November 21, 2023
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 […]
October 24, 2023
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 […]
September 25, 2023
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. […]
June 26, 2023
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 […]
May 1, 2023
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 […]
March 24, 2023
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 […]
February 23, 2023
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 […]
November 28, 2022
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 […]
October 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. First, let’s start with TRICARE. TRICARE is a health insurance program provided by the federal […]
June 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 […]