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Share of Cost – Medi-Cal

Monday, Mar. 25th 2024 10:00 AM

Understanding the Share of Cost Option in Medi-Cal: A Guide for Californians

Hello there, reader! Are you aware of the share-of-cost option in Medi-Cal? This topic is of great significance for millions of Californians, and we at shareofcost.com aim to provide comprehensive information about it. Understanding that many of the 7 million Californians with Medi-Cal coverage do not qualify for cash assistance through CalWORKs or SSI is essential, as people commonly misunderstand it. If you need help or have any questions, please don’t hesitate to contact us at 310-534-3444.

Now, let’s talk about the share of cost option. This program requires individuals to pay some money towards their medical expenses before Medi-Cal coverage kicks in. The amount is based on your income and other factors, which can be challenging to estimate without proper guidance. However, understanding this program is crucial for making informed healthcare decisions and avoiding unexpected expenses.

The share of cost option is not the same as co-payments or premiums. Instead, it’s a way for Medi-Cal to ensure that beneficiaries contribute to the cost of their healthcare while still providing affordable coverage. Without this program, the burden of paying for medical expenses could fall entirely on the state, making the program unsustainable in the long run.

Therefore, it’s essential to clearly understand the share of cost options in Medi-Cal. Doing so lets you make informed healthcare decisions and avoid unexpected expenses. It’s important to note that this program is designed to help those who need it most, and it’s an integral part of California’s healthcare system.

The share of cost option in Medi-Cal is a crucial program that serves millions of Californians. Understanding this program is essential for making informed healthcare decisions and avoiding unexpected expenses. So, if you’re eligible for Medi-Cal coverage, familiarize yourself with this program and its benefits.

Understanding Medi-Cal Eligibility: Programs and Benefits for Californians

Let’s explore how individuals and families can qualify for Medi-Cal coverage in California. You may be surprised to know that there are several programs available for working families with incomes below the poverty level, as well as programs targeting children, pregnant women, seniors, and people with disabilities. 

In addition to these programs, Medi-Cal benefits individuals and families with incomes too high to qualify for cash assistance but too low to cover their healthcare costs. Even if you are not eligible for other programs, you may still qualify for Medi-Cal coverage.

It’s important to understand that Medi-Cal is a vital resource for millions of Californians who would otherwise be unable to afford healthcare. With Medi-Cal coverage, individuals and families can access various healthcare services, including preventative care, medical treatment, and prescription medications. 

Unfortunately, many people are unaware of how to qualify for Medi-Cal coverage. Familiarizing yourself with the different programs available and the eligibility requirements for each program is essential. By doing so, you can ensure that you take advantage of all the healthcare resources available to you and your family.

Medi-Cal provides benefits for individuals and families with incomes below the poverty level, as well as programs targeting children, pregnant women, seniors, and people with disabilities. Additionally, Medi-Cal benefits individuals and families with incomes too high to qualify for cash assistance but too low to cover health care costs. If you need healthcare services and clarification on your eligibility for Medi-Cal, explore the different programs available and their eligibility requirements.  

Disproportionate Rise in Medi-Cal Expenditures by a Small Percentage of Beneficiaries: An Analysis of Fiscal Year 2019-20 Data

As of the latest available data from fiscal year 2019-20, the percentage of Medi-Cal beneficiaries responsible for a disproportionate amount of fee-for-service expenditures has increased. That year, approximately 5% of beneficiaries accounted for about 50% of fee-for-service expenditures. This represents a significant increase from 2007, when just over 1% of beneficiaries accounted for about 15% of total fee-for-service expenditures, estimated at $2.2 billion for the fiscal year 2006-07. The reasons for this increase are complex and multifaceted, including rising healthcare costs, an aging population, and the prevalence of chronic conditions among specific population segments. Despite these challenges, the Medi-Cal program remains a vital resource for millions of Californians, providing access to essential healthcare services and helping to improve health outcomes across the state.

Understanding the Share of Cost Option in Medi-Cal: Eligibility Requirements and Calculation

Only some qualify for the share-of-cost program because it is designed for individuals or families with income above the limit to qualify for regular Medi-Cal coverage but still need help paying for their healthcare expenses. Those who do not meet the program’s income and eligibility requirements may be unable to participate. Understanding the eligibility requirements is essential for making informed healthcare decisions.

The qualifications for the share-of-cost option are based on several factors, including income, family size, and medical expenses. To be eligible, individuals must have a monthly income below a specific limit, which varies based on family size. Additionally, individuals must have medical expenses exceeding their monthly cost share.

The share of cost is calculated by subtracting the income limit from the individual’s monthly income and deducting any allowable expenses. The remaining amount is the share-of-cost the individual must pay before Medi-Cal coverage kicks in. For example, if an individual has a monthly income of $1,000 and the income limit for their family size is $700, their share of cost would be $300.

It’s important to note that not all medical expenses count towards the share of cost. Only specific medical expenses, such as prescriptions, hospital stays, and medical equipment, count towards the share of cost. Additionally, the share of cost must be paid in full before Medi-Cal coverage begins, and it resets every month.

To qualify for the share of cost option, individuals must meet all the eligibility requirements and provide proof of their income and medical expenses. You must submit pay stubs, medical bills, and other supporting documentation to complete the process.

Understanding the Share of Cost Option in Medi-Cal: Qualifications and Benefits for Californians

Are you a Californian struggling to pay for your medical expenses? Do you wish to have access to affordable healthcare without the burden of high expenses? If yes, then the share of cost option in Medi-Cal may be the solution you are looking for! To avail of this option, one must meet specific qualifications.

The qualifications for the share-of-cost option are based on several factors, including income, family size, and medical expenses. To be eligible, individuals must have a monthly income below a specific limit, which varies based on family size. Additionally, individuals must have medical expenses exceeding their monthly cost share. Here are some key points to note about the qualifications for the share-of-cost option:

  • Providing Essential Healthcare Coverage to Californians: The share-of-cost option in Medi-Cal is an essential program designed to provide healthcare coverage to millions of Californians who would otherwise be unable to afford medical care. This program is designed for individuals or families with an income above the limit to qualify for regular Medi-Cal coverage but still need help paying for their healthcare expenses. These individuals or families may face financial challenges in accessing medical care and may be at risk of incurring significant medical debt without the support of this program. The share-of-cost option helps to reduce the financial burden of healthcare costs for these individuals and families, enabling them to access the healthcare services they need to maintain their health and well-being. By providing affordable healthcare coverage to Californians, the share of cost option helps ensure everyone has access to quality medical care, regardless of their income level.
  • Eligibility Criteria for Program: The program considers the number of people living in the household and their combined gross income to determine the monthly income limit. It is important to note that exceeding this limit can result in disqualification from the program, so applicants must ensure that they meet the eligibility requirements before applying.
  •  Factors that Determine Eligibility in Share-of-Cost Programs: It is essential to understand that your eligibility for the share-of-cost program you are enrolled in is determined by certain factors, including the medical expenses you incur. You must pay a predetermined monthly share of cost towards your medical expenses before the program starts covering the remaining costs. However, if your medical expenses exceed this amount, it becomes a crucial factor in determining your eligibility for the program. In other words, the higher your medical expenses, the more likely you will be eligible for the program. Recording your healthcare expenses and verifying that they fall under your monthly cost-sharing limit is essential. Failing to do so may impact your qualification for the program.
  • Share of Cost Medical Expenses: The share of cost is a program that helps low-income individuals with their medical expenses. The share of cost amount is calculated based on a formula that considers the individual’s income, family size, and medical expenses. The formula calculates the difference between the individual’s income and a predetermined amount called the share of cost limit. The state sets the share of cost limit and varies based on family size. Once the difference between the individual’s income and the share of cost limit is calculated, the result is divided by three. The resulting amount is the individual’s share of cost. 
  • For Example: Let’s say that an individual has a share of cost limit of $1,000, an income of $1,500 per month, and $200 in medical expenses. The formula for calculating the share of cost would look like this: ($1,500 – $1,000) / 3 = $166.67 In this example, the individual’s share of cost would be $166.67. This means the individual must pay $166.67 for their medical expenses before their Medicaid benefits kick in. 
  •  Share of Cost for Medi-Cal Coverage: The share of cost is an amount that an individual must pay before Medi-Cal coverage starts, and it is different from co-payments or premiums. Unlike co-payments, which are fixed amounts paid at the time of the medical service, the share of cost is an amount you must pay out-of-pocket before Medi-Cal begins covering your healthcare expenses. This cost-sharing arrangement is designed to help reduce the overall cost of healthcare while also ensuring that individuals take responsibility for their healthcare expenses. 

Understanding that the share of cost option can make a significant difference in managing medical expenses and accessing affordable healthcare is essential. By meeting the qualifications and availing of this program, individuals can avoid unexpected costs and make informed healthcare decisions.

Advocacy Efforts to Protect the Share of Cost Option in Medi-Cal: Why Low-Income Californians Must Have Access to Affordable Healthcare

Advocacy efforts to protect the share of cost options in Medi-Cal have become increasingly important in recent years. As a crucial program that serves millions of Californians, the share of cost option ensures that beneficiaries contribute to the cost of their healthcare while still providing affordable coverage. However, the program has come under threat due to proposed changes that could make it harder for low-income Californians to access the care they need.

Advocates have been working hard to protect the share of cost options by creating awareness about its benefits and emphasizing its significance as a critical component of California’s healthcare system. These efforts have included lobbying lawmakers, organizing rallies and demonstrations, and working with community organizations to educate Californians about the program and its benefits.

One of the critical challenges facing advocates is the need to explain the complex eligibility requirements and calculation methods used by the program. Many Californians are unaware of how the share of cost option works, which can make it challenging to build support for protecting it. Advocates have responded by developing educational materials, hosting workshops and webinars, and providing one-on-one assistance to help people understand the program and their eligibility for it.

Another challenge facing advocates is the need to counter misinformation and misunderstandings about the program. Some opponents of the share-of-cost option argue that it is unfair or unnecessary despite evidence to the contrary. Advocates have highlighted the program’s success in providing affordable healthcare to millions of Californians and emphasizing the need to maintain it as a critical component of the state’s healthcare system.

