What are Drug Formularies For Medicare Plans? Medicare Prescription drug lists (formularies) are lists of covered drugs, placed into different tiers, where each tier has different costs. Each Medicare plan that provides drug coverage has its own list of covered drugs and costs that follow a set of common rules. Below we will explain more about…
Medicare and Hospital Costs: Medicare Networks, Medicare Assignment, Balance Billing, and Other Factors Related to Hospital Costs On this page, we discuss Medicare networks, Medicare assignment, balance billing, and the way hospital costs vary within a hospital (such as in the ER). Hospitals often charge more, sometimes a dozen times more, for services provided in the emergency…
Medicare and Medicaid are not JohnsonCare; Social Security is not RooseveltCare. Why call the Affordable Care Act ObamaCare?
What is Medicare? We explain what Medicare is, how you can qualify for Medicare, and how the Affordable Care Act affects Medicare. Medicare is a federal health insurance program that most people pay into while working and all citizens can access when they turn 65. Medicare is funded by two trust funds held by the US Treasury: the Hospital…
Ever wonder what the difference between Medicare and Medicaid was? In overly-simple terms Medicare is for seniors and Medicaid is a free or low cost program for low-income children and adults.
Obamacare while pretty good is flawed and has holes in it which anyone can fall through.
If you have Medicare you cannot use ObamaCare’s Marketplace or buy non-Medicare insurance, even if you only have Part A or Part B.
According to CMS Accountable Care Organizations (ACOs) generated more than $411 million in total savings in 2014, which includes all ACOs’ savings and losses.
The Medicare Shared Savings Program (MSSP) established by the ACA allows healthcare providers to group together under ACOs to get paid for quality over quantity. Initial reports show savings for Medicare and providers under the Accountable Care Organization (ACO) model established under the ACA. Not all the initial “Pioneer ACO” groups faired equally as well, but overall…
Under the ACA neither Original Medicare or Supplemental Medicare (like Medigap) can deny coverage for preexisting conditions.
Generally someone needs to have Original Medicare to get supplemental coverage. Some insurances allow deferment of Part B without a penalty, but TRICARE requires Part B.
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA aka the “doc fix”) replaces the SGR formula, cuts Medicare spending, and extends CHIP. In this video President Obama Signs ‘Doc Fix’ Law Into Effect Thursday, April 16, 2015. The information below is a summary of the passing of MACRA and why it is important. See the…
If you don’t have access to Medicare then you can use the Marketplace and get cost assistance as a US citizen.
If you have Medicare, keep it. You don’t need to get ObamaCare and you won’t owe the fee. It’s illegal for private insurers to sell you a non-Medicare plan.
A 65 plus senior who is not eligible for Medicare can get Marketplace subsidies through a family plan or on their own.
Medicare is a public Government run health plan, Advantage and other supplemental is run by private insurers. Given this your coverage is only as good as your insurer
Bipartisan committee leaders have proposed a $210 billion Medicare fix that would solve one of the larger Medicare problems, doctor payments.
Marketplace subsidies are based on household income, even if one spouse qualifies for non-Marketplace coverage like Medicare.
Only those over 65 with access to Medicare need to enroll in Medicare. Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn’t sign up for it.
If you have a Marketplace plan through ObamaCare, you’ll keep it until coverage starts. Then you can cancel your Marketplace plan, or keep it.
Nothing anywhere, in ObamaCare or any law, bars Medicare recipients from the ICU. What ObamaCare does is improve Medicare benefits and extend Medicare solvency.
If you are on Medicare due to a disability you can still get a Part D drug plan or an Advantage plan with drug coverage.
To transition from OabmaCare to Medicare you’ll simply want to cancel your ObamaCare plan so it ends when your Medicare coverage starts.
If you are looking for specific Medicare reimbursement rates and authorization info, contact Medicare.
Medicaid expansion extends Medicaid to all adults in State’s that embraced ObamaCare. CHIP is also expanded. It doesn’t affect Medicare.