Florida’s No-fault Automobile Insurance Laws

Florida-no-fault-accident-pip-kaster-fort-myers

Florida-no-fault-accident-pip-kaster-fort-myersIn years since 2012, all drivers licensed in Florida have been required to carry what is known as PIP coverage. That stands for Personal Injury Protection.

This much-needed rider allows you to get the medical help you may need following an accident regardless of fault or if the other party has auto insurance.

Unlike some other states, there are time constraints within which you are able to seek treatment for accident-related injuries.

In Florida, you have just two weeks (14 days) after an accident to start treatment.  If you do visit a doctor’s office or emergency clinic during this time frame you automatically lose your ability to use your PIP coverage. 

If you are not taken by ambulance from the accident scene please follow up with your doctor and your chiropractor as soon as possible.

Every policy issued in Florida carries the full $10,000 worth of PIP coverage, even though, in some situations, you may only be entitled to $2500, a reduced benefit. To access the full amount you must receive a determination of emergency medical condition. Many insurance companies will argue with you that you do not have a serious condition. Restrictions have been unjustly placed which discriminate against chiropractic physicians. because of this, we have to refer you out to another health care provider simply to get that determination on file.

If your auto insurer stops payment after $2500 for the $10,000 in benefits for which you pay a premium for, you may continue to obtain treatment with our office under a letter of protection if you are represented by a lawyer and are filing a claim for recovery against the at-fault driver.

DID YOU KNOW?: You can install our mobile app on your smartphone! With just a push of a button, we will know you need medical assistance and get you in as soon as possible. http://drkasters.com/web-app-download/

If you are in an accident – don’t worry about the specifics right away. Call our office at 239-332-2555 and come in for a post-accident evaluation, treatment plan, and adjustments. Let’s get you on the road to health and we will file all the paperwork for you.

For More Information on PIP Laws in Florida:

The Florida Office of Insurance Regulation can assist you if you experience a problem or have a complaint. You can submit a complaint online by going to their consumer services website at https://apps.fldfs.com/eservice.

Chiropractor | Nutritionist in Ft Myers, FL.

Fort Myers Chiropractor, Dr. Jason B. KasterChiropractic care is a safe, alternative treatment when applied appropriately. Chiropractic treatments help in dealing with the symptoms of many conditions. Are you going to wait for your symptoms to be felt, or are you going to prevent it as soon as possible?

Dr. Jason B. Kaster, a chiropractor, and nutritionist in Fort Myers can help you and your family achieve their optimal health.

Our Recent Communications to Congressional Staff 

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Medicare Advantage for All will deliver comprehensive costeffective health insurance for all Americans. Our current Medicare Advantage program works for seniors and it works for taxpayers! It should be the platform upon which the Democrats build their “Medicare for All” program. 

We are a grassroots research and educational movement. We are on a mission to promote the highest quality, truly American health plan for the lowest possible cost.  

On the Medicare-Advantage-For-All. com website, we further our goal by re-publishing notices, emails, letters, and alerts that we send to congressional staff, which include members of Congress, key congressional staff members, the White House, including policymakers in the executive branch, academics, and D.C. think-tanks, policy wonks, the mediaand our loyal members. 

Below, we have shared some of our recent communications with members of Congress and other vital NEWS and information:   

 

10/23/2019 – VERMA DUCKS ON ADMIN. CONTINGENCIES if the ACA is struck down. 

By Adam Cancryn – Politico 

CMS Administrator Seema Verma repeatedly refused to tell a House oversight panel how the Trump administration plans to stabilize the nation’s health care system if a federal court strikes down the Affordable Care Act. 

“The president has made clear that we will have a plan in action to make sure that Americans have access to affordable coverage,” Verma told a House Energy and Commerce oversight and investigations subcommittee today. “I’m not going to get into any specifics of the plan.“ 

House Democrats repeatedly pressed Verma over the contingency planning, criticizing her for failing to lay out any fallback options even as the administration backs the legal effort by a group of GOP-led states to immediately wipe out Obamacare. A federal appeals court is expected to rule on the case in the coming weeks. 