Overall, advocacy efforts to protect the share of cost option in Medi-Cal are essential for ensuring that low-income Californians have access to the care they need. By raising awareness of the program and its benefits, educating Californians about their eligibility, and countering misinformation and misunderstandings, advocates can help to ensure that the program continues to serve as a vital resource for millions of people across the state.

Posted on Monday, Mar. 25th 2024 10:00 AM | by Share of Cost | in Dental Insurance, Medi-Cal, Medicaid, Medicare, Share of Cost, Social Security | Comments Off on Share of Cost – Medi-Cal

Share of Cost: Medical Expense Vs. Allowable Medical Deduction

Monday, Mar. 18th 2024 10:00 AM

Question: Is a medical expense the same as an allowable medical deduction? 

Answer:  If you want to manage your healthcare costs effectively, you’ve come to the right place. At shareofcost.com, we provide valuable information and resources to help you understand the difference between medical expenses and allowable medical deductions. 

If you have any queries, please do not hesitate to contact us at 310-534-3444. Our experienced professionals can assist you over the phone from Monday to Friday between 8 AM and 4 PM. We understand that the share of costs can be overwhelming, and we are committed to helping you navigate them quickly and confidently. So, feel free to call us, and we will be more than happy to help you in any way we can.

Understanding the difference between medical expenses and allowable medical deductions is crucial. 

In today’s world, healthcare costs are rising rapidly, and medical expenses can quickly become a financial burden for individuals and families. It is essential to have a clear understanding of medical expenses and allowable medical deductions to ensure that you are taking advantage of all available options to manage your healthcare costs effectively. In this context, this article will explore the importance of understanding the difference between medical expenses and allowable medical deductions and how it can benefit you in the long run. Let’s dive in to learn why it is essential to understand the difference between medical expenses and allowable medical deductions.

Medical Expense

Are you familiar with the term medical expense regarding Medi-Cal’s share of cost? If not, let’s explore and explain it in detail. Medical expense refers to the cost of medical services, supplies, and equipment necessary for diagnosing or treating a medical condition. In the context of Medi-Cal, a medical expense is an expense that is not covered by the program and must be paid for by the beneficiary.

Now, let’s discuss the importance of understanding medical expenses and Medi-Cal’s share of costs. The share of cost is the amount a beneficiary must pay before Medi-Cal will begin to pay for their medical expenses. Therefore, knowing what expenses count towards the share of cost and what expenses do not is crucial. 

For example, if you have a share of cost of $500 and you visit a doctor who charges $100 for a visit, that $100 will count towards your share of the cost. However, if you purchase over-the-counter medication your doctor does not prescribe, that expense will not count towards your share of cost.

In summary, understanding the definition of medical expense regarding Medi-Cal’s share of cost is essential for effectively managing your healthcare expenses. Knowing what expenses count towards your share of cost and what expenses do not will help you better plan and budget for your healthcare needs. So, be sure to familiarize yourself with the definition of medical expense and how it applies to your Medi-Cal coverage.

Purpose of Medical Expense

Medical expenses refer to the cost of medical services, supplies, and equipment necessary for diagnosing or treating a medical condition. These expenses can quickly become a financial burden for individuals and families, especially those with limited income. This is where Medi-Cal comes in to help.

Medi-Cal is a program that provides healthcare coverage for low-income individuals and families in California. However, beneficiaries must pay a share of their medical expenses before Medi-Cal begins to pay. This is where understanding the purpose of medical expenses becomes crucial.

The purpose of medical expenses in the context of Medi-Cal’s share of cost is to ensure that beneficiaries are responsible for a portion of their healthcare costs. This helps to reduce the program’s overall cost and ensure that beneficiaries are not overusing medical services.

Understanding the purpose of medical expenses in the context of Medi-Cal’s share of cost can help you better plan and budget for your healthcare needs. It can also help you avoid unexpected medical bills that can quickly become a financial burden.

In conclusion, the purpose of medical expenses in the context of Medi-Cal’s share of cost is to ensure that beneficiaries are responsible for a portion of their healthcare costs. The share of cost helps to reduce the program’s overall cost and ensure that beneficiaries are not overusing medical services.  

Understanding Medi-Cal Share of Cost: How Medical Expenses Can Help You Meet Your Healthcare Needs.

Medical expenses can quickly become a financial burden for individuals and families, especially those with limited income. Did you know you can use medical expenses to meet your Medi-Cal Share of Cost? 

Let’s explore using medical expenses to meet your Medi-Cal Share of Cost. When you have a Share of Cost, you must pay a certain amount of your medical expenses before Medi-Cal starts paying. Medical expenses that count towards your Share of Cost include services, supplies, and equipment necessary for diagnosing or treating a medical condition. For example, if you have a Share of Cost of $500 and you visit a doctor who charges $100 for a visit, that $100 will count towards your Share of Cost. 

It’s essential to note that not all medical expenses count towards your Share of Cost. Expenses that do not count towards your Share of Cost include over-the-counter medication that your doctor does not prescribe. Additionally, expenses that exceed the Medi-Cal allowable rate will not count towards your Share of Cost. 

So, who can incur medical expenses to meet their Share of Cost? Anyone eligible for Medi-Cal and with a Share of Cost can incur medical expenses to meet their Share of Cost. This includes low-income individuals and families who qualify for Medi-Cal based on income and other eligibility criteria. 

Let’s illustrate how you can use medical expenses to meet your Share of Cost. Suppose you require a specialist visit that costs $300, and you have a Share of Cost of $500. You would be responsible for paying the full $300 to the specialist, which would count towards your Share of Cost. Once you have met your Share of Cost, Medi-Cal will begin to pay for your medical expenses, subject to any co-payments or limitations that may apply. 

You can use medical expenses to meet your Share of Cost, and anyone eligible for Medi-Cal and has a Share of Cost can incur medical expenses. Understanding how medical expenses can be used to meet your Share of Cost can help you better plan and budget for your healthcare needs. So, keep track of your medical costs and consult your healthcare provider or Medi-Cal representative about what expenses count towards your Share of Cost.

Using Old Unpaid Medical Bills

If meeting your Share of Cost under Medi-Cal is a struggle, you may feel stuck between a rock and a hard place. However, there’s a solution that you may have yet to consider: using old unpaid medical bills to meet your Share of Cost.

Under certain circumstances, old unpaid medical bills can meet your past, current, or future month’s Share of Cost under Medi-Cal. This can be a lifesaver for individuals and families struggling to make ends meet and needing extra help to cover their healthcare costs.

To understand how it works, you must first know that you cannot use all unpaid medical bills to meet your Share of Cost. You can use only the bills you have incurred within the last three months that meet Medi-Cal’s definition of a medical expense.

The bill for services, supplies, or equipment necessary for diagnosing or treating a medical condition must meet Medi-Cal’s medical expense definition. Medical expenses include doctor visits, hospital stays, prescription medications, and more.

Once you have an unpaid medical bill that meets these criteria, you can submit it to Medi-Cal to be applied toward your Share of Cost. This can help you meet your Share of Cost for the current month or even for past months where you may have fallen behind.

Reducing your healthcare expenses and making it easier to manage your budget is possible by using old unpaid medical bills to meet your Share of Cost. It can benefit individuals and families living on a tight budget and needing extra help to make ends meet.

If you’re struggling to meet your Share of Cost under Medi-Cal, don’t despair. You may be able to use old unpaid medical bills to meet your past, current, or future month’s Share of Cost. By doing so, you can reduce your healthcare expenses and make it easier to manage your budget. So, if you have an unpaid medical bill that meets Medi-Cal’s definition of a medical expense, don’t hesitate to submit it to Medi-Cal and see if it can be applied toward your Share of Cost.

Understanding Allowable Deductions in Medi-Cal: A Crucial Step for Effective Healthcare Expense Management

If you are a beneficiary of Medi-Cal, understanding the definition of allowable deduction is crucial for managing your healthcare expenses effectively. Allowable deductions refer to expenses you can deduct from your income when calculating your Medi-Cal share of cost. In other words, it is the amount of medical expenses that Medi-Cal will consider when calculating your share of cost. 

Understanding the definition of allowable deduction is essential because it can help you reduce your share of cost and save money on healthcare expenses. For instance, if you have a share of cost of $500 and incurred medical expenses of $1,000, you can deduct $500 from your medical expenses, which means your share of cost will be zero. 

It’s important to note that not all medical expenses are allowable deductions. Only expenses necessary for diagnosing or treating a medical condition are permissible deductions. For example, if you purchase a cosmetic procedure that is not medically necessary, that expense will not be an allowable deduction. Similarly, expenses that exceed the Medi-Cal allowable rate will not be allowable deductions.

One of the benefits of understanding the definition of allowable deduction is that it can help you plan and budget for your healthcare expenses effectively. By knowing what expenses count towards your share of cost and what expenses do not, you can make informed decisions about your healthcare needs and avoid unexpected medical bills that can quickly become a financial burden.

Understanding the definition of allowable deduction is crucial for effectively managing your healthcare expenses as a Medi-Cal beneficiary. Allowable deductions refer to expenses you can deduct from your income when calculating your share of cost. Only expenses necessary for diagnosing or treating a medical condition are permissible deductions. By knowing what expenses count towards your share of cost and what expenses do not, you can plan and budget for your healthcare needs effectively and avoid unexpected medical bills. So, please familiarize yourself with the definition of allowable deduction and how it applies to your Medi-Cal coverage.

Reduce Your Net Countable Income and Lower or Eliminate your Medi-Cal Share of Cost.

Are you a Medi-Cal beneficiary struggling to pay for your healthcare expenses? If so, consider taking advantage of allowable deductions to reduce your net countable income and lower your Medi-Cal share of cost. Allowable deductions refer to expenses that can be subtracted from your income to reduce your countable income.

One way to take advantage of allowable deductions is by purchasing supplemental dental and vision insurance. These insurance plans can reduce your net countable income by allowing you to deduct the premiums you pay from your income. This means that the cost of your insurance premiums can count towards your Medi-Cal spend down, reducing or eliminating the amount you need to pay on your share of cost for your healthcare expenses.

