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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 […]