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This Week in Medicare…

What is the Medicare Prescription Payment Plan?

What is the Medicare Prescription Payment Plan? Starting January 1, 2025, Medicare will introduce a new option to help beneficiaries manage their out-of-pocket prescription drug costs. Under the Inflation Reduction Act (IRA) of 2022, the Medicare Prescription Payment Plan will allow Medicare Part D enrollees to spread out their prescription drug expenses over time instead […]

Does Medicare require prior authorization?

Millions of Americans are covered by Medicare, yet it can be difficult to understand its regulations, particularly those pertaining to prior authorization. Medicare will pay for certain services automatically, while it will not pay for others unless they are approved. So, when is prior authorization required, and what are the implications for your medical care? […]

How do I pay my Medicare Premium?

How to Pay Part A & Part B Premiums Paying your Medicare premiums on time is essential to maintaining your coverage. Most people have their Medicare Part B premiums deducted automatically from their Social Security or Railroad Retirement Board benefit payments. However, if you receive a bill instead, it’s important to understand the payment process […]

Medicare Advantage Plan HMO-POS

Three Key Points about a Medicare Advantage HMO-POS Plan: Network Structure: A Medicare Advantage Health Maintenance Organization-Point of Service (HMO-POS) plan combines features of both HMO and PPO plans. It has a primary network of healthcare providers (HMO) and offers some flexibility to receive services outside the network (POS). Primary Care Physician (PCP): Enrollees must […]

Medicare Special Needs Plans

Three Key Points about Medicare Advantage Special Needs Plans (SNPs) Designed for Specific Populations: These plans are tailored for individuals with specific health conditions or those who meet certain eligibility criteria, such as having both Medicare and Medicaid, residing in an institution like a nursing home, or having chronic or disabling conditions. Targeted Benefits and […]