Learning Center

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What Does ‘Medically Necessary’ Mean?

If you are a Medicare beneficiary, you may have come across the term, “medically necessary” to refer to services covered by Medicare. But what does it mean? According to HealthCare.gov, medically necessary services are defined as “health care services or supplies that are needed to diagnose or treat an illness, injury, condition,…

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Medicare Coverage for Sleeping Disorders

Most experts recommend older adults get seven to nine hours of sleep per night; however, age-related changes in sleep patterns­ – including trouble falling or staying asleep – can make it difficult to catch enough Z’s. Lack of sleep can cause many problems, such as excessive daytime sleepiness, falls, overuse…

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Medicare Coverage of Mental Health Services

A person’s mental health refers to their state of psychological, emotional, and social well-being – and it’s important to take care of it at every stage of life, from childhood to late adulthood. Fortunately, Medicare beneficiaries struggling with mental health conditions may be covered for mental health services through Medicare….

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Does Medicare Cover Assisted Living for Dementia?

When dementia interferes with the daily life of a loved one, many families and caregivers consider an assisted living facility. Assisted living is a type of long-term care (also called custodial care) of services and supports for personal care needs, which include activities of daily living (ADL) like housekeeping, dressing,…

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Medicare & Cataract Surgery Coverage

Cataracts, a clouding of the eye’s natural lens, is a condition of aging so common that half of all Americans are affected by age 80. Fortunately, Medicare helps pay for certain medically necessary eye services like cataract surgery. In fact, eighty percent of cataract surgery in the US is performed on Medicare beneficiaries! Here’s what else…

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Medicare Supplement Plan F vs. High-Deductible Plan F

After enrolling in Original Medicare Part A and Part B, you may decide to purchase a private supplemental insurance plan to help pay the costs that Original Medicare doesn’t cover. During your six-month Medigap Open Enrollment Period, you can choose from up to 10 standardized Medigap plans (A, B, C,…

Does Aetna Cover My Prescription Drugs?

Does Aetna Cover My Prescription Drugs?

Without coverage, the costs of prescription drugs can add up, especially as we get older. Many seniors are surprised by the overwhelming expense of medications and have concerns about how their Medicare choices can affect them. If you have been prescribed drugs by your physician or want to make sure…

Does Medicare Cover a Biopsy?

Does Medicare Cover a Biopsy?

When your doctor suggests a biopsy, you may be understandably concerned, but knowing what to expect can help. Procedures can be costly, and when you are already a little stressed about your health, you shouldn’t have to worry about how you will pay the medical bills from the procedure. Let’s…

Does Medicare Cover a Chronic Cough?

Does Medicare Cover a Chronic Cough?

A persistent cough can be annoying. Whether you clear your throat frequently throughout the day interrupting meetings and conversations, or have a prominent cough that leaves you fatigued and lightheaded, a chronic cough may be more than just an aggravation. Learn more about chronic coughs, when you should call your…