Moderator: Donna Ginther, AARP, Springfield Doranne Julian and Sue Rohrer, Illinois Department of Revenue, Springfield Deb Sapetti-Corso, Illinois Department of Public Aid, Springfield This intensive session will provide updated information about the Illinois Circuit Breaker Property Tax Relief Program, the Illinois Pharmaceutical Assistance Program and Illinois SeniorCare.
Ellen Browne, Illinois Adult Day Service Association, Chicago Organizations serving older adults are facing enormous pressures as the demands to serve a rapidly growing senior population are increasing but traditional sources of support are shrinking.
Lisa Eden, Illinois Department on Aging, Springfield Rosemary Gemperle, Coalition of Limited-English Speaking Elderly, Chicago Jane Kessler, Illinois Department Public Health, Springfield The purpose of this project is to identify persons with serious memory problems and provide information on available services.
99medsupmemo http://www.insurance.state.pa.us/assets/download/99medsupmemo.pdf
The appropriate worksheet must be used to submit the required information for each individual and each group standardized Medicare Supplement plan with Pennsylvania policyholders in 1999.
Insurers must also complete worksheets for any individual and group prestandardized Medicare Supplement coverage the company provided for Pennsylvania policyholders in 2000.
When completing these worksheets, it is essential that the correct calendar year be entered in the shaded area in the heading of the worksheet.
For worksheets filed in 2000, the calendar year is "1999".
For prestandard Medicare supplement coverage, SMSBP (standardized Medicare Supplement benefit plan) should be identified by the letter "P".
medicaretransition http://www.cmanet.org/upload/medicaretransition.pdf
CMA has received numerous phone calls from physicians who have reported problems related to the Medicare transition from Transamerica Insurance Co. to National Heritage Insurance Company (NHIC) which occurred on December 1, 2000.
The Medicare B Special Notice (see above) explained that in November, just prior to the transition, claim payment would be accelerated and therefore physicians would receive a higher than normal cash flow for the month of November.
The bulletin also cautioned physicians to plan for no payments after November 23, 2000 and said that payments would resume on or after December 1, 2000, subject to HCFA's mandatory payment "hold" of 14 days for electronic and 27 days for paper claims.
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through Merck-Medco Rx Services When to use mail service For prescriptions you use on an ongoing basis --- for example, medication to reduce blood pressure Supply of medication Up to a 90-day supply for each prescription/refill Your copayment for each supply of medication The current copayment amounts are shown in the letter accompanying this brochure.
Have your member ID, prescription numbers and credit card ready.
Q How do I order a larger supply of medication from the mail-service pharmacy?
If you are purchasing a noncovered drug at a local pharmacy, the pharmacist will inform you that the drug is not covered.
NC Application & Questionnaire http://www.ncseniorcare.com/downloads/NC Application & Questionnaire.pdf
Income Information - If married, and not living separately, you MUST include your spouse's income.
I understand that my signature below on this application indicates my agreement to the following: I certify and attest that the information contained in this application is true and correct and authorize the Department of Health and Human Services, and its authorized agents including but not limited to ACS State Healthcare Inc., within its discretion, to use any and all of the information on this application to facilitate my enrollment in the Senior Care Program.
I hereby authorize the release of information on this application and from my Medicare claims file to the Department of Health and Human Services, Medical Review of North Carolina, the University of North Carolina, and the medication management centers contracted with the North Carolina Health and Wellness Trust Fund Commission to evaluate the Senior Care Program, and assist in the completion of my prescription assistance program application or medication management evaluation.
Aboutwlp WellPoint Chairman and Chief Executive Officer, Leonard D. Schaeffer, named one of America's best CEOs for the second year in a row by WORTH magazine.
With a reputation for innovation, WellPoint is committed to establishing a relationship with its customers, physicians, hospitals and other health care clinicians as trusted partners.
Employer groups and individual members can select from basic as well as comprehensive plans to meet their specific needs.
Also available are a wide range of related specialty products and other services including utilization management, flexible spending accounts and COBRA administration.
WellPoint serves its customers in California through Blue Cross of California*, in Georgia through Blue Cross and Blue Shield of Georgia*, and throughout other parts of the country as UNICARE Life & Health Insurance Company.
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Part A: No Charge Part B: $54.00 per month $812 annual hospital deductible per benefit period* $100 medical insurance deductible per year For first 60 days of benefit period*, fully covered in Medicare-approved hospitals after you pay current deductible of $812.
For days 61-90, you pay $203 per day; Medicare pays balance.
For days 91-150, you pay $406 per day for up to 60 lifetime "reserve days" Covered in full up to 190 day lifetime benefit for a psychiatric hospital after you pay hospital deductible Not covered 80% of approved charges after you pay medical insurance deductible and 20% copayment; limited out-of-country coverage If hospitalized for 3 or more days and transferred within 30 days of discharge, fully covered for 20 days.
august The state will continue to cover the employee health premium and 50 percent of dependent health premium costs.
