Monthly Archives: December 2015

Faces of Health Reform

National health reform is on the horizon, and the Senate bill has many VERY good provisions that would go into effect THIS YEAR and would help millions of Americans and thousands of CCHCC’s constituents. Check out the stories of local consumers and how health reform would help them!

Faces of Health Reform

How Health Reform Will Help…

Anne

Anne (PDF)

Problem: Anne’s employer-based health insurance charges 210% more in premiums for her coverage ($377.37 per month) than the insurance company charges for a male of the same age ($179.28 per month), just because Anne is a female.
Health Reform Solution: Health reform legislation will prohibit discriminatory insurance practices of charging higher prices based on age, gender, and health status.

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How Health Reform Will Help…

Allie

Allie (PDF)

Problem:  Allie’s employer-based health insurance charges 150% more in premiums for her coverage ($470.91 per month) than the insurance company charges for a male of the same age ($190.75 per month), just because Allie is a female.
Health Reform Solution: Health reform legislation will make this form of discrimination, called “gender rating,” illegal.  New regulations will prohibit insurance companies from charging different, inflated premiums based on gender.

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How Health Reform Will Help…

Claudia

Claudia (PDF)

Problem: Claudia is the Executive Director of a small non-profit organization that provides health insurance to its employees. The health insurance available in the small group market is extremely expensive and discriminates based on age and gender.
Health Reform Solution: Health reform legislation will provide small businesses and non-profits with tax credits for providing health insurance to their employees, making it more affordable. Discrimination based on gender and aged will be prohibited.

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How Health Reform Will Help…

DG

Dorothy (PDF)

Problem:  Dorothy, a Medicare beneficiary, worries about being able to afford the co-pay when she needs to get an exam or routine test like a mammogram.
Health Reform Solution: Health reform legislation will eliminate all co-pays and deductibles for preventative services like cancer screenings and annual wellness exams.

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How Health Reform Will Help…

Ernest

Ernest (PDF)

Problem: Ernest is uninsured and cannot afford to purchase health insurance in the individual market.
Health Reform Solution: Health reform legislation will provide tax credits to help consumers obtain affordable insurance coverage. Ernest will be able to use those savings to shop for individual health insurance through a national health exchange, like Congress does.

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How Health Reform Will Help…

John

John (PDF)

Problem: John has health insurance through his wife’s employer. John worries about his coverage still working for him as he moves towards retirement.
Health Reform Solution: Health reform legislation will protect John by limiting his out of pocket expenses, prohibit lifetime or annual limits on his insurance coverage, and prohibit his health insurance company from revoking his coverage should his health status change.

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How Health Reform Will Help…

KA

Katherine (PDF)

Problem: Katherine is a college student and she worries about finding a job with health coverage when she graduates.
Health Reform Solution: Health reform legislation will allow Katherine to stay on her parent’s health insurance until the age of 26, regardless of her status as a student.

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How Health Reform Will Help…

Medicare

Medicare beneficaries (PDF)

Problem: Many Medicare beneficiaries fall into the Medicare Part D “donut hole” coverage gap each year, forcing them to pay thousands of dollars out of pocket for their prescriptions while continuing to pay for drug coverage that they cannot use.
Health Reform Solution: Health reform legislation will reduce the “donut hole” coverage gap by $500 and provide for 50% discounted name-brand drugs while in the donut hole.
 

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How Health Reform Will Help…

Paulette

Paulette (PDF)

Problem: Paulette has health insurance through her employer but her premiums go up every year and her employer is struggling to continue to offer her coverage.
Health Reform Solution: Health reform legislation will require health insurance companies to adopt and implement uniform standards and rules to reduce paperwork and administrative costs. Health reform will also require insurance companies to spend 80-85% of all premium dollars on actual health care rather than administration and profit, which will keep premiums from continuing to rise at such high rates every year.

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How Health Reform Will Help…

RD

Rukiya (PDF)

Problem: Rukiya is uninsured because her employer does not offer health insurance coverage.

Health Reform Solution: Health reform legislation will create a health insurance exchange where small businesses, like Rukiya’s employer, can shop for affordable coverage for their employees. Rukiya could also shop for affordable coverage for herself through the health insurance exchange.

