Tag Archives: health care

How Do I Enroll in Medicare?

If you are new to Medicare, you can follow these easy steps to help to prepare for your Medicare enrollment.

Determine Your Eligibility The first step you need to take for Medicare enrollment is to find out if you are eligible. You should meet the eligibility requirements if you can answer yes to one of the following questions:
Are you age 65 or older?
Are you under 65 with certain disabilities?
Do you have End-Stage Renal Disease (kidney failure that requires transplant or dialysis)?

If you already receive Social Security Benefits, you will automatically be enrolled in Medicare Part A and B the month you turn 65. Three months prior to your birth date you should be

Latest Enroll Obamacare News

9000 Ill. inmates enroll in Obamacare
COOK COUNTY, Ill. — Rising mental health problems at the Cook County Jail have prompted nearly 9,000 inmates to sign up for Obamacare, according to Cook County Sheriff Tom Dart. NBC Chicago reports that Dart said that health care services for the …
Read more on CorrectionsOne

Under Obamacare, some workers to be auto-enrolled in health plans
Under the law, companies with more than 200 full-time workers have to enroll new, full-time employees in one of the company health plans unless the employee chooses not to join. Employers are waiting for the Department of Labor to issue regulations …
Read more on CNNMoney

9000 Cook County Jail Inmates Enroll in Obamacare Amid Mental Health Crisis
Cook County Sheriff Tom Dart says nearly 9,000 inmates have signed up for Obamacare amid a rising mental health problem in county jail. "Systemically, over the course of decades, we've sort of carved back all the mental health services to the point …
Read more on NBC Chicago (blog)

Exigent Med Group, LLC to Launch SelfPayMD in September


Miami, FL (PRWEB) July 26, 2014

Exigent Med Group, LLC announced the scheduled September launch of SelfPayMD (SPMD), the first of five medical offices in Miami-Dade dedicated to providing deeply-discounted, “direct-access” to board certified Primary Care Physicians (PCP) to self-pay patients. Absolutely no health insurance will be accepted.

Even the best health insurance companies pay MDs only 20% to 25% of billed amount, while the latter shoulders rising overhead and labor-intensive collection efforts.“We do not accept any type of health insurance,” said Dr. Arroyave, MD, CEO. “Credit/debit card payments eliminate paperwork, billing and collection staff, and the huge savings allow $ 75 visits for the uninsured.”

As a direct result of diminishing reimbursements and rising overhead costs (long before the Affordable Care Act, aka: ObamaCare), some PCPs refused government or private insurance, opting for a 100% direct- access practice model. Currently in the US, direct-access accounts for 4%-6% of primary care medical practices – and growing. Even in England, with decades of socialized medicine, direct-pay is growing at 5% per year.

“Understanding our market of self-pay patients, we don’t stop there; we also navigate them (as needed) to a network of independent medical and surgical specialists, labs, imaging centers and even SurgiCenters offering deep discounts to direct-access patients – a free service to our patients. Patients are seen by appointments and walk-ins. “Membership is optional, at only $ 250 per year for individuals,” said Arroyave. “We will also offer special membership pricing to families and employers with less than 50 employees.”

Although ObamaCare provides health insurance for the poor, many in the middle-middle class who don’t qualify for subsidies will be unable to afford health insurance. Then there are those who will game the system, providing false information to get subsidies, and some young people who will opt for the small penalty rather than pay high premiums. Further, those with mandatory high deductibles of $ 5K – $ 9K may shop around for low, “out-of-pocket” prices. The government estimates that about 4 million people, or 1.2% of the population, will wind up paying the penalty tax rather than purchase health insurance. Healthcare experts believe that number is way underestimated, as there will be millions flying under the radar – without insurance.

Increased insurance rolls, a shortage of physicians, and more government control of healthcare access will result in long wait-times to be seen by a PCP. ObamaCare will add 32 million patients to the insurance rolls, and, by the government’s own admission, they expect a shortage of 52,000 PCPs by 2020. Even with the full implementation, they also predict that over 30 million people will remain uninsured (you read correctly)! This will lead to congestion.

Today in Massachusetts, with its mini-ObamaCare, the wait time to see a PCP is about two months; and, if patient care at VA Hospitals is an indication of things to come from more government involvement in health care, long appointment wait-times will be the norm. “Thus, many insured patients who want to be seen quickly will come to SPMD, even if they have to pay a small out-of-pocket fee,” said Chris Merlano, a senior executive with SPMD.

Corporate America is taking notice of direct-pay primary care models. “People will always need PCPs, regardless of recession or inflation. This is an opportunity for serious investors,” said Larry Chilson, a senior executive with DevelopMED since 2006.

For more information please contact:

Exigent Med Group, LLC

Marketing |Public Affairs | Communications

444 Brickell Avenue, Suite 51-121 | Miami, FL 33131| O 305.252.7921

contact(at)selfpaymd(dot)com | http://www.SelfPayMD.com







The 8 Biggest Myths About ObamaCare: NCPA Report


Dallas, TX (PRWEB) May 29, 2014

While millions of Americans have already lost their health coverage due to ObamaCare, many more will see their health care disrupted as the new law changes the American health system, according to a new report from the National Center for Policy Analysis that debunks eight of the most pervasive myths surrounding the Affordable Care Act.

“Two months after ObamaCare’s open-enrollment finished, the cracks are showing,” says NCPA Senior Fellow John R. Graham. “Millions of people have lost their health benefits and have signed up for ObamaCare plans in health-insurance exchanges. They are discovering that they have limited access to care, and were even misled about which doctors are in their provider networks. Medicare, hospitals, skilled nursing facilities, and home-health care were raided for billions of dollars to pay for this new health program, which is already broken.”

