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We'll congratulate Florida podcaster, Diane Daniels from Tampa (host of the Medicare Nation Podcast), for some awesome recognition she's receiving. Then, we'll discuss a list of the best website themes for your podcast, audience growth vs. monetization, and a new discoverability tool in general podcasting news. Next, Jaime will give you a rundown on the latest with the Network itself. And, Glenn will close the show with a final tip dissecting the differences between the 7 most common podcast formats. Listen in... Link to Sound File for Sight Impaired: Click Here Featured Pic Credit: Florida Podcast Network Florida News Link #1: Horses in the Morning makes it into card game Equestrians Against Normalcy Florida News Guest: Diane Daniels of Medicare Nation Podcast | Vote for her! | Weight Loss Nation Podcast General News Link #1: Castbox General News Link #2: Wordpress Themes for Podcasting: A Guide to Choosing & Using General News Link #3: Want To Make Money Podcasting? Get An Audience! General News Link #4: Oozy.fm FPN News Link #1: Finding Florida is headed to Sarasota for its 20th adventure | Thank you to Britney at Visit Sarasota FPN News Link #2: Florida Beer Podcast's debut episode is now out FPN News Link #3: Check out our brand new media kit!! Additional Support Provided by: Flint Stone Media Partner with FPN: Become the voice of YOUR segment of Florida!! From sponsoring episode segments through creating and growing your own branded show, we have the solution to promote you while we promote Florida! Have a suggestion? Join us in the FPN Insiders group on Facebook and let us know! FPN: Check out the other shows on the Florida Podcast Network
We'll congratulate Florida podcaster, Diane Daniels from Tampa (host of the Medicare Nation Podcast), for some awesome recognition she's receiving. Then, we'll discuss a list of the best website themes for your podcast, audience growth vs. monetization, and a new discoverability tool in general podcasting news. Next, Jaime will give you a rundown on the latest with the Network itself. And, Glenn will close the show with a final tip dissecting the differences between the 7 most common podcast formats. Listen in... Link to Sound File for Sight Impaired: Click Here Featured Pic Credit: Florida Podcast Network Florida News Link #1: Horses in the Morning makes it into card game Equestrians Against Normalcy Florida News Guest: Diane Daniels of Medicare Nation Podcast | Vote for her! | Weight Loss Nation Podcast General News Link #1: Castbox General News Link #2: Wordpress Themes for Podcasting: A Guide to Choosing & Using General News Link #3: Want To Make Money Podcasting? Get An Audience! General News Link #4: Oozy.fm FPN News Link #1: Finding Florida is headed to Sarasota for its 20th adventure | Thank you to Britney at Visit Sarasota FPN News Link #2: Florida Beer Podcast's debut episode is now out FPN News Link #3: Check out our brand new media kit!! Additional Support Provided by: Flint Stone Media Partner with FPN: Become the voice of YOUR segment of Florida!! From sponsoring episode segments through creating and growing your own branded show, we have the solution to promote you while we promote Florida! Have a suggestion? Join us in the FPN Insiders group on Facebook and let us know! FPN: Check out the other shows on the Florida Podcast Network
Hey Medicare Nation! www.TheMedicareNation.com On the Last episode.....I spoke to you about Medicare Supplement Plan "F" and High Deductible Plan F. Today....I'm going to talk about Medicare Supplement Plan "G" and Plan "N" Plan "G" allows you to "purchase" an insurance policy, where you pay a monthly premium to the carrier...... in return...... Medicare Supplement Plan G, will pay ALL your Medically necessary out-of-pocket deductibles, co-insurance and co-pays...... EXCEPT for ..... The Annual Part B Deductible. YOU will be responsible for the Annual Part B deductible each year. Currently.... in 2019, the Annual Part B Deductible is $185.00. So..... when you seek medical care in the beginning of the year.... you will pay out-of-pocket until you hit the $185.00 Part B Deductible. After you pay the $185.00 Part B Deductible....you will NOT be responsible for ANY other deductibles, co-pays or co-insurance under Medicare Supplement Plan G, that are medically necessary under Medicare. Plan "N" allows you to "purchase" an insurance policy, where you pay a monthly premium to the carrier...... in return...... Medicare Supplement Plan N, will pay ALL your Medically necessary out-of-pocket deductibles, co-insurance and co-pays...... EXCEPT for ..... 1. The Annual Part B Deductible ($185.00 in 2019) 2. A co-pay of up to $20.00 for each doctor visit. 