Let’s assume you have a Medi-Cal share of cost of $500 because your countable income exceeds the limit set by Medi-Cal to have a zero share of cost of $195. However, if you opt for supplemental dental and vision insurance costing $100 monthly, deducting this expense can reduce your net countable income. Now, you purchase dental and vision insurance that costs $200 monthly, putting you under the countable income limit set by Medi-Cal, thus eliminating your share of cost. By deducting the cost of your insurance premiums from your income, you can save money on both your insurance and healthcare expenses.

In addition to reducing your Medi-Cal share of cost, supplemental dental and vision insurance can also provide essential health benefits. These plans typically cover routine dental cleanings, fillings, and eye exams. By taking advantage of these benefits, you can ensure that you maintain good oral and vision health while saving money on your healthcare expenses.

Purchasing supplemental dental and vision insurance can be an excellent strategy if you are a Medi-Cal beneficiary struggling to pay for your healthcare expenses. By deducting the cost of your insurance premiums from your income, you can lower your Medi-Cal share of cost and reduce the amount you need to pay out of pocket for your healthcare expenses. So, if you haven’t already, consider exploring your supplemental dental and vision insurance options today!

Affordable and Comprehensive Dental and Vision Insurance Plans at ShareofCost.com

Dental and vision insurance plans are crucial for maintaining overall health and well-being. At ShareofCost.com, we understand the importance of having access to affordable and comprehensive dental and vision insurance plans. That’s why we offer a wide range of dental and vision insurance plans that cater to your unique needs.

Our dental insurance plans cover a variety of services, including routine check-ups, cleanings, fillings, extractions, and more. With our dental insurance plans, you can rest assured that your dental health needs are covered, and you won’t have to worry about the high dental care costs.

In addition to dental insurance, we also offer vision insurance plans that cover routine eye exams, glasses, and contact lenses. Our vision insurance plans are designed to help you maintain good eye health and ensure access to affordable vision care when you need it the most.

One of the main benefits of our dental and vision insurance plans is that they are affordable. We understand that dental and vision care can be expensive, and that’s why we offer insurance plans that are budget-friendly. Our plans are designed to fit your unique needs, budget, and share of cost spend down, so you can choose the plan that works best for you.

Another benefit of our dental and vision insurance plans is that they are comprehensive. Our plans cover a wide range of services, so you can rest assured that your dental and vision care needs are covered whether you need a routine check-up or require more extensive dental or vision care.

At ShareofCost.com, we pride ourselves on providing exceptional customer service. Our experienced professionals are here to help you every step of the way. We can assist you in selecting the right dental and vision insurance plan that meets your unique needs. We can also help you understand the coverage options available so you can make informed decisions about your health care.

In conclusion, dental and vision insurance plans are essential for overall health and well-being. ShareofCost.com offers a wide range of affordable and comprehensive dental and vision insurance plans that cater to your unique needs. If you need more information on this topic or have any other cost-related questions, please visit our website, shareofcost.com. Alternatively, you can give us a call at 310-534-3444. We’re always here to help.

Posted on Monday, Mar. 18th 2024 10:00 AM | by Share of Cost | in Dental Insurance, Medi-Cal, Medicaid, Medicare, Share of Cost, Social Security | Comments Off on Share of Cost: Medical Expense Vs. Allowable Medical Deduction

Share of Cost – Maintaining Good Oral Health with Dental Insurance and Preventive Care

Monday, Mar. 11th 2024 10:00 AM

Hello and welcome! If you’re reading this, chances are you’re either interested in dental insurance or curious about what it entails. Dental insurance is a type of insurance that covers dental care expenses, including preventive care, restorative treatments, and emergency services. It’s an essential investment in oral health and financial well-being, as dental procedures can be costly without insurance coverage. At shareofcost.com, we offer a variety of dental insurance plans that cater to your specific needs. Our comprehensive and affordable plans ensure you receive the best dental care without breaking the bank. To learn more about our dental insurance plans, please call us at 310-534-3444.

Share of Cost – Preventive Dental Care and Insurance 

Did you know dental insurance can help you save money even if you have healthy teeth and gums? Many dental insurance plans offer preventive dental services, such as bi-annual checkups, cleanings, and X-rays, at little to no cost. Even low-cost plans like HMOs can cost just $8 to $20 a month for individuals, and the savings you can reap on preventive care alone can run upwards of a couple hundred dollars a year. Dental insurance is not just for those with dental problems but also a valuable investment in your oral health and financial well-being. 

The Importance of Having Dental Insurance

Having dental insurance is incredibly important for several reasons. Firstly, dental insurance can help you save money on dental care expenses, such as preventive care, restorative treatments, and emergency services. Dental insurance is especially crucial for those on a tight budget or who want to avoid paying out-of-pocket for costly dental procedures. Dental insurance plans can help cover dental care costs, making it more affordable for everyone.

Secondly, dental insurance can help with a “share of cost” obligation. A share of cost is a type of deductible that some individuals may have to meet before their Medicaid coverage kicks in. Suppose an individual has certain medical expenses in a given month. In that case, the individual may have to pay a certain out-of-pocket amount before Medicaid covers the remaining costs. The monthly cost of dental insurance can count towards this share of cost, meaning having dental insurance can help you meet a spend-down obligation more easily.

Finally, dental insurance can promote good oral health, essential for overall health and well-being. Regular dental checkups and cleanings are crucial for maintaining healthy teeth and gums, and dental insurance plans often cover these preventive services at little to no cost. Individuals with dental insurance are more likely to receive regular dental care, which can ultimately help prevent more serious dental problems.

Having dental insurance is essential for saving money on dental care expenses, meeting a share of cost obligation, and promoting good oral health. At shareofcost.com, we offer a variety of dental insurance plans that cater to your specific needs and budget. Our plans provide affordable coverage, ensuring you receive the best dental care without breaking the bank.

Do Not Overstate the Significance of Preventive Dental Care.

Preventive dental care is crucial to maintaining good oral health and overall well-being. It involves regular visits to the dentist, routine cleanings, and other preventive measures that can help prevent dental problems before they become more severe. The importance of preventive dental care should not be overstated, as it can save you both time and money in the long run.

One example of the importance of preventive dental care can be seen in a recent study conducted by the American Dental Association. The study found that individuals who received preventive dental care, such as regular cleanings and checkups, were less likely to require more extensive and expensive dental treatments in the future. This is because preventive care can help catch dental problems before they become more severe, allowing for earlier intervention and treatment.

Another example of the importance of preventive dental care can be seen in a personal story. A friend of mine neglected to visit the dentist for several years, thinking she would be fine if she brushed and flossed regularly. However, when she finally did go to the dentist, she found out that she had several cavities and needed a root canal. Regular preventive care could have easily prevented her from painful and expensive dental procedures.

In addition to helping prevent dental problems, preventive dental care can promote better overall health. Poor dental hygiene has been linked to a variety of health problems, including heart disease, diabetes, and even certain types of cancer. Taking care of your teeth and gums can help reduce your risk of these and other health issues.

The importance of preventive dental care cannot be overstated. Regular visits to the dentist, routine cleanings, and other preventive measures can help prevent dental problems before they become more severe, saving you both time and money in the long run. Caring for your teeth and gums can promote better overall health and well-being.

Why Bi-Annual Dental Checkups are Essential for Your Oral Health

Bi-annual dental checkups are an essential part of maintaining good oral health. During these checkups, the dentist thoroughly examines your teeth and gums, looking for any signs of decay, gum disease, or other dental problems. By detecting these issues early on, the dentist can prevent them from becoming more severe and requiring more extensive treatment. Regular bi-annual checkups also allow the dentist to provide preventive treatments such as cleanings and fluoride treatments, which can help keep your teeth and gums healthy and strong. By staying on top of your dental health with bi-annual checkups, you can prevent dental problems from developing and ensure that your smile stays healthy and beautiful for years to come.

The Importance of X-Rays in Dental Care: How They Help Dentists Diagnose and Treat Dental Problems

Dentists take X-rays to help diagnose dental problems that are not visible to the naked eye. X-rays allow dentists to see inside the teeth and gums, identifying issues such as cavities, abscesses, or impacted teeth. X-rays are also essential for monitoring the progress of dental treatments, such as braces or root canals. By taking X-rays, dentists can detect dental problems early on, preventing more severe issues from developing. Overall, X-rays are essential in dental care, helping dentists provide accurate diagnoses and effective treatments.

The Importance of Basic Dental Cleanings

Basic dental cleanings are an essential part of preventive dental care. Regular cleanings can help remove plaque and tartar build-up, which can lead to tooth decay and gum disease if left untreated. These cleanings also allow your dentist to examine your teeth and gums for signs of any potential issues. By scheduling regular dental cleanings, you can maintain good oral health and catch any problems before they become more severe and require more costly and invasive treatments. Basic dental cleanings are integral to keeping your teeth and gums healthy for a lifetime.

Cost of Dental Insurance with Regarding Meeting a Spend Down.

The cost of dental insurance can play an essential role in helping individuals spend down their income to reduce or eliminate their Medi-Cal share of cost. For those eligible for Medi-Cal, the program requires enrollees to pay a share of their medical expenses based on their income. Once an individual has met their share of cost for the month, Medi-Cal will cover the remaining costs. 

By purchasing dental insurance, individuals can use the cost of their dental insurance premiums to help reduce their income and lower their Medi-Cal share of cost. This can be especially helpful for those requiring frequent dental services, as the out-of-pocket costs can quickly increase. Additionally, dental insurance can provide more comprehensive coverage for dental services than Medi-Cal, allowing individuals to receive care without worrying about cost. By carefully considering the cost of dental insurance and comparing different plan options, individuals can find a plan that fits their budget and helps them meet their dental needs while reducing their share of cost.

Cost of Dental Insurance Between Different Plan Types Regarding  

Regarding dental insurance, the cost can vary significantly between different plan types. Understanding the differences between these plans is essential to make an informed decision about which one is right for you.

PPO, HMO, and indemnity plans are the most common dental insurance plans. PPO plans typically offer more flexibility and freedom when choosing a dentist, but they can be more expensive than HMO plans. HMO plans, on the other hand, usually have lower monthly premiums but may restrict you to a network of dentists. Indemnity plans allow you to see any dentist you choose but can be the most expensive option.

