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	<title>My Part D USA &#187; Where do I go for HELP with Part D or Medicare Issues?</title>
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	<link>http://mypartdusa.com/blog</link>
	<description>Leading the Way for Quality Medicare Drug Plan Enrollments</description>
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		<title>I CAN&#8217;T GET HELP WITH MY PART D PLAN, WHAT DID I DO WRONG?  I THOUGHT I&#8217;D SAVE MONEY BY GOING DIRECTLY TO THE MEDICARE INSURANCE COMPANY!</title>
		<link>http://mypartdusa.com/blog/cant-plan-wrong/</link>
		<comments>http://mypartdusa.com/blog/cant-plan-wrong/#comments</comments>
		<pubDate>Wed, 31 Aug 2011 18:58:56 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[BLOG ONLY]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Drug Plan Enrollment]]></category>
		<category><![CDATA[Drug Savings Tips]]></category>
		<category><![CDATA[Traditional Medicare Supplements]]></category>
		<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=11794</guid>
		<description><![CDATA[QUESTION:  I am turning 65 and got a call directly from an insurance company who sold me a Medicare Supplement.  Now I can&#8217;t get anybody to help me with my Part D plan, get a comparison or talk to me when I have a question about my Medicare rights.  What did I do wrong???  I [...]]]></description>
			<content:encoded><![CDATA[<h3>QUESTION:  I am turning 65 and got a call directly from an insurance company who sold me a Medicare Supplement.  Now I can&#8217;t get anybody to help me with my Part D plan, get a comparison or talk to me when I have a question about my Medicare rights.  What did I do wrong???  I am very distressed and need help about my drugs because I need to save as much as possible.</h3>
<p><strong><span style="color: #800000;">ANSWER</span>:  I get many, many calls all day from people who have already gone DIRECTLY to the company OR HAVE RESPONDED TO DIRECT MARKETING FROM AN INSURANCE COMPANY and purchased their Medicare Supplement. Then they need help with their<span style="color: #0000ff;"> Part D plan </span>or want advice or help about other Medicare coverage issues and they <span style="color: #0000ff;">do not have an ADVOCATE or AGENT to help them. </span>They literally are in tears because they were new to Medicare and did not realize they were giving up getting comparisons or help regarding Medicare.  All the company is there to do is SELL you a Medicare Supplement.  They do <span style="color: #0000ff;">NOT CARE ABOUT YOU! </span> Every year YOU will need a new Part D plan comparison because the drug plans change the drugs they cover and the prices you pay for them each year.  You will have no one to help you! </strong></p>
<p><strong>IF YOU GO DIRECTLY TO AN INSURANCE COMPANY&#8230;AND GO THROUGH THEIR PHONE SALES DEPARTMENT, YOU WILL NOT HAVE AN AGENT OR ADVOCATE TO HELP YOU WITH ANYTHING ELSE THAT HAS TO DO WITH MEDICARE SUCH AS GETTING A PART D PLAN COMPARISON.  IF YOU EVER NEED ADVICE, HELP WITH A PROBLEM OR WANT SOMEONE ON YOUR SIDE, YOU FORFEIT THIS SERVICE!  THEY WILL NOT TELL YOU WHAT YOU ARE GIVING UP!!!</strong></p>
<p><strong><span style="color: #800000;">THE REASON IS: </span> The companies do not want you to have a comparison, especially the Part D plan companies.  They want you to keep the same drug plan every year so they can stop covering your drugs and go way up on the price of the ones you already have with them.  They also don&#8217;t want to pay your agent a commission to assist you.  <span style="color: #0000ff;">However, these savings do NOT help YOU, OR LOWER YOUR PREMIUM! </span> The company keeps the money, while giving you less service!</strong></p>
<p><strong>At <span style="color: #800000;">My Part D USA</span>, when you turn 65, we do a comprehensive comparison for <span style="color: #800000;">BOTH</span> your doctor and hospital coverage and your Part D plan. </strong></p>
<p><strong><span style="color: #800000;">BETTER YET</span>, we continue to do that each year for you during the Annual Election Period.  This year it is early, Oct. 15th to Dec. 7th.  We do not get paid to go the <span style="color: #800000;">EXTRA MILE</span> for you, but that is why so many people come to us and are so happy with the help we provide.  Just read the testimonials!</strong></p>
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		<title>Helping People with Medicare &#8211; The Proof Is In The Pudding!</title>
		<link>http://mypartdusa.com/blog/helping-people-medicare/</link>
		<comments>http://mypartdusa.com/blog/helping-people-medicare/#comments</comments>
		<pubDate>Thu, 04 Aug 2011 19:13:53 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[BLOG ONLY]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Traditional Medicare Supplements]]></category>
		<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=11786</guid>
		<description><![CDATA[Everyday I get &#8220;feedback&#8221; forms in the mail from people we have worked with here at My Part D USA.  I thought I&#8217;d share a couple of them with you.  Helping people have peace of mind about their medical coverage is why we keep this website up and running year after year! Dear My Part [...]]]></description>
			<content:encoded><![CDATA[<p>Everyday I get &#8220;feedback&#8221; forms in the mail from people we have worked with here at My Part D USA.  I thought I&#8217;d share a couple of them with you.  Helping people have peace of mind about their medical coverage is why we keep this website up and running year after year!</p>
<p><strong>Dear My Part D USA: </strong> Absolutely incredible!  It was terrific to hear an actual voice and a “God Bless You”, very friendly, warm, and understanding.  Retiring after 30 years of teaching I found that I was in unchartered territory both emotionally and physically, but there have been unexpected support, not only from family but from strangers like My Part D USA, which I stumbled around and found on the computer.  Finally I had a voice that paced me through a process that has worked like <strong>“clockwork”! </strong> Thank you so much!</p>
<p>Robbie Davidson, Colorado</p>
<p><strong>Dear My Part D USA:</strong> You guys went above and beyond on every issue and helped me get a great plan.  Thanks for all your time spent on me alone.  <strong>In today’s world it is most unusual to get the kind of service you gave and I appreciate it more than I can say!</strong></p>
<p>T. Rice,  Texas</p>
<p><strong>Dear My Part D USA: </strong> Excellent – Everything went so <strong>FAST &amp; EASY!</strong> I wish I had called you last year.  Thank you for your help.  At this age I was apprehensive about changing my medical insurance.  You made it very easy and within two weeks it was changed and I have the paperwork and saving money.  Thanks again!!</p>
<p>Nancy Leon, Ohio</p>
<p><strong>If you need <span style="color: #ff0000;">HELP</span> with saving money on your doctor and hospital coverage any time of the year, just give us a call or email kblake@mypartdusa.org</strong></p>
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		<title>What Do I Do During the Annual Election Period for My Medigap Plan and My Part D Plan?</title>
