Nursing homes, assisted-living centers, and similar facilities can cost their residents a lot of money. As a result, many people rely upon Medicaid coverage to pay for long-term care, either for themselves or for loved ones. Medicaid, however, is a form of social welfare designed to help low-income individuals meet their healthcare needs. As a […]

As in previous years, much of New York State’s 2018-2019 enacted budget focuses on healthcare spending. This year enacts several important updates, but you should understand in particular the new “lock-in” provision for people enrolled in managed long-term care (MLTC) plans. No “lock-in” previously existed—New Yorkers who enrolled in managed long-term care plans could change […]

The recently adopted 2018-2019 New York State budget contains a number of significant amendments regarding healthcare in New York. As in prior years, the bulk of the budget focused on Medicaid funding, but many of the recent changes came in response to anticipated cuts to Medicaid at the federal level. One change is of particular […]

June is Elder Abuse Awareness Month

June 18th, 2018 by David Goldfarb

As many as five million cases of elder abuse are reported to the authorities each year. Unfortunately, most cases of elder abuse probably go unreported. Because June is Elder Abuse Awareness Month, we here at Goldfarb Abrandt Salzman and Kutzin, LLP, would like to take this opportunity to call attention to this important topic. The […]

New Medicare Cards Are On the Way

May 25th, 2018 by David Goldfarb

To reduce fraud, the federal government began issuing new Medicare cards to beneficiaries. In 2014, the government counted about 2.6 million instances of identity fraud, a 20 percent increase from 2012. The government found that many seniors were easy prey for scammers who stole their Social Security numbers and committed identity theft. Some opened financial […]

Additional information on the Medicare Prescription Drug Benefit Copayment and premium amounts for 2018: Part B premium: $134 per month on average. If your income is above $85,000 (single) or $170,000 (married couple), then your Medicare Part B premium may be higher. Co-payments: Inpatient hospital deductible: $1,340. Inpatient hospital copay for days 61 – 90: […]

Five FIDA Plans Closed in Early 2018

May 18th, 2018 by David Goldfarb

Choosing healthcare as a senior requires taking a series of complicated actions, especially for those who are “dual eligible”—that is, eligible for both Medicare and Medicaid. You must sign up for Medicare or Medicare Advantage, find a prescription drug plan, and if you need long-term care services, enroll in a managed long-term care (MLTC) plan. […]

Medicaid provides healthcare for millions of New Yorkers, and constitutes one of the state’s most important benefits programs. However, the government also means tests Medicaid, so it has a spenddown for people who earn too much income and may exclude people who own too many assets. Many seniors find that they have trouble maintaining eligibility […]

Starting May 1, managed long-term care (MLTC) members must follow new appeals procedures. While the Obama Administration adopted these procedures, they have only now gone into effect. MLTC members should pay close attention to the changes so that they preserve their appellate rights. The Old Rule Before May 1, MLTC members had appeal options whenever […]

Healthcare Coverage Attorney New York

Previously, we had advised that Medicaid applicants or recipients must apply for Medicare if they are ages 64 and nine months, and have income at or below 120 percent of the Federal Poverty Level (or income at or below set state requirements for Medicaid eligibility). Between November 2017 and February 2018, about 30,000 New York […]