Category Archives: Medicare

Does Medicare make sense for seniors with employer health coverage?

Does Medicare make sense for seniors with employer health coverage? Large Group health insurance premiums are calculated on risk factors: Size and the health of the group Current utilized prescription benefits Average age of the group Employer’s claims history Type of Occupation Cost management strategies like those listed below are common approaches, but it’s also […]

Medigap vs. Medicare Advantage: What’s the Difference?

Like any other federal program, Medicare is confusing. Medicare.gov offers hundreds of pages of explanation but learning the basics can be like learning a new language at first glance! This article discusses Medigap vs. Medicare Advantage. Medicare has four basic parts: A, B, C, and D. Part A (Hospital Insurance) covers inpatient hospital stays, care […]

CMS finalizes Medicare Advantage, Part D payment policies: 4 things to know

CMS issued a final rule April 1 to update 2020 payment policies for Medicare Advantage and Part D prescription drug plans. The Centers for Medicare & Medicaid Services (CMS) finalized updates that will take significant steps in continuing the Trump administration’s efforts to increase competition among Medicare Advantage and Part D plans so patients get higher quality […]

Extra Help Basics

Extra Help federal program helps pay for some to most of the out-of-pocket costs of Medicare prescription drug coverage. It is also known as the Part D Low-Income Subsidy (LIS). Extra Help eligibility If your monthly income is up to $1,581 in 2019 ($2,134 for couples) and your assets are below specified limits, you may be eligible for Extra Help (see the Extra […]