Medicare Handbook, 2016 Edition
Medicare Handbook, 2016 Edition

Author: Judith A. Stein

Publisher: Wolters Kluwer

Published: 2015-12-21

Total Pages: 976

ISBN-13: 145485619X

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To provide effective service in helping clients understand how they are going to be affected by health care reform and how to obtain coverage, pursue an appeal, or plan for long-term care or retirement, you need the most current information from a source you can trust - Medicare Handbook. This is the indispensable resource for clarifying Medicare's confusing rules and regulations. Prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., it addresses issues you need to master to provide effective planning advice or advocacy services, including: Medicare eligibility rules and enrollment requirements; Medicare covered services, deductibles, and co-payments; coinsurance, premiums, penalties; coverage criteria for each of the programs; problem areas of concern for the advocate; grievance and appeals procedures. The 2016 Edition of Medicare Handbook offers expert guidance on: Health Care Reform Prescription Drug Coverage Enrollment and Eligibility Medigap Coverage Medicare Secondary Payer Issues Grievance and Appeals Home Health Care Managed Care Plans Hospice Care And more! In addition, Medicare Handbook will help resolve the kinds of questions that arise on a regular basis, such as: How do I appeal a denial of services? What steps do I need to take in order to receive Medicare covered home health care? What are the elements of Medicare's appeal process for the denial of coverage of an item, service, or procedure? Does my state have to help me enroll in Medicare so that I can get assistance through a Medicare Savings Program? When should I sign up for a Medigap plan? If I am on Medicare, do I have to buy health insurance in the insurance marketplace created by the Affordable Care Act? Is it true that I have to show medical improvement in order to get nursing and therapy services for my chronic condition? And more! The 2016 Medicare Handbook is the indispensable resource that provides: Extensive discussion and examples of how Medicare rules apply in the real world Case citations, checklists, worksheets, and other practice tools to help in obtaining coverage for clients, while minimizing research and drafting time Practice pointers and cautionary notes regarding coverage and eligibility questions where advocacy problems arise, and those areas in which coverage has been reduced or denied And more!

Get What's Yours for Medicare
Get What's Yours for Medicare

Author: Philip Moeller

Publisher: Simon and Schuster

Published: 2016-10-04

Total Pages: 304

ISBN-13: 1501124013

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A coauthor of the New York Times bestselling guide to Social Security Get What’s Yours authors an essential companion to explain Medicare, the nation’s other major benefit for older Americans. Learn how to maximize your health coverage and save money. Social Security provides the bulk of most retirees’ income and Medicare guarantees them affordable health insurance. But few people know what Medicare covers and what it doesn’t, what it costs, and when to sign up. Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans—Medicare Advantage, drug insurance, and Medicare supplement insurance. Do you understand Medicare’s parts A, B, C, D? Which Part D drug plan is right and how do you decide? Which is better, Medigap or Medicare Advantage? What do you do if Medicare denies payment for a procedure that your doctor says you need? How do you navigate the appeals process for denied claims? If you’re still working or have a retiree health plan, how do those benefits work with Medicare? Do you know about the annual enrollment period for Medicare, or about lifetime penalties for late enrollment, or any number of other key Medicare rules? Health costs are the biggest unknown expense for older Americans, who are turning sixty-five at the rate of 10,000 a day. Understanding and navigating Medicare is the best way to save health care dollars and use them wisely. In Get What’s Yours for Medicare, retirement expert Philip Moeller explains how to understand all these important choices and make the right decisions for your health and wealth now—and for the future.

Medicare For Dummies
Medicare For Dummies

Author: Patricia Barry

Publisher: John Wiley & Sons

Published: 2016-06-02

Total Pages: 414

ISBN-13: 1119296595

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Medicare For Dummies, 2nd Edition (9781119293392) was previously published as Medicare For Dummies, 2nd Edition (9781119079422). While this version features a new Dummies cover and design, the content is the same as the prior release and should not be considered a new or updated product. Make your way through the Medicare maze with help from For Dummies America's baby boomers are now turning 65 at the rate of about 10,000 a day. Yet very few have any idea about how Medicare works, when they should sign up, or how the program fits in with other health insurance they may have. Medicare For Dummies, 2nd Edition provides a detailed road map for navigating Medicare's often-baffling complexities and helps consumers avoid pitfalls that could otherwise cost them dearly. In plain language, the new edition explains: How to qualify for Medicare, according to your personal circumstances, including new information on the rights of people in same-sex marriages When to sign up at the time that’s right for you, to avoid lifelong late penalties How to weigh Medicare’s many options so you can be confident of making the decision that's best for you What Medicare covers and what you pay, with up-to-date details of the costs of premiums, deductibles, and copays—and how you may be able to reduce those expenses By conveying not only the basics but also how to troubleshoot problems and where to find assistance, Medicare For Dummies, 2nd Edition helps you to get the most out of Medicare.

