Advocates Head To Court To Overturn Medicare Rules For Observation Care
Some hospital stays are not considered in-patient care, but seniors often don't know that until they find they don't qualify for full Medicare coverage.
Susan Jaffe
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How To File A Medicare Appeal
A basic guide and resources if you want to get Medicare to reverse a coverage decision.
By Susan Jaffe -
Seniors Need To Be Tenacious In Appeals To Medicare
Consumer advocates say that efforts to get Medicare to reverse a decision denying coverage of care are frequently rejected at first, but the chances of success are much better for beneficiaries who keep appealing until they reach the level handled by an administrative law judge.
By Susan Jaffe -
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Insurance Commissioners Reject Calls To Limit Seniors’ Medigap Policies
The group argues that increasing cost-sharing would stop people from seeking necessary care.
By Susan Jaffe -
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Medicare Trying To Nudge Seniors Out Of Plans With Low Ratings
Government is sending letters to a half million beneficiaries to alert them to their plans' poor performance.
By Susan Jaffe -
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Medicare Seeks To Cut Number Of Seniors Denied Nursing Home Coverage After Hospital Stays
The government is testing new hospital payment rules to see if fewer beneficiaries will be classified as observation patients, which can be a costly designation for seniors.
By Susan Jaffe -
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Medicare Drug Discounts At Risk If Court Strikes Health Law
The pharmaceutical industry agreed in the health debate to reduce brand-name drug costs by 50 percent for Medicare beneficiaries who reach the coverage gap known as the doughnut hole.
By Susan Jaffe -
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What’s In A Name: Health Exchanges, Marketplaces … Or Swap Meets
If a Medicare staff recommendation is approved, health insurance exchanges may be up for a rebranding.
By Susan Jaffe -
$18 For A Baby Aspirin? Hospitals Hike Costs For Everyday Drugs For Some Patients
People who are not admitted to the hospital
By Susan Jaffe -
Medicare Combats Fraud With Billing Statements That Beneficiaries Can Understand
New consumer-friendly statements urge seniors to report suspicious charges and make it easier to appeal denials of coverage.
By Susan Jaffe -
HHS Unveils Requirements For Consumer Insurance Labels
The rules detail standard, easy-to-understand information that insurance plans will be required to provide consumers.
By Susan Jaffe -
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Medicare Offers Extra Enrollment Time For Seniors Who Call Today
Extra time is limited only to seniors who have had trouble signing up and contact one of several organizations that are working to help beneficiaries.
By Susan Jaffe -
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