2006 Medicare and Medicaid Benefits
Author | : CCH Editors |
Publisher | : CCH Incorporated |
Total Pages | : 65 |
Release | : 2006-02-01 |
Genre | : |
ISBN | : 9780808014409 |
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Author | : CCH Editors |
Publisher | : CCH Incorporated |
Total Pages | : 65 |
Release | : 2006-02-01 |
Genre | : |
ISBN | : 9780808014409 |
Author | : Leslie G. Aronovitz (au) |
Publisher | : DIANE Publishing |
Total Pages | : 88 |
Release | : 2006-08 |
Genre | : Business & Economics |
ISBN | : 9781422306734 |
On Jan. 1, 2006, Medicare began providing coverage for outpatient prescription drugs through its new Part D benefit. Beneficiaries who enroll in Part D may choose a drug plan from those offered by private plan sponsors under contract to the Centers for Medicare & Medicaid Serv. (CMS), which administers the Part D benefit. Beneficiaries have until May 15, 2006, to enroll in the Part D benefit & select a plan without the risk of penalties. This report reviews the quality of CMS's commun. on the Part D benefit. This report: examined 70 CMS publications to select 6 documents to review & evaluate the clarity of these texts; made 500 calls to the 1-800-MEDICARE help line; & evaluated the usability of the Medicare Web site. Illus.
Author | : |
Publisher | : |
Total Pages | : 108 |
Release | : 2006 |
Genre | : Health insurance |
ISBN | : 9781422305089 |
Author | : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health |
Publisher | : |
Total Pages | : 232 |
Release | : 2011 |
Genre | : Business & Economics |
ISBN | : |
Author | : Sophia R. Ketler |
Publisher | : Nova Publishers |
Total Pages | : 176 |
Release | : 2008 |
Genre | : Business & Economics |
ISBN | : 9781604563511 |
Medicaid is a state administered program and each state sets its own guidelines regarding eligibility and services. Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include age, pregnancy, disability, or blindness; income and resources (like bank accounts, real property, or other items that can be sold for cash); and status as either a citizen or a lawfully admitted immigrant. The rules for counting income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home. This book discusses these factors.
Author | : United States. Congress. Senate. Special Committee on Aging |
Publisher | : |
Total Pages | : 204 |
Release | : 2006 |
Genre | : Business & Economics |
ISBN | : |
Author | : Susanne M. Kirchhoff |
Publisher | : Createspace Independent Publishing Platform |
Total Pages | : 70 |
Release | : 2016-11-11 |
Genre | : |
ISBN | : 9781540349224 |
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA, P.L. 108-173) established a voluntary, outpatient prescription drug benefit under Medicare Part D, effective January 1, 2006. Medicare Part D provides coverage through private prescription drugplans (PDPs) that offer only drug coverage, or through Medicare Advantage (MA) prescription drug plans (MA-PDs) that offer coverage as part of broader, managed care plans. Private drug plans participating in Part D bear some financial risk, though federal subsidies cover most program costs in an effort to encourage participation and keep benefits affordable. At a minimum, Medicare drug plans must offer a "standard coverage" package of benefits or alternative coverage that is actuarially equivalent to a standard plan. Plans also may offer enhanced benefits. Although all plans must meet certain minimum requirements, there can be significant differences among offerings in terms of benefit design, specific drugs included in formularies (i.e., list of covered drugs), cost sharing for particular drugs, or the level of monthlypremiums. In general, beneficiaries can enroll in a plan, or change plan enrollment, when they first become eligible for Medicare or during open enrollment periods each October 15 through December 7. For plan year 2016, there are between 19 and 29 PDPs in each of the nation's 34 PDP regions, as well as Medicare Advantage plans. Because sponsors are allowed to change planofferings from year to year, beneficiaries must review their annual choices carefully to select theplans that best meet their needs. A key element of the Part D program is enhanced coverage for low-income individuals. Personswith incomes up to 150% of the federal poverty level (FPL) and assets below set limits are eligible for extra assistance with Medicare Part D premiums and cost sharing. Individuals enrolled in both Medicare and Medicaid (so-called dual eligibles), and certain other low-incombeneficiaries, are automatically enrolled in no-premium plans, which are Part D plans that have premiums at or below specified levels. In 2015, about 39 million Medicare beneficiaries received prescription drug benefits through a PDP or an MA-PD, with almost one-third receiving a low-income subsidy. Another 2 million received drug assistance through a Part D-subsidized retiree health plan, and 8 million Medicare beneficiaries had separate, private drug coverage. Overall, about 88% of Medicare beneficiarieshad drug coverage through either PDP or MA-PD plans, retiree coverage, or private insurance ofcomparable scope. Total Part D expenditures were close to $90 billion in calendar year 2015. Medicare Part D has cost less than originally forecasted, due in part to lower-than-predicted enrollment and increased use of less expensive generic drugs. However, the Medicare Trustees project that spending on Part D benefits will accelerate over the next 10 years due to expectationof further increases in the number of enrollees, costs associated with the gradual elimination of the out-of-pocket cost coverage gap, changes in the distribution of enrollees among coverage categories, a slowing of the trend toward greater generic drug utilization, and an increase in the use and the prices of specialty drugs.
Author | : United States. Congress. Senate. Committee on Finance |
Publisher | : |
Total Pages | : 304 |
Release | : 2006 |
Genre | : Medicare |
ISBN | : |
Author | : United States Government Accountability Office |
Publisher | : Createspace Independent Publishing Platform |
Total Pages | : 88 |
Release | : 2017-09-13 |
Genre | : |
ISBN | : 9781976361715 |
On January 1, 2006, Medicare began providing coverage for outpatient prescription drugs through its new Part D benefit. Beneficiaries who enroll in Part D may choose a drug plan from those offered by private plan sponsors under contract to the Centers for Medicare & Medicaid Services (CMS), which administers the Part D benefit. Beneficiaries have until May 15, 2006, to enroll in the Part D benefit and select a plan without the risk of penalties. GAO was asked to review the quality of CMS's communications on the Part D benefit. GAO examined 70 CMS publications to select 6 documents for review and contracted with the American Institutes for Research to evaluate the clarity of these texts; made 500 calls to the 1-800-MEDICARE help line; and contracted with the Nielsen Norman Group to evaluate the usability of the Medicare Web site.
Author | : United States. Congress. House. Committee on Ways and Means |
Publisher | : |
Total Pages | : 168 |
Release | : 2007 |
Genre | : Business & Economics |
ISBN | : |