		<link>http://mypartdusa.com/blog/during-annual-election/</link>
		<comments>http://mypartdusa.com/blog/during-annual-election/#comments</comments>
		<pubDate>Thu, 28 Oct 2010 19:57:06 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[Special Enrollment Periods for Part D Drug Plans]]></category>
		<category><![CDATA[Traditional Medicare Supplements]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=8177</guid>
		<description><![CDATA[Yes, folks, it is that time of year again&#8230;. believe it or NOT.  This year people are in many different situations.  Some people are losing Medicare Advantage Plans because they are going out of business.  Some folks have had their Medigap plans go up in price and need help to save money on doctor and [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Yes, folks, it is that time of year again&#8230;.  <span style="color: #0000ff;">believe it or NOT</span>.  This year people are in many different situations.  Some people are losing Medicare Advantage Plans because they are going out of business.  Some folks have had their Medigap plans go up in price and need help to   <span style="color: #ff0000;">save money on doctor and hospital coverage.  </span> Many of you are happy with your doctor and hospital coverage and <span style="color: #0000ff;">ONLY need a Part D Drug Plan comparison.</span>   So this is the scoop&#8230;</strong>  </p>
<p><strong><span style="color: #0000ff;">1.</span>   If you only need a Part D drug plan comparison you can get one online now FOR 2011 at www.Medicare.gov  You can also request one from us, but due to the many thousands we are getting each year we cannot get back to everyone&#8230;but will do our  very best.  If you don&#8217;t hear from us&#8230;please try the Medicare website.<br />
</strong></p>
<p><strong><span style="color: #0000ff;">2.  </span> If you are losing a Medicare Advantage Plan and you are on disability and under age 65  please contact your local SHIP  (State Health Insurance Assistance Program) office to see what will be available in your area.  Many times there are no Medigap Plans available in certain states.  <span style="color: #0000ff;">If you are OVER 65, you are guaranteed issue (no health questions) for a Medigap plan and we can help you find the lowest premiums in your state by calling <span style="color: #000000;">866-752-1795.  </span>    </span></strong></p>
<p><strong><span style="color: #0000ff;">3.</span> As always through the year when anyone is   <span style="color: #ff0000;">turning 65  </span> we can help you find the best Part D plan and the best priced Medigap plan.</strong></p>
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		<title>How To Get Help Paying For Medications</title>
		<link>http://mypartdusa.com/blog/paying-medications/</link>
		<comments>http://mypartdusa.com/blog/paying-medications/#comments</comments>
		<pubDate>Thu, 17 Jun 2010 20:41:42 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=8153</guid>
		<description><![CDATA[Hello everyone! From my last Newsletter about the changes in Medicare I got hundreds of responses from people in the &#8220;dreaded donut hole&#8221;!  If you make less than $16,245 per individual or $21,855 per married couple you may qualify for Medicare Part D Limited Income Subsidy. How many of you have tried to contact your [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Hello everyone! From my last Newsletter about the changes in Medicare I got hundreds of responses from people in the &#8220;dreaded donut hole&#8221;!  <span style="color: #0000ff;">If you make less than $16,245 per individual or $21,855 per married couple you may qualify for Medicare Part D Limited Income Subsidy.</span> How many of you have tried to contact your local Social Security office to apply? <span style="color: #0000ff;"> </span>     If you do qualify you will have a discounted premium, all drugs will be between $4 to $10  for a 30 day supply and there is <span style="color: #ff0000;">NO donut hole.</span>   Please contact your local SS office and apply today!  You will get a letter in 2 to 3 weeks telling you if you qualified and/or at what level.  YOU MUST SEND A COPY of this letter to your Part D plan so they will know you have been awarded extra help.  You can also do this online at:</strong></p>
<p><strong> <span style="color: #0000ff;">http://www.socialsecurity.gov/prescriptionhelp/</span>    </strong></p>
<p><strong>Also, if you have too much money&#8230;.isn&#8217;t that ridiculous to think any amounts over those qualifications are too much money?&#8230;.you can contact the manufacturer of your medication.  They have higher income limits and many of them will give you significant discounts.<br />
</strong>  </p>
<p><strong>I also received emails from many people talking about how their pharmacy will not let them get their <span style="color: #0000ff;">generics OFF the drug plan.</span> If your pharmacy tells you this, let them know you will will turn them in to Medicare.  You can call 800-633-4227 and issue a &#8220;formal complaint&#8221; against your pharmacy.  You do not have to make a claim on your drug plan.  It states plainly in the CMS guidelines that a pharmacy must file a claim, unless the Medicare beneficiary instructs them &#8220;NO&#8221;, do not file this under Part D drug plan insurance.   Remember, they want to file a claim because they get a larger fee from the insurance company.    <span style="color: #0000ff;">  YOU ARE IN CONTROL OF THE CLAIMS YOU FILE ON YOUR INSURANCE!  You do not have to give them your Social Security number to get a prescription filled.  All they need is your name, address and date of birth.<br />
</span></strong></p>
<p><strong>As we all know the best way to save on medications is not to take them.  I&#8217;m not being a sly boots!  We all know that some meds are needed no matter what and never stop taking them without talking to your doctor.   Please discuss with your doctor NATURAL ways to lower blood pressure and cholesterol.  It can be done!  TAKE A GOOD QUALITY FISH OIL TODAY AND EVERYDAY!  Have you seen the NEW drug commercials that are actually using <span style="color: #0000ff;">  Omega 3 fish oils? </span>  The drug manufacturers are going to try to sell us fish oil now.  I will be interested to know how much the &#8220;new&#8221; prescription fish oil will be.  If anyone knows about this, write me.  Please go to the left hand side of this blog under &#8220;Health &amp; Wellness&#8221; to read more info on foods and supplements to improve our health.</strong>  </p>
<p><strong>As always, if you need lower prices on your doctor and hospital costs, we can help you.  Just give us a call at   <span style="color: #ff0000;">866-752-1795.</span> Tell us you want to check on the new &#8220;Plan N&#8221; Medigap Plans.<br />
</strong></p>
<p><strong><span style="color: #0000ff;">  Joke for the Day</span>  :  I used to eat lots of natural foods and then I learned that most people die of natural causes.  </strong></p>
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		<title>Q and A From Readers</title>
