Tag: Medicare

Last year Ellin and her husband, both new to Medicare, signed up for a Medicare Advantage plan from Essence Healthcare, a managed care firm based in a St. Louis suburb. She contacted me wanting to share her experiences in choosing a Medicare Advantage plan to cover what the Medicare program does not pay, and agreed to track how the plan paid for services throughout the year — especially the heavily advertised extra benefits such as vision and dental touted in TV ads during this season’s open enrollment period.

A new Health Navigation Pilot Program is underway at Inland Empire Health Plan (IEHP), connecting patients in Barstow to primary care physicians, needed social services, and more. 

Improper payments represent payments that do not meet program requirements. The vast majority of improper payments occur in regards to people who may be eligible for care, but for whom there was an unintentional payment error or a reviewer cannot determine if a payment was proper due to insufficient payment documentation from a state or a provider.

On October 15th, the Centers for Medicare & Medicaid Services (CMS) is reminding people with Medicare that Medicare Open Enrollment is here, and now is the time to review their coverage options and make a choice that meets their health care needs. Medicare’s Open Enrollment period gives those who rely on Medicare the opportunity to make changes to their health plans or prescription drug plans, pick a Medicare Advantage Plan, or return to Original Medicare.

The Centers for Medicare & Medicaid Services (CMS) is reminding people with Medicare that Medicare Open Enrollment begins October 15, 2021, and now is the time to review their coverage options and make a choice that meets their health care needs. Medicare’s Open Enrollment period gives those who rely on Medicare the opportunity to make changes to their health plans or prescription drug plans, pick a Medicare Advantage Plan, or return to Original Medicare.