&

Online doctor cipro

There is a special program called the Low Income Subsidy (LIS) which helps with online doctor cipro Medicare Part D cost sharing. LIS is also known as "Extra Help." The Social Security Administration administers LIS -- you don't apply through your Part D plan. See Medicare Rights Center chart on Extra Help Income online doctor cipro and Asset Limits (listed amounts already deduct the $20/month income disregard)(they update it annually) Enrolling in Extra Help There are three basic ways to get into the LIS program.

1) by receiving Medicaid. Medicaid recipients, including those who meet a spenddown, are "deemed" into LIS (automatically enrolled by SSA) and don't have to file a separate application for Extra Help. See more below about how receiving Medicaid just for online doctor cipro one month can qualify you for Full Extra Help for up to 18 months.

2) by enrolling in a Medicare Savings Program. The Medicare Savings Program includes the Qualified Medicare Beneficiary online doctor cipro (QMB) program, which covers beneficiaries up to 100% FPL. Specified Low-Income Medicare Beneficiary (SLIMB), for those between 100-120%.

And the Qualified Individual (QI-1) program, for individuals between 120-135% FPL. There are no resource tests in New York's Medicare Savings Program.) online doctor cipro The New York State Department of Health posts the Medicare Savings Program income guidelines on their website. Just like Medicaid, Medicare Savings Program recipients are deemed into LIS and don't need to apply through SSA.

For more information see this article. 3) by applying for Extra online doctor cipro Help through the Social Security Administration. The Extra Help income limits are 150% FPL and there is an asset test.

SSA lists the income and resource limits for Extra Help on their website, where you can also file an application online online doctor cipro and get more information about the program. You can also find out information about Extra Help in many different languages. See Medicare Rights Center chart on Extra Help Income and Asset Limits - updated annually You can apply for Extra Help and MSP at the same time through SSA.

SSA will online doctor cipro forward your Extra Help application data to the New York State Department of Health, who will use that data to assess your eligibility for MSP. Individuals who apply for LIS through SSA and those who are deemed into LIS should receive written confirmation of their Extra Help status through SSA. Of course, individuals who apply for LIS through SSA and are found ineligible are also entitled to a written notice and have appeal rights.

Benefits of Extra Help 1) Assistance with Part D cost-sharing The Extra Help program provides a subsidy which covers most (but not online doctor cipro all) of beneficiary’s cost sharing obligations. Extra Help beneficiaries do not have to worry about hitting the “donut hole” – the LIS subsidy continues to cover them through the donut hole and into catastrophic coverage. Full Extra Help online doctor cipro.

LIS beneficiaries with incomes up to 135% FPL are generally eligible for "full" Extra Help -- meaning they pay no Part D deductible, no charge for monthly premiums up to the benchmark amount, and fixed, relatively low co-pays (between $1.30 and $8.95 for 2020 depending on the person's income level and the tier category of the drug. Medicaid beneficiaries in nursing homes, waiver programs, or managed long term care have $0 co-pays). Full Extra Help beneficiaries who hit the catastrophic coverage limit have $0 co-pays online doctor cipro.

See current co-pay levels here. Partial Extra Help. Beneficiaries between 135%-150% FPL receive "partial" Extra Help, which limits the Part D online doctor cipro deductible to $89 (2020 figure - click here for updated chart).

Sets sliding scale fees for monthly premiums. And limits co-pays to 15%, until the beneficiary reaches the catastrophic coverage limit, at which point co-pays are limited to a $8.95 maximum (2020 online doctor cipro or see current amount here) or 5% of the drug cost, whichever is greater. 2) Facilitated enrollment into a Part D plan Extra Help recipients who aren’t already enrolled in a Part D plan and don’t want to choose one on their own will be automatically enrolled into a benchmark plan by CMS.

This facilitated enrollment ensures that Extra Help recipients have Part D coverage. However, the downside to facilitated enrollment is that the plan may not be the best “fit” for the beneficiary, if it doesn’t cover all his/her drugs, assesses a higher tier level for covered drugs than other comparable plans, and/or requires the beneficiary online doctor cipro to go through administrative hoops like prior authorization, quantity limits and/or step therapy. Fortunately, Extra Help recipients can always enroll in a new plan … see #3 below.

3) Continuous special enrollment period Extra Help recipients have a continuous special enrollment period, meaning that they can switch plans at any time. They are not “locked into” the annual open enrollment period online doctor cipro (October 15-December 7). NOTE.

This changed in 2019 online doctor cipro. Starting in 2019, those with Extra Help will no longer have a continuous enrollment period. Instead, Extra Help recipients will be eligible to enroll no more than once per quarter for each of the first three quarters of the year.

4) No late enrollment penalty Non LIS beneficiaries generally face a premium penalty (higher monthly premium) if they delayed their enrollment into Part D, meaning that they didn’t enroll when they were initially eligible and didn’t have “creditable coverage.” Extra Help recipients do not have to worry about this problem – the late enrollment penalty provision online doctor cipro does not apply to LIS beneficiaries. 1) For “deemed” beneficiaries (Medicaid/Medicare Savings Program recipients). Extra Help status lasts at least until the end of the current calendar year, even if the individual loses their Medicaid or Medicare Savings Program coverage during that year.

Individuals who receive Medicaid or a Medicare Savings Program online doctor cipro any month between July and December keep their LIS status for the remainder of that calendar year and the following year. Getting Medicaid coverage for even just a short period of time (ie, meeting a spenddown for just one month) can help ensure that the individual obtains Extra Help coverage for at least 6 months, and possibly as long as 18 months. TIP online doctor cipro.

People with a high spend-down who want to receive Medicaid for just one month in order to get Extra Help for 6-18 months can use past medical bills to meet their spend-down for that one month. There are different rules for using past paid medical bills verses past unpaid medical bills. For information see Spend down training online doctor cipro materials.

Individuals who are losing their deemed status at the end of a calendar year because they are no longer receiving Medicaid or the Medicare Savings Program should be notified in advance by SSA, and given an opportunity to file an Extra Help application through SSA. 2) For “non-deemed” beneficiaries (those who filed their LIS applications through SSA) Non-deemed beneficiaries retain their LIS status until/unless SSA does a redetermination and finds the individual ineligible for Extra Help. There are no reporting requirements per se in the online doctor cipro Extra Help program, but beneficiaries must respond to SSA’s redetermination request.

What to do if the Part D plan doesn't know that someone has Extra Help Sometimes there are lengthy delays between the date that someone is approved for Medicaid or a Medicare Savings Program and when that information is formally conveyed to the Part D plan by CMS. As a practical matter, this often results in beneficiaries being charged co-pays, premiums and/or deductibles that they can't afford and online doctor cipro shouldn't have to pay. To protect LIS beneficiaries, CMS has a "Best Available Evidence" policy which requires plans to accept alternative forms of proof of someone's LIS status and adjust the person's cost-sharing obligation accordingly.

LIS beneficiaries who are being charged improperly should be sure to contact their plan and provide proof of their LIS status. If the plan still won't recognize their LIS status, the person or their online doctor cipro advocate should file a complaint with the CMS regional office. The federal regulations governing the Low Income Subsidy program can be found at 42 CFR Subpart P (sections 423.771 through 423.800).

Also, CMS provides detailed guidance on the LIS provisions in chapter 13 of its Medicare Prescription Drug Benefit Manual. This article was authored by the Empire Justice Center.Medicare Savings Programs (MSPs) pay for the monthly Medicare Part B premium for low-income Medicare beneficiaries online doctor cipro and qualify enrollees for the "Extra Help" subsidy for Part D prescription drugs. There are three separate MSP programs, the Qualified Medicare Beneficiary (QMB) Program, the Specified Low Income Medicare Beneficiary (SLMB) Program and the Qualified Individual (QI) Program, each of which is discussed below.

Those in QMB online doctor cipro receive additional subsidies for Medicare costs. See 2019 Fact Sheet on MSP in NYS by Medicare Rights Center ENGLISH SPANISH State law. N.Y.

§ 367-a(3)(a), (b), and (d). 2020 Medicare 101 Basics for New York State - 1.5 hour webinar by Eric Hausman, sponsored by NYS Office of the Aging TOPICS COVERED IN THIS ARTICLE 1. No Asset Limit 1A.

Summary Chart of MSP Programs 2. Income Limits &. Rules and Household Size 3.

The Three MSP Programs - What are they and how are they Different?. 4. FOUR Special Benefits of MSP Programs.

Back Door to Extra Help with Part D MSPs Automatically Waive Late Enrollment Penalties for Part B - and allow enrollment in Part B year-round outside of the short Annual Enrollment Period No Medicaid Lien on Estate to Recover Payment of Expenses Paid by MSP Food Stamps/SNAP not reduced by Decreased Medical Expenses when Enroll in MSP - at least temporarily 5. Enrolling in an MSP - Automatic Enrollment &. Applications for People who Have Medicare What is Application Process?.

6. Enrolling in an MSP for People age 65+ who Do Not Qualify for Free Medicare Part A - the "Part A Buy-In Program" 7. What Happens After MSP Approved - How Part B Premium is Paid 8 Special Rules for QMBs - How Medicare Cost-Sharing Works 1.

NO ASSET LIMIT!. Since April 1, 2008, none of the three MSP programs have resource limits in New York -- which means many Medicare beneficiaries who might not qualify for Medicaid because of excess resources can qualify for an MSP. 1.A.