		<link>http://mypartdusa.com/blog/from-readers/</link>
		<comments>http://mypartdusa.com/blog/from-readers/#comments</comments>
		<pubDate>Wed, 05 Aug 2009 22:06:50 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=2177</guid>
		<description><![CDATA[Since I get so many questions by email everyday I thought I would share some of them with you, just in case! QUESTION: Does Medicare pay for any kind of herbal or natural treatments instead of just prescription medication? ANSWER: No, Medicare does not consider herbs true medications and will not cover these expenses.  I [...]]]></description>
			<content:encoded><![CDATA[<h2>Since I get so many questions by email everyday I thought I would share some of them with you, just in case!</h2>
<p><span style="color: #0000ff;"><strong>QUESTION:</strong></span> <strong>Does Medicare pay for any kind of herbal or natural treatments instead of just prescription medication?</strong></p>
<p>  <span style="color: #0000ff;">  <strong>ANSWER: </strong></span> No, Medicare does not consider herbs true medications and will not cover these expenses.  I understand why you would want to know this because I have been in my local health food store and know how much the supplements many doctors recommend cost, such as Omega 3 fish oil, and antioxidant herbal additions to your treatment.</p>
<p><strong>My advise to you if you want to use herbal supplements in addition to or instead of standard prescription medications is to find a Doctor in your area who deals with both ways of treatment.  Many herbs can interfere with your prescriptions, so you need to disclose everything you take to <span style="color: #0000ff;">EVERY</span>  doctor you see.</strong></p>
<p>There are recent studies that the herb<strong> Astragalus</strong> has been used in combination with other drugs to treat cancer and can boost the power of some types of chemotherapy.  <strong>Ginseng</strong> is another herb that can boost energy in cancer patients, and <strong>Glutamine</strong> can help with your digestive tract and the damage chemo does to your body.  Chronic inflammation is known to fuel the growth of tumors and <strong>Omega 3 fatty acids</strong> in fish oil and flaxseed are potent anit-inflammatories that slow tumor growth.</p>
<p>Omega 3&#8242;s also help your heart and joints, so even though taking fish oil does not sounds very appetizing, they have caplets or flavored oil that goes down easily.</p>
<p><strong>No matter what kind of treatment you choose, make sure that everything you take works well together and check with your doctor, or find one that has an open mind about both natural remedies and prescription drugs!</strong></p>
<p><span style="color: #0000ff;"><strong>QUESTION: </strong></span></p>
<p>Ms. Blake, last year my husband, who was on SS disability turned 65.  During the enrollment period for a supplelment where he could NOT be turned down because of medical reasons, a Medicare Advantage rep talked us into going with (a certain MAPD).  It was all so confusing to us and what he said <strong><span style="color: #ff0000;">SOUNDED GOOD,</span></strong> but now that my husband is past that enrollment period, we know the truth and he would not be able to pass a medical exam for a Medigap/Medicare Supplement. <span style="color: #0000ff;"><strong> Is there any hope for us? </strong></span></p>
<p> Also, he is in the &#8220;dreaded donut hole&#8221;.    </p>
<p><span style="color: #0000ff;"><strong>ANSWER:</strong></span>   <strong>I am happy to tell you that because you were misled and you are within the 12 months of joining an MAPD, you can change back to a Medicare Supplement with no health questions and a stand alone Part D plan. </strong>You need to call Medicare directly and tell them about your situation and that you were confused about the benefits provided by the MAPD and the way the salesperson explained it to you was not clear.  <span style="color: #ff0000;"><strong>They can enroll you back into the ORIGINAL MEDICARE SYSTEM.</strong></span> <strong>When that is done you can call us here at My <span style="color: #0000ff;">Part D </span>USA </strong></p>
<p>or someone else you can trust locally that will help you and <strong>KNOW HOW</strong></p>
<p>  to deal with this process.  Also, if your income is low enough you can go to your local SS office and tell them you want to apply for <strong><span style="color: #ff0000;">MEDICARE PART D LIMITED INCOME SUBSIDY</span></strong>  .  SS will send you a letter telling you if you qualified or not.  If you did, you<strong> MUST</strong>   send a copy of that letter to your Part D plan provider, so they will know not to bill you for a premium, that you will have <strong>NO DONUT HOLE </strong>and all your drugs will be between 4 to 8 dollars for a 30 day supply.  If you cannot qualify for this, please contact the actual manufacturer of your husbands most expensive drugs, many times their income levels are higher to qualify for help and you can get discounts that way.  You can also shop around, not using your drug plan during the donut hole! There are also<strong> FREE DISCOUNT CARDS,   </strong>you can download, as I have talked about on the blog before, just look in the category section.  <strong>Remember to read my other blogs about ways to MAXIMZE your drug plan beginning next January to NEVER buy your generics using your drug plan so you can save your c0-pays for the more expensive brand name drugs.  This will also keep you OUT of the donut hole longer each year.</strong></p>
<p><strong><span style="color: #0000ff;">  THOUGHT FOR THE DAY</span>:  If you laugh a lot, when you get older your wrinkles will be in the right places!<br />
</strong></p>
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		<title>MEDICARE REFORM &#8211; TOP 10 THINGS WRONG WITH MEDICARE</title>
		<link>http://mypartdusa.com/blog/things-wrong-medicare/</link>
		<comments>http://mypartdusa.com/blog/things-wrong-medicare/#comments</comments>
		<pubDate>Wed, 27 May 2009 21:12:11 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=222</guid>
		<description><![CDATA[PLEASE VISIT: WWW.TOP10THINGSWRONGWITHMEDICARE.ORG There you can sign the Medicare Reform Petition and read the names of the other 1,000+ people who signed it and their amazing comments.  Below is just a copy of the Top 10 List on that website, but please go to the actual website and read what real people are dealing with [...]]]></description>
			<content:encoded><![CDATA[<p class="MsoNormal" style="margin: 0in 0in 0pt;">  <span style="font-size: 14pt;"><span style="font-family: Times New Roman;"> PLEASE VISIT: <span style="color: #0000ff;"><strong>WWW.TOP10THINGSWRONGWITHMEDICARE.ORG</strong></span></span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;">
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"><span style="font-family: Times New Roman;">There you can sign the Medicare Reform Petition and read the names of the other 1,000+ people who signed it and their amazing comments.  Below is just a copy of the Top 10 List on that website, but please go to the actual website and read what real people are dealing with everyday on Medicare!!!<br />
