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Sovaldi, a new drug, which has been hailed as a breakthrough treatment for the 3.2 million Americans infected with hepatitis C, costs $1,000 a pill. While it is highly effective and has fewer side effects and takes less time than older therapies, it costs $84,000 for a typical patient. But lawmakers want to know why the U.S. price is much higher than in other countries, as well as previously estimated in the U.S. In a letter sent recently, two U.S. senators, Finance Chairman Ron Wyden, D-Ore., and Sen. Charles Grassley, R-Ia., asked Gilead...
I hope you said happy birthday to Social Security, which had its 79th birthday on Aug. 14. In a 1938 article, the director of the Bureau of Old-Age Insurance described the challenges faced by the Social Security program in registering workers and posting wages to get the program started. On the heels of the 49th anniversary of the signing of Medicare and Medicaid into law, CMS (Centers for Medicare and Medicaid Services) projected that the average premium for basic Part D Medicare Prescription...
Medicare provides vital health insurance for 50 million seniors and people with disabilities. But even when you have Medicare, health care is not free. People with Medicare pay premiums and have other costs that they pay out of pocket, like deductibles and co-insurance. For lower-income people, these costs can be overwhelming. There are several programs that help low-income people with Medicare pay their health care costs – but many Medicare beneficiaries don’t know about these programs. Let’s see if we can shed some light on them. Why might...
Bipartisanship has surfaced, at least briefly, on Capitol Hill. More than 130 lawmakers, from both parties, are urging the Obama Administration to expand coverage for a lung-cancer test under Medicare – screening they see as vital for vulnerable seniors. But the decision could cost Medicare billions of dollars. In a letter to the Centers for Medicare and Medicaid Services, the lawmakers called for a timely decision on coverage for low-dose CT scans for older patients at higher risk of d...
To my wonderful readers, I must inform you that I may have to reboot my computer for nearly the last time, as I tell you about the inadvertent errors I made in my last column. It must have been a looong senior moment because I mistakenly used last year’s Medicare Deductible for Part B (hospitalization) which was $1,184 for 2013, and is now, $1,216 for 2014, and will probably change again in 2015, as it usually does every year. Also you can use the Medicare Easy Pay option, by getting form SF-551...
The Medicare Information Office is pleased to announce that the first volunteer has completed the Senior Medicare Patrol (SMP) Foundations Training and the Group Presentation Training. Ms. Sharon White-Wheeler has recently completed both preparatory trainings. This puts the SMP on track to begin offering the Medicare Minutes program starting this fall. The Medicare Minutes program is intended to help the Senior Medicare Patrol reach people under the age of 65 with Medicare with good information...
If you are new to Medicare, you need to know that Medicare almost always only pays 80 percent of the cost of most medical procedures. In order to be completely covered, you should buy a Medicare supplemental policy, also known as Medigap. These generally cost $100 to $150 per month, but they are very necessary. There are about 10 different plans and they vary from state to state. In my experience, the most popular plan for most people in Alaska is plan F. This plan offers payment for the...
Seniors are often the target of fraud aimed at obtaining money or personal information from them which will make it possible to obtain money using the identifying information. About one-third of the victims of identity theft are over the age of 50, according Michelle Tabler, Alaska Regional Manager of the Better Business Bureau. Tabler says the individuals in this age range are a popular target because many will be too embarrassed to talk about money which they have lost to a trick. In addition, she notes that some people may be easier to take...
Seniors must be diligent and not give out Social Security numbers or credit card information to telephone or email inquiries. Here are some of the latest scams. Medicine/service scam Scammers are looking to steal Medicare numbers and financial information from unsuspecting consumers. The victim receives an unsolicited telephone call or email offering free diabetes testing or other medical supplies. The scammer then asks for the victim’s Medicare number and address. Once the scammers have the Medicare number they can steal the victim’s ide...
Dying patients may find it more difficult to get certain medications under new rules Medicare has recently put in place. Meanwhile, another set of rules could make it easier for seniors to get Medicare to pay for home health care services. Medicare has recently issued different sets of rules for payments involving hospice care and home health care services, as a result of a lawsuit settlement. But both of the rules changes are complicated and confusing and seniors may need some help in working their way through the changes. In an effort to crac...
Many newly arrived residents in the Juneau Pioneer Home are anxious about losing health, control and freedom. Some are aggressive due to dementia, or frail, with limited memory or mobility. Regardless, they soon learn they've gained new friends who treat them with love and respect: Certified Nursing Assistants Vhie Hermano, Nelda Reynolds, Maria De Guzman, Freddie Abad, Arsenia Sales, and Mary Ellen Yadao. The Alaska Pioneer Homes' mission is to create high quality of life for older Alaskans by...
Affordable Care Act and insurance plans For those of you not in Medicare and have not yet enrolled in one of the Affordable Care Act insurance plans, you will not be able to do so until the next open enrollment, which will take place between Nov. 15, 2014 and Feb. 15, 2015. However, you can still apply for coverage through the exchanges before the next enrollment period, if you have a major change in your life. Qualifying changes include getting married, having or adopting a child, losing...
