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Below are the 20 most recent journal entries recorded in Medicare's LiveJournal:

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Saturday, November 3rd, 2007
11:16 am
So how is everyone doing with the 10/2007 updates to the world of Medicare? :)

Current Mood: contemplative
Thursday, September 13th, 2007
6:17 pm
Alzheimer's Memory Walk
Dear friends,

      This year I am participating in two Alzheimer's Memory Walks to raise money for Alzheimer's research and care for those with the disease. My goal is to raise $100.00 for each walk. The first walk is September 22nd and the second is October 6th.

      Please follow the links below and help me raise money for awareness and research. Any amount you can give is greatly appreciated.

Washington County Memory Walk
Follow This Link to visit my personal web page and help me in my efforts to support Alzheimer's Association Greater Pennsylvania

Pittsburgh Memory Walk Link
Follow This Link to visit my personal web page and help me in my efforts to support Alzheimer's Association Greater Pennsylvania

Thank You

Thursday, August 23rd, 2007
5:53 pm
Mod Post
I'm done with moderating this community. No reason, really, just lost interest. Does anyone want it? First person to speak up can have it. Otherwise, I'll delete it in a few days if no one wants to take it on. Thanks!
Tuesday, April 3rd, 2007
7:00 am


April 2, 2007


The Centers for Medicare & Medicaid Services (CMS) today issued a final rule that will reduce beneficiary out-of-pocket costs, improve the accuracy of Medicare’s payments for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS), help combat supplier fraud, and ensure beneficiary access to high quality DMEPOS items and services through a new competitive bidding program.

In 2008, the competitive bidding program will operate in competitive bidding areas (CBAs) within 10 of the largest Metropolitan Statistical Areas (MSAs), excluding the New York, Los Angeles, and Chicago MSAs and will apply to 10 of the top DMEPOS product categories based on criteria outlined in the final rule. The program will be expanded into 70 additional MSAs in 2009. After 2009, CMS will expand the program to additional areas and items.
Read more...Collapse )
Friday, March 30th, 2007
8:37 am
Limited Open Enrollment Period
From a release from CMS to all Medicare Advantage Organizations dated February 7, 2007:

“On December 20, 2006 the Tax Relief and Health Care Act of 2006 was enacted. Section 206 of this law amends section 1851 (e)(2) of the Social Security Act to allow beneficiaries enrolled in Original Medicare (only) to have a limited opportunity in 2007-08 to enroll in a Medicare Advantage (MA) plan that does not include Medicare prescription drug coverage (MA-only/stand-alone plan.) CMS will refer to this MA enrollment election period as the Limited Open Enrollment Period (L-OEP).

…. Beneficiaries may remain enrolled in the PDP only if they enroll in a PFFS MA-only plan that does not offer Part D. Thus, if an individual in Original Medicare and a stand-alone PDP elects to enroll in an MA-only coordinated care plan, such as an HMO, PPO or Regional PPO, his or her enrollment in the PDP will be automatically cancelled as of the effective date of enrollment in the MA-only plan.”

This period begins April 1, 2007. I knew that the L-OEP gave people options to join MA plans, but I was quite surprised to find out that it was for Private Fee-For-Service (PFFS) plans only.
Thursday, January 25th, 2007
9:29 pm
Self-admistered drugs
If you're in a Part A covered inpatient hospital stay, will Part A cover all prescription drugs? Does it matter if the drug is considered to be a self-administered drug? Does anyone know (and if so, can you provide a source)? Thanks.
Wednesday, January 3rd, 2007
12:54 pm
Tax Relief and Health Care Act of 2006
On December 20, 2006, President Bush signed the Tax Relief and Health Care Act of 2006. The Act made a number of changes to the Medicare program, including a significant change in the enrollment periods for Medicare Advantage Plans.

Section 206 of the Act created a “Limited Continuous Open Enrollment Period” (LCOEP). During the LCOEP, which lasts from March 31 through November 15 (possibly November 30), individuals who are enrolled in Original Medicare, with or without a stand alone Prescription Drug Plan, may purchase a Medicare Advantage Plan without prescription drug coverage.
Friday, December 15th, 2006
5:25 pm
Be able to thank a Doctor...
I'm not personall in the medical community, but my younger brother was raised with Juvenile Rheumatoid Arthritis (JRA), so I'm very familiar with having a long term illness in my direct family. There were so many doctors along the way that helped him succeed, helped him to walk, to live a normal live. These doctors went far above and beyond the call of duty.

This holiday season, thank a medical professional that has touched your life in a special way.. Visit www.hero.md to tell your story and thank someone today.

Check out this site to say THANKS!
Tuesday, November 21st, 2006
10:55 am
*sigh* oh, Medicare...
misleading much? from the front page of medicare.gov:

"Open Enrollment has begun for Prescription Drug Coverage!

If you are going to make a change to your current coverage, enrolling by December 8 helps to ensure that you can get the prescriptions you need on January 1."

I don't know how many people I've talked to who have seen this thinking that the open enrollment period ends Dec 8.

