What is the Initial Coverage Election Period?
If you’re new to Medicare, you may be familiar with the Initial Enrollment Period (IEP), an election period that covers from 3 months before your 65th birthday to 3 months after. However, if you chose not to sign up for Part B during your IEP, there is another enrollment period available to you, known as Initial Coverage Election Period (ICEP). But what exactly is it? When can you use it? And how does it differ […]
Turning 65 With Employer Insurance and the Need to Report Creditable Coverage to CMS
If you’re turning 65 and still intend to have employer coverage, or if maybe you’re delaying your retirement just a few months after your birthday, one thing to keep in mind is making sure you receive an annual written notice of creditable coverage from your employer. As you may or may not know, Medicare will require you to maintain creditable prescription drug coverage or receive a Part D Late Enrollment Penalty. If you’d liked to […]
Medicare and Health Savings Account
A Health Savings Account (HSA) lets you deposit untaxed dollars into a savings account that can be used to pay for qualified medical necessities. Employers and financial institutions offer this kind of savings account to eligible individuals. You may only contribute to an HSA at age 65 or older if you are covered by an HSA qualified health plan, you are not a tax dependent, and you are not enrolled in Medicare. You will not […]
Getting free at-home COVID-19 tests
Last week, the White House announced covidtests.gov, a site with the purpose of supplying free rapid antigen COVID-19 tests to every U.S. household. The new site is now live and ready to take orders, as well as provide additional resources and information for those in need of testing. Here are a handful of things to know about the site, the tests, and the other resources available. First and foremost, every home in the U.S. is […]
Making the Most of Your Medicare Plan: Know Your Benefits and Save Money
Whether you’re on a limited income, or just trying to justify how much you’re paying for your Medicare Advantage plan, we all want to get the most out of our health care plan. Every plan comes with a lot of information and explanation about its benefits, and it can be overwhelming to drill down into these documents to find useful savings, discounts, and benefits. In this article, we’re covering some of the resources and features […]
A Preview of 2022: Medicare Part A and B Costs
It’s that time of year again, and Medicare has released the Medicare Part A & B Costs for 2022. Below are the key details that may affect your premiums going forward in the new year. Part A Costs If you don’t qualify for premium-free Part A, you can buy Part A. People who buy Part A will pay a premium of either $274 or $499 each month in 2022 depending on how long they or […]
Is your Medicare plan still the best fit for you?
The Medicare Annual Enrollment Period is your chance to review your plan’s cost and coverage and compare it to the new plans for the coming year. “…but if my plan worked for me this last year and nothing changed with my health, should I still bother to review my plan?” You absolutely should! Even if nothing changed for you since last year, a lot can change about your plan. Each year around September you’ll receive […]
A Preview of 2022: 7 Changes to Medicare Part D Defined Standard Benefits
Around this time every year Center for Medicare and Medicaid Services (CMS) releases the benefit parameters for Part D’s “Defined Standard Benefit” plan, as well as the parameters for the Low-Income Subsidy benefits. All Medicare Part D plans use this as a base to determine drug plan coverage for the following year. With this in mind, let’s dive into the Defined Standard Benefits and use these parameters to help you get a possible preview of […]
What is Medicare Part B?
When you first enroll in Medicare and at certain times of the year, you can choose from one of two main ways to get your Medicare coverage – through Original Medicare (Part A and Part B) or through a Medicare Advantage Plan (Medicare Part C). The second part of Original Medicare, Part B, is often referred to as “Medical Insurance.” Part B helps to cover costs related to medically necessary and preventative services from […]
What is Medicare Part A?
When you first enroll in Medicare and at certain times of the year, you can choose from one of two main ways to get your Medicare coverage – through Original Medicare (Part A and Part B) or through a Medicare Advantage Plan (Medicare Part C). The first part of Original Medicare, Medicare Part A, is often referred to as “Hospital Insurance.” Part A helps to cover costs related to hospital stays, hospice care and some […]
How Much Does Medicare Cost?
