1053 Fifth Combined-stamped Copy

8/2/2019 1053 Fifth Combined-stamped Copy

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Obtained by Judicial Watch February 8, 2012 through FOIA


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2010 Fraud Prevention Campaign

Medicare Anti-Fraud Campaign September

30 6 13 20 27

Target Demo: A55+

Network TV :30

Target programming over-indexing against A55+

demo; Mix priority: News, Sunday morning,Daytime, Prime

National Cable :30

Hybrid DRTV approach mixing marqueeprogramming and efficiency; Sample Networks:

Hallmark, Golf Channel, CNN, CNBC, Fox News,Weather, HLN, AMC, Bio, NatGeo, WGN, TNT,

Discovery, History

Sunday SupplementsFull Page 4C Units: 1x Parade and 1x USA

Weekend insertions9/26

National MagazinesFull Page 4C Units: 1x Prevention and 1x

Reader's Digest insertions in targetedpublications

National Radio :60

Target programming over-indexing against A55+demo; Mix of News, Talk, Sports, Business;

Sample: Osgood File, WFAN, 1010Wins, CBSNews, NFL, DOW Report, WSJ Report

Primary Target Sub-Total

N

P

Obtained by Judicial Watch February 8, 20


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Medicare just got stronger.

Andy GriffithA stronger Medicare

means:

New benefits for seniors

New cost savings

New fraud-fighting tools to

protect taxpayer dollars

With the new health care law, there are new benefits available to people with Medicare, including lowerprescription costs, wellness checkups and preventive care. But we dont want new opportunities for crimin

to commit Medicare fraud, so the new law also provides better ways to protect us from fraud, making Medi

stronger for us and future generations. Now thats something we can all feel good about. Here are some ea

things that folks like us can do to fight fraud.

Tell your friends and neighbors to guard their Medicare and Social Security numbers.

Dont ever let anyone borrow or pay to use your Medicare ID.

Review your Medicare claims to make sure they are accurate. Check them early the sooner you see and report errors, the sooner we can stop fraud.

Check your Medicare & You handbook, coming soon.

If you see or think something might be Medicare fraud, call 1-800-MEDICAREto report it.

Learn more about protecting yourself and spotting fraud at

StopMedicareFraud.gov



67/106

Page 1CMS Cracking Down TV :30

VIDEO:

SUPER: Charles Hackney Special

Agent

AUDIO:

AGENT: Were cracking down onMedicare fraud.

SUPER: Carmen Ortiz U.S. Attorney

SUPER: An important message from

Medicare

ATTORNEY: The new healthcarelaw gives us powerful

new tools to ght it

AGENT: To investigate it

ATTORNEY: prosecute it

AGENT: And stop criminals.

SUPER: Diane Caradeuc SeniorMedicare Patrol

SMP VOLUNTEER #1: Our seniorMedicare Patrol volunteers



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SUPER: Stan Cohen Senior

Medicare Patrol

SMP #2: ...are teaching seniorsacross the country

SMP #1: to stop, spot, and reportfraud.

SMP #2: You can help.

SMP #1: Guard your Medicare card.

SMP #2: Dont give out your cardnumber over the phone.

SUPER: 1 800 MEDICARE and

StopMedicareFraud.govcome upand stay on screen

SMP #1: Call to report anysuspected fraud.

http:///reader/full/StopMedicareFraud.govhttp:///reader/full/StopMedicareFraud.gov


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- -

ATTORNEY: Were cracking downon Medicare fraud.

SUPER: Paid for by the U.S. Depart

ment of Health and Human ServicesTTY: 1-877-486-2048

AGENT: Lets make Medicare stronger for all of us.



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CMS Seniors Talking/Cards TV:30 Page 2

SUPER: StopMedicareFraud.gov

APPEARS AND STAYS ONSCREEN

MAN 1: The new health care law letsus crack down on criminals and win

against fraud.

WOMAN 1: Making Medicarestronger.

MAN 1: And speaking of winning . . .(REVEALS WINNING HAND)

MAN 2: Not again!

MAN 1: Learn more atStopMedicareFraud.gov



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.!,c quy3n l,i t7t h8n n'u mnh coi l-i v so snh cc ch!8ng trnh b9o hi52trongsu7t th+i h-n ghi danh cho Medicare.