SUMMARY CHART OF MSP BENEFITS QMB SLIMB QI-1 Eligibility ASSET LIMIT NO LIMIT IN NEW YORK STATE INCOME LIMIT (2020) Single Couple Single Couple Single Couple $1,064 $1,437 $1,276 $1,724 $1,436 $1,940 Federal Poverty Level 100% FPL 100 – 120% FPL 120 – 135% FPL Benefits Pays Monthly Part B premium?. YES, and also Part A premium if did not have enough work quarters and meets citizenship requirement. See “Part A Buy-In” YES YES Pays Part A &.

B deductibles &. Co-insurance YES - with limitations NO NO Retroactive to Filing of Application?. Yes - Benefits begin the month after the month of the MSP application.

18 NYCRR §360-7.8(b)(5) Yes – Retroactive to 3rd month before month of application, if eligible in prior months Yes – may be retroactive to 3rd month before month of applica-tion, but only within the current calendar year. (No retro for January application). See GIS 07 MA 027.

Can Enroll in MSP and Medicaid at Same Time?. YES YES NO!. Must choose between QI-1 and Medicaid.

Cannot have both, not even Medicaid with a spend-down. 2. INCOME LIMITS and RULES Each of the three MSP programs has different income eligibility requirements and provides different benefits.

The income limits are tied to the Federal Poverty Level (FPL). 2019 FPL levels were released by NYS DOH in GIS 20 MA/02 - 2020 Federal Poverty Levels -- Attachment II and have been posted by Medicaid.gov and the National Council on Aging and are in the chart below. NOTE.

There is usually a lag in time of several weeks, or even months, from January 1st of each year until the new FPLs are release, and then before the new MSP income limits are officially implemented. During this lag period, local Medicaid offices should continue to use the previous year's FPLs AND count the person's Social Security benefit amount from the previous year - do NOT factor in the Social Security COLA (cost of living adjustment). Once the updated guidelines are released, districts will use the new FPLs and go ahead and factor in any COLA.

See 2019 Fact Sheet on MSP in NYS by Medicare Rights Center ENGLISH SPANISH Income is determined by the same methodology as is used for determining in eligibility for SSI The rules for counting income for SSI-related (Aged 65+, Blind, or Disabled) Medicaid recipients, borrowed from the SSI program, apply to the MSP program, except for the new rules about counting household size for married couples. N.Y. Soc.

Serv. L. 367-a(3)(c)(2), NYS DOH 2000-ADM-7, 89-ADM-7 p.7.

Gross income is counted, although there are certain types of income that are disregarded. The most common income disregards, also known as deductions, include. (a) The first $20 of your &.

Your spouse's monthly income, earned or unearned ($20 per couple max). (b) SSI EARNED INCOME DISREGARDS. * The first $65 of monthly wages of you and your spouse, * One-half of the remaining monthly wages (after the $65 is deducted).

* Other work incentives including PASS plans, impairment related work expenses (IRWEs), blind work expenses, etc. For information on these deductions, see The Medicaid Buy-In for Working People with Disabilities (MBI-WPD) and other guides in this article -- though written for the MBI-WPD, the work incentives apply to all Medicaid programs, including MSP, for people age 65+, disabled or blind. (c) monthly cost of any health insurance premiums but NOT the Part B premium, since Medicaid will now pay this premium (may deduct Medigap supplemental policies, vision, dental, or long term care insurance premiums, and the Part D premium but only to the extent the premium exceeds the Extra Help benchmark amount) (d) Food stamps not counted.

You can get a more comprehensive listing of the SSI-related income disregards on the Medicaid income disregards chart. As for all benefit programs based on financial need, it is usually advantageous to be considered a larger household, because the income limit is higher. The above chart shows that Households of TWO have a higher income limit than households of ONE.

The MSP programs use the same rules as Medicaid does for the Disabled, Aged and Blind (DAB) which are borrowed from the SSI program for Medicaid recipients in the “SSI-related category.” Under these rules, a household can be only ONE or TWO. 18 NYCRR 360-4.2. See DAB Household Size Chart.

Married persons can sometimes be ONE or TWO depending on arcane rules, which can force a Medicare beneficiary to be limited to the income limit for ONE person even though his spouse who is under 65 and not disabled has no income, and is supported by the client applying for an MSP. EXAMPLE. Bob's Social Security is $1300/month.

He is age 67 and has Medicare. His wife, Nancy, is age 62 and is not disabled and does not work. Under the old rule, Bob was not eligible for an MSP because his income was above the Income limit for One, even though it was well under the Couple limit.

In 2010, NYS DOH modified its rules so that all married individuals will be considered a household size of TWO. DOH GIS 10 MA 10 Medicare Savings Program Household Size, June 4, 2010. This rule for household size is an exception to the rule applying SSI budgeting rules to the MSP program.

Under these rules, Bob is now eligible for an MSP. When is One Better than Two?. Of course, there may be couples where the non-applying spouse's income is too high, and disqualifies the applying spouse from an MSP.

In such cases, "spousal refusal" may be used SSL 366.3(a). (Link is to NYC HRA form, can be adapted for other counties). 3.

The Three Medicare Savings Programs - what are they and how are they different?. 1. Qualified Medicare Beneficiary (QMB).

The QMB program provides the most comprehensive benefits. Available to those with incomes at or below 100% of the Federal Poverty Level (FPL), the QMB program covers virtually all Medicare cost-sharing obligations. Part B premiums, Part A premiums, if there are any, and any and all deductibles and co-insurance.

QMB coverage is not retroactive. The program’s benefits will begin the month after the month in which your client is found eligible. ** See special rules about cost-sharing for QMBs below - updated with new CMS directive issued January 2012 ** See NYC HRA QMB Recertification form ** Even if you do not have Part A automatically, because you did not have enough wages, you may be able to enroll in the Part A Buy-In Program, in which people eligible for QMB who do not otherwise have Medicare Part A may enroll, with Medicaid paying the Part A premium (Materials by the Medicare Rights Center).

2. Specifiedl Low-Income Medicare Beneficiary (SLMB). For those with incomes between 100% and 120% FPL, the SLMB program will cover Part B premiums only.

SLMB is retroactive, however, providing coverage for three months prior to the month of application, as long as your client was eligible during those months. 3. Qualified Individual (QI-1).

For those with incomes between 120% and 135% FPL, and not receiving Medicaid, the QI-1 program will cover Medicare Part B premiums only. QI-1 is also retroactive, providing coverage for three months prior to the month of application, as long as your client was eligible during those months. However, QI-1 retroactive coverage can only be provided within the current calendar year.

(GIS 07 MA 027) So if you apply in January, you get no retroactive coverage. Q-I-1 recipients would be eligible for Medicaid with a spend-down, but if they want the Part B premium paid, they must choose between enrolling in QI-1 or Medicaid. They cannot be in both.

In contrast, one may receive Medicaid and either QMB or SLIMB. 4. Four Special Benefits of MSPs (in addition to NO ASSET TEST).

Benefit 1. Back Door to Medicare Part D "Extra Help" or Low Income Subsidy -- All MSP recipients are automatically enrolled in Extra Help, the subsidy that makes Part D affordable. They have no Part D deductible or doughnut hole, the premium is subsidized, and they pay very low copayments.

Once they are enrolled in Extra Help by virtue of enrollment in an MSP, they retain Extra Help for the entire calendar year, even if they lose MSP eligibility during that year. The "Full" Extra Help subsidy has the same income limit as QI-1 - 135% FPL. However, many people may be eligible for QI-1 but not Extra Help because QI-1 and the other MSPs have no asset limit.

People applying to the Social Security Administration for Extra Help might be rejected for this reason. Recent (2009-10) changes to federal law called "MIPPA" requires the Social Security Administration (SSA) to share eligibility data with NYSDOH on all persons who apply for Extra Help/ the Low Income Subsidy. Data sent to NYSDOH from SSA will enable NYSDOH to open MSP cases on many clients.

The effective date of the MSP application must be the same date as the Extra Help application. Signatures will not be required from clients. In cases where the SSA data is incomplete, NYSDOH will forward what is collected to the local district for completion of an MSP application.

The State implementing procedures are in DOH 2010 ADM-03. Also see CMS "Dear State Medicaid Director" letter dated Feb. 18, 2010 Benefit 2.

MSPs Automatically Waive Late Enrollment Penalties for Part B Generally one must enroll in Part B within the strict enrollment periods after turning age 65 or after 24 months of Social Security Disability. An exception is if you or your spouse are still working and insured under an employer sponsored group health plan, or if you have End Stage Renal Disease, and other factors, see this from Medicare Rights Center. If you fail to enroll within those short periods, you might have to pay higher Part B premiums for life as a Late Enrollment Penalty (LEP).

Also, you may only enroll in Part B during the Annual Enrollment Period from January 1 - March 31st each year, with Part B not effective until the following July. Enrollment in an MSP automatically eliminates such penalties... For life..

Even if one later ceases to be eligible for the MSP. AND enrolling in an MSP will automatically result in becoming enrolled in Part B if you didn't already have it and only had Part A. See Medicare Rights Center flyer.

Benefit 3. No Medicaid Lien on Estate to Recover MSP Benefits Paid Generally speaking, states may place liens on the Estates of deceased Medicaid recipients to recover the cost of Medicaid services that were provided after the recipient reached the age of 55. Since 2002, states have not been allowed to recover the cost of Medicare premiums paid under MSPs.

In 2010, Congress expanded protection for MSP benefits. Beginning on January 1, 2010, states may not place liens on the Estates of Medicaid recipients who died after January 1, 2010 to recover costs for co-insurance paid under the QMB MSP program for services rendered after January 1, 2010. The federal government made this change in order to eliminate barriers to enrollment in MSPs.

