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Post by Atticus Pizzaballa on Nov 18, 2022 10:22:28 GMT -5
New Start Dates for Medicare Part B Coverage Coming in 2023 What is not changing: If you are eligible at age 65, your Initial Enrollment Period (IEP): Begins three months before your 65th birthday. Includes the month of your 65th birthday. Ends three months after your 65th birthday. If you are automatically enrolled in Medicare Part B or if you sign up during the first three months of your IEP, your coverage will start the month you’re first eligible. If you sign up the month you turn 65, your coverage will start the first day of the following month. This won’t change with the new rule. What is changing: Starting January 1, 2023, your Medicare Part B coverage starts the first day of the month after you sign up, if you sign up during the last three months of your IEP. Before this change, if you signed up during the last three months of your IEP, your Medicare Part B coverage started two to three months after you enrolled. If you don’t sign up for Medicare Part B during your IEP, you have another chance each year during the General Enrollment Period (GEP). The GEP lasts from January 1 through March 31. Starting January 1, 2023, your coverage starts the first day of the month after you sign up. You can learn more about these updates on our Medicare webpage and our Medicare publication. Please pass this information along to someone who may need it. blog.ssa.gov/new-start-dates-for-medicare-part-b-coverage-coming-in-2023/?utm_medium=email&utm_source=govdelivery |
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Post by BHU on Nov 18, 2022 17:31:57 GMT -5
All I know is if you're on Medicare you damn well better have a supplemental policy because Medicare payments sometimes are only a fraction of what they're billed. I'm glad I was able to get a supplemental through my employer when I retired. I had 2 CT lung scans this year because I smoked for many years & I was responsible for only a co-pay because of the supplemental policy.
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Post by chris on Nov 24, 2022 19:19:07 GMT -5
I have a Medicare Advantage plan that covers A B& D so I dont think any of the applies to me. My premiums stayed the same but my dental plan thru employer went up 3.00.
My BC plan has dental so I had my dentist submit bal to BC and it got covered in full saved 106.00
First time I submitted to another ins what the first insurance didnt pay.
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Post by chris on Nov 30, 2022 18:12:49 GMT -5
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Post by Atticus Pizzaballa on Nov 30, 2022 20:09:28 GMT -5
I don't understand any of this insurance stuff. All I know is I have Medicare Part A and B and Part D. I get the premium for Part B back into my checking account. My other insurance is Medicaid which I am being screwed by. I have to pay a spend down ( pay the County my excess income to make me at the correct level of poverty) in order to claim coverage. So right now that $250. If I do not pay that each month that I have a Doctor appointment I am not covered. I have to call United Healthcare to find out what I would get with their dual eligible plans and if I would have to pay that excess income to be qualified!!!! Makes no sense to me. Come Jan 5th I have a Doctors appointment to see if my lungs have improved from the pneumonia I had back in September. That visit would normally cost $49. after my deductible is paid but now that the new year begins the deductible will have to be paid again and last year it was $233....I will be glad when I am dead!!!!!
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Post by kit on Dec 1, 2022 8:18:40 GMT -5
Atticus, If you pay the spenddown for a particular month, or for several months, and the bills don't amount to what you've paid, that overage accumulates and at the end of the year Medicaid returns the unused money to you. At least that's what they did with me.
I just had lung cancer surgery and paid 4 months of spenddown only to find out that Medicaid does not cover in-hospital procedures. Bummer! The hospital bill amounted to $23,000.00. Thankfully, Humana paid most of it, but of course I'm responsible for the rest.
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Post by BHU on Dec 1, 2022 15:56:50 GMT -5
Medicaid does not cover in hospital procedures? Holy crap! Not doubting your word but I've never heard of that. Hope you're doing ok...
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Post by Clipper on Dec 1, 2022 16:23:44 GMT -5
Wow. Medicare doesn't cover hospital stays and inpatient procedures? So they are saying that they will take care of you unless you get REALLY SICK and are in urgent need of specialized care. In plain English, that sucks.
I hope that the surgery was successful in eradicating the cancer Kit. I didn't realize you were sick. Prayers for successful recovery.
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Post by Atticus Pizzaballa on Dec 1, 2022 17:06:21 GMT -5
Atticus, If you pay the spenddown for a particular month, or for several months, and the bills don't amount to what you've paid, that overage accumulates and at the end of the year Medicaid returns the unused money to you. At least that's what they did with me. I just had lung cancer surgery and paid 4 months of spenddown only to find out that Medicaid does not cover in-hospital procedures. Bummer! The hospital bill amounted to $23,000.00. Thankfully, Humana paid most of it, but of course I'm responsible for the rest. Gee! Kit I did noit know that concerning your health. I pray you are doing better. I also did not know that Medicaid did not cover in-hospital procedures which is totally ridiculous. I would not pay anything. I had a Biopsy many years ago and had to kill out paper work amounting to the fact that I would be responsible for the medical bills. I never sign that type of paper work. At least when I was not working and on Medicare and Medicaid. Anyway I had to wait for someone to do there thing concerning that and they brought out more paper work which asked if I made more the $30,000 per year. At that time I was on SSI and bring in like $800/month. Rent, food, clothing cleaning supplies for self care and apartment care ate that up so they said I did not have to pay anything. That was at St Lukes and I was very appreciative of that because I would have just refused care. I did not have cancer it was 7 nodules of sarcoidosis. As of now 6 have just up and left my lungs but much scaring due to so many Cat Scans and x-rays and pneumonia. Yes I do know that what is left over in the money I have to pay for spend down is returned to me but I have to wait one year. I did that the first several years of my spend downs and I couldn't do anything due to no money. I do enjoy a concert or play or movie at the Museum. |
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Post by Atticus Pizzaballa on Dec 1, 2022 17:09:03 GMT -5
I will have to remember that in case the Doctor wants me to be placed in hospital because of this crazy lung issue. I will NOT go they can send a nurse here and telehealth me!!!! At 75 I do not care anymore!!!!~
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Post by kit on Dec 2, 2022 8:52:26 GMT -5
I have to clarify what I said earlier. Medicaid will pay for procedures done in the hospital providing it's an ambulatory procedure like X-rays, scans, minor surgeries, etc. (in-and-out), but does not pay if you are admitted to the hospital as an in-patient. I hope that clears it up.
By the way, I'm doing fine from the surgery. The doctor says he was able to remove the whole tumor and there was no sign of metastasis. He was encouraged, and so am I. Thanks for your concern.
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Post by Clipper on Dec 2, 2022 8:58:38 GMT -5
I have to clarify what I said earlier. Medicaid will pay for procedures done in the hospital providing it's an ambulatory procedure like X-rays, scans, minor surgeries, etc. (in-and-out), but does not pay if you are admitted to the hospital as an in-patient. I hope that clears it up. By the way, I'm doing fine from the surgery. The doctor says he was able to remove the whole tumor and there was no sign of metastasis. He was encouraged, and so am I. Thanks for your concern. That is good news indeed Kit. Glad to hear that you are doing okay. |
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