Surprised SeniorDear Surprised,This is a Medicare issue that confuses many seniors. Yes, Medicare does covers emergency ambulance services and, in limited cases, non-emergency ambulance services too, but only when they’re deemed medically necessary and reasonable. So, what does that means?First, it means that your medical condition must be serious enough that you need an ambulance to transport you safely to a hospital or other facility where you receive care that Medicare covers.If a car or taxi could transport you without endangering your health, Medicare won’t pay. For example, Medicare probably won’t pay for an ambulance to take someone with a simple arm fracture to a hospital. But if he or she goes into shock, or is prone to internal bleeding, ambulance transport may be medically necessary to ensure the patient’s safety on the way. The details make a difference.Second, the ambulance must take you to the nearest appropriate facility, meaning the closest hospital, critical access hospital, skilled nursing facility or dialysis facility generally equipped to provide the services your illness or injury requires.It also means that the facility must have a physician or physician specialist available to treat your condition. Thus, Medicare may pay for an ambulance to take you to a more distant hospital if, for example, you are seriously burned, and the nearest hospital doesn’t have burn unit.Similarly, if you live in a rural area where the nearest hospital equipped to treat you is a two-hour drive away, Medicare will pay. But if you want an ambulance to take you to a more distant hospital because the doctor you prefer has staff privileges there, expect to pay a greater share of the bill. Medicare will cover the cost of ambulance transport to the nearest appropriate facility and no more.Non-Emergency SituationsIn limited cases, Medicare will also cover non-emergency ambulance services if such transportation is needed to treat or diagnose your health condition and the use of any other transportation method could endanger your health. Not having another means of transportation is not sufficient for Medicare to pay for services.Some examples here are if you need transportation to get dialysis or if you are staying in a skilled nursing facility and require medical care. In these cases, a doctor’s order may be required to prove that use of an ambulance is medically necessary.Ambulance CostsThe cost for ambulance services can vary from several hundred to several thousand dollars depending on where you live and how far you’re transported.Under original Medicare, Part B pays 80 percent of the Medicare-approved amounts for ambulance rides. You, or your Medicare supplemental policy (if you have one), will need to pay the remaining 20 percent.If you have a Medicare Advantage Plan, it must cover the same services as original Medicare, and may offer some additional transportation services. You’ll need to check with your plan for details.How to AppealIf an ambulance company bills you for services after Medicare denies payment, but you think the ride was medically necessary, you can appeal (see Medicare.gov/claims-appeals). Often, a lack of information about a person’s condition or need for services leads to denials.If you need some help contact your State Health Insurance Assistance Program (SHIP), which has counselors that can help you file an appeal for free. To locate your local SHIP, visit ShiptaCenter.org or call 877-839-2675.For more information on this topic, call Medicare at 800-633-4227 and ask them to mail you a copy of the “Medicare Coverage of Ambulance Services” booklet, or you can see it online at Medicare.gov/Pubs/pdf/11021-Medicare-Coverage-of-Ambulance-Services.pdf.Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book. Dear Savvy Senior,How does Medicare cover ambulance services? About three months ago, I took an ambulance to the hospital emergency room because I rarely drive anymore, and I just received a $1,100 bill from the ambulance company.
The American Bakers’ Asso- ciation has condemned the US Department of Agriculture’s (USDA) refusal to release land from its Conservation Reserve Program (CRP) to allow farmers to meet food demands and help curb soaring cereal prices.It said it was “extremely disappointed” that Agriculture Secre- tary Ed Schafer had rejected calls for even a modest amount of “non-environmentally sensitive” land from the CRP to be allowed into production.ABA president and chief executive officer Robb MacKie said: “It is outrageous for USDA to continue to ignore the plight of consumers, bakers and even farmers by refusing to take action to help alleviate the food price crisis. How expensive does bread have to get for action to be taken – $5 or $6 a loaf?”ABA said input costs for bakers have “jumped significantly” since its initial request to the USDA in June 2007 to release productive lands from the CRP. In the year from June 2007 to June 2008, wheat was up 66%, flour 58% and bread and rolls 15%.
