I am getting more and more calls about my opinion on the #CMSfinalrule and my #hottake is: GOOD! We need MORE regulation, MORE barriers to entry, and MUCH MORE oversight of what some of these "Agents" are doing. Curious why? Here is an example: Member became medicare eligible April 1. Member's POA calls me this morning. Member is Dx stage 4 lung cancer, currently hospitalized, DNR, refusing cancer treatment, and has requested hospice and palliative care. Member's POA attended a Medicare seminar sponsored by a prominent supplement provider. At the follow-up appointment, the agent attempted to "hard sell" a Medigap Policy WITH GYM MEMBERSHIP, DVH Plan, Overpriced PDP, AND as if all that wasn't bad enough, a LIFE INSURANCE POLICY. A direct quote from the member today: "He said, well if he [member] gets better, he'll really need the gym membership to get back in shape....and more life insurance is never a bad thing." The member also noted, he has called 3-4 times per day to follow-up AFTER she told him he is not interested. I cannot even begin to describe the egregious lack of empathy, respect, compassion, and human decency this agent represents. The worst part is, this is not the first, nor will it be the last one of these stories I hear. I hear them almost weekly. As a community, this is your #calltoaction. We must BE BETTER. Your commission check should NEVER come before human decency and care for the member.
Michael Cyrino’s Post
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President and CEO of Zipari | Health Care Executive. Board Director. Transformation Driver for Startups. Healthcare Technology SME. Change Agent. Six Sigma Black Belt. Bold Leader. Mentor. Coach.
While that might seem exciting, research shows that most Medicare Advantage members do not know what their benefits are and this lack of knowledge has lead to problems successfully using their health insurance coverage which leads to dissatisfaction and eventually disenrollment. Research shows the average person needs to hear a message seven times before they take action. That is very expensive for a health plan to do if they are mailing out messages. To be successful, a Medicare Advantage plan needs an effective consumer engagement (CE) program. CE is defined as an "intentional, consistent approach by a company that provides value at every customer interaction, thus increasing loyalty." Building and implementing an effective CE program is not difficult and Zipari can help you throughout the process. With the Zipari Consumer Engagement Hub (CEH), health plans receive the technology to streamline outreach in a single, easy-to-use tool. It provides you with the ability to create and deliver personalized next-best-actions integrating seamlessly with your existing data sources and technology. It is easy to implement and it will fit in your budget. Not sure if Zipari is right for you? Zipari and its all of its products were build by payer industry experts specifically for the payer industry. Join the more than 150 payers who use Zipari today! PM me or visit us at www.zipari.com and to learn more.
With Medicare Open Enrollment Underway, Beneficiaries Typically Will Have a Choice of 43 Medicare Advantage Plans for 2024, Consistent with 2023 But More than Double The Number From 2018 | KFF
https://www.kff.org
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speaker, blogger, podcaster, adjunct, attorney providing medicare/medicaid counsel nationwide on secondary payer issues in liability, no-fault, and work comp claims and litigated cases
Medicare Open Enrollment is Here Medicare Open Enrollment began October 15, 2023, and ends December 7, 2023, with coverage changes taking effect January 1, 2024. During this time, people with Medicare can compare coverage options, like Traditional Medicare and Medicare Advantage, and choose health and drug plans for 2024. Medicare Advantage and Prescription Drug plan costs and covered benefits can change yearly, so people with Medicare should look at their coverage choices and decide on the options that best meet their health needs. Since 2021, CMS has introduced several enhancements to Medicare.gov to optimize customer experience and create a more welcoming and user-friendly experience. Improvements include a redesigned Medicare.gov home page, adding pricing details to the Medigap policy comparison, streamlined information on the Medicare Plan Finder, and a redesigned “Talk to Someone” section to find additional help and contacts. Here are four ways people with Medicare can compare plans and look at savings options: 1) Go to Medicare.gov to learn the difference between Traditional Medicare and Medicare Advantage and compare costs and coverage for Medicare Advantage and prescription drug plans. 2) Call 1-800-MEDICARE. Help is available 24 hours a day, including weekends. Access personalized health insurance counseling at no cost, available from State Health Insurance Assistance Programs (SHIP). Call 1-800-MEDICARE for each SHIP’s phone number. Many SHIPs also offer virtual counseling. 3) Check eligibility for the Medicare Savings Programs and the Part D Low-Income Subsidy Program. If you have limited income and resources, you could qualify for Medicare Savings Programs, run by your state Medicaid program, or for the Part D Low-Income Subsidy Program. 4) These programs could help save money on health and prescription drug costs and reduce your Part B and Part D premiums to $0. For more information, contact your state Medicaid program or call 1-800-MEDICARE and ask about Medicare Savings Programs. To learn more about the Part D Low-Income Subsidy Program, visit gov/extrahelp or call 1-800-MEDICARE (1-800-633-4227). #rafaelgonzalezesq #cattiegonzalezpllc #ahigherstandardinmspcompliance
