The Medicare Answer Book

Author : David A Pratt
Publisher : Aspen Publishers
ISBN 13 : 9781454804970
Total Pages : pages
Book Rating : 4.8/5 (49 download)

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Download or read book Social Security and Medicare Answer Book, Fourth Edition written by David A Pratt and published by Aspen Publishers. This book was released on 2010-10-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Social Security and Medicare Answer Book" provides the specific guidance you need so you can ensure your clients receive maximum benefit under the law. Get answers to vital questions such as: Does the 2010 health care reform legislation change the benefits under Part B? How has the Social Security Administration revised the disability determination process? What is the amount of an individual's Social Security benefit? Does my client need insurance to supplement Medicare? Does Medicare cover long-term care? What level of retirement income will be needed to supplement Social Security? At what point are benefits lost if an individual continues to work beyond retirement age? And many more! "Social Security and Medicare Answer Book"contains separate, in-depth sections devoted to: Social Security: You'll find detailed explanations of the types of benefits available, who qualifies, how to apply, and what to do if you are denied benefits. You'll learn how to calculate benefits and when and how benefits may be lost. Medicare Part A: You'll find detailed explanations of the coverage and rules for each of the categories covered under Part A, namely, inpatient hospital care, skilled nursing facilities, home health services, and hospice care. Medicare Part B: You'll get full details on the specific services covered under Part B, including outpatient and partial hospitalization, home health services, nurse-midwife services, dental/eye care services, mental health services, and prescription drugs. Medicare Advantage: Sometimes called Medicare Part C (formerly Medicare + Choice), you'll get in-depth explanations of the expanded range of choices potentially available to Medicare beneficiaries including provider-sponsored organizations, private fee-for-service plans, and medical savings accounts. Medicare Part D: Learn the details of the best known feature of the sweeping Medicare reforms providing for the voluntary prescription drug program. "Social Security and Medicare Answer Book" has been updated to include: An updated Introduction, including the current financial status for Social Security and Medicare and the future outlook for both Social Security account statements Electronic payment of benefits Reduction of FICA taxes for 2011 Final rules about claiming Social Security retirement benefits and then suspending payments Updated average monthly Social Security benefit payments Demonstration project for alternative test for being insured for disability benefits Final rules on stepchild's benefits Regulations for improving the disability determination process Rules finalized regarding time and place of administrative law judge hearings Income-based premiums for Medicare Part B MMSEA Section 111 Mandatory Reporting GHP User Guide Time frame under health care reform for filing Medicare benefits claim for fee-for-service services Final rule for review of end-stage renal disease determinations Proposed rule regarding providing beneficiaries with written contact information for QIOs and state agencies Medicare Advantage program proposed rule, capitation rates, and CMS annual Call Letter Annual coordinated election period Medicare Advantage regulations as a result of health care reform legislation Changes to the coverage gap for Part D plans Income-related monthly adjustment for enrollees in Part D plans Legal challenges to the Patient Protection and Affordable Care Act Multi-payer Advanced Primary Care Practice Demonstration Project New section on Accountable Care Organizations Updated premium and benefit amounts, statistics, cases, and regulations throughout