by adminpx | Apr 25, 2021 | Uncategorized
Uncovering the Gaps: What Doesn’t Medicare Cover? As we age or face disabilities, healthcare becomes an increasingly critical aspect of our lives. Medicare provides invaluable support to seniors and individuals under 65 with certain disabilities. However, while...
by adminpx | Apr 23, 2021 | Uncategorized
This stands for the True Out Of Pocket costs of your Medications. It includes your Deductible, copays and the cost share to your Health Insurance Plan. It is used to calculate when you enter into the Coverage Gap A.K.A. the “Doughnut Hole.” In 2024 the...
by adminpx | Apr 23, 2021 | Uncategorized
Your 7 month window begins 3 months before your birthday month and runs to 3 months after your birthday month. 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 start on...
by adminpx | Apr 23, 2021 | Uncategorized
All of us know someone that has been touched by 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 same time minimizing costs. This...
by adminpx | Apr 23, 2021 | Uncategorized
This is a question that I get asked often 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, 21-100 IN 2023 will be $200.00 per day and over 100 you...
by adminpx | Apr 23, 2021 | Uncategorized
Many of are continuing to work and we get our insurance Coverage from our Employer even though we are turning 65 and Medicare eligible. Here are some things to consider. Do I Have To Go On Medicare?Maybe. The first thing to consider is, Does my employer...
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...
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
Flu Shots- Medicare Part B (Medical Insurance) covers one flu shot per flu season. Your Costs- You pay nothing for a flu shot if your doctor or other qualified health care provider accepts assignment for giving the shot if Original Medicare is your Primary Payer. You...
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 Health Insurance Plan- One of the Benefits to signing up for Health Insurance to use with Medicare is to limit your financial exposure. With Original Medicare there is no limit to what you can spend in a calendar year. An example of this is Chemo...
by adminpx | Apr 22, 2021 | Uncategorized
If you’ve had Medicare Part B (Medical Insurance) for longer than 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, based on your...
by adminpx | Apr 22, 2021 | Uncategorized
Anyone that relies on insulin knows how expensive it can be. Medicare Part Bdoes not cover- Insulin ( Unless use of an insulin pump is medically necessary) Insulin pens Syringes Needles Alcohol swabs Gauze But, you can get coverage with...
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 with low...
by adminpx | Apr 22, 2021 | Uncategorized
Most people have worked long enough and paid into the system to get their Part A Hospital coverage for Free. Others that have come into the work force late will have to pay. But, How Much? That depends upon how long they paid in for. The Government bench mark is 40...
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...
by adminpx | Apr 15, 2021 | Uncategorized
Some of us are a little anal and make sure their i’s are dotted and their t’s are crossed. Others don’t. They will probably end up with a penalty of some sort.Penalties- Part A Late Enrollment Penalty-Some people have to buy Part A because they...
by adminpx | Apr 15, 2021 | Uncategorized
Medicare doesn’t cover eye exams (sometimes called “eye refractions”) for eyeglasses or contact lenses. Your Cost share is 100%. But there are MedicareAdvantage plans that do offer Dental Plans. Medicare does give coverage for the following:Medicare Part B (Medical...
by adminpx | Apr 15, 2021 | Uncategorized
‘Medicare doesn’t cover most dental care, dental procedures, or supplies, like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices. Medicare Part A (Hospital Insurance) will pay for certain dental services that you get...
by adminpx | Apr 15, 2021 | Uncategorized
Medicare usually doesn’t cover health care while you’re traveling outside the U.S. Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands are considered part of the U.S. There are some exceptions, including some cases...