FacebookTwitterLinkedInEmailPrint分享OffshoreWind.biz:The World Bank has published maps and analysis of the offshore wind technical potential for 40 more emerging markets around the world, following its report from October 2019, when eight countries’ potential was estimated to be at 3.1 TW.According to the latest report, the potential for floating wind is double the potential estimated for bottom-fixed offshore wind technology. Namely, the analysis for the 48 emerging markets presented in the maps identifies a total technical potential of 15.6 TW, including 5.5 TW of potential for fixed-bottom wind turbines and 10.1 TW for floating wind.The analysis only considers regions where an annual average of 100-metre hub-height wind speeds are greater than 7 m/s, for which the World Bank used the wind resource data by ESMAP’s & DTU’s Global Wind Atlas.Regions suitable for fixed-bottom offshore wind technology are those with water depths of less than 50 metres, whereas floating wind potential is determined for water depths from 50 to 1,000 metres. Only regions less than 200 kilometres from shore have been included, and all depths have been derived from General Bathymetric Chart of the Oceans (GEBCO) data, according to the World Bank.“To date, relatively little research has been undertaken on the potential for offshore wind in emerging markets. Any assessment of this kind must start with an estimate of technical potential, that is, the maximum possible installed capacity with current technology, as determined by wind speed and water depth. Subsequent steps in analyzing a country or region’s offshore wind potential will add further detail to the assessment, including environmental, social, technical and economic constraints,” the World Bank states.[Adrijana Buljan]More: World Bank: 48 countries hold 15.6 TW of offshore wind technical potential World Bank: Technical potential for offshore wind worldwide tops 15TW
The world’s largest vaccine-maker GSK has put its vaccine booster technology to work in a potential new COVID-19 shot, to be developed with a Canadian biopharmaceutical company backed by tobacco company Philip Morris.Rather than developing its own vaccine in the global race to combat the pandemic, GSK has instead focused on contributing its adjuvant technology to at least seven other global companies, including Sanofi and China’s Clover.The latest deal, with Canadian firm Medicago, uses plant-based technology that differs from GSK’s other coronavirus-partnerships and boosts the London-listed company’s chances of finding a successful candidate and scaling production relatively quickly. There are no approved vaccines for the respiratory illness caused by the new coronavirus, but 19 vaccines are being trialled in humans globally and some treatments, such as Gilead’s remdesivir, have been approved in certain regions.Medicago’s approach, already used in a flu vaccine awaiting Canadian approval, takes the leaves of a plant as bioreactors to produce one of the three spike proteins of the novel coronavirus, the S-spike, which can be then used in the vaccine with GSK’s adjuvant.GSK said on Tuesday the companies aimed to make their vaccine available in the first half of next year and produce about 100 million doses by the end of 2021. An early-stage human trial of three different dosage levels is expected to begin in mid-July.Adjuvants, or efficacy boosters, are added to some vaccines to increase the immune response with the aim of achieving more lasting immunity against an infection.Medicago, headquartered in Quebec City, Canada, is privately owned. PMI has a 33% stake, and Mitsubishi Tanabe Pharma holds the remainder.PMI has said it is evaluating options for its stake in Medicago. It was not immediately available for further comment.Topics :
High rise apartments in Brisbane. File photo: Mark CallejaBrisbane developers are shying away from ‘cookie cutter’ apartments in the CBD and turning to the suburbs to build bigger, better quality projects aimed at owner occupiers.The latest Strata Development Pipeline Report – Capital City Metro Areas 2019 shows the planned supply of apartment stock in Brisbane has increased by almost five times – from 4000 units in 2018 to 19,000 in 2020. Colliers International PRDnationwide chief economist Dr Diaswati (Asti) Mardiasmo said developers were becoming smarter in reading their audiences and the property market, moving away from building in the CBD.“Normally cookie cutter apartments are heavy with one, two and three-bedroom apartments but now it’s units in the suburbs outside of Brisbane that are gaining popularity,” Dr Mardiasmo said.“Those suburbs have established dwellings or housing stock and so it’s just one or two boutique apartments coming on board. They aren’t big 20-storey towers.”“We find the three-bedroom units allow families to move in.”However Place Estate Agents residential research director Lachlan Walker said he did not believe the pipeline had increased to that extent.More from newsParks and wildlife the new lust-haves post coronavirus11 hours agoNoosa’s best beachfront penthouse is about to hit the market11 hours ago“It’s still sitting around 16,000 and 20,000 depending on the mix of one, two and three- bedroom units,” Mr Walker said.“I believe in the next 12-18 months time we will see the market turn back to one to two-bedders. We will see another generation of new development come through and it will become tighter cheaper stock.“Right now we the market has absorbed a lot of supply, we are already starting to see rents increase, and vacancy rates decline. Anyone trying to release something in today’s market is constrained by finance.”Dr Mardiasmo said the suburban unit market would not become “flooded”“In terms of suburbs they are already characterised as a residential area. They are boutique builds, not massive towers.”She said Brisbane’s market was getting better apartment stock.“Developers are getting more innovative. Brisbane vacancy rates have fallen from 2.9 per cent in July last year for 2.4 per cent now,” she said.“Developers are thinking about how to make their project more attractive, from garden roof tops to child care in mixed-used developments.”
Cebu City, with 2,810 COVID-19 infections as of June 14, has already surpassed Quezon City as the area with the highest cases in the country./PN BACOLOD City –The Philippine Coast Guard (PCG) in Negros Occidental has intercepted four people in the town of Calatrava following their arrival from Cebu.PCG-Negros Occidental chief, Lieutenant Commander Jansen Benjamin, said concerned citizens phoned both the PCG substation in Calatrava and the local municipal police informing them that a boat carrying four people landed at the town’s Loly Beach Resort in Barangay San Isidro.Benjamin said local officials managed to hold all four of the passengers, while their boat managed to escape and return back to Cebu Island.However, the PCG immediately contacted their counterparts in Cebu Island, and the boat’s captain was later nabbed by PCG personnel in Toledo, Cebu.The PCG in Cebu later reported that the boat captain was ordered by a barangay official in Toledo City to ferry the four, whom the official claimed to be his relatives. PCG officials are now investigating the allegations made by the boat captain against the barangay official.Meanwhile, Benjamin said the four individuals that were intercepted have been transported to the municipality’s quarantine facility, and they would undergo testing through real time-polymerase reaction. BY DOMINIQUE GABRIEL BAÑAGA