healthtrix.com » government http://healthtrix.com Health Tips & Resources - Health Care Blog Sun, 09 May 2010 11:41:41 +0000 http://wordpress.org/?v=2.8.5 en hourly 1 Health Care Fraud And You http://healthtrix.com/2010/02/health-care-fraud-and-you/ http://healthtrix.com/2010/02/health-care-fraud-and-you/#comments Mon, 08 Feb 2010 10:12:23 +0000 Adriana Noton http://healthtrix.com/2010/02/health-care-fraud-and-you/ Millions of Americans feel the effects of health care fraud without ever being aware of it. This is a growing problem that takes each and every one of us to fight. If you know of anyone who has committed this type of crime then you should report them to the proper authorities immediately. This is a problem that will only grow worse unless we work together to put a stop to it.

Even our insurance premiums may be affected. When someone files a false claim and insurance companies pay out on it then they have to get that money back. They don’t get it from the person who files the claim but from everyone who has insurance with them. No matter who files that claim it is all policy holders who pay in the end.

Government run programs are often the target of fraud. These programs are paid for by each and every one of us through tax dollars. When someone commits fraud it not only costs us but it could mean others are not getting the care they need. It may also mean the programs won’t be around when we need them our selves.

Because of fraud in the health care system, some procedures and medications may not be available to those who need them most. Some of these could be life saving but instead people suffer and possibly die because of those who take advantage of the system or abuse narcotics. No person should have to live in pain because of other peoples addictions.

Health care providers are guilty as well. Every time a bill is padded or they charge for a procedure that wasn’t done this is fraud. Some doctors and hospitals have even invented ghost patients to get more money. Fraud of this type could even be as simple as performing procedures that are not medically necessary.

While you may not be able to prove weather or not a procedure was necessary you can prove weather or not it was preformed. What one doctor considers legitimate another may say was unnecessary. This is a gray area and not all doctors will agree on what is best for a patient. More often than not this is left at the doctor’s discretion.

Another form of medical care fraud is medical identity theft. This occurs when a person uses another’s identity to gains access though their medical coverage or you may find huge medical bills in your name that aren’t yours. They can also use your name to get narcotics due to an addiction. This can affect your medical records and be very dangerous.

The simple fact is that fraud affects each and every one of us. Imagine not being able to get medical coverage for your child because of other peoples fraudulent activities. Worse, imagine your child being given the wrong medication because of medical identity theft.

You can help prevent fraud simply by knowing what is in your medical files. Help insure that all people who need medical coverage can have access to it. Report any suspected fraud to proper authorities.

A criminal lawyer Toronto gives legal advice when being charged with a crime. A DUI lawyer Toronto are particularly experienced with handling drinking and driving cases.

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]]> http://healthtrix.com/2010/02/health-care-fraud-and-you/feed/ 0 Medicare Eligibility And Coverage http://healthtrix.com/2010/01/medicare-eligibility-and-coverage/ http://healthtrix.com/2010/01/medicare-eligibility-and-coverage/#comments Sun, 31 Jan 2010 15:48:41 +0000 Allison Meade http://healthtrix.com/2010/01/medicare-eligibility-and-coverage/ Medicare is a social insurance program administered by the United States government that provides health insurance coverage to people who are aged 65 or older. Another requirement for Medicare eligibility is having paid money or taxes into the Medicare system for at least ten years. Seniors below 65 years old can also avail of Medicare benefits if they have a disability or have been diagnosed with permanent kidney failure.

Medicare offers several benefits such as hospital insurance, medical insurance and prescription drug plans. There is another part that deals with a type of insurance plan called Medicare Advantage. The following discusses each benefit in a little more detail:

Part A: Hospital Insurance. Medicare can help pay for your inpatient costs at a hospital, clinic or ambulatory surgical centers. It can also assist on payments for home health care, skilled nursing service and hospice, provided that you meet additional criteria. This benefit does not require any premium payments since this is already paid for with the Medicare taxes deducted from your paycheck when you were still working.

