Tag Archives: Could

US says 115000 could lose Obamacare insurance over immigration

US says 115000 could lose Obamacare insurance over immigration
WASHINGTON (Reuters) – The Obama administration on Monday said 115,000 people in 36 states could lose their private health insurance under Obamacare after Sept. 30, because of unresolved data problems involving their citizenship or immigration …
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In just a year Obamacare goes from top Congress issue to barely mentioned
Was it really only a year ago that we were gearing up for the big unveil of Healthcare.gov where the uninsured could seamlessly go online and shop for health care as they would their vacation travel? It was last September when Republicans sparred with …
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In one year, Obamacare goes from top congressional issue to barely mentioned
With so many other issues at center stage this fall, the health-care law is simply not on voters' minds. Our colleague Aaron Blake noted this month that polls show voters are generally unhappy with the country's direction, but few cite Obamacare as the …
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Apple’s supersized iPhones could leave people with small hands and pockets behind


Well Apple has gone and done what the world seems to have wanted it to do: make a big ‘ol iPhone — or two. But I’m sort of bummed. I highly doubt that I’m the only person on the planet who was not clamoring for a larger iPhone, though I’m sure that’s a minority viewpoint. When the iPhone 5 came out two years ago — just in time for me to upgrade from my aging but beloved 3Gs — I was psyched. The iPhone 5, at four inches, was a tad bigger than the 3.5-inch 3Gs, and the whole package sounded…

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New Milliman Study: Hepatitis C Drugs Could Increase Medicare Part D Spending by $2.9 to $5.8 Billion in 2015

Washington D.C. (PRWEB) July 29, 2014

New high priced hepatitis C drugs will increase federal spending in Medicare Part D by a projected $ 2.9 to $ 5.8 billion next year, according to a new report by the actuarial firm Milliman released today by the Pharmaceutical Care Management Association (PCMA). Milliman projects that average Part D premiums could increase by as much as 8.6 percent in 2015 as a result of high-priced hepatitis C drugs, including Sovaldi and Olysio.

The study finds that the majority of new Federal spending will come from increased federal reinsurance subsidies. Medicare payments for Part D catastrophic coverage have grown considerably faster than other components of Part D spending. According to the Medicare Payment Advisory Commission, between 2007 and 2012, payments have increased at an average annual rate of 14 percent while nearly doubling from $ 8 billion to $ 15.6 billion.

Milliman bases its cost projections on the assumption that 15 percent to 30 percent of the Medicare Part D population estimated to be infected with hepatitis C will receive an $ 84,000 course of treatment in 2015.

“While most payers cover about 75 percent of an enrollee’s prescription drug costs, Medicare Part D covers 95 percent at high spending levels,” said PCMA President and CEO Mark Merritt. “The study shows taxpayers will bear the lion’s share of the increased drug costs for Medicare Part D beneficiaries taking hepatitis C drugs.”

Click here to read the new report.

Major findings from the report include:

    New hepatitis C drugs, including Sovaldi and Olysio, will increase 2015 federal spending on Medicare Part D by $ 2.9 to $ 5.8 billion for beneficiaries enrolled in Medicare Prescription Drug Plans (PDPs), an increase of $ 100 to $ 200 per beneficiary per year.

    Average monthly premiums for Medicare PDPs are projected to increase 4.3 percent to 8.6 percent next year as a result of new hepatitis C drugs, an increase of $ 17 to $ 33 per beneficiary per year.

Milliman’s analysis measured the impact of these new drugs on the Medicare Part D program; the study did not include the effect of the drug therapy on other medical costs.

Related Medicare Enroll Press Releases

Intel and SMS Audio’s in-ear wearable fitness tracker could mark the beginning of a new Intel


While everyone is clamoring to get something on our wrists, most don’t actually record biometric information from their skin contact. Intel and SMS Audio decided to do something different by engineering something we already use and it could make Intel a major playing in the wearable market. “In the wearable space, we see a lot of hype. I don’t think the market is ever going to be that big if all we have are just square cellphones taped to your wrist,” says Mike Bell, General Manager of Intel’s New Devices Group. Instead the two companies have announced the SMS Audio BioSport In-Ear Headphones….

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Baby Boomer Community Could Stand to Lose Millions, If Not Well Informed on Medigap Plans and Healthcare

(PRWEB) July 17, 2014

Millions of individuals will turn 65 this year, and start their Medicare Part B. Turning 65 triggers the clock on the time seniors have to get their medicare supplement insurance plan without having to go through underwriting.

