#medicare part d plans

[lifeandinsurances]

5 Best Medicare Part D Insurance Companies

#medicare part d #medicare supplement #medicare supplemental insurance #medicare #medicare advantage #medicare part c #medicare part d plans #medicare insurance #medicare drug plan #medicare part d donut hole #medicare drug coverage #medicare part d enrollment #medicare advantage plans #medicare supplement plan #medicare supplement insurance #medicare part d explained #medicare drug plans #medicare part a #medicare part b #medicare explained

[healthinsurance2022]

#medicare advantage plans #medicare part d plans

[sgulledge]

Medicare Insurance Plans & Coverage in Peoria, AZ

Explore Medicare Part A, B, C, D, and Supplement Plans and coverage details with S. Gulledge Insurance services in Peoria, AZ. Find peace of mind with our expert guidance and personalized solutions. Embrace a healthier future by making informed choices with us.

#Medicare Part C Plans Peoria AZ #Medicare Plan C Coverage Peoria AZ #Medicare Part D Peoria AZ #Medicare Supplement Plans Peoria AZ #Medicare Supplement Peoria AZ

[medicare-plans-rochester-ny]

Medicare Plan after Retirement

Do you know that understanding Medicare is crucial when planning for retirement? Our team at Maust and Leone can help you navigate the complexities of Medicare plan options to ensure you make the best decisions for your future. Contact us today to schedule a consultation! Visit:- https://www.maustandleone.com/

#medicare rochester ny #medicare advantage plans rochester ny #medicare part d rochester ny #medigap plans rochester ny #medicare advisor rochester ny #medicare supplement plans rochester ny #medicare_advantage_plans_rochester_ny #medicare_part_d_rochester_ny #medicare_supplement_plans_rochester_ny #medigap_plans_rochester_ny

[hislop3]

Medicare Advantage - Status Update

Medicare Advantage plans or Medicare Part C and D plans continue to grow in popularity. I’ve written a number of posts on various Medicare Advantage topics, of late, coverage issues and denials, particularly for post-acute care stays. A recent post on that topic is here: https://wp.me/ptUlY-wI Medicare Advantage plans (Part C plans) include Parts A, B, and D (inpatient, outpatient and…

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#C-SNP #D-SNP #Economics #I-SNP #Industry Outlook #insurance #Management #Medicaid #Medicare #Medicare Advantage #Money #Part A #Part B #Part C #Part D #Payment #Plans #Policy #SNP #Trends

[maximizeyourmedicare]

Medicare Annual Election Period Soon

Medicare Annual Election Period Soon For all existing and (hopefully future clients), here is what you should do in order to retain our free Medicare guidance. We do not make outgoing phone calls because we do not want to be wrongfully accused of aggressive marketing and I am personally dismayed when I hear of tactics that have been deployed by my counterparts. Gross. Our Medicare Enrollment…

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#Benefits #Subscriber #Comprehensive Financial Planning #Paid Subscriber #Part D #Guidance #Paid Subscribers #Medicare Enrollment #Financial #Medicare Annual Election Period #Financial Planning #Medicare #Medicare Advantage #enrollment #AI #PPO

[totalbenefits]

How income affects your Medicare drug coverage premiums

You could pay a higher monthly premium for Medicare drug coverage (Part D) depending on your income. This includes Part D coverage you get from a Medicare drug plan, a Medicare Advantage Plan with drug coverage, or a Medicare Cost Plan that includes drug coverage. This is true even if your drug coverage is through your employer. Download this bulletin to learn more about extra Medicare drug…

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#healthinsuranceinPA #healthinsurancenearby #HealthInsuranceNearMe #healthinsuranceNJ #Aetna Medicare #affordable care act #Blue Cross Medicare Plans #compliance #health insurance #Healthcare reform #Individual Mandate #medicare #Medicare Advantage #Medicare Donut Hole #Medicare OEP #medicare open enrollment #Medicare Part B #Medicare Part B Premiums #medicare part d #Medicare Part D Coverage Gap #Medicare Prescription Drug #medicare supplements #MSA: Medicare Savings Accounts #Pennie Health Insurance #Short Term Health Insurtnce

[lifeandinsurances]

Your Medicare Coverage Guide for 2023

#medicare #medicare advantage #medicare coverage #medicare part d #medicare drug coverage #medicare supplement #medicare supplement plans #medicare explained #medicare basics #medicare supplemental insurance #medicare part a #medicare part b #medicare part c #medicare coverage guidelines #what does medicare cover #medicare dental coverage #medicare advantage plan #medicare advantage plans #medicare insurance #medicare made clear #medicare and employer coverage