“Do you have a plan that you can present to us, or is this another pie in the sky promise?” said Rep. Jan  (D-Ill.)Schakowsky 

Verma later insisted that the administration has planned for “a variety of different scenarios” and only needs to wait for the court to rule — but refused to offer any evidence or details. 

President Donald Trump had originally vowed to roll out his own health care plan by September, but officials have not provided any updated timing, and there’s little expectation any proposal from the White House will extend beyond offering general principles. 

 

10/22/2019 – HOUSE RSC PERSONALIZED AFFORDABLE CARE PLAN RELEASE 

House conservatives have rolled out their Personalized Affordable Care Plan as an alternative to “Medicare for All” ahead of the 2020 elections. The White House has not officially endorsed the Plan, which envisions rolling back Obamacare’s popular Medicaid expansion and much of the regulations governing the individual market and offering federal block grants to states to help establish their own health insurance markets. The proposal is designed to blunt criticism for failing to protect people with preexisting conditions, arguing that high-risk coverage pools — along with fewer benefit requirements for health plans and an equalization of the tax treatment for employer-sponsored and individual plans — will effectively provide all Americans with an array of low-cost options. 

 

https://www.medicare-advantage-for-all.com/wp-content/uploads/sites/8670/2019/10/HOUSE-RSC-PERSONALIZED-AFFORDABLE-CARE-PLAN.pdf 

 

10/15/2019 – EMAIL TO RSC COMMITTEE MEMBERS 

 

Email to RSC member – October 15, 2019 

 

Recently, I sent you the list of 293 members of the 116th House of Representatives that have supported Medicare Advantage (MA). I will send it again Today! I have since learned that the Republican Study Committee is planning to release its own health plan alternative by the end of the month. As an important member of this and related committees, I am writing to urge you to incorporate Medicare Advantage into your thinking. 

 

Previously, I sent you the top 28 reasons why Medicare Advantage should be the core of your new health plan. I believe that to successfully pass any major health plan legislation in the House, then get it through the Senate and ultimately signed by the President, the plan must have three essential elements. It must be bipartisan (or capable of becoming so). It must be cost-effective, but even more importantly, in order to avoid the natural skepticism from public health advocates and others, it must be popular with the American people. The truth is Medicare Advantage is the ONLY health plan that meets ALL three of these basic criteria. 

 

Medicare Advantage For All has answers for you on this and how to restore the health of the American people, including the efficacy of Medicare Advantage as a national plan for all ages. These answers can be found on www.medicare-advantage-for-all.com  We are excited about your new health plan. Reducing our cost of health care and making it affordable will ultimately require an Apollo-like national commitment. And, we believe that you can “Make America Healthy Again” with the best design of the health plan for which you vote. You will be receiving our correspondence again soon by snail-mail.  Please keep a look-out for it. Thank you very much for your service. 

 

09/18/2019 – LETTER TO MA SUPPORTERS IN THE HOUSE 

 

Letter excerpts to the 293 House members supporting MA – September 18, 2019 

 

Thank you for supporting the Medicare Advantage Program (MA) which is the bright star on the national health insurance stage. MA is the most popular health plan with your constituents and in Congress.  Enclosed you will find the list of the 293 of your fellow Hose members that have supported Medicare Advantage. This is more than double the number of sponsors for the Medicare for All Act of 2019. Also enclosed please find our Fifth Edition of The True American displaying the Medicare Advantage programs popularity and making the case for extending this dynamic program to All Americans. (See the Fifth Edition here under the True American Tab – SITTING ON A BOMB: May 2019 ) 

 

The most important challenge we face is maintaining and promoting the health and wellbeing of all our people. We have 30 Million uninsured. We suffer from a crippling chronic disease epidemic that is driving our costs of health care through the roof. 

