CMS placed Fox Insurance which sells Medicare Part D Prescription Drug Plans in 21 states on a Marketing and Enrollment Suspension until they can resolve issues surrounding complaints by members and physicians.
Posted in News, Part D | 4 Comments »
Posted in Medicare Advantage, News | 1 Comment »
Here is an update from the WSJ Blog. Essentially, by delaying the processing of claims for 10 days, it gives Congress 14 days to put a fix in place.
Posted in Medicare, News | Leave a Comment »
We have more approvals for June 1st Modernized Medicare Supplement plans in the states of AL, ID, KS, MI, MO, NE, NM, OH, OK, SD and UT.
To access the rate sheets, visit our RESOURCES PAGE and follow these instructions:
- Company Name: Loyal American
- State: Select any of the approved states above
- Product: Medicare Supplement
- Resource: Rates
The rates are available to registered users of our website who are licensed agents. If you are not registered, you can register here.
Agents looking to get appointed to sell this product for 6/1/2010 effectives can access the Appointment Paperwork here (select “Loyal American” from the dropdown).
Posted in Alabama, Great American Companies, Idaho, Kansas, Loyal American, Medicare Supplement, Medigap Modernization, Medigap Rate Changes/Introductions, Michigan, Missouri, Nebraska, New Mexico, Ohio, Oklahoma, South Dakota, Utah | Leave a Comment »
We’ve dealt with Maximus when appealing Late Enrollment Penalties which are applied to either Part D or MAPD premiums. They’re pretty good to work with.
Now they will also be handling appeals for Coverage Determinations for Part D.
Posted in All, CMS, Medicare Advantage, News, Part D | Leave a Comment »
Today is the day that the Physicians were to get a 21.2% cut in their Medicare Reimbursements, however, CMS is delaying implementing this for 2 weeks or until the Senate can pass a “fix”.
Here is an article for this story. I looked on the CMS website, but couldn’t find a reference there.
Posted in CMS | Leave a Comment »
Here is a good summary from the National Underwriter of the back and forth on the Medicare Advantage program.
Posted in Medicare Advantage, News | Leave a Comment »
Having watched some of the highlights of the President’s Health Care forum, I’m beginning to think that reconciliation is back on the table. I blogged about the future of Healthcare reform the night that Scott Brown won the Massachusetts Senate race. I covered the reconciliation process as option #3 in that blog post and gave it a 40% chance of ocurring.
Subsequent to that, the House Leadership came out and said that they didn’t have the votes to pass the Senate bill which would be a necessary first step in passing HCR in this manner. Now it seems that this option is gaining favor. My Option #4 was “Healthcare Reform is Dead” which I also handicapped with a 40% probability.
Now, it seems, as the Democratic leadership looks at these two options (Budget Reconciliation or Nothing), they are giving Reconciliation a harder look.
Posted in News | 1 Comment »
The first comments from Sen. Grassley about 75% going to beneficiary and 25% going to the Federal Gov’t is correct, but this refers to the difference between the MA carrier’s bid for A&B services and the Benchmark. For example, if the benchmark is 118% of Medicare and you bid 102% for A&B services, the difference (18%) by statute, gets split between the Medicare Beneficiary who gets 12% and the Federal Government gets the balance. Thus, the Insurance company gets 102% for A & B plus 12% for additional benefits (Cap on MOOP, lower cost sharing, value adds, etc.) for a total of 114% of FFS Medicare.
The insurance company makes money by delivering A & B services for WAY less than 102% of A&B and they can attract Medicare Beneficiaries by using the 12% as sweeteners which go to the Medicare Beneficiary.
So, in reality, it depends on how you look at it!
Posted in Medicare, Medicare Advantage | 1 Comment »
Molina will offer live product training for Molina Options Plus Plan- Special Needs Plan and Molina Options Plan- MAPD.
Molina Medicare Plans offer competitive products that you can market year round with rich value adds to meet your customers needs
Such as…
- Prescription Drug coverage
- Comprehensive and Preventative Dental
- Hearing Services
- Vision exams and Eye wear
- Transportation
- More…
MIDVALE
Molina Healthcare
7050 Union Park Center
2nd floor (check-in)
Midvale, Utah 84047
MARCH 10th 2010
Time: 10:00 A.M.- 12:00PM
Click Here to reserve your spot!
Posted in Education/Training, Molina Medicare, Utah | Leave a Comment »
