Is your Medicare plan still the best fit for you?

The Medicare Annual Enrollment Period is your chance to review your plan’s cost and coverage and compare it to the new plans for the coming year. “…but if my plan worked for me this last year and nothing changed with my health, should I still bother to review my plan?” You absolutely should! Even if nothing changed for you since last year, a lot can change about your plan. Each year around September you’ll receive

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A Preview of 2022: 7 Changes to Medicare Part D Defined Standard Benefits

Around this time every year Center for Medicare and Medicaid Services (CMS) releases the benefit parameters for Part D’s “Defined Standard Benefit” plan, as well as the parameters for the Low-Income Subsidy benefits. All Medicare Part D plans use this as a base to determine drug plan coverage for the following year. With this in mind, let’s dive into the Defined Standard Benefits and use these parameters to help you get a possible preview of

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What is Medicare Part B?

When you first enroll in Medicare and at certain times of the year, you can choose from one of two main ways to get your Medicare coverage – through Original Medicare (Part A and Part B) or through a Medicare Advantage Plan (Medicare Part C). The second part of Original Medicare, Part B, is often referred to as “Medical Insurance.” Part B helps to cover costs related to medically necessary and preventative services from doctors

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What is Medicare Part A?

When you first enroll in Medicare and at certain times of the year, you can choose from one of two main ways to get your Medicare coverage – through Original Medicare (Part A and Part B) or through a Medicare Advantage Plan (Medicare Part C). The first part of Original Medicare, Medicare Part A, is often referred to as “Hospital Insurance.” Part A helps to cover costs related to hospital stays, hospice care and some

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What is the Medicare Part D Donut Hole?

Not all donut holes are sweet. In Original Medicare Part D, there is a coverage gap known as the “Part D Donut Hole.” This coverage gap for pharmaceutical medications can result in higher drug costs for Medicare beneficiaries, as they get stuck between spending limits on Rx costs and their total out-of-pocket cost limits for a given year. How Does the Part D Donut Hole Work? For beneficiaries enrolled in Medicare Part D, there is

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How To Appeal a Denial of Coverage from a Medicare Advantage Plan

If you have a Medicare Advantage plan and were denied coverage for a health service or item, you may choose to appeal the decision with your plan’s provider. The appeal process requires documentation for why the service or item should be covered under your plan, and it can take some time to go through the the levels of approval. Here is a quick breakdown of how the process works to file an appeal for a

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