In addition to these plan types, there are also varying levels of coverage. Some plans may only cover primary preventive care, while others may cover more extensive treatments like orthodontics or oral surgery. Plans that cover more services will generally come with a higher monthly premium.

When considering the cost of dental insurance, it’s essential to look beyond just the monthly premium. It would help if you also considered each plan’s deductible, co-payments, and annual maximums. The deductible is the amount you must pay out of pocket before the insurance kicks in. Co-payments are the amount you pay for each visit or service; the annual maximum is the most the insurance will pay out in a given year.

Overall, the cost of dental insurance can vary significantly between different plan types and levels of coverage. It’s essential to carefully consider your options and choose a plan that provides the coverage you need at a price you can afford. By doing so, you can ensure that you receive the best dental care without breaking the bank.

Understand an HMO Dental Insurance Plan

An HMO dental insurance plan is a type of dental coverage that offers a network of dentists and dental facilities to its members. With an HMO dental insurance plan, you must choose a primary care dentist from within the network. You must receive all dental services from that provider or obtain a referral from them to receive services from another provider within the network. 

There are several benefits to choosing an HMO dental insurance plan. Firstly, HMO dental plans are typically more affordable than other dental insurance plans, making them an excellent option for individuals on a tight budget. The cost of an HMO dental plan is usually lower. It limits the provider network, and members must choose a primary care dentist from within that network.

Secondly, HMO dental insurance plans often cover preventive care services, such as cleanings, X-rays, and checkups, at little to no cost to the member. Preventive care is essential for maintaining good oral health and can help prevent more severe dental problems in the future. By covering these services, HMO dental plans encourage members to receive regular dental care, which can ultimately save them money in the long run by avoiding more costly dental procedures.

Thirdly, HMO dental plans have a simple process for receiving dental care. Members only need to choose a primary care dentist; that provider will coordinate all dental services, including referrals to specialists if necessary. This means that members don’t have to spend time searching for a provider, as all the necessary resources are provided through the network.

Finally, HMO dental plans often have a low or no deductible, meaning members can receive dental care without meeting a specific out-of-pocket expense first. This can be especially beneficial for those needing frequent dental care or on a tight budget.

In summary, HMO dental insurance plans offer a network of dental providers and are typically more affordable than other dental insurance plans. They often cover preventive services at little to no cost, have a simple process for receiving dental care, and may have a low or no deductible. By choosing an HMO dental insurance plan, you can receive the dental care you need while saving money on dental expenses.

Understand a PPO Dental Insurance Plan

A PPO dental insurance plan is a type of dental insurance that offers a network of dentists who have agreed to provide services to plan members at UCR rates. Unlike other dental insurance plans, PPO plans give you the freedom to choose your dentist, whether in-network or out-of-network. If you are considering dental insurance, here are some benefits of selecting a PPO plan:

1. Wide Network of Dentists: PPO plans have an extensive network of dentists, giving you a greater choice of providers. You can choose a dentist close to your home or workplace, making getting the dental care you need more convenient.

2. Flexibility: With a PPO plan, you can see any dentist you choose, whether in-network or out-of-network. If you choose an out-of-network dentist, you may have to pay a higher percentage of the cost, but you will still receive some coverage.

3. No Referrals Required: PPO plans do not require you to get a referral from your primary care dentist before seeing a specialist. This means you can go directly to a specialist for the necessary care without going through additional steps.

4. Preventive Care Coverage: PPO plans often cover preventive care services like cleanings and checkups at little or no cost to you. This helps you maintain good oral health and catch potential problems early on.

For example, let’s say you need a root canal. With a PPO plan, you can choose your dentist and receive coverage for the procedure. If you choose an in-network dentist, you will likely be within the company UCR rates on the procedure, saving you money. If you choose an out-of-network dentist, you still receive coverage but may have to pay a higher percentage of the cost and may have UCR fees. 

In conclusion, a PPO dental insurance plan offers a vast network of dentists, flexibility, cost savings, no referral requirements, and coverage for preventive care services. These benefits make PPO plans an attractive option for those looking to save money on dental care expenses while still receiving quality care from a dentist of their choice.

The Benefits of Investing in Dental Insurance: Save Money, Promote Oral Health, and Meet Share-of-Cost Obligations with ShareofCost.com

In conclusion, investing in dental insurance is a wise decision to help you save money on dental care expenses, meet a share of cost obligation, and promote good oral health. Regular preventive dental care is essential to maintaining good oral health and overall well-being, and dental insurance can make it more affordable for everyone. 

At shareofcost.com, we offer a variety of dental insurance plans that cater to your specific needs and budget. Our plans provide affordable coverage, ensuring you receive the best dental care without breaking the bank. We can also help you meet a spend-down requirement by counting the monthly cost of dental insurance towards it. Don’t wait until dental problems become more severe and costly – invest in dental insurance today and take the first step towards a healthier smile!

If you have any questions or would like to learn more about our dental insurance plans, please don’t hesitate to contact us. Our friendly and knowledgeable representatives can assist you from 8 am to 4 pm Monday through Friday. Call our office at 310-534-3444 and let us help you find the best dental insurance plan that caters to your specific needs and budget. 

We understand that dental care can be expensive, and we are committed to providing you with affordable and comprehensive coverage that ensures you receive the best dental care without breaking the bank. Please don’t wait any longer; call us today and take the first step towards better oral health and financial well-being.

Posted on Monday, Mar. 11th 2024 10:00 AM | by Share of Cost | in Dental Insurance, Medi-Cal, Medicaid, Medicare, Share of Cost, Social Security | Comments Off on Share of Cost – Maintaining Good Oral Health with Dental Insurance and Preventive Care

Share of Cost – What can I do if I need help with my share of cost?

Monday, Mar. 4th 2024 10:00 AM

Do you need help finding dental insurance for your spend-down needs? At Shareofcost.com, we can help you find the right dental insurance plan that fits your requirements. Our team of experts can guide you through the process, compare different plans, and help you make an informed decision. With our assistance, you can get the dental care you need without facing financial hardships. Contact us today at 310-534-3444 to learn how we can help you with your dental insurance needs.

A Guide To Learn About Share of Cost 

Hello, this is a guide to learn about the Share of Cost and how to deal with related issues. Patients must pay a certain amount for medical expenses before Medi-Cal can start covering the costs. It is a deductible that needs to be met before insurance coverage becomes effective. The amount of the Share of Cost varies based on the patient’s income and other factors. It can be a significant financial burden for those who struggle to make ends meet. Therefore, it is crucial to comprehend how the Share of Cost works and take necessary steps to address any issues.

Importance of addressing Share of Cost issues

As we mentioned earlier, the Share of Cost is a significant financial burden for those struggling to make ends meet. Addressing any issues related to the Share of Cost is crucial to ensure patients can access the medical care they need without facing financial hardships. 

If you don’t take the necessary steps to address Share of Cost issues, you may pay more than you should, or even worse, you may be denied access to the medical care you need. By questioning your Share of Cost and understanding how it works, you can ensure you pay what you should and get the medical care you need.

It is also important to note that the Share of Cost is based on a patient’s income and other factors, which can change over time. By staying informed and up-to-date about your Share of Cost, you can ensure that you are prepared for any changes and can take the necessary steps to address any issues.

Addressing Share of Cost issues is essential to ensure patients can access the medical care they need without facing financial hardships. If you have any questions or concerns about your Share of Cost, don’t hesitate to contact your Medi-Cal case worker, request a fair hearing, or contact the Center for Healthcare Rights Hotline for assistance.

Steps to take if you are eligible for free Medi-Cal or your Share of Cost is too high.

If you are eligible for free Medi-Cal or your Share of Cost is too high, there are several steps you can take to address the issue. To take the first step, you should contact your Medi-Cal case worker and write to them inquiring about the reason behind your Share of Cost or why your bill cannot be applied towards meeting your Share of Cost. It would help if you also asked what law Medi-Cal based its decision on.

If you are unsatisfied with the explanation, you can request a fair hearing. A fair hearing allows you to question Medi-Cal’s decision about your bill. You can call 1-800-952-5253 to get a fair hearing. It is important to note that calls to this number are free.

Another option is to speak to your county worker’s supervisor. If your problem is fixed, you can always cancel the fair hearing.

Call the Center of Healthcare Rights Hotline at 1-213-383-4519 if you have questions or concerns. They are available to help you and provide further assistance.

It is essential to take these steps to ensure you can access the medical care you need without facing financial hardships. By questioning your Share of Cost and understanding how it works, you can ensure you pay what you should and get the medical care you need.

Communicate with your Medi-Cal case worker.

Communicating with your Medi-Cal case worker can be crucial in ensuring you receive the best possible healthcare services. Your caseworker can assist you with various issues related to your Medi-Cal benefits, including eligibility, enrollment, and the application process. Additionally, they can provide helpful information about the multiple types of healthcare services available to you, such as preventative care, mental health services, and emergency care. If you have any questions or concerns about your Medi-Cal benefits, don’t hesitate to contact your caseworker for assistance. They are there to help ensure that you receive the care you need to stay healthy.

Tips on Communicate with your Medi-Cal Case Worker.

1) Request an explanation in writing: When you request someone to explain in writing, they need to put their thoughts into words and provide a clear and concise explanation in a written format. This approach can be beneficial for several reasons. Firstly, it helps maintain a record of the explanation for future reference or sharing with others who were not present when it was given. Secondly, requesting an explanation in writing ensures clarity and understanding, allowing the recipient to read and re-read the written explanation to fully comprehend the information being conveyed. Lastly, if you need a detailed and clear explanation, requesting it in writing is the best way to go.

2) Inquire why one cannot use a bill to cover the expenses: Keeping track of your medical bills and payments is essential, especially when you are enrolled in a Medi-Cal program with a share of cost. Sometimes, despite paying your bills, you may see that they did not go towards your share of the cost. In such situations, you must communicate with your Medi-Cal case worker and ask them about the issue. Your caseworker can help you understand why the bill did not count towards your share of the cost and what steps you can take to resolve the issue. They can also inform you about your current share of cost status and how much more you need to pay to meet your share of cost. So, contact your Medi-Cal case worker with any doubts or concerns about your medical bills and payments.

