Tag Archives: Medicaid

Your Questions About Medicare Part D

Nancy asks…


Are the Republicans ready to defund Medicare Part D?

Medicare Insurance AZ staff answers:

Republicans don’t need to do anything, Medicaid is already going broke.

Liberals are the ones who ultimately broke medicaid, for expanding Medicaid far beyond the intended purpose.

Carol asks…

How could you forget about 2 wars kept off the books & Medicare Part D and now blame Obama instead of Bush?

It wasn’t that long ago when Bush said “Iraq’s oil will pay for the war”, Cheney said “They will greet us as liberators”, and Republicans passed Medicare part D in the middle of the night… Is our combined American memory this poor? Is it really fair to blame Obama for the 14 trillion dollar deficit when it was his predecessors that ran up the bill without raising any revenue (i.e. Bush’s tax cuts for the elite)?
Texas… Obama spent more time in office in his first 8 months, than Bush did in 8 years.
Crash… Republicans held the unemployed hostage for those Bush tax cut extensions, what was he supposed to do?
Ellisdee… You fail to see the point that he is still paying for Bush’s spending spree.

Medicare Insurance AZ staff answers:

Ha Ha! Nice going CBOLAR, judging from the answers, it looks like you hit some sensative nerves.

Sandra asks…

What is the Democratic Party’s answer to Medicare Part D?

Medicare Insurance AZ staff answers:

Research it. The Part D was a $600 billion give away to drug makers. They wrote the legislation. When Hillary tried to get this in Congress the Drug companies demonized her with about $4 billion. Nice return on investment. What we need is price controls and the Drug Companies do not want that. I pay $1 each for my pills, research finds that .08 is raw material and .12 is transportation. That is 80 cents in profit.
Greed takes over in Congress every time. Look up what the Drug makers give Republicans.

Mark asks…

Why didn’t conservatives speak out against Medicare part D?

Are these the same people in the town halls that we see today?
Sophie. Sounds good to me, let’s get rid of medicare, medicaid, and social security too.

While we are at it, let’s abolish the federal reserve, and the IRS.
Actually Sophie, you are right, we should charge Bush with war crimes too.

When you say “lib”, are you talking about “liberal” or “libertarian”? Do you know the difference?
expertgal – How in the world is the IRS preventing corruption?


Medicare Insurance AZ staff answers:

Medicare part D is public funding for private pharmaceutical companies.

Conservatives have no problem at all with no bid contracts that hand over billions and trillions – however it must remain private and our tax money must subsidize it to go down smoothly in their throats.

It is known as corporate welfare – the same system that hitler fought and died for – now carried out in our country by preston scott bush’s grand son (a nazi supporter preston that is) and obama being the disappointing idiot that he appears to be is also in favor of subsidizing the disgustingly wealthy with our tax dollars.

You know idiots it is one thing to screw over the working poor and another to screw them over with our tax dollars.

America in town hall meetings appear more then willing to sell their rights and pay for them all in one movement – proof the the dumbing down of a once great nation.

We have become a country where laws only apply to the poor citizens – a country like the one our forefathers left.

Ken asks…

Medicare Part D drug plan forbids the govt from negotiating lower prices with the drug companies: Good idea?

Medicare Insurance AZ staff answers:

Nope the V.A. Negotiates and receives about a 30% savings as a result so you gotta ask WHY doesn’t the administration want to to this, are the beholdin’ to big Pharma, you bet your backside they are, our government and the large corporations are in bed together but we’re the ones getting SCREWED

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Your Questions About Medicare Vs Medicaid

John asks…

Do you agree with this?

It is a little lengthy, but worth the read. I agree wholeheartedly!

Walmart Vs. The Morons
Wal-Mart First:
1. Americans spend $36,000,000 at Wal-Mart , every hour of every day.

2. This works out to $20,928 in sales every minute!

3. Wal-Mart will sell more from January 1 to St. Patrick’s Day (March 17th) than Target sells all year.

4. Wal-Mart is bigger than Home Depot + Kroger + Target +Sears + Costco + K-Mart combined.

5. Wal-Mart employs 1.6 million people, is the world’s largest private employer, and most speak English.

6. Wal-Mart is the largest company in the history of the world.

7. Wal-Mart now sells more food than Kroger and Safeway combined, and keep in mind they did this in only fifteen years.

8. During this same period, 31 big supermarket chains sought bankruptcy.

9. Wal-Mart now sells more food than any other store in the world.

10. Wal-Mart has approx 3,900 stores in the USA of which 1,906 are Super Centers; this is 1,000 more than it had five years ago.

11. This year 7.2 billion different purchasing experiences will occur at Wal-Mart stores. (Earth’s population is approximately 6.5 Billion.)

12. 90% of all Americans live within fifteen miles of a Wal-Mart.

You may think that I am complaining, but I am really laying the ground work for suggesting that MAYBE we should hire the guys who run Wal-Mart to fix the economy.

This should be read and understood by all Americans Democrats, Republicans, EVERYONE!!
To President Obama and all 535 voting members of the Legislature,
It is now official you are ALL corrupt morons:
Now for the Morons:

A.. The U.S. Postal Service was established in 1775. You have had 234 years to get it right and it is broke.

B.. Social Security was established in 1935. You have had 74 years to get it right and it is broke.
C.. Fannie Mae was established in 1938. You have had 71 years to get it right and it is broke.

D.. War on Poverty started in 1964. You have had 45 years to get it right; $1 trillion of our money is confiscated each year and transferred to “the poor” and they only want more.

E.. Medicare and Medicaid were established in 1965. You have had 44 years to get it right and they are broke.

F.. Freddie Mac was established in 1970. You have had 39 years to get it right and it is broke.

G.. The Department of Energy was created in 1977 to lessen our dependence on foreign oil. It has ballooned to 16,000 employees with a budget of $24 billion a year and we import more oil than ever before. You had 32 years to get it right and it is an abysmal failure.

You have FAILED in every “government service” you have shoved down our throats while overspending our tax dollars.

AND YOU WANT AMERICANS TO BELIEVE YOU CAN BE TRUSTED WITH A GOVERNMENT-RUN HEALTH CARE SYSTEM ??

Medicare Insurance AZ staff answers:

Only about 250% correct, and I agree.

WinonaGal:
Either you cannot read labels, or just have a mad on for WalMart, as they probably have less of their goods on their shelves made in China than any of the stores you mention, Like Sears and Target.
Just about every item in Sears, with the exception of the Craftsman line of tools is made in China, and their cheaper line of tools is made in Taiwan, which is China.
Target for sure resembles a Chinese flea market as does just about any other store in America, including some of what they consider “high end stores” like Macy’s and the like.
I have found more articles made in America in Wal MArt than any of the stores you mention.
You also made a comment regarding American flags being made in China, so what else is new, when you consider our government is having much of the military uniforms for the US made in China, and just about all of the VFW posts around the country are also selling Chinese made American flags, so it’s not just WalMart.

William asks…

Do you know what percentage of the federal budget is spent on entitlements?

The most recent answer to this is 62%. WTH do people in congress think they are doing?
Who could EVER maintain that ratio of spending? We have let this get too far out of hand, with Those in Washington promising everyone everything, and no one keeping track of just how much spending is going on….

Obama is really making things much worse, by almost quadrupling the spending.

Won’t we be bankrupt if this isn’t stopped? WHo wants this to continue? Do liberals want this to keep going? When will they realize that we cannot provide everything to everyone?

That is, unless they want to confiscate all wealth and then redistribute that as well.

How do we stop this nonsense?

excerpt…
According to Congressional Budget Office records, federal outlays for mandatory spending were 33.8% in 1965 vs. 59.9% in 2005. They were highest in the Clinton years: 60% in 1995 and up to 62.6% by 2000. Source: CF&P Foundation article “Prosperitas”, April 2007.

From a Washington Post article in 1997 called “Americans Oppose Cutting Entitlements to Fix Budget”, the authors state that “…many [Americans] are unaware that entitlement programs consume more than 60 percent of the overall budget…”

A book “The Complete Idiots Guide to Economics” written in 2003 cites the U.S. Government budget as reporting that entitlements make up approximately 65 percent of our budget, distributed as follows:
Social Security: 23%
Medicare: 12%
Medicaid: 7%
Other Means-tested entitlements: 6%
Mandatory payments (pensions, etc.): 6%
Net interest on debt: 11%

In 2005, Senator Judd Gregg, then Chairman of the Senate Budget Committee stated that “Mandatory entitlement spending now represents a whopping 55 percent of all federal spending. If left on its current path, that could jump to more than 60 percent in 10 years. That will force us to cut out other necessary expenditures or raise taxes and weaken our economy.” Source: The Hill newspaper, Washington DC.

A paper written by Congressman Randy Forbes in April of 2008, “The Challenge of Giant Entitlements”, states that “Entitlement spending, or government spending that takes place automatically every year without any action from Congress, is currently 62 percent of our overall federal spending.”
Hawkeye: You mean because the libs have so many people used to living of the scraps that the govt hands out…you may be right. We will have to wean the people off the nanny state a little at a time

Medicare Insurance AZ staff answers:

By the time today’s college grads hit retirement, payroll taxes will need to increase to 37% to meet today’s promised liabilities. Add 20% for federal income tax, and ~6% for state income tax (on average) and that is over a 60% confiscation of wealth. Doesn’t leave much to live on.

Linda asks…

Do Liberals know how free market capitalism really works, or just point the finger?

MAKE SURE YOU READ ALL THIS BEFORE YOU TRY TO SHOOT IT DOWN WITH YOUR “LOGIC”

Free Markets means that there is minimal to zero government regulation in that market place and the competition thrives.

Now let’s go over the markets Liberals demonize.

Banks – They have government regulations up the wazoo making it less competitive.

