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Medicare A & B Medicare supplement

What is a High Deductible Medigap Plan?

Once Original Medicare approves a claim, it will deduct from its approved amount that which you are responsible for and pay the difference directly to the provider. That amount you are responsible for; the Part A deductible, the Part B deductible and Part B 20% co-share is often paid through the purchase of a secondary […]

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Medicare A & B Medicare supplement

Medicare 2022 Part A, Part B and IRMAA Premiums

The Centers for Medicare & Medicaid Services (CMS) has set the premium amounts for Medicare Part A and Part B for the calendar year 2022. 2022 Medicare Part B Premiums The 2022 standard monthly premium for Medicare Part B beneficiaries is $170.10, a $21.60 increase from the $148.50 standard amount for 2021.   2022 Medicare […]

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Medicare A & B

Enrolling in Medicare Part B and the Coronavirus Crisis

If receiving your Social Security retirement benefits before age 65, you will be automatically enrolled in Medicare Parts A and B. The coverage usually begins the month of your 65th birthday and the Part B Medicare premium is withheld from your Social Security benefit payment. Many individuals working past age 65 and still insured through […]

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Medicare A & B Medicare supplement Part D Prescription Drug

What is the “Medicare Savings Program?”

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 […]

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Medicare A & B Patient Health

Medicare’s Observation Status Makes Inpatients Into Outpatients (via NPR)

Beware of the “Admitted for Observation” Billing Code A daughter’s story: “An ER doctor examined her, saw that she couldn’t move her leg, couldn’t really even hold her body upright and had trouble with her memory. He said he would admit her to the hospital’s observation unit to figure out what was going on. He […]

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Medicare A & B Part D Prescription Drug

What to know about the Medicare Annual Enrollment Period (AEP)

Mark your calendar. October 15th to December 7th is the Medicare Annual Enrollment Period (AEP.) During this time Medicare beneficiaries can change Medicare Advantage ( Part C) or Medicare Prescription Drug (Part D) plans with ease. Plan or coverage changes go into effect January 1. If you are enrolled in a Medicare Plan C or Plan D it […]

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Medicare A & B

Switching Medicare Supplement (Medigap) policies

Reasons Why New Yorkers Switch Their Medicare Supplement (Medigap) Policies: You’re paying for benefits you don’t need. You need more benefits than you needed before. Your current Medigap policy has the right benefits, but you want to change your insurance company. Your current Medigap policy has the right benefits, but you want to find a […]

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Medicare A & B

Medicare Part A / B Savings Program

Medicare Savings Program Most Medicare beneficiaries pay $0 for the Part A hospitalization benefits if they or their spouse paid Medicare withholding taxes while they worked. For Part B medical insurance, most people pay the standard monthly premium withheld from Social Security benefit. For New York State residents meeting certain conditions, a Medicare Savings Program […]