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Medicare and the Health Insurance Marketplaces

Nov 28, 2022

The Health Insurance Marketplaces were created by the Affordable Care Act, also known as the ACA. The Marketplaces allow people to buy insurance if they do not have insurance or if they need more insurance. You can access the Marketplace online or over the phone. Some states have their own Marketplaces, and other states use the federal Marketplace to provide coverage. Plans sold through Marketplaces are also known as Qualified Health Plans, or QHPs. Many people who have a Marketplace plan get cost assistance in the form of tax credits, which lower the plan’s monthly premium.
How Medicare Works with Military Benefits

Oct 28, 2022

Some people have multiple types of health insurance, so it is important to know that Medicare coverage works differently with other kinds of insurance. This article reviews how Medicare works with two kinds of military benefits—TRICARE and Veterans Affairs benefits
Changing Your Part D Plan

Sep 26, 2022

Medicare Part D, the prescription drug benefit, is the part of Medicare that covers most outpatient prescription drugs. Part D is offered through private companies either as a stand-alone prescription drug plan for those enrolled in Original Medicare or as a set of benefits included with your Medicare Advantage Plan. Sometimes a plan’s premium increases or the plan does not cover your new medications. In this blog post we’ll discuss how you can choose and enroll in a new plan for your Medicare Part D prescription drug benefit.
Medicare’s Open Enrollment Period

Aug 29, 2022

Medicare’s Open Enrollment Period, also known as the Annual Election Period, is the time of year when you can make changes to your Medicare coverage. This period runs from October 15 through December 7, and any changes you make will take effect on January 1. Even if you are happy with your current health and drug coverage, Medicare’s Open Enrollment Period is a good time to review what you have, compare it with other options, and make sure that your current coverage still meets your needs for the coming year.
Choosing Between Original Medicare and Medicare Advantage

Aug 1, 2022

It is important to understand your Medicare coverage choices and to pick your coverage carefully. Here we’ll look at one important choice—choosing between Original Medicare and a Medicare Advantage Plan.
Excluded from Medicare Coverage: Dental, Vision, and Long-Term Care

Jun 27, 2022

When Medicare benefits were created in 1965, they reflected the restrictions and limitations of most health insurance at that time. The federal law that created Medicare has specific provisions that exclude coverage for certain things, like dental care and routine vision services. Long-term care services are additionally excluded because they do not meet the definition of health care services in the law. Just because something is not covered by Medicare, though, does not mean that it isn’t needed. As we discuss some types of care that Medicare doesn’t cover, we will include information about other ways of accessing or paying for these services.
Medicare Coverage of Hospice

May 27, 2022

Hospice is a program of end-of-life pain management and comfort care for those with a terminal illness. In this blog about Medicare-covered hospice, we write directly to patients as if they are the ones taking these actions or making these decisions. However, discussions about hospice often involve caregivers and family members as well. If you are a caregiver, family member, or a patient’s appointed representative, you may be leading these conversations or decisions, rather than the patient.
Medicare Savings Programs

Apr 26, 2022

This blog post reviews state programs that help eligible people with their Medicare costs. They are called Medicare Savings Programs (MSPs) and are also known as Medicare Buy-In programs.
Medicare Grievances, Complaints, and Beneficiary Resources

Mar 28, 2022

Things don’t always go according to plan. When unforeseen challenges or mistakes occur with your Medicare, it is helpful to know where to voice your concerns and who can help.
Medicare Coverage of Preventive Services

Feb 24, 2022

Preventive care is care you receive to prevent illness, detect medical conditions, and keep you healthy. A service is considered preventive if you have no prior symptoms of the disease. In contrast, diagnostic services address symptoms or conditions that you already have.