Podcasts about medicare savings program

"The best way I can explain it is the concept is like your house is on fire, and now you go get homeowners insurance." - Kevin Chambers Kevin Chambers (Lucent Health) joined me this week to help me understand just what makes tribal healthcare plans so unique.  As Kevin shares in this episode, many companies are somewhat scared to insure tribes, as they have sovereignty and so any potential lawsuits are tried in tribal court. That doesn't mean that this niche needs to be neglected, though; tribes actually have some huge opportunities to build really effective healthcare plans.  Kevin and I discussed the federal government's role in tribal healthcare, and the four main “pillars” he uses to insure tribes; four little-known government sponsored entitlements that subsidize tribal healthcare, including the ability for native people to pay Medicare rates for their healthcare, which Kevin calls “the ultimate Reference-Based Pricing”. Tune in this week for a look into the world of tribal healthcare!  Chapters: (00:00:00) Introducing Kevin Chambers (00:01:32) Self-Governed Tribal Healthcare Clinics (00:16:24) Medicare Savings Program for Tribal Healthcare (00:23:24) Tribal Healthcare: Self-Governance and Affordable Medicine (00:27:26) High-Cost Medical Expense Reimbursement Fund (00:36:20) Crucial Role of TPAs in Tribal Healthcare (00:39:02) Reducing Fraudulent Charges through Healthcare Billing Transparency (00:40:08) Exposing Wasteful Healthcare Practices Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02 Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286 Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/ Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/ Key Words:  #TribalHealthcare #SelfGovernance #EducationalInitiatives #HealthcareSolutions #CatastrophicHealthFund #TPAs #TransparencyInHealthcare #HealthcareEfficiency #TribalSpace #QualityCare #FinancialEfficiency #LegalCompliance #selffunded #podcast Tribal Healthcare, Self Governance, Educational Initiatives, Healthcare Solutions, Catastrophic Health Fund, TPAs, Transparency In Healthcare, Healthcare Efficiency, Tribal Space, Quality Care, Financial Efficiency, Legal Compliance, self funded, podcast --- Support this podcast: https://podcasters.spotify.com/pod/show/spencer-harlan-smith/support

"The best way I can explain it is the concept is like your house is on fire, and now you go get homeowners insurance." - Kevin Chambers Kevin Chambers (Lucent Health) joined me this week to help me understand just what makes tribal healthcare plans so unique.  As Kevin shares in this episode, many companies are somewhat scared to insure tribes, as they have sovereignty and so any potential lawsuits are tried in tribal court. That doesn't mean that this niche needs to be neglected, though; tribes actually have some huge opportunities to build really effective healthcare plans.  Kevin and I discussed the federal government's role in tribal healthcare, and the four main “pillars” he uses to insure tribes; four little-known government sponsored entitlements that subsidize tribal healthcare, including the ability for native people to pay Medicare rates for their healthcare, which Kevin calls “the ultimate Reference-Based Pricing”. Tune in this week for a look into the world of tribal healthcare!  Chapters: (00:00:00) Introducing Kevin Chambers (00:01:32) Self-Governed Tribal Healthcare Clinics (00:16:24) Medicare Savings Program for Tribal Healthcare (00:23:24) Tribal Healthcare: Self-Governance and Affordable Medicine (00:27:26) High-Cost Medical Expense Reimbursement Fund (00:36:20) Crucial Role of TPAs in Tribal Healthcare (00:39:02) Reducing Fraudulent Charges through Healthcare Billing Transparency (00:40:08) Exposing Wasteful Healthcare Practices Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02 Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286 Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/ Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/ Key Words:  #TribalHealthcare #SelfGovernance #EducationalInitiatives #HealthcareSolutions #CatastrophicHealthFund #TPAs #TransparencyInHealthcare #HealthcareEfficiency #TribalSpace #QualityCare #FinancialEfficiency #LegalCompliance #selffunded #podcast Tribal Healthcare, Self Governance, Educational Initiatives, Healthcare Solutions, Catastrophic Health Fund, TPAs, Transparency In Healthcare, Healthcare Efficiency, Tribal Space, Quality Care, Financial Efficiency, Legal Compliance, self funded, podcast --- Support this podcast: https://podcasters.spotify.com/pod/show/spencer-harlan-smith/support