COBRA Handbook, 2016 Edition
COBRA Handbook, 2016 Edition

Author: I.M. Golub

Publisher: Wolters Kluwer

Published: 2015-10-13

Total Pages: 598

ISBN-13: 1454855819

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COBRA Handbook is designed for benefits professionals, plan administrators, employers, service providers, fiduciaries, attorneys, and others who must deal with the complexities of the COBRA. This practical handbook simplifies the complexity of handling COBRA. It is designed for benefits professionals, plan administrators, employers, service providers, fiduciaries, attorneys, and others who must solve COBRA issues and stay in compliance. The handbook reviews in detail the rules contained in the IRS and DOL regulations and offers guidance on how to comply with the various rules contained in the regulations. The 2016 Edition reviews significant legal developments in the COBRA arena since the publication of the prior edition and discusses new judicial decisions issued during the past year. Highlights include updated and extensive discussions of the following issues: What types of employee benefit plans are subject to COBRA Under what circumstances a COBRA qualifying event occurs What constitutes termination due to "gross misconduct" for COBRA purposes How a plan administrator can ensure compliance with COBRA's notification requirements, and what type of documentation should be retained Under what circumstances a plan must notify an individual of the termination of his or her COBRA coverage And much more! COBRA Handbook also reviews in detail the rules contained in the IRS and DOL regulations and offers guidance on how to comply with the various rules contained in the regulations. In addition, COBRA Handbook includes the following features to help employers, other plan sponsors,administrators, and consultants in administrating and complying with this complicated and continuously developing area of the law: Examples illustrating important concepts Practice Pointers to help benefits professionals comply with COBRA Detailed case citations and notes to help the reader quickly locate relevant portions of the law, regulations, administrative releases, and supporting judicial decisions The full text of the DOL and IRS Final COBRA Regulations, model COBRA notices, and sample COBRA provisions for inclusion in a purchase agreement A glossary containing definitions of the key terms and abbreviations used in the book A table of cases at the end of the book providing full citations to relevant judicial decisions, as well as chapter and section references for each case discussed A table of COBRA cases grouped by issue A detailed subject index

The Power to Heal
The Power to Heal

Author: David Barton Smith

Publisher: Vanderbilt University Press

Published: 2016-07-01

Total Pages: 257

ISBN-13: 0826521088

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In less than four months, beginning with a staff of five, an obscure office buried deep within the federal bureaucracy transformed the nation's hospitals from our most racially and economically segregated institutions into our most integrated. These powerful private institutions, which had for a half century selectively served people on the basis of race and wealth, began equally caring for all on the basis of need. The book draws the reader into the struggles of the unsung heroes of the transformation, black medical leaders whose stubborn courage helped shape the larger civil rights movement. They demanded an end to federal subsidization of discrimination in the form of Medicare payments to hospitals that embraced the "separate but equal" creed that shaped American life during the Jim Crow era. Faced with this pressure, the Kennedy and Johnson Administrations tried to play a cautious chess game, but that game led to perhaps the biggest gamble in the history of domestic policy. Leaders secretly recruited volunteer federal employees to serve as inspectors, and an invisible army of hospital workers and civil rights activists to work as agents, making it impossible for hospitals to get Medicare dollars with mere paper compliance. These triumphs did not come without casualties, yet the story offers lessons and hope for realizing this transformational dream.

Medicare Handbook, 2017 Edition
Medicare Handbook, 2017 Edition

Author: Stein, Chiplin

Publisher: Wolters Kluwer

Published: 2016-12-15

Total Pages: 1008

ISBN-13: 1454871172

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To provide effective service in helping clients understand how they are going to be affected by health care reform and how to obtain coverage, pursue an appeal, or plan for long-term care or retirement, you need the most current information from a source you can trust - Medicare Handbook. This is the indispensable resource for clarifying Medicare's confusing rules and regulations. Prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., it addresses issues you need to master to provide effective planning advice or advocacy services, including: Medicare eligibility rules and enrollment requirements; Medicare covered services, deductibles, and co-payments; coinsurance, premiums, penalties; coverage criteria for each of the programs; problem areas of concern for the advocate; grievance and appeals procedures. The 2017 Edition of Medicare Handbook offers expert guidance on: Health Care Reform Prescription Drug Coverage Enrollment and Eligibility Medigap Coverage Medicare Secondary Payer Issues Grievance and Appeals Home Health Care Managed Care Plans Hospice Care And more! In addition, Medicare Handbook will help resolve the kinds of questions that arise on a regular basis, such as: How do I appeal a denial of services? What steps do I need to take in order to receive Medicare covered home health care? What are the elements of Medicare's appeal process for the denial of coverage of an item, service, or procedure? Does my state have to help me enroll in Medicare so that I can get assistance through a Medicare Savings Program? When should I sign up for a Medigap plan? If I am on Medicare, do I have to buy health insurance in the insurance marketplace created by the Affordable Care Act? Is it true that I have to show medical improvement in order to get nursing and therapy services for my chronic condition? And more! The 2017 Medicare Handbook is the indispensable resource that provides: Extensive discussion and examples of how Medicare rules apply in the real world Case citations, checklists, worksheets, and other practice tools to help in obtaining coverage for clients, while minimizing research and drafting time Practice pointers and cautionary notes regarding coverage and eligibility questions where advocacy problems arise, and those areas in which coverage has been reduced or denied And more!