</span></p>
<p> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"><span style="font-family: Times New Roman;"><br />
</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">1.</span></strong><span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Medicare cannot negotiate better drug prices with drug companies.</strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Why are there are <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">NO</span> </strong>price negotiations between Medicare and the drug manufacturers? This is the reason the prices on your prescriptions have gone up so drastically over the last few years.<span style="mso-spacerun: yes;"> </span></p>
<p> Medicare should use its leverage, 44 Million Beneficiaries, to negotiate better prices.<span style="mso-spacerun: yes;">   </span>Instead, the government gave the insurance companies and drug manufacturers a blank check so that they could charge us as much as they pleased<strong style="mso-bidi-font-weight: normal;"><span style="color: red;">.<span style="mso-spacerun: yes;"> </span>You can only wonder how much money the drug and insurance companies must have contributed to political election campaigns. </span></strong><span style="mso-spacerun: yes;"> </span>If you are still under the impression that we don’t need government regulations to stop corporate greed, you must be a CEO with your head in the clouds on your private jet.</span></p>
</p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">2.</span></strong><span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Drug plans can change or cancel drugs they cover anytime, but beneficiaries cannot change their drug plans.<span style="mso-spacerun: yes;"> </span></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"> </span></p>
<p> </strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">When you buy a medication that is not on the drug plan’s formulary and pay for it out of pocket, because you need it for survival, you cannot claim this expense toward your TROOP, True Out Of Pocket costs.<span style="mso-spacerun: yes;"> </span></span></strong><span style="font-size: 14pt;">Let’s assume that you have cancer and your doctor has found one particular drug that is now keeping you alive.<span style="mso-spacerun: yes;"> </span>If you choose to save your life and find a way to pay for this extremely expensive drug, this will not count toward your TROOP and help you reach the catastrophic coverage phase.<span style="mso-spacerun: yes;"> </span>If you could reach this phase, <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">Medicare would pay 95% of your drug costs.</span></strong> Isn’t that so convenient for the drug and insurance companies?<span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;"></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">No matter what the drug plan company decides to do, you are locked in for one year!<span style="mso-spacerun: yes;"> </span>They can decide <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">NOT </span></strong>  to cover your drugs and make you pay retail with no help.<span style="mso-spacerun: yes;"> </span>  How is that for a fair and honest system?<span style="mso-spacerun: yes;"> </span>If you don’t join a drug plan or cancel your plan when you find out that your drugs are not covered, <strong style="mso-bidi-font-weight: normal;">you pay a penalty of 1% per month for life!</strong> So, why is it that the cards are stacked so high in the drug and insurance companies favor?<span style="mso-spacerun: yes;"> </span>If we hand over our health care to Corporate America and let them make decisions, this is what you get. </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;"> </span>  </strong></p>
<p><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">3.</span></strong><span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Prior authorizations too complicated.<span style="mso-spacerun: yes;"> </span>Step therapy too restrictive.<span style="mso-spacerun: yes;"> </span>Quantity limits are not set by doctors, but by the drug plans.</strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Another way drug &amp; insurance companies try to opt out of paying for our medication is to impose prior authorizations and step therapy.<span style="mso-spacerun: yes;"> </span>They say this is to cut down on abuse.<span style="mso-spacerun: yes;"> </span>Instead, it creates a system where the insurance companies are in control of your medications. Drug and Insurance companies are now making decisions that <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">ONLY A DOCTOR SHOULD BE ABLE TO DECIDE.</span></strong><span style="color: red;"> </span><span style="mso-spacerun: yes;"> </span>Your doctor should be the only person who decides what medication you should be taking, not an insurance company.<span style="mso-spacerun: yes;"> </span>Should your insurance company be making decisions on how much medicine you need to cure or keep your illness in check?<span style="mso-spacerun: yes;"> </span>Guess again!!<span style="mso-spacerun: yes;">   </span><strong style="mso-bidi-font-weight: normal;">We have literally given Drug and Insurance companies carte blanche with deciding who lives and who dies in this country.</strong><span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">4.</span></strong><span style="font-size: 14pt;">  <span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Drug plans were designed for the benefit of insurance companies, not beneficiaries.<span style="mso-spacerun: yes;"> </span></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"> </span></strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Medicare works great unto itself.<span style="mso-spacerun: yes;"> </span>Everyone pays into the system so that we all have a certain degree of coverage in our retirement years.<span style="mso-spacerun: yes;"> </span>When you have a system that works, but try to have it re-designed by Drug and Insurance Companies, this is what happens.<span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;"><span style="color: red;">WE DESPERATELY NEED TO GIVE MEDICARE BACK TO THE PEOPLE!!</span></strong><span style="mso-spacerun: yes;"> </span>When Corporations own a country, people become dollar amounts on a profit statement and your life is only worth how much they choose to pay out to keep you alive.<span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;"> </span>  </strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">5.</span></strong><span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">MAPD (Medicare Advantage Plans with built in Drug Plans) advertising is misleading.<span style="mso-spacerun: yes;"> </span>Seniors can’t understand the differences in types of coverage. </strong>  </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"><span style="mso-spacerun: yes;">   </span></span></strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Medicare Advantage Plans have cleaned up, sweeping in billions of our tax dollars, but giving us inferior coverage at the same time.