It is best for customers to buy a medicare supplement policy when they are first eligible because this “open enrollment” period allows the consumer to secure a plan without medical underwriting. Medical underwriting is when an insurance company reviews an applicant to make sure they are a “good risk” under the company’s acceptance protocol. This process includes thorough physicals, interviews and other tests that often eliminates people with even the most minor medical conditions making it difficult to acquire a plan.

Many people don’t realize they have limited time to get this coverage, without underwriting. They often find themselves in a situation where they have missed their window and can only apply for medicare supplemental insurance with a company that will make them go through the full underwriting process. If a person is ill or has standing conditions that would keep an insurance company from insuring them under their insurance policy, they surely would not want to miss an opportunity to get coverage without underwriting.

There are various incidents each day where seniors receive medical bills in excess of $ 4,000 with no way to pay for them. These people are now being denied supplemental plan coverage for current health issues in addition to already owing copious amounts for past medical expenses.

The insurance companies want save themselves money by insuring low-risk, healthy, individuals who will not likely need medical help. Being in this condition is the ideal time to acquire a plan, but when in perfect health, medicare supplement insurance coverage is not always a top priority, and often then circumstances of being over 65 does not place many people in an ideal state of health.

1-800-MEDIGAP compiles the best plan options and helps to remove the time consuming hassle of shopping around for a plan. 1-800-MEDIGAP has professional agents that are knowledgeable, insightful, and ready to give guidance on which plan options are best for specific situations. People shopping around for plans could spend hours trying to compare supplemental insurance plans on their own. 1-800-MEDIGAP is here to make the insurance search smother and less time consuming. No matter what insurance carrier a consumer chooses to go with, the facts are the facts. Don’t miss your opportunity to sign up for medigap supplemental insurance today.

Take advantage of the benefits of entering the golden age of over 65 and know what is available. Get the facts here.

More Medicare Enroll Press Releases

Samsung Gear Live review: Finally a smartwatch you could wear every day

For what seems like forever, companies have been telling us that wearables are here to stay and trying to sell them to the public in all types of crazy forms but nothing has really stuck. We’ve seen everything from fitness bands to smartwatches but nobody has managed to convince us that we need to wear something on our wrists all the time. That may have finally changed when Google announced its Android Wear platform last week at I/O, the company’s annual developer event. I saw the company unveil the platform first hand and have spent the week using the Gear Live as I travel…

This story continues at The Next Web

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58% Of Seniors Worried Their Health Plan Could Be Cancelled – According To New Poll By The Senior Citizens League

Alexandria, VA (PRWEB) March 20, 2014

One of the most politically incendiary issues of last fall’s Obamacare launch may turn into a major issue with senior voters in 2014, says The Senior Citizens League (TSCL), a nonpartisan seniors organization. According to a new poll released today by TSCL, 58 percent of seniors, including those over the age of 65, say that they are worried that their health plan could be cancelled to meet new Obamacare requirements, versus 42 percent who said they aren’t.

Most of TSCL’s members and supporters are seniors 65 and older with Medicare coverage. The poll, which was conducted late January to mid February, was designed to test seniors’ perceptions about the confusing new health law. It did not distinguish between seniors 65 and over who are covered by Medicare, and seniors under the age of 65 who are now required to have health insurance under the new healthcare law. The poll simply asked, “Are you worried that your health plan could be cancelled to meet new Obamacare requirements?”

“Clearly, older seniors with Medicare perceive themselves as affected by Obamacare,” states TSCL Chairman, Ed Cates. “That’s important for Members of Congress to understand, since public perception of issues decides elections,” he notes. “It would be a mistake to underestimate the concerns that Medicare – eligible seniors have about Obamacare, even though these individuals are not mandated by law to purchase a plan on the new federal health exchange,” he observes.

TSCL points out that older seniors have different Obamacare worries than those of seniors under the age of 65. “The 2015 rates for Medicare Advantage plans have yet to be announced, but seniors 65 and over are already worried that they could be affected by successive funding cuts made to plans under the new health law,” notes Cates.

The TSCL poll was conducted just prior to the Obama Administration’s recent announcement that healthcare consumers may be able to renew older insurance plans that don’t meet the health law’s benefit requirements for another two years — if their states allow it. “TSCL believes the new rule is important to protect individual policy holders from further disruption, but we remain concerned that the rule alone may not go far enough,” says Cates. “Another round of older plan cancellation notices would be due to go out just prior to election day, and that could be a determining factor for voters,” he adds.

What is your experience with Obamacare? TSCL is soliciting stories and comments from seniors. Visit TSCL at sLeague.org.

