CMS Announces 2020 Medicare Part D Rate and Defined Benefit Coverage Parameters

Here are a few highlights of the defined standard Medicare Part D plan changes from 2019 to 2020. The CMS “Part D Benefit Parameters for Defined Standard Benefit” is the minimum allowable Medicare Part D plan coverage. However, CMS does allow Medicare Part D plans to offer a variation on the defined standard benefits (for […]

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 […]

2019 changes to Blue Shield of CA health and wellness programs

2019 changes to Blue Shield of CA health and wellness programs All Blue Shield of California members can now take advantage of Fitness Your Way, available through Tivity HealthTM. This new program provides flexibility for members to work out at any network fitness location, encouraging them to adopt a healthy lifestyle and remain committed to […]

Employers: Tell Congress that 40 Hours is Full Time

Employers: Tell Congress that 40 Hours is Full Time In May 2019, Senators Todd Young (R-IN) and Joe Manchin (D-WV) introduced S. 1510 and Representatives Jackie Walorski (R-IN) and Dan Lipinski (D-IL) introduced H.R. 2782, theEmployee Flexibility Act. These bipartisan bills will provide much needed relief for both employers that must comply with tracking employee hours and employees […]

CalSavers — Retirement Savings Program

California’s new retirement savings program opens for registration on July 1, 2019 California will launch a pilot retirement savings program that will begin the process of offering an estimated 7 million workers in California the opportunity to con- tribute to an Individual Retirement Account (IRA) and get on track for the future. The Act requires certain […]

Take advantage of easier enrollment requirements for your small business

Limited-time promotion for small groups Give your employees the option of high-quality Kaiser Permanente coverage with this new, limited time promotion. Here’s what you need to know. What’s the promotion? New small groups with effective dates 5/1/2019-1/1/2020, will only need 50% health plan participation instead of 70%. *This means only 50% of a small group’s […]

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

Like any other federal program, Medicare is confusing. 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 […]