Tag Archives: GOP

Your Questions About Medicare Advantage News

Donald asks…


what is up with the anti-teabag BS movement?

i disagree with them mostly because they appear to be old people taking advantage of socialist programs (SS, medicare, etc) and decrying socialism. also the tea party seems to be sponsered by fox news…..but what is up with all the obvious BS (the cries of racism, the supposed violence, etc)
yes, i try to stay away from the politics BS.


Medicare Insurance AZ staff answers:

There is no difference in the government subsidies for health care than those for agriculture, oil, energy and other industries. If you think subsidies are socialism, how about the checks each person in Alaska gets from oil revenue dividends from the state? Shouldn’t old people be entitled to receive help to pay for medical treatment? Or disabled adults? Or mentally disabled children?

The Tea Party rallies in Washington were certainly antagonistic if not actually violent and still are. What else would you call people holding despicable signs degrading our president inaccurately with labels such as Marxist, Communist, Nazi, Fascist, Socialist? It does not make sense and is very unpatriotic.

Daniel asks…

Hey, Obama supporters? What do you think about the gag order that the government has put on Humana?

http://www.property-casualty.com/News/2009/9/Pages/Humana-Protests-Gag-Order-In-Health-Care-Reform-Dispute.aspx

http://www.politico.com/livepulse/0909/EC_Repubs_press_Waxman_on_Humana_gag_order.html

Why won’t the government allow Humana to tell it’s customers that their customers who participate in Medicare Advantage that the current health care reform proposals include more than $100 billion in cuts to Medicare Advantage that will impact more than 10 million seniors enrolled in the program. Seniors in the program will face premium increases, reduced benefits, and in some parts of the country, will lose access to their Medicare Advantage plan altogether.

Why shouldn’t Humana be able to warn their customers about this? Why hasn’t a gag order been placed on, for example, the AARP when they talk about how these healthcare reform bills will impact seniors? Is it because AARP supports the President?

Isn’t this a violation of the 1st amendment?

Medicare Insurance AZ staff answers:

And considering that Obama also wants talk radio stations to renew their FCC licenses every 2 years versus 8 years, and make the radio stations play more community and local news than to broadcast talk radio shows, it would seem Obama is challenging more than the Constitution.

Mark asks…

Now can we SUE the Democrats for Fraud?

Once again they are caught out in a lie BUT this time their fraudulent claims about the Health-care bill they passed is hurting our Grandmothers and Grandfathers

“But a new letter from Medicare’s chief actuary is nonpartisan and indisputable. Seniors enrolled in Medicare Advantage will pay more out of their own pockets as a result of the new health care law. Their costs will go up by hundreds of dollars on average in the coming years, by $346 in 2011 to a high of $923 in 2017.”

Read more: http://www.politico.com/news/stories/1010/43529.html#comments#ixzz12HYMRETm

Medicare Insurance AZ staff answers:

No one held them accountable for being factually correct with regard to the cost. It’s very sad.

Lizzie asks…

If this healthcare bill is so amazingly great, why did they have to bribe Senators to vote for it?

http://www.politico.com/news/stories/1209/30815.html

“Ben Nelson’s “Cornhusker Kickback,” as the GOP is calling it, got all the attention Saturday, but other senators lined up for deals as Majority Leader Harry Reid corralled the last few votes for a health reform package.

Nelson’s might be the most blatant – a deal carved out for a single state, a permanent exemption from the state share of Medicaid expansion for Nebraska, meaning federal taxpayers have to kick in an additional $45 million in the first decade.

But another Democratic holdout, Sen. Bernie Sanders (I-Vt.), took credit for $10 billion in new funding for community health centers, while denying it was a “sweetheart deal.” He was clearly more enthusiastic about a bill he said he couldn’t support just three days ago.

Nelson and Sen. Carl Levin (D-Mich.) carved out an exemption for non-profit insurers in their states from a hefty excise tax. Similar insurers in the other 48 states will pay the tax.

