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 Americans are enrolled in Part […]

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 not a bill that you […]

Medicare recipients who reside in assisted living facilities most commonly leave because they need a higher level of health and custodial care. For many, this means moving into a skilled nursing facility where they can get help with their daily living activities and have access to around the clock nursing care. In some assisted living […]

Medicare Part B is optional coverage, but most people will choose to enroll during their initial enrollment period. This can be when you turn 65, or under the age of 65 if you’ve been receiving disability payments from Social Security or the Railroad Retirement Board for 24 months.  If you don’t enroll in Part B […]

When it comes to health insurance, there are lots of terms that get thrown around. However, not all of them are a simple as they seem. One of these terms is the out-of-pocket maximum. It is important to be aware of what this term means and how it relates to your Medicare Advantage plan. What […]

Medicare beneficiaries who enroll in a Part C, or Medicare Advantage, plan can expect to find a variety of options when it comes to how different plans manage their services and the access enrollees have to healthcare providers. A Preferred Provider Organization (PPO) plan is a type of Medicare Advantage that may give you access […]

Original Medicare benefits include Part A and Part B, but most Medicare recipient choose to enroll in Part D when they are first eligible for Medicare. Part D helps cover prescription drugs and is an optional plan available to Medicare beneficiaries. Although it is voluntary, a late penalty may be imposed if Part D is […]

You may qualify for a Dual-Eligible Special Needs Plan (DSNP) if you get healthcare benefits from both Medicare and Medicaid. A DSNP is a type of Medicare Advantage plan that provides healthcare coverage for people who are eligible for both programs. Private insurance companies in many states offer DSNPs. These insurance companies are required by […]

For millions of Americans who qualify as dual-eligible healthcare beneficiaries, trying to coordinate their health care with both Medicare and Medicaid services can be confusing. For this reason, there are Special Needs Plans from Medicare Advantage that provide you with a convenient way to manage your healthcare services under one policy. People who have dual […]

Depending on what type of Medicare Advantage plan you have, you may need a referral from your primary care physician before you can see a specialist covered by your plan. Common Types of Medicare Advantage Plans Insurance carriers who have been contracted by Medicare to offer recipients Part C options may offer different types of […]

Upon eligibility for Medicare, the first step is to enroll in Part A and Part B. Drug coverage is offered to all Medicare recipients but requires enrolling in either a Medicare Prescription Drug Plan (PDP), or a Medicare Advantage that includes prescription drug coverage. Plans are sold by private insurance companies and will differ in premiums, […]