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Dual Eligible Outreach & Advocacy   We help people apply for assistance with Medicare premiums NEW: PATHS Training Conference Anaheim, California August 17 – 20, 2008
Did You Know?   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],$ 6,668 Total Out-of-Pocket Source:  www.cms.gov
Did You Know? * Annual premium amount based on $27.93 national average monthly beneficiary premium (CMS, August 2007), amounts are rounded to the nearest dollar. ** Medicare Part D pays 95% of Rx costs after $4,050 out of pocket. $  0 $1,159 $6,668 Total 0 0 3,216 Part D Coverage Gap (Donut Hole)  ** 0 0 558 Part D Coinsurance 25% of first $2,235 0 0 275 Part D Deductible  0 0 *304 Part D Premium 0 1,024 1,024 Part A Hospital Deductible 0 135 135 Part B Deductible $  0 $  0 $1,156 Part B Premium Person with  QMB Person with SLMB or QI-1 FFS Enrollee  w/o MSP or Extra Help Out of Pocket Expense
Did You Know? ,[object Object],[object Object]
More on Medicare Advantage Plans ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: CMS; The Heritage Foundation; The success of Medicare Advantage Plans: What Seniors Should Know;  Robert E. Moffit, Ph.D
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What is a Medicare Advantage  (MA)  and a Prescription Drug Plan  (PDP) ?
SSC Customers
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What We Do
SSC-Submitted MSP Applications Total = 231,708
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Coordinating Programs
Did You Know? ,[object Object],[object Object],[object Object],[object Object],[object Object],Our Challenge ~ More in Need source: HHS January 2008
[object Object],[object Object],[object Object],[object Object],Extra Help for Part D Expenses
 
Why Don’t They Apply? Sources: Ebeler, Jack, Paul N. Van de Water, and Cyanne Demchak (eds.) 2006.  Improving the Medicare Savings Programs.  Washington: National Academy of Social Insurance  Glaun, Kim, December 2002.  Medicaid Programs to Assist Low Income Medicare Beneficiaries: Medicare Savings Programs Case Study Findings.  Washington: The National Senior Citizens Law Center * MSP will be exempted from Estate Recovery starting 1/1/2010 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Our Challenge  ~  More to Come
Retaining the Experts ,[object Object],[object Object],[object Object],[object Object]
We want to help   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],SSC Outreach ,[object Object],[object Object]
SSC Outreach ,[object Object],[object Object],[object Object]
SSC Outreach ,[object Object],[object Object],[object Object],[object Object],[object Object]
Direct Mail Initial Phone Screening Single Interview Multiple Program Screening Home Visits (when needed) MSP Applications Completed Electronically Signature-Ready Applications Mailed to Member SSC Reviews Application and Sends to State Medicaid Administration MSP Award Letter Sent to  SSC / Member SSC’s Application Process Summary Medicare Savings Advantage TM
Recertification Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A comprehensive ‘Social Advocacy’ benefit designed to help seniors and disabled individuals learn about and take advantage of a broad array of valuable programs. What is Golden Touch TM
Golden Touch TM   Programs Property Tax Telephone Home Care Nutrition Transportation Energy Adult Care Home Repair Respite Emergency Assistance Rent State Pharmaceutical  Assistance Programs (SPAP) Assistive Technology Water Total GT Programs– 4,052
[object Object],[object Object],[object Object],[object Object],Program Value Summary
Government Relations Service Areas
[object Object],[object Object],[object Object],[object Object],Working Together ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contact us: (888) 528 9488 Cindy – x 7123 Kathie – x 7652 Linda – x 5114

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2008 New Final Presentation V1.7

  • 1. Dual Eligible Outreach & Advocacy We help people apply for assistance with Medicare premiums NEW: PATHS Training Conference Anaheim, California August 17 – 20, 2008
  • 2.
  • 3. Did You Know? * Annual premium amount based on $27.93 national average monthly beneficiary premium (CMS, August 2007), amounts are rounded to the nearest dollar. ** Medicare Part D pays 95% of Rx costs after $4,050 out of pocket. $ 0 $1,159 $6,668 Total 0 0 3,216 Part D Coverage Gap (Donut Hole) ** 0 0 558 Part D Coinsurance 25% of first $2,235 0 0 275 Part D Deductible 0 0 *304 Part D Premium 0 1,024 1,024 Part A Hospital Deductible 0 135 135 Part B Deductible $ 0 $ 0 $1,156 Part B Premium Person with QMB Person with SLMB or QI-1 FFS Enrollee w/o MSP or Extra Help Out of Pocket Expense
  • 4.
  • 5.
  • 6.
  • 8.
  • 10.
  • 11.
  • 12.
  • 13.  
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Direct Mail Initial Phone Screening Single Interview Multiple Program Screening Home Visits (when needed) MSP Applications Completed Electronically Signature-Ready Applications Mailed to Member SSC Reviews Application and Sends to State Medicaid Administration MSP Award Letter Sent to SSC / Member SSC’s Application Process Summary Medicare Savings Advantage TM
  • 22.
  • 23. A comprehensive ‘Social Advocacy’ benefit designed to help seniors and disabled individuals learn about and take advantage of a broad array of valuable programs. What is Golden Touch TM
  • 24. Golden Touch TM Programs Property Tax Telephone Home Care Nutrition Transportation Energy Adult Care Home Repair Respite Emergency Assistance Rent State Pharmaceutical Assistance Programs (SPAP) Assistive Technology Water Total GT Programs– 4,052
  • 25.
  • 27.
  • 28. Contact us: (888) 528 9488 Cindy – x 7123 Kathie – x 7652 Linda – x 5114