It does of course go through Dec 31.
Wednesday, November 15th, 2006
9:51 am
Today is the beginning of this year's Annual Election Period (AEP)!
Wednesday, September 27th, 2006
8:50 pm
Hi All
Hi All,

I am Dr. Moitraya Dasgupta from India. I am having 16 years of Medical Experience. A new to this community and I want to share my knowledge with everyone. Am looking for your cooperation.

Thanks and Regards,
Dr. Moitraya.

Current Mood: cheerful
Wednesday, September 13th, 2006
8:31 am
Premiums and Deductibles for 2007

Premiums and Deductibles for 2007

Part A Premium: $410 (paid by about 1 percent of beneficiaries)

Part A deductible: $992

Part B standard premium: $93.50

Part B deductible: $131

Beneficiaries who file an individual tax return with income:

Beneficiaries who file a joint tax return with income:

Income-related monthly adjustment amount

Total monthly premium amount

Less than  or equal to $80,000

Less than or equal to $160,000



Greater than $80,000 and less than or equal to $100,000

Greater than $160,000 and less than or equal to $200,000



Greater than $100,000 and less than or equal to $150,000

Greater than $200,000 and less than or equal to $300,000



Greater than $150,000 and less than or equal to $200,000

Greater than $300,000 and less than or equal to $400,000



Greater than $200,000

Greater than $400,000




Beneficiaries who are married but file a separate tax return from their spouse:

Income-related monthly adjustment amount

Total monthly premium amount



Less than or equal to $80,000





Greater than $80,000 and less than or equal to $120,000





Greater than $120,000





Wednesday, August 9th, 2006
8:14 am
Hurricane Katrina - End of the delayed termination policy
As a result of the devastation caused by Hurricane Katrina, Medicare implemented a delayed termination policy last fall which kept a person’s Medicare coverage in force even if they were unable to pay their Medicare premium. The policy initially was in place for 6 months and then was extended another 6 months through Sept. 30, 2006. Medicare is sending letters to let beneficiaries know that the delayed termination policy due to Hurricane Katrina will end on Sept. 30. Their Sept. bill will have an end date of Sept. 30, and their Medicare coverage will end on that date unless they take action now.

Read the letter...Collapse )
Tuesday, August 8th, 2006
11:53 am
Does anyone know?
I know it's kind of a specific question, but does anyone know:

If someone is under 65 on medicare (disability) who is in their first year of being in a Medicare Advantage plan can disenroll at any time like folks who are 65+ can?

ref. page 59 in the 2006 Choosing a Medigap Policy book.
Sunday, July 23rd, 2006
3:46 am
Healthcare and the Social Security Non-Crisis
The rapidly escalating costs of health care are threatening a serious fiscal crisis, along with immeasurable human costs. Infant Mortality in the U.S. is one major index. The UN Human Development Report 2005 reveals that "since 2000 a half century of sustained decline in infant death rates [in the United States] first slowed then reversed." By 2005 the rates had risen to the level of Malaysia, a country where the average income is one-quarter that in the United States. The report also reviews the effects of government programs. In the United Kingdom, for example, the rate of child poverty rose sharply during the Margaret Thatcher years, then reversed after the Labour government adopted policies to halve child poverty by 2010. "fiscal redistribution has played a central role in strategies for meeting the target," the report concludes: "Large increases in financial support for families with children," as well as other fiscal programs, "boosted the incomes of low-income working families with children," with significant effects on child poverty.

Read more...Collapse )
Thursday, June 22nd, 2006
8:34 am
seniors perpetually baffle me
The winner of the stupidest person on medicare award for thursday, june 22nd, 2006:

Mr. so-and-so has a planned hip surgery and is currently on original medicare only.

with our insurance he would be paying, with hospital copays and SNF copays, around $1000.

instead, he has decided that he would rather pay the $952 deductible as well as 20% of the procedure cost which leaves him a responsibility of oh.... at least $7000.

Gee, sure Mr. so-and-so, you're making a great choice by not taking the insurance. I'm sure your wife will be thrilled when the bills come in.
Wednesday, June 14th, 2006
2:06 pm
Procedure Prices
Medicare posts prices for 30 most common procedures:

Wednesday, June 7th, 2006
9:03 am
good job guys
"...CMS has learned from the HHS Office of Inspector General that a computer file containing personally identifiable information for approximately 17,000 Medicare beneficiaries enrolled in a health plan administered by Humana Health Plans, Inc. was not maintained securely. In an unrelated incident, approximately 250 Humana member applications were stolen from an insurance agent’s vehicle in Minnesota last month..."

full story: http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=1875
Thursday, June 1st, 2006
11:33 pm
I just joined the community, so I figured I'd do a quick introduction. I work with Medicare, specifically the prescription drug coverage (Part D). If you have any questions, feel free to ask! =)
7:55 pm
lame news that not many people know about:

June 30th is the last day to move into or out of any Medicare Advantage (M+C) health plan. Also, since Jan 1st you're only alloted two of those changes. Still no restrictions on the number of times you can move with Supplement/Medigap plans except for underwriting, this is just for MA plans.
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