Learning Center

What is Step Therapy?

Step therapy may sound like an exercise program, but it actually refers to managed care for prescription drug therapies and a process that healthcare insurers use to control prescription drugs costs. Step therapy is also known as step protocol or a fail first requirement. It is implemented by prescription drug…

Does Medicare Cover Remeron?

Remeron is a brand-name drug used to treat people who suffer from depression. The generic name is mirtazapine. It is administered orally either in the form of a tablet that dissolves in the mouth or an immediate-release tablet. Its functionality is to restore the balance of neurotransmitters in the brain,…

Does Medicare cover Synthroid?

Synthroid is the brand name for levothyroxine, a medication to treat hypothyroidism. Hypothyroidism is the underproduction of thyroid hormones. The thyroid gland is located near the larynx, and its shape resembles a butterfly. It plays a crucial role in the biological functions of the human body, producing hormones that regulate…

Understanding How Medicare Advantage Works

If you’d prefer an all-in-one benefits package for your Medicare insurance, you may want to consider enrolling in Medicare Advantage. Many Medicare recipients who get Part A (hospital insurance) and Part B (medical insurance) through Original Medicare end up enrolling in a stand-alone Prescription Drug Plan (PDP) and/or a Medicare…

What Can I Do If Medicare Won’t Cover My Prescription?

If you commonly use prescription medications, you most likely have a Medicare Part D Prescription Drug Plan. These plans are designed specifically to provide medication coverage for Original Medicare recipients. Or, you may also have a Medicare Advantage plan that includes prescription drug coverage. Each of these plans can differ…

Are All Medicare Advantage Plans Available Everywhere?

Over 24 million Americans have chosen to get their Medicare benefits through a Medicare Advantage (Part C) healthcare plan. Anyone who is eligible for Part A and Part B can enroll in a Medicare Advantage plan. MA plans are offered by private insurance companies who contract with Medicare. They are…

Are All Medicare Part D Plans the Same?

Anyone who is eligible for Original Medicare benefits is also eligible for prescription drug coverage plans, or Medicare Part D. Medicare Prescription Drug Plans (PDPs) and Medicare Advantage plans with prescription drug coverage provide beneficiaries with coverage that helps them pay for brand-name and generic drugs. More than 43 million…

What Should I Do With My Part D Explanation of Benefits (EOB)?

If you have Medicare prescription drug (Part D) coverage, either from a stand-alone policy, or as additional coverage with your Medicare Advantage plan, you have probably received Explanation of Benefits notices after you receive medical services or supplies that are covered by your plan. An Explanation of Benefits (EOB) is…