[amniforn]

Key things to know if you're considering the Medigap policy with Basic Medicare

Key things to know if you’re considering the Medigap policy with Basic Medicare

Dragos Condrea | Istock | Getty Images If you register for Health Insuranceyou’ve probably discovered that there are a lot of out-of-pocket expenses that come with your coverage. For about 23% of the 65.1 million Medicare beneficiariesthe solution to cover these expenses is a so-called Medigap plan. These policies, sold by private insurance companies, typically cover some or most of the cost…

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#economic news #Finances for retirees #Health care costs #Health Insurance #Medicare Part D #Personal finance #Retired #retirement planning

[lookingforcactus]

A big cost and concern for many seniors in the U.S. is the price of prescription drugs and other healthcare expenses—and this year, thanks to The Inflation Reduction Act, their costs may go down dramatically, especially for patients fighting cancer or heart disease.

I learned about the new benefits because my ‘Medicare birthday’ is coming up in a couple months when I turn 65. I was shocked that there were so many positive changes being made, which I never heard about on the news.

Thousands of Americans on Medicare have been paying more than $14,000 a year for blood cancer drugs, more than $10,000 a year for ovarian cancer drugs, and more than $9,000 a year for breast cancer drugs, for instance.

That all changed beginning in 2023, after the Biden administration capped out-of-pocket prescriptions at $3,500—no matter what drugs were needed. And this year, in 2024, the cap for all Medicare out-of-pocket prescriptions went down to a maximum of $2,000.

“The American people won, and Big Pharma lost,” said President Biden in September 2022, after the legislation passed. “It’s going to be a godsend to many families.”

Another crucial medical necessity, the shingles vaccine, which many seniors skip because of the cost, is now free. Shingles is a painful rash with blisters, that can be followed by chronic pain, and other complications, for which there is no cure

In 2022, more than 2 million seniors paid between $100 and $200 for that vaccine, but starting last year, Medicare prescription drug plans dropped the cost for shots down to zero.

Another victory for consumers over Big Pharma affects anyone of any age who struggles with diabetes. The cost of life-saving insulin was capped at $35 a month [for people on Medicare].

Medicare is also lowering the costs of the premium for Part B—which covers outpatient visits to your doctors. 15 million Americans will save an average of $800 per year on health insurance costs, according to the US Department of Health and Human Services.

Last year, for the first time in history, Medicare began using the leverage power of its large patient pool to negotiate fair prices for drugs. Medicare is no longer accepting whatever drug prices that pharmaceutical companies demand.

Negotiations began on ten of the most widely used and expensive drugs.

Among the ten drugs selected for Medicare drug price negotiation were Eliquis, used by 3.7 million Americans and Jardiance and Xarelto, each used by over a million people. The ten drugs account for the highest total spending in Medicare Part D prescription plans...

How are all these cost-savings being paid for?

The government is able to pay for these benefits by making sure the biggest corporations in America are paying their fair share of federal taxes.

In 2020, for instance, dozens of American companies on the Fortune 500 list who made $40 billion in profit paid zero in federal taxes.

Starting in 2023, U.S. corporations are required to pay a minimum corporate tax of 15 percent. The Inflation Reduction Act created the CAMT, which imposed the 15% minimum tax on the adjusted financial statement income of any corporation with average income that exceeds $1 billion.

For years, Americans have decried the rising costs of health care—but in the last three years, there are plenty of positive developments.

-via Good News Network, February 25, 2024

#united states #medicare #healthcare #healthcare access #big pharma #prescription drugs #health insurance #us politics #good news #hope #seniors #aging #healthy aging

[theturning65advisor]

Medicare Part D Plan Finder in Arizona

Save time and hassle while finding the right Medicare Part D providers that cater to your needs in Arizona. Call today for an appointment at [phone].

https://www.theturning65advisor.com/medicare-prescription-drug-plan/

#Medicare Part D Arizona Medicare Prescription Drug Plan Surprise AZ Part D Agent/Broker Peoria AZ

[medicare-plans-rochester-ny]

Medicare Made Easy: Navigating Your Path to Health and Financial Security

Navigating the complexities of Medicare can be overwhelming, but you don’t have to face it alone. At assisting you and your Medicare Needs in Rochester NY, Maust and Leone are here to provide you with the information and support you need to make the best decisions regarding your Medicare insurance. With our expertise and commitment to treating you like family, we aim to help you stay healthy and access the medical care you deserve. Here we will break down the different parts of Original Medicare, discuss what they cover, what they don’t cover, and explore additional options available to you.