Part B, or medical insurance, covers outpatient costs, and some services and products not covered by Part A. Examples include professional fees, laboratory, and diagnostic tests, x-rays, blood transfusions, renal dialysis, drugs covered by Medicare and medical equipment such as canes, walkers and wheelchairs. Most people pay monthly premiums for Part B.

Part D helps pay for prescription medicine and other drugs not covered by Part B. It also provides protection from higher expenses related to this in the future. Also approved and regulated by Medicare, prescription plans are actually administered by private companies.

Part C, or the Medicare Advantage plan, allows Medicare beneficiaries to receive their benefits through private health insurance plans, instead of the original Medicare plan (Parts A and B). These plans are required to offer coverage that is equal or greater than that of the original Medicare program, but they do not have to cover every benefit in the same way. The policies usually cover services that are medically essential and the patient can be charged non-standard deductibles, co-payments, or coinsurance for these services.

Some people perceive the fact that Medicare cannot cover all possible medical expenses of its beneficiaries are perceived as a disadvantage. However, of greater concern is the increasing number of beneficiaries versus the working population, which are basically the source of Medicare funds. It may reach the point where the federal government will no longer be able to support the Medicare program. Some people predict that this situation could come as early as 2018.

However, the advantages still outweigh the disadvantages. Beneficiaries should take the time to learn about Medicare eligibility rules and coverage. After all, education is the key in making the most of this program.

There are a variety of Medicare plans to choose from including the Medicare Advantage Plan. If you need coverage research Medicare eligibility to see if you meet the requirements.

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CURE FOR AIDS, DIABETES, HEART HEALTH & OTHER DISEASES TOO!

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]]> http://healthtrix.com/2009/12/cure-for-aids-diabetes-heart-health-other-diseases-too/feed/ 0 HEALTH ALERT!! – 2 of 5: VITAMINS & MINERALS TO BE BANNED!!! (CODEX ALIMENTARIOUS) http://healthtrix.com/2009/12/health-alert-2-of-5-vitamins-minerals-to-be-banned-codex-alimentarious/ http://healthtrix.com/2009/12/health-alert-2-of-5-vitamins-minerals-to-be-banned-codex-alimentarious/#comments Thu, 17 Dec 2009 09:37:19 +0000 admin http://healthtrix.com/2009/12/health-alert-2-of-5-vitamins-minerals-to-be-banned-codex-alimentarious/

Codex Alimentarius is scheduled for full global implementation on December 31st, 2009, and not a word has been spoken in main stream media about this threat to humanity. The principle of self medication with herbal/vitamin/mineral food supplements would be restricted to prescription only status, if the Codex Alimentarius is applied in the UK and elsewhere, particularly the USA. (UK only) Since the NHS priorities are ill health diagnosis and treatment, the good health preservation that …

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]]> http://healthtrix.com/2009/12/health-alert-2-of-5-vitamins-minerals-to-be-banned-codex-alimentarious/feed/ 0 HEALTH ALERT!! – 1 of 5: VITAMINS & MINERALS TO BE BANNED!!! (CODEX ALIMENTARIOUS) http://healthtrix.com/2009/12/health-alert-1-of-5-vitamins-minerals-to-be-banned-codex-alimentarious/ http://healthtrix.com/2009/12/health-alert-1-of-5-vitamins-minerals-to-be-banned-codex-alimentarious/#comments Sat, 12 Dec 2009 00:03:09 +0000 admin http://healthtrix.com/2009/12/health-alert-1-of-5-vitamins-minerals-to-be-banned-codex-alimentarious/

Codex Alimentarius is scheduled for full global implementation on December 31st, 2009, and not a word has been spoken in main stream media about this threat to humanity. The principle of self medication with herbal/vitamin/mineral food supplements would be restricted to prescription only status, if the Codex Alimentarius is applied in the UK and elsewhere, particularly the USA. (UK only) Since the NHS priorities are ill health diagnosis and treatment, the good health preservation that …

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