See NYS DOH GIS 10-MA-008 - Medicare Savings Program Changes in Estate Recovery The GIS clarifies that a client who receives both QMB and full Medicaid is exempt from estate recovery for these Medicare cost-sharing expenses. Benefit 4. SNAP (Food Stamp) benefits not reduced despite increased income from MSP - at least temporarily Many people receive both SNAP (Food Stamp) benefits and MSP.

Income for purposes of SNAP/Food Stamps is reduced by a deduction for medical expenses, which includes payment of the Part B premium. Since approval for an MSP means that the client no longer pays for the Part B premium, his/her SNAP/Food Stamps income goes up, so their SNAP/Food Stamps go down. Here are some protections.

Do these individuals have to report to their SNAP worker that their out of pocket medical costs have decreased?. And will the household see a reduction in their SNAP benefits, since the decrease in medical expenses will increase their countable income?. The good news is that MSP households do NOT have to report the decrease in their medical expenses to the SNAP/Food Stamp office until their next SNAP/Food Stamp recertification.

Even if they do report the change, or the local district finds out because the same worker is handling both the MSP and SNAP case, there should be no reduction in the household’s benefit until the next recertification. New York’s SNAP policy per administrative directive 02 ADM-07 is to “freeze” the deduction for medical expenses between certification periods. Increases in medical expenses can be budgeted at the household’s request, but NYS never decreases a household’s medical expense deduction until the next recertification.

Most elderly and disabled households have 24-month SNAP certification periods. Eventually, though, the decrease in medical expenses will need to be reported when the household recertifies for SNAP, and the household should expect to see a decrease in their monthly SNAP benefit. It is really important to stress that the loss in SNAP benefits is NOT dollar for dollar.

A $100 decrease in out of pocket medical expenses would translate roughly into a $30 drop in SNAP benefits. See more info on SNAP/Food Stamp benefits by the Empire Justice Center, and on the State OTDA website. Some clients will be automatically enrolled in an MSP by the New York State Department of Health (NYSDOH) shortly after attaining eligibility for Medicare.

Others need to apply. The 2010 "MIPPA" law introduced some improvements to increase MSP enrollment. See 3rd bullet below.

Also, some people who had Medicaid through the Affordable Care Act before they became eligible for Medicare have special procedures to have their Part B premium paid before they enroll in an MSP. See below. WHO IS AUTOMATICALLY ENROLLED IN AN MSP.

Clients receiving even $1.00 of Supplemental Security Income should be automatically enrolled into a Medicare Savings Program (most often QMB) under New York State’s Medicare Savings Program Buy-in Agreement with the federal government once they become eligible for Medicare. They should receive Medicare Parts A and B. Clients who are already eligible for Medicare when they apply for Medicaid should be automatically assessed for MSP eligibility when they apply for Medicaid.

(NYS DOH 2000-ADM-7 and GIS 05 MA 033). Clients who apply to the Social Security Administration for Extra Help, but are rejected, should be contacted &. Enrolled into an MSP by the Medicaid program directly under new MIPPA procedures that require data sharing.

Strategy TIP. Since the Extra Help filing date will be assigned to the MSP application, it may help the client to apply online for Extra Help with the SSA, even knowing that this application will be rejected because of excess assets or other reason. SSA processes these requests quickly, and it will be routed to the State for MSP processing.

Since MSP applications take a while, at least the filing date will be retroactive. Note. The above strategy does not work as well for QMB, because the effective date of QMB is the month after the month of application.

As a result, the retroactive effective date of Extra Help will be the month after the failed Extra Help application for those with QMB rather than SLMB/QI-1. Applying for MSP Directly with Local Medicaid Program. Those who do not have Medicaid already must apply for an MSP through their local social services district.

(See more in Section D. Below re those who already have Medicaid through the Affordable Care Act before they became eligible for Medicare. If you are applying for MSP only (not also Medicaid), you can use the simplified MSP application form (theDOH-4328(Rev.

8/2017-- English) (2017 Spanish version not yet available). Either application form can be mailed in -- there is no interview requirement anymore for MSP or Medicaid. See 10 ADM-04.

Applicants will need to submit proof of income, a copy of their Medicare card (front &. Back), and proof of residency/address. See the application form for other instructions.

One who is only eligible for QI-1 because of higher income may ONLY apply for an MSP, not for Medicaid too. One may not receive Medicaid and QI-1 at the same time. If someone only eligible for QI-1 wants Medicaid, s/he may enroll in and deposit excess income into a pooled Supplemental Needs Trust, to bring her countable income down to the Medicaid level, which also qualifies him or her for SLIMB or QMB instead of QI-1.

Advocates in NYC can sign up for a half-day "Deputization Training" conducted by the Medicare Rights Center, at which you'll be trained and authorized to complete an MSP application and to submit it via the Medicare Rights Center, which submits it to HRA without the client having to apply in person. Enrolling in an MSP if you already have Medicaid, but just become eligible for Medicare Those who, prior to becoming enrolled in Medicare, had Medicaid through Affordable Care Act are eligible to have their Part B premiums paid by Medicaid (or the cost reimbursed) during the time it takes for them to transition to a Medicare Savings Program. In 2018, DOH clarified that reimbursement of the Part B premium will be made regardless of whether the individual is still in a Medicaid managed care (MMC) plan.

GIS 18 MA/001 Medicaid Managed Care Transition for Enrollees Gaining Medicare ( PDF) provides, "Due to efforts to transition individuals who gain Medicare eligibility and who require LTSS, individuals may not be disenrolled from MMC upon receipt of Medicare. To facilitate the transition and not disadvantage the recipient, the Medicaid program is approving reimbursement of Part B premiums for enrollees in MMC." The procedure for getting the Part B premium paid is different for those whose Medicaid was administered by the NYS of Health Exchange (Marketplace), as opposed to their local social services district. The procedure is also different for those who obtain Medicare because they turn 65, as opposed to obtaining Medicare based on disability.

Either way, Medicaid recipients who transition onto Medicare should be automatically evaluated for MSP eligibility at their next Medicaid recertification. NYS DOH 2000-ADM-7 Individuals can also affirmatively ask to be enrolled in MSP in between recertification periods. IF CLIENT HAD MEDICAID ON THE MARKETPLACE (NYS of Health Exchange) before obtaining Medicare.

IF they obtain Medicare because they turn age 65, they will receive a letter from their local district asking them to "renew" Medicaid through their local district. See 2014 LCM-02. Now, their Medicaid income limit will be lower than the MAGI limits ($842/ mo reduced from $1387/month) and they now will have an asset test.

For this reason, some individuals may lose full Medicaid eligibility when they begin receiving Medicare. People over age 65 who obtain Medicare do NOT keep "Marketplace Medicaid" for 12 months (continuous eligibility) See GIS 15 MA/022 - Continuous Coverage for MAGI Individuals. Since MSP has NO ASSET limit.

Some individuals may be enrolled in the MSP even if they lose Medicaid, or if they now have a Medicaid spend-down. If a Medicare/Medicaid recipient reports income that exceeds the Medicaid level, districts must evaluate the person’s eligibility for MSP. 08 OHIP/ADM-4 ​If you became eligible for Medicare based on disability and you are UNDER AGE 65, you are entitled to keep MAGI Medicaid for 12 months from the month it was last authorized, even if you now have income normally above the MAGI limit, and even though you now have Medicare.

This is called Continuous Eligibility. EXAMPLE. Sam, age 60, was last authorized for Medicaid on the Marketplace in June 2016.

He became enrolled in Medicare based on disability in August 2016, and started receiving Social Security in the same month (he won a hearing approving Social Security disability benefits retroactively, after first being denied disability). Even though his Social Security is too high, he can keep Medicaid for 12 months beginning June 2016. Sam has to pay for his Part B premium - it is deducted from his Social Security check.

He may call the Marketplace and request a refund. This will continue until the end of his 12 months of continues MAGI Medicaid eligibility. He will be reimbursed regardless of whether he is in a Medicaid managed care plan.

See GIS 18 MA/001 Medicaid Managed Care Transition for Enrollees Gaining Medicare (PDF) When that ends, he will renew Medicaid and apply for MSP with his local district. Individuals who are eligible for Medicaid with a spenddown can opt whether or not to receive MSP. (Medicaid Reference Guide (MRG) p.

19). Obtaining MSP may increase their spenddown. MIPPA - Outreach by Social Security Administration -- Under MIPPA, the SSA sends a form letter to people who may be eligible for a Medicare Savings Program or Extra Help (Low Income Subsidy - LIS) that they may apply.

The letters are. · Beneficiary has Extra Help (LIS), but not MSP · Beneficiary has no Extra Help (LIS) or MSP 6. Enrolling in MSP for People Age 65+ who do Not have Free Medicare Part A - the "Part A Buy-In Program" Seniors WITHOUT MEDICARE PART A or B -- They may be able to enroll in the Part A Buy-In program, in which people eligible for QMB who are age 65+ who do not otherwise have Medicare Part A may enroll in Part A, with Medicaid paying the Part A premium.

See Step-by-Step Guide by the Medicare Rights Center). This guide explains the various steps in "conditionally enrolling" in Part A at the SSA office, which must be done before applying for QMB at the Medicaid office, which will then pay the Part A premium. See also GIS 04 MA/013.