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2011

,

ID

127

1000-2:00

: 11151231

Snohomish

Snohomish

:



77/106

(SHIBA)

. .

: 12 6, ,12 9,

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Everett, WA 98204

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11 15 - 12 31



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h tr qu v trong vic xem xt li, so snh v chn la cc bo himMedicare.

y l lc qu v nn so snh cc bo him Medicare nm 2011 vi bo him qu v ang c v chn bo him tt nht cho qu v.

c h tr trong vic xem xt li cc bo him Medicare ca qu v, xin htham d bui sinh hot sau y, c t chc trong khon thi hn Ghi DanhCho Medicare (Open Enrollment) nm nay. Qu v c th s c dp tit kim timua c bo him tt hn, hoc t c c hai iu .

Cc th cn mang theo:Th Medicare v th Medicaid./ Th bo him / Cc l thuc qu v ang dngNhng giy t thng bo ca CMS v SSA / Nhng chi tit c nhn nh ngysinh, a ch, s in thoi ca qu v v s in thoi ca ngi lin h trongtrng hp khn cp.

Hai c quan, Senior Services (Dch V Cho Qu V

Cao Nin) ca Qun Snohomish v SHIBA (C VnQuyn Li Bo Him Y T Ca Tiu Bang) s cungcp nhn vin song ng gip ghi danh cho thng trnhn ca Qun Snohomish vo.

ngy 8 thng 12 nm 2010Lc 10:00 gi sng n 2:00 gi chiua im: Multicultural Senior Center

11627 Airport Rd., Suite F | Everett, WA 98204

Xin

vui lng linlc C Thanh Tmti s 425 290-1256

ly hn.SHIBA Help Line (ng DTr Gip SHIBA) cung cp cvn min ph v bo him s

khe, v l dch v t vnkhng thin v, ca Vn

Phng y Vin Bo HimCa Tiu BangWashington.

Thi Hn Ghi Danh Cho Medicare (Open Enrollment):15 thng mi mt 31 thng mi hai



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1

Radio Script

CMS Open Enrollment 2010

Shirley Caesar :30

ANNCR: An important message from Medicare.

Shirley:Hello, Im Shirley Caesar and I want to about Medicare. Now through December 31st is Open

Enrollment; time to review your Medicare plan and compare it to other options. You could save money, get

better coverageor both. And did you see the new benefits from the health care law. Like 50% off brand

name drugs for people in the donut hole. Now thats something to sing about.

ANNCR: Open Enrollment ends on December 31st. Review your Medicare. Visit medicare.gov or call 1-

800-MEDICARE.



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Thursday, November 18, 2010 thru Wednesday, November 25, 2THE KANSAS CITY GLOBE14



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CMS OE

:30 TV Coffee ShopRev. 10/22/10 p.m.

SUPER: An important message from Medicare

STELLA READING PAPER: Hmm.Were getting more Medicare benefits from the new

healthcare law.

JANE: Yup. Free cancer screenings

WAITRESS DELIVERS PLATE WITH A FEW DONUTS ON IT.

JANE: .and 50 percent off brand name drugs if you enter the donut hole.

STELLA: You read my paper?

JANE SHAKES HEAD: I went to medicare dot gov. Its Open Enrollment, you know.

CUT AWAY TO JANE AT HOME COMPUTER VISITING MEDICARE.GOV.

SUPER: MEDICARE OPEN ENROLLMENT IS NOVEMBER 15 TO

DECEMBER 31.

JANE VO: So I checked out all the options and found a better plan for my budget.

CUT BACK TO COFFEE SHOP.

STELLA: Knowledge is power.

ANNCR: Visit medicare dot gov or call 1-800-MEDICARE.

SUPER: Paid for by the U.S. Department of Health and Human Services.

------------------------------------------------------------------------------------------



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CMS OE

:30 TV Walk in the ParkRev. 10/22/10 p.m.

SUPER: An important message from Medicare.

BETH: Hey, John, you sure look happy.

JOHN: I just changed my Medicare.

SUPER: Medicare Open Enrollment is November 15 to December 31.

BETH: Open Enrollment?

JOHN: Yup. I compared plans and found better coverage for me.

BETH: Of course you noticed the extra benefits we get from the new healthcare law. Like 50

percent off brand name drugs for people in the donut hole.

CUT TO ARTCARD: 50% off brand name drugs in the donut hole

CUT BACKTO THEM IN THE PARK.

