Tuesday, December 30, 2008
Monday, December 29, 2008
Will Ohio STRS investment managers "do more adjusting than most?"
.....and the beat goes on!
December 29, 2008
Sunday, December 28, 2008
A little Dec. 12, 2008 presentation to STRS and let's connect the dots!
On Dec. 12, 2008, STRS was given a presentation re. decisions they could make for the future regarding choosing regular Medicare or Medicare Advantage for retirees. A Power Point presentation was made. An 87 page bound booklet was made of this presentation. A part of the presentation entitled "Health Care Benefits Marketplace" was included in this presentation. Two of the presenters listed were employees of Ingenix Consulting. Ingenix data was included in this Power Point presentation and also included in the booklet.
So, what does the NEA have to say about Medicare Advantage plans?
○ HMO plans, otherwise known as Health Maintenance Organization plans, emphasize preventive care but without coverage for providers or facilities outside the HMO network. They almost always require a network primary care physician referral to access a network specialist; they usually offer drug benefits.○ POS plans, otherwise known as Point of Service Plans, offer a network of preferred providers, like HMO plans, but also provide reduced benefits for providers or facilities outside the HMO network. They typically require a referral from a network primary care physician to access a network specialist; they sometimes offer drug benefits.○ Regionally Expanded Preferred Provider Organization (PPO) plans are similar to POS plans but have broader geographic access to network providers in a larger service area, and with reduced benefits outside the PPO network. They do not typically require a referral from a network primary care physician to access network specialists. They may or may not offer drug benefits. ○ PSO plans, otherwise known as Provider-Sponsored Organizations, are similar to the POS plans but are usually organized with physicians that practice in a regional or community hospital. There may or may not be coverage for providers or facilities outside the PSO network, depending upon the plan designs offered. They may require a referral from a network primary care physician to access network specialists. They typically offer drug benefits.
○ at least the same benefit coverage levels as Medicare Parts A and B; or○ high deductible coverage.