July 23, 2010

New Rules Guarantee Patients' Right To Appeal Insurance Claim Denials Click here for more


July 11, 2010

New Health Care Website Click here for more

Lose your work-provided health benefits? Click here for more

Mayo Clinic Health Letter Offers Advice for Maintaining Vitality: How to Age Without Getting Old Click here for more


June 16, 2010

“Viewpoints” | The Medical Community’s View on Health Reform Click here for more

What We Really Do – and Don’t – Know About Health in This Nation Click here for more

Health Care Reform: We’ve Really Only Just Begun Click here for more

UPDATE 1-U.S. warns insurers over Medicare Advantage costs Click here for more


May 6, 2010

Update: Medicare primer for 2010 Kaiser Medicare primer for 2010

Medicare was at the center of the debate on health care reform - by Claes Bell - Bankrate.com Health care reform impact on Medicare


April 21, 2010

Timeline for healthcare reform or regulation. Health Care Timeline

Good Dental Care Cuts Risk of Heart Disease Many Americans have some form of gum disease

Every year, the medical community indentifies the Top 10 Breakthroughs of the past year. Top Ten Medical Breakthroughs - 2009


March 11, 2010

Despite the successes achieved by PSCs, Congress believed that additional measures to safeguard the Medicare Trust Funds were needed. Recovery Audit Contractors (RACs) to detect and correct improper payments.

Latest Kaiser Report Kaiser: Pulling it together

U.S. Health Care Costs Expenditures in the United States on health care surpassed $2.3 trillion in 2008

Welcome to the Institute for Health Research's website! Institute for Health Research


February 22, 2010

Medicare: A Primer This primer explains key elements of the Medicare program


November 30, 2009

We have five documents for you to review as a result of the first set of seminars the NCRO set up to assist you with the Medicare supplemental and Advantage programs for 2010

1. An insurance company can't refuse to sell you a Medigap policy in the following situations: Medigap Guarantee

2. Medicare Advantage Helpful Hints MA Helpful Hints

3. Delta Dental vs Guardian Delta vs. Guardian

4. AAWARE-DoubleHealth Flyer AAWARE-DoubleHealth

5. VSP-Vision Plan VSP Vision Care

Medicare in the Spotlight: Kaiser Family Foundation. Medicare in the Spotlight

August 11, 2009

For information concerning the National Health Care Plan, the following links are to websites that can help you discern the truth.

www.kff.org/healthreform/sidebyside.cfm

www.Health Action Now.org

www.NRLN.org

www.politifact.com/truth-o-meter/

www.WhiteHouse.gov/RealityCheck

www.FactCheck.org

www.TruthOrFiction.com

www.Snopes.com

July 2, 2009

5 Myths About Our Ailing Health-Care System by Shannon Brownlee & Ezekiel Emanuel - Washington Post - November 23, 2008. 5 Myths About Our Ailing Health-Care System

July 1, 2009

MEDICARE PART D PRESCRIPTION DRUG COVERAGE

How to improve Medication Adherence by FDA, PRxN-MPTN and William A Millar. Medication adherence, or taking medications correctly, is generally defined as the extent to which patients take medication as prescribed by their doctors. This involves factors such as getting prescriptions filled, remembering to take medication on time, and understanding the directions.... continued here==> Common barriers to medication adherence include:

December 22, 2008

DENTAL/VISION FROM BUTLER CAPITAL ADVISORS The Toledo retirees group has recommended Butler Capital Advisors to the NCRO as an consultant for assisting members in choosing insurance. I (Chuck Austin) consulted with them and feel they did a creditable job in advising me. They cover all medical plans, whereas Extend health only has certain ones. The contact person is Ericka Winne at 419-243-9665. They have a dental and vision plan that may be of interest to some members. See the attachment==> NCRO Butler Vision_Dental 2009.pdf

Medicare: A Primer This primer explains key elements of the Medicare program from the Kaiser Family Foundation Medicare Primer

November 18, 2008

In response to Chuck Austin's PFFS plan comments (see below October 31, 2008) Jim Buttery responds: I will try to summarize what I have sent in the past.

Medicare advantage plans ( HMO, PPO, & PFFS) are low cost but, I repeat, but have deductibles and or co-pays. The more claims, the more co pays.

Co-pays & deductibles are an extension of the premiums.

In addition, advantage plans have a network that should be used to keep the co-pays low. Go outside the network, expect higher out of pocket costs.