JOHN LOOKS LIKE HE DIDNT KNOW THAT.AS BETH PASSES HIM, SHE LOOKS BACK AND TEASINGLY SAYS:

BETH: You gotta keep up.

ANNCR: Its Open Enrollment. Time to compare and review plans at medicare dot gov, or call

1-800-MEDICARE.

SUPER: Paid for by the US Department of Health and Human Services

SUPER HHS logo and CMS logo

-----------------------------------------------------------------------------------------------------------



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CMS OE

:30 Radio Walk in the ParkRev. 10/22/10 p.m.

OUTDOOR AMBIENCE. PEOPLE WALKING. LIGHT MUSIC.

ANNCR: An important message from Medicare and the U.S. Department of Health and Human

Services.

SFX: EXERCISE BREATHING, FAST FOOTSTEPS.

BETH: Weve got two miles to go, John, why are you smiling?

JOHN: I just changed my Medicare.


JOHN: Yup. I compared plans and found better coverage for me.

BETH: Did you see the extra benefits we get from the new healthcare law? Like 50 percent off

brand name drugs for people in the donut hole.

JOHN: Really.

BETH: Cmon John, you gotta keep up.

ANNCR: Open Enrollment is November 15 to December 31st. Visit medicare dot gov, or call 1-

800-MEDICARE.



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AN IMPORTANT MESSAGE FROM MEDICARE

Open Enrollment is November 15th to December 31st.

Whatsyour plan?Even if you are perfectly happy

with your Medicare plan,

Open Enrollment is the time

to compare what you have to

all the choices available for

next year. Maybe you can save

money, get better coverage, orboth. And dont forget to check

out all the new benefits coming

soon from the new healthcare

law. Most people with Medicare

will get free cancer screenings,

wellness check-ups and a

50% discount on brand name

prescription drugs if you enter

the donut hole.

PLEASE KEEP THIS CONTACT INFORMATION FOR YOUR REFERENCE

www.medicare.govVisit us online to review your plan.

1-800-MEDICARE (TTY 1-877-486-2048)Call to get help from a trained Medicare representative

or learn where you can get help locally.

2011 Medicare & YouCheck your mail for a handbook to reviewavailable Medicare plans.



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CMS OPEN ENROLLMENT

:30 TV COFFEE SHOP

SUPER: An important message from Medicare STELLA READING PAPER: Hmm. Were getting new Medicare

benefits from the new healthcare law.

JANE: Yeah. And most people will get free cancer screenings

and 50 percent off of brand name drugs if youre in the donut hole.

STELLA: You read my paper?

JANE SHAKES HEAD: I went to medicare dot gov. Its Open

Enrollment, you know.

CUT AWAY TO JANE AT HOME COMPUTER VISITING MEDICARE.GOV.

SUPER: MEDICARE OPEN ENROLLMENT IS NOV 15 - DEC 31.

JANE VO: So I checked out all the options and found a better plan to

fit my budget.

CUT BACK TO COFFEE SHOP.

STELLA: Well, you know what they say

JANE: Knowledge is power.

ANNCR: Visit medicare dot gov or call 1-800-MEDICARE.

SUPER: Medicare Open Enrollment is Nov 15 - Dec 31.

1-800-MEDICARE-TTY 1-877-486-2048


HHS logo



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CMS OPEN ENROLLMENT

:30 TV WALK IN THE PARK

SUPER: An important message from Medicare.

JOHN: Yeah, well there you go.

BETH: So what else is new?

JOHN: Well, I just changed my Medicare plan.



JOHN: Yep, I compared plans and found better coverage for me.

BETH: Of course you noticed the new benefits we get under the

new healthcare law.

JOHN: What?

BETH: Well, like 50 percent off brand name prescription drugs for

people who are in the donut hole.

SUPER: 50% off brand name drugs in the donut hole

JOHN: Really, I didnt know that.

AS BETH PASSES HIM, SHE LOOKS BACK AND TEASINGLY SAYS:

BETH: Oh, You have to keep up.

JOHN: Cmon, keep up.

ANNCR: Its Open Enrollment. Time to compare and review plans at

medicare dot gov, or call 1-800-MEDICARE.


