Cutbacks in Medicare and Medicaid Coverage: Hearings, Ninety-second Congress, First Session, Parts 2-3U.S. Government Printing Office, 1971 |
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Page 156
My wife and I are covered by Medi- care and Blue Cross and Blue Shield which is plan 65. It was my un- derstanding that I had complete health coverage but a recent expe- rience with my wife's illness has demonstrated that my health ...
My wife and I are covered by Medi- care and Blue Cross and Blue Shield which is plan 65. It was my un- derstanding that I had complete health coverage but a recent expe- rience with my wife's illness has demonstrated that my health ...
Page 157
Am I correct in saying that Medicare the way it is presently written and Blue Cross covered most of these costs ? Mr. PETERS . Yes , Senator . Senator PELL . What would you say , about 90 percent of the cost ? Mr. PETERS .
Am I correct in saying that Medicare the way it is presently written and Blue Cross covered most of these costs ? Mr. PETERS . Yes , Senator . Senator PELL . What would you say , about 90 percent of the cost ? Mr. PETERS .
Page 159
They charged me $ 629.15 and Blue Cross paid $ 570.65 . Senator PELL . Right . Mr. FARLEY . Then they added to this $ 58.50 as she was in a private room , and I had to pay the hospital $ 71.50 . I have the check to prove it here .
They charged me $ 629.15 and Blue Cross paid $ 570.65 . Senator PELL . Right . Mr. FARLEY . Then they added to this $ 58.50 as she was in a private room , and I had to pay the hospital $ 71.50 . I have the check to prove it here .
Page 167
Not only that ; but , more importantly , the way that the intermediary , or Blue Cross interprets the definition of skilled nursing . I think that this is an important point because there are , as you know , so many different cases and ...
Not only that ; but , more importantly , the way that the intermediary , or Blue Cross interprets the definition of skilled nursing . I think that this is an important point because there are , as you know , so many different cases and ...
Page 189
After that I pay a Blue Cross - and I bet a lot of these people pay Blue Cross besides . It used to be $ 11 for 3 months and now I get a bill for $ 21 . That is what we got for the 10 percent more . * See appendix 2 , p . 202 .
After that I pay a Blue Cross - and I bet a lot of these people pay Blue Cross besides . It used to be $ 11 for 3 months and now I get a bill for $ 21 . That is what we got for the 10 percent more . * See appendix 2 , p . 202 .
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Page 214 - Such new or modified findings of fact shall likewise be conclusive if supported by substantial evidence. "(3) The court shall have jurisdiction to affirm the action of the Secretary or to set it aside, in whole or in part. The judgment of the court shall be subject to review by the Supreme Court of the United States upon certiorari or certification as provided in section 1254 of title 28, United States Code.
Page 214 - Commissioner may thereupon make new or modified findings of fact and may modify his previous action, and sha.ll certify to the court the record of the further proceedings. Such new or modified findings of the fact shall likewise be conclusive if supported by substantial evidence.
Page 324 - ... old-age assistance, aid to the blind, aid to the permanently and totally disabled, and aid to families with dependent children.
Page 332 - The importance of a particular service to an individual patient does not necessarily make it a skilled service. For example, a primary need of a nonambulatory patient may be frequent changes of position in order to avoid development of decubiti.
Page 217 - SEC. 709. Of the sums appropriated for any fiscal year pursuant to the authorization contained in section 708 of this...
Page 213 - Act until he is satisfied that there is no longer any such failure to comply. Until he is so satisfied, he shall make no further certification to the Secretary of the Treasury with respect to such State...
Page 209 - The Secretary shall certify to the Secretary of the Treasury from time to time the amounts to be paid to any State under this section and the time or times such amounts are to be paid : and the Secretary of the Treasury shall pay to the State at the time or times fixed by the Secretary the amounts so certified.
Page 212 - ... (3) provide such methods of administration (including after January 1, 1940, methods relating to the establishment and maintenance of personnel standards on a merit basis, except that the Secretary shall exercise no authority with respect to the selection, tenure of office, and compensation of any individual employed in accordance with such methods) as are necessary for the proper and efficient operation of the plan...
Page 191 - ... (A) in the case of home health services (i) such services are or were required because the individual is or was confined to his home (except when receiving items and services referred to in section 1861 (m)( 7) ) and needed skilled nursing care on an intermittent basis, or physical or speech therapy...
Page 213 - State agency, finds — (1) that the State plan has been so changed that it no longer complies with the provisions of...