Source is here: http://www.bankersonline.com/abcsoup/abcsoup.html

Health Insurance is easy to explain why it is unaffordable. How do you as a health insurance company sell health insurance to someone that is over 65 and gets medicare for free? You can’t compete vs a free product (medicare). Not to mention “Medicaid” is free as well if you qualify for it. There is no medicare for auto insurance when you turn 65 you still pay for it your self.

So let’s be logical here, all the things liberals love to use like ipods, star bucks coffee, and recycled paper, is all done through free market enterprises. A bureaucrat NEVER in the history of everything we use today has ever produced anything we use.

So Liberals bash my system please with how evil it really is, if it is evil stop buying things from free market trade, and collect it from the government.

Medicare Insurance AZ staff answers:

I thought you said “pull my finger.” wrong section.

Carol asks…

What’s the best way to help and support my bipolar boyfriend? A solution with out meds?

I’m deeply concerned about my bipolar boyfriend. He doesn’t have health insurance for therapy or medication. Currently, he’s been using weed for self medication, but we’re spending way too much on it and can’t afford it lately. With out it, he can be defensive, depressed, and have suicidal thoughts, not too mention, questions if he should break up with me for my own sake, which is not what I want . He’s tried the local health department to see if he could talk to a therapist for free and was told to apply for medicaid or medicare government funded health insurance (which ever one that’s not for senior citizens), then was turned down because he, “didn’t have any hang-ups, family has never been on welfare, never been arrested, no children, and because he was a young white male.” He applied before he reached the age limit of 21 and now he’s 26, which would do no good to re-apply.

I try and be the best girlfriend, I can. I’m pretty sure I keep him sexually satisfied, try to keep him intellectually interested, try to give him much emotional support, try and make him smile, try and keep him positive about life, buy him stuff, try and take him on trips. I’d say the only thing wrong I might do is bitch, every once in awhile.. but hey I’m only female, we bitch sometimes. I don’t bitch anymore he does with me. Anyways, he says I make him happy, but I feel like I don’t. Also, I have a hard time noticing if he’s just mad or having a bipolar moment. I try and compare him being mad vs. his bipolar moments, and still can’t tell which is happening when. I feel like I’m failing his as his girlfriend and I just want him to be happy.

So, back to the original question. What’s the best way to help and support my bipolar boyfriend?

He said he was on paxil for like 3 years and it helped provide routine, but made him numb. He didn’t like it because he said he couldn’t get off, never laughed, never felt anything. He says, ” I’d rather being feeling something than nothing.” Is there a medication that will help control his chemical imbalance with out numbing him?

Is there any sort of government funding that can help provide health insurance or even to speak with someone?

This is very serious and I’m extremely concerned. Please help if you know anything about this.

Medicare Insurance AZ staff answers:

Bipolar disorder is a depressive illness.
The best bet is seeing a psychiatrist for a proper diagnostic and treatment. If for some reason that’s not an option or if he can’t afford therapy, read http://tiny.cc/wmis4/
In many cases depression will respond quickly to the use of this treatments (within a few weeks), but if this still doesn’t work, he needs to see a psychiatrist; psychiatric treatment for depression involves antidepressants and usually but not always, therapy.
Paroxetine (Paxil) is only one of many, many antidepressants out there.
You’re being so supportive, keep that way.

James asks…

Middle of the road common sense about healthcare?

Just think about this for a minute. The extremes on both sides are blurring the healthcare issue to keep everyone confused and fighting in hopes of getting their party agendas through, but are no citizens looking at these topics with an unbiased eye?

This is, first off, not about the non-working poor. People who are on welfare have 100% government paid healthcare through Medicaid. It’s not insurance as affects the rest of the population. They pay nothing for the policy and there are no copayments, etc. That’s fallacy #1. This isn’t about people who don’t work.

The other group who doesn’t work are people on Social Security, through either retirement or disability. They are covered under a government sponsored health insurance to which they contribute called Medicare. This is more like traditional insurance in that they pay a premium and have copays for medical services, prescriptions, etc.

The government is already involved in health insurance through these 2 programs that focus on the non-working in our society.

This is supposed to be aimed at the working poor. It would be insurance of the more traditional type where the government would negotiate a large scale insurance policy (like it did with Medicare) to take advantage of the savings. Individual policies can run to thousands of dollars a month, which most working people can’t afford. Many employers no longer offer healthcare as a benefit or negotiate a contract collectively for their employees to lower the costs somewhat, but then pass the entireity of the policy costs onto the employee making it, many times, cost prohibitive. This is, more and more, going to become the case since there are too many people competing for too few jobs so employers are now in the position of not having to woo personnel. The economy is such that it’s the employer’s market.

So we have the working poor who are living paycheck to paycheck, maybe working more than one job, and still not able to afford health care. What happens when someone gets very ill? They go to the doctors or leave it until it’s really bad, since they don’t have the money, and end up in the hospital with enormous bills. These bills are extra enormous since doctors and hospitals charge out of pocket people substantially higher rates than insured people. Insurance companies negotiate contractual fees with providers in their network and will only pay up to a certain amount for services. In some cases it’s astounding the differences. One practice I worked in had a difference of over $4,000 for insured vs. uninsured.

So you don’t have the money for the doc, no insurance, and now you have a huge medical bill. Bankruptcy has been rewritten so that it’s not really an option anymore (not that it helped the providers substantially anyway as there usually isn’t much to take and divide) so the providers spend a fortune on collections and writing off debt, which they then pass along to the next person in line, ie. you.

Now providers are not uninanimously against this. Many have embraced it because there is a stipulation for mandatory coverage. This means they will be dealing with far less in bad debt and can at least be assured of getting paid the insurance portion. Where the rub for them comes in is those negotiated contractual fees. Looking at Medicare as their example of government negotiated insurance, they are scared. The rates for Medicare are substantially lower than any private insurance. Can they still make a living? Absolutely. They take Medicare because, if they don’t, they will have a smaller pool of patients to take. Some opt out, but if this is national, they will be even harder pressed to turn their noses up at it.

Medical costs are the highest in the country out of the entire world. Medical inflation is rampant and, unlike most things in a free market, you can’t always decide to just not purchase. Medical inflation has consistently outstripped regular inflation every year for the last 20 years. That means that the devices they use and the labor they purchase, the ground and construction of facilities, has not increased enough to justify their increase in price. Pharmaceutical companies stand to make more because most people are opting generics over the name brand prescriptions (some of which are several hundred dollars per treatment or month, for long term meds) and having insurance means that when the new meds come out, before generic are legally allowed (to protect R&D and keep companies encouraged to continue finding new meds) they will be allowed to charge their assinine prices and have people submit because they are paying $60 instead of $20. Much easier than the “it might work” generic at $50 OOP to $400 for the “this is the ticket” name brand.

The scariest part of this whole plan for the working poor is what are these “mandatory” rates going to be? Are they going to be equally unaffordable? Now you are violating the law if you don’t
I understand it’s long. I thought that people who actually care might have been willing to read an actual thorough analysis. I don’t do talking points like “Osama sounds like Obama” or scream one word slogans like “Nazi” at all republicans.

Medicare Insurance AZ staff answers:

Way to long, make it shorter and to the point.

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Your Questions About Medicare Part A Covers

Donna asks…

Is there a program to help my grandfather during the “gap” period of his Medicare Part D?

My grandfather is enrolled in MEDICARE PART D. The problem is that he’s fallen into a gap in coverage called the “doughnut hole” — in which seniors pay for all of their drugs themselves. Medicare covers 75 percent of the first $2,250 worth of drugs. But after that, coverage drops to zero — and doesn’t resume until he hits $5,100 in expenses. Then Medicare kicks in again, paying 95 percent of costs. But it’s this gap — of almost $3,000 — that is causing problems.

I found a free program that is saving him over 50% on his medications www.freedrugcard.us/medicare.html. This program has been a life saver!!! Can anyone suggest anything else to help cover his expenses?!?!?!?

Medicare Insurance AZ staff answers:

Contact AARP they will have the answers to your questions. They have a site on the net.
Peace

George asks…

I would like to get bariatric surgery(stomach stapling): I have medicare part 1 and 2- will it cover it?

i am at my wits end with being heavy,fat and overweight,I would like to get the bariatric surgery(stomach shrinkage) and am curious: I have medicaire part a and b. Would I be able to get this surgery done? I live in Florida, am 37 yrs old, male, in relatively good health, but I need to lose this weight as it is ruining my life in every way. I have a BMI of 43- way too heavy for my 5’8″ height, and i am beyond miserable. I don’t make much money, so eating healthily is an EXPENSIVE option that i cannot afford- i eat to be full- which is the bad thing. Any help? Thanks.

Medicare Insurance AZ staff answers:

There are 5 basic types of bariatric surgery. Medicare will not cover sleeve gastrectomy or vertical gastric banding. They will cover Roux-en-Y bypass (RYGBP), Biliopancreatic Diversion with Duodenal Switch (BPD/DS), and Laparoscopic Adjustable Gastric Banding (LAGB) under they following conditions: You must have a BMI of greater than 34, you must have at least one co-morbidity related to obesity, and you must have been previously unsuccessful with medical treatment for obesity. In addition, these procedures are only covered when performed at facilities that are certified by the American College of Surgeons as a Level 1 Bariatric Surgery Center or certified by the American Society for Bariatric Surgery as a Bariatric Surgery Center of Excellence.

You can find approved facilities by searching on this website: http://www.cms.hhs.gov/center/coverage.asp If you contact these facilities they will help your further.

Sandy asks…

Medicare Part D and Medicaid in KY for senior in nursing home?

My 81 year old mother has recently been put in a nursing home in KY.

She is, of course, covered by Medicare, and has supplemental health and Rx (which is creditable) coverage.