3) Ask what law Medi-Cal based its decision: If you ever receive a Medi-Cal decision that you are not satisfied with, it is essential to ask your Medi-Cal case worker what law or regulations they based their decision on. Doing so can help you understand the legal basis for the decision and identify any potential errors or misinterpretations. It can also help you prepare a more effective appeal if you decide to challenge the decision. By asking for the specific law or regulation, you can ensure the decision was based on accurate and up-to-date legal information. So, if you have any questions or concerns about a Medi-Cal decision, don’t hesitate to ask your case worker about the legal basis for the decision.

4) Inquire about the status of your application or renewal: If you have applied for Medi-Cal or need to renew your benefits, keeping track of the application status is essential. You can inquire about your application or renewal status by contacting your local county human services agency or calling the Medi-Cal hotline. Ensure your case number or other identifying information is readily available when contacting them. They can update you on your application or renewal status, let you know if any additional information is needed, and guide you through the process if you encounter any issues. It is always better to follow up and ensure that your application or renewal is processed correctly and promptly to avoid any gaps in coverage.

5) If needed, request assistance in finding a healthcare provider: Your Medi-Cal case worker can provide you with a list of healthcare providers in your area that accept Medi-Cal. You can also visit the Medi-Cal website or call their customer service number to obtain a list of healthcare providers. Additionally, you can contact community health clinics or non-profit organizations that assist in finding healthcare providers. Finding a healthcare provider that meets your needs and ensures you receive the best possible care is essential, so don’t hesitate to ask for help if you need it.

6) Report changes in your income or living situation: It is essential to report any changes in your income or living situation to the relevant authorities, especially regarding share of cost. The share of cost is the amount of money a person has to pay before Medicaid starts paying for their medical expenses. If you fail to report any changes, you may be billed for medical expenses you thought were covered. For instance, if you get a raise, your share of the cost may increase, and you will need to pay more out of pocket. Similarly, if you move to a different state, your cost share may change due to differences in cost of living and state Medicaid policies. Therefore, it is crucial to report any changes immediately to ensure you are aware of medical bills you cannot afford to pay.

7) Request an appeal or fair hearing if you disagree with a decision: 

If you disagree with a decision regarding your Share of Cost, you can appeal or request a fair hearing. To request an appeal or fair hearing, contact your Medi-Cal caseworker and request a Notice of Action. The notice will contain:

  • The decision you are appealing.
  • The reason for the decision.
  • Information on how to request an appeal or fair hearing.

You can also call the Medi-Cal Managed Care Ombudsman’s toll-free number for assistance in filing an appeal or fair hearing. It’s essential to act quickly on an appeal as there is a time limit for filing an appeal or fair hearing. Once you file an appeal or fair hearing, you will be notified of the date and time of your hearing, where you can present evidence and argue your case.

8) Inquire about additional benefits or programs you may be eligible for: It is always a good idea to inquire about additional benefits or programs you may qualify for regarding healthcare. Many people may not be aware of the various programs or services they can access that could help them reduce medical expenses or provide additional support. By inquiring about these options, you can potentially find programs that can help you save money, get additional care, or access resources that can make managing your health more accessible. Your Medi-Cal case worker can provide information about available programs and eligibility requirements, so don’t hesitate to ask and explore your options.

9) Ask for assistance with transportation to medical appointments: If you are struggling to cover the costs of transportation to medical appointments due to your Share of Cost, resources are available to help. One option is to contact your Medi-Cal case worker and ask for assistance. Your case worker can provide information about transportation programs that may be available to you. Additionally, many community organizations offer transportation services to medical appointments for individuals with low incomes and disabilities. You can also check with your healthcare provider to see if they provide transportation services or if you can partner with them. Feel free to ask for transportation assistance to ensure you can access the medical care you need without facing financial hardships.

10) Request language or disability accommodations for appointments or services:   If you require language or disability accommodations for appointments or services, it is essential to communicate your needs to your healthcare provider or service provider. Many healthcare providers and service providers offer accommodations such as interpretation services, written materials in other languages, and physical or communication aids for individuals with disabilities. By requesting these accommodations, you can ensure equal access to healthcare and services and receive the care and support you need. Don’t hesitate to ask your provider or service provider about available accommodations, as they help you and ensure that you receive the best possible care.

11) Report any suspected fraud or abuse in the Medi-Cal program: Reporting any suspected fraud or abuse in the Medi-Cal program is essential to ensure the program’s integrity and protect public funds. Fraud or abuse in the Medi-Cal program can take many forms, including billing for services not provided, providing unnecessary services, or falsifying medical records. Such actions can result in significant financial losses for the program and harm patients by providing them with unnecessary or harmful treatments. By reporting any suspected fraud or abuse, you can help ensure that resources are used efficiently and effectively and that patients receive appropriate care. Additionally, reporting such incidents can help prevent future fraud or abuse, protecting both the program and the patients it serves.

12) Inquire about the process for resolving billing or claims issues:  If you have any billing or claims issues related to your Share of Cost, it is crucial to inquire about the process for resolving them. The first step is to contact your Medi-Cal case worker and ask for an explanation. You can request a fair hearing if you are unsatisfied with the answer or the unresolved issue. You can present your case during the hearing and ask questions to Medi-Cal representatives. You can contact the Center for Healthcare Rights Hotline for further assistance if the issue is unresolved. It is essential to take these steps to ensure you receive the medical care you need without facing financial hardships. 

Understanding Your Share of Cost and Advocating for Yourself: Steps to Take for Medi-Cal-Related Issues

When handling your Share of Cost, it’s essential to understand the process and take necessary steps to address any issues. As we previously discussed, patients must pay a certain amount for medical expenses before Medi-Cal can start covering the costs. This deductible can be a significant financial burden for those who struggle to make ends meet.

If you need help with your Share of Cost, there are several steps you can take to address the issue. First, contact your Medi-Cal case worker and inquire about the reason behind your Share of Cost or why your bill cannot be applied towards meeting your Share of Cost. If unsatisfied with the explanation, you can request a fair hearing to question Medi-Cal’s decision about your bill. You can also speak to your county worker’s supervisor. If your problem is fixed, you can always cancel the fair hearing.

It is essential to take these steps to ensure you can access the medical care you need without facing financial hardships. By questioning your Share of Cost and understanding how it works, you can ensure you pay what you should and get the medical care you need.

Advocating for yourself and seeking assistance when needed is crucial in ensuring you receive the best healthcare services. Your caseworker can assist you with various issues related to your Medi-Cal benefits, including eligibility, enrollment, and the application process. Additionally, they can provide helpful information about the multiple types of healthcare services available to you, such as preventative care, mental health services, and emergency care.

It’s essential to communicate with your Medi-Cal case worker and ask questions when you need help. Request an explanation in writing to ensure clarity and understanding. If you have any concerns or questions about your Medi-Cal benefits, don’t hesitate to contact your caseworker for assistance. They are there to help ensure that you receive the care you need to stay healthy.

Let me share a story to emphasize the importance of advocating for yourself. A few years ago, my friend’s mother was diagnosed with a chronic illness. Her Share of Cost was high, and she was struggling to afford the medical care she needed. They reached out to her Medi-Cal case worker but didn’t receive a satisfactory explanation. They decided to request a fair hearing, and the decision was overturned. She finally received the medical care she needed without facing financial hardships.

In conclusion, taking action and advocating for yourself is essential when dealing with Share of Cost and Medi-Cal-related issues. By following the steps we discussed and seeking assistance when needed, you can ensure that you receive the best possible healthcare services and access the care you need to stay healthy.

Thank you for considering Shareofcost.com for your dental insurance needs. We are always here to assist you, so please don’t hesitate to give us a call at 310-534-3444. Have a great day!

Posted on Monday, Mar. 4th 2024 10:00 AM | by Share of Cost | in Dental Insurance, Medi-Cal, Medicaid, Medicare, Share of Cost, Social Security | Comments Off on Share of Cost – What can I do if I need help with my share of cost?

Share of Cost, Watch Out for Romance Scams

Monday, Feb. 4th 2019 5:58 AM

With Valentine’s Day upon us, the Consumer Financial Protection Bureau (CFPB) reminds elders to be aware of romance scams and to “guard your wallet as well as your heart.” Below is an article from the CFPB on what to watch out for and how to protect yourself from such scams.

If you or your friends and family members are looking for romance, make sure to be choosy about that next sweetheart because anyone can become a victim of a romance scam . Perhaps your friend meets someone new and they both seem smitten quickly. After a few weeks, the new darling asks your friend to loan them money or wants control over your friend’s bank account. And that’s when you realize that your friend has fallen for a scam instead of a new love. These scams happen when a new love pretends to be interested in you as a way to get your money. In fact, they may not even be who they say they are.

Romance scammers focus on single people, often older adults who might be more trusting. Widows and widowers, LGBT elders, and isolated single adults are common targets, but scammers look for anyone eager for a new relationship. Romance scams can happen in person, but often happen online through social media or dating websites and smartphone apps.

Here are some common scenarios that may be a scam:

  • A new love who lives far away asks you to wire them money or share your credit card number with them—even if they say they’ll pay you back.
  • Your new romantic interest asks you to sign a document that would give them control of your finances or your house.
  • Your new sweetheart asks you to open a new joint account or co-sign a loan with them.
  • Your new darling asks for access to your bank or credit card accounts.
  • Protect yourself and others from romance scams

Romance scams are not limited to Valentine’s Day, so be smart about who you connect with, and save yourself the worry about Cupid’s arrow striking your wallet instead of your heart! Here are some ways you can protect yourself and your friends and family from romance scams:

  • Don’t give a new friend access to your money—including ATM cards, bank accounts, credit cards, or investment accounts.
  • Report any crimes to your law enforcement’s non-emergency number. If you suspect that someone is a victim of elder abuse or financial exploitation, report it to Adult Protective Services (APS). Find your local APS at eldercare.gov. If you think the person’s safety may be at risk, call 911.
  • Report romance scams and financial abuse to your state attorney general. Visit the National Association of Attorneys General website  for the contact information of your state attorney general.
    Report suspected romance scams to the Federal Trade Commission at ftc.gov/complaint.
Posted on Monday, Feb. 4th 2019 5:58 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, Watch Out for Romance Scams

Share of Cost, Do You Know People Who May Be Eligible for Part D’s Extra Help?

