Categories
Medicare A & B

Enrolling in Medicare Part B and the Coronavirus Crisis

If receiving your Social Security retirement benefits before age 65, you will be automatically enrolled in Medicare Parts A and B. The coverage usually begins the month of your 65th birthday and the Part B Medicare premium is withheld from your Social Security benefit payment. Many individuals working past age 65 and still insured through […]

Categories
Medicare supplement

What is a Medicare Supplement Plan G?

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 […]

Categories
Medicare Part C Medicare Advantage

Help, I Missed the Medicare Deadline!

October 15 through December 7 (Annual Enrollment Period) is when individuals enrolled in Medicare may change their Medicare Advantage or Part D Prescription drug plan selection. This is a good time to share some of the questions I have been receiving in case you, a neighbor or family member missed that deadline: Q: I missed […]

Categories
Part C Medicare Advantage

Medicare and Veterans

This spring I received calls for help from several veterans who were paying a monthly premium to be enrolled in a MAPD, a Medicare Advantage with Prescription Drug Plan. These veterans are not eligible for CHAMP or TRICARE, are enrolled in Medicare Parts A and B and pay the Part B premium. Since these veterans […]

Categories
Medicare A & B Medicare supplement Part D Prescription Drug

What is the “Medicare Savings Program?”

Individuals enrolled in Medicare Parts A and B may apply for the Medicare Savings Program. If eligible you will receive help paying the Medicare Part B premium, currently $135.50. In some instances, (QMB) the program will pay your Part A and Part B deductible and co-insurance amounts. (And possibly a percentage of your Part C […]

Categories
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 […]

Categories
Medicare A & B Medicare supplement

What is Medigap High F?

What is the Medigap High F Plan? This plan provides the same benefits as standard Plan F after a $2,300 (2019) deductible has been met. The standard Plan F is a Medigap policy that pays the Medicare hospital and medical Parts A and B deductible and co-insurance – the dollars not paid by Original Medicare.  Plan F […]

Categories
Medicare A & B Patient Health

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

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 […]

Categories
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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Uncategorized

What About Long Term Care of Your Future Aches and Pains?

I’m sharing below a concise Bloomberg summary of how long term care insurance has been dragging General Electric Company. Coincidentally, this week I met with a client facing a LTC premium increase from $3902 to $5248 annually. Her long term care insurance company did offer some reduced benefit options but no guarantee premiums won’t be […]