Extra Help for Medicare Part D
We all need a little help sometimes. There’s no shame in that. This is especially true when it comes to something as important as your health care. Being able to afford your prescription medications is a major factor in this, as they can go a long way toward maintaining your health and any conditions you […]
How Does Prior Authorization Affect Medicare Coverage?
If you’ve had Medicare coverage for a while, there’s a chance you may have run into something called prior authorization. Prior authorization can be confusing, especially since it can affect different parts of Medicare in different ways. In fact, during the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) removed some prior authorization […]
The Coverage Rules for Medicare Part D Plans
If you have Original Medicare and want prescription drug coverage, you’ll want to look into a Medicare Part D plan. These federally approved private plans can cover many of the prescription drug needs you may have. We’ve discussed many of the complexities of Part D coverage, from formularies to coverage determinations to catastrophic coverage, in […]
Does Medicare Cover Pneumonia Shots & Treatments?
Pneumonia is an infection of the lungs that often goes hand in hand with other illnesses, commonly the flu. Common symptoms include fatigue, coughing, shortness of breath, and nausea, among other signs. It can be caused by viruses, bacteria, and fungi, and it can be life-threatening when severe enough, particularly for seniors and children. Each […]
CMS Announces Low Medicare Advantage & Part D Premiums in 2021
Recently, the Centers for Medicare & Medicaid Services (CMS) released their annual estimate for Medicare Part C and D plan premiums. This year’s announcement follows in the footsteps of the last few years’ press releases, touting there will be low premiums for both types of plans, offered by private insurance companies. But, just how low? […]
How Does Medicare Cover Multiple Sclerosis Treatment?
Multiple sclerosis (MS) is a condition that requires a lot of effort to keep up with. Since we currently don’t have a cure, the only real option is to treat the disease’s symptoms over its course. This can be pretty expensive, with doctor’s visits, therapy, and medications, to name only a few of the regular […]
What You Should Know When Enrolling in Medicare
Doing anything for the first time can be daunting, especially if you’re unsure about what exactly you should be doing. If you’re one of the millions of Americans enrolling in Medicare each year, you may be bombarded by information about what you could or should be doing and it can all get a little crazy. […]
How Your Income and IRMAA Affect Your Medicare Premiums
If you’re enrolled in Original Medicare, you likely have Medicare Part B, which covers services like doctors’ visits, ambulance services, and physical therapy. It can also cover things like durable medical equipment, as well as your preventative and screening services. Unlike Medicare Part A, you’ll also likely be paying a monthly premium, though this may […]
CMS & Insurers Announce Part C and D COVID-19 Coverage
News about the coronavirus — officially called the SARS-CoV02, 2019 Novel Coronavirus, or COVID-19 — has been everywhere lately. As of writing this article (March 12, 2020), there are more than 124,000 cases confirmed worldwide and more than 4,600 deaths. The potential strain this may put on the health care system in the United States, […]
CMS 2021 Proposed Changes to Medicare Advantage & Part D Programs
Last week, the Centers for Medicare & Medicaid Services (CMS) proposed a few major changes to the Medicare Advantage (Part C) and Medicare Part D programs that could influence the way beneficiaries choose and purchase their Medicare coverage and prescription drugs. The goal of these initiatives is to make Medicare Advantage and Part D coverage […]
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