Category: Uncategorized

If you have a Medicare Advantage plan and were denied coverage for a health service or item, you may choose to appeal the decision with your plan’s provider. The appeal process requires documentation for why the service or item should be covered under your plan, and it can take some time to go through the the levels of approval. Here is a quick breakdown of how the process works to file an appeal for a […]

Not all donut holes are sweet. In Original Medicare Part D, there is a coverage gap known as the “Part D Donut Hole.” This coverage gap for pharmaceutical medications can result in higher drug costs for Medicare beneficiaries, as they get stuck between spending limits on Rx costs and their total out-of-pocket cost limits for a given year. How Does the Part D Donut Hole Work? For beneficiaries enrolled in Medicare Part D, there is […]

As temperatures increase, so do the risk factors for heat-related health problems with elderly adults and individuals with chronic illnesses. If you are on Medicare or Medicare-eligible, follow these simple summer safety tips to help stay cool and well through hot summer months. Top Summer Safety Tips for Seniors: Protect Your Skin from Too Much Sun Skin cancer is the most common cancer in the U.S. According to the Skin Cancer Foundation, 1 in 5 […]

Summertime often means travel time, especially once you hit the golden years of retirement. Before you travel outside of your home health care network, though, make sure you have a plan for coverage at your destination. Depending on how you receive your Medicare benefits, whether it is through Original Medicare or a Medicare Advantage plan, you might be on the hook for higher costs for medical services while you travel. It also depends on your […]

Alzheimer’s Disease is a type of dementia that affects memory, thinking and behavior, and now affects more than 6 million Americans, according to the Alzheimer’s Association 2021 report. While it is not a normal part of aging, the greatest known risk factor is increasing age. The majority of people with Alzheimer’s are age 65 and up. If you are Medicare beneficiary, or Medicare eligible, you can get help covering certain costs for Alzheimer’s care through […]