1-800-MEDICARE-TTY 1-877-486-2048


HHS logo and CMS logo



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UN MENSAJE IMPORTANTE DE MEDICARE

La Inscripcin Abierta esdel 15 de noviembre hasta el 31 de diciembre

Incluso si est perfectamente feliz con su plan de Medicare, elperiodo de Inscripcin Abierta es la oportunidad perfecta paracomparar lo que tiene actualmente con todas las opcionesdisponibles para el prximo ao. Quizs pueda ahorrar dinero,

recibir una cobertura mayor o, a lo mejor, ambas cosas. Y nose olvide de averiguar acerca de todos los nuevos beneficios

Visite a un experto de Medicare.



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MEDICAREOPEN ENROLLMENTSPANISH :60 RADIO

11/1/2010

60 SECOND RADIO SPOT: EL CAF

ANNOUNCER: Un mensaje importante de Medicare.

[SFX- A kitchen in a family home (door opens and closes, keys, newspapers and coffee mugs)]

DAUGHTER [Caring tone]: Mami, no te olvides que lleg la hora de la Inscripcin Abierta para

Medicare.

MOTHER: S, s hijita yo s! Pues llam al nmero de telfono de Medicarecompar losplanes y encontr la mejor opcin para tu pap y para m.

DAUGHTER: Buensimo! Tambin te diste cuenta que con la nueva ley de salud, podras

recibir pruebas gratis para detectar el cncer y un examen anual de bienestar?

MOTHER [Enthusiastic tone]: S, saber es poder!

[SFX- MOTHER and DAUGHTER laugh together]

[SFX-Phone dial sound]

DAUGHTER: A quin llamas mam?

MOTHER [Enthusiastic tone]: Voy a llamar a mis amigas para acordarles que tienen querevisar su plan de Medicare!

ANNOUNCER: Revise su plan de Medicare. Hay nuevos beneficios que le ayudarn. Llame

hoy al 1-800-633-4227. Los usuarios de TTY deben llamar al 1-877-486-2048, mire el manualMedicare y Usted, o vistenos en lnea en medicare.gov. La Inscripcin Abierta de Medicare esdel 15 de noviembre al 31 de diciembre.

ANNOUNCER: Un mensaje del Departamento de Salud y Servicios Humanos de los Estados

Unidos.

Back translation follows.



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2009 Open Enrollment Paid Media Overview

Tactic 7/26 8/2 8/9 8/16 8/23 8/30 9/6 9/13 9/20 10/4 10/11 10/18 10/25 11/1 11/8 11/15 11/22 11/29 12/6 12/13 12/20

General MarketTV

Cable (AMC,GSN,Hallmark,CNN,etc.) 17 17 17 45 45 45 50 50 50 95 95 95 95 95 95 95 95 Total =

Network News (Early Evening) 29 18 31 40 40 50 50 50 50 50 50 50 50

Radio

Network Radio 100 100 100 100 100 100 100 100

Print

AARP Bulletin

USA WeekendP4C

B

P4C

B

P4C

BParade Targeted 50+ Edition P4C P4C

African American Radio (Top 11 AA Markets)

DCBaltimore

AtlantaDetroit

LAPhiladelphia

New YorkChicago

HoustonDallas

Print (Top 11 AA Markets)New York Beacon (NYC)

The New York Carib News (NYC)

New York Daily Challenge (NYC)

Amesterdam News (NYC)

Atlanta Inquirer (Atlanta)

Chicago Defender (Chicago)

Chicago Crusader (Chicago)

Washington Informer (DC)

The Afro American (DC)

East of the River (DC)

The Philadelphia Tribune (Philadelphia)

L.A. Sentinel (Los Angeles)

Our Weekly (Los Angeles)

Michigan Chronicle (Detroit)

Houston Defender (Houston)

Houston Forward Times (Houston)

The Dallas Examiner (Dallas)

African American News & Issues (Ft. Worth)

The Afro American (Baltimore)