In June, 2018, the SSA revised the POMS manual procedures for the Part A Buy-In to to address inconsistencies and confusion in SSA field offices and help smooth the path for QMB enrollment. The procedures are in the POMS Section HI 00801.140 "Premium-Free Part A Enrollments for Qualified Medicare BenefiIaries." It includes important clarifications, such as. SSA Field Offices should explain the QMB program and conditional enrollment process if an individual lacks premium-free Part A and appears to meet QMB requirements.

SSA field offices can add notes to the “Remarks” section of the application and provide a screen shot to the individual so the individual can provide proof of conditional Part A enrollment when applying for QMB through the state Medicaid program. Beneficiaries are allowed to complete the conditional application even if they owe Medicare premiums. In Part A Buy-in states like NYS, SSA should process conditional applications on a rolling basis (without regard to enrollment periods), even if the application coincides with the General Enrollment Period.

(The General Enrollment Period is from Jan 1 to March 31st every year, in which anyone eligible may enroll in Medicare Part A or Part B to be effective on July 1st). 7. What happens after the MSP approval - How is Part B premium paid For all three MSP programs, the Medicaid program is now responsible for paying the Part B premiums, even though the MSP enrollee is not necessarily a recipient of Medicaid.

The local Medicaid office (DSS/HRA) transmits the MSP approval to the NYS Department of Health – that information gets shared w/ SSA and CMS SSA stops deducting the Part B premiums out of the beneficiary’s Social Security check. SSA also refunds any amounts owed to the recipient. (Note.

) CMS “deems” the MSP recipient eligible for Part D Extra Help/ Low Income Subsidy (LIS). ​Can the MSP be retroactive like Medicaid, back to 3 months before the application?. ​The answer is different for the 3 MSP programs.

QMB -No Retroactive Eligibility – Benefits begin the month after the month of the MSP application. 18 NYCRR § 360-7.8(b)(5) SLIMB - YES - Retroactive Eligibility up to 3 months before the application, if was eligible This means applicant may be reimbursed for the 3 months of Part B benefits prior to the month of application. QI-1 - YES up to 3 months but only in the same calendar year.

No retroactive eligibility to the previous year. 7. QMBs -Special Rules on Cost-Sharing.

QMB is the only MSP program which pays not only the Part B premium, but also the Medicare co-insurance. However, there are limitations. First, co-insurance will only be paid if the provide accepts Medicaid.

Not all Medicare provides accept Medicaid. Second, under recent changes in New York law, Medicaid will not always pay the Medicare co-insurance, even to a Medicaid provider. But even if the provider does not accept Medicaid, or if Medicaid does not pay the full co-insurance, the provider is banned from "balance billing" the QMB beneficiary for the co-insurance.

Click here for an article that explains all of these rules. This article was authored by the Empire Justice Center.Pfizer's buy antibiotics treatment is pictured at Rady Children's Hospital before it's placed back in the refrigerator in San Diego, California on December 15, 2020.Adriana Drehsler | AFP | Getty ImagesAs the death toll from the antibiotics cipro mounts in the U.S., the country finally has some reason for hope. Nurses, doctors, the elderly and other vulnerable people across America are getting the first buy antibiotics treatment shots.An army of pilots, delivery drivers and pharmacists last month started to ship, distribute and administer millions of treatment doses.

The small vials are traveling on airplanes and trucks, and some times inside of specially made hand-held coolers.So far, two treatments have been cleared by the Food and Drug Administration for emergency use in the U.S.. Those by Pfizer-BioNtech and Moderna. Several other drugmakers also have agreements to provide their treatments to the federal government once they are approved.

AstraZeneca's treatment, developed with Oxford University, was just approved for emergency use in the U.K. But is still in clinical trials in the U.S.The much-awaited treatments — and whether they're distributed quickly, smoothly and widely — will help determine whether the U.S. Can gain control of a cipro that's killed more than 355,000 people across the country, overwhelmed hospitals and thrust the nation's economy into a recession.UPS employees move one of two shipping containers containing the first shipments of the Pfizer and BioNTech buy antibiotics treatment on a ramp at UPS Worldport in Louisville, Kentucky, on Sunday, December 13, 2020.Michael Clevenger | Getty ImagesHealth-care workers and nursing home residents were among the first to receive them in mid-December, followed by older Americans or those considered more at risk based on their job, age or medical conditions, depending on the state.

The U.S. Has distributed just over 17 million doses, and 4.8 million people have been given their first shot as of Tuesday — far short of the country's original goal of immunizing at least 20 million people by the end of 2020.Eventually, the shots will be available to the general public at neighborhood pharmacies and grocery stores.UPS employees move one of two shipping containers containing the first shipments of the Pfizer and BioNTech buy antibiotics treatment inside a sorting facility at UPS Worldport on December 13, 2020 in Louisville, Kentucky.Michael Clevenger | Getty ImagesHere's how that journey looks for the treatments:Loading planes &. TrucksWithin hours of the FDA's approval of the Pfizer and Moderna treatments last month, FedEx and United Parcel Service started shipping vials of doses.

The logistics rivals teamed up and split deliveries by state, UPS Healthcare President Wes Wheeler told a Senate panel at a hearing last month.Delivering antibiotics treatments, however, isn't first time the companies have handled sensitive medical products. UPS provided logistical support throughout Pfizer's clinical trials. FedEx delivers flu treatments every year and shipped over 80 million H1N1 treatment doses in 2009, said Richard Smith, FedEx Express executive vice president.FedEx and UPS trucks leave the loading dock of the Pfizer Global Supply manufacturing plant, in Portage, Michigan, U.S., December 13, 2020.Rebecca Cook | Reuters"This is what we were built for, and we plan for things like this regularly," Smith told lawmakers.

"Maybe not on this scale with all of the ins and outs, but we are well-versed in this type of planning."Pfizer's treatment is being transported in custom thermal shippers designed to keep the doses at minus 94 degrees Fahrenheit. Each suitcase-sized box can hold 4,875 doses, according to the Centers for Disease Control and Prevention. The shippers also have a GPS-enabled thermal sensor.Ensuring the vials are kept at the right temperature is a tricky process that's had to be adjusted along the way.

U.S. Officials quarantined several thousand doses of Pfizer's treatment in California and Alabama in mid-December after an "anomaly" in the transportation process caused the storage temperature to get too cold.After leaving Pfizer's storage sites in Michigan and Wisconsin, buy antibiotics treatment shipments receive priority treatment, UPS and FedEx said.UPS package handlers Jesirae Elzey and Demeatres Ralston unload boxes of Moderna's buy antibiotics treatment at UPS Worldport, in Louisville, Kentucky, December 20, 2020.Michael Clevenger | Pool | Reuterstreatment packages that UPS delivers are given a gold priority label embedded with four trackers so the company can see the package as soon as it arrives at every destination. Each of its trucks also has a device that monitors its location, light exposure and temperature.

Those treatments are transferred to UPS' Worldport facilities in Louisville, Kentucky, where they are immediately expedited."We will see the package. It will get priority," Wheeler said. "It goes on the plane first.

It comes off the plane first."UPS created a 24/7 command center just for treatment shipments where employees monitor the shipments and intercept a package if something goes wrong, Wheeler said. Similar to UPS, FedEx's "priority alert" team actively tracks the shipments using its own technology.Boxes containing the Pfizer-BioNTech buy antibiotics treatment are prepared to be shipped at the Pfizer Global Supply Kalamazoo manufacturing plant on December 13, 2020 in Portage, Michigan.Morry Gash | Getty ImagesPassenger airlines also play a role. Even before Pfizer's treatment was cleared by the FDA, United Airlines started shipping doses on Boeing 777s from Brussels, near the pharmaceutical giant's Belgium plant to the carrier's hub at Chicago O'Hare.

They were taken by truck from the airport to Pfizer's plant in Kalamazoo, Michigan to position them for distribution.American Airlines ran trial flights in November between Miami and South America to stress test thermal packaging and handling before it started shipping the treatments.Last month, United and Delta Air Lines started shipping smaller loads of the treatment in the bellies of passenger planes within the U.S.Airplanes carrying the treatment get takeoff and landing priority from the Federal Aviation Administration. The FAA also gave United special approval to carry more dry ice than typically allowed to transport doses from Brussels to Chicago.The airlines and logistics companies had mobilized extra manpower last month as a snowstorm swept through the Northeast and threatened to shut down runways. The FAA urged airports to have people ready to clear snow.United was the first commercial airline to fly the first FDA-authorized buy antibiotics treatments to the U.S.Source.

United AirlinesFreezers, dry ice and portable coolersShipments from FedEx and UPS head to different hubs for distribution. In some cases, they arrive at hospitals or health-care systems where they are stored and later administered to staff. In other cases, they head to retail pharmacies.UT Health Austin received notice on Dec.

12 that it would receive its first shipment of 2,925 doses of treatment the next day, said Dr. Amy Young, chief clinical office. It had already received supplies needed for administering the shot, like syringes and alcohol swabs, about a week before, said Young, who also is vice dean of professional practice at Dell Medical School at the University of Texas at Austin.When the shipment arrived via FedEx truck, hospital staff checked the temperature of the doses at the facility's loading dock to make sure they remained at the necessary temperature, Young said.

They then transported the boxes to their ultra-cold freezer for the night. Hospital staff started immunizing people the next day.Boxes containing the first shipments of the Pfizer and BioNTech buy antibiotics treatment are unloaded from air shipping containers and scanned at UPS Worldport on December 13, in Louisville, Kentucky.Michael Clevenger | Getty ImagesRiverside Health System in Virginia, which received its first shipment of just under 3,000 doses on Dec. 15, ffollowed a similar process, said Cindy Williams, vice president and chief pharmacy officer.