<span style="mso-spacerun: yes;"> </span>The plans they came up with are very confusing, and a total mess.<span style="mso-spacerun: yes;">   </span><strong style="mso-bidi-font-weight: normal;"><span style="color: red;">There is no network of doctors that will accept the terms of payment from the MAPD’s.</span></strong><span style="mso-spacerun: yes;"> </span>Your doctor or hospital could accept your MAPD plan at one visit, and decide not to take it at the next appointment. Now, Seniors and Medicare Beneficiaries are so confused they can’t understand the differences between Original<span style="mso-spacerun: yes;"> </span>Medicare and Medicare Advantage Plans.<span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">The drug and insurance companies purposely mislead you by saying that Medicare Advantage Plans offer more benefits than Original Medicare.<span style="mso-spacerun: yes;"> </span>They leave out the fact that someone with Original Medicare usually has a Medicare Supplement or Medigap Plan as well, whose benefits far surpass any Medicare Advantage Plan out there.<span style="mso-spacerun: yes;"> </span>You can choose your own doctors and hospitals anywhere in the country, and let your doctor decide what’s best for you, instead of some bean counter who is <strong style="mso-bidi-font-weight: normal;">NOT </strong>working in your best interest, but the drug or insurance company he works for.<span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Why do we allow Drug and Insurance companies to deliberately create plans that are so complicated and confuse people to the point of overwhelming them?<span style="mso-spacerun: yes;"> </span>  We all should understand that this is “great marketing” to take advantage of their confusion.<span style="mso-spacerun: yes;"> </span>Many times the slick salesperson will enroll Medicare Beneficiaries on MAPD plans not knowing if the plan will cover their illness or their medications.<span style="mso-spacerun: yes;"> </span>When you pay salespeople double and triple the amount to sell a certain kind of coverage, greed grows wild like kudzu covering the ground where <strong style="mso-bidi-font-weight: normal;">“doing the right thing”</strong> used to prevail.<span style="mso-spacerun: yes;"> </span>Insurance Companies get rich at the expense of our health.<span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Another point of contention is when Independent Agencies and Salespersons ARE <span style="color: red;">TRYING</span> to do the RIGHT THING by offering plans that are BEST for each individual, they are routinely terminated and penalized by the insurance company for <span style="color: red;">NOT</span> selling what the insurance company WANTS them to SELL!!</span></strong><span style="font-size: 14pt;">.<span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">6.</span></strong><span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Drug Plan Comparison</strong></span></p>
<p><strong style="mso-bidi-font-weight: normal;">   </strong> <strong style="mso-bidi-font-weight: normal;">shopping is supposed to begin Oct. 1, however Drug Plans do not send out ANOC (Annual Notice of Change) letters or updates on the next year’s formulary until it is too late. </strong></p>
</p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Have you ever tried to find out what changes your drug plan is making for the next year’s coverage?<span style="mso-spacerun: yes;"> </span>It is like finding a needle in a haystack.<span style="mso-spacerun: yes;"> </span>You will be bombarded with tricky marketing pieces meant to confuse you, well before you receive the ANOC letter, many times too late for you to make a reasonable decision.<span style="mso-spacerun: yes;"> </span>Insurance companies have almost made these ANOC letters their last priority because they don’t want the beneficiary to change their drug plan.<span style="mso-spacerun: yes;"> </span>If every senior in America actually took the time to get a <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">comparison of Part D plans Nov. 15<sup>th</sup> through Dec. 31</span></strong>  </p>
<p>  and make sure they were on the drug plan that would save them the most money while covering all their drugs each year, the drug plans would be losing money.<span style="mso-spacerun: yes;"> </span>The drug and insurance companies have made this task so daunting and confusing, seniors <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">just give up.</span></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">7.</span></strong><span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Unacceptable Two year waiting period for people on Social Security Disability.<span style="mso-spacerun: yes;"> </span></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Imagine being 55 and becoming disabled due to an illness or accident.<span style="mso-spacerun: yes;"> </span>You lose your job and insurance.<span style="mso-spacerun: yes;"> </span>You finally begin to receive your Social Security benefits, but they tell you that you will <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">HAVE NO HEALTH COVERAGE FOR 2 YEARS!</span> </strong><span style="mso-spacerun: yes;">   </span><strong style="mso-bidi-font-weight: normal;">WHAT???</strong><span style="mso-spacerun: yes;"> </span>Many people’s health gets worse, ultimately costing the tax payer billions more in health costs, or they pass away before they can become eligible for Medicare Health Coverage in the United States of America. Ever heard of “nipping it in the bud”?<span style="mso-spacerun: yes;"> </span>It seems Medicare wants to eliminate the problem before they have to fix it.</span>  </p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">8.</span></strong><span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Dreaded Donut Hole causes beneficiaries to stop taking needed medications.   </strong></p>
<p> </span>  </p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Studies have shown that seniors in the “dreaded donut hole” STOP taking needed medications because they must literally choose between food and filling prescriptions.<span style="mso-spacerun: yes;"> </span>That is no exaggeration folks!<span style="mso-spacerun: yes;"> </span>We used to say <strong style="mso-bidi-font-weight: normal;">“SURVIVAL OF THE FITTEST”,</strong> but the insurance and drug companies have changed that to <strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="color: blue;">“SURVIVAL OF THE RICHEST”.</span></em></strong></span></p>