In this episode, I sat down with Anna De Paula Hanika, Co-Founder & CEO of Uno Health. Founded in 2019, Uno enrolls Medicare members in the federal and state programs – Medicaid, the Medicare Savings Program, SNAP, energy assistance programs, and more – that they are eligible for, benefiting both the member and payor. Uno has put over $10M back into the pockets of low-income Americans. Its investors include Google Ventures, General Catalyst, Floodgate, and Cowboy Ventures. Anna and I discuss: 1) How she became interested in solving challenges related to the US healthcare systems and identified enrolling seniors in federal and state programs as the particular problem she wanted to solve, 2) Uno's business and operational model and value proposition to payors and members, 3) The ways Anna has seen these safety net programs work really well and less well and how supplemental benefits programs from payors can fill some existing gaps, and 4) Lessons she's learned during her journey as an entrepreneur and advice she has for people starting tech-enabled services businesses.

WBZ's James Rojas spoke to plastic rear-end donning seniors who were protesting at the State House for American Rescue Plan funds to be used to help seniors in the state.

WBZ's James Rojas spoke to plastic rear-end donning seniors who were protesting at the State House for American Rescue Plan funds to be used to help seniors in the state.

  Find out how Medicaid and Medicare compare in this explainer episode. These two different programs are often confused for each other. But they can also combine to provide your clients with powerful insurance coverage.   Read the text version.   Register for your FREE RitterIM.com account   Mentioned in this episode:   10 Things to Know about Medicaid: Setting the Facts Straight Contact the Team at Ritter Insurance Marketing Determine Medicaid Eligibility on Healthcare.gov Healthcare.gov Official Website How Do Medicare and Medicaid Work Together? How Do You Qualify for a Medicare Savings Program? Medicaid & CHIP coverage Medicaid Eligibility Medicaid Financing: The Basics Medicaid's Role for Medicare Beneficiaries What's Medicare?   More episodes you'll like:   How to Check Medicare Extra Help Eligibility for Your Client Stay Busy Outside of AEP With Special Enrollment Periods The Beginner's Guide to D-SNPs   Articles to Share with Your Clients:   All About State Health Insurance Assistance Programs Do I Qualify for a Medicare Special Needs Plan (SNP)? Medicare on the Go: How My Plan Works on Vacation    Ritter Insurance Marketing eBooks & Guides:   Modern Medicare Marketing for Today's Agents The Complete Guide on How to Sell Medicare Advantage Plans The Complete Guide to Client Loyalty and Retention   The latest from Ritter's Blog:   AHIP Test Tips and Tricks for Medicare Certification FAQs About NAHU Medicare Certification NAHU 2022 Medicare Certification Training   Subscribe & Follow:   Apple Podcasts Google Podcasts Overcast Podbean Spotify Stitcher   Connect on social:   Facebook LinkedIn Twitter YouTube Instagram Sarah's LinkedIn Sarah's Instagram  