Riverside was able to track the FedEx shipment as it arrived at a nearby airport."We did, in fact, get notification that it was on the ground and within about an hour or so it was pulling into our loading dock," Williams said.Though Riverside predicted the first week of vaccinations would have a slow start, the process was much more efficient, Williams said."We are ramping things up pretty rapidly, and we're also finding that team members are very willing to step up and sign up for the clinics," Williams said.Boxes containing the Pfizer-BioNTech buy antibiotics treatment are prepared to be shipped at the Pfizer Global Supply Kalamazoo manufacturing plant on December 13, 2020 in Portage, Michigan.Morry Gash | Getty ImagesThe special containers for the Pfizer-BioNTech treatments also act as mobile freezers for clinics that don't have specialty equipment. They can be stored for up to 30 days if they're refilled with dry ice every five days.The treatment developed by Moderna must be kept frozen — but not at the ultra-low temperatures required for Pfizer's shots. Moderna's needs to be stored at between negative 13 and 5 degrees Fahrenheit and protected from light, according to CDC guidelines.Moderna's treatment, however, can be stored in the refrigerator at between 36 and 46 degrees Fahrenheit for up to 30 days.UPS is producing its own dry ice — over 24,000 pounds a day — for anyone who needs it for the treatments.Ina Siler, a patient at Crown Heights Center for Nursing and Rehabilitation, a nursing home facility, receives the Pfizer-BioNTech antibiotics disease (buy antibiotics) treatment from Walgreens pharmacist Annette Marshall, in Brooklyn, New York, December 22, 2020.Yuki Iwamura | ReutersWalgreens and CVS Health have turned some of their drugstores into designated hubs with special freezers, dry ice and staff trained about how to handle the treatments.

The federal government tapped the companies to inoculate residents and staff at nursing homes and assisted living facilities across the country."Once we get them into those hubs, that's where the planning really works locally with the states, with the long-term care facilities and with our field teams," said Rick Gates, Walgreens' senior vice president of pharmacy and health care.About 10% of CVS pharmacies are serving as "hubs" or "depots," said Chris Cox, a senior vice president at CVS and a liaison to Operation Warp Speed, the federal effort to help develop, make and distribute buy antibiotics treatments."There's nothing special about these pharmacies other than their geographic proximity to the most number of nursing homes, so that we can really optimize our routes," he said.Pharmacists and technicians at long-term care facilities wait until the morning of the vaccinations to move the Pfizer-BioNTech inoculations from ultra-cold storage and it into a refrigerator, where it thaws, Cox said. The doses can be stored in a regular refrigerator at 35 to 46 degrees Fahrenheit for up to five days, according to Pfizer's buy antibiotics treatment fact sheet.They are then loaded into a specially made small, hand-held cooler designed to maintain that temperature for up to 24 hours.Pharmacy supervisor Kevin Weissman uses a thick glove as he opens the door of a special freezer that will hold the Pfizer treatment at LAC USC Medical Center during the outbreak of the antibiotics disease (buy antibiotics) in Los Angeles, California, December 10, 2020.Mike Blake | ReutersThe Moderna treatment must remain frozen for transport. It's then carried in the same cooler — but with cooling inserts and is thawed on-site at the facility before it is administered, Cox said.Each cooler can hold 500 Pfizer doses or 1,000 Moderna doses since the Pfizer shots come in smaller bottles, according to CVS.

Before giving the shot, health-care staff must add a saline solution to Pfizer's dose before it's injected, while Moderna's treatment doesn't need to be diluted.Both treatments need to be thawed before injecting and cannot be refrozen, putting unused doses at risk of going bad. Pfizer's treatment takes 30 minutes and Moderna's treatment takes an hour to thaw at room temperature, a CVS spokesman said.Both treatments also need to be used relatively quickly after thawing. Undiluted vials of Pfizer's treatment cannot be stored at room temperature for more than two hours.

Once diluted, they need to be used within six hours.Moderna's treatment is stable at room temperature for up to 12 hours if the vials haven't been punctured and six hours once they've been punctured.Reports of unused and discarded doses have started to trickle in across the country as local health departments struggle to meet the tricky dosing requirements.Authorities in Wisconsin said they arrested a pharmacist last week after he admitted to removing 57 vials containing 500 doses of Moderna's treatment from a pharmacy refrigerator and intentionally allowing them to spoil.CVS Health will transport doses of the treatment to nursing homes and other long-term care facilities in a cooler bag to keep them at the right temperature.CVS HealthA jab in the armThe treatment's final stop is the same. Jabbed into millions of American arms.Teams of pharmacists from CVS and Walgreens are administering the treatments at more than 70,000 long-term care facilities, including nursing homes, according to CVS Chief Medical Officer Dr. Troyen Brennan.

The size of the teams will vary based on the number of staff and residents.At nursing homes, pharmacists in protective gear go room by room to vaccinate residents who have agreed to be inoculated, Cox said. At facilities where residents are more mobile, they'll have a central on-site clinic. They'll also vaccinate staff.Those vaccinations began Dec.

18 in Ohio, Connecticut and Florida. They are now available in nursing homes in almost every state and the District of Columbia.CVS and Walgreens, are nudging people to return for their second shot with phone calls, emails and text messages as well as reminder cards. Doses must be spaced out properly — 21 days for the Pfizer treatment and 28 days for the Moderna treatment.U.K.

Health officials have decided to implement a 12-week delay between the first and second doses of the Pfizer-BioNTech and Oxford-AstraZeneca treatments in order to cover as much of the population as possible.U.S. Health officials, who haven't approved AstraZeneca's treatment yet, have advised against any changes in the dosing schedules, although Trump administration treatment czar Moncef Slaoui said they are considering cutting Moderna's dose in half for younger people to increase its availability.The distribution has been slow going, hampered by the holidays, manufacturing delays and funding shortfalls and glitches in state programs designed to administer the shots to people. Roughly 4.8 million doses have been distributed to long-term care facilities, but just 429,066 shots have been given as of Tuesday morning, according to the CDC.CVS and Walgreens executives still think the shots could be available to all Americans at their nearby grocery store or drugstore as early as March, much like they are for the seasonal flu.

More than a dozen retail chains and pharmacies, including Kroger, Walmart and Costco, have signed on as partners with the federal government to give the shots. Some of them, such as Walmart, say they're already getting staff and freezers ready — even as they wait for doses to arrive.CNBC's Leslie Josephs, Kevin Stankiewicz, Will Feuer and MacKenzie Sigalos contributed to this story..

Is cipro effective for sinus

	Cipro	Trimox	Xifaxan
Where to get	At walgreens	Yes	Pharmacy
Side effects	At walmart	RX pharmacy	Order online
Possible side effects	Canadian pharmacy only	Canadian pharmacy only	Canadian pharmacy only
Take with high blood pressure	1000mg	Small dose	No

He discussed is cipro effective for sinus http://www.em-neufeld-strasbourg.ac-strasbourg.fr/wp/?p=1606 the various roles he held and the innovations in the field he brought about. We then challenged Dave, a former Mastermind champion, to our very own Haematology quiz - how did he fare?. In the 2nd half of the interview, he took us through his move from Biomedical Science into showbusiness!. From amateur hospital is cipro effective for sinus pantomime performances as part of the Bolton Health Performers to a national stand-up tour, starring in iconic sitcoms and hosting television game shows.

Dave also tells us a bit about his upcoming tour. 'A funny thing happened'. In the Quick-Fire round, Dave shared his most funny memory from is cipro effective for sinus his days back in the lab!. LabLife with Professor Sheryl Homa In this special LabLife episode, IBMS Fellow and Andrologist Sheryl Homa joined Dr Martin Khechara to chat about Andrology, male reproductive health and her recent appearance on a BBC documentary with comedian Rhod Gilbert.

An extended version of this interview is also available to watch on YouTube. Sheryl is an HCPC registered Clinical Scientist with a special interest in male fertility is cipro effective for sinus . She runs the UK's only clinic dedicated to male infertility - Andrology Solutions in 2007, the first and only HFEA licensed clinic of its kind. Sheryl is also an honorary Professor in Biosciences at the University of Kent.

Andrology is the branch of Biomedical Science that focuses on testing, diagnosing, and researching conditions specific to men, especially issues relating to the male is cipro effective for sinus reproductive &. Urological system. Although vital, Andrology is often overlooked in the healthcare try this out sector. Sheryl explained its importance in helping couples conceive, recalling a particular couple she helped to have is cipro effective for sinus a baby boy following 15 years of trying.

Sheryl also told Martin about her recent appearance on a BBC documentary with comedian Rhod Gilbert focused on the taboo topic of male infertility. She also provided some tips to budding andrologists on how to start a career in this field. How to listen To listen to any of is cipro effective for sinus our podcasts, series 1 and 2, as well as subscribe to future episodes, visit. To catch up with any of the LabLife episodes with Dr Martin Khechara, visit our YouTube Channel.

Episode outline 0:30 - IBMS News 1:42 - Feature Interview with Dave Spikey 2:05 - Part 1. Journey into Biomedical is cipro effective for sinus Science. From School Pupil to Chief Biomedical Scientist – Daves recollects being inspired to pursue a career in Biomedical Science by his father, following an incident installing Bolton town hall's clock. Dave also discusses some of the innovations in testing he brought about throughout his career in Biomedical Science.