Tuesday, Oct. 23rd 2018 6:17 AM

Do you know people who are struggling to pay their Medicare Part D prescription drug costs? If so, they may qualify for help through Medicare’s Part D low-income subsidy (LIS), also known as Extra Help. For those who qualify, the Extra Help can save them thousands of dollars a year by helping cover the cost of their Part D plan premium, deductible and drug copayments. Despite how good these benefits are, many people who qualify are unaware of this program. Please help us reach those not yet enrolled by passing on the word on the Extra Help program and encouraging people to apply. (Note: the Medicare Savings Programs (MSPs) can also help cover some of Medicare’s costs for those who qualify, and save beneficiaries thousands of dollars a year.)

Below are 5 good enticing facts to know about Medicare Part D’s Extra Help, taken from the National Center on Law and Elder Rights.

  1. People with Medicare can enroll in the Part D low-income subsidy (LIS), or Extra Help, at any time in the year. Applications can be completed online at the Social Security website1 or in person at any Social Security office. Enrollment usually does not require producing documents like bank statements or insurance policies.
  2. Extra Help coverage lasts until the end of the year, even for those who no longer qualify for Medicaid. This can be particularly helpful for older adults with a Medicaid share of cost. If they meet their share of cost even once, they qualify for Extra Help for the rest of the year. If they meet it in July or later, they qualify for Extra Help for the rest of that year and all of the next year.
  3. People with Extra Help can change Part D plans and Medicare Advantage Part D (MA-PD) plans at any time without a penalty.They do not have to wait for an open enrollment period. This can be helpful for clients who have recently been diagnosed with a chronic condition or who have changed prescriptions and find that the formulary of their current plan does not meet their needs.
  4. Extra Help is not subject to estate recovery. Many seniors are fearful of applying for Medicaid because estate recovery laws may allow states to recoup some costs from their estates. Extra Help is different. There is no estate recovery for Extra Help costs. Federal law does not permit states or the federal government to collect money from your client’s estate for Extra Help costs. Medicare Savings Programs (QMB, SLMB and QI) also are exempt from estate recovery.
  5. People with full Extra Help qualify for a $10 a month Social Security overpayment plan. It is not uncommon for clients to owe Social Security for an overpayment of benefits. When this happens, clients often find that a large portion of their Social Security benefit is being deducted to pay back the debt. If your client has Extra Help, however, the client can request that Social Security take out only $10 a month. Social Security is required to automatically honor the request when it is made.

 

Posted on Tuesday, Oct. 23rd 2018 6:17 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, Do You Know People Who May Be Eligible for Part D’s Extra Help?

Share of Cost, hat State or Federal laws, regulations, or policies or restrict competition and choice in healthcare markets

Sunday, Oct. 21st 2018 6:16 AM

What State or Federal laws, regulations, or policies (including Medicare, Medicaid, and other sources of payment) reduce or restrict competition and choice in healthcare markets?

Medicare can be confusing or even overwhelming, especially when a person has chronic illness, limited resources, or a lack of help. Choosing among traditional Medicare, Medicare Advantage (MA), Medicare Part D, and supplemental or “Medigap” options can make it almost paralyzingly complex. We rely on people with Medicare to make informed, savvy choices—in other words, to “vote with their feet”—so that competition can reward plan innovations that work, identify bad actors and problematic behaviors, and reduce both beneficiary and program costs. Yet, studies show that older adults struggle to compare plans1 and often do not change MA or Part D plans even when doing so may lead to lower premiums and reduced cost-sharing.2 To put it simply—people with Medicare are overwhelmed with information, but it may not be the information they need.

As policymakers consider putting beneficiaries on the hook for plan and health care choices, the absence of quality, useful information becomes increasingly punitive. We cannot support proposals that will shift costs to people with Medicare, penalize them for failing to make optimum choices, or otherwise transfer burdens onto their shoulders. Doing so becomes especially egregious when people are kept in the dark about what their choices are or what they might mean. The existing resources are insufficient. They must be improved before new complexities are added.

Currently the only Medicare choice tool is Plan Finder. While Plan Finder allows head- to-head comparisons of prescription drug plans, its utility is limited as it does not even allow a beneficiary to search across plans for particular providers. And there is no adequately-resourced tool to fill the gaps. The vital State Health Insurance Assistance (SHIP) program, which offers one-on-one personalized assistance,3 is woefully underfunded, faces challenges meeting current demands, and is constantly under threat.4 1-800- MEDICARE, while a needed resource, is no substitute for in-person assistance. We urge the administration not to move forward with any proposals to increase plan flexibility that would also further complicate beneficiary choice until adequate tools and resources are available for beneficiaries to effectively evaluate and compare their options.

We also note that as plan offerings become more complex, the administration’s responsibility to oversee plans appears to be getting less emphasis. Such oversight is an obligation that the Centers for Medicare & Medicaid Services (CMS) owes to beneficiaries, and is only increased by increasing complexity.

We might point out that CMS’s inability to negotiate prices for prescription drugs further compounds beneficiaries’ options, as plans are free to choose the pharmaceutical benefit managers that give them the “best price for a restricted formulary” regardless of how it will impact the beneficiary.

Recently an 81 year old beneficiary with diminished capabilities succumbed to marketing mailers from a United Healthcare plan endorsed by AARP and enrolled in a Medicare Advantage HMO plan without understanding the implications of her decision. She just “trusted AARP!” The local HICAP (California’s SHIP) will attempt to unravel her situation to ensure that she and her daughter understand the consequences of her decision, and make any needed changes based on her unique circumstances.

 

 

Posted on Sunday, Oct. 21st 2018 6:16 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, hat State or Federal laws, regulations, or policies or restrict competition and choice in healthcare markets

Share of Cost, New Medicare Cards Coming to Californians April – June 2018

Saturday, Mar. 10th 2018 1:01 PM

The Centers for Medicare and Medicaid Services will mail new Medicare cards to all Medicare beneficiaries to help protect people from identity fraud. In California, your cards will arrive between April and June. Fraudsters are always looking for ways to get people’s Social Security Numbers (SSNs) so Medicare is removing SSNs from all Medicare cards to make them safer.

Your new card will have a new Medicare Number that’s unique to you. The new card will help protect your identity and keep your personal information more secure. Your Medicare coverage and benefits stay the same.

Medicare will automatically mail your new card at no cost to the address you have on file with Social Security. There’s nothing you need to do! If you need to update your official mailing address, visit your online my Social Security account.

Once you get your new Medicare card, take these 3 steps to make it harder for someone to steal your information and identity:

  1. Destroy your old Medicare card right away.
  1. Use your new card. Doctors, other health care providers, and plans approved by Medicare know that Medicare is replacing the old cards. They are ready to accept your new card when you need care.
  1. Beware of people contacting you about your new Medicare card and asking you for your Medicare Number, personal information, or to pay a fee for your new card. Treat your Medicare Number like you treat your Social Security or credit card numbers. Remember, Medicare will never contact you uninvited to ask for your personal information.

For more information about your new Medicare card, visit go.medicare.gov/newcard. Also see this beneficiary Fact Sheet in English and Spanish, and watch the video below. In addition, you can visit Medicare.gov for tips to prevent Medicare fraud, or see our Fraud & Abuse section of our website. If you have any fraud related questions or suspected incidences to report, call our California Senior Medicare Patrol (SMP) at 1-855-613-7080.

 

Posted on Saturday, Mar. 10th 2018 1:01 PM | by Share of Cost | in Social Security | Comments Off on Share of Cost, New Medicare Cards Coming to Californians April – June 2018

Share of Cost, Navigating Medicare and the Health Insurance Marketplace

Wednesday, Jan. 3rd 2018 9:03 AM

Many people purchase their health insurance through the Health Insurance Marketplaces established by the Affordable Care Act in 2010. Yet when people become eligible for Medicare, there is little notification and thus much confusion on how and when to make the transition to this federal health care program. Below is some information with 3 main points and several action tips put together by the national SHIP Tech Center, the Senior Medicare Patrol National Resource Center and Medicare Rights Center on Health Insurance Marketplaces and how they affect Medicare. This information can help you can make informed decisions about your Medicare enrollment. For questions and/or assistance, contact your local Health Insurance Counseling and Advocacy Program (HICAP).

Posted on Wednesday, Jan. 3rd 2018 9:03 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, Navigating Medicare and the Health Insurance Marketplace

Share of Cost, Medigap Legislation Would Provide New Consumer Rights

Thursday, Sep. 21st 2017 6:49 AM

Below is a summary of Rep Jim McDermott’s newly introduced Medigap Consumer Protection Act of 2016. We support this long-awaited legislation to update the Medigap program and add new consumer protections, including the right to purchase a Medigap to those with disabilities and/or end stage renal disease (ESRD).

Medicare provides affordable health insurance to 57 million American seniors and people with disabilities. However, there are gaps in the program’s benefit package. Beneficiaries are expected to pay a significant amount of out-of-pocket costs through deductibles and coinsurance, and traditional Medicare currently lacks a limit on catastrophic expenses. As a result, approximately 11 million beneficiaries choose to enroll in supplemental Medigap policies, which provide additional benefits and help reduce out-of-pocket expenses.

Although Medigap plans are an important insurance product for millions of Americans, many of the laws governing the Medigap market have remained largely unchanged since 1990. In particular, consumer protections have lagged behind other forms of insurance, leaving beneficiaries subject to discriminatory market practices, lacking sufficient information about their plan options, and at times enrolled in lower quality coverage.

The Medigap Consumer Protection Act provides the first major update to the laws governing Medigap plans in more than two decades. It will improve the beneficiary experience by:

— Expanding guaranteed issue rights to prevent issuers from denying coverage to individuals with disabilities and End-Stage Renal Disease, as well as other beneficiaries who are not currently protected.

