Capping Health Costs For Medicare Beneficiaries PDF Download

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The Medicare Handbook

The Medicare Handbook
Author:
Publisher:
Total Pages: 48
Release: 1989
Genre: Health insurance
ISBN:

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Medicare and Medicaid

Medicare and Medicaid
Author: United States. General Accounting Office
Publisher:
Total Pages: 64
Release: 1988
Genre: Medicaid
ISBN:

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Medicare Managed Care

Medicare Managed Care
Author: James C. Cosgrove
Publisher: DIANE Publishing
Total Pages: 35
Release: 2010-10
Genre: Health & Fitness
ISBN: 1437927041

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Medicare cost plans -- managed care plans paid based on the reasonable costs of delivering Medicare-covered services -- enroll a small number of beneficiaries compared to Medicare Advantage (MA), Medicare's managed care program in which the plans accept financial risk if their costs exceed fixed payments received for each enrolled beneficiary. This report: (1) determined the MA options available to beneficiaries in cost plans; (2) described key differences for beneficiaries between cost plans, MA plans, and Medicare fee-for-service; (3) determined the extent to which org. offering cost plans also offer MA plans; and (4) described concerns cost plans have about converting to MA plans. Charts and tables.


Get What's Yours for Medicare

Get What's Yours for Medicare
Author: Philip Moeller
Publisher: Simon and Schuster
Total Pages: 304
Release: 2016-10-04
Genre: Business & Economics
ISBN: 1501124013

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A coauthor of the New York Times bestselling guide to Social Security Get What’s Yours authors an essential companion to explain Medicare, the nation’s other major benefit for older Americans. Learn how to maximize your health coverage and save money. Social Security provides the bulk of most retirees’ income and Medicare guarantees them affordable health insurance. But few people know what Medicare covers and what it doesn’t, what it costs, and when to sign up. Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans—Medicare Advantage, drug insurance, and Medicare supplement insurance. Do you understand Medicare’s parts A, B, C, D? Which Part D drug plan is right and how do you decide? Which is better, Medigap or Medicare Advantage? What do you do if Medicare denies payment for a procedure that your doctor says you need? How do you navigate the appeals process for denied claims? If you’re still working or have a retiree health plan, how do those benefits work with Medicare? Do you know about the annual enrollment period for Medicare, or about lifetime penalties for late enrollment, or any number of other key Medicare rules? Health costs are the biggest unknown expense for older Americans, who are turning sixty-five at the rate of 10,000 a day. Understanding and navigating Medicare is the best way to save health care dollars and use them wisely. In Get What’s Yours for Medicare, retirement expert Philip Moeller explains how to understand all these important choices and make the right decisions for your health and wealth now—and for the future.


Medicare

Medicare
Author: United States. General Accounting Office
Publisher:
Total Pages: 100
Release: 1987
Genre: Health insurance
ISBN:

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Medicare Supplemental Coverage

Medicare Supplemental Coverage
Author: U.s. Government Accountability Office
Publisher: Createspace Independent Publishing Platform
Total Pages: 32
Release: 2017-08-05
Genre:
ISBN: 9781974263066

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" Medicare provides coverage for the cost of many health care services. At the same time, because some services are not covered by Medicare, and because of cost-sharing such as copayments and deductibles, beneficiaries enrolled in Medicare FFS may have significant out-of-pocket expenditures. Most Medicare beneficiaries have some form of additional health care coverage- referred to as supplemental coverage-to help them pay for these costs. For example, Medicare FFS beneficiaries may have supplemental coverage from private insurance companies, called Medigap, or that they receive as retirees through a former employer, referred to as employer-sponsored coverage. This supplemental coverage may reduce any incentive that out-of-pocket costs creates for beneficiaries to be more cost-conscious in their use of services. GAO was asked to provide information about how Medicare beneficiaries with supplemental coverage compare to Medicare beneficiaries without supplemental coverage with respect to total health care costs and the sources of payment for those costs. In this report, GAO compares average total health care expenditures and sources of payment for Medicare FFS beneficiaries with and without supplemental coverage. GAO analyzed data from the 2010 MCBS, the most recent MCBS data available at the time we conducted our analysis. GAO also reviewed original research studies published since 2008 to understand"


Medicare and Medicaid

Medicare and Medicaid
Author: United States. General Accounting Office
Publisher:
Total Pages: 60
Release: 1987
Genre: Medicaid
ISBN:

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