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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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Part D Prescription Drug

Eli Lilly Will Sell Half-Price Version of Humalog Insulin

This is a step in the right direction. Drug manufacturer Eli Lilly is introducing Insulin Lispro, a generic version of Humalog – an insulin to treat Type 2 diabetes. However don’t expect for this to appear on your health insurance generic drug formulary anytime soon. “…those with drug coverage will either experience no change or […]

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Medicare A & B Medicare supplement

Medicare 2019 Part A and Part B: Premium and Deductible Changes

On October 12, 2018, the Centers for Medicare & Medicaid Services (CMS) released the 2019 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs. 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 […]

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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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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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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 […]

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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 Medicare A & B Medicare supplement Uncategorized

Medicare Cards are Changing

Medicare is removing Social Security Numbers from Medicare cards Congress in 2015 passed a law requiring Medicare to stop using Social Security numbers and come up with a way to protect seniors from identity theft. The new Medicare numbers will be a randomly generated sequence of 11 numbers and letters. Beginning April 2018, Medicare will […]