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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 […]

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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 C Medicare Advantage

Aetna and Albany Medical Center announce new Medicare agreement

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 […]

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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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Medicare Medicare A & B Medicare supplement Uncategorized

Medicare Cards are Changing

Medicare is removing Social Security Numbers from Medicare cards Congress in 2015 passed a law requiring Medicare to stop using Social Security numbers and come up with a way to protect seniors from identity theft. The new Medicare numbers will be a randomly generated sequence of 11 numbers and letters. Beginning April 2018, Medicare will […]

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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 Medicare supplement Patient Health Uncategorized

A Medicare pilot program raises questions about care…

In this September 2017 Washington Post article (link below), the writer shares the story about a Medicare pilot program after his 90 year old mother fell, and the resulting hospital and rehabilitation facility experience. The writer legitimately questions whether the hospital and rehabilitation facility fast tracked his mother who, suffering from dementia, wasn’t progressing quickly […]

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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 […]