• Medicare

    GoodRx and Medicare Part D

    Some of my clients that rightfully have secured a Medicare Part D Prescription Plan also sometimes use the GoodRx service. Here’s a brief overview on the relationship of Good Rx and Medicare Part D. While you can use a GoodRx discount instead of your prescription insurance or medicare if the cost is lower, you cannot however combine the GoodRx discount with your insurance or any federal or state-funded program such as Medicare or Medicaid. GoodRx is not insurance.  If you choose to use a GoodRx discount, it’s important to ask the pharmacist not to run your prescription through your insurance or Medicare (This tends to happen often). Ask that your…

  • Medicare

    Your Medicare Options When Working Past 65

    Your Medicare options when working past 65 are limited, and with over 44 million seniors relying on Medicare for health coverage in retirement, it’s important that you understand when to enroll so you can make the most of your benefits while avoiding costly penalties. Working Beyond 65 If you decide to continue working beyond 65, your employer provides health insurance, and your employer has over 20 full-time employees, you will not need to sign up for Medicare Part B when you are first eligible. You will want to contact the benefits coordinator in your office (or your spouses, if you’re on their group plan) to be sure your coverage is…

  • Medicare

    Medicare Advantage Plans and Two Caution Areas

    Medicare Advantage Plans and two caution areas to consider this coming Open Enrollment. While I typically steer away from Medicare Advantage Plans, in rare instances it is sometimes a better fit than a Medicare Supplement. When that rare recommendation does occur, there are two areas of Medicare Advantage that need to be specifically addressed. The Provider Network Understanding a given income carriers health care provider network is incredibly important when speaking to Medicare Advantage Plans. If your preferred physician, whether a primary doctor or specialist, is not considered in-network, you could end up paying the entire cost yourself if you continue to see them. Make a list of all your…

  • Medicare

    PART D OF MEDICARE – PRESCRIPTION DRUG COVERAGE

    Part D of Medicare Prescription Drug Coverage does not need to be complicated. In anticipation for the Medicare Annual Open Enrollment beginning October 15th, let’s review the 4 Steps of Part D: Step 1: $415 Deductible, you pay all. Step 2: Initial Coverage, you pay your plans copays and coinsurance. Typically about 25% of the retail cost for brand name drugs, up to a total of $3,820. This total includes your deductible of $415, your 25% copays and coinsurance ($851.25) and the other 75% ($2,553.75) your insurance company paid for your drugs. Let’s take BCBSTX Medicare Rx Value Plan as an example. This plan has five tiers of copays, at…

  • Individual Health Insurance,  Medicare

    October is Breast Cancer Awareness Month

    October is Breast Cancer Awareness Month, the annual campaign helping to increase attention and support for the awareness, early detection and treatment of this disease. Globally, there are about 1.38 million new cases and 458,000 deaths from breast cancer each year. Breast cancer is by far the most common cancer in women worldwide, both in the developed and developing countries. In low- and middle-income countries the incidence has been rising up steadily in the last years due to increase in life expectancy, increase urbanization and adoption of western lifestyles. Your mission: Know the signs and symptoms of breast cancer. Medicare coverage of cancer treatment Medicare Part A and Part B may cover certain cancer treatments…

  • Medicare

    Home Health Care Services

    Home Health Care Services are services providing some of the same types of care that you might receive in a skilled nursing facility but in your own home. These include: Skilled Nursing Care: provided on a part-time basis (no more than eight hours a day over a period of 21 days or less) and include services such as injections, feeding through a tube, and changing catheters and wound dressings. Physical, Speech, and Occupational Therapy: from professional therapists to help you walk again, overcome problems in talking, or regaining the ability to perform everyday tasks, such as feeding and dressing yourself, whichever your medical condition requires. Help from Home Health Aides:…

  • Medicare

    Of the Top 10 Medicare Supplement Companies for 2019

    Of the Top 10 Medicare Supplement Companies for 2019, we represent 7 of them. Aetna Medicare Supplement Plans for 2019 Founded in the 1800s, Aetna is a large global health insurance company. Furthermore, their Medicare Supplement plans are popular for their low premiums and 12-month rate lock. In addition, Aetna has an A rating from A. M. Best. UnitedHealthcare Medicare Supplement Plans for 2019 UnitedHealthcare is the only Medicare Supplement insurance company endorsed by the AARP. Also, they have an A rating from A.M. Best. Humana Medicare Supplement Plans for 2019 For more than 20 years, Humana has offered Medicare Supplement plans. In Addition, Humana is a Fortune 100 company…