From our "Medicare Guy," Jack Cheevers, some interesting Medicare info:
� First, Medicare spanks Aetna for its handling of drug benefits:
"Aetna was served with the intermediate sanction notice because it has continued to improperly administer the Medicare drug benefit in the plan�s national standalone prescription drug plan (PDP) and its 25 Medicare Advantage prescription drug (MA-PD) contracts. Approximately 400,000 Medicare beneficiaries are enrolled in the organization�s MA-PD plans and another 600,000 are enrolled in the Aetna PDP."
The problems cited include a failure to meet Medicare�s "transition requirements ... Improperly processing coverage determinations and expedited appeal requests in cases where delays would jeopardize the life or health of the enrollee .. [and] ... Failing to take timely and proper steps to ensure that enrollees are eligible for the Part D low-income subsidy."
The good news is that this is an "intermediate sanction;" presuming that Aetna cleans up its act, they'll be back on the prowl for new enrollees.
� An updated Medicare website is now online:
"The improved Web site provides users with a summary of Medicare benefits, coverage options, rights and protections, and answers to the most frequently asked questions about Medicare."
Why not take it for a test-drive?
[Hat Tip: "CMS Guy" Jack Cheevers]
� And from the Web, this link has up-to-date info on how one state is attempting to deal with ObamaCare�.
� First, Medicare spanks Aetna for its handling of drug benefits:
"Aetna was served with the intermediate sanction notice because it has continued to improperly administer the Medicare drug benefit in the plan�s national standalone prescription drug plan (PDP) and its 25 Medicare Advantage prescription drug (MA-PD) contracts. Approximately 400,000 Medicare beneficiaries are enrolled in the organization�s MA-PD plans and another 600,000 are enrolled in the Aetna PDP."
The problems cited include a failure to meet Medicare�s "transition requirements ... Improperly processing coverage determinations and expedited appeal requests in cases where delays would jeopardize the life or health of the enrollee .. [and] ... Failing to take timely and proper steps to ensure that enrollees are eligible for the Part D low-income subsidy."
The good news is that this is an "intermediate sanction;" presuming that Aetna cleans up its act, they'll be back on the prowl for new enrollees.
� An updated Medicare website is now online:
"The improved Web site provides users with a summary of Medicare benefits, coverage options, rights and protections, and answers to the most frequently asked questions about Medicare."
Why not take it for a test-drive?
[Hat Tip: "CMS Guy" Jack Cheevers]
� And from the Web, this link has up-to-date info on how one state is attempting to deal with ObamaCare�.
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