— Calling on the National Association of Insurance Commissioners to update medical loss ratio standards to improve the efficiency of Medigap policies.

— Placing limitations on pricing Medigap products based on beneficiary age.

— Requiring Medigap issuers to price their products by county level.

— Improving the Medicare Plan Finder website to facilitate beneficiary access to information and increase consumer understanding of available plan options.

— Restoring access to popular Medigap plan options that provide first-dollar coverage of the Part B deductible.

— Increasing transparency by requiring issuers to publicly disclose payments made to brokers that sell Medigap policies.

The Medigap Consumer Protection Act makes these long overdue updates to federal law. It will significantly improve the beneficiary experience and strengthen the health security of millions of Americans enrolled in Medicare. I hope you will join me in supporting this important legislation.

 

Posted on Thursday, Sep. 21st 2017 6:49 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, Medigap Legislation Would Provide New Consumer Rights

Share of Cost, A Brief Overview of the California Partnership for Long Term Care

Tuesday, Sep. 5th 2017 6:03 AM

This policy brief, written by Bonnie Burns, our Training and Policy Specialist provides background and an overview of the California Partnership for Long Term Care, and discusses reasons for its gradual decline. She raises the tough questions as to whether the program is meeting the goal of protecting those consumers most in danger of spending down to Medi-Cal with a long term care expense, and whether the program is saving any Medi-Cal funds that would otherwise pay for care. Earlier this year, Governor Brown signed SB 1384 (Liu) that, among other things, charges the Partnership program with establishing a task force of industry, consumer groups, and agency stakeholders to review and make recommendations on necessary changes to the program to make sure it fulfills that very goal.

 

 

Posted on Tuesday, Sep. 5th 2017 6:03 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, A Brief Overview of the California Partnership for Long Term Care

Share of Cost, Guard Your Medicare Card

Wednesday, Aug. 23rd 2017 6:24 AM

Health care fraud drives up costs for everyone in the health care system. One way to protect against such fraud is to guard your Medicare number. Fraud schemes often depend on identity thieves getting hold of people’s Medicare numbers, so treat your number as you would a credit card.

 

 

Posted on Wednesday, Aug. 23rd 2017 6:24 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, Guard Your Medicare Card

Share of Cost, CHA Comments on Proposed Short Term Care Insurance Regulations

Thursday, Aug. 17th 2017 5:29 AM

October 20, 2016

 

Commissioner Katharine L. Wade
State of Connecticut Insurance Department
Attention: Kristin M. Campanelli
P.O. Box 816
Hartford, CT 06142-0816

 

Re: Proposed Short Term Care Insurance Regulations

 

Dear Commissioner Weddle:

We write to comment on your department’s proposed regulatory changes to short term care insurance policies. As you know, I am a funded consumer representative to the National Association of Insurance Commissioners (NAIC). I am a Policy Specialist for California Health Advocates (CHA), a not-for- profit organization that among many other Medicare related topics provides information, training, and education on long-term care and long term care insurance. We promote high legislative and regulatory standards for long-term care insurance in our state legislature, at the NAIC, and in Congressional testimony.

At the national Summer meeting of the NAIC, a new subgroup was appointed at our request to explore the issue of how these short term care policies are regulated. My request was backed up by a letter to the SITF signed by 20 consumer group representatives requesting that these products be regulated as long term care insurance. It seems illogical to many people that a product offering nursing home and home care benefits for 360 days or less is regulated differently, and under very general minimum standards, than one that provides those same benefits for 364 days or more. We have not heard a reasonable argument about why consumers should not be protected under the same standard simply because they buy a benefit that covers them for a fewer number of days.

As I review your proposed regulation I note that you have incorporated some of the standards from the long term care insurance models. I would encourage you to go beyond HR 5521 and bring these products under the umbrella of the long term care insurance standards with any exceptions for those elements you think shouldn’t apply to these products.

All of the definitions of benefit triggers, benefits, services, and places of care should be the same in a short term policy as they are in the NAIC Model

All of the disclosures in the NAIC Models should be required in a short term care policy, plus one additional disclosure.

A disclosure should be developed to clearly describe the limitations of a short term care policy with very limited benefits. Purchasers of a short term care policy should also be advised about the availability of a Partnership policy to cover one year of care that can potentially provide them with additional protection of their assets.

In any replacement situation agents should be required to identify in writing the reason for replacement, and explain why the replacement policy is to the advantage of the consumer. If coverage is being added to existing coverage agent should be required to explain in writing the advantage of the additional coverage to the applicant. These explanations should be part of the application or separately attached to the policy.

There is no justifiable reason that companies selling short term coverage ranging from a few months of benefit to just under one year be allowed a 55% loss ratio. The profit margin on these limited benefits is unreasonable, and short term policies should at a minimum comply with a 65% loss ratio for individual coverage and 75% for group coverage.

The actuarial evaluation of premiums for these policies should include an assessment of the limited risk a short term care policy is assuming, and require premiums to reflect that limited risk. In addition, an actuarial evaluation should take into account the difference in underwriting for a short term policy and for a traditional policy. Even with limited benefits it’s possible a company selling one of these short term care policies could underestimate their ultimate claims assumptions and fall into a spiral of rate increases. In another instance a policyholder could ultimately pay more in premiums over their lifetime than the small amount of benefit promised by a few months of coverage.

A consumer buying a short term care product providing benefits for a few months of coverage instead of years should not be less secure or less protected than someone buying more of the same benefits. In fact, consumers buying these limited benefits may require even more protection. They are more likely to be lower income or have a health condition than those who can afford or qualify for a greater amount of coverage. Consumers who buy short term care policies need all of the regulatory protections provided to those who buy a traditional long term care insurance product.

I’ve identified a few issues for your consideration with portions of the proposed regulation:

People buying these products think they are buying long term care insurance or benefits, but for a shorter period of time. Terminology throughout the regulation reinforces the ability of short term care policies to restrict benefits to needs and services that are primarily medical in nature, provided by or under the direction of medical personnel, and in facilities primarily or secondarily providing medical care services. This medical connection has little application to the need for nursing home and home care and community based care. It simply allows companies to restrict or limit benefits by connecting them in some way to medical care.

The use of the term “home health care” instead of home care allows medical criteria and personnel to be applied to care that is primarily a need for personal care services (formerly custodial care).
The use of “own home” and home “health” care throughout the regulation reinforces the ability of companies to restrict benefits and care.

Definitions throughout the regulation of “own home” would allow companies to deny benefits to someone living in the home of a family member, living in an independent living situation from receiving home care services in that setting.

Cognitive impairment represents about half the claims for long term care services today, along with functional impairments, but that broader term is missing throughout the regulation. Nowhere in the regulation are benefit triggers required or spelled out. Dementias other than Alzheimer’s are not recognized in exceptions or exclusions, or elsewhere in the regulation where all causes of dementias should be included. A short term policy would not be required under the proposed regulation to cover cognitive impairment at all.

It is possible, as this regulation is currently written, to write a short term policy with benefit triggers of 5 out of 6 (or even less) ADLs, for care in a nursing home that must be medically necessary at the beginning, and that is not at first custodial in nature.

Here are specific comments on a few provisions of the proposed regulation.

(New) Sec, 38a-xxx-2. Definitions

Definitions in this section reinforce the ability of companies to apply medical standards to benefit triggers, services, providers, and places of care. …..for necessary care or treatment of an injury, illness or loss of functional capacity provided by a certified or licensed health care provider…… and for…confinement in the insured’s own home….

(New) Sec. 38a-xxx-3 Policy definitions and terms

This section lists but does not contain definitions related to activities of daily living or of cognitive impairment thereby allowing companies to define these in very restrictive terms.

There is no requirement that ADLs or cognitive impairment be a benefit trigger, leaving companies free to exclude them completely or require a simultaneous number of ADLs, or require an unrealistic number of ADLs before benefits would be available. The definitions of “accidental injury” or an “acute condition” or medically necessary care” allows these terms to be applied to a benefit trigger or to the policy benefits. These terms and definitions in the regulation have little applicability to the need for the services in short term policies and give companies unrestricted ability to deny benefits.

Under (e) (3) of this section “a home or facility primarily used for the care and treatment of a mental disease or disorders, or custodial care” could exclude care in facilities that provide psychiatric care, or facilities that provide care to people with dementias. Many of those facilities are referred to as memory care facilities, and under these definitions could be excluded. (Some of the definitions of places of care should of course accurately correspond to where care is provided in your state, and how each place of care is regulated in Connecticut.)

Under (h) of this section “Home health care services” includes “medical and non-medical services, provided to ill, disabled or infirm persons who reside at home.”

This is very restrictive when applied to people who need long term care services. Terms like these would allow companies to sell very restrictive benefits that policyholders would be unlikely to discover until they filed a claim.

There is no definition in the regulation of assisted living which could allow companies to refuse to pay for home care in such a facility under the definitions in this regulation.

In (m) of this section: Alzheimer’s disease is excluded from the definition of mental and nervous disorders, but other dementias are not, leaving companies free to demand that benefits are only payable for Alzheimer’s disease.

In (n) of this section: Necessary care for confinement in the insured’s own home is predicated on home “health” care, again linking care to health and not ADLs or conditions of functional or cognitive impairments.

In (o) of this section: Necessary care for confinement in a nursing home is predicated on medically necessary care… that is not at first custodial care.” That is a Medicare standard for payment of nursing home benefits and completely out of place in policies that purport to provide care in a nursing home.

In (s) of this section: the standard of sickness or illness by disease has no place in any insurance policy providing benefits for nursing home and home care, and reinforces the connection to medical services.

Under Other Exclusions (2) (B) there is no exception from mental disease or disorder for Alzheimer’s or other dementias.

Under Limitations and Exclusions (d)(3) A policy is prevented from duplicating Medicare benefits, deductible, or copayment despite the fact that these are not tax qualified policies. There is no justification for carving out these benefits given the short term nature of these benefits and the high cost of care in a nursing home. This requirement is very detrimental to consumers and only benefits companies that write these policies.