If you're unsure what the differences are between Medicare and Medicaid, don't go anywhere. In today's video, we're going to explain the difference between the two, as well as additional Medicare Savings Programs you could be eligible for.Medicare is a federally funded program for those who are over 65 as well as those who are under 65 with a disability. With Medicare, the benefits are the same across all 50 states, and your income is not an eligibility factor.  With Medicaid, It's funded both on the federal level and the state level. You're eligible at any age and benefits and criteria do vary from state to state. With Medicaid, you must meet the low-income criteria within your state to become eligible.If you meet the eligibility criteria for both Medicare and Medicaid, that means your dual-eligible. Those who are dual-eligible can qualify for a Medicare Savings Program. These programs help pay for your Medicare cost including deductibles, co-pays, and coinsurance. In addition, all of those who are eligible for Medicare Savings Program are also eligible for a program called Extra Help.Extra Help provides assistance with your prescription drug cost under Part D. Also, if you delayed enrolling into Part D and incurred a late enrollment penalty because of it, that penalty will be waived if you're eligible for Extra Help. To qualify for Medicare Savings Program you must be already enrolled or at least eligible for Part A and your income and resources must meet the federal and state limits set for the program. There are four different types of Medicare Savings Programs. The first type of Medicare Savings Program we're going to go over is called the Qualified Medicare Beneficiary Program, or QMB. With the Qualified Medicare Beneficiary Program, you will have coverage for the Part B premium. If by chance you were not eligible for premium-free Part A then the Qualified Medicare Beneficiary Program will also cover your Part A premium. Medicare will be your primary coverage and your QMB will be your secondary. This means you won't need any Medigap plan since your QMB will cover your premiums, co-pays, and deductibles. The Qualified Medicare Beneficiary Program is the highest level of Medicare Savings Program you can get. The second type of Medicare Savings Program available is the Specified Low-Income Medicare Beneficiary or SLMB. The Specified Low-Income Medicare Beneficiary Program will pay for your Medicare Part B premium. The next type of Medicare Savings Program is Qualified Individual or QI. The Qualifying Individual Program will also pay for your Medicare Part B premium. The only difference is that you must apply for this program each year. It's on a first come first serve basis. The fourth and final type of Medicare Savings Program is the Qualified Disabled and Working Individual, or QDWI. If you're under 65, disabled, and working and you can qualify for the QDWI. This program will pay for the premium for your Part A. The most common question we get about the QDWI program is if you must be working? And the answer is yes, you must be under 65 disabled and still working to qualify.Keep in mind, each state may have a different name for these types of Medicare Savings Program. So don't be confused if your local Medicaid office refers to them with a different name. You can apply for any of the Medicare Savings Programs at any time of the year at your local Medicaid office. The list of what you need to apply can vary by state, but in general, you'll need to provide:- Proof of residence- Proof of age- Other forms of insurance, like Medicare- Checking and savings accounts- Retirement accounts- Stocks and bonds- Mutual fundsResources that aren't counted would include:- Your primary residence- Household items- Any furniture- One car

Hi everyone Lindsay here with Elite Insurance Partners and MedicareFAQ.com. Welcome. If it's your first time joining us, we're very happy to have you here. Now there are many different enrollment periods when it comes to Medicare. Today we're going to talk about the General Enrollment Period and what low-income beneficiaries should know.The Medicare General Enrollment PeriodThe Medicare General Enrollment Period runs annually between January 1st and March 31st. It's the second opportunity you have to enroll in both Medicare Part A and B. When you enroll during the GEP your coverage will begin July 1st. Most Medicare beneficiaries are unaware that if they delay enrolling in Part A and Part B without Credible Coverage, they're going to see some penalties. There are two ways around these penalties. One of them is if you're low income and you qualify for Medicare Savings Program. And the other one is if you're collecting Social Security Disability Income and you were paying these penalties when you turn 65 those penalties will then be waived. Medicare Savings ProgramsIf you're a low-income beneficiary you may have some other options. If you decline Part B because the premium is too expensive, there are three Medicare Savings Programs that you may qualify for. These MSPs will pay your Part B premium and also protect you against any penalties. In addition, to qualify for a Medicare Savings Program you must be enrolled in Part A.Now if you didn't work enough quarters, and you don't get Part A premium-free, so you declined it due to it being too expensive, you may qualify for a Qualified Medicare Beneficiary Program. Qualified Medicare Beneficiary ProgramsNow, I could go much more into detail about these Qualified Medicare Beneficiary Programs and these Medicare Savings Programs, but that would make this video over an hour long. So we'll make sure to include some links below to our MedicareFAQ.com to where it will go over these in more detail.Part D Special Enrollment PeriodFor those looking for Prescription Drug Coverage, when you use the General Enrollment Period to enroll in Part A and B, you'll actually get a Part D Special Enrollment Period. This Special Enrollment Period for Part D will be between April 1st and June 30th. The effective date will be alongside your Part A and Part B, which is July 1st. 

