Fidelis is terminating some Medicare Advantage Plans in NY

Posted on Leave a commentPosted in Medicare supplement, Part C Medicare Advantage, Part D Precription Drug, Prescription Drug Plan

Fidelis Legacy Plan has informed thousands of Eastern New York State Medicare beneficiaries that their Medicare Advantage Flex HMO plan won’t be offered in 2019. Click Here for Copy of Notice in PDF Format. So what happens next?   Individuals who don’t take action before December 31, 2018 will lose their prescription drug coverage and […]

Medicare’s Observation Status Makes Inpatients Into Outpatients (via NPR)

Posted on Leave a commentPosted in Medicare A & B, Patient Health

Beware of the “Admitted for Observation” Billing Code A daughter’s story: “An ER doctor examined her, saw that she couldn’t move her leg, couldn’t really even hold her body upright and had trouble with her memory. He said he would admit her to the hospital’s observation unit to figure out what was going on. He […]

Q&A: Help, I Missed the Medicare AEP Deadline!

Posted on Leave a commentPosted in Medicare, Part C Medicare Advantage, Part D Precription Drug, Prescription Drug Plan, Uncategorized

This year’s Medicare October 15 through December 7 AEP (Annual Enrollment Period) was a busy time for me and I’m grateful for the scores of individuals and couples who permitted me to help with their 2018 Medicare Supplement, Medicare Advantage or Part D Prescription drug plan selection. Still, as I am fielding calls for help […]

Aetna and Albany Medical Center announce new Medicare agreement

Posted on Leave a commentPosted in Part C Medicare Advantage

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 […]

A conversation: Medicare and Colonoscopy Alternatives

A conversation: Medicare and Colonoscopy Alternatives

Posted on Leave a commentPosted in Interviews, Medicare, Patient Health

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 […]

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

Posted on Leave a commentPosted in Client Testimonial, Medicare supplement, Part C Medicare Advantage

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 […]

Medicare Supplement Plan

A conversation: Focus the fight against cancer instead of the HMO

Posted on Leave a commentPosted in Client Testimonial, Interviews, Medicare supplement

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 […]

Annual Enrollment Period

What to know about the Medicare Annual Enrollment Period (AEP)

Posted on 2 CommentsPosted in Medicare A & B, Part D Precription Drug, Prescription Drug Plan

Mark your calendar. October 15th to December 7th is the Medicare Annual Enrollment Period (AEP.) During this time Medicare beneficiaries can change Medicare Advantage ( Part C) or Medicare Prescription Drug (Part D) plans with ease. Plan or coverage changes go into effect January 1, 2018. If you are enrolled in a Medicare Plan C or Plan D […]

New York EPIC and Medicare Part D

Posted on 6 CommentsPosted in Part D Precription Drug, Prescription Drug Plan

  The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State Program that provides seniors with co-payment assistance for Medicare Part D prescription drugs. Members must be enrolled in a Medicare Part D drug plan. including any Medicare Advantage plan with Part D prescription drug coverage Provides secondary coverage for Medicare Part D […]