by adminpx | Apr 25, 2021 | Uncategorized
The Captive Agent is an agent employed by the individual Insurance Company. While the captive agent is probably honest and governed by carrier standards, there are a few things to consider.1) The Captive Agent only represents one plan, the one he/she is employed with....
by adminpx | Apr 25, 2021 | Uncategorized
What is a Preferred Pharmacy? A Preferred Pharmacy is a pharmacy that has an affiliation or arrangement with a specific Health Plan/Part D Plan. When a Pharmacy is preferred it will have a lower copay for a medication then other pharmacies in the area. If you are...
by adminpx | Apr 25, 2021 | Uncategorized
Turning 65 and having to think about trusted medicare advise can be a daunting chore. There are many avenues to get information, but in fact, there are probably too many to the point of being really confusing. If you are nearing 65, you are receiving phone calls,...
by adminpx | Apr 25, 2021 | Uncategorized
Some state pharma companies provide assistance with expensive medications. An example of this is E.P.I.C., the New York State Medication Assistance program. It stands for Elderly Pharmaceutical Insurance Coverage. On EPIC, your most expensive medication will be no...
by adminpx | Apr 25, 2021 | Uncategorized
Uncovering the Gaps: What Doesn’t Medicare Cover? As we age or face Medicare cover disabilities, healthcare becomes an increasingly critical aspect of our lives. Medicare provides invaluable support to seniors and individuals under 65 with certain disabilities....
by adminpx | Apr 23, 2021 | Uncategorized
This stands for the True Out Of Pocket (T.R.O.O.P)costs of your Medications. It includes your deductible, copays, and the cost shared with your health insurance plan. It is used to calculate when you enter into the Coverage Gap, A.K.A. the “Doughnut Hole.”...
by adminpx | Apr 23, 2021 | Uncategorized
Medicare and Cancer All of us know someone who has been touched by Medicare and Cancer. It’s my opinion that the best course of action in the event that this starts to become a reality is to have a plan in place that will give you the most options while at the...
by adminpx | Apr 23, 2021 | Uncategorized
7 month window Your 7-month window begins 3 months before your birthday month and runs to 3 months after your birthday. If you were born in June, it would start in March and run to September. The 3 months before turning 65 is critical because if you want coverage to...
by adminpx | Apr 23, 2021 | Uncategorized
Medicare Cover Long Term This is a question that I get asked about Medicare Cover Long Term, and unfortunately, the answer is always the same, No. Medicare will cover a Skilled Nursing Home stay following an admitted Hospital stay. Days 1-20 will have a $0 copay,...
by adminpx | Apr 23, 2021 | Uncategorized
Many of us continue to work, and we get unlimited employer coverage insurance from our employer even though we are turning 65 and Medicare-eligible. Here are some things to consider. Do I Have To Go On Unlimited Employer Coverage?Maybe. The first thing to consider is...
by adminpx | Apr 23, 2021 | Uncategorized
When you sign up for Medicare your Part B will be coming with a premium. The amount will depend upon your income as discussed earlier. If you are collecting Social Security your Part B premium will be deducted monthly. If not, you will receive a bill and depending...
by adminpx | Apr 22, 2021 | Uncategorized
Part B covers Medications that you would not normally give to yourself or obtain from a local pharmacy. Examples of these include- -Medications used with Durable Medical Equipment like Dialysis -Chemotherapy Medications -End Stage Renal Disease Medications For a full...
by adminpx | Apr 22, 2021 | Uncategorized
Medicare Cover Flu Shots- Medicare Cover Flu Shots Part B (Medical Insurance) covers one flu shot per flu season. Your Costs- If Original Medicare is your primary payer, you pay nothing for a flu shot if your doctor or other qualified healthcare provider accepts the...
by adminpx | Apr 22, 2021 | Uncategorized
You can change your Medicare Health Insurance Plan during Enrollment Periods that are available at different times of the year. Some are more extensive and the type of plan you are on plays a role. The following enrollment Periods apply to Medicare Advantage Plans...
by adminpx | Apr 22, 2021 | Uncategorized
Sign Up For A Unlimited Health Insurance Plan- One of the benefits of signing up for Unlimited Health Insurance with Medicare is that it limits your financial exposure. With Original Medicare, there is no limit to what you can spend in a calendar year. An example of...
by adminpx | Apr 22, 2021 | Uncategorized
Unlimited Wellness Suppose you’ve had Medicare Part B (Medical Insurance) with Unlimited Wellness for over 12 months. You can get a yearly “Wellness” visit once every 12 months to develop or update a personalized prevention plan to help prevent disease and disability...
by adminpx | Apr 22, 2021 | Uncategorized
Unlimited Insulin Anyone who relies on Unlimited Insulin Guide knows how expensive it can be. Medicare Part B does not cover- Insulin ( Unless the use of an insulin pump is medically necessary) Insulin pens Syringes Needles Alcohol swabs Gauze But, you can get...
by adminpx | Apr 22, 2021 | Uncategorized
While Medicare is a Federal program, Medicaid is administered by the individual states. It’s called by different names in different states but for our discussion, we’ll refer to it as Medicaid. Medicaid is a program designed for individuals...
by adminpx | Apr 22, 2021 | Uncategorized
Most people have worked long enough and paid into the system to get their part A premiums Hospital coverage for Free. Others who have come into the workforce late will have to pay. But, How Much? That depends upon how long they paid in for. The Government benchmark...
by adminpx | Apr 22, 2021 | Uncategorized
Signing up for and/or changing your Medicare Health Insurance or Part D Rx Plan cannot be done at will. It has to be done during an Enrollment Period. Medicare Supplements have different rules which we will go into later. The following is a list of Enrollment Periods...
