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9 Key Medicare Changes Coming in 2026

9 Key Medicare Changes Coming in 2026

November 20, 2025

How the Federal Government Shutdown Affects Medicare

Your Medicare coverage continues. You can see your doctors, fill prescriptions, and make plan changes during Open Enrollment (Oct 15–Dec 7). But some back-office functions are slower (claims timing, updates to Medicare.gov, certain customer-service/oversight tasks), and some pandemic-era telehealth flexibilities expired Oct 1 unless Congress acts. What’s happening Congress didn’t pass full FY2026 funding, so […]

October 16, 2025

Huntington’s Disease: Early Signs to Advance Care and Coverage

Huntington’s disease is a rare and inherited neurological disorder that causes the progressive breakdown of brain cells. This results in physical, cognitive, and emotional challenges. As new research and care standards continue to evolve, especially in 2025 and 2026, it’s more important than ever for families to understand how the disease progresses, what treatment options […]

September 25, 2025

Understanding Semaglutides: Why They’re Trending for Weight Loss

Semaglutides; a class of medications originally developed to treat type 2 diabetes. These have become buzzworthy for their impressive weight-loss results. Common brand names include Ozempic, Rybelsus, and Wegovy. These drugs mimic the naturally occurring hormone GLP‑1 (glucagon-like peptide‑1), helping to lower blood sugar, slow digestion, reduce appetite, and promote weight loss. Of these, Wegovy is […]

September 15, 2025

Why You Should Book a Medicare Appointment Before AEP 

As the Annual Enrollment Period (AEP) for 2026 approaches, now’s the time to review your Medicare coverage. With major changes ahead, including premium hikes, cost-sharing updates, and a new pilot called the WISeR model, working with a licensed advisor is key to avoiding surprises. What’s Changing This Coming Year Medicare Part B Premium & Deductible […]

September 3, 2025

Congress Investigates Medicare Advantage

In late July 2025, a joint hearing of the House Ways & Means Health and Oversight Subcommittees brought renewed national attention to the Medicare Advantage (MA) program. Titled “Medicare Advantage: Past Lessons, Present Insights, Future Opportunities,” the hearing unpacked growing concerns about transparency, access, and oversight in a program that now covers over 54% of […]

July 31, 2025

Summit Medical Group May Leave BlueCross Medicare Advantage Network by 2026

Summit Medical Group May Soon Be Out-of-Network for BlueCross BlueShield Medicare Advantage: What It Means for You East Tennessee Medicare beneficiaries may soon face major changes in their healthcare access. Summit Medical Group, a prominent provider network in the region, has announced it may no longer be in-network for BlueCross BlueShield of Tennessee (BCBST) Medicare […]

July 22, 2025

Medicare and Alzheimer’s: What You Need to Know About Coverage, Care Options, and Support

Alzheimer’s, the most common form of dementia, affects more than 5.8 million Americans age 65 or older. That number is projected to soar to nearly 14 million by 2060. As this devastating, progressive disease continues to impact more families each year, understanding what Medicare covers for Alzheimer’s care has never been more critical. Whether you’re […]

July 17, 2025

What Is the WISeR Model in Medicare? Understanding New Prior Authorization Rules in 2026

Starting January 1, 2026, Medicare will begin testing the WISeR Model—a prior authorization pilot for select services aimed at reducing waste and fraud. This will impact Traditional Medicare (Parts A & B) beneficiaries in six states, including Texas. If you rely on procedures like spinal stimulators, injections, or joint surgeries, here’s what you need to […]

July 10, 2025

What Medicare’s Trust Fund Shortfall Means for You

As of 2025, the Medicare Part A Trust Fund—which helps pay for hospital care, skilled nursing, and hospice services—is projected to run out of full funding by 2033. This alarming update from the annual Medicare Trustees Report has many wondering: what does this mean for the future of Medicare, and how will it affect beneficiaries […]

July 1, 2025