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How much would you pay out-of-pocket for a five day hospital stay on Medicare? The majority of people have no idea! The problem with Medicare is there is too much information. An overwhelming amount of information and not enough resources. Medicare Nation solves that problem by educating you on all things Medicare, because there are not enough resources out there! This podcast will educate you about the components of Medicare, the different categories of Medicare Plans and Medicare benefits. On other episodes I’ll interview expert guests in the health and wellness field, about diseases, Medicare issues and current changes to the Medicare program. Medicare Nation is dedicated to answering all your questions about Medicare. Expert information and insights regarding Medicare and you! Further information can be found on www.TheMedicareNation.com Don't Forget to SUBSCRIBE to the show! Give us feedback on Facebook! www.facebook.com/MedicareNation
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Now displaying: January, 2020
Jan 24, 2020

Hey Medicare Nation!

www.TheMedicareNation.com

It's still January...but February is right around the corner. Spring WILL come. I promise!

Let me give you some good news!

Medicare is now covering Acupuncture!

As of January 21, 2020, The Center for Medicare & Medicaid Services (CMS), will cover acupuncture for "Chronic Low Back Pain."

Let's look at the coverage in the Medicare National Coverage Determination Manual.

Section 1862(a)(1)(A) of the Social Security Act 

Up to "12" visits in 90 days are covered for Medicare Beneficiaries under the following circumstances:

a. Chronic Low Back Pain which lasts "12 weeks or longer,"

b. the Chronic Low Back Pain is "non-specific," in that it has NO identifiable systemic cause (NOT associated with metastatic, inflammatory, infectious, disease).

c. the Chronic Low Back Pain is NOT associated with surgery

d. the Chronic Low Back Pain is NOT associated with pregnancy.

An ADDITIONAL "Eight" (8) sessions WILL be covered for those patients demonstrating an improvement.

No more than "20" acupuncture treatments may be administered annually.

Treatment MUST be discontinued if the patient is NOT improving or is regressing.

The Acupuncture must be Administered under the supervision of a doctor of medicine or osteopathy.

Need more information?  Check out our website www.TheMedicareNation.com

What plans cover Acupuncture?

Acupuncture for Chronic Low Back Pain, will be covered under ORIGINAL Medicare. 

If you present your Medicare ID Card to providers as your Health Insurance..... You may start utilizing this treatment now.

If you present your Medicare ID Card, as well as a Medi-Gap (Medicare Supplement) Plan..... You may start utilizing this treatment now.

If you have a Medicare Advantage Plan, you need to check your Summary of Benefits Book under your plan, to see if they cover Acupuncture. If you can't find it.... call the customer service number on the back of your ID Card and ask the representative.

Acupuncture is NOT covered under Medicare Part D. Part D is ONLY for Prescription Drug Coverage.

If you have any questions.... send them to Support@TheMedicareNation.com

 

Thank you for listening to Medicare Nation!

If you are part of my “Sandwich Generation,” Share this show with your parents and/or grandparents. They have many questions about Medicare and this show will answer them! Buy them a “Smart Phone,” and introduce them to Medicare Nation!

If you are a Baby Boomer, share Medicare Nation with other “Baby Boomers.” I want to educate as many of you as I can about Medicare! I certainly can use  your help in putting the word out!

If you have any questions, send them to Support@TheMedicareNation.com

If I can answer it in one email - I will personally answer you!

If your question requires research or additional contact with you, I do offer consulting if you would like me to assist you in that manner.

Want to hear a topic on Medicare Nation? A special guest? Let me know and I'll do my best to get them on the show!

Thanks again for listening!

Diane Daniels                                                                            Medicare Consultant

Support@TheMedicareNation.com

 

 

Jan 3, 2020

Hey Medicare Nation!

www.TheMedicareNation.com

It's 2020!  Love the sound of that!

Right now...... the Medicare Advantage Open Enrollment Period is in full swing.

If you are on a "Medicare Advantage Plan," you have the opportunity to make a ONE TIME change, between January 1st through March 31st.

You can change from one Medicare Advantage Plan to another Medicare Advantage Plan.

You can "disenroll" from the Medicare Advantage Plan you're on and go back onto "Original Medicare." With Original Medicare, you can add a stand-alone-prescription drug plan and ..... you can enroll into a Medicare Supplement Plan (aka Medi-gap) to help defray the costs of Original Medicare.