18:56 - Haematology Quiz. We challenged Dave, who won Celebrity Mastermind with the specialist subject of 'the red blood cell', to a haematology quiz of our own - see how he fares!. 21:00 - Part 2. From Haematology to Comedy!.

Then in LabLife, Dr Martin Khechara chats to Andrologist Sheryl Homa, who discusses the importance of online doctor cipro this vital but where to buy cheap cipro often overlooked specialism. Comedy &. Haematology with Dave Spikey Dave is best known for his stand-up comedy tours, starring in sitcom Phoenix Nights alongside Peter Kay and Paddy McGuinness, presenting Bullseye, Chain Letters and being a team captain on 8 out of 10 Cats. Before he moved over to comedy, Dave led a successful 30-year career in Biomedical Science – rising the ranks to become Chief Biomedical Scientist in Haematology at The Royal online doctor cipro Bolton Hospital.

Dave recollected his journey into Biomedical Science from school pupil to trainee medical laboratory technician to senior biomedical scientist. He discussed the various roles he held and the innovations in the field he brought about. We then challenged Dave, a former Mastermind online doctor cipro champion, to our very own Haematology quiz - how did he fare?. In the 2nd half of the interview, he took us through his move from Biomedical Science into showbusiness!.

From amateur hospital pantomime performances as part of the Bolton Health Performers to a national stand-up tour, starring in iconic sitcoms and hosting television game shows. Dave also online doctor cipro tells us a bit about his upcoming tour. 'A funny thing happened'. In the Quick-Fire round, Dave shared his most funny memory from his days back in the lab!.

LabLife with Professor Sheryl Homa In this special LabLife episode, IBMS Fellow and Andrologist Sheryl Homa joined Dr Martin Khechara to chat about Andrology, online doctor cipro male reproductive health and her recent appearance on a BBC documentary with comedian Rhod Gilbert. An extended version of this interview is also available to watch on YouTube. Sheryl is an HCPC registered Clinical Scientist with a special interest in male fertility. She runs the UK's only clinic dedicated to male infertility - Andrology Solutions in 2007, the first and only HFEA online doctor cipro licensed clinic of its kind.

Sheryl is also an honorary Professor in Biosciences at the University of Kent. Andrology is the branch of Biomedical Science that focuses on testing, diagnosing, and researching conditions specific to men, especially issues relating to the male reproductive &. Urological system online doctor cipro. Although vital, Andrology is often overlooked in the healthcare sector.

Sheryl explained its importance in helping couples conceive, recalling a particular couple she helped to have a baby boy following 15 years of trying. Sheryl also told Martin about her recent appearance on a BBC documentary with comedian Rhod Gilbert focused on the taboo topic of online doctor cipro male infertility. She also provided some tips to budding andrologists on how to start a career in this field. How to listen To listen to any of our podcasts, series 1 and 2, as well as subscribe to future episodes, visit.

To catch up with any of the LabLife episodes with Dr Martin Khechara, visit our YouTube online doctor cipro Channel. Episode outline 0:30 - IBMS News 1:42 - Feature Interview with Dave Spikey 2:05 - Part 1. Journey into Biomedical Science. From School Pupil to Chief Biomedical Scientist – Daves recollects being inspired to pursue a career in Biomedical Science by his father, following an incident installing Bolton town hall's clock.

What should my health care professional know before I take Cipro?

They need to know if you have any of these conditions:

• child with joint problems
• heart condition
• kidney disease
• liver disease
• seizures disorder
• an unusual or allergic reaction to ciprofloxacin, other antibiotics or medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

What is cipro

As the wind howled what is cipro and the rain slammed down, a team of nurses, respiratory therapists and a doctor worked through the night to care for 19 How to buy symbicort in usa tiny babies as Hurricane Laura slammed southwestern Louisiana.The babies, some on ventilators or eating through a feeding tube, seemed to weather the storm just fine, said Dr. Juan Bossano, the medical director of the neonatal intensive care unit at Lake Charles Memorial Hospital for Women. "They did very well what is cipro. They tolerated it very well.

We had a very good day," he said.Laura made landfall early Thursday morning as a Category 4 storm, packing top winds of 150 mph (241 kph), and pushing a storm surge as high as 15 feet in some areas.Hours before it made landfall, officials had to move the babies from the women's what is cipro hospital to the main hospital in the system after it became clear that storm surge could inundate the women's hospital, located on the southern end of Lake Charles. The hospital has its own generator and hospital administrator Alesha Alford said it was built to withstand hurricane force winds. But in the single story facility, there's no room to move up and storm surge in that area was expected to hit nine feet what is cipro. In a roughly two-hour operation the babies in the intensive care unit were transferred by ambulance to Lake Charles Memorial Hospital, a ten-story facility on the northern side of the city.

Trucks carried needed equipment such as incubators.Alford said the storm hadn't yet hit but "the skies looked very ominous." She said everyone pitched in to get supplies moved to the other hospital."It went as smooth as could be because we had everyone helping," what is cipro she said.Alford said three mothers who couldn't be discharged from the women's hospital were also transferred. Two of them had their newborns with them while the child of the third mom was in the intensive care unit. Parents of the other children in the neonatal intensive care unit couldn't stay with them during the storm because there what is cipro wasn't enough room so Bossano said one nurse was tasked with calling parents to keep them informed of how their children were doing. Bossano occasionally posted updates on Facebook.Once they got situated at the larger hospital and the winds picked up, Alford said the patients were moved into the hallways.

To "protect our babies," mattresses were pushed up against the windows to prevent flying what is cipro glass although none of the windows ended up breaking.She said as huge gusts of wind started coming in, they could feel the building vibrate. In addition to Bossano, the medical staff consisted of two neonatal nurse practitioners, 14 nurses and three respiratory therapists who worked on 12-hour shifts. Some of the staff slept on air what is cipro mattresses in the hallway, Alford said. After making it through the hurricane, the plan was to have the babies stay in Lake Charles.

While electricity was what is cipro out in the city, the hospital has its own generator. But Alford said the city's water system has been so heavily damaged that it ultimately forced them to transfer the babies as well as other patients to other hospitals around the state Friday.Both Alford and Bossano repeatedly praised the nursing staff for their work in caring for the babies that in some cases were born weighing only a pound or two. Some of the nursing what is cipro staff lost their houses in the storm, and they were worried about their own families, but they put those concerns aside to care for their tiny patients."Really the nurses and the respiratory therapists are the heroes here," Bosanno said. "They showed that very clearly the way they performed."There aren’t many hospital visitors amid the buy antibiotics cipro.

But, if you were to walk through intensive-care units at one New York City hospital, you’d see internet-connected speakers—about the size of a stack of Post-it Notes—affixed to the bedrails of some patient beds.It’s part of a project what is cipro by two Weill Cornell Medicine doctors to help family members speak with ICU patients, often intubated or otherwise not able to hold up a phone themselves, from afar.“The patients could be completely sedated, they could be in a coma,” but families still want to be there with them, said Dr. Marc Schiffman, an interventional radiologist and one of the doctors who spearheaded bringing the devices into ICUs.The speakers, now in 11 units at Weill Cornell, are part of a two-way communication system from company Relay, originally developed as a walkie-talkie system of sorts for children to stay in touch with their parents throughout the day. Users on one end record snippets of conversation using a mobile app, which are automatically played out loud through the small speaker.Users what is cipro on the other end push a button on the device to record a response.“Whenever (families) have a story they want to recount, they can just talk into their phone,” Schiffman said. €œIt gives the families a sense of autonomy (and) connection,” even when the patient can’t respond.The effort, dubbed the VoiceLove Project, began about four months ago, at the height of the buy antibiotics cipro in New York City.Families and other visitors were no longer allowed inside Weill Cornell, but still wanted a way to connect with patients who were sick with buy antibiotics.

Initially, that involved a nurse standing in the ICU and holding up a phone or tablet so families could see the patient—a task that took time out of their what is cipro already busy day, potentially exposed them to buy antibiotics and often meant using scarce personal protective equipment.“It really wasn’t a practical solution,” said Dr. Tamatha Fenster, a minimally invasive gynecologic surgeon.So Fenster and Schiffman began brainstorming hands-free technologies they could install directly at the bedside. Schiffman drove to a local Target store and bought a few Relay what is cipro walkie-talkie devices. After testing it with families and patients in the ICU, the two decided it was a “grand slam,” Schiffman said.Since March, hospitals have been trying new ways to keep patients connected to families at home, said Bill Flatley, senior service delivery manager at consulting firm OST.

He said he’s mainly seen hospitals repurpose technology usually used for telemedicine, like tablets and cameras mounted on telemedicine carts.It’s what is cipro likely hospitals will have to continue to restrict visitors, at least as long as there’s uncertainty around buy antibiotics treatment. So it’s integral for staff to figure out processes that make it easy for families to talk to patients—without putting an additional burden on clinicians or expecting them to serve as tech support.For Fenster and Schiffman, deploying walkie-talkies in the ICU for the first time took some leg work.To scale the walkie-talkie system, Schiffman reached out to Relay’s team via the company’s website, and the company agreed to donate roughly 130 devices and waived the per-user subscription fee. The doctors and Relay have continued to work together on best practices for using the devices in ICUs, a use case Relay is marketing and could sell to other hospitals, according what is cipro to Jon Schniepp, Relay’s senior vice president of marketing.But Fenster and Schiffman couldn’t just bring walkie-talkies into the ICU. In the hospital setting, there are additional quality and privacy concerns.

