Categories
Medicare

Medicare policy on antirejection drugs imperils kidney transplants

“Medicare spends $86,300 a year per patient on dialysis” “The upfront cost of a kidney transplant is about $110,000.” “…coverage of immunotherapy under Medicare Part B is approximately $2,300 per year.” But, apparently, Medicare Part B limits immunotherapy to three years after which the transplant patient must choose between i) paying for the immunotherapy out […]

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Part D Prescription Drug

Medicare Prescription Drug Plan Deductible – How Does It Work?

A client called this morning and asked this question: “Dan, I went to refill my prescription and was quoted almost double what I paid in 2018.“ Medicare Part D Prescription Drug plans reset each year on January 1. What that means is the prescription drug benefit levels start over at what is called the Deductible […]

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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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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 […]

Categories
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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Part D Prescription Drug

Is the new Novo Nordisk “improved” insulin worth a 60-70% price hike? The market says ‘no.’

My clients regularly ask why brand name medications are so expensive. This great article by WSJ reporter Denise Roland helps explain the game. “In traditional marketing, a product line extension is the use of an established brand name for a new item with new flavors, forms, colors, added ingredients, package sizes.” Novo Nordisk repackaged its […]

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Part D Prescription Drug

Medicare Issues Projected Drug Premiums for 2018

CMS reports the average 2018 monthly premium for a basic Part D prescription drug plan will be reduced by $1.20 to $33.50. In addition to the monthly premium other Part D variables Medicare beneficiaries should compare are: Plan Formulary – not all plans are alike. Check and confirm your medication is included in the list […]

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Uncategorized

Informational Guides to Medicare

Download your own copy of these informational guides from Medicare Made Clear. Do you have additional questions about Medicare? There’s a guide for that! The comprehensive Show Me Guide and the other resources listed below can help. http://www.medicaremadeclear.com/information/medicare-guides Contact me with any questions: http://www.myuhcagent.com/daniel.alcorn