</p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"> </span></strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">All Medicare Part D Beneficiaries receive $2,700 dollars <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">WORTH</span>  </strong> (retail prices determined by each drug plan) of medications each year before they fall into the “dreaded donut hole” and MUST AGAIN <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">PAY THE INFLATED RETIAL PRICES </span></strong>for their prescriptions with no help. <span style="mso-spacerun: yes;"> </span>When just one 30 day supply of some medications is so expensive, you can see how quickly that would add up.<span style="mso-spacerun: yes;"> </span>This causes the sickest of us to be unable to purchase needed medications.<span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">  One important way you can <strong style="mso-bidi-font-weight: normal;">STAY OUT OF THE “DREADED DONUT HOLE”</strong> is to buy generics <strong style="mso-bidi-font-weight: normal;">NOT USING OR MAKING A CLAIM ON YOUR DRUG PLANS.</strong><span style="mso-spacerun: yes;"> </span>Pharmacies have begun telling Seniors that this is illegal.<span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;"><span style="color: red;">IT IS NOT ILLEGAL TO PURCHASE GENERICS OFF YOUR DRUG PLAN</span></strong><span style="color: red;">. </span><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">IT IS YOUR RIGHT!</strong> Your co-pays may seem small for a generic; however the drug plan dings you up to $40 or more, pushing you into the donut hole much quicker. This inflated amount goes toward falling into the donut hole, not your co-pay charges!<span style="mso-spacerun: yes;"> </span>You can see how NOT using your drug plan for these generics could keep you OUT of the donut hole even longer each year saving you more money.<span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Some Pharmacies won’t allow beneficiaries to purchase generics OFF their drug plans forcing them into the donut hole.<span style="mso-spacerun: yes;"> </span>The reason is that pharmacies do not get as much reimbursement </strong>if you pay without making a claim. <span style="mso-spacerun: yes;"> </span>Please, don’t let this happen to you! Let the pharmacy know <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">YOU HAVE THE RIGHT TO CHOOSE WHETHER OR NOT TO FILE A CLAIM! </span></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;"> </span></strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">9.</span></strong>  <span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Drug Plans constantly passing the buck to Medicare for sorting out problems due to miscommunication and clerical errors. </strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"> </span></strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Many people on Medicare have to wait months to get their drug plans to go into effect.<span style="mso-spacerun: yes;"> </span>No, it is not because they did not meet the enrollment guidelines.<span style="mso-spacerun: yes;"> </span>It could be because the drug plan procrastinated in submitting their enrollment to Medicare due to a clerical error and now tells the Medicare beneficiary their enrollment period has lapsed and are no longer eligible<strong style="mso-bidi-font-weight: normal;">.<span style="mso-spacerun: yes;"> </span><span style="color: red;">The Beneficiary then goes back and forth between the insurance company and Medicare trying to correct a simple problem that seems uncorrectable.</span></strong><span style="mso-spacerun: yes;"> </span>Medicare will tell them that the drug plan has not sent in their application for processing, the drug plan will say that Medicare will not approve the application due to inconsistency of a Medicare Claim number or date of birth on their records.<span style="mso-spacerun: yes;"> </span>How could such a simple problem keep someone from receiving health care and drug coverage?<span style="mso-spacerun: yes;"> </span>When did clerical errors become more important than a human life?<span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;"></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: red;">10.</span>  </p>
<p> </strong><span style="font-size: 14pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">LIS or Limited Income Subsidy Programs are the <span style="color: blue;">BEST KEPT SECRET</span> of Medicare.<span style="mso-spacerun: yes;"> </span></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"> </span></p>
<p> </strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Many people could be saving thousands of dollars, but are never told about the Low Income Subsidy Program.<span style="mso-spacerun: yes;"> </span>    </span></strong></p>
<p><span style="font-size: 14pt;">You would not believe how many people go to the local Social Security office asking for help and are never told about <strong style="mso-bidi-font-weight: normal;"><span style="color: red;">“extra help”</span> programs. <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Many people who could quality</strong> do not even know they exist.<span style="mso-spacerun: yes;"> </span>The drug or insurance companies certainly don’t talk about it.<span style="mso-spacerun: yes;"> </span>You would be hard pressed to find a salesperson that would take the time to explain or educate their customers.<span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;"></strong></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">We know of thousands of people across the nation in Mental Health Facilities, Nursing Homes, Hospitals, etc…that have never been asked if they have applied for extra help or been told there is such a program.<span style="mso-spacerun: yes;"> </span>For months or sometimes years, the Facilities or their families have had to absorb the costs for these medications.<span style="mso-spacerun: yes;"> </span>However, even if someone finds out and is enrolled on a LIS program, many times the very drugs they need are not covered by the particular drug plan they were assigned.<span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;"><span style="color: red;">WHY?</span></strong><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Medicare will arbitrarily assign a drug plan without checking to see if your drugs are covered by the plan.<span style="mso-spacerun: yes;"> </span>  </strong>The drug company does not care if your drugs are covered.<span style="mso-spacerun: yes;"> </span>People must know to check for themselves.  <span style="mso-spacerun: yes;"> </span>Since these plans are so confusing they cannot understand all the complicated formularies of drugs covered by each of the more than 50 drug plans available in each state, all with different pricing.<span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span></p>
</p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">As you can see, Medicare needs to change and reform their policies.<span style="mso-spacerun: yes;"> </span><span style="color: blue;">Please take time to email your local, state and national officials with this Top Ten List.<span style="mso-spacerun: yes;"> </span></span></p>
<p> <span style="color: red;">Pass it on to everyone you know</span><span style="color: blue;">, even if they are not using Medicare, their parents or friends could use this valuable information.</span></span></strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt; color: blue;"> </span></strong></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">During the next few months the drug and insurance companies will begin to <span style="color: red;">FIGHT</span> to keep things as they are so they can continue to manipulate and control our very right to pursue health and happiness in these United States of America.<span style="mso-spacerun: yes;"> </span><span style="color: red;">Let them know you are not going to take it anymore.</span></span></strong></p>
