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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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Medicare Part C Medicare Advantage Part D Prescription Drug Uncategorized

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

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 […]

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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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Case Studies Part D Prescription Drug

“Having this EPIC plan was a miracle; an absolute miracle.”

Only a fraction of the nearly 3 million New York State residents aged 65 and older are enrolled in the state’s pharmaceutical assistance program known as New York EPIC. When I meet with New York Medicare Part D clients, I ask if their individual income is below the $75,000 threshold, $100,000 if married. If so, […]

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Case Studies Part D Prescription Drug

“You Made it Easy.”

The Medicare Annual Enrollment Period, which runs from October 15 through December 7, is upon us. So Sybil, from New York’s Capital Region area, asked me to review whether her Medicare Part D prescription drug plan was the best fit for her three generic and one brand name medications.  After doing some research, I met […]

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Case Studies Part D Prescription Drug

Medicare Extra Help: “The savings are a godsend…”

Medicare Extra Help I was delighted to assist this New York based beneficiary who is on a limited income and was not aware of the Medicare Extra Help Savings Program available through a New York State program for Medicare Part B premium or that Social Security offers “Extra Help” with Part D premium and prescription […]

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Medicare A & B Part D Prescription Drug

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

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. If you are enrolled in a Medicare Plan C or Plan D it […]

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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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Part D Prescription Drug

“What’s The Donut Hole?”

On January 1, 2006, the US federal government introduced a program to subsidize the costs of prescription drugs and prescription drug insurance premiums for Medicare beneficiaries.  You must enroll in a Part C (Medicare Advantage with Drug) or Part D (Stand Alone Prescription Drug) plan to participate in this federal-government-subsidized drug program. Here’s a summary on how […]