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Founder / / / Healthcare Executive, Board Member and Advisor Healthcare Ecosystems, Data and Informatics
Once enrolled in a Medicare Advantage (MA) plan, there is no financially viable avenue for an enrollee to transition out, leading to a loss of eligibility for community-rated MediGap plans, a Medicare Supplement Insurance. When health systems terminate their MA plan, an attempt to revert some patients to traditional Medicare with individual rating resulted in a MediGap plan cost of $800 per month. Consequently, people have no choice but to remain constrained with another undesirable MA plan. #PayerIssues #CMS #MA #TraditionalMedicare vs #medicareadvantage https://lnkd.in/gDDiNSFu
Indiana system dropping Aetna, Humana Medicare Advantage plans
beckerspayer.com
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Seniors beware Medicare Advantage insurance salesmen make about a thousand dollars if you sign away your public Medicare benefit for anyone of the many “Medicare Disadvantage” plans. How else are they able to take over the billboard and infomercial market this time of year. Avoid the. “bait and switch” and you’ll have coverage for medical care when you need it. https://lnkd.in/g6CdA8AM #medicareadvantage #medicare #healthcare
Medicare Advantage Denials Jump 56%, Commercial Denials 20%
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How do I reach Medicare by phone and can I call anytime? If you have any questions or concerns or have an urgent matter, you can call Medicare directly at 1-800-MEDICARE. Medicare representatives are available to speak to you 24 hours a day, 7 days a week. The representatives at 1-800-Medicare can help you find and enroll in a Medicare plan that fits your needs and budget. If you have questions about what services are covered by Original Medicare and what the out-of-pocket costs for those services may be, they can answer those questions for you. They are available to answer any questions you may have regarding Original Medicare, Medicare Advantage, Medicare Part D, and Medicare Supplement plans. They can help you sign up for Medicare when you first become eligible or if you want to sign up for or change plans during the Annual Election Period, which happens every year from October 15th through December 7th. They can assist you with any questions you have about the following: - Billing - Claims - Medical records - Complaints about care or services - General health questions - Medicare options - Diabetes prevention - Opioid treatment programs - And much more If you want to submit feedback about your Medicare health plan or prescription drug plan directly to Medicare, you can also do it through a form located on the Medicare website. Reach out to Alandra Mothorpe at Bridlewood Insurance for all your Medicare needs.
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How do I reach Medicare by phone and can I call anytime? If you have any questions or concerns or have an urgent matter, you can call Medicare directly at 1-800-MEDICARE. Medicare representatives are available to speak to you 24 hours a day, 7 days a week. The representatives at 1-800-Medicare can help you find and enroll in a Medicare plan that fits your needs and budget. If you have questions about what services are covered by Original Medicare and what the out-of-pocket costs for those services may be, they can answer those questions for you. They are available to answer any questions you may have regarding Original Medicare, Medicare Advantage, Medicare Part D, and Medicare Supplement plans. They can help you sign up for Medicare when you first become eligible or if you want to sign up for or change plans during the Annual Election Period, which happens every year from October 15th through December 7th. They can assist you with any questions you have about the following: - Billing - Claims - Medical records - Complaints about care or services - General health questions - Medicare options - Diabetes prevention - Opioid treatment programs - And much more If you want to submit feedback about your Medicare health plan or prescription drug plan directly to Medicare, you can also do it through a form located on the Medicare website. Reach out to David Nash at Nash Insurance Agency, Inc in Redlands for all your Medicare needs.
