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 […]
The Medicare Annual Enrollment Period, from October 15th through December 7th, is when Medicare beneficiaries can enroll in or change their Medicare Advantage (Part C) or Medicare Prescription Drug (Part D) plan to take effect January 1. Some Important Tips to Consider if you are now enrolled in a Medicare Advantage (Part C) Plan: Yes, […]
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 […]
[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 […]
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 […]
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 […]
Reasons Why New Yorkers Switch Their Medicare Supplement (Medigap) Policies: You’re paying for benefits you don’t need. You need more benefits than you needed before. Your current Medigap policy has the right benefits, but you want to change your insurance company. Your current Medigap policy has the right benefits, but you want to find a […]