March 28, 2024
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 […]
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 […]
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 28, 2021
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 […]