Recent Posts by Mary Jane

How To Report Medicare Fraud

by Mary Jane Stern Do you suspect Medicare fraud?  Are you reluctant to report it?  Reporting any type of fraud helps protect yourself, Medicare and millions of others who might be a potential victim. Every Medicare beneficiary receives a payment notice from Medicare. It’s called the Medicare Summary Notice (MSN).  Take a few minutes to…
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Do You Know How to Spot Medicare Fraud

by Mary Jane Stern Protecting yourself from Medicare fraud is the first thing you need to do.  But learning how to identify or spot fraud is equally important. During 2009 the Department of Justice recovered nearly a billion dollars in health care fraud.  Plus they recorded 300 convictions.  Look at what they are currently pursing…
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Medicare Part D Complaint – Resolved

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…
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Medicare Part D Retiree Drug Subsidy

by Mary Jane Stern With the overhaul of healthcare and a 2,000+ page document there are many items that have not made the “front page” yet.  It has been well publicized over the next 10 years the donut hole in Medicare Part D will be closed. However, recent articles are talking about a tax loophole…
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No Pre-existing Condition Clause with Medicare

by Mary Jane Stern If you are a Medicare beneficiary the one thing you know is that Medicare has never discriminated against anyone who had a pre-existing condition.  You were accepted and had quality-affordable healthcare. With the historic passage of Healthcare Reform in the USA on March 21, 2010, now everyone in the USA can…
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Fox Insurance Co. Terminated as a Medicare Provider

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…
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Top Ten 2009 EldercareABC Posts by Mary Jane Stern

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…
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What Caregivers Should Know About Medicare and Alzheimer’s

by Mary Jane Stern When my husband and I were living in New England we met a wonderful couple, Morley and Ruthie.  At that time, Morley was 94 and Ruthie was 78, a second marriage for both. Morley was a dedicated husband and took wonderful care of Ruthie who had Alzheimer’s disease. Of course both…
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A Different Medicare Advantage Plan – PACE

by Mary Jane Stern If you are a caregiver and need some extra help without having to put your loved one in an institutionalized setting, nursing home consider PACE – Programs of All Inclusive Care for the Elderly.  It works like the Medicare Advantage Plans (Part C). The major difference, it’s a plan that focuses…
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No COLA for 2010 Part D Premiums Rising

by Mary Jane Stern It has been reported there will be no COLA (Cost of Living Adjustment) for 2010 and you would hope there would no increases in other areas of Medicare premiums for your healthcare.  But, in a press release from CMS, August 14, 2009, premiums for Part D will rise in 2010. What…
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