New rules for Medicare Advantage & Part D could impact over 65 million Americans. Here’s what you need to know.
Part D may now cover medications for obesity, affecting over 40% of adults in the U.S.
Target: reduce weight & maintain results long-term.
Important: Overweight without obesity? Still not covered.
MA plans overturn 80% of denied claims on appeal.
New rules cut red tape so you get care without the hassle.
AI tools are growing 20% per year in healthcare.
Rule: Must provide equal access for everyone, human or AI-assisted.
Coinsurance may drop from 50% to 0% for opioid treatment programs.
Other mental health services are capped at 20% coinsurance.
Goal: Better access and no financial hurdles.
CMS rejected over 1,500 misleading ads in 2023.
Agents must explain providers, prescriptions, premiums, & benefits.
You get accurate info to make smart Medicare choices.
MA rebate dollars: $79 billion in 2026 to fund supplemental benefits.
Cards must be safe, transparent, and linked to covered items.
Backup options if cards don’t work, no gaps.
Don’t wait, review your plan before open enrollment. Know your coverage, costs, and benefits, and get guidance from Terri Yurek Insurance to make confident choices.