Now, she recently applied and has been approved for Medicaid to cover the nursing home cost, but Medicaid doesn’t pay for Rx.

The problem is that she will not have any monthly income for Rx copays anymore. Her SS and pension check will go toward her portion of the nursing home costs. Medicaid pays for the rest.

I’m trying to learn about Medicare Part D plans. My impression is that she will pay the premium for the plan, but since she’s institutionalized, she cannot pay any co-pay.

Any help?

Medicare Insurance AZ staff answers:

I’ve never found a state Medicaid plan that doesnt cover Rx. Check with your state Medicaid office to clarify but at this point they should be covering all of her prescriptions. Medicare D is available to those who are dual eligible such as your mother but you need to make sure that she is in a plan that is approved by Medicaid and that will accept the nursing home pharmacy. The copays for someone on Medicaid range from the high of $2 to nothing. Medicaid will be paying her premiums.

David asks…

When Obama said you could keep the insurance plan that you have, why did he lie?

http://www.nationalreview.com/articles/248520/you-can%E2%80%99t-keep-plan-you-have-marc-siegel

Last year, I ordered a CT scan of the chest on a 63-year-old patient whose chest X-ray had revealed a lung nodule. I had no problem getting the test approved by his private insurance company. The radiologist suggested that I repeat the CT scan this year to make sure the nodule hasn’t turned into cancer.

But this year, the same insurance company is denying the test, having clamped down on several elective services while also raising its premiums. This company now has to cover children with pre-existing conditions and can place no lifetime limits on care. It is struggling to preserve its profits as Obamacare kicks in — profits that, to begin with, are only approximately 4 percent of its total revenue

Next year, my patient will have Medicare. He can’t afford a secondary insurance plan (Medicare Part B covers only 80 percent of most charges), and he doesn’t qualify for Medicaid as his secondary, so he was hoping to join a Medicare Advantage plana private insurance plan that seniors can choose to receive, partly at government expense, instead of Medicare. But in 2011, Medicare Advantage is due to be cut $140 billion by the new law, and it is doubtful that the plan he wants will still be available. Harvard Pilgrim, the second-largest insurer in Massachusetts, has just dropped 22,000 patients from its Medicare Advantage plan in anticipation of these cuts. Soon seniors everywhere will have the same problem. In fact, the Medicare actuary estimates that 7 million out of the 11 million people with Medicare Advantage will be set adrift over the next seven years.
@Lawgirl. Lol your blindness is making you look stupid. Obama knew exactly what he was doing.

Medicare Insurance AZ staff answers:

When DOESN’T 0bama lie?!? The more he opens his mouth, the more I start to dislike him.

Nancy asks…

Medicare Part D , Blue Cross, and SSDI…?

About 3 yrs ago I was awarded SSDI, and a few month later Medicare kicked in with part D ( a third party Secure Horizon), they covered my meds for for about 2 years, and then they stopped..
My meds are about $3k a month, I was told I could work pt not to exceed $800 a month and would be able to keep my SSDI, so I did and got Blue Cross Insurance from my employer for about $60 a month, ….
I would like to know if if Medicare is something i can cancel and possible renew at a later date as about $90 comes out everymonth from my SSDI check for Secure Horizon,….
anyone else came across this? also they are both considered to be my primary and I think they both paid a few bills, unbeknowst to me…
am I responsible if they dbl paid,? how do I clear this up?
thanks

Medicare Insurance AZ staff answers:

They cannot both be primary. If the group policy has fewer than 20 employees Medicare will be primary; if 20 or more BC will be primary.

You cannot, in most cases, come off of Medicare unless you are working full time. Even then, if the group is fewer than 20 you still cannot come off of Medicare.

Why did Secure Horizons stop paying for the medication? Did they stop covering the drug in their formulary or do they require step therapy? If so, you can possibly find another company that will cover the drug. You could also try talking with the doctor to see if another drug that IS covered would work. You can also appeal with Secure Horizons to cover the drug even if it’s not on the formulary; you’ll need to get your doctor involved with this.

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Your Questions About Medicare Part C

Carol asks…

Which was not part of President Johnson’s 1965–1967 “Great Society”?

A) Medicare and Medicaid
B) funds poured into urban development and education
C) the establishment of the Equal Employment Opportunity Commission
D) the overturned Taft-Hartley Act of 1947

Medicare Insurance AZ staff answers:

The answer is B.

Joseph asks…

Schedule SE and that I owe some $3500. They mention the SCH SE, and the 6251 (AMT) but say nothing about SCH C?

IRS says I owe $3500 from miscalcuation on Sch SE, I think they are wrong?
Ok so I have a side business and I collected some $200k from clients, but I paid people to do the work to the tune of $125k. I paid them by check, and issued them 1099′s, and submitted a 1096, and I used my EIN that I’ve been using for 3 years.

I put the $125k as a deduction on my schedule C, just like I always do, but this year I get a letter saying I made a mistake on my calculation of subj:
Schedule SE and that I owe some $3500. They mention the SCH SE, and the 6251 (AMT) but say nothing about SCH C.

I find it suspicious that the $$$ amount of the discrepency is almost exactly 2.9% of the $125k ( I maxed out the other part of Fica taxes with my day job.)

Now the IRS says to challenge this I should fax them my SE, AMT and they will take a look. I don’t think they have enough information, so I also sent them copies of my 1040, 1099′s I mailed out, and the 1096. I stupidly forgot the Schedule C.

My question is did I miss something or am I supposed to pay Medicare (the 2.9%) of the $125k my consultant staff is supposed to pay? Or is there something else going on here?

I might be completely off-base with the 2.9%, I just can’t think of any other reason they think I made a $3500 mistake.

TIA

Additional Details
I originally paper filed. I use a tax excel spreadsheet to do my taxes.

In the old days, the IRS would send a very clear list of forms/line #’s that are being changed and the mistake (either theirs or mine) was very clear. all they told me this time is that they “changed” the schedule se, WTF is with that? why can’t they tell me old vs new value for what they corrected?

It doesn’t make sense that they simply “left out” the 125k on the schedule C, if they did that I would of been hit with a whole lot more than $3500 on Sch SE.

I know there is no limit on the medicare portion of of my income, but the $125k is NOT INCOME is was an EXPENSE of my business. On my schedule C, I take the money I collected, the $200k, and then I get to subtract my expenses of the business, the materials I used, etc, and my biggest expense was the $125k I spent on contractors. That 125k wasn’t my income its theirs.

I had a phone number to call. all I got was the front desk who said to fax in the sheets SCH SE, and AMT 6251. They wouldn’t put me through to anybody who knew about anything. Last time I got a letter like this, I called with the id#, I was put through to a case worker who knew the issue, and we had the solution worked out in 10 minutes.
I believe I did do my SE correctly. So why did they charge me $3500 supposedly for a “mistake” on my SE?

If my SE taxes go up, so should my AGI, (as per my schedule C ) NO? so that means my regular taxes should of changed, but they didn’t.
yup just checked SSI withheld: $7400 (me and spouse) and Sched SE added $950.

yes, I know I asked this question about a week ago. I was hoping for some better insight with the weekend crowd.
katie, there can’t be any penalties, all they did was reduce my tax refund. they have the money. I don’t understand why they didn’t mail me a line for line report of what they adjusted. I used to get that when they made adjustments.

Medicare Insurance AZ staff answers:

You need to be patient. Once the IRS finishes processing your tax return, you’ll be able to get a copy of the processed return.

That should be fairly soon since this is the second time you posted your question (and you didn’t add any additional information this time).

“and Sched SE added $950″ somehow, I think your schedule SE has issues. What were your net earnings? You are saying it was less than $33000.

By the way, if the return was pulled for review during the processing step, no one on the phones will be able to see it until it posts.

Thomas asks…

medicare eligibity in south carolina?

A friend of mine husband lost his job so they are having a hard time .she has been told by many why don’t you apply for medicade there are 3 people in the house ,her 20 year daughter works part time to help out they have little money in the bank and a rental they get $500 a month but it still is not enough , her daughter and her need to see the doc but they don’t have insurance, my question is do you think they would have a shot of getting help i know the system can be brutal and don’t want you to have a dime to your name or assets but the family’s funds will dry up if they don’t get help soon they have to go in there saving to pay doctors bills which is so so high so if anyone knows the laws regarding getting some help in s.c. is there a certain amount you can or can’t have any answers or advice much appreciated
sorry medicaid
mom is looking for a job

Medicare Insurance AZ staff answers:

I think that your friend should be proactive and contact Medicaid herself. The only way to find out is to apply.

Good luck

David asks…

Why should homosexuals get Medicare and Medicaid for illnesses they caused themselves?

I’m forever seeing this question bandied about regarding overweight people, smokers, drinkers, and whoever the left decides are evil, evil people today, so I just wondered what the response would be if we took it one step further along the path of their “reasoning”.

Since male homosexuals have a markedly higher incidence of HIV and Hepatitis C infections than do heterosexual men, should they be denied coverage or be forced to pay higher premiums? After all, these are expensive diseases to treat, and they are brought about in large part by people choosing to take part in certain activities…just like smokers, drinkers, and people who overeat.

So how about it, folks? Does this line of reasoning still apply when it is leveled against a group you happen to like, or is it reserved exclusively for us “lesser” types?

Medicare Insurance AZ staff answers:

I think this is good reasoning – if you are a smoker you are considered a health risk and thus you encounter conflicts of not receiving coverage or paying higher premiums. Public education teaches that engaging in homosexual sex is considered an extremely high risk practice

John asks…

sole proprietor vs. corp or partnership?

