Learning Center

Can My Medicare Advantage Plans Deny Coverage?

Medicare Advantage plans, commonly referred to as Part C or MA plans, are carried by insurers who have contracts with Medicare to manage and expand on Original Medicare benefits. Medicare Advantage plans must adhere to specific rules set by Medicare, but they also have the ability to make coverage determinations…

What Changes are Coming to Medigap Plan C in 2020?

Starting January 1, 2020, some Medicare Supplement plans, also called Medigap plans, like Plan C will be discontinued. This means these plans are no longer offered to those who are eligible to enroll in Medicare beginning in 2020. Existing enrollees in a Medigap Plan C policy may be able to…

What is the Medicare Part D Formulary?

Medicare Part D is the prescription drug coverage for Medicare recipients. Part D plans are designed to defray the cost of your medications, but they do not kick in automatically when you enroll in Medicare Parts A and B. Once eligible, you would apply for the coverage through a private…

Does Medicare Cover Bone Marrow Transplants?

A bone marrow transplant is a treatment your doctor may prescribe if you have lymphoma or leukemia to help treat your cancer and give your body support to withstand chemotherapy. Additionally, bone marrow transplants can be helpful against other types of cancer, and Medicare benefits may extend to these transplants…

What Medications Are Not Covered by Part D?

Medicare Part D is the prescription drug coverage arm of Medicare. Original Medicare focuses on inpatient hospital care and doctor visits under Part A and Part B, but it does not include any prescription drug coverage. It can be critical to enroll in Part D for medications that are prescribed…

Does Medicare Help Cover Suicide Prevention Programs?

If you’re having suicidal thoughts, or you know someone who is, don’t wait. Help is available on state and local levels. Talk to your doctor or call the National Suicide Prevention Lifeline. They’re available 24 hours a day, 7 days a week at 1-800-273-TALK (8255). If you need TTY, call…

What Changes Are Coming to Medicare in 2020?

As expected, Medicare costs will increase in 2020. Additionally, there will be a change in Medigap that will affect those new to Medicare. Medigap (Medicare Supplement Insurance) Plans in 2020 Medicare has announced that Medigap plans may no longer include the Part B deductible as part of the coverage. As…

What are Guaranteed Issue Rights?

For millions of Americans, supplementing their Original Medicare benefits with a Medigap policy in order to fill in the gaps left by Medicare is a necessity. A Medicare Supplement plan pays for coinsurance, copayments, and some of the deductibles that Original Medicare insurance does not cover. It also provides extended…

What Are My Options if I Missed Medicare’s Annual Enrollment Period?

Enrolling in Medicare or making changes to how you receive your Medicare benefits can be restricted to different times of the year or tied to specific circumstances. If you do not enroll during the annual enrollment period, you may be wondering what options you have. Understanding the Open Enrollment Period…