Medicare Part D: 2011 Coverage Gap (Donut Hole)

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  • Posted on Aug. 30th, 2010

Recently on one of our blog posts we had a comment regarding the 2011 contributions while in the Coverage Gap (Donut Hole) and how the total out-of-pocket expenses would be allocated until a beneficiary reached catastrophic coverage.
Medicare has changed some of its wording and makes reading a little more confusing as to what will actually [...]

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Medicare Coverage of Medical Nutrition Therapy

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  • Posted on Aug. 27th, 2010

You can pick up a newspaper or a magazine and you will find articles about diet and nutrition to help with the management of certain diseases.  Medicare covers Medical Nutrition Therapy (MNT) for people with diabetes or renal diseases to help them manage their conditions.
What is Medical Nutrition Therapy?
Medical Nutrition Therapy includes nutrition, therapeutic, and [...]

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Medicare Outpatient Services

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  • Posted on Aug. 23rd, 2010

There’s a lot to learn about Medicare Outpatient Services.
A few weeks ago my husband went in for a cardiac catheterization and stent placement. With a stent implant you have to spend an overnight in the hospital. I assumed the hospital stay would be covered under Medicare Part A, but it’s not – it falls [...]

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Tougher Penalties for Medicare Scammers

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  • Posted on Aug. 16th, 2010

By Mary Jane Stern
During July 2010 Attorney General Eric Holder and Health and Human Services Secretary Kathleen Seblius made South Florida their first stop of a seven city itinerary for Regional Healthcare Fraud Prevention Summits as part of the Obama Administration’s effort to crack down on health care fraud.
A recent study reported South Florida as [...]

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Silver Sneakers for Older Adults Not On Medicare

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  • Posted on Aug. 13th, 2010

By Mary Jane Stern

One of my recent blog posts was about the “extras” some of the Medicare Advantage Plans offer to their members and one “extra” was the Silver Sneakers Program.
About 6 months ago I decided to join a gym because I was out of shape and as we mature, it is so important to [...]

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What is a Medicare Part B Excess Charge?

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  • Posted on Aug. 2nd, 2010

by Mary Jane Stern

Many people struggle trying to understand what a Medicare Part B Excess charge is.  I know I did initially. It’s an additional charge a physician or other healthcare provider can charge.
There are many doctors and facilities who accept the Medicare allowed charge.  However, there are also doctors and other healthcare providers [...]

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Medicare Advantage Plans Offer SilverSneakers Fitness Program

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  • Posted on Jun. 28th, 2010

Some of the Medicare Advantage plans have a really great benefit offering the SilverSneakers Fitness Program.

What is SilverSneakers?

SilverSneakers is a fitness program for Medicare Advantage members offering programs that encourage older adults and seniors to become involved in physical activity and at the same time offers a social activity.

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Medicare Requirements for a Skilled Nursing Facility

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  • Posted on Jun. 14th, 2010

By Mary Jane Stern
Someday it could happen and you need the services of a Skilled Nursing Facility (SNF).  Whether you are enrolled in Original Medicare or an Advantage Plan you should have a basic understanding of the requirements, because these facilities can become quite expensive and might become your financial responsibility.

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Mary Jane Stern's Profile
Mary Jane Stern Mary Jane Stern became involved with Medicare as a result of her husband's disability during 2003. With so many different options within the Medicare system she spent the time to thoroughly research and establish what the best options were for her husband's medical needs.