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Category Archive for 'Medicare'

During open enrollment you can make changes to your Medicare plan. Call CHOICES 1-800-994-9422 for free health insurance counseling

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The next CNV meeting will be on Wednesday, March 12, 2014 from 11:30 am – 1:00 pm at The Village at East Farms 180 Scott Rd., Waterbury, CT. The speaker will be Gail Seymour of The Western Connecticut Area Agency on Aging. The topic will be Senior Medicare Patrol: Fighting Fraud. Please bring any materials […]

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The next CNV meeting will be on Wednesday, February 12, 2014 from 11:30 am – 1:00 pm at The Harold Leever Regional Cancer Center, 1075 Chase Parkway, Waterbury, CT. This meeting with be an open forum to discuss Medicare Observation Status and Related Cases & Regulations. The purpose of this meeting is to begin to […]

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Revisions to Medicare Manual pursuant to the Jimmo vs. Sebelius Settlement, will be made to clarify that improvement is not required to obtain Medicare coverage for maintenance claims that require skilled care. Medicare has long recognized that even in situations where no improvement is possible, skilled care may nevertheless be needed for maintenance purposes (i.e., […]

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Medicare Eligibility in a Skilled Nursing Facility: (All five criteria must be met.) Must be a hospital inpatient for three or more consecutive days, NOT including the day of discharge. A physician must indicate skilled care is needed on a daily basis. Care in the skilled nursing facility is due to a condition that was […]

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Beginning January 1, 2010 CT ConnPACE program will not pay for any drugs not covered by the members Medicare D plan; meaning, drugs not on the formulary, the approved drug list, will not be covered by ConnPACE.

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Brand new ConnPACE applicants will be required to apply during the same Medicare D required enrollment period of November 15 to December 31 of each year.

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Beginning January 1, 2010, ConnPACE will only pay Medicare D premiums for members who are enrolled in one of the Connecticut approved Medicare D Benchmark Plans.  For assistance contact Connecticut CHOICES program at 1.800.994.9422 for assistance in choosing a Benchmark Plan; or call Law Office of Julia M. Brown at 203.755.6277.

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Medicare will pay for additional flu vaccinations if both a seasonal flu vaccine and Swine Flu vaccine are necessary.  The antiviral medications effective against swine flu, Tamiflu and relenza, are covered under most Medicare D plans.  For updates go to http://www.cdc.gov/swineflu/.

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Look at your Medicare card – make sure you have coverage for both Part A (Hospital) & Part B (Services).  Some people did not enroll in Medicare B when eligible and they will be penalized should hospital or nursing home care be needed. Consider purchasing a supplemental insurance policy (Medi-Gap). This is a supplemental insurance […]

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