Part A: Hospital Care and More: Original Medicare Part A is designed to cover essential healthcare services. Here’s what it generally includes:

Hospital care: This encompasses inpatient care, including room charges, nursing services, and meals during your stay.

Skilled nursing facility care: If you require skilled nursing or rehabilitation services after a hospital stay, Part A may cover this.

Hospice care: For individuals with terminal illnesses, hospice care provides comfort and support services.

Home health services: Part A covers medically necessary services received at home, such as skilled nursing care, physical therapy, and medical equipment.

Part B: Medically Necessary and Preventive Services: Original Medicare Part B complements Part A by covering a range of services to diagnose, treat, and prevent medical conditions. Here’s what it includes:

Medically necessary services: This includes doctor visits, outpatient care, medical supplies, and necessary treatments.

Preventive services: Medicare encourages preventive care, covering screenings, vaccinations, and wellness visits to catch potential health issues early.

Exploring Your Options: While Original Medicare provides a solid foundation of coverage, additional options can help fill the gaps and enhance your benefits. These include Medicare Advantage Plans and Medicare Supplement Plans:

Medicare Advantage Plans: Offered by private insurance companies, these plans combine Part A, Part B, and often Part D (prescription drug coverage) into a single package. They may also provide additional benefits such as dental, vision, and hearing coverage.

Medicare Supplement Plans: Also known as Medigap plans, these policies help cover out-of-pocket expenses like deductibles, copayments, and coinsurance that Original Medicare does not pay for. They work alongside your Original Medicare coverage.

We understand that the world of Medicare can be complex, which is why we offer a FREE consultation to help you explore your options and find the plan that best suits your health and financial needs. Remember, we’re here to work for you, just like family, and ensure you receive the care you need. Contact us today at (585) 563–7979 to schedule your consultation and take the first step towards a healthier future.

#Medicare Advantage Plans Rochester NY #Medicare Advisor Rochester NY #Medicare Agent Rochester NY #Medicare Broker Rochester NY #Medicare Consultant Rochester NY #Medicare Enrollment Rochester NY #Medicare Insurance Rochester NY #Medicare Part D Rochester NY #Medicare Rochester NY #Medicare Specialists Rochester NY #Medicare Supplement Plans Rochester NY #Medigap Plans Rochester NY #NYS Licensed Insurance Agent Rochester NY #What Is Medicare?

[cancerabcs]

Medicare Open Enrollment Is Approaching

Fall Open Enrollment for Medicare every year begins on October 15 and finishes on December 7.  (This is also known as Medicare's Open Enrollment Period or Annual Election Period.) You can make changes to your health insurance coverage during this time, such as adding, deleting, or modifying your Medicare Advantage and Part D coverage for the coming year.  Even if you are satisfied with your existing health and medication coverage, now is the time to assess it.  Compare it to alternative options, and ensure that your current plan will satisfy your next year's needs.

 During Fall Open Enrollment, you can make as many changes to your Medicare coverage as you need; these changes can include:

 Participating in a new Medicare Advantage Plan

Participating in a new Part D prescription medication plan

Making the switch from Original Medicare to a Medicare Advantage Plan

Making the switch from a Medicare Advantage Plan to Original Medicare (with or without a Part D plan)

 When you make these decisions, you should consider the following:

Your ability to see the health care providers you desire

Your ability to use preferred pharmacies

Your ability to obtain necessary benefits and services

The total cost of insurance premiums, deductibles, and copayments.

If you have Original Medicare, go to www.medicare.gov or read the 2023 Medicare & You guide to learn about the future year's benefits.  You should review any increases in Original Medicare premiums, deductibles, and coinsurance rates.

 If you have a Medicare Advantage Plan or a separate Part D plan, read the Annual Notice of Change (ANOC) and Evidence of Coverage for your plan (EOC).  If you haven't received these notices before the end of September, contact your plan and ask for them.  Examine these alerts for any updates to:

The costs of the plan

The benefits and coverage rules of the plan

The formulary of the plan (list of drugs your plan covers)

Check to see if your medications will still be covered next year and if your providers and pharmacies are still in the plan's network.  If you are dissatisfied with any of your plan's changes, you can switch to a different plan. 

 If you need help weighing your alternatives, call your state's Health Insurance Assistance Program (SHIP) for unbiased advice.

 Even if you are satisfied with your current Medicare coverage, you should look into other Medicare health and drug plans available in your area.  Even if you do not intend to change your Medicare Advantage or Part D plan, you should investigate whether another plan in your area provides better health and drug coverage at a lower cost.  According to research, persons with Medicare prescription medication coverage can save money by shopping around each year; there may be another Part D plan in your area that covers the drugs you take with fewer restrictions and lower pricing.  You can compare your options using Medicare's Plan Finder tool and contact your SHIP for assistance.

