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Part D Prescription Drug

Phase 2: Medicare Part D Initial Coverage Period

In my previous post, Phase I: The Prescription Drug Deductible, I covered how Medicare Part D drug plan benefits reset each January 1. The post also described how a plan deductible amount may apply to any or only a specified group of medications. For many, depending on whether your January refills were affected by the […]

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Part D Prescription Drug

Phase 1: The Prescription Drug Deductible

It’s early January which means Medicare Prescription Drug payment phases have just reset. And I hear this question: “Dan, I just went to refill my medication and the pharmacist quoted me a co-pay almost double what I paid in December.” Medicare Part D Prescription Drug plans reset each year on January 1. What that means […]

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Medicare Part C Medicare Advantage Part D Prescription Drug Uncategorized

Q&A: Help, I Missed the Medicare AEP Deadline!

This year’s Medicare October 15 through December 7 AEP (Annual Enrollment Period) was a busy time for me and I’m grateful for the scores of individuals and couples who permitted me to help with their 2018 Medicare Supplement, Medicare Advantage or Part D Prescription drug plan selection. Still, as I am fielding calls for help […]

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Part D Prescription Drug Uncategorized

Part D Late Enrollment Penalty

Q: “Dan, I just received a letter stating I will have to pay a Part D late enrollment penalty next year for not having a drug plan during the months of February through December, 2017. What’s this all about?” A: “Sam, after you turned 65 in October 2016 you had individual coverage with prescription drug […]

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Medicare A & B

Medicare 2018: Part A and Part B Changes

On November 17, 2017, the Centers for Medicare & Medicaid Services (CMS) released the 2018 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs. [Link to press release.] Medicare Part B Premiums The standard monthly premium for Medicare Part B enrollees will be $134 for 2018, the same amount as […]

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Medicare

Medicare Telephone Scam (please share)

Criminals try to scam seniors year-round however the Annual Enrollment Period (October 15 – December) is a prime time for scammers to impersonate a government agency, as older Americans are more likely to be dealing with Medicare related issues. The latest scam focuses on the new Medicare ID card being sent to all Medicare recipients […]

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Part C Medicare Advantage

Aetna and Albany Medical Center announce new Medicare agreement

Albany Medical Center and Physicians Aetna and Albany Medical Center announced that the two organizations have signed a new contract that results in an expansion of Aetna’s current Medicare Advantage network to include Albany Medical Center and its employed physicians.   Aetna Medicare Advantage Plans Aetna offers HMO and Local PPO Medicare Advantage products throughout […]

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Case Studies Part D Prescription Drug

“Having this EPIC plan was a miracle; an absolute miracle.”

Only a fraction of the nearly 3 million New York State residents aged 65 and older are enrolled in the state’s pharmaceutical assistance program known as New York EPIC. When I meet with New York Medicare Part D clients, I ask if their individual income is below the $75,000 threshold, $100,000 if married. If so, […]

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Case Studies Part D Prescription Drug

“You Made it Easy.”

The Medicare Annual Enrollment Period, which runs from October 15 through December 7, is upon us. So Sybil, from New York’s Capital Region area, asked me to review whether her Medicare Part D prescription drug plan was the best fit for her three generic and one brand name medications.  After doing some research, I met […]

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Interviews Medicare Patient Health

A conversation: Medicare and Colonoscopy Alternatives

A few months ago Argie, my Medicare client, called asking whether her Medicare Advantage plan with $0 copay for preventative screening included a recent alternative to a colonoscopy. I hadn’t heard of this procedure and don’t like to guess so we both did some research. We learned, yes, since Medicare recognized this new screening as […]