Monday, April 7, 2025
When it comes to choosing between Original Medicare and Medicare Advantage, the path you take can significantly impact your medical care and costs. Original Medicare vs. Medicare Advantage Original Medicare: Part A (Hospital Insurance) and Part B (Medical Insurance). Allows you to see any doctor or specialist who accepts Medicare. […]
Medicare provides limited coverage for healthcare services outside the U.S. and its territories, including Guam, Puerto Rico, the U.S. Virgin Islands, and others. Here’s how the various parts of Medicare, along with Medigap, handle international travel: Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) Medicare Part A and […]
President-elect Donald Trump has nominated Dr. Mehmet Oz to lead the Centers for Medicare and Medicaid Services (CMS), a pivotal agency overseeing healthcare programs for over 160 million Americans. About Dr. Mehmet Oz: Dr. Oz is a cardiothoracic surgeon and television personality, widely recognized for hosting “The Dr. Oz Show.” […]
Medicare Part B offers a range of preventive services that beneficiaries can receive annually at no out-of-pocket cost, provided the healthcare provider accepts assignment. These services are designed to detect health issues early and promote overall wellness. Here are 12 such services: Annual Wellness Visit (AWV): A yearly appointment to […]
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 […]