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Part D Prescription Drug

Phase 3: Medicare Part D Donut Hole

Previously: In the first two posts in this series, Phase I: The Prescription Drug Deductible, and Phase 2: The Initial Coverage Period, I reviewed how Medicare Part D drug plan benefits reset each January 1, how Medicare Part D prescription drug plans may include a deductible amount to be paid before any medications are covered […]

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Uncategorized

What About Long Term Care of Your Future Aches and Pains?

I’m sharing below a concise Bloomberg summary of how long term care insurance has been dragging General Electric Company. Coincidentally, this week I met with a client facing a LTC premium increase from $3902 to $5248 annually. Her long term care insurance company did offer some reduced benefit options but no guarantee premiums won’t be […]

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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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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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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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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 Part C Medicare Advantage

Medicare Portability or, Am I Covered When I’m Away From Home?

With a middle schooler at home, retirement remains a few years away for me.  Still, I am looking forward to when the schedule may be a little less hectic and there’s more free time to travel and explore. (And with cell coverage and internet access I will still be serving clients like you, perhaps with […]