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Premium-related Appeals and Troubleshooting

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January 28, 2025

Premium-related Appeals and Troubleshooting

Late enrollment in Medicare or a higher income can lead to higher premiums. However, everyone has the right to appeal their premium determination. Understanding how these premiums work can help you assess their accuracy and decide if you should appeal.

Preparing for Future Health Care Needs

April 29, 2024

Preparing for Future Health Care Needs

Many people assume that their family members would automatically be able to make decisions about medical treatments if they were to become incapacitated. But rules vary greatly from state to state. In some cases, decisions are left up to the health care providers and institutions in charge of your care unless you have appointed someone […]

Medicare for Federal Employees and Retirees

March 28, 2024

Medicare for Federal Employees and Retirees

Federal Employee Health Benefits, or FEHB, plans cover current and retired government employees. FEHB plans can be either Health Maintenance Organizations (HMOs), or Fee-for-service (FFS) plans. HMOs have networks of providers, and you usually must see in-network providers to be sure services are covered. In an HMO, your out-of-pocket costs may be lower than in […]

Part D Appeals

November 21, 2023

Part D Appeals

Sometimes a Part D plan won’t cover a medication that you need. Let’s discuss what you can do if this happens. First, understand your right to appeal. A Part D appeal is a formal request for review of a coverage decision made by your Part D plan. If your Part D plan denies coverage of […]

Choosing Doctors and other Providers

October 24, 2023

Choosing Doctors and Other Providers

Depending on how you get your Medicare coverage, you will have different considerations when choosing health care providers, such as doctors, hospitals, or medical equipment suppliers. Let’s discuss the factors you should consider so that your care is covered at the lowest cost. With these factors in mind, you can choose your next health care […]

Medicare and Transportation Services

June 26, 2023

Medicare and Transportation Services

Ambulances are vehicles that transport patients to and from medical facilities, like hospitals. Ambulances are medically equipped and staffed by professionals like EMTs or paramedics. Let’s look at how Medicare covers transportation in ambulances. Medicare Part B covers emergency ambulance transportation. Medicare considers an emergency to be any situation when your health is in serious […]

Medicare Coverage of Mental Health and Addiction Treatment

May 1, 2023

Medicare Coverage of Mental Health and Addiction Treatment

Before we dive into Medicare’s coverage of mental health care, let’s talk about what mental health care is. Mental health care refers to services and programs intended to help diagnose and treat mental illnesses or mental health conditions. A mental illness or mental health condition affects your thinking, feeling, or mood. Examples of mental health […]

Talking to your Doctor

March 24, 2023

Talking to Your Doctor

It is important to work with your doctor to ensure you get the best health care possible. This blog covers how you can build an effective relationship with your doctor and make the most of your visits. Communicate well with your health care provider. Communication is very important when building relationships with your health care […]

Medicare and Home Health Care

February 23, 2023

Medicare and Home Health Care

Leaving your home to receive health care can be difficult or impossible for some. This blog post covers how Medicare covers home health care. First, what is home health care exactly? Home health care includes health and social services that you receive in your home to treat an illness or injury. Medicare covers the following […]

Medicare and the Health Insurance Marketplaces

November 28, 2022

Medicare and the Health Insurance Marketplaces

What are the Health Insurance Marketplaces? 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 […]