 

We believe you have already supported the solution. A properly designed Medicare Advantage plan with an integral health and wellness component created and delivered under the supervision of our able Health & Human Services Department is the answer to all of the problems. A Medicare-Advantage-For-All Program that changes the way our medical professionals treat chronic illness will save over $1 Trillion Dollars annually. 

 

Medicare Advantage is the most popular health plan in America. Unfortunately, there has never been any major health plan legislation passed by the Congress on Medicare that has NOT been bipartisan! In fact, every major act signed into law since Medicare’s inception was both bipartisan and passed to reduce the cost of the medicare program. 

 

Your constituents are looking to you for answers. We believe that for any health plan to pass the House, then get through the Senate and ultimately signed into law by the President; the plan must have three essential elements. It must be bipartisan (or capable of becoming so). It must be cost-effective, but even more importantly, in order to avoid the natural skepticism from public health advocates and others, it must be popular with the American people. The truth is Medicare Advantage is the ONLY health plan that meets ALL three of these basic criteria. 

We Americans are sitting on a health care Bomb! This problem can not be fixed without your help. But, every day your constituents have to live with high cost and the difficulty in getting the health care that they need and deserve. That can not be good for your re-election. Please consider working with the 293 of your colleagues, who support Medicare Advantage and help us create a “program that really works”. 

 

Want to support Medicare Advantage? You can. 

To support and join this movement, you can download our Medicare Advantage Membership Application and complete it with your contact information and send it to us with your financial support or just complete the Pay Pal Credit card authorization on the About and Become A Supporter Pages on our web site. 

For more information on the Medicare-Advantage-For-All plan and the movement, visit our Medicare-Advantage-For-All plan page or our Medicare Advantage Facebook page, call us at 1-888-683-3719 or contact our email us at: contact@medicare-advantage-for-all.com. 

The post Our Recent Communications to Congressional Staff  appeared first on Medicare News Advocate.

Natural Vein Health Support

varicose-veins-natural-remedies West florida vein

varicose-veins-natural-remedies West florida veinVaricose veins are not only a visual distraction they are also often painful and uncomfortable. Lifestyle alterations can help – exercising more regularly, quitting smoking, maintaining a healthy weight – all can do wonders. While the best options to permanently eliminate varicose veins are medical in nature there are some natural things you can do at home which may help support vein health overall.

Looking to nature’s medicine cabinet you may find some relief with the following vitamins and herbs.

B Vitamins – B vitamins can lower your cholesterol and improve your overall circulation, with B12 and B6 being specially recommended for those at risk of developing blood clots.

Vitamin C – vitamin C is important for the production of collagen and elastin, tissues that help to keep vein walls strong and flexible, helping greatly to reduce the pain and inflammation associated with varicose veins.

Vitamin E – often used alongside vitamin C, vitamin E is important for improving blood flow and general circulation, and also reduces the stickiness of blood platelets to assist those who are at particular risk for blood clot formation.

Gotu Kola – also known as Centella Asiatica, Gotu kola is an effective herb in treating varicose veins because it encourages healthy blood flow, promotes vein flexibility, and tones the connective tissues which surround the veins.

Bilberry – often sold as a companion product to Gotu kola, bilberry is an antioxidant herb that improves blood flow by strengthening capillaries.

Horse Chestnut Seed – typically sold as an over-the-counter supplement called Venastat, horse chestnut seed extract helps varicose veins by reducing fluid retention, swelling, and inflammation.

Butcher’s Broom – an herb that has proven to be especially effective when used in combination with horse chestnut seed, butcher’s broom works by strengthening the walls of blood vessels.

For more information on natural remedies for varicose vein treatment and prevention, contact Dr. Zuzga of the West Florida Vein Center today at (727) 712-3233.

*Please check with your doctor prior to taking any vitamins or supplements for your venous condition. While the supplements listed above have been proven to be safe in most situations,  it is always best to double-check with a professional before taking anything that might interact negatively with any current medications or conditions.