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Let's get into TriCare and Medicare! TriCare is a healthcare program of the US Department of Defense for active and retired uniformed service members and their families. How does it work with Original Medicare? ⬇️ If you’re eligible for TriCare and have Medicare Part A and Part B, TriCare for Life provides wraparound coverage which pays your out-of-pocket costs in Original Medicare for TriCare covered services. Medicare and TriCare coordinate benefits which eliminates the need for you to file claims. How does it work with a Medicare Advantage plan? ⬇️ If you enroll in a Medicare Advantage plan, you’ll have to pay copayments at the time of service. TriCare for Life can reimburse you for copayments you paid for TriCare covered services, when you file a paper claim. Beware: Many Advantage plans provide automatic drug coverage, also known as Part D. TFL members probably won't want another drug plan. Because Tricare always pays last, you may find yourself filing manual claims to Express Scripts to exercise your Tricare drug coverage. Plus, you will lose Tricare home delivery by having another drug plan. Finding a Provider: ⬇️ You may get health care services from Medicare participating and Medicare non-participating providers, as well as from providers who have opted out of Medicare. If TriCare for Life (TFL) is the primary payer, you must visit TriCare authorized providers and facilities. You’ll have significant out-of-pocket expenses when you get care from opt-out providers, or when seeing a U.S. Department of Veterans Affairs (VA) provider for health care not related to a service-connected injury or illness. Costs vary according to the type of provider you see (for example, opt-out or VA). Learn more: https://buff.ly/3SbwPek.
What Tricare for Life Enrollees Should Know About Medicare Advantage Plans
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If you have any questions or concerns or have an urgent matter, you can call Medicare directly at 1-800-MEDICARE. Medicare representatives are available to speak to you 24 hours a day, 7 days a week. The representatives at 1-800-Medicare can help you find and enroll in a Medicare plan that fits your needs and budget. If you have questions about what services are covered by Original Medicare and what the out-of-pocket costs for those services may be, they can answer those questions for you. They are available to answer any questions you may have regarding Original Medicare, Medicare Advantage, Medicare Part D, and Medicare Supplement plans. They can help you sign up for Medicare when you first become eligible or if you want to sign up for or change plans during the Annual Election Period, which happens every year from October 15th through December 7th. They can assist you with any questions you have about the following: - Billing - Claims - Medical records - Complaints about care or services - General health questions - Medicare options - Diabetes prevention - Opioid treatment programs - And much more If you want to submit feedback about your Medicare health plan or prescription drug plan directly to Medicare, you can also do it through a form located on the Medicare website. Contact Marc Robertson at Robertson Insurance contracted with Bridlewood Insurance for all your Medicare needs in San Diego, CA. His no cost expertise is just a call away.
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How do I reach Medicare by phone and can I call anytime? If you have any questions or concerns or have an urgent matter, you can call Medicare directly at 1-800-MEDICARE. Medicare representatives are available to speak to you 24 hours a day, 7 days a week. The representatives at 1-800-Medicare can help you find and enroll in a Medicare plan that fits your needs and budget. If you have questions about what services are covered by Original Medicare and what the out-of-pocket costs for those services may be, they can answer those questions for you. They are available to answer any questions you may have regarding Original Medicare, Medicare Advantage, Medicare Part D, and Medicare Supplement plans. They can help you sign up for Medicare when you first become eligible or if you want to sign up for or change plans during the Annual Election Period, which happens every year from October 15th through December 7th. They can assist you with any questions you have about the following: - Billing - Claims - Medical records - Complaints about care or services - General health questions - Medicare options - Diabetes prevention - Opioid treatment programs - And much more If you want to submit feedback about your Medicare health plan or prescription drug plan directly to Medicare, you can also do it through a form located on the Medicare website. Contact Barbie Howard at Bridlewood Insurance for all your Medicare needs.
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Coffee with Pat Recently we have had questions being asked surrounding Medicare. I hope the information provide will be helpful. Medicare is a federal health insurance program that provides coverage to people who are 65 or older, as well as some younger people with disabilities or certain medical conditions1. Medicare has four parts: Part A, Part B, Part C, and Part D. • Part A covers inpatient hospital care, skilled nursing facility care, hospice care, and home health care. • Part B covers doctor visits, outpatient care, preventive services, and medical equipment. • Part C (also known as Medicare Advantage) is an alternative to Original Medicare that provides all the benefits of Parts A and B through a private insurance company. It may also include additional benefits such as vision, hearing, dental, and prescription drug coverage. • Part D provides prescription drug coverage. There are many Medicare plans available to choose from. You can compare plans on the official Medicare website. 1. You can also find information about the average cost of Medicare plans per month. 2. If you’re interested in an all-in-one Medicare plan that combines Parts A, B, and D with additional benefits such as dental and vision coverage, you can explore your options on the Medicare FAQ website. I hope this information helps! In addition to these, there are other Medicare health plans such as Medical Savings Account (MSA), Medicare Cost plans, PACE, and MTM3. Think about it🥰 #StayBlessed#StayInformed#StaySafe#NoWastedDays
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Founder & CEO Walker Insure Advisors
3moI couldn’t agree more brother!! It’s pretty sickening to hear some of these sales tactics. It definitely gives our industry a black eye and more importantly, injures our seniors…