I’ve been consulting for six months now as a sole proprietor, using a 1099 in the State of California. My gross for the year is trending to $200K (USD). From what I’ve gathered incorporating could provide significant tax advantages compared to a sole proprietor. Also, understand there are significant tax advantages as partnership. At this point in time I do not have any partners but can find one for paperwork purposes.

– Is there a recommended threshold of gross revenues where one should seriously consider incorporating vs. self proprietor?
– If Incorporating offers the greatest advantage, then which type S or C? Why?
– State and Medicare Tax – eliminated on company profits?
– I understand the part about paying yourself a small salary, however, how do you transfer company profits to self with least exposure from taxes? Dividend?
– What are the taxes on dividend payouts?
– As a corporation can you defer payment on taxes? What about as a partnership?
I do have more questions..
I understand the definitions of each from speaking with folks and researching online. What I am really interested in seeing is the net impact on the financial numbers of doing one vs. another. Does anyone have a simple Excel spreadsheet or calculator or some wizard, to input figures? In the end it’s about the numbers.

I’d appreciate referrals to CPAs/Tax Accounts in the San Francisco/Bay Area.
I need insights into how the numbers actually breakdown – under one form vs. the other….

Medicare Insurance AZ staff answers:

Let’s see

C-corp – You own stock in it, but all profits/losses remain with the company. It is responsible for paying state and federal taxes. You could receive income from it in the form of dividends which are taxed at a favorable rate to you, but are not deductible to the company. As long as the company doesn’t have any employee it would not pay any payroll taxes.

S-corp – You own stock in it, but profits/losses pass through to the owner(s). The profits that pass through to you could be subject to SE (self-employment) tax, if you are directly involved in the S-corp working for it, and are not getting any kind of a reasonable salary.

With both C- & S-corps liability generally stays with the company rather than the owners, unless the owners personally guarantee things.

Partnership – more than one person involved in the business. Profits/losses are passed through to the owners. Profits are subject to SE tax also, if a partner is involved directly in the business. Downside is that liability flows to major partners in the partnership, and that you have to have all the partners agreeing on things, otherwise the discord could tear the partnership apart.

Sole Proprietorship – Generally reported on Form 1040, Schedule C, E, or F. SE tax to be paid on Schedule C or F profit, but not E. Liability rests solely on the owner. Upside and downside is that the owner is responsible for the success or failure of the business, but also reaps the rewards.

I have included links to wikipedia explaining S-, C-, Partnership, and Sole Proprietorship.

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Your Questions About Medicare Part D

Daniel asks…

Do you think medicare part D is the best answer to solve problems most senior elders and disable people faced?

Medicare Insurance AZ staff answers:

Well I say it’s 50/50. I work in a pharmacy and I have seen a lot of cases where Med. Part D does and does not work. But I do know one thing it was a pain in the ass to try and bill those insurance companies the first 3 months the program started. I mean it was so bad that insurance companies decided to put every med as formulary (i.e. Viagra) and that med usually requires a Prior Authorization.

Nancy asks…

Medicaid and Medicare part D?

Okay, so I went to that website, medicare.gov, and apparently I couldn’t really search for the answers I was looking for. So I’m going to ask people here who may know this. Before this whole medicare part D mess, my grandma was receiving prescription drugs fine with medicaid. Now that part D is here, does she absolutely need it to get her prescription drugs? Can’t she just continue replying on medicaid to get them? Is part D really necessary? She was fine with medicaid before, but ever since like two years ago, she was automatically put on a part D drug plan, but I don’t get it, is it required for her when she is automatically enrolled? Medicaid still pays for your prescriptions drugs, don’t they? Why medicare part D?

Medicare Insurance AZ staff answers:

When Medicare/Medicaid was set up, Medicaid was defined as a policy of last resort. Any other insurance plans will take priority over it. So, Medicare Part D takes precedence over Medicaid prescription policy. If Part D doesn’t cover a particular drug, Medicaid will cover it. It’ll be blind to you. The way a dual eligible is covered is complicated. Medicaid does pay money into Medicare Part D. Your grandmother is not paying for her Part D coverage. She cannot legally waive out of Part D, if she does, she’ll forfeit her Medicaid drug coverage. If she doesn’t like her insurance carrier, she can change it between November 15th and December 31 every year.
Seniors who were just on Medicare, until 2006, did not get any prescription drug coverage.
Overall, the clear majority of seniors like Medicare Part D.

Sandra asks…

Medicare Part D?

For pbcruzr: Okay here’s a
good one. Everyone over 65,
give your frank opinion of the
Medicare Part D (wonderful plan that now pays all of our
prescription costs. I’m being
sarcastic.)

Medicare Insurance AZ staff answers:

It sucks! When Medicare D went into effect I was paying $300 a month for medicines. Now I’m paying $600 a month and that’s not counting what I pay for the Part D plan each month. Somebody’s making one Heqq of a profit off me. All I’m trying to do is stay alive.

Mandy asks…

Underpayment of Medicare Part-D Premium ?

My dad was offered a $200 per month “assistance” with his monthly premium for Medicare Part-D…He has noticed his yearly SS Income is above or slightly under the amount for which Medicare offers this type of Premium assistance.

If they determine my Dad underpaid some of all of his yearly Part-D premium what will they do to him?

Make him pay the difference all at once? Monthly? or will they find the error as being one THEY made and drop it by simply re-adjusting the upcoming Part-D Premiums?
I NEED AN ANSWER SOON OR DEATHS WILL OCCUR NEAREST ME BODIES.

Medicare Insurance AZ staff answers:

Hey man if you really want a correct answer.go visit a pro….im sorry i dont hve the answer for your question

Donald asks…

What is Step Therapy, as it pertains to Medicare Part D ?

is it the same as utilization management?

Medicare Insurance AZ staff answers:

Working for a medicare HMO, I can tell you what Step Therapy is..
Step Therapy is where you try something before obtaining something else. For example : If someone is wanting Nexium – a lot of insurance companies will not pay for this drug because it’s expensive, so they want you to try prevacid, or prilosec before obtaining nexium. If your doctor suggests that you have tried other things and nexium is the only thing that works for you, he could sumbit an authorization to the insurance company with a copy of your two last office visits and see if something can be done on your behalf but more than likely you’ll have to try something else first. Hope that helps!

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Your Questions About Medicare Eligibility

Steven asks…

Who is eligible for Medicare and Medicaid?

I am 63 years old, and I have a pretty good private insurance plan. However, other seniors keep asking me if I have Medicare. I know absolutely nothing about Medicare and Medicaid. Is eligibility based upon age, or income, or both?

Medicare Insurance AZ staff answers:

Most US citizens get Medicare Part A for free when they turn 65 (or if disabled). You then get the option to pay $88 a month for Part B (which you do). This will cover 80% of most medical procedures, hospital stays, and doctor visits. The other 20% gets paid by you, unless you get a supplemental insurance policy which I would highly recommend. If you have private insurance or an HMO through your retirement (check to see if they will drop you when you turn 65) Medicare becomes the primary and they become the secondary. If you don’t have to pay for that coverage, keep it. If you do, or they will drop you at 65, or your insurance doesn’t come with retirement, look into a supplemental policy about 6 months before you turn 65.

Medicaid is Welfare health care for the severely impoverished. You must have very limited assets to qualify. They will pay for your doctor bills, prescriptions, and long term care facility, but they want you to be completely broke, and if you own a house they will put a lein on it. Stay away from Medicaid if you can afford to.

Hope that helps. Contact an insurance company in your area that offer supplements about 6 months from your 65th b-day and get quotes. Go with one that the agent provides and processes your claims. Much easier for you in the later years when you may not be able to deal with the paperwork. State Farm, Bankers Life & Casualty, Mutual of Omaha those are some of the big ones.

Susan asks…

Would you agree with this concept on Social Security and Medicare?

Social Security was originally intended to act as an insurance policy for those who had not been ABLE to put money away for their own retirement due to low paying jobs or extreme circumstances. Would it be better if a means test was used to determine eligibility for Social Security and Medicare than just to make it automatically available? In other words, if you can afford to live without it, you don’t get it etc. You would instead receive all your and your employers contributions….plus the accumulated interest in a lump sum at retirement..but would not get further monthly payments.

Medicare Insurance AZ staff answers:

As a former SSA employee, I know that there are MANY people who do not choose to accept social security. Because Social Security places limits on what you can make until you are 67 (for most people), there are fewer rich people who actually want to be governed or told what they can and cannot make under the program. If they wait to retire at 67, they are more likely to take it, as McCain did, but many still choose not to accept it. I certainly agree to some point that some people have no business taking monthly checks that they don’t in any way need to survive….

However, with medicaid, there is a difference. Most people are insured through their jobs. Retiring would mean that they are no longer eligible for health care….so they would have to buy in to a private insurer. While, again, these people certainly can pay for monthly premiums, the costs would be FAR higher for a 67 year old person with health conditions than it would be for a healthy young person.

Paul asks…

Why don’t they just raise the eligibility age for both Social Security & Medicare, since we now live longer?

Medicare Insurance AZ staff answers:

So we’re supposed to work until 67. Try getting a job when you are 50 and get laid off or “downsized” out of a job!

Mary asks…

Can medicare be used in any state?

My grandmother receives medicare through her Colorado’s senior care program. She traveled to Tx to visit us and on the way over here she got extremely sick. Can she use her medicare here, in the state of TX, or will this cause problems to her future eligibility?

Medicare Insurance AZ staff answers:

In an emergency her plan she signed up for would cover her medical expenses in another state but if she has Medicare Advantage, that is like an HMO and she could not go out of network. If she has Original Medicare which is fee for service, she could go to a doctor in another state. It wont affect her eligibility if you are talking about Medicare. If Medicare wont cover the bill, she may have to but nothing worse.

Sandra asks…

I have a solution for Medicare. What do you think?