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<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;"> </span><span style="font-size: 14pt;"> </span><span style="font-size: 14pt;">Top 10 Things Wrong With Medicare</span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">Sponsored by <a href="http://www.mypartdusa.com/blog">www.MyPartDusa.com/blog</a><span style="mso-spacerun: yes;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: 14pt;">@copyright 2009</span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small;"> </span></p>
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		<title>www.Top10ThingsWrongWithMedicare.org &#8211; PLEASE GO VISIT THIS WEBSITE AND SIGN THE PETITION TO REFORM MEDICARE SO WE ALL CAN HAVE BETTER BENEFITS!</title>
		<link>http://mypartdusa.com/blog/wwwtop10thingswrongwithmedicareorg/</link>
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		<pubDate>Tue, 19 May 2009 21:59:07 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

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		<description><![CDATA[First, I would like to THANK the over 800 of you that have already gone to the site and signed the petition to FIX MEDICARE! Many of you also left comments that are invaluable to getting something done about reforming Medicare benefits.  We would also appreciate any of you sending this to all your friends [...]]]></description>
			<content:encoded><![CDATA[<p><span style="color: #000000;">First</span>, I would like to THANK the over <span style="color: #000000;">    800 of you that have already gone to the site and signed the petition to FIX MEDICARE! </span> Many of you also left comments that are <span style="color: #000000;">invaluable to getting something done about reforming Medicare </span>benefits.  We would also appreciate any of you sending this to all your friends and people you know that could help us as well.  <strong><span style="color: #0000ff;">If you know someone who could get this published or someone who could draw attention to this website, please write to me kblake@mypartdusa.org. </span></strong></p>
<p>  This webiste was donated by a website company, MEDIUM.  It is completely not for profit!  Even the doctors who gave us Testimonies did so at no charge.  This petition will be sent to every government official and newspaper editors, but it is hard to get it to the right person.  If any of you know a better way, please let me know!</p>
<p><span style="color: #000000;"><strong>IT IS SO VERY EASY TO COMPLAIN! </strong>  </em> </span></p>
<p>I WANTED TO ACTUALLY TRY TO DO SOMETHING!  I get emails and phone calls everyday from people trying to get their medications covered and have all kinds of other issues, sometimes I can help them, but many times my hands are tied by the drug and insurance companies.  </p>
<p>If I can&#8217;t help you, I usually tell you to call Medicare directly.  Sometimes you may have to call several times until you get a person that is willing to help you.  Also you can contact the www.MedicareRights.org or call them at 800-333-4114.  They have free lawyers and counselors that can help you.</p>
<p>If you belong to a Union or group, you could send this website address out to all of them to get more signatures.  <span style="color: #000000;">THE MORE PEOPLE SEE IT AND SIGN IT, THE MORE ATTENTION WE CAN GET FROM THIS EFFORT!</span></p>
<p><span style="color: #000000;"><strong>I DO BELIEVE THAT EVERY VOICE COUNTS! </strong></span> <strong><span style="color: #0000ff;">THANK YOU FOR YOURS!</span></strong></p>
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		<title>MEDICARE REFORM &#8211; What are YOU doing to help change Medicare?  Contact your Government Officials with our Top 10 List of Things Wrong With Medicare!</title>
		<link>http://mypartdusa.com/blog/medicare-reform-doing/</link>
		<comments>http://mypartdusa.com/blog/medicare-reform-doing/#comments</comments>
		<pubDate>Sat, 28 Mar 2009 21:08:40 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=253</guid>
		<description><![CDATA[Everyone can complain.  That is the EASY part.  We all know that many things need to be changed about Part D plans and the advertising and selling of Medicare Advantage Plans.  If we don&#8217;t speak NOW and speak LOUDLY, the drug and insurance companies will continue to do business just as they have been doing [...]]]></description>
			<content:encoded><![CDATA[<p>Everyone can complain.  That is the <span style="color: #0000ff;">EASY </span>part.  We all know that many things need to be changed about Part D plans and the advertising and selling of Medicare Advantage Plans.  If we don&#8217;t speak <span style="color: #ff0000;">NOW </span>  and speak <span style="color: #ff0000;">LOUDLY</span>, the drug and insurance companies will continue to do business just as they have been doing it&#8230;and it is <span style="color: #0000ff;">NOT</span> for the benefit of the Medicare beneficiary.</p>
<p>PLEASE SKIP DOWN AND <strong><span style="color: #ff0000;">READ MY TOP 10 LIST OF THINGS WRONG WITH MEDICARE.</span></strong></p>
<p>CLICK ON <span style="color: #008000;"><strong><em>&#8220;SEND TO A FRIEND&#8221; AND MAKE SURE EVERYONE YOU KNOW GETS TO READ THIS IMPORTANT INFORMATION</em></strong></span></p>
<p>AND THAT THEY SEND IT ON TO OTHERS.  ALSO, SEND A COPY OF THIS LIST TO ALL YOUR <strong><span style="color: #0000ff;">GOVERNMENT OFFICIALS IN YOUR STATE.</span></strong>  THEY ARE THE ONLY PEOPLE WHO CAN VOTE TO CHANGE THE LAWS THAT HAVE PUT THE DRUG AND INSURANCE COMPANIES IN CHARGE OF OUR HEALTH CARE.</p>
<p>You can also go to www. MedicareRights.org  and get involved with the reform efforts there as well. </p>
<h3><span style="color: #0000ff;">Every voice needs to be heard at this critical time to make real change happen for the good of every person on Medicare!!!</span>  </h3>
<p>Let me know what you are doing&#8230;.write to me at <a href="mailto:kblake@mypartdusa.org">kblake@mypartdusa.org</a>    </p>
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		<title>More Q and A from Readers About Medicare Part D</title>
		<link>http://mypartdusa.com/blog/readers-about-medicare/</link>
		<comments>http://mypartdusa.com/blog/readers-about-medicare/#comments</comments>
		<pubDate>Tue, 03 Feb 2009 22:18:47 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=207</guid>
		<description><![CDATA[QUESTION: I was told I could save more money on my drugs by using mail order.  How do I get the forms to get them that way? ANSWER: Yes, many times you can save more money on your tier 2 or tier 3 drugs by using mail order.  It would depend on which drug plan [...]]]></description>
			<content:encoded><![CDATA[<p><span style="color: #008000;"><strong>QUESTION: </strong></span> I was told I could save more money on my drugs by using mail order.  How do I get the forms to get them that way?</p>
