
William asks…
My grandma has medicare part a and b would she be covered for home health care nursing?
3 to 4 times per week. Assistance with getting out of bed and diabeties management. She is bed bound mostly.

Medicare Insurance AZ staff answers:
Before Medicare made their nation wide cost saving cuts back in the 1990′s, it was common for the elderly to be covered for those services sometimes indefinitely. Now it is much different. If someone on medicare comes out of the hospital they would be covered but not indefinitely. If the Dr. Recommends skilled nursing for diabetes management that may be a real possibility. Check with her Doctor. Personal care, bathing, assistance getting out of bed and meals, and laundry, falls under private duty care and is paid for by the individual through the home health agency. Some states offer help under their programs of medicaid and state assistance programs. Check with your state programs to see if your grandmother qualifies under income guidelines.

Mark asks…
How can a company pay an individual’s Medicare Part B premium?
Hi. I have a very specific and obscure question. I am interested in how a company, a health plan for instance, could go about paying an individual’s Medicare Part B premium. Does anyone know where the rules governing this are housed?

Medicare Insurance AZ staff answers:
This is a good question! A local organization was considering implementing a policy whereby it would pay the insurance premiums for Medicare-eligible employees about a year ago and did some checking through attorneys. The rules discovered were that a private employer that offers a health care plan to employees must offer the same plan to all employees– even those eligible for Medicare. There was no way found for the employer to pay the Medicare premiums for the employees eligible to enroll in Medicare.
I understood that the reason this could not be done was due to a state rule–but actually, the barrier is probably a federal rule. Allowing this practice would increase costs to Medicare and probably reduce the costs of employer health insurance plans. Congress probably is concerned enough about soaring Medicare costs. Of course, there is probably a plethora of other political reasons…
Some feel this rule engenders employers’ discrimination against older workers. The fact is, more health problems develop the older we get and the American workforce is aging quickly. Paying for health insurance is a big problem for most employers–and especially small business. Many choose not to provide a health insurance plan at all due to these plans’ costs–which is a major reason why there are so many uninsured Americans today.
Suggestion: check with someone in your State’s Insurance Commissioner’s office. There is someone there who might be very familiar with this question–or would know someone else who would have the information you seek. Or check with an attorney familiar with health insurance and employment law in your state.
Good luck and best wishes!

Ken asks…
Question on Medicare Part B premiums for low income?
My mother just passed away and in her papers I found that she has been paying medicare Part B premiums for years. I think it was something like $92.40. I can’t remember the exact amount.
My question though, is that her monthly income was only $700 a month. Should she have been paying these premiums? She had no dependents in the home with her. Seems like she should have been exempt since she is considered low income.
If she should not have paid these monthly premiums, can her estate been reimbursed for all the years she paid?

Medicare Insurance AZ staff answers:
If you want Medicare part B coverage – which covers gaps in Medicare part A – you have to pay for it. The premium is $93.50 per month if your income is under $80,000 a year.
The major benefit under Part B is payment for physicians’ services. In addition, home health care, durable medical equipment, outpatient physical therapy, x-ray and diagnostic tests are also covered.

Donna asks…
I am looking for a Medicare part D plan that offers dental and vision. Can anyone help me?
I have Medicare A and B, but am looking for additional coverage for my prescriptions, and ideally one with Dental and Vision….More so the dental, but vision would be great, too…..

Medicare Insurance AZ staff answers:
Dental and Vision aren’t covered – unless you have a medical eye condition. Regular vision issues, exams, glasses, contacts, etc, aren’t covered at all.

Maria asks…
how do I know if I should have medicare part D?
I currently am enrolled in parts A & B, but not D. I am currently spending approx $50.00 mo. for prescriptions, would I benefit from haveing part D? I’m not even sure how part D works, does it pay all of the prescriptions, or a portion and then I pay the rest? I don’t know how much part D costs either. I tried to log onto medicare.gov, but could not figure out how to navigate through all the stuff to get the answers I need. Any help is greatly appreciated, thanks.

Medicare Insurance AZ staff answers:
It depends on if you are on a Medicare Advantage plan (like an HMO, PPO etc). If you are on plan or program they will cover your medications. If you are on original Medicare (you only use the white card with the red white and blue stripes at the top) then you have no prescription coverage and should look to enroll in one. You only have until friday to enroll otherwise you will have to wait until next year’s open enrollment.
Each part D plan is a different cost. Some cost as low as $14 per month – some cost over $100 per month. If you are having trouble finding a list of plans you can always ask your pharmacy if they know of good plans or just call 1 800 Medicare for help.
Powered by Yahoo! Answers






















