Tag Archives: Medicare

How Advocates Can Protect Clients from Balance Billing in California

In this September 2014 Fact Sheet,  NSCLC shares guidance on protecting clients when providers in California balance bill dual eligibles illegally.

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What Should California Advocates Do If Their Clients are Balance Billed?

(09/18/2014)  When medical providers bill dual eligible beneficiaries (those with both Medicare and Medi-Cal) for charges not covered by either Medicare or Medi-Cal; or Medi-Cal only seniors and persons with disabilities any amount for a Medi-Cal covered service, it’s called …

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WEBINAR: Medicare Marketing Guidelines and Cal MediConnect

Free Webinar When: Tuesday, September 23, 2014, 11 AM – 12 PM PDT To prevent marketing abuses, the Centers for Medicaid and Medicare Services (CMS) has very specific guidelines that Medicare plans must follow when marketing their products These general … Continue reading

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Health Network Alert – Understanding the Duals Special Needs Plan Policy

(08/20/2014)  The California Department of Health Care Services (DHCS) recently released a new Duals Special Needs Plan (D-SNP) policy impacting beneficiaries residing in counties implementing the Coordinated Care Initiative (CCI). The new policy is complicated and affects beneficiaries enrolled in …

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Income Network Alert – Social Security Lifts Seniors Out of Poverty

(08/15/2014)  Without Social Security, celebrating its 79th birthday this week, more than half of all seniors would be poor today. Social Security and other government programs combine to keep many seniors out of extreme poverty.  However, a significant number of …

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Statement on Medicare Observation Status

In a statement submitted to the Senate Special Committee on Aging dated August 8, 2014, the National Senior Citizens Center throws its support behind the Improving Access to Medicare Coverage Act of 2013 (H.R. 1179/S. 569).  The bill would “protect … Continue reading

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Health Network Alert – Protecting Medi-Cal Beneficiaries from Balance Billing: Resources for Advocates

(08/08/2014)  Advocates continue to report attempts by providers, particularly physicians, to ”balance bill” dual eligible beneficiaries (those who qualify for both Medicare and Medi-Cal) for charges not covered by Medicare or Medi-Cal.

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Early Bird Rates Available Now for National Aging and Law Conference

The 2014 conference will be held October 16-17 at the AARP Brickfield Center in Washington, DC and will focus on practical information for front-line law and aging services providers and will feature sessions on healthcare and economic rights as well … Continue reading

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WEBINAR: Medicare & Medicaid Post-DOMA: Changes for Same Gender Couples?

Free Webinar Series A year after the Supreme Court decision in United States v Windsor, federal agencies have been issuing rules that affect same sex couples regarding programs like Social Security, Supplemental Security Income, Medicare, and Medicaid. In this two-part … Continue reading

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Health Network Alert: New NSCLC Resource for States Preparing Dual Eligible Demonstration Consumer Enrollment Notices

(06/26/2014)  With support from The Commonwealth Fund, NSCLC prepared a new resource, You’ve Got Mail: Designing Enrollment Notices for a Dual Eligible Demonstration Rollout. The resource is designed to assist consumer advocates and state officials preparing consumer notices and enrollment …

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