Hey Medicare Nation! www.TheMedicareNation.com It's October! That means it's Medicare Time! The Annual Enrollment Period is just around the corner. Did you receive your "Annual Notice of Changes (ANOC)" for your Medicare Advantage Plan or Prescription Drug Plan? If not....contact your plan and request the ANOC. Today......I want to talk with you about Part D Prescription Drug Coverage for 2020! Medicare has set the maximum Part D Deductible for 2020 at $435.00. Medicare Advantage Plans and Stand-Alone Prescription Drug Plans have the option to charge the maximum deductible amount of $435.00...... or....... They can eliminate the Deductible altogether.... or...... They can charge an amount in between. You MUST do your "Due Dilligence" in determining which Prescription Drug Plan will fit your unique needs for 2020. Contact your Medicare Specialist and request their assistance in finding a Prescription Drug Plan for 2020. If you have a question about Medicare or your Prescription Drug Plan.... You can send me an email to Support@TheMedicareNation.com If I can answer your question in ONE Paragraph, I will answer your question! If I cannot ...... I will request you hire me as your consultant. I currently charge $199.00 an hour for my consultation services.  I always do my best to answer your questions in ONE paragraph. The "initial coverage period (ICP)" for Part D, has a threshold of $4,020.00 When you hand in a prescription, the total amount of the prescription is applied towards the ICP. If you have a Deductible, that is applied towards the ICP too. When the total amount of your prescriptions reaches $4,020.00..... you will now enter a new phase called the "coverage gap." In this stage.... you will now pay 25% of generic drugs.... and you will pay 25% of brand name drugs. If you reach $5,018.75 you will enter the next stage, which is called.... The "Catastrophic Stage." In the Catastrophic Stage, you will now pay a 5% co-insurance or $3.60 for Generic Drugs..... or.... $8.95 for Brand or non-preferred Drugs.... which ever is a greater amount. You will remain in the Catastrophic Stage until your out-of-pocket spending reaches $6,350 or..... when the ball drops on New Year's Eve! I know prescription drugs can be very expensive! There are programs available for those of you with lower incomes. The program is called "Extra Help," or "Low Income Subsidy." To apply for Extra Help, go to the social security website - www.socialsecurity.gov/extrahelp If your individual income is less than $1,562 a month, you would qualify for the LIS program. If your income is more than $1,562 a month, but is less than $1,900 a month....APPLY! You have nothing to lose! All they can say is No! You can also appy for the "Medicare Savings Program" If you qualify, CMS will pay for your Medicare Part B Premium. Depending on your qualifications, CMS may pay your premium, deductible and co-insurance. Apply for the Medicare Savings Program here: https://www.medicare.gov/Contacts/#resources/msps Thank you for listening to Medicare Nation! If you are part of my “Sandwich Generation,” Share this show with your parents and/or grandparents. They have many questions about Medicare and this show will answer them! Buy them a “Smart Phone,” and introduce them to Medicare Nation! If you are a Baby Boomer, share Medicare Nation with other “Baby Boomers.” I want to educate as many of you as I can about Medicare! I certainly can use  your help in putting the word out! If you have any questions, send them to Support@TheMedicareNation.com If I can answer it in one email - I will personally answer you! If your question requires research or additional contact with you, I do offer consulting if you would like me to assist you in that manner. Want to hear a topic on Medicare Nation? A special guest? Let me know and I'll do my best to get them on the show! Thanks again for listening! Diane Daniels  

AARP Connecticut Advocacy and Community Outreach Director John Erlingheuser discusses the Medicare Savings Program, efforts to deregulate landline telephones, consumer advocacy and other topics.

Rep. Cathy Abercrombie and Sen. Len Suzio, both of Meriden, warn that budget woes mean eligibility requirements for the Medicare Savings Program could change. This edition of the Morning Record includes a portion of their discussion at the Meriden Senior Center.

When Connecticut's General Assembly passed a new budget, they changed the threshold for those qualifying for the Medicare Savings Program. And now, previously eligible participants, are losing their health insurance coverage. Plus, will the Republican tax cut plan, winding its way through Congress, hurt those currently able to deduct expenses, repairing crumbling basements in eastern Connecticut?

Conversation on Medicare, what is Original/Traditional Medicare, Medicare Advantage, Parts A, B, C, D, Medigap, supplemental insurance, the Medicare Savings Program, enrollment periods and other.