The Effect of Sugar Addiction on Your Heart

Tampa Cardio sugar-and-your-heart-health

Tampa Cardio sugar-and-your-heart-healthSugar hits the pleasure center of the brain in the same way that hard drugs do. This makes refined sugar extremely addictive and very hazardous to your health. Moderation is key and elimination even better.

Until recent years not all that much study had been done on sugar. It was a well-known household dietary staple. The harmful effects of a diet high in sugar are becoming more publicly known, many are still unaware.

The fact is, your sugar intake could very well be harming your health now and into the future. Let’s take a look at how sugar affects the body.

  1. Sugar can compound depression. Though little known or recognized sugar has an effect on mental and cognitive function. It may offer one explanation as to why you feel drained in a short time after eating something sugary. It has also been scientifically linked to anxiety and memory lapses later in life.
  2. Sugar begets heart disease. Heart disease is still the top cause of death worldwide. Recent studies show that a high sugar diet could be a major contributing factor. Elevated levels of fructose can raise your insulin and blood glucose, as well as lead to obesity.
  3. Sugar causes dental issues. The obvious statement of the bunch,  sugar sticks to your teeth and feeds the bacteria. Over time, teeth can decay as a result causing cavities.
  4. Sugar adds weight. If you eat a lot of sugar, you are going to have a higher risk of being overweight.
  5. Sugar is bad for your liver. Excessive sugar consumption will have a similar effect on the liver as if you were an alcoholic. This is because sugar, which turns into fat, becomes lodged in the liver. That can develop into non-alcoholic fatty liver disease.
  6. Cancer cells feed on sugar. Numerous studies have shown that there is a connection between sugar consumption and cancer. Sugar consumption creates elevated insulin levels so the body can’t properly regulate the abnormal growth and multiplication of unwanted cells potentially leading to cancer or feeding already existing cancerous cells.
  7. Sugar can spur type II diabetes. Excess sugar can result in insulin resistance, which in turn can result in a highly toxic excess of glucose in the blood. This can cause a number of conditions to develop, perhaps the worst of which is type II diabetes.
  8. Sugar is addictive. Sugar attaches to the same pleasure centers in the brain that result from doing street drugs and opiates. It is equally as addictive. It may be hard for people to practice moderation when it comes to junk food, and when trying to quit, they may experience withdrawal symptoms.

For further guidance that you can trust, make an appointment with the onsite nutritionist available at Tampa Cardiovascular Associates by calling (813) 975-2800.

Our physicians dedicated to keeping your heart health at its best. We’ll do anything we can to help you improve your everyday quality of life through important lifestyle choices. Visit www.tampacardio.com to learn more about our practice.

Chiropractic Treatment May Relive Arthritis Pain

Chiropractor Arthritis-fort-myers-dr-kaster

Chiropractor Arthritis-fort-myers-dr-kasterPainful joints make even the most simple movements unbearable at times. In cool weather and rain, they ache even more when you have arthritis.

While there is no cure for arthritis, it has been shown that chiropractic adjustments can lessen the severity of the pain you experience making the condition easier to live with.

Chiropractic is an amazing modality.
No two patients can be treated in the exact same way.There are over 150 techniques that chiropractors employ to manually adjust the spine, muscles, and joints with varying degrees of gentle force. Which techniques are used is dependent on the condition(s) of the patient. 

Chiropractors focus on the correlation between structure and function, says Dr. Jason Kaster, D.C. who has been in private practice in Fort Myers, Florida for over 17 years.

When a joint is out of alignment it can’t move as designed. The aim of treatment with our practice is to restore proper joint function. The freer the movement you have the better you will feel.

If you have neck or back pain because of osteoarthritis, chiropractic is one of the safest routes of therapy.

Your chiropractor may use manual spinal adjustments or manipulate soft tissue to help relieve tenderness and muscle spasms. You may also be asked to do traction which slowly stretches the joints to increase range of movement, as well as ultrasound, ice, and heat. At-home physical therapy exercises they may assign you can do wonders as well. 