To address those, the doctors created a disposable case, which made it easier to keep the device sterile and blocked passersby from accidentally pressing the button that would transmit sounds to a family’s Relay app.The two spent thousands of dollars out of their own pockets to devise the best case design, Fenster said, working with what is cipro an industrial designer in New Jersey to 3D print different models. The final plastic case, customized with the phrase “VoiceLove” on the front, costs about $10 per case to print and ship. They’ve started reaching out to acute-care and post-acute facilities in California, Texas what is cipro and other buy antibiotics hot spots to explain how the VoiceLove Project works, hoping to connect other groups with Relay and share the case design. But the doctors say they’re still working out the logistics of getting the equipment to interested organizationsWhen Dr.

George Wanna saw how devastated what is cipro St. George Hospital University Medical Center was by an explosion that shook Beirut, he felt a need to help his hometown. The Aug what is cipro. 4 blast in the city’s harbor ravaged St.

George’s, so Wanna launched a GoFundMe page to help the hospital, where a good friend of what is cipro his, Dr. Alexander Nehme, is chief medical officer.At deadline, more than $86,600 had been raised, with a goal of $100,000. €œThis is the first time in what is cipro their 140-year history when St. George’s Hospital was damaged so severely that it is unable to function,” said Wanna, chair of the otolaryngology department at New York Eye and Ear Infirmary of Mount Sinai and Mount Sinai Beth Israel in New York.

€¨St. George Hospital even remained open during Lebanon’s 15-year civil war, a conflict that wracked Beirut and forced Wanna to spend much of his childhood in bomb shelters. Wanna is also working with Mount Sinai to send medical supplies. €œSt.

George Hospital is in need of everything needed to run a hospital—beds, ventilators, protective equipment.” The tragedy also affected Wanna’s family. His parents weren’t home when the blast struck and were unharmed. But “my parents’ home was severely damaged by the blast. Sadly, we lost the lives of several of my dad’s relatives,” he said via email.

Wanna, who spent his residency at Mount Sinai, is grateful to the system. €œThey have given me a chance to have the kind of life I could never have hoped for—they helped me build a home and a life in this great country.”Healthcare leaders tell stories about incidents of racism or discrimination in their careers.Dr. Garth GrahamVP and Chief Community Health OfficerCVS HealthDr. Patrice HarrisImmediate Past PresidentAmerican Medical AssociationDr.

James HildrethPresident and CEOMeharry Medical CollegeDr. Carol MajorAssistant Dean of Diversity and InclusionUniversity of California, Irvine School of MedicineDr. Suzet McKinneyCEO and Executive DirectorIllinois Medical DistrictMarvin O’QuinnPresident and COOCommonSpirit Health.

As the wind howled and the rain slammed down, a team of nurses, respiratory therapists and a doctor worked online doctor cipro through the night to care for 19 tiny babies as Hurricane Laura slammed southwestern Louisiana.The babies, some on ventilators or eating through a feeding tube, seemed to weather the storm just fine, said Dr. Juan Bossano, the medical director of the neonatal intensive care unit at Lake Charles Memorial Hospital for Women. "They did very well online doctor cipro.

They tolerated it very well. We had a very good day," he said.Laura made landfall early Thursday morning as a Category 4 storm, packing top winds of 150 mph (241 kph), and pushing a storm surge as high as 15 feet in some areas.Hours before it made landfall, officials had to move the babies from the women's hospital to the main online doctor cipro hospital in the system after it became clear that storm surge could inundate the women's hospital, located on the southern end of Lake Charles. The hospital has its own generator and hospital administrator Alesha Alford said it was built to withstand hurricane force winds.

But in the single story facility, there's no room online doctor cipro to move up and storm surge in that area was expected to hit nine feet. In a roughly two-hour operation the babies in the intensive care unit were transferred by ambulance to Lake Charles Memorial Hospital, a ten-story facility on the northern side of the city. Trucks carried needed equipment such as incubators.Alford said the storm hadn't yet hit online doctor cipro but "the skies looked very ominous." She said everyone pitched in to get supplies moved to the other hospital."It went as smooth as could be because we had everyone helping," she said.Alford said three mothers who couldn't be discharged from the women's hospital were also transferred.

Two of them had their newborns with them while the child of the third mom was in the intensive care unit. Parents of the other children in the neonatal intensive care unit couldn't stay with them during the storm because there wasn't enough room so Bossano said one nurse was tasked with calling parents online doctor cipro to keep them informed of how their children were doing. Bossano occasionally posted updates on Facebook.Once they got situated at the larger hospital and the winds picked up, Alford said the patients were moved into the hallways.

To "protect our babies," mattresses were pushed up against the windows to prevent flying glass although none of the windows ended up breaking.She said as huge gusts of wind started coming in, they could online doctor cipro feel the building vibrate. In addition to Bossano, the medical staff consisted of two neonatal nurse practitioners, 14 nurses and three respiratory therapists who worked on 12-hour shifts. Some of the staff slept on air mattresses online doctor cipro in the hallway, Alford said.

After making it through the hurricane, the plan was to have the babies stay in Lake Charles. While electricity was out in the city, the hospital has its own online doctor cipro generator. But Alford said the city's water system has been so heavily damaged that it ultimately forced them to transfer the babies as well as other patients to other hospitals around the state Friday.Both Alford and Bossano repeatedly praised the nursing staff for their work in caring for the babies that in some cases were born weighing only a pound or two.

Some of the nursing staff lost their houses in the storm, and they online doctor cipro were worried about their own families, but they put those concerns aside to care for their tiny patients."Really the nurses and the respiratory therapists are the heroes here," Bosanno said. "They showed that very clearly the way they performed."There aren’t many hospital visitors amid the buy antibiotics cipro. But, if you were to walk through intensive-care units at one New York City hospital, you’d see internet-connected speakers—about the size of a stack of Post-it Notes—affixed to the bedrails of some patient beds.It’s part of a project by two Weill Cornell Medicine doctors to help family members speak with ICU patients, often intubated online doctor cipro or otherwise not able to hold up a phone themselves, from afar.“The patients could be completely sedated, they could be in a coma,” but families still want to be there with them, said Dr.

Marc Schiffman, an interventional radiologist and one of the doctors who spearheaded bringing the devices into ICUs.The speakers, now in 11 units at Weill Cornell, are part of a two-way communication system from company Relay, originally developed as a walkie-talkie system of sorts for children to stay in touch with their parents throughout the day. Users on one end record snippets of conversation using a mobile app, which are automatically online doctor cipro played out loud through the small speaker.Users on the other end push a button on the device to record a response.“Whenever (families) have a story they want to recount, they can just talk into their phone,” Schiffman said. €œIt gives the families a sense of autonomy (and) connection,” even when the patient can’t respond.The effort, dubbed the VoiceLove Project, began about four months ago, at the height of the buy antibiotics cipro in New York City.Families and other visitors were no longer allowed inside Weill Cornell, but still wanted a way to connect with patients who were sick with buy antibiotics.

Initially, that involved a nurse standing in the ICU and holding up a phone or tablet so families could see the patient—a task that took time out of their already busy day, potentially exposed them to buy antibiotics and often meant using scarce personal protective equipment.“It online doctor cipro really wasn’t a practical solution,” said Dr. Tamatha Fenster, a minimally invasive gynecologic surgeon.So Fenster and Schiffman began brainstorming hands-free technologies they could install directly at the bedside. Schiffman drove to a local Target store and bought a few online doctor cipro Relay walkie-talkie devices.

After testing it with families and patients in the ICU, the two decided it was a “grand slam,” Schiffman said.Since March, hospitals have been trying new ways to keep patients connected to families at home, said Bill Flatley, senior service delivery manager at consulting firm OST. He said he’s mainly seen hospitals repurpose technology usually used for telemedicine, like tablets and cameras mounted on telemedicine carts.It’s likely hospitals will have to continue to restrict online doctor cipro visitors, at least as long as there’s uncertainty around buy antibiotics treatment. So it’s integral for staff to figure out processes that make it easy for families to talk to patients—without putting an additional burden on clinicians or expecting them to serve as tech support.For Fenster and Schiffman, deploying walkie-talkies in the ICU for the first time took some leg work.To scale the walkie-talkie system, Schiffman reached out to Relay’s team via the company’s website, and the company agreed to donate roughly 130 devices and waived the per-user subscription fee.

The doctors and Relay have continued to work together on best practices for using the devices in ICUs, a use case Relay is marketing and could sell to other hospitals, according to Jon Schniepp, Relay’s senior vice president of marketing.But Fenster and Schiffman couldn’t just bring walkie-talkies into the ICU online doctor cipro. In the hospital setting, there are additional quality and privacy concerns. To address those, the doctors created a disposable case, which made it easier to keep the device sterile and blocked passersby from accidentally pressing the button that would transmit sounds to a family’s Relay app.The two online doctor cipro spent thousands of dollars out of their own pockets to devise the best case design, Fenster said, working with an industrial designer in New Jersey to 3D print different models.

The final plastic case, customized with the phrase “VoiceLove” on the front, costs about $10 per case to print and ship. They’ve started reaching out to acute-care and post-acute facilities in California, Texas and other buy antibiotics hot spots to explain how the VoiceLove Project works, hoping to connect online doctor cipro other groups with Relay and share the case design. But the doctors say they’re still working out the logistics of getting the equipment to interested organizationsWhen Dr.

George Wanna saw how online doctor cipro devastated St. George Hospital University Medical Center was by an explosion that shook Beirut, he felt a need to help his hometown. The Aug online doctor cipro.