If some one travels a lot, just hope that one having a Medicare advantage plan does not require medical care. This could be a problem depending on the advantage plan in use. A PPO is much better than a HMO or PFFS plan.

If someone has a history of or anticipates a lot of claims or requiring specialized care ie: Mayo Clinic, then a supplemental plan is best. Higher premiums, normally no co-pays or deductibles and go to any doctor, hospital as long as Medicare approves the cost. ( Medicare approval is required for all plans).

Mayo Clinic recently notified their patients that they will no longer accept Medicare advantage insurance.

Stay with what you have, if you are satisfied and have minimal health care claims.

The bottom line is stay healthily.

Jim Buttery

November 10, 2008

Chuck Austin's exchange with Karyn Blake of My Part D USA

2009 BCBS Personal Dental Plan

2009 Medicare Plus Blue A thru D

Mike Cox is the Attorney General of the State of Michigan. He wrote a piece titled "Don't let Blues sneak a bad deal past lawmakers" for the Detroit Free Press editorials. His editorial was written in response to Blue Cross Proposal - House Bills 5282-5285

October 31, 2008

AARP has a comprehensive Q & A website about Medicare Prescription Drug Coverage click here for Medicare Coverage Part D info.From Doran Samples, This article is from 2007, but is just as practical today as it was back then. "When two insurance agents showed up at Dorothy and Charles Holt's Visalia, Calif., home last spring, they offered a deal that seemed too good to pass up..." By Michelle Andrews Posted 2/11/07, edition of U.S. News & World Report. Better check the fine print on that newfangled Medicare plan

The following note from Chuck Austin ties in with the above article

From Chuck Austin, The Blue Cross of Michigan Medicare Plus Blue plan, available in Michigan, is a PFFS plan. I am in this plan as well as many of my friends. The basic plan costs only $59 for 2008 including drugs. What a deal! Most Medigap F plans with drugs cost $200 per month. That saves a couple nearly $3,500 a year.

My biggest concern in the past is that they accept any Medicare doctor that "accepts their payment system." What does that mean? My doctors in Detroit accept the plan. But when I am in Florida, or traveling, or need to go to the Mayo clinic for specialty health care, will it be accepted? Jess recently got ill in the Canadian Rockies and had to visit a doctor. I've submitted the $150 bill, but have not yet gotten payment from Medicare Plus Blue. Also, we have a friend with this plan who has a rare cancer. So far her husband is extremely pleased with the plan.

Do any of you have experience with this plan? Please feel free to post your comments on our blog at blog.ncro.org

October 28, 2008

From Gavin Magor, Senior Health Insurance Analyst TheStreet.com Ratings

Could this be the end of Medicare Advantage?

From 2005 to 2007, 237,420 Medicare patients' deaths could have been prevented if...

Here's a guide to help you understand what's covered, and what to look for in Medicare Part D benefits

Medicare Drug Plan: What's Covered, What's Not

Medicare Part D: What You'll Pay

October 27, 2008

From Jim Buttery: New to Medicare or getting close to 65 and need some insight into Medicare? see what Jim has to say here

From Doran Samples: Just wanted to be sure all noted that the Medicare Part D (plans and all drug costs) for 2009 now are on the www.medicare.gov. It looks like a lot of changes and I did see a few glitches (mail order about 3 times the cost of monthly on a few plans so obviously some wrong multipliers). They went on within the past few days. If you are in a Medicare D plan user you may want to review your options and costs prior to I believe the 11/15 enrollment start.

October 20, 2008

From Chuck Austin: From the Overthehillcarpeople.com website - "My Part D USA, will be available to you NOW for all of your questions concerning Medicare Plans ( Medicare Supplemental/Medigap Plans, Medicare Advantage Plans, and Medicare Part D/Drug Plans. They can make Medicare Plan comparisons for you NOW. They will also be able to assist you with your 2009 Medicare enrollment in November 2008 if you choose, just as Extend Health can. All services provided by My Part D USA are done FREE of charge to you!" Overthehillcarpeople.com

From Doran Samples, "As we get ready for the next year of Medicare selections many of us will again be picking a Medicare D or drug plan. As we all know, it is very complex. I recently noted that J.D. Powers (same co that does owner satisfaction for autos) also does studies of drug providers . Although not directly Medicare D providers, it does have some good info regarding customer satisfaction." J.D. Power and Associates Reports: Flat-Rate Pricing for Generic Prescriptions May Lead to Higher Satisfaction Among Pharmacy Customers

 

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