How to Navigate the Medicare Maze
How to Navigate the Medicare Maze

Author: Michael J Kench

Publisher: Createspace Independent Publishing Platform

Published: 2016-11-12

Total Pages: 0

ISBN-13: 9781537256863

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When you turn 65, or when you first become eligible for Medicare benefits, you may find the processes difficult to follow, confusing and complicated. Some people find it so perplexing that they may miss out on additional benefits and cost savings.How to navigate the Medicare Maze is a new concept and a step-by-step guide to Medicare which will show you how Medicare works, by breaking down the various parts of it in an easy-to-understand format. You will learn;* What Medicare parts A, B, C, and D are, collectively referred to as the "Alphabet Soup" of Medicare* What Medicare Supplement "Medigap" policies (A-N) are and what they cover * The differences between Medicare Advantage and Medigap plans * Why you should consider prescription drug coverage when it first becomes available, if your plan does not include one * How to qualify for Medicare benefits, * When and how to apply for coverage * How to avoid any potential penalty situations* And a lot more... At the end of each chapter there is a step-by-step action plan which answers any questions which crop up during reading, giving you a complete understanding of everything connected to Medicare.The choices and decisions we face over Medicare can be overwhelming at times. How to Navigate the Medicare Maze will simplify those choices and help guide you through the process by helping you to make informed Medicare decisions, based on your budget and health care needs.

Get What's Yours
Get What's Yours

Author: Laurence J. Kotlikoff

Publisher: Simon and Schuster

Published: 2015-02-17

Total Pages: 336

ISBN-13: 1476772290

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Learn the secrets to maximizing your Social Security benefits and earn up to thousands of dollars more each year with expert advice that you can't get anywhere else. Want to know how to navigate the forbidding maze of Social Security and emerge with the highest possible benefits? You could try reading all 2,728 rules of the Social Security system (and the thousands of explanations of these rules), but Kotlikoff, Moeller, and Solman explain Social Security benefits in an easy to understand and user-friendly style. What you don't know can seriously hurt you: wrong decisions about which Social Security benefits to apply for cost some individual retirees tens of thousands of dollars in lost income every year. How many retirees or those nearing retirement know about such Social Security options as file and suspend (apply for benefits and then don't take them)? Or start stop start (start benefits, stop them, then re-start them)? Or-just as important-when and how to use these techniques? Get What's Yours covers the most frequent benefit scenarios faced by married retired couples, by divorced retirees, by widows and widowers, among others. It explains what to do if you're a retired parent of dependent children, disabled, or an eligible beneficiary who continues to work, and how to plan wisely before retirement. It addresses the tax consequences of your choices, as well as the financial implications for other investments. Many personal finance books briefly address Social Security, but none offers the thorough, authoritative, yet conversational analysis found here. You've paid all your working life for these benefits. Now, get what's yours.

The Ultimate Obamacare Handbook (2015–2016 edition)
The Ultimate Obamacare Handbook (2015–2016 edition)

Author: Kimberly Amadeo

Publisher: Simon and Schuster

Published: 2015-09-15

Total Pages: 252

ISBN-13: 1510701559

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"The Affordable Care Act, aka Obamacare, makes health insurance available to the majority of Americans. In fact, failure to obtain coverage will result in penalties, but the process of obtaining insurance can be daunting. This brief handbook explains the law and its history and tells readers how to apply for coverage and any exemptions and subsidies if they are eligible. Editor Amadeo, an expert on the act, discusses the benefits of having insurance and how the plan is financed. Each chapter has references, and the book has a glossary and a bibliography to help readers. This is a useful resource, but libraries should also have information about local exchanges if their states have them." — Barbara Bibel, BOOKLIST, March 15, 2016 issue Obamacare can save you money, but only if you know how it really works. Americans have been barraged with fifteen times more negative than positive news about Obamacare. As a result, 40 percent of the people who dislike it actually qualified for insurance subsidies and don't realize it. Hardworking, middle-class families need facts, not opinions, to get all the benefits they deserve. Here you'll find: A guide to buying low-cost health insurance Step-by-step instructions to signing up for insurance Directions to apply for Obamacare exemptions Eligibility requirements for subsidies Definitions of insurance, health care, and Obama terms Real-life stories of people who have already been helped This handbook refutes the myths about the Affordable Care Act with research-based evidence. It reveals the seven reasons why health care costs so much, as well as how the ACA attacks those costs. You'll learn who really gets benefits from subsidies and who pays for them. Most importantly, this book uncovers how the ACA might save you and your family money in 2016 and beyond.