand drug costs make up 75% of Medicare’s costs for Part D, even though most people take generics.
In fiscal year 2010, Medicare spending totaled $524 billion, accounting for 20 percent of national health expenditures, 15 percent of the federal budget, and 3.6 percent of the gross domestic product (GDP).
Most people don’t realize that Medicare does not cover long-term care. Medicare does cover skilled nursing facility services, but for a limited time.
In 2010, Part D made up 13.4% of the Medicare budget, or $68 billion. Even with seniors paying premiums for their Part D plans that range from $15 to $90 per month, Medicare still paid out $68 billion in 2010 to subsidize their drug costs!
As part of the Affordable Care Act, Medicare now covers annual wellness visits and will provide payment for the creation of a personalized prevention plan. Many screening tests will be provided at no cost to the patient.
Hospice agencies receive $142.91 per day in payment from Medicare. Payment is the same no matter the level of care that might be required by patients with different needs.
People on Medicare can make complaints against providers. A new Medicare rule will require doctors and other providers of care to tell patients how to lodge their complaints.
Humana’s Medicare Advantage enrollment climbed 17 percent in the third quarter of 2010 to more than 1.7 million people. Humana is the second largest provider of Medicare Advantage plans behind UnitedHealth Group. United’s Medicare Advantage business grew 16% year-over-year.
Under Congressman Paul Ryan’s plan, current Medicare beneficiaries and those 55 and older would get Medicare as it exists today. For everyone else, eligibility would begin at 69 and-a-half, and there would be a “standard Medicare payment” for the purchase of private health coverage.
Medicare Advantage plans will not face big payment cuts until 2012 as a result of the health care reform bill, avoiding a political hot potato in the 2010 election year.