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How Health Reform Will Help…

YM

Yadira (PDF)

Problem:     Yadira is satisfied with her health insurance she receives through her employer and doesn’t want to change.
Health Reform Solution: Health reform legislation will not force Yadira to change health insurance plans, and will likely lower the cost of her monthly premiums.

 

Services Covered

The Medicare 100/Plus Program discount is determined based on household income. Households with income at or below 200% of the federal poverty level will receive a 100% discount. Households with income at or below 600% of the federal poverty level will receive a sliding scale discount. Special circumstances may lead to additional eligibility for discounts. Please contact the Medicare 100/Plus Discount Program for more information at (217) 352-6533.

The Medicare 100/Plus Discount Program discount applies to a variety of services provided by Presence Covenant Medical Center (formerly known as Provena). Bills from the following providers listed below are covered by the Medicare 100/Plus Program discount.

  • Presence Health
  • Shemauger Emergency Physicians
  • East Central Illinois Radiology
  • American Anesthesiology
  • Presence Medical Group Physicians
  • Pro-Ambulance
  • Alverno Labs

Due to the fact that the billing for these services is not centralized, the Medicare 100/Plus Program discount may not be automatically applied. To ensure that the proper discount level is applied, members should show their Medicare 100/Plus card every time that they receive services from Presence Covenant Medical Center.

Services may be added to this list. Please call the Medicare 100/Plus Discount Program with questions about medical bills or to verify your discount has been applied. It is in members’ best interest to make sure that their discount is being applied to all appropriate bills. The Medicare 100/Plus Program can be reached at (217) 352-6533.

Frequently Asked Questions

Medicare 100/Plus Discount Program
Commonly Asked Questions


1) What is the Medicare 100/Plus Discount Program?

The Medicare 100/Plus Program is a free,community program that assists eligible Medicare beneficiaries to pre-qualify for and receive discounts on health care services provided by Presence Covenant Medical Center (formerly known as Provena).


2) What medical costs does the Medicare100/Plus Discount Program discount apply to?

The Medicare 100/Plus Program member discount applies to bills from Presence Health, Pro Ambulance, East Central Illinois Radiology, Shemauger Emergency Physicians, American Anesthesiology,Alverno Labs, Presence Medical Group Physicians and other local independent physicians.


3) What are the eligibility requirements for the Medicare 100/Plus Discount Program?

Eligibility for the Medicare 100/Plus Discount Program is based on two factors: 1) Medicare status and 2) Household Income.

Medicare – People who have Medicare Part A & B due to age or disability are eligible for the program.

Income – Your annual household income is less than $72,360 for one person or $97,4400 for two people (for 2017). Larger households are also eligible; please contact CCHCC for further information.


4) Why it there a distinction between Medicare 100 and Plus?

The Medicare 100/Plus member discount is based on annual household income. Medicare 100 offers a 100% discount to Medicare beneficiaries with lower income levels. Medicare Plus offers sliding scale discounts of 75%, 80%, or 90%.


5) How do I know what discount level I will qualify for?

The same application is used for all levels of discounts. Champaign County Health Care Consumers will help you to apply.Presence Covenant then reviews your application and makes the determination of what level of discount you qualify for based on your household income.


6) Does it cost anything to join the Medicare 100/Plus Program?

No. It is free!


7) Is there a deadline for enrolling in the program?

No. There is open year-round enrollment, which means that you can apply at any time. Membership must be renewed every six months. CCHCC contacts members when it is time for them to renew their membership. The program can also help with past bills if you would have been eligible at the time of service.


8) Is this an HMO or insurance plan?

No. This is an assurance program, NOT insurance. With Medicare 100/Plus, you have the assurance that your hospital costs at Presence Covenant Medical Center will be affordable.


9) What if I have Medicare and an Advantage Plan?

You can still join Medicare 100/Plus, ifyou qualify, and the providers are IN NETWORK with your Advantage plan. Contact CCHCC for more information.


10) What if I have Medicare and supplemental insurance?

You can still join Medicare 100/Plus, ifyou qualify! Since Medicare 100/Plus is not insurance, it will not interfere with your supplemental insurance, but it will discount your out-of-pocket medical expenses.


11) Are other hospitals part of the Medicare100/Plus Discount Program?

