On target medicare presentation 2012


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Learn how to qualify for extra help, about the Affordable Care Act, and much more....we hold events at public libraries in Columbus OH and Atlanta GA....

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On target medicare presentation 2012

  1. 1. ON TARGET Healthcare Insurance101 “Everything You Should Know About Medicare” By CIOS2011.org
  2. 2. ONTARGET Community Insurance Outreach Services C.I.O.S. is an non-for profit organization providing insurance related services and support to the metro Youngstown area. Our mission is to bridge the gap between insurance companies, consumers, and local government by providing education and resources. C.I.O.S. address the need for educating consumers and employers to better understand their insurance needs, assist the insurance industry with risk management, and provide employment opportunities within the insurance markets.
  3. 3. ONTARGET C.I.O.S. Community Insurance Outreach Services Non-profit organization Services Education Employment Support Community based programs designed & operated by the community it serves Insurance industry sponsored initiative Outreach partnerships with other non-profits Services based on community needs which provide superior satisfaction Ohio...Let’s Start Here !!!
  4. 4. ONTARGET Parent Plan Dependent 26 Year Old Healthcare Access to Preventative Services and NO Lifetime Limits Pre-existing Condition Insurance Plans Coordination of Care Secure Medicare Trust Fund Partnership for Patients The Affordable Care Act ACA (Healthcare Reform)
  5. 5. ONTARGET Medicare Everything You Need to Know……. Getting Ready for Open Enrollment October 15th 2012-December 7th 2012
  6. 6. ONTARGET QUICK FACTS AEP- Annual Enrollment Periods October 15th 2011- December 7th 2011 • You can change your Medicare health or prescription drug coverage for 2012. Disenrollment Period January 1st 2012- February 14th 2012 • January 1st 2012 new coverage begins if you switched or joined a plan. New costs and coverage changes also begin if you kept your existing coverage. QUICK FACTS • NEW—Making changes to your coverage after December 31 Between January 1– February 14, 2011, if you’re in a Medicare Advantage Plan, you can leave your plan and switch to Original Medicare. • If your Medicare Advantage Plan includes prescription drug coverage and you join a Medicare Prescription Drug Plan, you will be disenrolled from your Medicare Advantage Plan and returned to Original Medicare. Enrollment Periods Medicare 2012 Saturday October 15th 2011
  7. 7. ONTARGET 1-800-686-1578 MEDICARE EXPERTS OSHIIP Ohio Senior Health Insurance Information Program
  8. 8. ONTARGET Medicaid Medicaid pays for covered medical bills, dental bills, eyeglasses, and homemakers services. Certain people covered by Medicare may qualify for full Medicaid benefits. Other will qualify for partial Medicaid, also known as “spend down”.
  9. 9. ONTARGET Medicare-Medicaid Coordination Medicare Premium Assistance Program (MPAP This program helps people eligible for Medicare who have limited income and assets get help in paying the cost of one or more of the following: Medicare premium(s) Medicare deductibles Medicare coinsurance Eligibility Criteria: To qualify for MPAP, applicants must be eligible for Medicare and meet basic requirements. When applying for MPAP, proof of income, resources, age or disability, citizenship (if not a U.S. citizen) and other health insurance is required. No face-to-face interview with the local county department of job and family services is necessary. Medicaid for Older Adults and People with Disabilities Medicaid for the Aged, Blind & People with Disabilities (ABD) Ohio Medicaid offers a span of programs for older adults and people with disabilities to assist with medical expenses. These programs provide health care coverage consisting of primary and acute-care benefit packages along with long-term care. To qualify for ABD Medicaid, applicants must be: age 65 or older, or considered legally blind, or an individual with a disability (as classified by the Social Security Administration), and must meet basic requirements. When applying for this type of Medicaid, proof of income, resources, age or disability, citizenship (if not a U.S. citizen) and other health insurance is required. A face-to-face interview with the local county department of job and family services is also necessary.
  10. 10. ONTARGET Medicaid Income Eligibility 2012 2011 HHS Poverty Guidelines Persons in Family 48 Contiguous States and D.C. Alaska Hawaii 1 $10,890 $13,600 $12,540 2 14,710 18,380 16,930 3 18,530 23,160 21,320 4 22,350 27,940 25,710 5 26,170 32,720 30,100 6 29,990 37,500 34,490 7 33,810 42,280 38,880 8 37,630 47,060 43,270 For each additional person, add 3,820 4,780 4,390 Who Qualify in Ohio? FPL Single Marrie d Resources Single/Marrie d Older Adults (age 65 or older) & Disabled People (of any age) 64% $589 $1,011 $1,500/$2,250 Qualified Medicare Beneficiary (QMB) 100% $867 $1,176 $4,000/$6,000 Specified Low- Income Medicare Beneficiary (SLMB) 120% $1,040 $1,400 $4,000/$6,000 Qualified Individual (QI-1) 135% $1,170 $1,575 $4,000/$6,000 Qualified Working Disabled Individual (QWDI) 200% $1,734 $2,334 $4,000/$6,000 SOURCE: Federal Register, Vol. 76, No. 13, January 20, 2011, pp. 3637-3638
  11. 11. ONTARGET “Insurance Literacy” “Claims Assistance” “Career Pathway” Insurance Literacy Program provides free educational seminars on : • Basic Insurance • Health Insurance • Property & Auto Insurance • Life & Accident Insurance • We also provide free insurance seminars for business Our “Restoring the Community” program offers catastrophic claims assistance and support to local residents and business. We provide advice and guidance during insurance claim process. We act as an authorized agent and advocate, respond to denial letters, assist with documentation, and refer to local state insurance agencies for complaints. The “Career Pathway” program offers career placement and credentials in the insurance industry. We provide recession –proof employment opportunities by securing our clients with an state insurance license with in 90 days. Our clients are vested after 5 years of commitment and provide training, credentialing, support, and marketing. Our Common Pledge… “Providing progress, stability, & dedication to disadvantage communities across America.”
  12. 12. ONTARGET WWW.CIOS2011.ORG For more information and event dates visit