Medicare

Medicare policy on antirejection drugs imperils kidney transplants

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“Medicare spends $86,300 a year per patient on dialysis” “The upfront cost of a kidney transplant is about $110,000.” “…coverage of immunotherapy under Medicare Part B is approximately $2,300 per year.” But, apparently, Medicare Part B limits immunotherapy to three years after which the transplant patient must choose between i) paying for the immunotherapy out […]

Part C Medicare Advantage

Ellis joins Aetna Medicare Advantage Network

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Ellis Medicine joins Aetna Medicare

  On February 1, 2020, Medicare beneficiaries in New York’s Central and Capital Regions will have even more providers to choose from when they select a 2020 Aetna Medicare Advantage plan. On that day, Ellis Medicine and its affiliated physicians will be part of Aetna’s Medicare Advantage preferred provider network – including the following facilities: Bellevue Women’s […]

Medicare

Help, I Missed the Medicare Deadline!

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October 15 through December 7 (Annual Enrollment Period) is when individuals enrolled in Medicare may change their Medicare Advantage or Part D Prescription drug plan selection. This is a good time to share some of the questions I have been receiving in case you, a neighbor or family member missed that deadline: Q: I missed […]

Part C Medicare Advantage

Bassett Healthcare joins Aetna Medicare Advantage Network

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Bassett Healthcare Network joins Aetna Medicare Advantage provider network

On January 1, 2020, Medicare beneficiaries in New York’s Central, Upstate and Capital Regions will have even more providers to choose from when they select a 2020 Aetna Medicare Advantage plan. On that day, Bassett Healthcare Network and its more than 400 affiliated physicians and other advanced practice clinicians will be part of Aetna’s Medicare Advantage preferred […]

Part C Medicare Advantage

Medicare and Veterans

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This spring I received calls for help from several veterans who were paying a monthly premium to be enrolled in a MAPD, a Medicare Advantage with Prescription Drug Plan. These veterans are not eligible for CHAMP or TRICARE, are enrolled in Medicare Parts A and B and pay the Part B premium. Since these veterans […]

Medicare A & B

What is the “Medicare Savings Program?”

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Individuals enrolled in Medicare Parts A and B may apply for the Medicare Savings Program. If eligible you will receive help paying the Medicare Part B premium, currently $135.50. In some instances, (QMB) the program will pay your Part A and Part B deductible and co-insurance amounts. (And possibly a percentage of your Part C […]

Client Testimonial

A Medicare Advantage case study.

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If you, a loved one, friend or neighbor has experienced “sticker shock” with your Medicare Part D prescription drug co-payment, the following case study may interest you. Earlier this week, I received this message from an Albany New York County couple: “We were talking with our neighbor Kathy about the sudden and unaffordable cost of […]

Part D Precription Drug

The $9 billion in Extra Cash From Medicare

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On January 4, 2019 the Wall Street Journal published a powerful article written by Joseph Walker and Christopher Weaver describing how Medicare Part D insurers kept $9.1 billion more in taxpayer funds than they would have had their estimates been accurate from 2006 to 2015. In the WSJ  article, the writers do a deep dive […]