Categories
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 […]

Categories
Medicare Part D Prescription Drug

The New Law and Medicare Part D

Well, just as we are finishing up the annual federal and carrier Medicare Advantage and Part D certifications for 2023, the US House and Senate passed a bill (H.R. 5376 titled Inflation Reduction Act of 2022) which includes some important changes to the Medicare Part D prescription drug coverage. Some of these changes take effect […]

Categories
Part D Prescription Drug

Comparing Insulin Costs

One in every three Medicare beneficiaries has diabetes, and over 3.3 million Medicare beneficiaries use one or more of the common forms of insulin. On January 26, Benita Lee from GoodRx Health published a detailed analysis comparing the costs of 28 brand and generic insulins. GoodRx research shows shows that the average retail price for […]

Categories
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 […]

Categories
Part D Prescription Drug

FDA Approves Semglee : Substitute Insulin for Treatment of Diabetes

The U.S. Food and Drug Administration took action this week that should make it easier to get a lower cost near-copy of a brand-name insulin, Lantus, at the pharmacy.      Semglee has been approved as both biosimilar to, and interchangeable as a substitute for Lantus, a widely used long-acting insulin. Biosimilar drugs are not […]

Categories
Medicare Patient Health

Hospital Facility Fees for an Office Visit?

Occasionally I receive calls from clients questioning the “facility fee” charged by their physician and, of course, why their healthcare plan did not pay for it. Earlier this week, NPR’s All Things Considered aired an informative six minute segment (click here to listen) explaining how a Cleveland Ohio Medicare beneficiary’s copayment bill was ten times […]

Categories
Part D Prescription Drug

The 2021 Medicare Part D Drug Plan Phases

During the first quarter of the new year I often receive this question: “Dan, I went to refill my prescription and was quoted almost double what I paid in December.” Here’s why. Medicare Part D Prescription Drug plans reset each year on January 1 and benefit levels start again at the first of four phases. […]

Categories
Part D Prescription Drug

COVID-19 Vaccination Update

I have received several inquiries these past few days as New York State followed the updated CDC guidelines and announced that anyone over the age of 65 is now eligible to receive the COVID-19 vaccine. (This was one day after announcing that those over 75 were eligible, and that the 65-74 age group was probably […]

Categories
Medicare Part C Medicare Advantage Part D Prescription Drug

What If I Missed the Medicare AEP Deadline?

This year’s Medicare Annual Enrollment Period (October 15 through December 7) was a busy time and we are grateful for the scores of individuals and couples who permitted our team of agent advisors to help with their 2021 Part C Medicare Advantage or Part D Prescription drug plan selection. (The December 7 deadline did not […]

Categories
Webinar Reviews

Medicare 101 Webinar – Lori’s review

“Not only is Dan quite knowledgeable on this subject, he is welcoming and explains Medicare in an understandable manner.” ~ Lori R. (November 14, 2020) This past summer New Hampshire Magazine interviewed Dan as part of its September 17 “Understanding Medicare” article. New Hampshire resident Lori R. is approaching Medicare eligibility and wanted to learn […]