For example –

Myth: If you like your health plan, you can keep it.


    Actually, 6 million people have had their insurance policies canceled, and another 19 million are enrolled in private health plans that do not comply with the Affordable Care Act’s requirements.
    Business’ employee health plans were supposed to be grandfathered into the law, but they lose that protection when small changes — such as a change in the deductible — occur.
    A government memo predicts that up to two-thirds of Americans with employer-provided health insurance will have to switch to more expensive, regulated plans and that, eventually, all plans will lose their grandfathered status.

Myth: If you like your doctor, you can keep your doctor.

    In reality, many exchange plans have narrow networks that limit a patient’s choice of doctor. In fact, a staggering 70 percent of California physicians are not in California’s exchange networks.
    Without an influx of new doctors, there is no realistic way to meet the demand that will be created by 26 million newly insured who seek to double their health care consumption. By 2015, the Association of American Medical Colleges predicts a shortfall of 21,000 primary care doctors.

Myth: There is an employer mandate to offer affordable coverage.

    Actually, an employer is fined $ 2,000 for each employee if he refuses to provide health coverage. $ 2,000 is generally cheaper than the cost of health benefits, so many employees will stop offering health insurance.
    Moreover, the Affordable Care Act incentivizes self-insured employers to offer very expensive coverage and require their employees to pay up to 9.5 percent of their wages in premiums and the full cost of coverage for their families. If an employee turns down this offer from his employer, he is not entitled to subsidies in the exchanges.

Myth: Health reform will lower the cost of health insurance by $ 2,500 a year per family.

    In fact, coverage will become more expensive for everyone outside of a small portion of older, low-income adults who have access to highly subsidized exchange coverage.

Graham also said, “The myths peddled by the Administration to sell ObamaCare are not harmless fairy tales, they have resulted in a program that is harming people’s access to health care.”

Full text: The Biggest Myths of ObamaCare: http://www.ncpa.org/pdfs/ib144.pdf

The National Center for Policy Analysis (NCPA) is a nonprofit, nonpartisan public policy research organization, established in 1983. We bring together the best and brightest minds to tackle the country’s most difficult public policy problems — in health care, taxes, retirement, education, energy and the environment. Visit our website today for more information.







Related Enroll Obamacare Press Releases

Latest Medicare Enroll News

UnitedHealthcare service sends out tips and reminders
According to Denise Puskaric, senior director of Quality Management and Performance for UnitedHealthcare, a study found that 79 percent of individuals enrolled in Medicaid send text messages compared to 43 percent of this enrolled in Medicare and 68 …
Read more on New Pittsburgh Courier

Quadrant 4 Announces U.S. Federal Government Agreement With the Centers
Quadrant 4 Health is the only pure technology company to achieve Web Broker Entity Agreement status with the Centers for Medicare & Medicaid Services (CMS) that offers benefits administration, private exchanges for groups, and private exchanges for …
Read more on GlobeNewswire (press release)

Health care coverage
Q. I am a federal employee, 66 years old, planning to retire Jan. 3. I now have full coverage under Blue Cross Blue Shield for me and my husband. I understand that when I retire, I must sign up for Medicare Part A, but I am not sure about part B. If I …
Read more on Federal Times (blog)

The Affordable Care Act (“ObamaCare”) Special Enrollment Sessions

The Affordable Care Act (“ObamaCare”) Special Enrollment Sessions
Event on 2014-08-19 12:00:00

Enroll in a health care plan during Special Enrollment Period, a time outside of Open Enrollment in which you and your family may qualify to sign up.  To register for an enrollment session conducted by federally-approved Navigator/Enrollment Assister CARE (Consumer Assistance & Resource Enterprise), please call 702.836.9033. Type: Other Age Group: Adults & Seniors 

at MESQUITE LIBRARY
121 West First North St.
Las Vegas, United States

The Affordable Care Act (“ObamaCare”) Special Enrollment Sessions

The Affordable Care Act (“ObamaCare”) Special Enrollment Sessions
Event on 2014-08-25 12:00:00

Enroll in a health care plan during Special Enrollment Period, a time outside of Open Enrollment in which you and your family may qualify to sign up.  To register for an enrollment session conducted by federally-approved Navigator/Enrollment Assister CARE (Consumer Assistance & Resource Enterprise), please call 702.836.9033. Type: Other Age Group: Adults & Seniors 

at LAUGHLIN LIBRARY
2840 South Needles Hwy.
Las Vegas, United States

Report claiming US health care worse than abroad distorts facts but ObamaCare

Report claiming US health care worse than abroad distorts facts but ObamaCare
However, looking at the report's underlying methodology demonstrates the U.S. is, in fact, getting value for its money. What is the basis for the Commonwealth Fund conclusion that we get poorer health care even though we spend more? The report compared …
Read more on National Right to Life News

Sebelius's claim that Obamacare has brought 'affordable coverage' to 22
The Fact Checker dug into the more recent reports and found that it was based on a single quarterly figure that was not sustained in later quarters. At best, one could claim perhaps a gain of 2 million, but several analysts have raised serious …
Read more on Washington Post (blog)

Depsite Hobby Lobby Decision, Obamacare Is Helping More Women Get Access
Prescription contraceptives for women sit on the counter of a drug store on August 1, 2011 in Los Angeles, California. Under new standards issued by the Obama administration, health insurers are required to cover all government-approved contraceptives …
Read more on Latin Post

Obamacare: Inside health care exchange websites’ issues

In less than a week, the first Americans will have health insurance under the Affordable Care Act, commonly known as Obamacare. Many of the early problems wi…
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