You know you have to enroll in Medicare when you turn 65 in the United States. What you might not know is how much Medicare health insurance costs. There are premiums, standard coinsurance amounts and deductibles for most parts of Medicare. Read on to learn more about how much Medicare costs. Is Medicare Free? Medicare is a federal health insurance program for people 65 and older in the U.S., and for some people with certain […]
When Do I Need to Enroll in Medicare?
Enrolling in Medicare is an important milestone. You typically enroll in Medicare for the first time when you turn 65, or if you are diagnosed with certain medical conditions. There are different ways to enroll in Medicare, and some key times during which you can enroll. Here is a quick breakdown of how and when you need to enroll in Medicare. Do I Enroll in Medicare When I Turn 65? The first time you enroll […]
How To Appeal a Denial of Coverage from a Medicare Advantage Plan
If you have a Medicare Advantage plan and were denied coverage for a health service or item, you may choose to appeal the decision with your plan’s provider. The appeal process requires documentation for why the service or item should be covered under your plan, and it can take some time to go through the the levels of approval. Here is a quick breakdown of how the process works to file an appeal for a […]
What is the Medicare Part D Donut Hole?
Not all donut holes are sweet. In Original Medicare Part D, there is a coverage gap known as the “Part D Donut Hole.” This coverage gap for pharmaceutical medications can result in higher drug costs for Medicare beneficiaries, as they get stuck between spending limits on Rx costs and their total out-of-pocket cost limits for a given year. How Does the Part D Donut Hole Work? For beneficiaries enrolled in Medicare Part D, there is […]
Summer Safety Tips for Seniors
As temperatures increase, so do the risk factors for heat-related health problems with elderly adults and individuals with chronic illnesses. If you are on Medicare or Medicare-eligible, follow these simple summer safety tips to help stay cool and well through hot summer months. Top Summer Safety Tips for Seniors: Protect Your Skin from Too Much Sun Skin cancer is the most common cancer in the U.S. According to the Skin Cancer Foundation, 1 in 5 […]
Medicare Coverage for Travel
Summertime often means travel time, especially once you hit the golden years of retirement. Before you travel outside of your home health care network, though, make sure you have a plan for coverage at your destination. Depending on how you receive your Medicare benefits, whether it is through Original Medicare or a Medicare Advantage plan, you might be on the hook for higher costs for medical services while you travel. It also depends on […]
Medicare and Alzheimer’s Care
Alzheimer’s Disease is a type of dementia that affects memory, thinking and behavior, and now affects more than 6 million Americans, according to the Alzheimer’s Association 2021 report. While it is not a normal part of aging, the greatest known risk factor is increasing age. The majority of people with Alzheimer’s are age 65 and up. If you are Medicare beneficiary, or Medicare eligible, you can get help covering certain costs for Alzheimer’s care through […]
What Does Medicare Cover for Mental Health?
Mental health for seniors is an important topic. With the population of Americans age 65 and older increasing each year, and the ability to identify and treat mental illness in seniors not always readily available or accurate, it is important for seniors to understand the benefits available to them for mental health services. An estimated 1 in 5 older adults experience a mental illness, substance abuse disorder, or both, according to a 2012 study from […]
What are the Different Parts of Medicare?
If you are about to turn 65 or just turned 65 in the U.S., you have probably heard about Medicare (and if you have not yet, you will need to). Medicare is health insurance for people 65 and older in the United States. It is also health insurance for certain people under age 65 with disabilities, and people of any age with End-Stage Renal Disease (ESRD). What you might not know or understand are all […]
Does Medicare Cover Eyeglasses?
Original Medicare does not include routine vision care, which means it generally will not pay for eyeglasses, contact lenses, or eye exams. This means you are typically responsible for 100% of the costs associated with your eyeglasses under Original Medicare. If you have a Medicare Advantage plan or certain Medicare Supplement plans, you might have additional coverage for vision . Talk to a Senior Markets Specialist in your area if you are unsure of your […]