 Please take note: If you have an inflammatory disease (rheumatoid arthritis, psoriatic arthritis or ankylosing spondylitis) you need to be more careful and really talk with your doctor and listen to your body. If your medical doctor has told you that you have active swelling in your joints, chiropractic may not be the right path for you.

That doesn’t mean we can’t help. It just means we woud just need to take a different approach to the treatment for your case. A consultation is advisable to get you going on some alternative safe and effective therapies.

They may include:

Electrotherapy. These tiny electric pulses are not painful. They treat soft tissue injuries by stimulating nerves and muscles.

Low-level cold laser. This therapy uses a non-heat-producing laser or light that penetrates deep into the tissue, sometimes reducing inflammation.

Ultrasound. Many think of ultrasound as imaging technology, but when applied to soft tissues and joints, sound waves can also produce a massaging effect that helps reduce swelling and decrease pain and stiffness.

Infrared sauna. Imagine having a hot compress warm up your joints from the inside. These rooms use controlled amounts of heat to relieve pain and increase circulation.

Medical Doctors Agree

The American College of Physicians released updated guidelines in 2017. They now support the use of non-pharmacologic therapies. This includes chiropractic as well as acupuncture, as first-line treatment of pain, before medication.

If you are living with arthritis call the office of Dr. Kaster today. We would love to see how we can help you feel better and live well.

Chiropractor | Nutritionist in Ft Myers, FL.

Fort Myers Chiropractor, Dr. Jason B. KasterChiropractic care is a safe, alternative treatment when applied appropriately. Chiropractic treatments help in dealing with the symptoms of many conditions. Are you going to wait for your symptoms to be felt, or are you going to prevent it as soon as possible?

Dr. Jason B. Kaster, a chiropractor, and nutritionist in Fort Myers can help you and your family achieve their optimal health.

239-332-2555

www.drkasters.com to learn more!

The Cost of Healthcare

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Democrats, Republicans, the American people – we all want affordable health insurance. Because of its current price tag, the CBO and Kaiser Family Foundation (KFF) both estimate that we have 28 million people without health insurance.

Over the last 50 years, the rate of health care inflation and the concomitant cost of health insurance has risen at double digit rates of increase. According to the CBO, healthcare is the fastest growing category of national spending. The U.S. health expenditures in 2015 accounted for over 25% of the federal budget, up from just 7% in 1976.

A comparative reference on this level of health care spending, is the comparison to what we spend on our national defense. Our “entire” National Defense and Security Budget is 16% of the federal budget. Our healthcare expenditure is 1.56 times as much as we spend on our military. Our military budget is also, by far, the largest in the World. It exceeds the spending of All the other industrialized nations “combined” including Russia and China. The military/industrial complex does not get nearly as much of our tax dollars, as our government spends health care!

Ten percent of our citizens are not covered by health insurance. The question is, do we have to spend even more money to cover them or is there another way to do it? The National Priorities Project, quoting from numerous reputable Research Polls and Reports, found that most Americans name controlling healthcare costs as a top priority (64%). An equally large number of Americans strongly value Medicare, but only 22% say they support reducing health spending. As Senator Rand Paul said in the past, “we all want more health care benefits, but we are unwilling (or unable) to pay for them,” especially at the state level. We cannot blame the Republicans for trying to reduce the cost of health care. And, we cannot fault the Democrats for trying to increase the number of our citizens, who have health insurance at the same time.

We are spending tax dollars to sustain and improve the very health of our citizens, including our indigent mothers with children, many of our low wage workers, our retirees, our veterans, the unemployed, our poor men and women and our disabled. How much of your own family budget is spent on health insurance? If it is just 25% (like our national budget), you would probably feel pretty good about it. But what if your spending only covered 90% of your family? What if you couldn’t afford to cover your children for that amount of money? How would you feel about it then?