Hey Medicare Nation! It's October, and that means it's Medicare season! If you need help navigating the 2018 Medicare Advantage Plans or Medicare Prescription Drug Plans, I'm available to help! Go to my website...... www.TheMedicareNation.com  and click on the "contact" button. Send me a short email of how I can assist you and I'll get back to you with details.   How many of you receive excess letters, brochures and booklets from Medicare insurance companies? I'm sure most of you do. How many of you, in the past, have received an "official looking" postcard or letter, that you believed came from Medicare or the Social Security Administration...... only to find out it's a "scam?"  Again.....I'm certain many of you did. Right now, many of you or your parents, have or will be receiving an actual letter from the social security administration, that is real! I'm serious.....it's not a scam! That's right...... in a joint venture to promote the Medicare Savings Program and the Extra Help Program, the federal government has been sending letters to Medicare beneficiaries, who may qualify for one or both programs. The letter details the criteria to qualify for the programs, as well as how to apply for each program. So..... what is the Medicare Savings Program? The Medicare Savings Program is run by your State's Medicaid Program. The program assists those who can't afford Medicare premiums or Medicare deductibles, co-insurance and/or co-payments. To qualify for a Medicare Savings Program, your "monthly" income and total "resources" (like money in the bank, stocks, annuities etc.) must be at or below the amounts the program has set as "The Threshold."  The house you live in, as well as one car you own, does not count towards the "resource" level. Let's take a look at those "thresholds" now. Medicare Savings Program 2017 Monthly Income Limit: Single Person $1,377.00  Married (living together) $1,847.00   2017 Total "Resource" Limit: Single Person $7,390 Married (living together) $11,090 To apply for the Medicare Savings Program, go to the official Medicare website www.Medicare.gov/contacts or.... call Medicare and ask them for your State's Medicaid office telephone number (800-633-4227). Now....let's take a look at the "Extra Help" program. The "Extra Help" program is run by the Social Security Administration.  Extra Help is a Medicare program that may help you or your parents pay Medicare prescription drug (Part D) deductibles, premiums, co-insurance and/or co-payments. You must be enrolled in Medicare Part D to be considered for the Extra Help program. You don't have to file two separate applications to apply for the Extra Help and the Medicare Savings Program. When you apply for the Extra Help program, Social Security will send your information to your State Medicaid office, to see if you also qualify for the Medicare Savings Program. If you don't want to apply for the Medicare Savings Program, you will need to indicate that on the application or advise the State Medicaid representative that you do not want to apply for the Medicare Savings Program. Let's take a look at the criteria for the Extra Help program. Extra Help Program 2017 Monthly Income Limit: Single Person $1,507.50  Married (living together) $2,030.00   2017 Total "Resource" Limit: Single Person $13,820.00 Married (living together) $27,600.00 To Apply for the Extra Help program, go to the official social security website - www.socialsecurityl.gov/extrahelp or call Medicaid......800-772-1212 to ask for an application. You can also go to your local Social Security office and wait in line if you'd like...... go here to find your local office - www.socialsecurity.gov/locator That's it for today Nation! I"ll see you next week with more Medicare information and resources! Diane

Today’s topic is the Medicare Savings Program. It can help you pay part of your Medicare premiums. It’s based on certain criteria of your income and resources.   2016 Medicare Savings Programs:   Resources include stock, bonds, 401K, IRA.   It does not include your home, 1 vehicle and other personal items.     4 Levels of Coverage:   QDWI Plan: (Qualified, Disabled, and Working Individual) Monthly income limit - $4045 (Married $5425)  Resource limit - $4000 (Married $6000)       QI Plan: (Qualifying Individual)   Monthly income limit: $1357 (Married $1823) Resource limit: $7280 (Married $10,930) Pays Part B Premium - $104.90 New to Medicare - $121.80     Specified Low Income Medicare Beneficiary Program (SLIM-B)   Monthly income limit: $1208 (Married $1622) Resource limit: $7280 (Married $10,930) Pays Part B Premium - $104.90 New to Medicare - $121.80     Qualified Medicare beneficiary (QMB)   Pays Part A, Part B Premium, Deductibles, Co-pays Monthly income limit: $1010 (Married $1355) Resources limit: $7280 (Married $10,930)     How to Apply:   Go online to www.ssa.gov. Click “Benefits”, then “Extra Help for RX Drugs”, look on right side for “Application”. Go to the Social Security office (find locations on ssa.gov) to apply Go through your state Medicaid Program - Google “medicare” and your state   It may take 4-6 weeks for them to send you an acceptance/rejection letter.  You have to re-qualify annually.   Questions?    Call SSA at 800-772-1212 Email me: support@themedicarenation.com Call me: 855-855-7266   Do you have questions or feedback? I’d love to hear it! I may answer one of your questions on the air! email me: support@themedicarenation.com Thank you for listening! If you enjoyed this podcast, please subscribe and leave a 5 star rating and review in iTunes! (Click here)     Find out more information about Medicare on Diane Daniel’s website! www.CallSamm.com