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Medicare
Medicare has extended coverage of PrismRA, a groundbreaking test aiming to expedite the journey of RA patients towards the most effective treatments.
Selecting the right Medicare plan is crucial choice with significant impact on your access and cost to access healthcare, but with the variety of options available, it's easy to make mistakes with serious consequences. Avoid the top five mistakes Medicare enrollment mistakes by staying well-informed.
With Medicare Part B premiums and deductibles expected to climb, beneficiaries must sharpen their financial planning. While we're currently paying rates set in 2022, the Medicare board of trustees has provided estimates up to 2032 to help us plan ahead.
At some point every Medicare beneficiary will face the same question… "Will Medicare cover my procedure?", To best answer this and save you from unexpected bills we need to understand what constitutes “Medical Necessity” and how to choose a provider.
Medicare Advantage (MA) plans with $0 premiums have become a significant draw for many beneficiaries. At first glance, the idea of "free" healthcare coverage seems enticing. However, as with many things in life, if it sounds too good to be true, it probably is.
On October 12, 2023, the Centers for Medicare & Medicaid Services (CMS) unveiled significant Medicare updates for 2024. With shifts spanning across Medicare Parts A, B, and D, beneficiaries can expect adjustments in premiums, deductibles, and income-related monthly adjustments.
Let’s define each phase of Medicare Part D coverage, break down the costs, what they mean for you in practical terms, and explore tips to manage your medication expenses effectively in 2024.
As we approach 2024, it's crucial for Medicare beneficiaries to be aware of the expected changes to IRMAA, an additional charge added to Medicare premiums for beneficiaries with higher incomes.
I’ve recently noticed a growing trend among hospitals and health systems nationwide reconsidering their acceptance of MA plans for care in their facilities.
Every year, Medicare beneficiaries have the opportunity to review and make changes to their coverage during the Medicare Annual Election Period (AEP). This period is crucial for ensuring that you have the optimal coverage for your health needs. Being proactive during the AEP can save you from unexpected costs and coverage gaps in the upcoming year.
The options you face upon enrolling in Medicare emphasize the need for informed decisions. The initial choice between Original Medicare + Supplement Plan or an Advantage Plan is pivotal and can impact future healthcare coverage options.
Medicare beneficiaries and older Americans increasingly become targets of Medicare scams preying on the trust of the senior community, leading to significant financial and emotional distress. It's vital to understand the tactics scammers use and signs of potential fraud.
Thanks to the Inflation Reduction Act (IRA), those enrolled in Medicare Part D can expect in 2024 and 2025.
The Center for Medicare and Medicaid Services (CMS) announced changes to the Medicare Advantage program effective 2024. These changes include updates to the prior authorization process and the Medicare Advantage star ratings system.
The Medicare Part D "donut hole" represents a coverage gap in prescription drug costs. Beneficiaries pay more during this phase, but strategies like using generic drugs can help reduce its impact.
Medicare can be confusing. Here is a brief overview of Medicare for those who are just starting their journey.
Learn more about some of the most common mistakes on Medicare which can possibly lead to additional expenses for you.
Medicare Supplements (Medigap)
For those in California, the Medigap Birthday Rule is an opportunity to reassess and recalibrate their Medigap Plans. Beneficiaries can switch plans with the assurance that their health conditions, even pre-existing ones, won't hinder their choices.
Understanding the role of excess charges, additional fees that some healthcare providers may charge for Part B services, and how Medicare Plan G mitigates them can help you make informed decisions about your healthcare and insurance coverage.
Because Medicare Supplements provide such great coverage it’s easy to get complacent and just keep the plan you have but in California it’s easy to change plans and take advantage of some nice discounts and perks.
When it comes to Medicare Supplements consumers in California enjoy some really nice benefits not offered in other states.
Dropping a Medicare Advantage plan and returning to “Original Medicare” Parts A and B with a Medicare Supplement “Medigap” is possible, but there are some caveats you need to be aware of.
Medicare Supplement Plan High-Deductible Plan G can sometimes be a good fit for any clients. In this article, I will describe how a High-Deductible Plan G works and when I see it as a good fit for my clients.
“You’ve got cancer,” words that none of us ever want to hear it’s more than enough worrying about treatment options, best and prognosis. The last things you want to be thinking about is your health insurance, who you can see for treatment, and how much treatment will cost.
The Plan G Medicare Supplement provides nearly all the same great Medicare benefits as the Plan F.
Exploring healthcare can be overwhelming, especially regarding Medicare Supplement Plans. Let's simplify it by comparing two popular options: Medicare Supplement Plan G and Plan N.
Medicare Plan G offers comprehensive coverage, including most costs not covered by original Medicare. It's a top choice for extensive coverage with minimal out-of-pocket expenses.
General Healthcare
The policy shift addressing the "Family Glitch" and allowing more families to qualify for premium tax credits is a significant stride towards making health insurance more accessible and affordable for American families.
As we near the end of 2023, Covered California launches its open enrollment for 2024, introducing enhanced financial assistance for state residents seeking health insurance.
GoodRx and Walgreens are affirming their commitment to making healthcare more affordable for all with a groundbreaking initiative aimed at reducing prescription medication prices, effective immediately.
2024 will bring about several changes to Covered California. While some of these changes, like rate increases, might seem daunting, there are also new support mechanisms and carrier options on the horizon.
Wondering about Durable Medical Equipment and what Medicare covers? Learn more about how Medicare may cover items such as wheelchairs, at-home hospital beds, and more.
Good health insurance provides peace of mind, financial savings, better access to care, and a safeguard for medical emergencies.
Recent Medicare legislation has enacted changes such as insulin price caps, reduced Part B premiums, and expanded telemedicine, offering both opportunities and challenges for beneficiaries.