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How is Medicare Funded?

There are 61 million people in the United States that are enrolled in Medicare and rely on its coverage to afford vital health care. While there are costs associated with Medicare, like premiums and copays, there’s still a lot that Medicare covers that isn’t paid for by those costs. In fact, in 2020, 99 percent […]

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 […]

Do Doctors Have to Disclose Conflicts of Interest

When we go to our doctor, we like to trust that the medical advice they’re giving us is what’s best for us in their medical opinion. Conflicts of interest can strike at the very heart of this trust. If your doctor has medical biases that aren’t based on medical knowledge, can you trust anything they […]

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 […]

When Can I Get a COVID-19 Vaccination?

With the approval of two vaccinations to combat the coronavirus pandemic in the United States, and more possibly on the way, there have been a lot of questions about its rollout and when most people can expect access to the vaccine. As of January 19, 2021, roughly 10.6 million Americans have received at least one […]

Medicare Publications for 2021

As an advisor to individuals on Medicare or advising a caregiver to someone on Medicare, you require accurate information. One of the best reference tools for you to share with them is Medicare publications. They are easy to access on Medicare.gov and available on a variety of topics. Here are a few that I find outstanding. “2021 […]

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 […]

Here’s What Medicare Costs in 2021

The Centers for Medicare & Medicaid Services (CMS) recently released the 2021 costs of Medicare Parts A and B, also known as Original Medicare. Each year, this announcement is made around the time of the Annual Enrollment Period (AEP) so that Medicare beneficiaries or prospective enrollees can gather a sense of what options fits their […]

How Can a Diagnosis-Related Group Determine Your Care?

Did you know that whenever you receive inpatient care at the hospital, you’re given a designation? This designation takes in several factors and can influence the care you receive during your stay. Today, we’re going to look at diagnosis-related groups, how they’re used by Medicare and hospitals, and how they can influence your care without […]

Preparing for Your Welcome to Medicare Visit

One of the most underutilized benefits you receive when you first sign up for Medicare is a Welcome to Medicare health visit. This is a one-time preventative trip to your primary care physician or health care provider that is fully covered by Medicare. The visit is only available during the first 12 months after you […]