<p><span style="color: #008000;"><strong>ANSWER: </strong></span>Yes, many times you can save more money on your tier 2 or tier 3 drugs by using mail order.  It would depend on which drug plan you joined.  All you would need to do is contact the customer service number of your drug plan and ask them to help you get it started.  Also, ask them the prices to see how much you would save.  <span style="color: #993300;"><strong>REMEMBER:</strong> </span> IF YOU WILL BUY YOUR GENERICS <strong>OFF YOUR PART D DRUG PLAN   </strong>AT WALMART OR OTHER LARGE RETAILERS FOR $4, YOU SHOULD DO THAT INSTEAD OF GETTING THEM BY MAIL ORDER.  THIS WILL KEEP YOU OUT OF THE &#8220;DREADED DONUT HOLE&#8221; LONGER EACH YEAR.  IF YOU WILL GET TO THE CATASTROPHIC COVERAGE OF 95%, HOWEVER, YOU JUST NEED TO APPLY ALL YOUR PURCHACES TO YOUR DRUG PLAN TO GET THERE ASAP!</p>
<p><span style="color: #008000;"><strong>QUESTION: </strong></span></p>
<p>How will I know when I am getting close to falling into the &#8220;dreaded donut hole&#8221;?  Also, how can I see if my generics are being filed to my Part D plan or not?</p>
<p><span style="color: #008000;"><strong>ANSEWR: </strong></span></p>
<p>You should be getting regular statements from your Part D drug plan telling you how much has been applied to your $2,700 limit before going into the donut hole.  You should also get a list of every purchase you have made for the month so you can see if the pharmacy actually DID NOT file a claim for your medications as you requested.  <span style="color: #993300;"><strong>PLEASE READ THESE STATEMENTS CAREFULLY!     </strong></span> Many times they can make errors and charge you for purchases you did not make and that could put you in the donut hole long before you should be, so READ, CHECK, STUDY your statements!  BE <span style="color: #0000ff;">  <strong>LARGE AND IN CHARGE </strong>  </span>of your own insurance claims and don&#8217;t &#8220;just assume&#8221; the drug plan will never make a mistake.  Remember the old joke:  When you ASSUME you make an ass out of u and me.</p>
<p><span style="color: #008000;"><strong>QUESTION:   </strong></span> I am a Social Worker for a hematologist in Florida.  We have come across many issues with our patients&#8217; that have Medicare and also have a supplemental insurance to cover the extra 20% that traditional Medicare does not cover.  It seems that in the past few months our patients&#8217; supplemental insurance has now become their primary coverage.  They are having difficulties getting their medications paid for.  Our patients are confused about their plans as well as we are, (the nurses and myself).  I was wondering if there was some sort of educational meeting we could attend to be able to better inform our patients on what questions are to be asked when looking for the right supplemental insurance?</p>
<p><span style="color: #008000;">      <strong>ANSWER:</strong> </span> That is a great question and the answer is hidden between the lines.  Your patients have joined Medicare Advantage Plans not knowing that Medicare does not pay the claims anymore, but the actual insurance company does.  If your patient is on Medicare Parts A &amp; B, Medicare would always be primary to pay the 80% of claims.  The Medigap/Medicare Supplement would pay the other 20%.  They would then get a stand alone drug plan to cover medications.</p>
<p>When your patient joins a Medicare Advantage Plan, they no longer have the same coverage or send claims to Medicare.  They would have a plan that also includes a drug plan from the same company.  Many times these drug plans are inferior, as I have said before.  Many doctors and hospitals do not accept this form of payment and will not take these insurance plans.  We can help get your patients back on Traditional Medicare combined with a Medigap plan and a stand alone drug plan that will cover all medications, just call our toll free number to speak with a Consultant that can also educate you on the differences between plans and taking away any confusion you may have.  Just read our <span style="color: #993300;">  <strong>TESTIMONIES </strong>  </span>on the right hand side to see how we have helped educate many, many people all over the USA.  Also, please read all my catagories on the left hand side where I go into much detail regarding many issues you need to know about.  I would also recommend that you go to Medicare.gov and read the many pages of info they have online as well.</p>
<p>Please be aware that we can help your patients apply for &#8220;extra help&#8221; programs to pay for their needed medications if they cannot afford them.  There are plans available that many folks still do not know about.  Just let me know how I can help!</p>
<p><strong>THANK YOU</strong> FOR WRITING IN WITH ALL YOUR QUESTIONS!!!  I hope I helped you better understand these issues.</p>
<p><span style="color: #0000ff;">  <strong>THOUGHT FOR THE DAY:</strong></span></p>
<p><strong>PEOPLE WILL BE HAPPIER FOR YOUR SUCCESS IF YOU LET IT BE THEIR OWN DISCOVERY!</strong></p>
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		<title>REMEMBER THE MEDICARE RIGHTS CENTER!</title>
		<link>http://mypartdusa.com/blog/remember-medicare-rights-2/</link>
		<comments>http://mypartdusa.com/blog/remember-medicare-rights-2/#comments</comments>
		<pubDate>Mon, 02 Feb 2009 21:52:33 +0000</pubDate>
		<dc:creator>mypartdusa</dc:creator>
				<category><![CDATA[Where do I go for HELP with Part D or Medicare Issues?]]></category>

		<guid isPermaLink="false">http://mypartdusa.com/blog/?p=202</guid>
		<description><![CDATA[THIS TIME OF YEAR MANY OF YOU HAVE DISCOVERED DIFFICULTIES ASSOCIATED WITH YOUR PART D PLANS.  YOU MAY BE FINDING OUT THAT YOUR DOCTOR OR HOSPITAL DOES NOT ACCEPT THE TERMS OF PAYMENT FROM YOUR MEDICARE ADVANTAGE PLAN.  MAYBE YOUR DRUG PLAN IS NOT COVERING A DRUG FOR YOU THAN IS NEEDED AND YOU CANNOT [...]]]></description>
			<content:encoded><![CDATA[<p>THIS TIME OF YEAR MANY OF YOU HAVE DISCOVERED DIFFICULTIES ASSOCIATED WITH YOUR PART D PLANS.  YOU MAY BE FINDING OUT THAT YOUR DOCTOR OR HOSPITAL DOES NOT ACCEPT THE TERMS OF PAYMENT FROM YOUR MEDICARE ADVANTAGE PLAN.  MAYBE YOUR DRUG PLAN IS NOT COVERING A DRUG FOR YOU THAN IS NEEDED AND YOU CANNOT TAKE A SUBSTITUTE.  IF YOU HAVE GONE THROUGH THE USUAL CHANNELS, SUCH AS CALLING YOUR PART D DRUG PLAN TO GET INSTRUCTIONS OR HAVING YOUR DOCTOR FILL OUT THE PROPER FORMS FOR AN APPEAL, CONTACTING MEDICARE TO ISSUE A FORMAL COMPLAINT, BUT STILL NOTHING IS BEING DONE TO HELP YOU, GO TO THE MEDICARE RIGHTS CENTER. </p>
<p>  <span style="color: #008000;"><strong>WWW.MEDICARERIGHTS.ORG</strong></span>    <span style="color: #008000;"><strong>  &#8211; 800-333-4114</strong></p>
<p>THEY CAN GET THE BALL ROLLING IN YOUR DIRECTION AND HELP YOU GET THE PROBLEM SOLVED.  MANY TIMES PEOPLE USE THEIR FREE LAWYERS TO CONTACT THE DRUG PLANS OR MEDICARE ON YOUR BEHALF.  </p>
<p>PLEASE CONTACT ME IF YOU HAVE ANY QUESTIONS OR IF YOU WANT TO SHARE YOUR EXPERIENCES WITH OTHERS. </p>
<p><strong>  <span style="color: #0000ff;">THOUGHT FOR THE DAY:  </span></strong>            GET IN THE DRIVER&#8217;S SEAT &#8211; DON&#8217;T BE A PASSENGER IN YOUR OWN LIFE!</p>
<p>KARYN</p>
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