Instead of raising the age for Medicare eligibility, we should create a termination age for Medicare.

It will say after you turn 95 years old, you are on your own. We covered you for 30 freaking years. That’s it. We can’t afford it no more.

This would work because:
- people at an older age are more likely to be using up tens if not thousands of dollars trying to stay alive than people who just barely turned 65.
- 95 years old. These people have lived a long life as it is. We don’t need to be spending thousands and thousands of dollars so they can live a few more months or years.

If they want to spend their own money, then good for them.
Indiana,

If we had magical trees that money would grow on, sure let’s cover everybody from the womb to old age death, but we don’t.

Medicare is too damn expensive. We cannot afford it. Just stop for a minute and tell me how is it logical that some elderly patient with chronic old age conditions is using up tens if not thousands of dollars trying to cheat death for a few more months?

I read a study that said the vast majority of medicare funds are used in the last few months of a persons life.
A.M.

What death panels? If they got money to burn after 95, they should go ahead and spend it trying to prolong their lives. I’m not saying they can’t.

You’re saying not being covered means death panel, than we already have death panels for the non-insured. Funny. I thought the insurance panels were the death panels.

Medicare Insurance AZ staff answers:

= If they want to spend their own money, then good for them.

That’s the problem… Because the government promised them ENDLESS care after retirement, it will be unfair to expect them to have saved money for their own…

This is, actually, a fundamental issue with all tax-supported “free” services. First you — and everybody else — are taxed to pay for them, and then the government of shirley sharrods decides, whether you are eligible.

And if you aren’t — well, use your own money, you are told… And if you don’t have it — well, that’s your fault. And whomever you could’ve asked to help you out, don’t have it either, because the government already taxed them.

See also “Taxation is Slavery”.

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Your Questions About Medicare Vs Medicaid

Nancy asks…

So if health care is a big deal then what?

If everyone has health care that’s affordable, that is great.

So now everyone can afford health care, now tell me how do they pay for it in a bad economy when they don’t have a job. I really don’t get the priority here. This reform is pointless if American’s don’t have a job to pay for the affordable reform.

I rather fix the economy first, have jobs created, and have those people be less of a liability to the government, and the taxes they pay through working will be government revenue. Instead of them not working and not contributing while just collecting hand outs.

We got in this health care mess from the government with medicare/medicaid, why do you want the people who make a mess to try to fix it. What if they just gave up and let the free market regulate it’s self. If health care was unaffordable in a system where there was no free health care for the poor (medicaid) and for the elderly (medicare), don’t you think the markets would create a sector for that? Why would they not want to tap into that income, also closing state lines would make competition across America be anyone’s game. Less government restriction means more competition.

Public Option is a monopoly, it’s simple, a non-profit public option will win vs every private company. The private company’s can go bankrupt, and the public option can’t. So how is that even remotely fair in competitiveness in the health care industry?

Medicare Insurance AZ staff answers:

Congress and the president give up power and control over our lives?

NEVER!

Congress and the president needs to build more and more power and control over issues to make its management an electoral issue with which to help divide and conquer the people on and thus give themselves a freer hand in all future elections.

The stakes of politics are about to get a lot higher, and the tendentious between us are about to get a lot more intense with each future elections as we are not merely electing the federal officials on:

* immigration policy
* foreign policy
* monetary policy

* drug policy
* social security
* general regulator policy

*but now we are going to add full scale health-care effecting EVERYONE not just the elderly and super poor policy!

I’m sure I’m missing quite a few such as:
* NASA policy
* Environmental policy,
* general public housing policy.
* taxing policy.
* abortion policy.
* ect…

It’s a wonder anyone in the USA ever gets what they want out of the government, were so divided and conquered. If we get a political that we like one of them on odds are we wont necessary like them on a lot more of em.

Nobody is every happy with government and we are all just getting more and more unhappy for a very good mathematical reason!

Your collectivizing all of these aspects of your life and having to compromise each and everyone one of them NOT only with each other but with 300+ million other people’s views and values!

There will never be one set of politicians that will hold the right views on all of theses things for even the majority of the people. We are too diverse, and they are too many.
Instead politicians will uses each of theses issues to polarize the vote get you to pick the one you most care about and ignore whatever else they do thus giving them a freer hand.(corruption)

Are you happy? No. But that’s what you get when you let government expand its power.

It’s just going to get worse and worse.

Ruth asks…

Why do conservatives constantly rail againt “socialism”?

…when they use social services every single day !
…and why do liberals rail against capitalism, when most of them benefit from it in one way or the other ?

Surely you don’t expect me to believe that there are no conservatives have ever retired on SS, or get medicare/medicaid, and none of them have ever recieved a Pell grant to go to school, or none of them have ever taken their kids to a park, or a national park/monument, they don’t use sidewalks or highways…they only drive on dirt roads right ? They’ve never called the police or the fire department ? Never been to a public library….they don’t use the INTERNET right ?….

There are so many examples of socialism in the US that everyone uses and relies on everyday !…

Additionally….
Surely the liberals wouldn’t have me believe that no liberals shop at walmart ?, or eat McDonalds, or own their own businesses or work for someone who does thus recieving a paycheck !? None of them own a home ? or invest in stocks ? or have retirement funds ? or take out loans from banks ? or use internet commerce ? No liberals have ever purchased something then sold it for more money than they paid ? No liberals have ever cheated on their taxes right ?…

These are ridiculous assumptions of course…
Here’s the breakdown…

Both concepts, Socialism/Capitalism, are horrible ideas when one is used without the other.

You can’t have PURE capitalism… or that would be “dog eat dog”, just you, your family, and your guns vs. everyone else. No police to protect you or uphold the law, no fire department, no public school, no public works like city water….and of course… no Internet.

You can’t have PURE socialism….or that would mean less productivity and a globally comptetitive disadvantage. The government tells you what your job is, and how much you can make… and all of your financial accomplishments are shared with everyone else… your potential is limited regardless of your abilities. Everyone would work just enough to not get fired…and multinational companies would
…..

What we have in America is a mix of the two… we have a free market economy, that supports socialized institutions…like public schools, libraries, armed forces, police, fire departments, public works, SS, medicare, medicade, etc.. Without those things we would a lawless nation of illiterate people with a low life expectancy and no military to protect ourselves against enemies…

Want to move to a place with no social programs or taxes ?…. it doesn’t exist !
Want to move to a place that is pure socialism, with no globalist multinational corporations ?… it doesn’t exist ! at least not anymore.

So why do conservatives and liberals alike, keep this debate going ?…capitalism vs. socialism ?…. We will NEVER have one without the other no matter who is President or which party is in charge of congress…
wayfarou… what gives ?…. you call it a rant, then you answer the question with exactly what I was looking for…

Thanks anyway..
Do not address one side of this question, without addressing the other…or you will not get best answer.

This question is directed at both liberals and conservatives…and it is not intended for either side to defend their position, but rather address the duality of the argument.

Medicare Insurance AZ staff answers:

A lot of us do get that. We do have socialist aspects in our country and our economy. We also have capitalism. We do need both as you have pointed out. I believe that those that are bashing socialism , better start bashing greed. Capitalism will be destroyed by greed. And we need capitalism to survive as a nation. We don’t need greed to survive.

Mark asks…

Democrats what do you plan to do to stop the massive bloating of our mandatory programs?

In 2008 52.7% of our budget consisted of Social Security, Medicare, Medicaid, and welfare. If SS kept accounts separate then I would not include this in the stat, but currently, the money begotten for SS is barely used to cover the currently elderly vs storing for the future.

http://en.wikipedia.org/wiki/File:Fy2008spendingbycategory.png

(You can look where they got the info from)

http://www.gpoaccess.gov/usbudget/fy08/browse.html

If the severity of the situation still isn’t understood, in 1962 our mandatory programs were only 26% of the budget, these programs have doubled. For Medicare alone, to be able to balance it we would need to triple the payroll tax (pg19)

http://www.gpoaccess.gov/usbudget/fy08/pdf/budget/outlook.pdf

Not only have they doubled they are expected to do so again, pg 40 and 68 shows outlook.

http://www.cbo.gov/ftpdocs/115xx/doc11579/06-30-LTBO.pdf

These costs are constant and systematic, and any hope for stability would require reigning in these costs by reform or removal.

Raising income for the programs is nice, but doesn’t stop the rising costs, by how fast these costs are rising you could not raise income to actually cover it, that raising the income for these programs will have little impact on the buoyancy of these programs. In short there is some systematic issue that needs to be addressed prior to increasing the income for these programs, as they are currently experiencing systematic failure.

Military costs are part of discretionary spending in that they have acute moments but then disappear, hence my lack of concern for those areas (I suggest you look at budget and deficiets since the 50′s and watch the decline starting in 62 and onward), it is the long term and consistent programs which need the most focus, especially since the costs of our discretionary programs are not rising at a large rate.

Since ignoring this piece will result in a severe decline, this should be the biggest issue to trump all others. So what are the solutions to this issue?
@GOM

Section D which took place under the Bush admin was an issue, I’m asking democrats because the greatest resistance to changing these programs are coming from democrats, also they are wanting to add more on without correcting what needs to be fixed first. Also question on y/a don’t get responses unless you call someone out.

Also the recent health insurance bill also contributes to the debt, the articles I posted covers such topics.

Medicare Insurance AZ staff answers:

The deficit belongs to the Republicans now.

Betty asks…

Social studies help – 1945- 1990′s please help?

