June 23, 2014 View Web Version | Text Only Version | Print-Friendly Version
In This Issue
Our Goal
Government Report
A Major Victory for Independent Insurance Agents
Does it make sense for a client to opt out of Medicare partially or entirely?
Observation Status Leaves Families without Coverage
Nursing Home Law Changes
The Brokerís Corner (Q & A)
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Our Goal

NAHU's Senior Issues and Medicare Advisory Group support the thousands of NAHU members that are committed to working in the Medicare marketplace. The goal of this newsletter is to push out timely information and offer resources to the professional agents serving their consumers with Medicare Solutions... Read more

Government Report
by John Greene

On our last call with the Centers for Medicare and Medicaid Services (CMS) regarding the proposed Part D commission cuts, the agency indicated they would welcome another call with NAHU on other agent regulatory issues in the Medicare Advantage Program. Jessica Waltman, senior vice president of government affairs, and John Greene, vice president of congressional affairs, represented NAHU on the call with CMS. In consultation with the Medicare Advisory Group, the following issues were discussed... Read more

A Major Victory for Independent Insurance Agents
by Dwane McFerrin

In a major victory for independent insurance agents, the Centers for Medicare and Medicaid Services' (CMS) final regulations governing agent compensation for MAPD and PDP appears to accept the arguments put forth by NAHU and the Medicare Advisory Group during a call with CMS in February. The renewal compensation will remain at 50%, rather than the proposed 35%. There was a House Energy and Commerce Committee meeting during Capitol Conference that also placed pressure on CMS for its overreach on Part D regulations... Read more

Does it make sense for a client to opt out of Medicare partially or entirely?
by Dwane McFerrin

Can your clients delay retirement and continue working past age 65? Yes, of course. It even may be beneficial for your client to delay some or all parts of Medicare. If your client works for a larger company, for example, your client can delay Medicare coverage and not be penalized, provided the health insurance is classified as creditable coverage... Read more

Observation Status Leaves Families without Coverage
by Lynn Tank

I have had several clients affected by observation status. One client actually spent three days in the hospital with breathing difficulties, but because there was no diagnosis, his time in the hospital was considered observation; a.k.a. outpatient. As a result, none of the medication that was administered during his stay was covered... Read more

Nursing Home Law Changes
by Harry P. Thal

This past December, the Center for Medicare and Medicaid Services (CMS) revised the Medicare Manual in accordance to the settlement agreement of Jimmo vs. Sebelius. This revision was effective January 7, 2014... Read more

The Brokerís Corner (Q & A)

Q:  I am always running into people turning 65 who have served our country in the past, are using the Veteran’s Health Administration and don’t feel they need to sign up for Medicare. Should they?... Read more

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