Hispanic TV (Univisio n & Telemundo) Total =

Eight of 15 marketsMiami 7 7 7 7 7 7

LA 7 7 7 7 7 7New York 7 7 7 7 7 7

Chicago 7 7 7 7 7 7Houston 7 7 7 7 7 7

MIami 7 7 7 7 7 7Dallas 7 7 7 7 7 7

San Diego 7 7 7 7 7 7San Francisco 7 7 7 7 7 7

Radio Total =Local (Top 7 Markets) 10 10 10 10 10 10

Chi - WOJO 10 10 10 10 10 10HOU-KLTN 10 10 10 10 10 10

NY-WXNY 10 10 10 10 10 10MIA-WAMR 10 10 10 10 10 10

DAL - KLNO 10 10 10 10 10 10SD-KLQV 10 10 10 10 10 10

SF-KSOL 10 10 10 10 10 10

DC-WLZL 10 10 10 10 10 10

Aug ust Octo ber November

General Market Campaign Tota

Afr ican Am erican Cam paign To ta

Total of 2100 spots Across 10Markets

P4CB

DecemberSeptember



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Tactic 7/26 8/2 8/9 8/16 8/23 8/30 9/6 9/13 9/20 10/4 10/11 10/18 10/25 11/1 11/8 11/15 11/22 11/29 12/6 12/13 12/20

Aug ust Octo ber November Decemb erSeptember

Hispanic Campaign Tota



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Tactic 7/26 8/2 8/9 8/16 8/23 8/30 9/6 9/13 9/20 10/4 10/11 10/18 10/25 11/1 11/8 11/15 11/22 11/29 12/6 12/13 12/20

Aug ust Octo ber November Decemb erSeptember

AAPI RadioKorean American

Radio Korea-LA/KMPC 24 24 24 12 12 12Radio Korea-NY/WWRU 24 24 24 12 12 12

Chinese AmericanWKDM-NY 24 24 24 12 12 12

KAZN-LA 24 24 24 12 12 12

Vietnamese AmericanKALI (LA) 24 24 24 12 12 12

Little Saigon Radio KYND (Houston) 24 24 24 12 12 12

Print

Korean AmericanKorea Times-Nationwide 2 2 2 1 1 1

Korea Daily-Hawaii 2 2 2 1 1 1

Chinese AmeircanWorld Journal-Nationwide-wkdy 1 1 1 0 0 0

World Journal-Nationwide-wknd 1 1 1 1 1 1

Vietnamese American

Nguoi Viet Daily News (LA) 2 2 2 1 1 1

Viet Bao USA (Northern CA) 2 2 2 1 1 1

VietNam Post (Houston) 1 1 1 1 1 1But Viet Weekly News(Formerly

Viet News) (Dallas) 2 2 2 1 1 1

Tu Do Thoi Bao (DC) 2 2 2 1 1 1

TOTAL FOR ALL CAMPAIGNS

AAPI Campaign To ta



95/106


Net

Cost

$5,775,421

$2,911,394

$2,114,947

$1,697,432

$12,499,194

$42,200$42,200

$42,200$42,200

$42,200$42,200

$115,000

$57,500

$57,500

$57,500

$540,700

$600,000

$200,000



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Net

Cost

$800,000



97/106


Net

Cost

$20,196$16,416

$18,360

$21,384

$9,072

$9,720

$16,425

$1,800

$4,284

$9,180

$2,027

$1,727

$1,560

$5,175

$1,890

$139,216

$13,979,110



98/106

DearDr.X;

Doyoutreatpatientswithapreexistingconditionwholackhealthcarecoverage?Ifso,they

maybeeligibleforanewfederalprogramthePreExistingConditionInsurancePlan(PCIP)

forchildrenandadultswhohavebeenlockedoutofthehealthinsurancemarketbecauseofa

preexistingcondition.Thisprogramcanalsohelpyoureducetheuncompensatedcareyou

provideforthesepatients.

Asaparticipatingprovider,youprovideinnetworkbenefitstoPCIPenrolleesinyourstate.

Wedliketoworkwithyoutoincreaseawarenessofthisimportantprogramanddiscusswith

youhowitcanbenefityourpatientswholackhealthcarecoverage.

HereshowthePreExistingInsurancePlancanworkforyou.PCIPcan:

Directpatientstoparticipatingprovidersthroughcustomerservicereferralsand

www.pciplan.com;

Offer

reimbursement

and

assignment

of

benefits

for

PCIP

participating

providers;

Reimbursecleanclaimsin30days;and

AlloweasyverificationofbenefitsthroughPCIPsIDcards.

Wealsohavefreematerialsyoucanusetoeducateyourstaffandpatientsonplaneligibility,

coverageoptionsandbenefits,premiumratesandeligibilityrequirements.ToobtainPCIP

benefitsummaries,pleaseemail:[email protected]

yourwebsiteornewsletter,pleasegoto:www.pciplan.com/providers.

