Elder Care ABC

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, [...]

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 [...]

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 [...]

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 [...]

There’s an old saying, “the squeaky wheel gets the grease.” Well I became the squeaky wheel regarding the denial of a 30 day temporary prescription fill by AdvantraRx, our Medicare Part D provider. First, our complaint was filed with Medicare and I cannot stress enough for anyone who has ANY issue with ANY provider of [...]

By by Mary Jane Stern Just the other day I started writing a blog about AdvantraRx our Medicare Part D provider for 2009 and 2010.  This year, 2010, they reclassified a drug my husband takes as a Step Therapy (ST) drug and would not honor his prescription unless he took another medication or paid for [...]

by Mary Jane Stern After an ongoing audit, on March 09, 2010, Medicare announced they terminated their contract with Fox Insurance Company effective immediately: “The Centers for Medicare & Medicaid Services (CMS) today terminated its contract with Fox Insurance Company.   After an onsite review of the plan and its services, CMS determined that the plan’s [...]

By Mary Jane Stern Now Legal To Buy Canada Prescription Drugs Cautiously Wow great new from the US Senate.  They passed a bill making it legal to purchase prescription drugs from Canada over the Internet here in the USA. Extra Eldercare Help for Prescription Drugs The Medicare Prescription Drug program gives you a choice of [...]