Using a ParPlan Provider can help you if you are covered under the retiree insurance through UNT, especially if you are not covered by Medicare Part B. You can reduce your out-of-pocket expenses by using ParPlan providers.
Remember if you are 65 and retired on or after September 1 1992, and you do not enroll for Medicare Part B, you will be the primary payer of your medical expenses.
The Chisholm Trail Retired and Senior Volunteer Program will be presenting the 2nd annual juried arts show.
claimform http://www.fepblue.org/pdf/claimform.pdf
Is the patient covered by additional health insurance through an employer, a group such as a professional organization, or any other group health insurance, including other Blue Cross and/or Blue Shield Coverage?
PREPAID PLAN Renal Disease, please indicate the beginning date of If yes, effective date If yes, effective date renal treatment or transplant.
Please list below those charges that you are claiming for benefits.
Authorization is hereby given to any provider of service, which participated in any way in my care, to release to the Blue Cross and/or Blue Shield Plan any medical information which they deem necessary to adjudicate this claim.
01-08-16therapies
Congress directed the Department to address a comparison of the coverage and reimbursement levels for physical, speech and occupational therapies under the TRICARE program to that provided under Medicare and the Federal Employee Health Benefit (FEHB) plans.
In reviewing the Office of Personnel Management (OPM) FEHB Call Letter for Contract Year 2001, we note that it does not contain any specific policy guidance on the standard level of physical, occupational and speech therapy benefits that must be provided.
The BCBS Standard Option plan does cover acupuncture for pain management when performed by a licensed physical therapist or physician.
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Vehemence and ignorance --- on display when Canadians tell pollsters they venerate the five principles of the Canada Health Act, but are unable to say what the five principles are --- are particularly unhelpful now.
In using public funds to pay doctors and hospitals, we would probably not recreate the straight fee-for-service payments and institutional grants we now have.
The Canada Health Act now insists that (except for the little-noticed "second tier" of workers' compensation) all public funds for doctor and hospital treatments must flow through one provincial, monopoly insurance plan.
I doubt that we'd insist on that --- now that we have decades of experience with government monopolies in Canada and evidence from competing insurance plans in other countries to draw on.
0192 http://www.tobaccofreekids.org/research/factsheets/pdf/0192.pdf
In both cases, if nonprogram savings are factored in, the cessation savings significantly exceed the costs.
Moreover, during its first ten years, providing this benefit would prompt at least 615,000 Medicare and Medicaid beneficiaries to stop smoking and, consequently, enjoy longer, healthier, and less-disabled lives, while preventing as many as 560,000 Medicare and Medicaid beneficiaries from ever dying from smoking-caused disease.
While only four states mandate some form of coverage of cessation benefits (California, Colorado, New Jersey, North Dakota), 75 percent of managed care organizations report offering some form of tobacco cessation benefit.
Morbidity and Mortality Weekly Report (MMWR), October 12, 2001;Vol.
aobform http://www.minimed.com/patientfam/pdf/aobform.pdf
I understand insurance billing is a service provided as a courtesy, and I am at all times personally responsible for any fees not covered by my insurance carrier.
Should any insurance payment be made directly to the insured for monies due on this account, I agree to immediately pay over these funds to MDC.
If MDC is denied payment in whole or in part for any non-covered services, I personally guarantee payment in full.
I also acknowledge I am responsible for any deductible, copay, or other balance not covered by my insurance carrier, except if I am enrolled in an approved Medicaid program.
I agree to notify MDC immediately of any changes to my insurance coverage.
yourmb http://www.chernoffdiamond.com/Secured/Medicare/yourmb.pdf
.3 Part B (Medical Insurance) Covered Services.
.6-7 Medicare Carriers (Part B Questions).
.13 Medicare's health benefits include coverage for certain health care services and durable medical equipment.
To have full Medicare coverage, Medicare beneficiaries must have both Part A (Hospital Insurance) and Part B (Medical Insurance).
Cost: If you are eligible, Part A is premium free---that is, you don't pay a premium because you or your spouse paid Medicare taxes while you were working.
Managed Care Plans---Managed care plans involve a group of doctors, hospitals, and other health care providers who have agreed to provide care to Medicare beneficiaries in exchange for a fixed amount of money from Medicare every month.
ibmedicare
Medicare is the nation's primary health insurance program for seniors, certain people with disabilities, and people of any age with permanent kidney failure.
The government-run program provides health coverage to nearly 40 million people, or about 15% of the population including most Americans over the age 65.
More recently, Congress has worked to pass a drug prescription benefit for Medicare enrollees.
However, partisan disagreements about how the benefit should be administered have rendered the enactment of a prescription drug package unlikely in the near future.
In 1982, the program was altered to allow beneficiaries to enroll in HMOs that contracted with the government to provide Medicare-covered health care.