Vermont and Massachusetts were given additional Medicaid funding, another plus for Sanders and Sen. Patrick Leahy (D-Vt.) Three states – Pennsylvania, New York and Florida – all won protections for their Medicare Advantage beneficiaries at a time when the program is facing cuts nationwide.

All of this came on top of a $300 million increase for Medicaid in Louisiana, designed to win the vote of Democratic Sen. Mary Landrieu. ”

How is this not the very defintion of corruption?
why aren’t any liberals answering this question?

Medicare Insurance AZ staff answers:

Bernie Madoff is sitting in prison for doing the same exact thing?!

Chris asks…

Do you think that passing Obamacare is so important that it justifies bribery? What if the GOP did this?

http://www.politico.com/news/stories/1209/30815.html

“Ben Nelson’s “Cornhusker Kickback,” as the GOP is calling it, got all the attention Saturday, but other senators lined up for deals as Majority Leader Harry Reid corralled the last few votes for a health reform package.

Nelson’s might be the most blatant – a deal carved out for a single state, a permanent exemption from the state share of Medicaid expansion for Nebraska, meaning federal taxpayers have to kick in an additional $45 million in the first decade.

But another Democratic holdout, Sen. Bernie Sanders (I-Vt.), took credit for $10 billion in new funding for community health centers, while denying it was a “sweetheart deal.” He was clearly more enthusiastic about a bill he said he couldn’t support just three days ago.

Nelson and Sen. Carl Levin (D-Mich.) carved out an exemption for non-profit insurers in their states from a hefty excise tax. Similar insurers in the other 48 states will pay the tax.

Vermont and Massachusetts were given additional Medicaid funding, another plus for Sanders and Sen. Patrick Leahy (D-Vt.) Three states – Pennsylvania, New York and Florida – all won protections for their Medicare Advantage beneficiaries at a time when the program is facing cuts nationwide.

All of this came on top of a $300 million increase for Medicaid in Louisiana, designed to win the vote of Democratic Sen. Mary Landrieu. ”

If Bush and Republicans had done this, what would the media reaction be?
So then you liberals are saying you are as bad as the Republicans?? Interesting….

Medicare Insurance AZ staff answers:

The GOP has certainly done this. If it’s not money for special projects, it’s in return for support on another upcoming issue.
It’s the way politics work, especially when you need support.
Why else do you think all these bills are laden with pork?

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Your Questions About Medicare Part D

Susan asks…

Why did the republicans pass social programs like medicare part D without paying for them?

The president was right when he said in his press conference that the reason we are in this mess, is because there were social programs passed without paying for them. Time for the Bush tax cuts on the wealthy to expire.

Medicare Insurance AZ staff answers:

Because back then the president was a republican, so “Deficits don’t matter”.
Today, a democrat is in the white house, so everything is different.

Chris asks…

Where were the tea party protestors when medicare part D was passed in Congress?

Did Fox News not generate enough outrage to get the TEA Party members out to protest?

Medicare Insurance AZ staff answers:

They didn’t care. They didn’t care that the GOP passed the largest entitlement program in a generation without any way of paying for it. It didn’t bother them in the least. Dick said “Deficits don’t matter” and the right lapped it up like gospel. They are hypocrites and have a hidden (well..not so hidden) agenda. They didn’t care about Bush’s czars, they didn’t care about spending trillions on a war of choice, and they didn’t care about the deficit….until a black democrat came into office…isn’t that interesting?

I guarantee had Hillary won, there would be no Tea Party.

Linda asks…

Where were conservatives when Bush grew Govt with very large discretionary spending including Medicare Part D?

Where were these conservatives when Bush grew Govt so big with large discretionary spending. True that Obama is keeping the course by expanding Govt, but the question arises why didn’t these people try and stop Bush instead of supporting him?

Medicare Insurance AZ staff answers:

I was pissed,,but that is why the tea party started.
0bama hadn’t even spent a dime on bailouts or buyouts when the tea party got rolling.
Glenn Beck knocked Bush on his spending continually.