4 blast in the city’s harbor ravaged St. George’s, so Wanna launched a GoFundMe page to help the hospital, online doctor cipro where a good friend of his, Dr. Alexander Nehme, is chief medical officer.At deadline, more than $86,600 had been raised, with a goal of $100,000.

€œThis is the first time in their online doctor cipro 140-year history when St. George’s Hospital was damaged so severely that it is unable to function,” said Wanna, chair of the otolaryngology department at New York Eye and Ear Infirmary of Mount Sinai and Mount Sinai Beth Israel in New York. €¨St.

George Hospital even remained open during Lebanon’s 15-year civil war, a conflict that wracked Beirut and forced Wanna to spend much of his childhood in bomb shelters. Wanna is also working with Mount Sinai to send medical supplies. €œSt.

George Hospital is in need of everything needed to run a hospital—beds, ventilators, protective equipment.” The tragedy also affected Wanna’s family. His parents weren’t home when the blast struck and were unharmed. But “my parents’ home was severely damaged by the blast.

Sadly, we lost the lives of several of my dad’s relatives,” he said via email. Wanna, who spent his residency at Mount Sinai, is grateful to the system. €œThey have given me a chance to have the kind of life I could never have hoped for—they helped me build a home and a life in this great country.”Healthcare leaders tell stories about incidents of racism or discrimination in their careers.Dr.

Garth GrahamVP and Chief Community Health OfficerCVS HealthDr. Patrice HarrisImmediate Past PresidentAmerican Medical AssociationDr. James HildrethPresident and CEOMeharry Medical CollegeDr.

Carol MajorAssistant Dean of Diversity and InclusionUniversity of California, Irvine School of MedicineDr. Suzet McKinneyCEO and Executive DirectorIllinois Medical DistrictMarvin O’QuinnPresident and COOCommonSpirit Health.

Can i take cipro with milk

MidMichigan Health is now accepting applications can i take cipro with milk for its Ambulatory http://desertbellarosa.com/renova-prices-walmart/ Patient Care Technician Trainee Program, a two-week paid training program. The goal of the program is to provide participants with the skills needed to hold a patient care technician position at MidMichigan Health, in an ambulatory or outpatient, location.During the program, can i take cipro with milk participants will learn how to provide basic clinical patient care and communicate with patients and other members of the patient care team. They will also develop the skills necessary to perform vitals, basic screens and lab specimen collections.The program includes a combination of in-class and hands-on training. After the two-week program concludes, participants will take a final exam can i take cipro with milk.

Upon passing, they’ll receive their course certification, and be eligible for an ambulatory patient care technician position at MidMichigan Health.The first program cohort will begin training on August 9, 2021. A high can i take cipro with milk school diploma or GED is required to apply. Those who are interested in applying may visit www.midmichigan.org/pctprogram..

MidMichigan Health http://desertbellarosa.com/renova-prices-walmart/ is now accepting applications for its Ambulatory Patient online doctor cipro Care Technician Trainee Program, a two-week paid training program. The goal online doctor cipro of the program is to provide participants with the skills needed to hold a patient care technician position at MidMichigan Health, in an ambulatory or outpatient, location.During the program, participants will learn how to provide basic clinical patient care and communicate with patients and other members of the patient care team. They will also develop the skills necessary to perform vitals, basic screens and lab specimen collections.The program includes a combination of in-class and hands-on training.

After the online doctor cipro two-week program concludes, participants will take a final exam. Upon passing, they’ll receive their course certification, and be eligible for an ambulatory patient care technician position at MidMichigan Health.The first program cohort will begin training on August 9, 2021. A high school diploma or GED online doctor cipro is required to apply.

Those who are interested in applying may visit www.midmichigan.org/pctprogram..

Cipro flagyl dosing

Protecting the safety and cipro flagyl dosing health of essential workers who support America’s food security—including the meat, poultry, and pork processing industries—is a top priority for the Occupational Safety and Health Administration (OSHA). OSHA and the Centers for Disease Control and Prevention issued additional guidance to reduce the risk of exposure to the antibiotics and keep workers safe and healthy in the meatpacking and meat processing industries —including those involved in beef, pork, and poultry operations. This new guidance provides specific recommendations for employers to meet their obligations to protect workers in these facilities, where people normally work closely together and share cipro flagyl dosing workspaces and equipment. Here are eight ways to help minimize meat processing workers’ exposure to the antibiotics. Screen workers before they enter the workplace.

If a worker becomes sick, send them home and cipro flagyl dosing disinfect their workstation and any tools they used. Move workstations farther apart. Install partitions between workstations using strip curtains, plexiglass, or similar materials. To limit spread between cipro flagyl dosing groups, assign the same workers to the same shifts with the same coworkers. Prevent workers from using other workers’ equipment.

Allow workers to wear face coverings when entering, inside, and exiting the facility. Encourage workers cipro flagyl dosing to report any safety and health concerns to their supervisors. OSHA is committed to ensuring that workers and employers in essential industries have clear guidance to keep workers safe and healthy from the antibiotics—including guidance for essential workers in construction, manufacturing, package delivery, and retail. Workers and employers who have questions or concerns about workplace safety can contact OSHA online or by phone at 1-800-321-6742 (OSHA). You can find additional resources and learn more about cipro flagyl dosing OSHA’s response to the antibiotics at www.osha.gov/antibiotics.

Loren Sweatt is the Principal Deputy Assistant Secretary for the U.S. Department of Labor’s Occupation Safety and Health Administration Editor’s Note. It is cipro flagyl dosing important to note that information and guidance about buy antibiotics continually evolve as conditions change. Workers and employers are encouraged to regularly refer to the resources below for updates:The sixth annual National Apprenticeship Week (NAW) is Nov. 8-14.

It’s a great time to learn more about the benefits of apprenticeship, or to get the cipro flagyl dosing word out about your program!. Join the U.S. Department of Labor and representatives from business, labor, education and more virtually and in-person with socially distanced events. If you’re planning to host an event during NAW, here are some resources cipro flagyl dosing you should know about. Start with our event planning toolkit.

Need more inspiration?. See last year's NAW cipro flagyl dosing report for ideas. Find tips in our promotion toolkit on how to spread the word. Download customizable print materials, including flyers and fact sheets. Register your event cipro flagyl dosing so we can include it on our map.

If you’re interested in learning more about apprenticeship, explore our interactive map to find a NAW event near you. You can also visit Apprenticeship.gov for answers to common questions. No matter what cipro flagyl dosing industry you’re in, or what career you have in mind, apprenticeship can work for you. Share your NAW activities on social media this November using the hashtag #NAW2020. To learn more about National Apprenticeship Week 2020 and explore all NAW events, visit Apprenticeship.gov/NAW..

Protecting the safety and health online doctor cipro of essential workers who support America’s food security—including the meat, poultry, and pork processing industries—is a top priority read more for the Occupational Safety and Health Administration (OSHA). OSHA and the Centers for Disease Control and Prevention issued additional guidance to reduce the risk of exposure to the antibiotics and keep workers safe and healthy in the meatpacking and meat processing industries —including those involved in beef, pork, and poultry operations. This new guidance provides specific recommendations for employers to meet their obligations to protect workers in these online doctor cipro facilities, where people normally work closely together and share workspaces and equipment. Here are eight ways to help minimize meat processing workers’ exposure to the antibiotics. Screen workers before they enter the workplace.

If a worker online doctor cipro becomes sick, send them home and disinfect their workstation and any tools they used. Move workstations farther apart. Install partitions between workstations using strip curtains, plexiglass, or similar materials. To limit spread between online doctor cipro groups, assign the same workers to the same shifts with the same coworkers. Prevent workers from using other workers’ equipment.

Allow workers to wear face coverings when entering, inside, and exiting the facility. Encourage workers to report any safety online doctor cipro and health concerns to their supervisors. OSHA is committed to ensuring that workers and employers in essential industries have clear guidance to keep workers safe and healthy from the antibiotics—including guidance for essential workers in construction, manufacturing, package delivery, and retail. Workers and employers who have questions or concerns about workplace safety can contact OSHA online or by phone at 1-800-321-6742 (OSHA). You can find additional resources and learn more about OSHA’s response to online doctor cipro the antibiotics at www.osha.gov/antibiotics.

Loren Sweatt is the Principal Deputy Assistant Secretary for the U.S. Department of Labor’s Occupation Safety and Health Administration Editor’s Note. It is important to note that information online doctor cipro and guidance about buy antibiotics continually evolve as conditions change. Workers and employers are encouraged to regularly refer to the resources below for updates:The sixth annual National Apprenticeship Week (NAW) is Nov. 8-14.

It’s a great time to learn more about the benefits of apprenticeship, or to get the word out online doctor cipro about your program!. Join the U.S. Department of Labor and representatives from business, labor, education and more virtually and in-person with socially distanced events. If you’re online doctor cipro planning to host an event during NAW, here are some resources you should know about. Start with our event planning toolkit.

Need more inspiration?. See last year's NAW report for online doctor cipro ideas. Find tips in our promotion toolkit on how to spread the word. Download customizable print materials, including flyers and fact sheets. Register your event so we online doctor cipro can include it on our map.

If you’re interested in learning more about apprenticeship, explore our interactive map to find a NAW event near you. You can also visit Apprenticeship.gov for answers to common questions. No matter what industry you’re in, or what career you have in mind, apprenticeship can work for you. Share your NAW activities on social media this November using the hashtag #NAW2020. To learn more about National Apprenticeship Week 2020 and explore all NAW events, visit Apprenticeship.gov/NAW..

;