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To be a Medicare Agent's source of information on topics affecting the agent and their business, and most importantly, their clientele, is the intention of this site. Sourced from various means rooted in the health insurance industry - insurance carriers, governmental agencies, and industry news agencies, this is aimed as a resource of varying viewpoints to spark critical thought and discussion. We welcome your contributions.
Wednesday, May 3, 2023
Every Now and Then You Win One
Debt a Big Concern as Senior Living Industry Nears Period of ‘Creative Destruction’
Debt a Big Concern as Senior Living Industry Nears Period of ‘Creative
Destruction’ |
Senrio living is standing at the precipice of renewal — but to get there, operators will have to put up with more uncertainty and hardship in the meantime. |
14 Quotes About Bouncing Back From Hardship
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Dallas woman pleads guilty to $7 million COVID-19 testing insurance scam
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Free tampons in Texas school bathrooms?
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Ankle monitor bill spurred by Methodist Dallas hospital shooting heads to Gov. Abbott
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Monday, May 1, 2023
Health systems in limbo as Medicaid redeterminations get underway
Health
systems in limbo as Medicaid redeterminations get underway
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The federal
government allowed people to remain on Medicaid during the COVID-19 pandemic,
even when their income should’ve excluded them from the program. |
The Future-Ready Financial Advisor: Financial advisors need to add more value to their ideal clients every year!
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IntegraCare CEO: To Fix Staffing, More Senior Living Operators Should Think Like Manufacturers
IntegraCare CEO: To Fix Staffing, More Senior Living Operators Should
Think Like Manufacturers |
Like many other industry executives,
IntegraCare CEO Larry Rouvelas sees staffing as the top challenge ahead for
operators. But he takes a slightly different mindset. Read More |
Updates to Coverage for COVID-19 Tests
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Updates to Coverage
for COVID-19 Tests
The
COVID-19 Public Health Emergency is to end on May 11, 2023. The ending of the
Public Health Emergency may impact an individual’s coverage of COVID-19
tests. We encourage you to know these changes and share the New Consumer Fact
Sheet on COVID-19 tests. Consumer Fact Sheets:
Before May 11,
2023 If you have any type of health
insurance, you can get up to eight over-the-counter tests per month with no
out-of-pocket costs. Over-the-counter tests are available in most pharmacies
and may also be available online for delivery. After May 11, 2023
Laboratory tests for COVID-19
that are ordered by your provider will still be covered with no out-of-pocket
costs for people with Medicare. Over-the-counter tests will still be
available, but there may be out-of-pocket costs. Coverage of over-the-counter
tests may vary by your insurance type, as described below. What does this
mean for Medicare Beneficiaries? Generally, Medicare doesn’t cover or pay for over-the counter
products. The demonstration that has allowed us to offer coverage for COVID-19
over-the-counter tests at no cost ends on May 11, 2023. However, if you are enrolled in Medicare Part B, you will
continue to have coverage with no out-of-pocket costs for appropriate
laboratory-based COVID-19 PCR and antigen tests, when a provider orders them
(such as drive-through PCR and antigen testing or testing in a provider’s
office). If you are enrolled in a Medicare Advantage plan, you may have
more access to tests depending on your benefits. Check with your plan. What does this
mean for people with Medicaid or Children’s Health Insurance Program? If you have coverage through Medicaid or the Children’s Health
Insurance Program, you will have access to COVID-19 over-the-counter and
laboratory testing through September 30, 2024. After that date, coverage of
testing may vary by state. What does this
mean for people with Private Insurance? If you have private insurance, coverage will vary depending on
your health plan. However, private plans won’t be required by federal law to cover over-the counter and
laboratory-based COVID-19 tests after May 11, 2023. If your insurance chooses to cover COVID-19 testing, they may
require cost sharing, prior authorization, or other forms of medical
management. |
Centers
for Medicare & Medicaid Services (CMS) has sent this update. To contact
Centers for Medicare & Medicaid Services (CMS) go to our contact
us page. |