Our solution to more affordable health care is Medicare Advantage for All. The Medicare Advantage (MA) programs insure over twenty-two (22) Million Americans with comprehensive health insurance, at a lower federal cost than either Traditional Medicare or Obamacare/ACA

 

To support and join this movement, you can download our Medicare Advantage Membership Application and complete it with your contact information and send it to us with your financial support or just complete the Pay Pal Credit card authorization on the About and Become A Supporter Pages on our web site.

For more information on the Medicare-Advantage-For-All plan and the movement, visit our Medicare-Advantage-For-All plan page or our Medicare Advantage Facebook page, call us at 1-888-683-3719 or contact our email us at: contact@medicare-advantage-for-all.com.

 

The post The Cost of Healthcare appeared first on Medicare News Advocate.

Medicare Advantage: Giving the People What they Want

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Health insurance can be complicated, and many details of health care and health insurance are lost on the public. Who likes to read an insurance policy? No one!

When our representatives in congress fail to live up to their promises with health care and support programs that aren’t working, these are the things NOT lost on us. We want our representatives to tell us why or why not proposals are good or bad ideas and offer alternatives.

Overall, everyone wants the same thing: affordable health insurance and lower health care costs.

In 1995, health care in the United States was 13% of GDP. In 2014, it was 17% of GDP. We spend more than any other nation in the World on health care. This is “Big” business. President Trump recently got the Senators together at the White House told them (and us) that he expected the Senate bill to be, “a phenomenal Bill for the people of our Country.” He was hoping it would be a bill that is, “generous, kind and with heart.” President Trump said the Senate is going to, “come out with a, “Real bill – not Obamacare!” The Democrats continue to resist any changes to Obamacare. Fortunately for them, the actual Senate draft bill was an adjustment to ACA – Obamacare, and its later version that I call the “Obamacare Dark”.

We hope the Democrats will embrace the idea of promoting Medicare Part C – as the Medicare Buy-In program that Hillary Clinton has been promoting and come to a compromise that will give Republicans some tax relief on and greater control over future health care costs. Democrats can take credit for coming up with the Medicare Part C Plan, that will include competitive benefit plans to attract new members, adequate premium subsidies and tax credits, more affordable plans for the needy, protection for pre-existing conditions, more uninsured voters signing up for coverage and more influence over the programs design. T

Democrats need to step up for their party to protect the interests of the people they represent and insist on the elements of the plan that will appeal to their base and participate in this solution. Medicare Part C is a start! I have made it abundantly that the federal government knows how to successfully structure health insurance programs. They are supervising several of them and they cover tens of thousands of people. The Senators and Representatives are all very smart, many of them millionaires, many of them know how to fix problems like this, but they can’t fix this problem purely because of politics. If you are as frustrated as I am with this situation, we can truthfully lay the blame squarely on many of our Congressional Representatives of both parties in Washington, D.C. They are “NOT” acting like Statesmen and Stateswomen and they are “Not” acting in our BEST interest. T

Every member of Congress and the Trump Administration should be aware that the federal government is already doing a great job providing essentially the things that everybody wants. Ask the more than 55 million Americans covered by Medicare A and B or the 17 million Americans covered by Medicare Part C – Medicare Advantage Plans how they feel about their health plans? They will ALL tell you they are happy to have them. Without them, they would be worried about how they were going to pay their bills, if they get sick.

Want to help support Medicare Advantage for All? To support and join this movement, you can download our Medicare Advantage Membership Application and complete it with your contact information and send it to us with your financial support or just complete the Pay Pal Credit card authorization on the About and Become A Supporter Pages on our web site.

For more information on the Medicare-Advantage-For-All plan and the movement, visit our Medicare-Advantage-For-All plan page or our Medicare Advantage Facebook page, call us at 1-888-683-3719 or contact our email us at: contact@medicare-advantage-for-all.com.

 

The post Medicare Advantage: Giving the People What they Want appeared first on Medicare News Advocate.