No. Medicare 100/Plus is a collaboration between Presence Covenant Medical Center and Champaign County Health Care Consumers. However, if you are a patient of Presence United Samaritans Medical Center in Danville, you may also be able to qualify for a discount for some of your out-of-pocket medical expenses. Contact CCHCC for more information.

More questions? Call us at (217) 352-6533.

 

Events

Special Event: Help for those losing IL Cares Rx, Medicaid benefits (6/27/12)

Community Meeting: Are you ready for Part D in 2012? (9/21/11)

Changes to Illinois Cares Rx Press Conference (8/23/11)

Protect Social Security from Harmful Cuts Press Conference (6/21/11)

Protect Social Security & Medicare Press Conference (11/23/10)

Medicare Task Force meets with Elected Officials – Fall 2010

New Medicare Benefits from the Health Reform Law Press Conference (5/201/10)

Medicare Task Force Part D Open Enrollment Information Briefing (11/16/09)

Medicare Part D Education and Advocacy Community Meeting (6/17/2009)

Medicare Task Force Candidate Survey (10/30/2008)

Part D Community Meeting (11/29/2007)

Empty Pill Bottle Delivery (5/18/2006)

Part D Community Education Meeting (11/4/2005)

Help CCHCC get money from Chase Bank!

Dear Friends,

Champaign County Health Care Consumers (CCHCC) is competing with charities
and other non-profit organizations across the county for grants ranging
from $10,000 to $250,000 and WE NEED YOUR VOTE!

Voting is open from Thursday, September 6 through Wednesday, September 19.
Vote TODAY for CCHCC and then help spread the word! YOUR vote puts us
closer to receiving a grant to help us carry out our mission for quality
and affordable health care for all! We believe that through direct service
work, consumer education and empowerment, and direct action organizing, we
can make concrete and meaningful reforms to the health care system.

* * * * * * * * * *

HOW YOU CAN VOTE!

1. If you use Facebook, you can vote at
https://www.facebook.com/ChaseCommunityGiving

2. If you are Chase customer, you can ALSO vote through Chase at
http://www.chase.com/chasegiving

TWO VOTES FOR EVERYONE – PLUS GET A BONUS VOTE!
Everyone will automatically get 2 votes to use on Facebook. You can’t use
them both on CCHCC, but there are thousands of organizations to pick from,
so you shouldn’t have a problem searching for another great organization to
support!

You also have an opportunity to earn an extra vote. Just share a link from
the Chase Community Giving app to your timeline. If one of your friends
links back to the Chase Community Giving app and casts a vote of their own
– you’ll earn an extra vote! You can use your extra vote on Champaign
County Health Care Consumers or another organization of your choosing!

CHASE CUSTOMERS HAVE TWO EXTRA VOTES
Without Chase customers, Chase Community Giving wouldn’t be possible. As a
special thanks, Chase customers will have 2 extra votes. To use your
customer appreciation votes, just go to http://www.chase.com/chasegiving,
log in, search for “Champaign County Health Care Consumers,” and cast your
ballot.

THEN SPREAD THE WORD!
After you vote, let you co-workers, friends, and family know about the
voting. Send them an email or post something to your Facebook page! You can
share the link to CCHCC’s profile page at
https://fb.chasegiving.com/charity/view/ein/37-1073411/.

Voting is open from Thursday, September 6 through Wednesday, September 19.

* * * * * * * * * *

ABOUT CHASE COMMUNITY GIVING

Chase Community Giving is grant program inspiring a new way of corporate
philanthropy by letting participants vote to help determine which small and
local non-profits will receive donations from Chase.  The program has given
away over $20 million in grants to charities nationwide, with focuses
including animals & environment; education; health; military & veterans;
poverty; and the arts. To learn more about the program, visit
Facebook.com/ChaseCommunityGiving.

The Fall 2012 round of the Chase Community Giving program is designed to
benefit smaller and local charities by being limited to 501(c)3 charities
with operating budgets under $10 million. The top eligible charity receives
$250,000 and the remaining 195 top charities earn $10,000 through $100,000
awards, for a total of $5 million dollars in grants.

* * * * * * * * * *

On behalf of Champaign County Health Care Consumers, we encourage you to
vote for CCHCC today and help spread the word! YOUR vote puts us closer to
receiving a grant to continue our work for quality and affordable health
care for all!

Thank you for your support!