 Following the recommendations above can ensure that your health insurance will match your needs in 2023.

#health insurance #Medicare #Advantage Plans #Part D

[getmemymedicare]

How to Choose the Right Medicare Plan?As per the Medicare Modernization Act of 2003, the prescription drug can cover all Medicare benefits. This coverage became effective on 1st January 2006. If you are interested in buying medicare part D then must look for what is The Best Part D Prescription Drug Plan that is suitable for you. The experts at Get My Policy are ready to guide you to buy medicare plans as per your requirements. Once you signed in, the experts will give you an idea about all medical coverage insurances and their different parts. If you are specifically looking for the Best-Rated Medicare Part D Plans then no one is better than Get My Policy. So visit our website to get the best solutions for your Part D medicare facilities. So for more call us@ 1-[phone] or visit at website: https://www.getmemymedicare.com/

#youtube #The Best Part D Prescription Drug Plan #Best-Rated Medicare Part D Plans

[misfitwashere]

If You Don't Know Medicare Advantage Is a Scam, You're Not Paying Attention

We’re on the edge of the open enrollment period for Medicare, and the Advantage scammers will be carpet-bombing America with advertisements over the next few months. Don't be fooled about what it is—and who is profiting.

Thom Hartmann

Oct 07, 2023

Common Dreams

President George W. Bush and Republicans (and a handful of on-the-take Democrats) in Congress created the Medicare Advantage scam in 2003 as a way of routing hundreds of billions of taxpayer dollars into the pockets of for-profit insurance companies.

Those companies, and their executives, then recycle some of that profit back into politicians’ pockets via the Citizens United legalized bribery loophole created by five corrupt Republicans on the Supreme Court.

Just the overcharges happening right now in that scam are costing Americans over $140 billion a year: more than the entire budget for the Medicare Part B or Part D programs. These ripoffs — that our federal government seems to have no interest in stopping — are draining the Medicare trust fund while ensnaring gullible seniors in private insurance programs where they’re often denied life-saving care.

Real Medicare pays bills when they’re presented. Medicare Advantage insurance companies, on the other hand, get a fixed dollar amount every year for each of the people enrolled in their programs, regardless of how much they spent on each customer.

As a result, Medicare Advantage programs make the greatest profits for their CEOs and shareholders when they actively refuse to pay for care, something that happens frequently. It’s a safe bet that nearly 100 percent of the people who sign up for Advantage programs don’t know this and don’t have any idea how badly screwed they could be if they get seriously ill.

Not only that, when people do figure out they’ve been duped and try to get back on real Medicare, the same insurance companies often punish them by refusing to write Medigap plans (that fill in the 20% hole in real Medicare). They can’t do that when you first sign up when you turn 65, but if you “leave” real Medicare for privatized Medicare Advantage, it can be damn hard to get back on it.

The doctors’ group Physicians for a National Health Program (PNHP) just published a shocking report on the extent of the Medicare Advantage ripoffs — both to individual customers and to Medicare itself — that every American should know about.

The report, titled Our Payments, Their Profits, opens with this shocking exposé:

“By our estimate, and based on 2022 spending, Medicare Advantage overcharges taxpayers by a minimum of 22% or $88 billion per year, and potentially by up to 35% or $140 billion. By comparison, Part B premiums in 2022 totaled approximately $131 billion, and overall federal spending on Part D drug benefits cost approximately $126 billion. Either of these — or other crucial aspects of Medicare and Medicaid — could be funded entirely by eliminating overcharges in the Medicare Advantage program. “Medicare Advantage, also known as MA or Medicare Part C, is a privately administered insurance program that uses a capitated payment structure, as opposed to the fee-for-service (FFS) structure of Traditional Medicare or TM. Instead of paying directly for the health care of beneficiaries, the federal government gives a lump sum of money to a third party (generally a commercial insurer) to ‘manage’ patient care.”

With real Medicare and a Medigap plan, you talk with your physician or hospital and decide on your treatment, they bill Medicare, and you never see or hear about the bill. There is nobody between you and your physician or hospital and Medicare only goes after the payment they’ve made if they sniff out a fraud.

With Medicare Advantage, on the other hand, your insurance company gets a lump-sum payment from Medicare every year and keeps the difference between what they get and what they pay out. They then insert themselves between you and your doctor or hospital to avoid paying for whatever they can.

