It seems that the new legislation will restrict the physicians to switch their patients unnecessarily to expensive medicines and that will certainly work in favor of the medicare users.
Posted: Thu Jul 24, 2008 03:10 am Post Subject:
One unintended result might be very limited availability of part c palns in rural areas that are primarily served by private fee for service plans or the benefits might be reduced in these areas.
The new legislation requres pffs type plans to have networks like ppo or hmo in place to replace their "deeming ' process currently in use which allows doctors to decide paitent by paitent, visit by vist, if they want to accept the plan or not. (by 2011) This is an expensive process for the insurance companies who do not have a network in place. Their funding is also being cut at the same time.
A lot of rural areas only have these pffs plans available and I already know of one plan which is increasing the copays and max out of pocket, and annother company that has decided to leave the medicare advantage market alltogether.
Hopefully the rural areas will not be ignored when these remaining companies set up their networks.
Posted: Mon Aug 25, 2008 12:56 am Post Subject: south carolina help
I have a client who needs help in south carolina .can anyone help?he is having his prostate removedbecause of cancer.
Posted: Mon Aug 25, 2008 12:58 am Post Subject: medicare help
thanks for the help Beatuplunchbox you seem to be a medicare expert
Posted: Mon Aug 25, 2008 01:01 am Post Subject: how much do rates go up?
bl?ue cross has large increases yearly,how much do they usually go up
Posted: Mon Aug 25, 2008 02:21 am Post Subject:
hard to say what it will cost, this increase will depend on many different things, claims filed, age of clientele, etc.
Posted: Wed Jul 23, 2008 08:21 am Post Subject:
It seems that the new legislation will restrict the physicians to switch their patients unnecessarily to expensive medicines and that will certainly work in favor of the medicare users.
Posted: Thu Jul 24, 2008 03:10 am Post Subject:
One unintended result might be very limited availability of part c palns in rural areas that are primarily served by private fee for service plans or the benefits might be reduced in these areas.
The new legislation requres pffs type plans to have networks like ppo or hmo in place to replace their "deeming ' process currently in use which allows doctors to decide paitent by paitent, visit by vist, if they want to accept the plan or not. (by 2011) This is an expensive process for the insurance companies who do not have a network in place. Their funding is also being cut at the same time.
A lot of rural areas only have these pffs plans available and I already know of one plan which is increasing the copays and max out of pocket, and annother company that has decided to leave the medicare advantage market alltogether.
Hopefully the rural areas will not be ignored when these remaining companies set up their networks.
Posted: Mon Aug 25, 2008 12:56 am Post Subject: south carolina help
I have a client who needs help in south carolina .can anyone help?he is having his prostate removedbecause of cancer.
Posted: Mon Aug 25, 2008 12:58 am Post Subject: medicare help
thanks for the help Beatuplunchbox you seem to be a medicare expert
Posted: Mon Aug 25, 2008 01:01 am Post Subject: how much do rates go up?
bl?ue cross has large increases yearly,how much do they usually go up
Posted: Mon Aug 25, 2008 02:21 am Post Subject:
hard to say what it will cost, this increase will depend on many different things, claims filed, age of clientele, etc.
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