The White House, after an aggressive pushback from seniors, patients, pharmaceutical companies and lawmakers from both parties, recently scrapped most of a proposed plan to limit Medicare coverage for certain classes of drugs including those used to treat depression and schizophrenia. In January, the Centers for Medicare and Medicaid Services proposed broad changes to the Medicare Part D prescription-drug program that covers medicines for about 39 million beneficiaries. Medicare officials had said the proposal would save money and reduce the...
This month I decided to delve into some Older Persons Action Group archive documents, recently discovered in an old file cabinet. At the beginning of year its 10th year, Senior Voice’s circulation was 6,000 and it was the only newspaper in the state dealing exclusively with senior citizen problems, needs and desires. In 1983, in its first try entering its writers’ work in professional competition, Senior Voice staff submitted three entries to the statewide Alaska Press Women communications con...
If someone in your family needs hospice care, this column explains what it is and what Medicare covers. What is hospice care? Hospice care is a program of care and support for patients who are terminally ill. These patients may no longer want to try to cure a terminal illness, or their doctor may have determined that efforts to cure an illness are not working. To qualify for hospice care, the patient’s regular doctor and a hospice medical director must certify that the patient is terminally ill and has six months or less to live. A decision a...
In March, the Alaska Medicare Clinic in Anchorage announced the affiliation of Dr. Virginia Haskell and Cynthia McGinty, ANP with the clinic. With this additional staff, the clinic is adding new patients to their service and expanding the ability to see patients with urgent needs on a same day basis. Located in the O’Malley Square building at 11260 Old Seward Highway, the clinic is open Monday, 8 a.m. to 5 p.m., and Tuesday through Friday, 8 a.m. to 6 p.m. The clinic offers in-house lab and x-ray services. Call the clinic at 433-5100 to s...
When do you fix a government program that’s not broken? That’s the question many in Washington are asking, after Medicare recently proposed a series of changes to its Part D prescription drug program – a program that, by most everyone’s view, is working very well. The Centers for Medicare and Medicaid Services (CMS) proposed new rules recently that would fundamentally change the program's private insurance coverage for certain drugs, alter the pharmacy networks that some plans cover and limit the number of policies available to benefic...
The calendar says that it is spring but my calendar says , “Where?” Well soon, maybe. I can’t stress this enough, because I have had so many questions about it: If you are on Medicare, you do not have to buy insurance through the Affordable Care Act. You already have insurance. However if you are not on Medicare and do not have health insurance, you cannot get any through the ACA until November 15, 2014, unless you have a qualifying life event such as moving to a new state, have a change in in...
Traveling outside of the United States obviously requires a lot of planning, and even more so for people with health issues. Many seniors who are covered by Medicare don’t realize that once they leave the United States, Medicare coverage is minimal or nonexistent. However, if you are traveling to a U.S. territory, such as the Virgin Islands, Puerto Rico, American Samoa, or the Northern Marian Islands, you are probably covered. Otherwise, don’t make the mistake of relying on Medicare. So what happens if you do end up needing medical care while o...
Older Persons Action Group exists to serve all Alaska, with a special emphasis upon the senior community. Our mission is to reach out and advocate regarding senior issues. We do that by providing relevant information to seniors and advocating for their collective benefit through our publication, Senior Voice This has been a year of retrenchment. OPAG’s executive directory, Gary Wells, and assistant, Maggie Zabinko, have done well in stabilizing the internal working of OPAG. David Washburn, as editor of Senior Voice, assures that relevant i...
For those of my readers who are on the Senior Benefit Program, there is some bad news. The Senior Benefits Program was established on August 1, 2007, and was the program we were given when the Longevity Bonus was taken. To be eligible for this program you must be an Alaskan on a permanent basis, 65 years of age, have a Social Security number and have countable income that does not exceed the income limits of the program. Resources (assets) do not count in this program. The cash benefits are...
Need help through the Medicare maze? Come find your best Medicare deal with help from Alaskan Medicare experts. The state Medicare Information Office will offer a free workshop April 2 at Wasilla Area Seniors Inc., 1301 S. Century Circle, from 6 to 8 p.m. Reservation required. Call 373-3632. The Medicare Information Office is also seeking Medicare volunteers. For details, call 269-3680 (Anchorage) or 1-800-478-6065 (toll-free statewide) or visit www.medicare.alaska.gov....
President Reagan's quote, "I'm from the government, and I'm here to help," is often used to disparage the "help" offered by many bureaucrats; but it's a completely different feeling when you call or drop by Alaska's Medicare Information Office (MIO). First, you're greeted with a smile and a meaningful, "How can I help you?" You truly get the feeling they want to help. The office recently moved to 400 Gambell, with easy parking and private offices for confidentiality – a nice change after y...
A little history today. In 1964, President Lyndon B. Johnson declared that he was starting a “War on Poverty.” Several of the most forward thinking citizens of Anchorage decided that they would join that war. They got together and formed the Older Persons Action Group, to have an entity to receive help from the Office of Economic Opportunity, to achieve the goal of helping seniors and others in Anchorage, who were foundering in need. Although the “war” did not last long, due to the change...
Judging by the complaints to the Long Term Care Ombudsman, many Medicare beneficiaries and their families do not realize they have rights during the hospital discharge process. These rights are meant to protect seniors from being discharged from the hospital too soon and from being placed in a facility that cannot meet their care needs. Maybe you don’t need to know your rights as a Medicare beneficiary today, but file this column away for later. It may come in handy. When you are admitted to t...