How to Fix Health Care with Medicare Advantage

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As Americans, we need some form of health insurance, because it is too expensive for many of us to afford without help. The challenge for the American federal government is to curb the tremendous increases in the cost of health care and at the same time give those people, who are not insured, access to affordable health insurance – this is what Obamacare is and was supposed to do, but that is not what is happening.

Obamacare was successful in increasing the number of people signing up for Medicaid by 11 million. The way Affordable Care Act (ACA) did that was easy. The federal government agreed to pay the states 100% (gradually reducing to 90% in 2020) of the cost of raising the eligibility for qualified citizens to sign up for the program. It was like signing people up for a free lunch.

Our focus on health insurance may cause us to forget that the federal government does have other national priorities, including a crushing trillion-dollar national debt and a multiple billion-dollar annual budget deficit. We can’t keep throwing money at every problem we have, without having some rational plan to handle the risks. How do we fix ACA (Obamacare) so that this time we get it right, without having to pay for a government takeover of the entire health care system – a move that will certainly and severely damage our quality of health care?

We have approximately 43 million citizens that need help from the government. These people include the ACA enrollees (9 Million), the low-wage uninsured and unemployed workers (28 million), and segments of the Medicaid eligible population (5 million). In order to “fix” the problems, we must figure out an economical way to help about 10%  to 13% of our total population. The problem is manageable.

The FIRST thing that Congress needs to understand is that the ONLY way they can lower the cost of health insurance, without doing anything about the health of the population, is to use the power of leverage in a REAL insurance plan! President Trump told the Senators, he wants, “a REAL bill – NOT Obamacare.” Congress must stop throwing good money after bad and make it possible to use the power of leverage in a “REAL” actuarially underwritten insurance contract. The power of leverage in health insurance, is the ability for health insurance carriers and HMOs to charge a low premium rate (less than one would normally have to pay on their own) to a large number of people and when the little premiums are all added together, the total amounts to enough money to pay for the health care expenses of those few in the group that actually get sick.

The only other “real” actuarially underwritten federally sponsored health insurance program (besides FEHB) that covers “We the People” is our Medicare Part C – Medicare Advantage. The Medicare Part C operates under the principals of “REAL” insurance. Medicare Part C – Medicare Advantage programs cover approximately 17 million of our most vulnerable elderly citizens. The program’s popularity has increased due to ACA. For the participants in Medicare Part C, the federal government does an annual evaluation on the actuarial equivalency of cost for Original Medicare. This means that they determine how much the government would have to pay an insurance carrier if they were going to produce an insurance program that was actuarially equivalent to the traditional Medicare program in a particular county. Therefore, CMS annually determines what capitation fee the federal government is willing to pay for health insurance in each county in the United States. The health insurance carriers and health maintenance organizations take these rates and design health insurance benefits programs, with CMS approval, to cover the participants within the margin of the prospectively determined capitation (per person dollar amount) rate. The federal government agrees to pay that rate and the insurers (insurers and/or health care providers) take the risk and assume the responsibility of administering the programs. There is no confusion about how much the carriers are to be paid. There are certain requirements that the insurers must meet to satisfy the Centers for Medicare and Medicaid Services and these are met in strict but collaborative and rational interactions characteristic of this successful Public-Private Partnership. This is the way it should be done and is unlike the turmoil that ACA has created in some markets.

Like the sound of Medicare Advantage for All? Support it!

To support and join this movement, you can download our Medicare Advantage Membership Application and complete it with your contact information and send it to us with your financial support or just complete the Pay Pal Credit card authorization on the About and Become A Supporter Pages on our web site.

For more information on the Medicare-Advantage-For-All plan and the movement, visit our Medicare-Advantage-For-All plan page or our Medicare Advantage Facebook page, call us at 1-888-683-3719 or contact our email us at: contact@medicare-advantage-for-all.com.

The post How to Fix Health Care with Medicare Advantage appeared first on Medicare News Advocate.