With about 1 million supporters, The Senior Citizens League is one of the nation’s largest nonpartisan seniors groups. Located just outside Washington, D.C., its mission is to promote and assist members and supporters, to educate and alert senior citizens about their rights and freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of TREA The Enlisted Association. Please visit http://www.SeniorsLeague.org or call 1-800-333-8725 for more information.

Related Obamacare Advantages Press Releases

Could Medicare be increased to pay 100% of medical expenses for seniors and double the medicare Premium?

Question by MAGANAME CATABAGE OBONGO: Could Medicare be increased to pay 100% of medical expenses for seniors and double the medicare Premium?
for all people who are medicare enrolled or would it not offset the cost?

People on Medicare pay a premium for it and also pay a premium for a supplemental policy to cover the 20% Medicare doesn’t cover, the supplemental policies are double the cost of the Medicare premiums and in some cases even higher, so could medicare double the premium and cover 100%?
For me if my Medicare premium were doubled and they paid 100% I would not need supplemental insurance and I could save $ 140.00 dollars a month and Medicare would double the amount I pay in for the other 20% of cost..

Best answer:

Answer by Insurance Pickle.com
No. It’s called “usage.” That’s why a $ 0 deductible isn’t just $ 1000 more a year than a $ 1000 deductible. The $ 1000 deductible could easily be $ 2000 a year or more cheaper. Why? Because people with a $ 0 deductible have no incentive to NOT go see the doctor, so the plans get USED more.

So, to answer your question, yes they could probably make it 100% coverage, but it would easily cost five times as much. That’s also why in our practice we generally don’t sell a company ONE health plan for their employees. We combine TWO plans (a main health plan and a hospital/surgical plan) because it’s greatly more cost effective…to the tune of 30-50% more effective.

Add your own answer in the comments!

Under Obamacare, Young People Could Pay $50 or Less for Health Insurance

Obamacare, young peopleAccording to a recent report released by the Department of Health and Human Services, half of the young adults eligible to purchase health insurance through the Affordable Care Act’s healthcare marketplaces could pay $ 50 or less per month for coverage. HHS Secretary Kathleen Sebelius says the new Obamacare law is making health insurance affordable for young adults.

Young Adults More Likely to be Uninsured

Of all the age populations in the United States, young people are the most likely to go without health insurance. This is mainly due to the fact that young adults are usually healthy and do not visit doctors very often. They would rather pay out of pocket for their care than pay the normally high costs of health insurance. However, if they do experience a major injury or illness, the bills could ruin them financially.

This is why the Affordable Care Act has focused on making health insurance more affordable for young adults. Through Obamacare, young people can access federal subsidies that can help them pay for their premiums each month. In addition, many of them may be eligible for Medicaid, which will allow them to gain access to low- or no-cost health insurance.

The HHS report examined data from the 34 states that are using the federal health insurance exchange to enroll residents in Obamacare plans. Out of the 2.9 million young adults who qualify for coverage through an exchange, 1.3 million are able to buy a Bronze plan for $ 50 or less per month after tax subsidies have been applied. Nearly 70 percent will pay less than $ 100 per month for a plan in 2014.

A young adult for this report was defined as a person between the ages of 18 and 34. Under Obamacare, young people under the age of 30 can choose to purchase an inexpensive catastrophic plan that would protect them in the event of a major health event such as an injury or illness. These plans are even cheaper than Bronze plans, but federal subsidies cannot be applied to catastrophic plans, so it may be better for young adults if they use the federal subsidies to purchase a Bronze plan instead.

Under Obamacare, Young People Can Apply For Medicaid Expansion Program

In the states that have elected to expand the Medicaid program, many young adults will pay nothing at all for health insurance because childless adults are now eligible for coverage under Medicaid. People whose incomes are up to 133 percent of the federal poverty level may be eligible for Medicaid in the states that have expanded the program. That equates to approximately $ 15,800 per year for a family of four.

If all states were to expand their Medicaid programs, almost 90 percent of all uninsured, single young adults would be able to find health insurance coverage for less than $ 100 per month. However, at this point, only 26 states have elected to expand their program. This means that right now, that percentage is hovering around 70 percent.

State-Based Exchange Data Not Known

There is limited data available in the states that chose to develop their own health insurance exchanges because the HHS does not have all the premium information at their disposal. This is why only the states participating in the federal exchange have been included in the report. In those states, there are 7.2 million uninsured young people who are eligible to buy insurance through the federal exchange.

The results of this report indicate that reports of higher insurance rates under Obamacare may be greatly exaggerated. Under Obamacare, young people across the country will be able to get insurance at a very affordable rate. The success of the Affordable Care Act depends on this segment of the population signing up for policies to offset the costs of older, sicker Americans.

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