A- Bomb , yalta , Iron Curtian , Containment , Super powers, us. Econ power,Marshall plan , Rebuilding , Communism , Truman Doctrine, Jackie Robinson, Desgregation, Korean War , MacArthur, Cuban Missile Crisis, Blockade, Berlin Wall, Space– Shepard,glenn, James Meridith, Assassination, Lee Harvey Oswald, Vietnam “Peace With Honor”, Neil Armstrong, Watergate, Commander, Stalemate, 38th Parallel, Baby Boomers, Suburbs , Economic boom , tvand Rock’n'roll , Polio,”witch hunt”,Brwn Vs Board of education,integration, segregation, Little Rock, Arkansas,, Rosa Parks, Martin Luther King Jr. , Civil Disobedience , Boycott, Medicare,Medicaid , Malcolm X , sit ins , freedom riders,major vietnam escalation, Equal Rights ( Women , disabled,hispanic , native americans ) Energy Crisis, Iran , Challenger, Berlin Wall/end of the “evil Empire”, Iraq, Ho Chi Minh, domino theory ,guerrilla warfare,Gulf of Tonkin Resolution, Protest ( hawks/doves, songs, marches etc) , Draft , lottery , Wall ,
Truman -”Fair Deal”
J.F. Kennedy – “New Frontier”
Nixon ( Agnew/Ford)
Eisenhower (Nixon)
L.B. Johnson-” Great Society”
Gerald Ford
Jimmy Carter
Ronald Reagan

Medicare Insurance AZ staff answers:

A-Bomb: bomb Japan’s Hiroshima and Nagasaki
Iron Curtain: Churchill’s description of division between communist and non comunist european countries
Containment: US ideal to stop spread of communism
Superpowers: countries with WMD (weapons of Mass destruction) and power
Marshall plan – US plan to help rebuild Europe
Cuban Missile Crisis – During cold war, US vs. Cuba and USSR-missiles put in cuba to threaten US
Rosa Parks – bus ride against segreation
Berlin Wall – division between west and east berlin (communist and non communist)
guerrilla warfare – sneak attacks that are not easily detected
Ho Chi Minh – vietnam; communist leader

that’s all i’ve got for now – maybe later

Daniel asks…

What do you Liberals like about America?

I like the freedoms and security, yet I continue to lose faith in this once great country.

I live in shame in America, because my job is getting easier these days and I will only make $50k plus this year, which is not related to my finance degree. I can see less and less Americans can be trusted these days.

Why do you Liberals love America?
Why do baby boomers want to destroy echo boomers future with their fat entitlement programs, broke pension funds, SS welfare, medicare/medicaid/ etc…..?

1. Could it be your high paying career that you enjoy? ONLY crooks, insiders, and cronyism will enjoy certain jobs. I TRULY HOPE more Gov. Chris Christie’s cut Public Sector Thugs down to size.

2. Do you enjoy our freedoms vs other hell hole countries?
Nick,

I do vote.
Obama’s KenyanCare is a job killing disgrace.

Medicare Insurance AZ staff answers:

Well, considering that they want to get rid of the constitution cause it’s an “out-dated” document, they must not like America at all…..

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Your Questions About Medicare Dental Insurance Coverage

Sharon asks…

Anyone else miss the Clinton/Obama debates?

I do lol

TYPICAL BARACK OBAMA VS. HILLARY CLINTON DEMOCRATIC DEBATE

QUESTION: What is your plan for the economy?

CLINTON:
My main agenda for my Presidency is to turn our economy around.
My $110 billion package includes $40 billion in tax rebates for working and middle-class families. These rebates should meet the principles that I have outlined: they should be temporary and fiscally responsible; they should be fast-acting; and they should be targeted to working and middle-class families who need help the most. In particular, the rebates should not be partially or completely denied to tens of millions of lower income taxpayers, as was the case with President Bush’s plan during the last economic contraction.

My package also includes a $30 billion Emergency Housing Crisis Fund to assist states and cities mitigate the effects of mounting foreclosures; a comprehensive plan to end the housing crisis with a 90-day moratorium on foreclosures and a 5 year freeze on interest rates on subprime mortgages; $25 billion in immediate energy assistance to tens of millions of families; $5 billion in accelerated energy efficiency and alternative energy investments to jumpstart green collar job growth; and $10 billion in extending and broadening unemployment insurance for those who are struggling to find work.

OBAMA:
Uh…eh….uh…you know, its for change by changing Washington and..uh…turn this economy around!

QUESTION: What is your plan for the American health care system?

CLINTON:
I unveiled the third part of my plan to ensure that all Americans have affordable, quality health insurance. Building on her proposals to rein in costs and to insist on value and quality, her American Health Choices Plan will secure, simplify and ensure choice in health coverage for all Americans. This Plan covers every American – finally addressing the needs of the 47 million uninsured and the tens of millions of workers with coverage who fear they could be one pink slip away from losing their health coverage – with no overall increase in health spending or taxes. For those with health insurance, the plan builds on the current system to give businesses and their employees greater choice of health plans – including keeping the one they have – while lowering cost and improving quality. Specifically, the American Health Choices Plan will:

The American Health Choices Plan gives Americans the choice to preserve their existing coverage, while offering new choices to those with insurance, to the 47 million people in the United States without insurance, and the tens of millions more at risk of losing coverage.

The Same Choice of Health Plan Options that Members of Congress Receive: Americans can keep their existing coverage or access the same menu of quality private insurance options that their Members of Congress receive through a new Health Choices Menu, established without any new bureaucracy as part of the Federal Employee Health Benefit Program (FEHBP). In addition to the broad array of private options that Americans can choose from, they will be offered the choice of a public plan option similar to Medicare.

A Guarantee of Quality Coverage: The new array of choices offered in the Menu will provide benefits at least as good as the typical plan offered to Members of Congress, which includes mental health parity and usually dental coverage.

Americans who are satisfied with the coverage they have today can keep it, while benefiting from lower premiums and higher quality.

Reducing Costs: By removing hidden taxes, stressing prevention and a focus on efficiency and modernization, the plan will improve quality and lower costs.

Strengthening Security: The plan ensures that job loss or family illnesses will never lead to a loss of coverage or exorbitant costs.

End to Unfair Health Insurance Discrimination: By creating a level-playing field of insurance rules across states and markets, the plan ensures that no American is denied coverage, refused renewal, unfairly priced out of the market, or forced to pay excessive insurance company premiums.

Relying on consumers or the government alone to fix the system has unintended consequences, like scaled-back coverage or limited choices. This plan ensures that all who benefit from the system share in the responsibility to fix its shortcomings.

Insurance and Drug Companies: insurance companies will end discrimination based on pre-existing conditions or expectations of illness and ensure high value for every premium dollar; while drug companies will offer fair prices and accurate information.

Individuals: will be required to get and keep insurance in a system where insurance is affordable and accessible.

Providers: will work collaboratively with patients and businesses to deliver high-quality, affordable care.

Employers: will help financing the system; large employers will be expected to provide health insurance or contribute to the cost of coverage: small businesses will receive a tax credit to continue or begin to offer coverage.

Government: will ensure that health insurance is always affordable and never a crushing burden on any family and will implement reforms to improve quality and lower cost.

my plan will:

Provide Tax Relief to Ensure Affordability: Working families will receive a refundable tax credit to help them afford high-quality health coverage.

Limit Premium Payments to a Percentage of Income: The refundable tax credit will be designed to prevent premiums from exceeding a percentage of family income, while maintaining consumer price consciousness in choosing health plans.

Create a New Small Business Tax Credit: To make it easier-not harder-for small businesses to create new jobs with health coverage, a new health care tax credit for small businesses will provide an incentive for job-based coverage.

Strengthen Medicaid and CHIP: The Plan will fix the holes in the safety net to ensure that the most vulnerable populations receive affordable, quality care.

Launch a Retiree Health Legacy Initiative: A new tax credit for qualifying private and public retiree health plans will offset a significant portion of catastrophic expenditures, so long as savings are dedicated to workers and competitiveness.

Most Savings Come Through Lowering Spending Due to Quality and Modernization: Over half the savings come from the public savings generated from Senator Clinton’s broader agenda to modernize the heath systems and reduce wasteful health spending.

A Net Tax Cut for American Taxpayers: The plan offers tens of millions of Americans a new tax credit to make premiums affordable-which more than offsets the increased revenues from the Plan’s provisions to limit the employer tax exclusion for health care and discontinue portions of the Bush tax cuts for those making over $250,000. Thus, the plan provides a net tax cut for American taxpayers.

Making the Employer Tax Exclusion for Health Care Fairer: The plan protects the current exclusion from taxes of employer-provided health premiums, but limits the exclusion for the high-end portion of very generous plans for those making over $250,000.

OBAMA: Ah….eh… its time for change! Time to change the….uh….um..health care system!

QUESTION: What is your plan for the war in Iraq and Afghanistan?

CLINTON:
“Our message to the president is clear. It is time to begin ending this war — not next year, not next month — but today.

“We have heard for years now that as the Iraqis stand up, our troops will stand down. Every year, we hear about how next year they may start coming home. Now we are hearing a new version of that yet again from the president as he has more troops in Iraq than ever and the Iraqi government is more fractured and ineffective than ever.

“Well, the right strategy before the surge and post-escalation is the same: start bringing home America’s troops now.”

If President Bush does not end the war, when I am president, I will. My three-step plan would bring our troops home, work to bring stability to the region, and replace military force with a new diplomatic initiative to engage countries around the world in securing Iraq’s future. I had been figh

I will bring our troops home inside my first 60 days in office as President of the United States of America.

OBAMA:
uh……look! we need to change Washington by bringing our troops home and change Washington…Thats the president America needs…uh…and I will be that president I think….

QUESTION: What is your plan for our Education?

CLINTON:
Forty-two percent of all new jobs this decade will require some post-secondary education. That’s a big jump from even six and a half years ago, when it was only about 29 percent.

Countries across the world, from Japan to South Korea, from Canada to Ireland, are educating their young people at higher rates than we are in America. That is news.

