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Medicare

Medicare is a federal program that provides health care coverage to New Yorkers of all income levels who are 65 or older or under 65 with a disability.  Medicare has a more limited set of health benefits and cost-sharing rules than Medicaid does.  Medicaid has some special programs, known as Medicare Savings Programs (or MSPs) that can help people eligible for Medicare with the program’s cost-sharing.  On this page, you will find articles and resources authored by the Empire Justice Center to help clients access Medicare benefits, especially Medicare Part D drug coverage and the MSP programs.  We also encourage you to visit NYHealthAccess, a relatively new website co-sponsored by Empire Justice, the Legal Aid Society of New York City, and Selfhelp, Inc.  NYHealthAccess will provide you with a comprehensive listing of advocacy material on Medicare Part D.

 


 

ARTICLES

Bumpy Ride Ahead for EPIC Seniors
One of the vital safety net programs that underwent major changes in this year’s Executive Budget process is EPIC (Elderly Pharmaceutical Insurance Coverage program), New York’s prescription drug benefit for adults age 65 and older. Read More

Drug Convictions: Any Effect on Social Security or Medicare Eligibility?
An interesting case scenario was recently posted on the DAP listserv. An advocate was working with a severely disabled SSI/SSD client charged with selling her pain medication on the street. Read More

More Articles >>

 


 

IN THE NEWS

Seniors’ drug costs likely to spike under new rules
Drastic changes to the state’s supplemental drug program for seniors will result in higher out-of-pocket costs for enrollees, warn advocates for elderly and low-income state residents. Read More


POLICY ADVOCACY

MCCAP: Statewide Partners Maximize Hundreds of Thousands of Dollars in Federal Prescription Drug Benefits and Health Resources for New York’s Low Income Elderly and Disabled New Yorkers.
The Managed Care Consumer Assistance Program (MCCAP), a statewide program, is critical for New York in this fiscal climate. Read More


 


 

PUBLICATIONS

The Affordable Care Act: Impact on New York State


An overview of the Affordable Care Act's approach to reforming the health care system. Read More

Tool Kit for Community Health Centers- Helping Patients Access Medicaid


This tool kit provides fact sheets and forms on ten different topics related to helping patients access Medicaid coverage or other help with paying for health care services. Read More

 


 

NEWSLETTERS

Legal Services Journal - Summer 2011
The Summer 2011 Legal Services Journal reports on a wide range of poverty law topics with an emphasis on areas impacted by New York State budget cuts and other legislative activities. The issue reviews Empire Justice Center's 2011-2012 legislative priorities and includes an in-depth look at legislative activities in the domestic violence area. The Journal also reports on several key public benefits and health areas affected by the recent State budget cuts including child care, 24-hour home care and the EPIC program for seniors. Other articles address kinship guardianship, immigrant eligibility for food stamps, Medicaid Managed Care, standing to sue in foreclosure cases, upcoming changes in fair hearings, and the challenges faced by pro se litigants with disabilities when navigating the family court system. Thanks to all of our authors for their contributions to this issue of the Legal Services Journal. Read More


 

TRAININGS AND EVENTS

WEBINAR - Medicaid with Medicare for People with HIV
In this free lunch and learn webinar, Cathy Roberts of Empire Justice Center will explore the challenges faced by persons with HIV who become eligible for Medicare, either because of age or disability. We will explain how Medicare and Medicaid coordinate with ADAP, walk through enrollment issues, and present strategies to minimize new liability for Medicare cost-sharing and/or premiums. Read More

Helping Your Patients Access Medicaid
This training is designed for staff at community health centers across New York, but will be useful for staff at any community based organization that helps clients access health care services. Participants will learn about the public health care programs available to clinic patients, and strategies that have proven successful for overcoming common barriers to eligibility - including spend down, spousal refusal and pooled trusts. Read More