3. A co-pay of $50.00 if you go to the Emergency Room and you are "Discharged" from the Emergency Room. If you are "admitted" to the hospital from the ER... you will NOT incur a $50.00 co-pay. If you have paid all of your Part B Deductible, you will have NO other out-of-pocket costs while you are an inpatient in the hospital. 4. If you seek treatment, testing or diagnostic testing from a physician or facility that does NOT accept Medicare, you WILL be responsible for 100% of the cost of that service. The provider or facility can legally charge you 15% above and beyond the Medicare Allowable charge. It is vital that you always ask prior to receiving care, a test or doctor visit....if the physician or facility "accepts Medicare." If they do.....your charges are outlined above. If they do not accept Medicare..... you may be responsible for ALL of the charges, up to 15% of the Medicare Allowable charge. ASK BEFORE YOU SEE A DR or RECEIVE TREATMENT! Prices for Medicare Supplements VARY by zipcode! Get quotes from MANY different insurance carriers prior to enrolling in a plan. You could save hundreds....sometimes over a thousand dollars a year! HAVE a Question for ME? Send it to me at Support@TheMedicareNation.com I will answer ALL emails I receive.... personally! If the answer to your question will take me more than 1 paragraph to answer... or .... it is necessary to do some research for you in order to answer the question.... I will respond and advise you to hire me as your consultant. Many of your questions may be answered on the official Medicare website - www.Medicare.gov Always do YOUR Due Dilligence before you enroll in a Medicare Plan! Consider leaving a review & rating on the Medicare Nation Podcast page in iTunes. http://nation.reviews/medicare8 Thanks for listening to Medicare Nation! Show your Parents how to "Subscribe" to Medicare Nation. With over 100 episodes... most of their questions will be answered by listening to my episodes. This way... your parents are NOT bothering YOU for information about Medicare! Enjoy time for yourself and your family! Teach people how to "subscribe" to Medicare Nation! YOU will be responsible for the Annual Part B deductible each year.
On this episode, Joseph Warren chats with courageous entrepreneur, Diane Daniels about how she struggled to make her first $100,000 while building her podcast empire. Listen To Diane's Podcast: Medicare Nation Podcast Get More: www.First100K.com Become A Patron of The Show!! Get Patron-Only Rewards
Hey Medicare Nation! Here I am bringing you yet another Medicare Advantage Plan Sponsor, being slapped by CMS, for failing to comply with Medicare requirements related to Part C (Medicare Choice) and Part D (Medicare Prescription Drug Plans). Today, I will be discussing the CMS Civil Money Penalty (CMP) that was imposed on Fallon Community Health Plan. On June 29, 2017, a letter was issued to Mr. Richard Burke, the President and CEO of Fallon Community Health Plan, from Vikki Ahern, Director of the Medicare Parts C and D Oversight and Enforcement Group. The letter was written relating to a "Notice of Imposition of Civil Money Penalty for Medicare Advantage-Prescription Drug Contract Numbers: H2411, H2470 and H9001. Summary of Noncomplliance CMS conducted an audit of Fallon's Medicare operations from February 16, 2016 through February 26, 2016. In the audit report issued on July 20, 2016, CMS auditors reported that Fallon failed to comply with Medicare requirements related to...."Part C and Part D organization/coverage determinations, appeals and grievances in violation of 42 CFR" (Code of Federal Regulations). The audit report lists the exact subsections of 42 CFR that were violated The letter goes on to state....Fallon's failures in these areas were systemic and resulted in enrollees inappropriately experiencing delayed or denied access to benefits and/or increased out-of-pocket costs. CMS made a determination to impose a civil money penalty (CMP) for Fallon's failure to comply, in the amount of $344,100.00. That's a BIG fine! Fallon Comunity Health Plan was founded in 1977. They have a product portfolio of group and individual health plan options. Fallon also has a Senior Care Services Division, oversees all products, programs and solutions which focus on the senior population. If you are a member of a Fallon Medicare Advantage Plan and you have questions regarding your plan, I would call the Senior Care Services Division. The number is - 800-868-5200. If you are a current member of a Fallon Medicare Advantage Prescription Drug Plan, your benefits are intact and working for you. The $300,100 CMP was issued due to the incorrect classifications of "grievances", "organization