On October 1, Sam reported the formal marketing/sales event he has scheduled for 9 a.m. on November 19. Luckily, before he had flyers printed, he remembered he has an 8 a.m. dentist appointment November 19. Just to make sure he can get to his event on time, he advertises the event to start at 9:30 … Read more
You must advise consumers enrolling in a DSNP that: They are not required to pay copayments for Medicare-covered services received from a DSNP network provider if they are Full Dual-Eligible or determined DSNP eligible by our plan agreement with the state in which they reside. Their provider should bill the state Medicaid program. Mr. … Read more
Mr. Romero is 64, retiring soon, and considering enrollment in his employer-sponsored retiree group health plan that includes drug coverage with nominal copays. He heard about a neighbor’s MA-PD plan that you represent and because he takes numerous prescription drugs, he is considering signing up for it. What should you tell him? a. Generally, employers … Read more
How is a CSNP or DSNP member’s care management health risk levels determined initially? The member completes a Health Assessment that asks a series of questions about their health status and assistance they may need with activities of daily living. Mrs. Lyons is in good health, uses a single prescription, and lives independently in … Read more
美國醫療白卡是什麼？ 美國白卡是美国联邦和州政府共同拨款的联合医疗补助计划，为低收入人群提供免费或低成本的医疗保险. 孕妇、儿童、老年人、残疾人都可能符合资格，不少州甚至放宽了资格限制，不论身份只要在收入标准以下就能申请。 「點看」紐約州特別救濟計劃 白卡是一個由州政府提供的醫療補助計劃 每个州都可以自行制定具体的医疗补助标准，可能也会有特别的名字。 我們的文章是關於 美国醫療保險的白卡 與移民無關小白卡無關 那是因為新移民可能混淆醫療白卡/{Medicaid}和進入來到美國的{I-94} 小白卡 醫療白卡樣品 小白卡I-94樣品 ：(美国出入境记录卡使用手册) 這裡的小白卡指的不是生病看醫生醫療的小白卡，這個小白卡是移民的小白卡（I-94)。 這張卡的外貌就是白色的，現在已經更新為電子版的了，所以現在沒有小白卡這種東西了。到海關的網站下載才有你的小白卡。 一年前左右，就是一張白色的卡會加在你的護照裡面，入境的時候，海關會給你的一張入境的小白卡，角落上寫著I-94。這張小白卡的意思就是你入境的時候有被檢查。所以小白卡的意思就是你入境的時候有被海關檢查。 紐約白卡叫Medicaid in New York State 下面列出了所有其他州，我們並不熟悉，請通過以下鏈接自助 費城白卡叫Pennsylvania Medicaid State Plan。 新澤西白卡叫NJ FamilyCare/Medicaid。 西雅圖白卡叫Washington Apple Health (Medicaid) coverage. 亞特蘭大白卡叫Georgia Medicaid。 波特蘭白卡叫SCHIP。 芝加哥白卡叫Illinois Medicaid。 波士頓白卡叫MassHealth。 夏威夷白卡叫Med-QUEST。 佛羅里達州 (奧蘭多, Jacksonville, Tampa)白卡叫My Florida Families 加州白卡叫Medi-Cal 美國聯邦政府(包括)紐約州正在實施這幾項新規 這些措施將大大減少可以接受長期醫療服務補助的人數。 1. 資產倒查（由原來的30天延長至30個月） 在預算通過之前，當有人尋求加入醫療補助時，紐約州有30天的“追溯期”，以確定該人的收入和資產是否有理由向其提供醫療補助。現在，根據預算，將延長至30個月的追溯期。 如果醫療補助申請人在30個月的追溯期內轉移了任何資產（或其配偶試圖在此30個月的時期內處置資產），則醫療補助申請人將被拒絕。 這個新程序將使個人更難註冊白卡，因為他們將不得不做更多的提前計劃來處置其資產，才能有資格獲得白卡資格。我的理解是，此資格僅在以後適用。因此，在此30個月的追溯期內，將不會評估任何現有或新患者。 … Read more
KELLY wants to…. KELLY wants to know whether he is eligible to sign up for a PFFS plan. What questions would you need to ask to determine his eligibility? You would need to ask Mr. Kelly if he is enrolled in Part A and B and if he lives in the PFFS plan’s service area.
When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? Six months after they have been disenrolled from the DSNP Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan. She is not enrolled in Part … Read more