Maria asks…

If the GOP really believed in small government why didnt they say anything about Bush’s medicare part D?

Or no child left behind which doubled the Department of Education.

Or the creation of the Department of Homeland Security.

Medicare Insurance AZ staff answers:

Good question, and I think that’s why many people abandoned the GOP in 2006 and again in 2008. They didn’t stick to principles whatsoever. Hopefully now the GOP will reorganize itself and get back to those core limited government principles in 2010. If they don’t the party leadership is either extremely stupid or never believed in those principles to begin with and just payed lip service to them to win elections. I’m guessing the latter is true, but we can hope it’s not.

At least with republicans there is a chance to have limited government ideas. That’ll never happen with the democrats, so at least if the GOP fails to deliver, we get a little less big government than if the democrats stay in office.

David asks…

what is the cheapest medicare part d plan?

my mother’s medications are over 300 a month, how can i
get this reduced? She is on a part d plan with etna

Medicare Insurance AZ staff answers:

The Medicare Plan D program has a countless number of plans all covering different types of prescription drugs. When enrolling you must take into account what medication your mom is currently on and what prescription drugs she may need in the future.

The best way to establish which options to choose is get advice from either online at Medicare.gov, visit or phone your local Security office or have a word with your pharmacist.

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Your Questions About Medicare Health Insurance Claim Number

John asks…

What is the ID number called that’s required for Medicare/Medicaid Reimbursement?

Doctors/clinics have to file for this number in order for the government to get the reimbursements — like a health insurance claim. I think it’s called CLIA, but I’m not sure.
In response to the first answer, I was told today by a doctor that ICDs were lumped into a single code now, but I’m not sure if its true because he seems like he might not completely understand the system…

Medicare Insurance AZ staff answers:

Each doctor or other provider has to have a UPIN code for the Medicare system. It’s a letter followed by 5 numbers, such as K12345.

ICD codes are for diseases. ICD codes look like dollar & cent values and range 0 to 999.99. For example, the ICD code for atrial fibrillation is 427.31. The ICD system also has V and E codes (e.g., V58.69) for health & disease-related phenomenon.

Mary asks…

I thought private health insurance was the enemy?

According to the AARP, Medicare rejects more people than anyone else. In other words, the government denies more claims than the private sector.

http://www.aarp.org/community/groups/displayTopic.bt?pageNum=1&groupId=1162&topicId=4635892

From 3/01/2007 to 3/10/2008

Insurer – # of Claims Denied – % of Claims Denied
Medicare – 475,566 – 6.85%
Aetna – 43,317 – 6.80%
Anthem – 11,546 – 4.62%
Health Net – 193 – 3.88%
CIGNA – 9,060 – 3.44%
Humana – 4,142 – 2.90%
Coventry – 590 – 2.88%
UHC – 30,177 – 2.68%

Total number of claims denied by the public (government) sector – 475,566 (6.85%)
Total number of claims denied by the private sector – 90,025 – 4.05%

So who’s the real enemy of the American people, the private sector, which denies 4.05% of claims, or the public sector, which denies 6.85% of claims.
For all those who are using the “claims not people” argument, what is the point of paying for health insurance if they are just going to deny your claims. Face it, you just can’t accept that your precious government is the problem.

@ Proud Texan: Go take a high school economics course, one of the first things they teach with the laws of supply and demand is that higher regulations and taxes INCREASE prices, NOT decrease them.

Medicare Insurance AZ staff answers:

Thank you. I’ve been saying this for a long time.

William asks…

Why do libs think health care is a right? What next, car insurance? How about free food for everyone?

Life, Liberty and the Pursuit of ‘Free’ Health Care
Every new ‘right’ the U.S. government has promised has turned into a massively expensive failure, yet the media continue to cheer supporters of tax-funded programs.

Americans are obsessed with rights. We always have been.

