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Resolving Medicare Problems

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July 23, 2025

Choosing Between Original Medicare and Medicare Advantage

Everyone with Medicare faces the same question at some point—should I enroll in Original Medicare or a Medicare Advantage Plan? Although both are part of the Medicare program, they differ in important ways. In this blog post, you’ll learn about the differences between Original Medicare and a Medicare Advantage Plan, and when you might consider one over the other.

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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 […]

Appealing End of Care

January 24, 2024

Appealing End of Care

If you’re receiving care in a hospital or non-hospital setting, you may be told that your Medicare will no longer pay for your care and that you will be discharged. You have the right to file a fast appeal if you feel that continued care is medically necessary. There are separate processes for hospital and […]

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 […]

Protecting Yourself from Marketing Violations

September 25, 2023

Protecting Yourself from Marketing Violations

During Medicare’s Open Enrollment Period, you will likely experience more marketing from private Medicare plans, like Medicare Advantage Plans and Part D plans. Companies try to reach consumers in various ways, like television commercials, radio ads, events, mailings, phone calls, and texts. The government has rules, though, to protect you from forceful or misleading marketing. […]

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 Grievances, Complaints, and Beneficiary Resources.

March 28, 2022

Medicare Grievances, Complaints, and Beneficiary Resources

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. First, it’s helpful to know how to file a grievance with a Medicare Advantage or Part D plan. A grievance is a formal complaint that you […]

Trouble-shooting medicare coverage problems

June 30, 2021

Troubleshooting Medicare Coverage Problems

First, learn Medicare coverage rules to avoid running into issues. You do not need to know all of Medicare’s coverage rules, but before getting a service, check to make sure Medicare covers it and if there are any steps you must take to receive it. If Original Medicare or your Medicare Advantage Plan does not […]

Original medicare & medicare advantage appeals

May 28, 2021

Original Medicare and Medicare Advantage Appeals

In this blog post we discuss how to file an appeal with Original Medicare or your Medicare Advantage Plan. What is an appeal? An appeal is a formal request for review of a decision made by Original Medicare or your Medicare Advantage Plan. If you are denied coverage for a health service or item, you […]