Medicare has a practice to use internal and external audits to eliminate the possibility of waste and fraud in their program. There are some explanations to these audits purpose. Medicare program tries to apprehension vendors that are intentionally deceived to enter the system. A center for Medicare & Medicaid Services is also looking for vendors or suppliers that do not recognize for their own wrongdoing. (more…)

Coverage

Medicaid coverage is broader than Medicare. However, obtaining care can sometimes be more difficult. Medicaid covers prescriptions, nursing home care, home health care, doctor visits, and hospitalization. Some state plans also cover dental care, eye care, hospice care, and therapy. Contact your local agency on aging for information about your state plan. (more…)

At the end of 2006, the resident population of the United States was approximately 300 million. Roughly 250 million people had some form of health insurance. The operative word is roughly. People obtain health insurance from a variety of sources. Many of them have access to and sometimes coverage from more than one source. Moreover, they may not have coverage for the entire year, and there is no single repository of data on who has what sort of coverage over what period of time. Thus, a person living in a two-earner household may have coverage from both workers, from only one, or from nether. (more…)

Insurances’ Long Term Care Policy, is one of the ONLY ways any person can guarantee themselves, they won’t have to go to a nursing home unless that is their desire!

The insurance industry’s Long Term Care Policy (L.T.C. Policy), is a little sought after product since it’s inception in and about the mid fifties. (more…)

The chances are that without realizing it, you might in fact have already tapped into the long-term health care system, although not into a nursing home. We like to think of long-term care as the concern of senior citizens, but the term has a broader legal meaning. Long-term care involves becoming cognitively impaired, or the expectation that you will be unable to manage at least two of the six activities of daily living (more…)

Analysis of the demand for health insurance is complicated by the fact that most people in the United States get their insurance through their workplace. The reason for this is twofold. Workers value health insurance, and it is an affordable health insurance when purchased through an employer. Both points are important. Workers do value health insurance. A 1991 Gallup poll indicated that health insurance was the single most valued employment fringe benefit for 64 percent of respondents (Wall Street Journal 1991). (more…)

Medicare is a social insurance program administered by the United States government. It is set up as a single payer health care system which means that all service providers such as doctors, labs, hospitals, therapists etc, get paid from one central fund. In this case, that fund would be administered by the Social Security Administration under the supervision of the Centers for Medicare and Medicaid Services. Medicare is funded through imposed payroll and income taxes. (more…)