But the concept of rights our forefathers laid out in the Declaration of Independence has changed dramatically. Those rights – life, liberty and the pursuit of happiness – were acknowledged to come from the Almighty, given equally to all people. Today’s rights come from Almighty Government.

Health care is the newest “right.” From presidential candidates’ universal plans to the return of HillaryCare to Michael Moore’s movie “Sicko,” it’s all over the media.

Calling it a “right” is an emotional argument advanced by those who want others to pay for their health care. They bring out the children and ask whether anyone can deny them the “basic human right” of health care – but don’t bother with the evidence showing how health care in this country would be harmed by government control.

A look at other modern “rights” might give us a clue about how well a new system would work. These rights started out as privileges, among them education and a paid retirement.

Now education is not only considered a right, it’s a mandate. How well has it worked? American students attend school at least until their teen years, but 15-year-olds ranked 24th out of 29 countries in aptitude for “real-life math problems,” according to The Washington Post. Literacy surveys suggest one in five American adults is functionally illiterate. And taxpayers keep shelling out money to fund the system.

Americans also cherish the right to retire – but we expect to be supported in our old age. Younger workers and employers are forced to support retirees, funding another right.

And how well has that worked? The poorly designed, outdated Social Security system is disintegrating rapidly as the number of retirees balloons. But once you’ve established a right, it’s difficult to take it away. The government, which promises such rights, must go to its sugar daddy – taxpayers – to keep the rights coming.

We’re already well on our way toward the health care right/mandate. Want to be more like Canada? It’s not that far off. Cato’s Michael Cannon has pointed out that third parties in America pay 86 cents of every dollar of our health care – about the same as Canada’s socialized system.

What we – or rather, those third parties – pay for health care is already determined by the government as well. Emory University medical professor Robert Swerlick has noted that “the pricing of medical care in this country is either directly or indirectly dictated by Medicare.” This market meddling even causes doctor shortages, he says, in needed areas of specialty.

Prescription drugs are already considered a right, thanks to political moves like the Medicare drug benefit and massive media support. A Business & Media Institute study found broadcast journalists treating prescription drugs as though they grew on trees. Overall, the coverage supported the idea that medications should magically be available to everyone at far lower costs.

Of course, the magic behind new “rights” is your money.

Cannon and fellow Cato expert Michael Tanner explained problems with tax-funded care in their book “Healthy Competition: What’s Holding Back Health Care and How to Free It.” If health care is guaranteed to everyone, how much does everyone get? Who decides who receives what, and how would the care be administered? What happens if everyone wants the most expensive treatment available?

“With the wide variety of medical tests and treatments that consumers may claim as their right, someone at some point must decide where the right to health care ends, lest the nation be bankrupted,” they wrote.

We’re well on our way toward that as well. Our “rights” to Social Security and Medicare devour about 40 percent of the federal budget. State and local property tax revenue, which normally funds education, mushroomed about 35 percent between 2000 and 2005, according to the Tax Foundation. We can’t afford any more “rights” like that.

But the left says tax-funded care is right for the children. Meanwhile, what becomes of them? They’re growing up in an America where the “rights” mentality is deeply ingrained, and the media continue to feed them with it.

When the children come of age, perhaps they’ll want the right to a job. They won’t remember that France already tested that idea for us, and it led to high unemployment and rioting. Perhaps they’ll guarantee Disney vacations for all families and force childless Americans to pay for it. “The pursuit of” will conveniently fade away as they look to government to guarantee happiness.

They will know less and less of a true right – liberty – and have no idea where it comes from.

Medicare Insurance AZ staff answers:

Man how did you get such a long question on Y!A?

What is funny in this entire discussion is the socialists who want government control of health care will tell you that other countries do it so should we. Which reminds me of my mother, she used to chide me when I used such a phony argument was that if every one else jumped off the bridge would I also.

She was right, just because other countries have tripped down the path of socialism does not justify AMerica doing it.