Our higher education system has historically been the envy of the world. We know that in other countries (inaudible) the future was determined at the age of 12 or 16. But they have changed, and they now value college much more, and the rates of young people going to college are actually higher than we have now in America. And China and India are not far behind.

When it comes to higher education, we should not be playing catch-up with the world, we should continue to be leading, because the skills and knowledge of our workforce will determine whether America can compete and win in the 21st century.

Americans work harder than anybody in the world. When you measure productivity, which is a term for determining how much output we get per hour, per worker, Americans are by far the hardest-working people.

But there is a mismatch between what Americans are being compensated for in terms of all

Medicare Insurance AZ staff answers:

I miss them…found it ironic that Obama the great quit after his first unbiased debate. He will be kicked around like a soccerball in a presidential debate and sad part about it is Clinton KNOWS THIS AS WELL AS THE GOP. I just want to see the faces on the Obamians when they realize that Hillary was actually nice to Obama compaired to what the REAL WORLD will be like.

Jenny asks…

Question on understanding Medicare , Medigap , and Medicaid?

I was just put on disability (I am far from being a senior, though every webpage I turn to seems to be targeted at those over 65). I just received my Medicare Part A/B card. I also have a Medicaid card because my income is only around $700. Will I be charged the full amt. for Medicare since part of my income is SSI and resource based? Now I’m thinking about these A-L Medigap plans. Does Medicaid replace these, or do I still need to be thinking about Medigaps. What precisely at my income level with medicaid would I not be able to get covered and have the need for a Private company coverage for? I would like to say that I am perfectly happy with having all my doctors at the state hospital where any and all insurance and Medicaid is accepted and they also see indigent patients based on income. However only my psychiatrist is in a private practice, and I hope to be able to stay with him and he is enrolled in Medicare. I guess what I’m getting at with my situation does it sound like I need a Medigap policy, what will I be missing without it? Prescription drugs and Dental care are two things I can think of off the top of my head that I will need.

Medicare Insurance AZ staff answers:

First off, Medicaid will pick up your Medicare Part B premium. The income limit that Medicaid will no longer cover you will depend upon your state – each state has different requirements.

Medicare Supplements (medigap) are generally not suitable for people on Medicaid because of the hefty premium and duplicate coverage. In many states a medigap policy will not be available to anyone under 65 or, if they are available, you may be limited to certain plans and to certain companies that offer those plans.

Medicaid will require you to sign up for a prescription plan; if you don’t they will sign you up on a plan of their choice automatically. They will pay the premium either way in most cases.

Medicare, and Medicaid in most states, do not pay for routine dental.

Medicare Advantage plans are available to people under 65 and on Medicare. There are Advantage plans are specially designed for people on both Medicare and Medicaid. These plans will have either a $0 premium or the premium will be covered by Medicaid. These plans also include drug coverage and many will have dental included. Your psychiatrist must accept these plans or you will not be able to see him so you’ll need to make sure to get on a plan that he accepts. Visit a local agent that works with all of the major companies available in your area. The agent can help you select the plan that is best for you and can make sure that your doctor accepts the plan. There is no extra charge using an agent.

If you are unable to find a plan that includes dental you can try a dental school where you can get good service for a reasonable cost. You can find the nearest dental school here: http://www.yourhealthplanadvisor.com/Dentalschools.html

David asks…

Will you call your Senator today to Vote Yes on the Sanders Amendment for Single Payer Healthcare?

Senate to Take up Bernie Sanders Single-Payer Health Plan Wednesday

WASHINGTON, December 15 – The Senate on Wednesday will debate for the first time in American history a proposal to create a single-payer, Medicare-for-all health care system.

“In my view, the single-payer approach is the only way we will ever have a cost-effective, comprehensive health care system in this country,” said Sen. Bernie Sanders (I-Vt.), whose amendment will come before the Senate.

The Sanders Amendment would provide health care and dental coverage for every American, save money, and improve health care results.

“One of the reasons our current health care system is so expensive, so wasteful, so bureaucratic, so inefficient is that it is heavily dominated by private health insurance companies whose only goal in life is to make as much money as they can,” Sanders said.

The 1,300 profit-making private insurance companies administer thousands of separate plans and waste about $400 billion a year on administrative costs, profiteering, high CEO compensation packages, and advertising. Health care providers spend another $210 billion on administrative costs, mostly to deal with insurance paperwork.

As a result, the United States spends $7,129 per person on health care, almost double the amount spent by nearly any other industrialized country. Nevertheless, 46 million Americans lack health insurance, 100 million Americans cannot access dental care, and 60 million Americans do not have access to primary care.

Sanders acknowledged that his amendment would not pass. “As a result of the power of the insurance and pharmaceutical industries, this amendment will not pass or even get very many votes. Nonetheless, given the view of millions of us that a single-payer approach is the only way this country will ever provide comprehensive, cost-effective health care to all its citizens, this is an important step forward.

“At the end of the day – not this year, not next year, but sometime in the future – this country will come to understand that if we are going to provide comprehensive quality care to all of our people, the only way we will do that is through a Medicare-for-all, single-payer system, and I am glad to be able to start that debate by offering this amendment.”

To read a summary of the amendment, click here:

http://www.commondreams.org/headline/2009/12/15-9

Patriot…while your post is more intelligent than the dittohead sheep on this board…you really drank the Koolaid…with no public option there is no way to stop the Health Insurance Companies from continuing to raise rates…and with weak Employer Mandates but Strong Individual Mandates with Fines-Americans will be forced to pay more for less coverage or pay a penalty! This all benefits the Insurance Industry and Bid Pharma-big contributers to Obama’s “Hope and Change” Campaign. The majority of Democrats are in bed with Wall Street, the MIC and Private Healthcare Lobbyists.

http://www.commondreams.org/view/2009/12/16-2

http://www.commondreams.org/headline/2009/12/16-5

Medicare Insurance AZ staff answers:

Waste of time, I called my senators to put the public option in, and we see they abandoned that in about 2 seconds

Helen asks…

Personal Finance Questions help?

1. Paul’s statement balence is $2384.19. He finds that he has check numbers 381 and 385 outstanding in the amounts of $143.72 and $462.90. He also has an outstanding deposit of $361.86. He reconciles the statement. What should the adjusted amount be?

a. $2746.05 b. $2846.15 c. $2139.43 d. $2628.95 or e. none of the above

I said E, am I right?

2. You teach in school. You are married and have family coverage for medical, dental, vision, prescription and term life insurance. The annual premiums are : $2690 for medical; $268 for dental; $120 for vision; $194 prescription; and $270 for life insurance. The school pays 85% for medical and prescription, 80% for dental and vision and 90% life insurance. You get paid semi-monthly (24x?) from september through may. How much is deducted from each paycheck?

a. 35.67 b. 52.74 c. 47.11. d. 29.84 e. none of the above.

I said 52.74.

3. Using the social security tax rate of 6.2% on the first $62,700 and medicare tax rate of 1.45% of all income, Maria has a gross weekly income of 502.16$. Her earnings to date for this year are $20,086.40. How much is deducted from her paycheck this week for social security?

a. 31.12 b. 7.28. c. 13.31 d. 8.72. e. none of the above.

I said $13.31?

4. Tara deposited $4325.90 in a savings account that pays 5.5% interest compounded daily. How much money will be in the account at teh end of 120 days?

a. 4325.90 b. 4338.78 c. 8743.98 d. 4404.46 e. none of the above.

I ruled out C and A. Im thinking None of the above??

5. Tom earns $67,710 a year and is paid semi-monthly (24x?). How much is deducted each pay period for social security if the rate is 6.6%?

a. 37.28 b. 79.71. c. 116.99 d. 159.42 e. none of the above.

I Said E?

6. Wes earns $30,140 annually as a new staff attorney. He is single and the state tax rate is 3.5% of taxable income. What amount is witheld from his monthly pay for state income tax? (personal exemption single = $1400)

a. 20.96 b. 87.91 c. 83.83 d. 79 or e. none of the above.

I’ve ruled out D.

7. You are a traveling sales representitive for lawn-care inc. You have medical, dental, term life insurance and travel insurance coverange through the company. Medical costs 1580, dental costs 194, and travel costs 92 per year. The company pays 80% of medical, 70% of dental and 85% of travel. Termal life is paid entirely by the company. How much is deducted from your pay each month for coverage?

a.32.33 b. 27.44 c. 25.96 d. 37.77 e. not given

I KNOW IT IS NOT B

8. Mark has a gross weekly income of 412.96. His earnings to date this year total 19,822.08. How much is deducted from his paycheck this week for social security if the rate is 6.2%?

a. 33.60 b. 29.50 c. 25.75 d. 24.60 or e. answer not given.

I ruled out D.

9. You are a locksmith and earn 18.80 an hour for 40 hours a week with a time and a half being paid for hours worked past 40. The state tax rate is 4.5% of taxable income, medical insurance is 1560 a year, of which the company pays 75%. Term life insurance is 195$ a year of which you pay 50%. Social security and medicare are withheld. What is your net pay for one week in which you worked 44 hrs, if you federal income tax withholding is 127$?

a. 600.94 b. 625.54 c. 700 d. 725.54 e. none

Im pretty sure it’s B. 625.54?

10. Carol earns 1500 each semi-monthly pay period. Her medical insurance osts 4760 a year, of which her company pays 70% of the costs. How much is deducted from her semi-monthly paycheck for medical insurance?

a.47.60 b.14.28 c.38.80 d. 59.60 e. none of the above.

Im pretty sure it’s 59.50…so E, none of the above.

can someone PLEASE help me correct these? I really really need the help :(

Medicare Insurance AZ staff answers:

Of the ones you completed, only (5) and (10) are correct. You need to go back and carefully read the questions.

