PPT-Base: Adults age 18+ with Medicare coverage who were insured all year (n=3,280).

Indicates statistically significant difference at the plt005 level Delays in care resulting from prior approval requirements or unaffordable costsharing expenses were more likely to be reported by beneficiaries in Medicare Advantage than in traditional Medicare. A Roadmap To Effectively Addressing Coverage Issues. Isaacs & Co.. Barristers & Solicitors. Marc Isaacs . Arie Odinocki. Is It Covered?. Every claim received by an insurer starts with . the same coverage . Insured All Year . with . Medicaid or Private Coverage Were Significantly More Likely to Have . a . Regular Source of Care and Rate Their Health Care Highly Compared with Uninsured Adults. Exhibit 1. All Year Were . Underinsured in 2014, Unchanged from 2010. * . Underinsured defined as insured all year but experienced one of the following: out-of-pocket expenses equaled 10% or more of income; out-of-pocket expenses equaled 5% or more of income if low income (<200% of poverty); or deductibles equaled 5% or more of income. . Informational . Meeting. What’s changing?. TCU changed the way it provides medical benefits to . Medicare-primary retirees and their Medicare-primary dependents.. Retiree’s medical benefits will be managed through a Health Reimbursement Arrangement account (HRA).. * Underinsured defined as insured all year but experienced one of the following: . out-of-pocket costs, excluding premiums, equaled 10% or more of income; out-of-pocket costs, excluding premiums, equaled 5% or more of income if low-income (<200% of poverty); . why?. How this affects . you. Introducing Extend Health. Medicare marketplace. G. oing forward. Questions . & answers. What we’ll cover today. Retiree health care . coverage options are changing. Donald Patrick Eckler. Pretzel & Stouffer, Chartered. One South . Wacker. Suite 2500. Chicago, IL 60606. 312-578-7653. The Tripartite Relationship. “[The] so-called tripartite relationship has been well documented as a source of unending ethical, legal, and economic tension.” . The Good, the Bad, and the Ugly: The Cooperation Clause, Medicare Secondary Payer Requirements, and the Tripartite Relationship Donald Patrick Eckler Pretzel & Stouffer, Chartered One South Wacker Notes: “Uninsured during the year” includes respondents who were uninsured at the time of the survey or had a gap in coverage during the past 12 months. Private coverage includes adults who were enrolled in either employer plans, marketplace plans, or plans purchased directly off of the marketplaces. Pap test in past three years for females ages 21–64; mammogram in past two years for females ages 40–64; and colon cancer screening in past five years for adults ages 50–64. . Yearly Medicare Plan Review? Medicare Open Enrollment October 15–December 7 Remember, Medicare plans can change each year Important Medicare dates September & October—Review & compare R Works with a Medicare Advantage Plan or Medicare Cost PlanRevised May 2018Medicare o31ers prescription drug coverage for everyone with Medicare prescription drug coverage 1Join a Medicare Prescription among the first private foundations started by a woman philanthropist151Anna M Harkness151was established in 1918 with the broad charge to enhance the common good The mission of The Commonwealth Fund Wisconsin SHIP: 1-800-242-1060. Grant Funding Disclaimer. 2. This project was supported by the Wisconsin Department of Health Services with financial assistance, in whole or in part, by grant number 90SAPG0091, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.. Notes: “Continuously insured” refers to adults who were insured for the full year up to and on the survey field date. “Underinsured” refers to adults who were insured all year but experienced one of the following: out-of-pocket costs, excluding premiums, equaled 10% or more of income; out-of-pocket costs, excluding premiums, equaled 5% or more of income if low-income (<200% of poverty); or deductibles equaled 5% or more of income. “Insured now, had a coverage gap” refers to adults who were insured at the time of the survey but were uninsured at any point in the 12 months prior to the survey field date. “Uninsured now” refers to adults who reported being uninsured at the time of the survey. Respondents were asked if they: received a Pap test within the past three years for females ages 21–64, received a mammogram within the past two years for females ages 40–64, and received a colon cancer screening within the past five years for adults ages 50–64..