Saturday, February 22, 2025
Here is a step-by-step guide to help you navigate the Medicare Open Enrollment period (October 15 – December 7) effectively: 1. Review Your Current Plan and the Annual Notice of Change (ANOC) What is the ANOC? Your current Medicare Advantage or Part D plan sends an Annual Notice of Change […]
Your Initial Enrollment Period (IEP) is a seven-month window surrounding your 65th birthday. It starts three months before the month you turn 65, includes your birthday month, and ends three months after. Here’s how you can enroll: Sign up for Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) […]
Hospice fraud, where scammers enroll non-terminally ill patients into hospice care without their knowledge, has become a significant issue. This type of fraud can severely affect seniors when they genuinely need hospice care later in life. Impact on Seniors Medical Care Restrictions: When seniors are fraudulently enrolled in hospice care, […]
The Medi-Cal program is California’s Medicaid health care program, providing free or low-cost health coverage to eligible California residents with limited income and resources. It is jointly funded by the state and federal governments. Eligibility To be eligible for Medi-Cal, you must fall into one of the following categories: Low-income […]
Billing for Services Not Provided: Fraudulent healthcare providers might bill Medicare for services, tests, or procedures that were never actually performed. Upcoding: Providers bill for a more expensive service or procedure than what was actually provided. Unnecessary Services: Some providers might order unnecessary tests or procedures just to increase their […]
The Medicare Part D late enrollment penalty is an additional cost that gets added to your Medicare Part D (prescription drug coverage) monthly premium if you delay enrolling in Medicare Part D when you first become eligible and do not have other creditable prescription drug coverage. This penalty is typically […]
Medicare Part D is the prescription drug coverage component of Medicare, designed to help Medicare beneficiaries pay for prescription medications. It is available to anyone who has Medicare Part A and/or Part B. Costs of Medicare Part D Medicare Part D costs can vary depending on the plan you choose […]
Medicare Part C, also known as Medicare Advantage, is an alternative way for Medicare beneficiaries to receive their Medicare benefits. Here’s a breakdown of what it is, its benefits compared to Original Medicare, who might choose it, and other relevant details. What is Medicare Advantage (Part C)? Medicare Advantage plans […]
People who have Medicare Part B, even with the standard coverage, are still required to pay a monthly premium. The standard monthly premium for Medicare Part B in 2024 is $174.70. This premium is mandatory for all beneficiaries of Medicare Part B, regardless of whether they have additional coverage or […]
The differences between Standard (Premium-Free) and Premium Medicare Part A primarily involve whether you need to pay a monthly premium based on your work history. Both options have the same deductible and provide the same coverage. The deductible for inpatient hospital stays in 2024 is $1,632 per benefit period, applicable […]