Thomas asks…

If it was put to a vote to american people directly, would they choose the following single payor option ?

for healthcafe?

Every american becomes eligible to sign up for medicare if they choose to at any age. Medicare upgraded to include dental and vision coverage and all coverage becomes a flat 80% of anything you use it for medically related from doctors visits to surgery to hospital stay to routine dental and vision care to dental surgery or eye surgery, pharmaceuticals etc.. A $300 deductible would be applicable to all with some exceptions for those who cannot afford it. Adults could enroll for a monthly payment of $100 a month, and children under 21 could or up to 25 years old in school can enroll for $40 a month. To help pay for this, two taxes would be imposed 1) a national health care tax on all sales of 1% of all non food and clothing purchases with a cap of $100 on any single sales transaction and 2) a 1% national health care tax on anyone making over $50,000 per year up to $1 million income and 2% for any portion of anyone’s income that is over one million dollars.

Do you think the majority of americans (51% or greater) would say yes to this as an option availiable to americans for health care with the option still available for those who prefer to have private health care insurance still available if thats what they prefer?

THIS QUESTION IS NOT ASKING IF YOU WOULD ACCEPT THIS PLAN, BUT RATHER WHETHER YOU BELIEVE IF 51% OR GREATER OF THE AMERICAN CITIZENRY WOULD APPROVE OF IT.
just thought about an adjustment to help pay for it. Anyone making over $200,000 a year would pay $250 a month and their children $60 a month…..which is still a better deal than they can get in the private sector, and their annual deductible would be $1000.

Medicare Insurance AZ staff answers:

It would pass overwhelmingly and if we don’t make this basic step then we our industry will never again be able to be a serious player on the international stage.

Which of the following companies has to worry about the expense of healthcare for it’s workers?

Toyota
GM
mercedes benz
honda

if you picked GM you would be right – that would be the only one that just declared bankruptcy.

What exactly do health insurance companies actually contribute to anyone’s healthcare anywhere?

They’re not hospitals, they’re not doctors – why do we even need them?

Anyone who wonders why we have the most expensive healthcare (that ranks 35th by the way, in the developed world) need only look to this uniquely wasteful way of approaching this.

Why do we need the hugely wastful insurance companies anyway?

They’ve had their day and made their billions – time for them to get out from in between americans and their doctors.

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Your Questions About Medicare Part D

Daniel asks…

How much did the Bush Tax Cuts, Medicare Part D, and the Iraq War add to the debt?

i know it’s in the trillions. How much about?

Medicare Insurance AZ staff answers:

Over the past 10 years, each of those programs have added roughly 1 trillion or more to the debt.

The Bush Tax Cuts have been about 1.7 trillion, Medicare Part D so far has been over 900 billion, and the Iraq War has been around 900 billion.

Roughly 4 trillion altogether.

Helen asks…

Can you obtain secondary prescription drug coverage if you already have medicare part d?

Medicare Insurance AZ staff answers:

No you cannot, you have what you have. You cannot have two part D plans or in other words, you cannot have another prescription drug plan that will pay your copays for you. If you sign up for a new drug plan during the annual election period (Nov 15 – Dec 31) for coverage beginning Jan 1 of that year, Medicare will automatically disenroll you from your current plan, you don’t have to do anything, because it is unlawful for you to be in two plans at the same time.

Joseph asks…

does a person with Medicaid need the gap coverage when choosing medicare part D?

I need to know asap as I am in the middle of selection
thanks :)

Medicare Insurance AZ staff answers:

The simple answer is no, but this can get very confusing so first we need to make sure we have the definitions correct. A Medicare Supplement, or Medi-gap policy, is one type of policy and is seldom suitable for someone who is also on Medicaid because of the high premium.

There are also Medicare Advantage plans available and this is where the confusion comes in. Many people call the Advantage plans “gap” policies as well but they are not and no good agent will refer to them as gap.

There are several different types of Advantage plans; some are suitable and some are not. Those that aren’t do not coordinate with Medicaid and could end up costing you money that you wouldn’t pay otherwise. The best way to know which are suitable is to get one that is specifically designed to be used by someone on Medicaid. In most areas there are several such plans. These plans include Part D coverage. You could also ask a local agent that works with all the major plans in your area. The agent will know which are suitable and which are not. There are no extra fees using an agent.

Lisa asks…

What is the best medicare part d program?

Medicare Insurance AZ staff answers:

Your employer may have a coverage that is better than D, and D may pay them to keep you on that plan

if their plan isn’t better, you can get on medicare part d‘s gap plan, which fills the gaps between.

There are over 114 combo’s of this plan in one state alone. Speaking to your employer or benefits provider would better benefit. Check out the sources for some websites

Thomas asks…

Why did Republicans expand Socialized Medicine with Medicare Expansion Part D?

How can I vote for a party that supports socialized medicine? Even during this healthcare debate, the Republicans are continually pushing to keep the status quo of Medicare. If Ronald Reagan was still around, wouldn’t he be pushing for “less government” and a reduction in the cost of Medicare?

So can someone please explain to me the logic of Republicans expanding socialized medicine. How is this fiscal conservatism and less government? Why are they pushing to keep the status quo.

Medicare Insurance AZ staff answers:

Because old people tend to vote republican and it serves 2 purposes… It buys their votes and keeps them alive longer. So what if the deficit gets bigger because of it … The old folks won’t be paying that debt. Just another way for the baby boomers to screw the country.

Boomers are the most selfish and destructive generation we’ve ever had and they use the reputation of the generation before them (ww2 era) for their own purposes.

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Your Questions About Medicare Part A Covers

Paul asks…

What does Part A Medicare cover?

Medicare Insurance AZ staff answers:

Medicare part A covers in-patient procedures (hospital charges), part B covers out-patient procedures (doctor’s visit), and part D covers prescription drugs.

George asks…

Is Valium covered under the medicare part D plan? ?

When I look up medicare part D plan I can’t find a section any were that will allow you to type in drug name to see if it is covered.

So I am taking it that there is someone out there who can answer this ?
Thanks

Medicare Insurance AZ staff answers:

Stacie,
Just ask the Pharmacist at the hospital for a print out of the guidelines and a list of the contra-indications.
Ashleigh.

John asks…

Will medicare cover the cost or part of the cost for the easy speech device for stutterers?

im a 21yr old female in the usa
i am dissabled and on medicare

Medicare Insurance AZ staff answers:

Medicare is generally not available to anyone under 65 in the USA unless they are disabled and no, they won’t cover the device.

Linda asks…

will medicare part a and b cover weightloss surgery?

i am an disabled 28 year old I’m morbidly obese, hyperlipedemia, hypertension,sleep apnea, avascular necrosis, acid reflux disease. i have medicare and molina, my pcp has written a medical necessity i have had my egd, and bloodwork done , tomorrow i go for a psychological evaluation and i have 2 years of failed dieting and exercise my pcp feels that i could benefit from this surgery, i have already had a consultation with the weightloss dr. my question is can anyone out there that has experience or know if my insurance will approve me for the weightloss surgery. if not what are some of the things i can assist with in getting an approval

Medicare Insurance AZ staff answers:

There are 5 basic types of bariatric surgery. Medicare will not cover sleeve gastrectomy or vertical gastric banding. They will cover Roux-en-Y bypass (RYGBP), Biliopancreatic Diversion with Duodenal Switch (BPD/DS), and Laparoscopic Adjustable Gastric Banding (LAGB) under they following conditions: You must have a BMI of greater than 34, you must have at least one co-morbidity related to obesity, and you must have been previously unsuccessful with medical treatment for obesity. In addition, these procedures are only covered when performed at facilities that are certified by the American College of Surgeons as a Level 1 Bariatric Surgery Center or certified by the American Society for Bariatric Surgery as a Bariatric Surgery Center of Excellence.

You can find approved facilities on this website: http://www.cms.hhs.gov/mcd/search.asp?clickon=search If you contact these facilities they will help your further.

Sharon asks…

If we have a savings account, do we still get Medicare-Medicaid?

My wife is bipolar. Medicaid was covering Medicare (Part D I think) that I wrote a check out for monthly. We got her disability this month and it was $200 less. She talked to them and was told it ran out and the was for the last 2 months. And she needed to reapply again and until we get approved they would be giving her $100 less then she was getting a month. I had a savings account when we got married almost 3 years ago and so far the government keeps using that as an excuse to take more and more money away from us and they keep charging us for one thing or another they claim she owes them for older things. I know I have savings, but it’s been cut in half because of this since I married her, she works less then part time because of being bipolar and my work has not been on overtime in 3 years and I just got back to 40 hrs 4 months ago after being down to 32 hrs before that. My savings account was well over $20,000 when I met her, and ever since social security has seen that, I (we together now) have less than half of that. So, now I know why I see all the gang members children getting free programs at schools while mom and dad drive an Hummer. Should I just drain my savings account… then would they leave us alone? How much should I have in savings. I’m in Illinois, if that matters.

Medicare Insurance AZ staff answers:

Sounds to me like the problem is you are confusing three different programs.

Medicare and Social Security have absolutely NOTHING to do with your assets (savings account) She is entitled to these based on her disability alone.

Medicaid (if the household income is low enough) will pay for Medicare part B and D monthly premiums. If you have resources above $9900 (that’s savings, checking, IRA, Annuity, Stocks etc totalled together) they will no longer pay these things and thus you will see that cost for Medicare part B and D begin to get deducted from her check every month. Please be aware that part D is optional and can be changed to a lower cost plan (maybe something you want to look into).

If she is working more than 20 hours per week, expect her benefits to drop off as Medicaid income and asset guidelines go according to the Poverty level. The more your income, as a couple, increase it moves you further way from the poverty level the less public assistance you will qualify for.

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