by Kenny | Apr 25, 2025
Key Points Your Initial Enrollment Period (IEP) is a seven-month window surrounding your 65th birthday, allowing you to enroll in Medicare Parts A and B. Your Medicare start date depends on when you enroll; if you sign up in the three months before your birthday,...
by Kenny | Apr 18, 2025
Key Points Original Medicare allows beneficiaries to see any provider nationwide who accepts Medicare. If you have a Medigap plan, you can still see any provider that accepts Original Medicare, while Medicare Advantage plans may have network restrictions that can...
by Kenny | Apr 13, 2025
Key Points Unfortunately, seniors can be a prime target for scammers, and many will try to trick seniors into falling for their Medicare scams. Scammers use several different tactics to try and scam Medicare beneficiaries and make attempts by phone or email. Scammers...
by Kenny | Apr 6, 2025
Retiring soon and wondering what to do with your health savings account (HSA)? You’re not alone – many people find the rules around HSAs and Medicare to be confusing. Here’s what you need to know about having an HSA after 65, spending your contributions and avoiding...
by Kenny | Mar 28, 2025
Learn how to navigate the system to get the best coverage for your loved one Medicare can be complicated when you’re making your own health care decisions, but it has an extra layer of complexity when you’re trying to help a sick or aging relative navigate the system....
by Kenny | Mar 21, 2025
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...
by Kenny | Mar 14, 2025
Discover 6 ways to access care fast, even if your doctor is busy. Hint: You may not need to go in person. Doctors’ offices are busier than ever these days. Sometimes it can be tough to book a timely appointment with your primary care provider. You might be sick or...
by Kenny | Mar 7, 2025
Expensive medications? You’ll save thousands. Dementia or mental health care? More options Key takeaways Changes from Inflation Reduction Act are in effect now. Lower out-of-pocket limit in Part D drug plans erases old “donut hole.” You may find weight loss...
by Kenny | Mar 4, 2025
A bumper crop of revisions, including a stronger drug benefit, means the plan you enrolled in for 2024 may not be the best fit next year. Americans on Medicare will see big, and welcome, changes next year. The program’s prescription drug insurance will be much...
by Kenny | Feb 24, 2025
Big changes to Medicare plans are in store for 2025 as open enrollment is underway. Medicare is a federal health insurance program for older adults ages 65 and older. Open enrollment for 2025 Medicare plans runs through December 7. Some major changes in 2025 include a...
by Kenny | Feb 14, 2025
Key lessons learned from the 2025 Medicare Annual Enrollment Period (AEP); plus actionable strategies for Medicare Advantage plans looking to improve member experience and reduce costs. 2025 is set to be a pivotal year for Medicare plans nationwide. As the market...
by Kenny | Feb 7, 2025
“How much can I expect to pay out of pocket for Medicare coverage?” It’s something you might be wondering if you’re age 65+ or about to turn 65. Medicare expenses are a big concern for many older adults, especially those on a fixed or limited income. The first step to...
by Kenny | Jan 31, 2025
Key takeaways: The Medicare Part D coverage gap known as the “donut hole” will end in 2024. As of January 1, 2025, Medicare Part D plans will have a $2,000 out-of-pocket limit. If you reach that threshold, your plan will pay for all of your covered medications in full...
by Kenny | Jan 24, 2025
Two important changes are coming for Medicare Part D beneficiaries in 2025 as a result of the Inflation Reduction Act: Annual out-of-pocket (OOP) cap of $2,000 for prescription drugs. Medicare Prescription Payment Plan (MPPP), which will allow beneficiaries who opt in...
by Kenny | Jan 12, 2025
Big changes are coming to Medicare in 2025, and they could make a major difference in your prescription drug costs. Thanks to the Inflation Reduction Act, Medicare beneficiaries will see the most significant updates to the program’s drug coverage since it was first...
by Kenny | Jan 6, 2025
Last week, the Centers for Medicare & Medicaid Services (CMS) released information about Medicare costs in 2025, including the 2025 premium, deductible and coinsurance amounts for Medicare Part A and Part B. The agency also announced the income-related monthly...
by Kenny | Dec 27, 2024
Key components of the Inflation Reduction Act’s Part D reforms will be fully implemented for plans offered in 2025. These changes, including the total elimination of the “coverage gap” coverage period, the establishment of a $2,000 cap on beneficiary out-of-pocket...
by Kenny | Dec 20, 2024
Medicare payment rules prohibit coverage for a service if a beneficiary is not financially responsible for the care or if another government entity is obligated to provide or pay for the item or service. For years, the Medicare rules interpreting and implementing this...
by Kenny | Dec 14, 2024
A new report from the U.S. Department of Health and Human Services’ (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) examines trends in health care access and outcomes in rural America. While insurance rates in these areas are improving,...
by Kenny | Nov 29, 2024
The Inflation Reduction Act (IRA) made significant improvements to Medicare prescription drug access and affordability, including by restructuring the Part D benefit to limit enrollee expenses. Those changes began in January 2024, when the IRA eliminated cost sharing... 
