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1. Why is it important to buy a Medigap policy when I am first eligible? The best time to buy a Medigap policy is during your Medigap open enrollment period. This period lasts for 6 months and begins on the first day of the month in which you’re both 65 or older and enrolled in Medicare Part B. Some states have additional open enrollment periods including those for people under 65. During this period, an insurance company can’t use medical underwriting. This means the insurance company can’t do any of the following because of your health problems: • Refuse to sell you any Medigap policy it sells • Make you wait for coverage to start (except as explained below) • Charge you more for a Medigap policy While the insurance company can’t make you wait for your coverage to start, it may be able to make you wait for coverage if you have a pre-existing condition. A preexisting condition is a health problem you have before the date a new insurance policy starts. In some cases, the Medigap insurance company can refuse to cover your out-of-pocket costs for these pre-existing health problems for up to 6 months. This is called a “pre-existing condition waiting period.” After 6 months, the Medigap policy will cover the pre-existing...
2. Long Term Care Share of Cost Providers receiving an eligibility verification message (see following example) that indicates a subscriber has an LTC SOC should not  clear the SOC online.  Subscribers with aid codes 13, 23, 53 and 63 must have their LTC SOC cleared on the claim.  The LTC facility  includes the LTC SOC amount for Medi-Cal-covered services on the  Payment […]...
3. Share of Cost, The Number Of U.S. Adults Treated For Diabetes More Than Doubled Between 1996 And 2007 Approximately 19 million U.S. adults reported receiving treatment for diabetes in 2007, more than double the 9 million who said they received care in 1996, according to the latest News and Numbers from the Agency for Healthcare Research and Quality. AHRQ also found that between 1996 and 2007: — The number of people age 65 […]...
4. Share of Cost Clearance Transaction To clear a subscriber’s SOC, the provider accesses the Medi-Cal eligibility verification system, enters a provider number, Provider Identification Number (PIN), subscriber identification number, BIC issue date, billing code and service charge.  The SOC information is updated and a response is displayed on the screen or relayed over the telephone. Several clearance transactions may be […]...
5. Share of Cost, Reality outPACEs Energy Dept.’s green retrofitting program Maryland homeowners who want federal help to add energy-efficiency improvements are going to have to wait for a while, as Cody Calamaio reports in the Montgomery County, MD Gazette.  The same holds true for would-be green home repair projects around the country. The federal program, called Property-Assessed Clean Energy, or PACE, was introduced as part […]...
6. Youth Buffered Against Risk Factors Related To Drug Abuse By Healthy Family Relationships And Religious Involvement American-Indian adolescents continue to have the highest rates of illicit drug use among all ethnic groups. Although previous research has found that increasing adolescent exposure to protective factors can reduce their risk for substance abuse, this has not been thoroughly examined in American-Indian adolescents…...
7. Research Provides Important Insight Into ‘Systemizing’ Theory Of Autism A new study from Cambridge University has for the first time found that autism diagnoses are more common in an IT-rich region. The Medical Research Council (MRC) funded study, published in the Journal of Autism and Developmental Disorders, has important implications for service provision in different regions and for the ‘hyper-systemizing’ theory of autism....
8. Texas Share of Cost, Medicaid Reform Strategies for Texas Texas Share of Cost, Medicaid Reform Strategies for Texas...
9. Share of Cost, Medi-Cal Share of Cost, Bristol-Myers Squibb And ADAP Crisis Task Force Announce Enhanced, Multi-year Support For AIDS Drug Assistance Programs (ADAPs) In The United StatesU.S. Increases Pakistan Flood Aid Contribution; Sen. Kerry To Visit Flood-Hit Pakistan “The State Department said Thursday that the U.S. financial commitment to Pakistan flood relief has reached $76 million,” VOA News reports (Gollust, 8/12). “On assistance to Pakistan, to date, approximately $76 million in assistance has been provided … by the U.S....
10. Share of Cost, Federal Digest Washington Post FDA considers revoking approval of Avastin for advanced breast cancer – Rob Stein reports on agency’s decision after follow up studies on high-cost drug that won fast-track approval show little if any benefit and potentially dangerous side-effects; cancer activists split on decision, which some see as harbinger of cost consideration under new health […]...
11. Share of Cost, Traveling with Disabilities Share of Cost, Traveling with Disabilities: This brochure from the State Department has travel planning suggestions and tips for persons with disabilities. Topics include traveling with medications, required equipment, how to request accommodations and how to pack for travel.  There is also a pamphlet called New Horizons covering air travel subjects for persons with disabilities. This link opens a PDF document....
12. When is the best time to buy a Medigap policy? When is the best time to buy a Medigap policy?...