When a hospital or medical claim is submitted to Original Medicare, Medicare first determines whether the claim is approved or not and then assigns an “allowed amount.” However, Medicare may not pay that allowed amount in full. Beneficiaries are responsible for the Part A deductible, Part A co-pays, the Part B deductible and Part B […]
2023 Medicare “Income Related Monthly Adjustment Amount” to Part B and Part D Premiums The 2023 standard monthly premium for Medicare Part B beneficiaries is $164.90. However, it seems from the number of client calls we have received this week many will be charged an additional Income Related Monthly Adjustment Amount (IRMAA) for Parts B and 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 […]
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 […]
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 […]
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 […]
[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. […]
Are you going to be eligible for Medicare in the near future? Have you been enrolled in Medicare for awhile and want to better understand what it offers? Do you have a family member you help with Medicare issues? If you answered yes, then “Medicare 101” is for you. This no sales-pitch educational webinar, led […]
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 […]
This month I received this wonderful thank you note from Nancy. She had recently relocated and needed to find new doctors along with a Medicare Advantage plan covering those doctors and her medications. Nancy was concerned that she would have to remain on her current plan and wait until the Annual Open Enrollment Period in […]