No one in this country is without health care, anything to the contrary is just a LIE. YOu can get care when you need it, just go to an ER and they will care for you, and the most amazing thing about this one simple great feature of our country, you will receive care regardless of your ability to pay.

SO you see, this whole thing is smoke and mirrors, kind of like class envy. The socialists will tell you you do not get what those who have more money get, which is a LIE. Care is care.

Jenny asks…

Why does Betsy McCaughey & the GOP want to eliminate Medicare for Seniors 65 till 70?

Well they may be white and old, but Seniors, the republicans are your worse enemies – and they can’t wait to get back in power & finally get to cut your Medicare! They are already getting the ‘tingle’.

They are now proposing to cut Medicare for Seniors from ages 65 thru 69. Under the guise of undermining the expansion of Health Care for all Americans, the republicans are pushing their ‘alternatives’ designed to accomplish their 50 year dream of ‘rolling back Medicare‘ and they are willing to do it ’1 bite at a time’. That’s right, death to Medicare, 1 small bite at a time.

Betsy McCaughey: Medicare Can Save Money By Cutting Americans Aged 65 To 69 From Program

This morning, during an interview with WNYC’s Brian Lehrer, health care provocateur Betsy McCaughey suggested that policy makers could slow Medicare spending without cutting $500 billion from Medicare and Medicaid over 10 years and “denying care to the elderly.”

Instead, the author of the “death panels” charge, suggested that policy makers should cut Americans aged 65 to 69 from the program:

The fact is that if Medicare inched up the eligibility age one month a year, until 2043 when it reached age 70, Medicare would be solvent. And that is what the Congress should do and that is what the Congressional Budget Office has urged Congress to do every year. That would solve the problem without telling elderly people that they have to suffer with crippling arthritis rather than get a knee replacement.

Despite McCaughey’s claim, the Congressional Budget Office does not “urge” Congress to raise Medicare’s eligibility age “every year.” The CBO merely includes the policy as one of “115 options for reducing (or, in some cases, increasing) federal spending on health care, altering federal health care programs, and making substantive changes to the nation’s health insurance system.”

To put the debate in terms McCaughey can understand, page 51 (37 in print version) of “CBO’s Budget Options Volume 1” says that death paneling Americans 65 to 69 years old from the Medicare system would have little effect on the trajectory of Medicare’s long-term spending. First, the option would require Medicare to “inch up” the eligibility age by two month every year, not one. And, since “younger beneficiaries are healthier and thus less costly than the program’s average beneficiary,” “outlays for Medicare would [still] rise to 7.7 percent of GDP by 2050.”

What’s more, “increasing the age of eligibility for Medicare would shift costs that are now paid by that program to individuals and to employers that offered health insurance to their retirees. Those higher costs might lead more employers to reduce or eliminate such coverage.” Uninsured 65 to 69 year olds would enter the Medicare program in worse health, only increasing Medicare’s costs.

Need supporting documentation? Just goggle ‘Betsy McCaughey: Medicare ‘ and find any number of sources.

These snakes ‘just say no’, unless it means screwing the public for their special interest corporate masters. This past administration was able to get into your home/home equity & your 401k thru 40 years of bit by bit deregulation. Now you only have 2 pots of money left and the republicans are coming after it for their corporate masters; Medicare & Social Security. And they are coming after it everday – bit by bit

Medicare Insurance AZ staff answers:

That is a very good question.

And the answer would be that the insurance companies want to have access at raping our senior citizens for a longer time than they can right now, and for more money.

Bend over grandma – here comes the GOP to save the day on insurance!!

Donna asks…

Why do the greedy insurance companies deny peoples claims?

Even though the insurance companies deny claims. Out of all health care providers the GOVERNMENT denys the most.

See for yourself.
From the AMA’s (American Medical Association) website. Scroll down to denied claims. MEDICARE is number 1.

http://www.ama-assn.org/ama1/pub/upload/mm/368/reportcard.pdf

With this track record why do people want the government to deny even more claims? Once we are stuck with it, it will be hard to get rid of….

