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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 […]

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Medicare A & B Medicare supplement

Medicare 2021 Part A and Part B: Premium and Deductible Changes

[This page is best viewed in landscape mode] On November 6, 2020, the Centers for Medicare & Medicaid Services (CMS) released the 2021 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs. Medicare Part A Medicare Part A covers inpatient hospital, skilled nursing facility, and some home health care services. […]

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Medicare supplement

What is a Medicare Supplement Plan G?

Medicare Supplement Plan G, also called Medigap, coverage is very similar to Plan F. It offers great value for beneficiaries who are willing to pay a small annual deductible. After that, Plan G provides full coverage for all of the gaps in Medicare. It pays for your hospital deductible, copays and coinsurance. It also covers […]

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Medicare A & B Medicare supplement

Medicare 2021 Part A and Part B: Premium and Deductible Amounts

The Centers for Medicare & Medicaid Services (CMS) has set the premium, deductible and coinsurance amounts for Medicare Part A and Part B for the calendar year 2021. Medicare Part A Deductible Medicare Part A covers covers inpatient hospital, skilled nursing facility, and some home health care services. The annual inpatient hospital deductible that beneficiaries […]

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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 Medicare supplement

A conversation: Focus the fight against cancer instead of the HMO

In this nearly 16 minute conversation Greensboro North Carolina residents, Bob and Signe Foxworth, talk about their frustration and anxiety of trying, unsuccesfully, to obtain HMO approval for Bob’s preferred out of network prostate cancer treatment. Listen as Bob and Signe explain how peace of mind came when Dan counseled them to revert to Original […]

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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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Case Studies

A Medicare Supplement Testimonial

A Medicare Supplement Testimonial …. it’s great to hear results.

Categories
Part D Prescription Drug

New York EPIC and Medicare Part D

New York EPIC The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State Program that provides seniors with prescription drug assistance secondary to Medicare Part D. Members must be enrolled in a Medicare Part D drug plan. including any Medicare Advantage plan with Part D prescription drug coverage Provides secondary coverage for Medicare […]