Under Renewability (n) companies are able to use words and terms, “usual and customary,” “reasonable and customary,” that have caused claims problems in the past and are all medical in nature. Typically policies providing benefits for institutional and home care use a daily benefit dollar amount and there should be no reason to use those medically related terms. This is another option for companies to limit the amount of benefit they will pay at the time of a claim.

In short, many of the minimum requirements in the proposed regulation could lead to very restrictive policy benefits being sold in a short term care policy to the disadvantage of consumers. I urge you to consider bringing these products under the umbrella of long term care insurance standards with specific exceptions for those elements you think shouldn’t apply to these products.

Sincerely,
Bonnie Burns, Policy Specialist

 

Posted on Thursday, Aug. 17th 2017 5:29 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, CHA Comments on Proposed Short Term Care Insurance Regulations

Share of Cost, CHA Provides Testimony on Long Term Care Insurance Rate Increases

Tuesday, Jul. 25th 2017 5:48 AM

October 25, 2016

Commissioner Alfred W. Redmer Jr.
State of Maryland Insurance Administration
Attention: Adam Zimmerman, Actuarial Analyst
200 St. Paul Place, Suite 2700,
Baltimore, MD 21202

RE: Long Term Care Insurance Rate Increase Hearing October 27, 2016

Dear Commissioner Redmer:

I am submitting these comments for the hearing record regarding the premium increase hearing on October 27th in the event I am unable to comment by phone about the requested rate increases on that date. As you know, I have been a long time participant in the National Association of Insurance Commissioner’s (NAIC) consumer participation program, and I frequently testify and comment on behalf of consumers during the proceedings of the NAIC Senior Issue Task Force (SITF) and other NAIC Committees and subgroups.

Rate increases in long term care insurance have been an ongoing topic of concern for the NAIC members, and specifically for the SITF, as members have struggled for decades to regulate the pricing of long term care insurance and prevent large, unexpected rate increases. Since the 1990’s and at least 3 regulatory attempts by the NAIC to limit these increases, this now seems to be a failed regulatory task.

The large ongoing rate increases being requested in Maryland and other states and the continuing inability of state regulators to protect their consumers, regardless of the regulatory controls that states establish, are obvious. Regardless of how pricing is regulated, companies continue to demand these rate increases leaving behind anguished policyholders struggling to pay those increased premiums. The pain inflicted on Maryland policyholders is evident in the testimony already submitted for this hearing by the very people who will be paying those increased costs. Policyholders who have spoken out in their testimony represent hundreds, maybe thousands more policyholders unaware of the hearing, unable to participate, or simply assuming that their protest is useless.

These policyholders have a series of untenable choices. Faced with paying steadily increasing premiums late in life robs people of resources for other needs, and pushes some people into dropping coverage, some of whom may later require help from the state’s Medicaid program.

Some may have previously downgraded their benefits to reduce a rate increase, and now have little room for further downgrades, making retention of their policy impossible.

I am not certain which NAIC consumer protections Maryland has adopted, or the extent of your regulatory authority, but here are some suggestions for mitigating the effect of these ongoing rate increases on consumers.

  • No amount of a rate increase should be applied to any of the company’s administrative costs
  • No amount of a rate increase should be applied to any agent compensation
  • Any rate increase of 20% or more during the lifetime of the policy form should require offsetting reductions in company expenses
  • Any cumulative rate increase of 50% during the lifetime of the policy form should require the company to pool all of their existing long term care policy forms issued, bought, or assumed by the company to calculate the amount of a rate increase
  • Any cumulative rate increase greater that 50% during the life of the policy form should not be granted, except when company solvency is in question

A rate increase notice should allow 90 days of consideration by the policyholder and a referral in writing for face-to-face counseling with the Maryland State Health Insurance Program (SHIP) to ensure that policyholders have all the information they need to make an informed decision about their benefits, options, and any benefit reductions.

  • Policyholders who have previously downgraded their daily benefit amount to an amount less than 70% of the current cost of nursing home care, and reduced their duration of coverage to 2 years should be exempt from any further rate increases
  • Policyholders age 70 or older who’ve had their policy for at least 10 years should be exempt from any rate increases
  • Policyholders age 80 or older should be exempt from any rate increases, regardless of the duration of their coverage
  • Policyholders who have had their policies for 10 or more years should have the option of choosing a paid-up benefits equal to the premiums they’ve previously paid
    • The amount of benefits subsequently paid under their paid-up policy should qualify as protected assets under the state Medicaid program
  • Any policyholder who reduces or drops their inflation protection should be entitled to retain the current amount of their inflated daily benefit amount and lifetime benefit amount
    • The amount of benefits subsequently paid under their paid-up policy should qualify as protected assets under the state Medicaid program

I am well aware that some of my suggestions are extreme, and some would require a change in state law or regulations. But after three decades of helping policyholders hang on to coverage through numerous rate increases I believe companies should bear the burden of decisions they’ve made about the products they’ve sold, not policyholders.

The burden of mistaken assumptions and experience should not be borne by consumers who placed their trust in the industry by buying this coverage. Consumers have no expertise to verify assumptions made by actuaries that result in the premium they’ve agreed to pay. Policyholders don’t participate in the profitability of an insurance product, except to the extent that they rely on the benefits they’ve been sold. And policyholders certainly wouldn’t participate in any excess profit a company made based on their previous assumptions.

Policyholders have done what the federal and state governments asked, and the industry has promoted, by taking responsibility to pay for their own care. They should not now be faced with losing both the premiums they’ve invested in that promise and the benefits they bought.

Thank you for the opportunity to comment on the subject of your hearing. I hope you’re able to mitigate some of the effects of these rate increases on the policyholders in your state.

Sincerely,

BonnieBurnsSignature

Bonnie Burns, Consultant

 

Posted on Tuesday, Jul. 25th 2017 5:48 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, CHA Provides Testimony on Long Term Care Insurance Rate Increases

Share of Cost, Looking to Save Money? Start with Rx Costs

Wednesday, May. 31st 2017 5:27 AM

Did you know that drug costs rose 12.2% in 2014 alone which is 5 times as fast as the year before? And that the price of the 50 top most-used generic drugs has soared over 373% between 2010-2014? What’s happening and how can we as consumers save money and be savvy about our prescriptions? One thing that’s happening is company mergers, currently leaving 3 companies in control of 40% of the generic drug market. Also, some of the newest drugs are prohibitively expensive, such as the new Hepatitis C treatment Sovaldi which is $1,000 a pill for an 84-pill treatment.

With prices and rising costs like these, it’s no wonder that insurance companies look for ways to shift more costs to consumers and make it harder to receive the higher costs drugs. For example, many drug plans have increased the number of drug tiers in their formulary (covered drugs) from just 2 tiers (one for generics, one for brand name drugs) to 3, 4 and even 5 tiers – with each tier corresponding to higher costs. This makes it confusing for consumers to know what exactly their drug costs will be when comparing plan formularies. Drug plans have also increased the number of drugs requiring step therapy or prior authorization. Such strategies shift rising drug costs to consumers and put up a barrier to receiving the higher cost medicines.

So what are some ways to save money? Money Magazine’s March 2016 edition details some good cost-saving strategies, several of which are summarized below.

  • Change your medication. If you’re taking a brand name drug, ask your doctor for its generic equivalent. Also, if you’re taking multiple medications, see if there’s one medication that can be used for multiple conditions. That option does exist in some circumstances.
  • Use mail-order to fill and refill your prescriptions. You can get a 90-day supply and will generally have a lower copay than if you get a 90-day supply at a retail store.
  • Watch out for online pharmacy scams. According to a 2013 Government Accountability Report, many of the online “Canadian pharmacies” are illegitimate. Some have been found selling drugs with lethal contaminants such as lead or rat poison. If you do use an online pharmacy, make sure the website URL ends in “.pharmacy”. This means the site meets certain regulation requirements and has been approved by the National Association of Boards of Pharmacy.
  • Use your Medicare Part D plan’s coverage determination and exceptions processes to get affordable coverage for the drug(s) you need.
  • Change your insurance. One of the most effective ways to reduce drug costs is to change your drug plan. Medicare Part D drug plans change their coverage every year, and just because one plan meets your drug needs and is affordable one year, does not guarantee it will be the same the next year. During Medicare’s Open Enrollment period (Oct 15 – Dec 7) each year, you have the option to switch plans. Review your plan’s coverage for the coming year and shop around. California’s Health Insurance Counseling and Advocacy Program (HICAP) literally helped clients save millions of dollars this year by helping them find a plan that meets their mediation needs. You can use Medicare’s Plan Finder tool at Medicare.gov. This tools allows you to easily search for compatible plans by entering your medication, dosage, frequency, and preferred pharmacies. The plan finder will then give you a list of plans with your estimated out-of-pocket costs.

 

Posted on Wednesday, May. 31st 2017 5:27 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, Looking to Save Money? Start with Rx Costs

Share of Cost, Are Medical Costs Taking a Toll?

Thursday, May. 25th 2017 6:26 AM

Yes, and a big one. Over 26% of people in a recent poll said that health care costs posed a significant financial burden on them and/or their family. Forty-two percent of the people said they have paid all or nearly all of their savings on medical costs, and 27% said they were unable to pay for basic necessities such as food, heating, or housing. Seven percent have also declared bankruptcy because of health care costs. This is an unnecessary burden that faces both the younger population on Obamacare and the older population and people with disabilities on Medicare. In fact, a recent National Public Radio article notes that while 89% of Americans now have health insurance through Obamacare and Medcare, simply having insurance is no longer enough. The consumer costs keep rising.

According to a Kaiser Family Foundation study done last year, more and more companies are also shifting rising health care costs to their employees. For example, the workers’ share of health insurance premiums for their families rose 83% from 2005 to 2015. The amount employees had to pay for deductibles for individual insurance also increased 255% from 2006 to 2015. These increases are much higher than growth in workers’ wages. And this example demonstrates what’s happening in all areas of health care coverage, with the sickest people being hurt the most.

For more information on the poll, see NPR’s recent article, Medical Bills Still Take a Big Toll, Even with Insurance.

Posted on Thursday, May. 25th 2017 6:26 AM | by Share of Cost | in Social Security | Comments Off on Share of Cost, Are Medical Costs Taking a Toll?