Medicare Insurance AZ staff answers:

A look inside the numbers shows it’s not at all what you represent. These are claim lines, one item on a bill, and that doesn’t mean they won’t be paid. This report, after all, is about accuracy, and Medicare rates #1 in the accuracy category and in paying the full contracted amount. Sometimes the hospital makes an error that causes a claim line to be denied. The top CARC code for Medicare, in fact, is just that: “16. Claim/service lacks information which is needed for adjudication. At least one Remark Code must be provided.” Those will be paid as soon as the required info is provided. One CARC code you will never see on Medicare claims is “27 – Expenses incurred after coverage terminated.” That’s a big hitter with some of the private companies…

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Your Questions About Medicare Supplement Insurance Companies

Mandy asks…

if we were to get rid of medicare like the GOP would like, would not companies with retiree insurance?

go bankrupt paying for all of the elderly retirees’ health care? Instead of supplementing medicare, they would have to be the primary insurer. Do you think they would just stop offering insurance to retirees?

Medicare Insurance AZ staff answers:

Of course!

Then we’d be back to where we were before Medicare. I remember my father almost going broke taking care of his aunt – a widow with no children. She had Alzheimers.

Maria asks…

medicare supplemental insurance?

What are good supplement insurance companies

Medicare Insurance AZ staff answers:

It depends on where you live, and what your specific needs are. It’s like jeans – you need to buy what fits YOU.

Chris asks…

Why does Social Security not allow disabled adult children to marry?

I am disabled and am considered an disabled adult child. I get medicare since I have been on disability for two years. Why can I marry who ever I want and keep my disabled adult status. the insurance companies will not sell me medicare supplement insurance since I am under 65 I am 32 years old.

Medicare Insurance AZ staff answers:

Both of those answers above are incorrect. SSDI has nothing to do with your spouses income. If you are on SSI, that is another story. You are pulling benefits from your parents (that’s why you are listed as a disabled adult child). That means you were probably disabled before the age of 21.

You cannot get supplemental insurance because they do not sell it to under 55 years old. I know it sucks but that’s the law. Try applying to Medicaid. There are medicaid programs for disabled people on Medicare that act just like a supplement policy but don’t cost you anything.

Ken asks…

Need to know if there is a Medicare Supplement that pays the 20% for someone who is disabled and 45 years old?

I need to know if there is a good Insurance company that will cover me, because of my age ( 45 ) I cannot find anyone that will cover me…I do not qualify for medicaid because I worked since I was 22 years old… I need a plan that will pay the 20% medicare don’t. Any information will be appreciated.. or if anyone knows what I can do…. Thanks

Medicare Insurance AZ staff answers:

None of the supplement policies that I know of will cover anyone under 65. You can get coverage with a Medicare Advantage plan. These plans have premiums lower than the supplements but you do have co-pays. The premiums average around $35 and many are $0. Most plans also include the Part D prescription drug coverage or you can get a stand alone Part D plan. Visit a local independent agent that deals with senior policies to find the best plan for you.

Mark asks…

Has anyone ever heard of an insurance company called Providence American?

I’m a senior looking for a medigap policy (j) and trying not to get conned.

I got a rate quote for plan j medigap policy from http://www.medigap360.com , the gentleman I spoke with found a policy offered by a company called Providence American. The rate was a low $116.36. This is east Texas, and I am in good health at 66.

I am not able to find a company called Providence American on google, but that is because when I type in that phrase even with words like medicare supplement insurance, I get a large amount of pages to wade through. It gives me a headache to read for too long on the computer.

Medicare Insurance AZ staff answers:

Call your state’s insurance commissioner’s office and ask whether this company is licensed to issue Med Sup policies there. If they’re licensed, then they’re a reputable company.

The TX Department of Insurance’s Consumer Helpline can be reached by calling: 1(800)252-3439; in Austin, the number is 463-6515.

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