determinations" for Part C complaints or "coverage determinations" for Part D complaints by members. These incorrect classifications resulted in members not receiving the required level of review, and/or experiencing delayed access to medically necessary or life-sustaining treatments. How does something like this happen, you may ask? Insufficient training of Fallon customer representatives and agents. Employers like Fallon, need to ensure their employees are properly trained in CMS Medicare Advantage Plan and Medicare Part D regulations as well as Fallon's Medicare Health Plans and benefits. Train your employees Fallon! Fallon needs to ensure their employees are competent and complying with Medicare rules & regulations relating to Medicare Advantage Part C and Medicare Part D. What Should You Do if You or Your Parent(s) are on a Fallon Medicare Advantage Prescription Drug Plan? Pay attention to your MONTHLY Explanation of Benefits (EOB) letter. Look the document over and ensure all the prescriptions you filled that month are correct! Look and make sure the provider(s) listed on your EOB are doctors or facilities you visited. Ensure any treatments or diagnostic tests were ones you actually did! If you find a discrepancy, call Fallon customer service to notify them of it. A Fallon customer service rep should be able to assist you with this issue. If Fallon customer service is unable to assist you or if they refuse to assist you, you have two good options: 1. Call your Medicare Agent or Medicare Advisor. They enrolled you in the Fallon Medicare plan and should be a liaison between you and Fallon. 2. Call Senior Medicare Patrol. Senior Medicare Patrol (SMP) is an awesome resource that is available to you for free! SMP Volunteer's are seniors and understand what you're going through. They are trained to investigate or notify the agency who can investigate, suspicious or fraudulent charges on your EOB statement. Go to the SMP website to find an SMP location near you: www.SMPresource.org If you believe you were denied coverage or delayed in receiving your benefits, you have a right to appea Ask your Medicare Agent or Medicare Advisor to assist you and explain your options. Your coverage and benefits are intact and not in danger at Fallon Health Plan. Fallon has the right to appeal the CMS CMP by August 29, 2017. We'll see what happens. In the meantime, due your due-dilligence and monitor your EOB statements no matter which Medicare Advantage or Medicare Prescription Drug Plan you are on. Report any discrepancies or suspicions right away. I am available for consultations if you feel you have been denied a claim or your benefits were delayed due to an incorrect classification. I also can initiate a reconsideration appeal for Part C claims or a redetermination appeal for Part D claims. Contact me at Support@TheMedicareNation if you'd like me to consult with you. Thank you for listening to Medicare Nation! I appreciate you taking the time to learn more about Medicare and Medicare Plans. Help your parents and grandparents learn about Medicare, by showing them how to gain access to the Medicare Nation Podcast! Questions about Medicare or your Medicare Plan you need answered? Send me an email to Support@TheMedicareNation.com or go to my website www.callsamm.com Have a very happy, peaceful and prosperous week everyone! Diane Daniels
Diane Daniels is a medicare consultant, speaker, and host of the Medicare Nation Podcast. www.medicarenation.com About Story Jam Story Jam Theatre was created by New York transplant Chris Krimitsos after moving to Tampa and missing the creative scene of his beloved NY. On September 23rd, 2014 (Chris’ Birthday), he invited a few friends to share stories that had impacted them…and Story Jam Theatre was born! The stories were so profound, they deeply touched all who were in attendance. Inspired by his wife’s podcast Biz Women Rock, he set out to create this podcast to leverage the medium and bring these stories to the world! Help us grow by sharing these stories with friends and letting us know if you have a story of your own to share! Live Shows We are currently producing the majority of our shows out of Tampa Bay, Florida. We will be expanding to other cities in the Southeast as the Story Jam Theatre community grows. Share a Story! To tell us your story, please fill out the form below. Story Jam’s Main Stage is located in Tampa, FL. We will be expanding to other cities in the Southeast as the community grows. Support To Support Story Jam Theatre visit http://storyjamtheatre.com. Credits Production support by Anthony Kovic of Real Video Production, Stuart Mackey of Mackey Productions, and Roy Stegman at Imaginary Mind Productions.