Healthcare providers and people with Medicare will be able to use secure look-up tools that will allow quick access to the new Medicare numbers when needed. There will also be a 21-month transition period where doctors, healthcare providers, and suppliers will be able to use either their current SSN-based Medicare Number or their new, unique Medicare number, to ease the transition.
CMS is offering equitable relief to certain individuals enrolled in both Medicare Part A and coverage through the Marketplace for individuals and families to enroll in Medicare Part B without penalty. Further, CMS is offering equitable relief to certain individuals who dropped or lost their coverage through the Marketplace and are paying a late enrollment penalty from their subsequent late enrollment into Medicare Part B. These eligible individuals can have their penalty reduced. Individuals can apply for the Medicare Part B enrollment opportunity and reduction in late enrollment penalties during a limited time – it is available now and ends September 30, 2017.
Medicare can be the secondary payer in situations where they don’t provide the primary health insurance coverage or when another insurer may have the primary responsibility for covering the claim. However, even when Medicare is the secondary payer, they still may not cover all of the remaining health care costs associated with the claim.
Consumers who are identified as enrolled in MEC Medicare and a Marketplace plan through Medicare PDM should return to their Marketplace application and end their Marketplace coverage or Marketplace financial assistance. Consumers may have to pay back all or some of the APTC paid on their behalf for months they had both Marketplace coverage with APTC and MEC Medicare, when they file their federal income tax return.
Providers and beneficiaries will both be able to use secure look up tools that will support quick access to MBIs when they need them. There will also be a 21-month transition period where providers will be able to use either the MBI or the HICN further easing the transition.
CMS identified violations of Part D formulary and benefit administration requirements that resulted in UnitedHealth’s enrollees experiencing inappropriate denials of and/or delayed access to Part D prescription drugs at the point of sale. UnitedHealth’s violations include:
The Centers for Medicare & Medicaid Services (CMS) announced the 2017 premiums for the Medicare inpatient hospital (Part A) and physician and outpatient hospital services (Part B) programs.
The California Department of Insurance is alerting seniors and their advocates to be on their guard against improper sales practices during the annual open enrollment period for Medicare Advantage plans (Part C) and the Medicare Prescription Drug (Part D) Program.
The Centers for Medicare and Medicaid Services have released the 2017 Medicare Advantage Star Ratings in an effort to help guide Medicare beneficiaries in their selection of a MA-PD or Prescription Drug Plans during open enrollment.
There are errors on the Medicare Plan Finder website, Medicare.gov, and within the “2017 Medicare & You Handbook” regarding some Anthem Blue Cross Medicare Advantage plans. The errors are limited to the state of California (CA) and include the counties of Santa Clara, Kings, Tulare, Madera, Stanislaus, San Bernardino, Riverside and Fresno. The benefit information for Fresno MediBlue Plus (HMO) Plan is incorrect, and the service area information for Santa Clara, Kings, Tulare, Madera, Stanislaus, San Bernardino, and Riverside counties is also incorrect.