Here are options you can do during the Medicare Advantage Open Enrollment Period: 

  • Change from a Medicare Advantage Plan back to Original Medicare.
  • Switch from one Medicare Advantage Plan to another Medicare Advantage Plan.
  • Switch from a Medicare Advantage Plan that doesn't offer drug coverage to a Medicare Advantage Plan that offers drug coverage.
  • Switch from a Medicare Advantage Plan that offers drug coverage to a Medicare Advantage Plan that doesn't offer drug coverage.
  • Join a Medicare Prescription Drug Plan.
  • Switch from one Medicare drug plan to another Medicare drug plan.
  • Drop your Medicare prescription drug coverage completely

 

I'm adding the EXACT language from the Medicare Managed Manual, regarding the Medicare Advantage Open Enrollment Period.

30.5 – Medicare Advantage Open Enrollment Period (MA OEP) 42 CFR 422.62(a)(3) (Rev. 1, Issued: July 31, 2018; Effective/Implementation: 01-01-2019)

During the MA OEP, MA plan enrollees may enroll in another MA plan or disenroll from their MA plan and return to Original Medicare. Individuals may make only one election during the MA OEP.

This chart outlines who can use the MA OEP and when: Who can use the MA OEP: MA OEP occurs:

Individuals enrolled in MA plans as of January 1 – March 31 New Medicare beneficiaries who are enrolled in an MA plan during their ICEP The month of entitlement to Part A and Part B – the last day of the 3rd month of entitlement

Individuals may add or drop Part D coverage during the MA OEP. Individuals enrolled in either MAPD or MA-only plans can switch to: • MA-PD • MA-only • Original Medicare (with or without a stand-alone Part D plan)

The effective date for an MA OEP election is the first of the month following receipt of the enrollment request.

NOTE: The MA OEP does not provide an opportunity for an individual enrolled in Original Medicare to join a MA plan. It also does not allow for Part D changes for individuals enrolled in Original Medicare, including those enrolled in stand-alone Part D plans. The MA OEP is not available for those enrolled in Medicare Savings Accounts or other Medicare health plan types (such as cost plans or PACE).

You may also go onto Medicare.gov to view information on the Medicare Advantage Open Enrollment Period.

If you decide to make a change during the MA OEP, you will be "locked-in" to the new plan, until the next enrollment period.... which is....the Annual Enrollment Period, from October 15th through December 7th.

You may also make a change to your plan if you have a "special circumstance."

These are listed under the "Special Election Periods" for Medicare on Medicare.gov

You can also LISTEN to my previous show on Special Election Periods..... Episode 051, which was published on July 29, 2016. The episode is titled..... "Special Election Period Q & A"

I go into detail about the Special Elections available.

www.TheMedicareNation.com

Remember Medicare Nation listeners........ an "Insurance Agent," is NOT allowed to "solicit" you during the Medicare Advantage Open Enrollment Period. 

There are strict Medicare regulations regarding this.

YOU must make the first move in contacting or telling your "Agent" or Medicare Specialist, that you are unhappy with your current plan.

No one should be calling you, texting you, emailing you ..... or worse...... knocking on your door, telling you about the Open Enrollment Period. If someone does...... tell them to "Take a Hike!" You don't need a dishonest person like that helping you with your Medicare needs!

If you need help finding a new plan during the OEP, contact you're Medicare Advisor.

If you are all set with your Medicare Advantage Plan for 2020, You don't need to do anything! Just enjoy your family, friends and activities! 

 

Thank you for listening to Medicare Nation!

If you are part of my “Sandwich Generation,” Share this show with your parents and/or grandparents. They have many questions about Medicare and this show will answer them! Buy them a “Smart Phone,” and introduce them to Medicare Nation!

If you are a Baby Boomer, share Medicare Nation with other “Baby Boomers.” I want to educate as many of you as I can about Medicare! I certainly can use  your help in putting the word out!

If you have any questions, send them to Support@TheMedicareNation.com

If I can answer it in one email - I will personally answer you!

If your question requires research or additional contact with you, I do offer consulting if you would like me to assist you in that manner.

Contact me on my website - www.TheMedicareNation.com

Want to hear a topic on Medicare Nation? A special guest? Let me know and I'll do my best to get them on the show!

Thanks again for listening!

Diane Daniels                                                                          Medicare Consultant                                                                  Medicare Nation LLC.

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