Ifyou

have

questions,

or

would

like

to

arrange

apresentation

by

one

of

our

staff

on

the

Pre

ExistingConditionInsurancePlan,pleasecontactChastityBrownat:8008216136,Ext.4461or

(emailaddress).

Welookforwardtodiscussingthisprogramwithyouandyourstaff.

Sincerely,



99/106

FactSheet

ThePreExistingConditionInsurancePlan

ANewHealthCoverageOptionfortheUninsured

Peoplewho

have

had

difficulty

finding

health

coverage

or

have

been

turned

down

for

coverage

because

ofapreexistingconditionandfeelliketheyareoutofoptionsarenotoutofoutluck.Theymaynowbe

eligibleforanewfederalprogramthePreExistingConditionInsurancePlan(PCIP).

PCIPisdesignedasabridgeto2014whenthenationtransitionstoanewmarketplaceandall

Americansregardlessoftheirhealthstatuswillhaveaccesstoaffordable,qualityhealthcoverage.

Thishealthcoverageprogramisadministeredatthestatelevelin27statesandbythefederal

governmentin23statesandtheDistrictofColumbia.

PlanEligibility

Toqualifyforthisprogram,apersonapplyingforcoveragemustbe:aU.S.citizenorresidinghere

legally;have

been

without

health

coverage

for

at

least

6months;

and

have

apre

existing

condition

or

havebeendeniedcoveragebecauseofahealthcondition.

Eligibilityisnotbasedonincomeandenrolleesarenotchargedahigherpremiumbecauseofamedical

condition.

Coverage

ThePreExistingConditionInsurancePlanprovidespeoplewithapreexistingconditioncomprehensive

healthcoverageatthesamepricethathealthypeoplepay.Itcoversprimaryandspecialtycare,hospital

care,prescriptiondrugs,homehealthandhospicecare,skillednursingcareandpreventivehealthand

maternitycare.

Monthlypremiumsvarybystateandenrolleesmustpayadeductibleandsomecostsharingexpenses.

LifeChangingResults

Thiscoverageprogramisalreadychangingandsavingthelivesofenrolleesacrossthecountryand

helpingthemfinallyreceivetreatmentforconditionsthathaveplaguedthemforyears.JamesofKaty,

Texaswasdiagnosedwithbraincancerlastyear.JameswasabletojointhePreExistingCondition

InsurancePlaninTexasandhereceivedthemedicaltreatmentthatheneeded.

MoreInformation

Eachstatemayuseadifferentmethodtodeterminewhetherapersonhasapreexistingconditionor

hasbeen

denied

insurance

coverage.

As

such,

people

should

check

with

their

state

to

establish

eligibility

rules.Formoreinformation,includingeligibilityandhowtoapply,peoplecanvisitwww.pcip.govand

selectFindYourState.Thenselectastatefromadropdownmenu.AtollfreeCallCenterat1866

7175826(TTY18665611604)isopenfrom8a.m.to11p.m.EasternTime,



100/106

If You Cant Find Health Insurance

Because of a Pre-Existing Condition

You May Be Eligible for

The Pre-Existing Condition

Insurance PlanA new health coverage option,

created by the Affordable Care Act,

which is getting results today

for people who:

are citizens of the United States

or residing here legally,

have been uninsured for

at least 6 months, and

have a pre-existing condition

or have been denied insurance coverage

because of a medical condition.

To learn more about this program,

including how to apply in your state, go to

Find Your State at www.pcip.gov.

You can also call a toll-free line at

1-866-717-5826

(TTY 1-866-561-1604),

which is open 8 AM to 11 PMEastern Time



101/106

DraftBackgrounder,SSABenefitsStaff,12/7//10

ThePreExistingConditionInsurancePlanNewCoverageOptionfortheUninsured

ThePre

Existing

Condition

Insurance

Plan

(PCIP)

is

atransitional

program

for

people

withapreexistingconditionthatwillserveasabridgetocoverageuntil2014when

Americansregardlessoftheirhealthstatuswillhaveaccesstoaffordablehealthinsurance.