Whatever you decide on regarding treatment, many Advantage insurance company will regularly second-guess and do everything they can to intimidate you into paying yourself out-of-pocket. Often, they simply refuse payment and wait for you to file a complaint against them; for people seriously ill the cumbersome “appeals” process is often more than they can handle.

As a result, hospitals and doctor groups across the nation are beginning to refuse to take Medicare Advantage patients. California-based Scripps Health, for example, cares for around 30,000 people on Medicare Advantage and recently notified all of them that Scripps will no longer offer medical services to them unless they pay out-of-pocket or revert back to real Medicare.

They made this decision because over $75 million worth of services and procedures their physicians had recommended to their patients were turned down by Medicare Advantage insurance companies. In many cases, Scripps had already provided the care and is now stuck with the bills that the Advantage companies refuse to pay.

Scripps CEO Chris Van Gorder told MedPage Today:

“We are a patient care organization and not a patient denial organization and, in many ways, the model of managed care has always been about denying or delaying care – at least economically. That is why denials, [prior] authorizations and administrative processes have become a very big issue for physicians and hospitals...”

Similarly, the Mayo Clinic has warned its customers in Florida and Arizona that they won’t accept Medicare Advantage any more, either. Increasing numbers of physician groups and hospitals are simply over being ripped off by Advantage insurance companies.

Not only is the Medicare Advantage scam a screw job for healthcare providers and people who are on the programs and are unfortunate enough to get sick, it’s also preventing Americans from getting expanded benefits from real Medicare.

As the PNHP report notes, for real Medicare to provide comprehensive vision, dental, and hearing benefits to all Medicare recipients would cost the system around $84 billion a year, according to the Congressional Budget Office.

Instead, though, the Medicare system is burdened with at least that amount of money in over-payments to Medicare Advantage providers — over-payments that have no health benefit whatsoever and merely inflate the companies’ profits.

A hundred billion dollars in excess profits can be put to a lot of uses, and the health insurance industry is quite good at it. The former CEO of UnitedHealth, “Dollar” Bill McGuire, for example, made off with over $1.5 billion dollars for his efforts.

And, because five corrupt Republicans on the Supreme Court legalized political bribery with their Citizens United decision, some of these companies allocate millions every year (a mere drop in the bucket) to pay off loyal members of Congress and to dangle high-paying future jobs to high-level employees of CMS who have the power to keep the gravy train going and thwart prosecutions.

As PNHP noted:

“Medicare Advantage is just another example of the endless greed of the insurance industry poisoning American health care, siphoning money from vulnerable patients while delaying and denying necessary and often life-saving treatment. While there is obvious reason to fix these issues in MA and to expand Traditional Medicare for the sake of all beneficiaries, the deep structural problems with our health care system will only be fixed when we achieve improved Medicare for All.”

We’re on the edge of the open enrollment period for Medicare, and the Advantage scammers will be carpet-bombing America with advertisements over the next few months. Representatives Pocan, Khanna, and Schakowsky have introduced the “Save Medicare Act” that would ban Advantage companies from using the word Medicare in their advertising.

They made a video about it that’s well worth sharing with friends and family:

As Schakowsky, Khanna, and Pocan note, “Only Medicare is Medicare.” Don’t be fooled by the Medicare Advantage scam.

And now that you know, pass it on and save somebody else’s health!

#Medicare #health insurance #Youtube

[switchcase]

I thought medicare was a single insurance? how are there 6???????

You would think so! But it does come in multiple parts, Parts A, B, C, D, Medigap, and Medicare Savings Program:

Medigap is not included in this infographic and wasn't included in many other graphics or sites. But Medigap helps pay for your insurance deductibles ($200-something for A/B and depends on your plan for part D or part C). The Medicare Savings Program helps pay for your premiums (mine are $165/mo) if you make under a certain amount. There is also Extra Help, which is separate and specifically for prescription assistance. Also to make things even More confusing for everyone involved, Medicare is not actually 100% the same nationwide. There are state specific contractors that decide whether certain things (like gender affirming care) are covered, but you wouldn't know this unless you looked up each contractor and found some way to speak to them. Makes things very difficult for you and for clinics trying to figure out if a treatment is covered.

You only get part A and/or part B automatically. You technically are supposed to automatically be enrolled in the savings program and extra help if you qualify, but I didn't get automatically enrolled in the savings program despite qualifying and I got automatically enrolled last year in extra help but had to apply separately for the coming year. You have to apply separately for Part C, Part D, and Medigap.

If you're thinking "wow this is super inaccessible especially given that Medicare is the primary insurance of anyone aged 65+"...yeah.

#might as well put this in tags? #cripplepunk #disability #medicare #ask #anonymous #if someone wants to add an ID for the infographic that'd be nice