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 […]
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 […]
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 […]
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 […]
Unlike some common vaccines, like those for the flu, hepatitis B and pneumonia, shingles shots are not covered under Original Medicare Parts A or B. Medicare coverage for the two commercially available shingles vaccines, Shingrix and Zostavax, is provided only if you are enrolled in a stand-alone Part D drug plan or a Medicare Advantage […]
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 […]