Youareonthefrontlineseverydaytalkingtopeoplewithdisabilitiesmanyofwhom

areunabletofindhealthinsurance.ThePreExistingConditionInsurancePlanmayhelpyour

beneficiariesandapplicantsanditisavailabletochildrenandadultsineverystate.Itisa

federalprogramthatisadministeredatthestatelevelin27statesandbythefederal

governmentin23statesandtheDistrictofColumbia.

Studiesestimatethat200,000to400,000peoplewilleventuallybecoveredbythePre

ExistingCondition

Insurance

Plan.

Asyouknow,peoplewithapreexistingconditionfacedauntingchallengesandhigh

costswhentheyshopforhealthinsurance.ThePreExistingConditionInsurancePlancovers

physicianandhospitalservicesandprescriptiondrugspremiumsvarybystate.Annualoutof

pocketexpensesforenrolleesarecapped.

Eligibility

Toqualifyforthisprogram,apersonapplyingforcoveragemustbe:acitizenofthe

UnitedStatesorresidingherelegally,havebeenuninsuredforatleast6months,andhavea

preexistingconditionorhavebeendeniedinsurancecoveragebecauseofamedicalcondition.

HowtoApply

Differentstatesmayusedifferentmethodstodeterminewhetherapersonapplyingfor

theprogramhasapreexistingconditionandwhetherheorshehasbeendeniedinsurance

coverage.So,peopleapplyingforthePreExistingConditionInsurancePlanneedtocheckon

howtoestablisheligibilityintheirstate.

Forinformationabouthowtoapply,gotoFindYourStateatwww.pcip.gov.Youcan

clickonastatefromamapoftheUnitedStatesorselectastatefromadropdownmenu.You

canalsocallatollfreelineat:18667175826(TTY18665611604)togetmoreinformation.

TheCall

Center

is

open

from

8A.M.

to

11

P.M.

Eastern

Time.

Wereworkingwithothergovernmentagencies,aswellashealthandconsumer

organizationsacrossthenation,tohelpguaranteethatpeoplewhofeeltheyreoutofcoverage

optionsareawareofthePreExistingConditionInsurancePlanandhowitcanchangetheirlife.

WehopeyouwilldiscussthePreExistingConditionInsurancePlanwithyourbeneficiariesand

applicantstoextendthereachandimpactofthisexcitingnewprogram.



102/106

###



103/106


104/106

SSADraftNewspaperArticle,12/6/10

Differentstatesmayusedifferentmethodstodeterminewhetheryouhaveapre

existingconditionandwhetheryouhavebeendeniedinsurancecoverage.So,youneedto

checkon

how

to

establish

eligibility

in

your

state.

For

information

about

how

to

apply,

go

to

FindYourStateatwww.pcip.gov.YoucanclickonyourstatefromamapoftheUnitedStates

orselectyourstatefromadropdownmenu.Youcanalsocallatollfreelineat:1866717

5826(TTY18665611604)togetmoreinformation.TheCallCenterisopen8A.M.to11P.M.

EasternTime.

###



105/106

SSADraftWebsiteCopy,12/6/10

Areyouruninsured?Doyouhaveapreexistingcondition?

Ifyour

answer

is

yes

to

both

questions,

you

may

be

eligible

for

the

new

Pre

Existing

Condition

InsurancePlanaprogramforchildrenandadultswhohavebeenuninsuredforatleast6

months,haveapreexistingcondition,andcantfindhealthinsurance.

IfyouwanttofindoutmoreaboutthePreExistingConditionInsurancePlan,youcancall1

8667175826(TTY18665611604).Thistoll freeCallCenterisopen8A.M.to11P.M.

EasternTime.OryoucangotoFindYourStateatwww.pcip.gov.Youcanclickonyourstate

fromamapoftheUnitedStatesorselectastatefromadropdownmenuforinformationabout

howtoapply.

Formoreaboutothersourcesofhealthcoveragethatmaybeavailabletoyou,pleasegoto:

www.healthcare.gov.

###



106/106

Areyouuninsured?Doyouhaveapreexistingcondition?

YoumaybeeligibleforthenewPreExistingConditionInsurancePlanaprogramforpeople

whohaveapreexistingconditionandhavebeenwithouthealthcoverageforatleastsix

months.Formoreinformation,youcancalltollfree:18667175826(TTY18665611604),or

you

can

go

to

Find

Your

State

at

www.pcip.gov

to

find

out

how

to

apply.


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Documents

Transcript of 1053 Fifth Combined-stamped Copy