• Medicare

    Medicare and Mental Health Benefits

    Over 20% of adults aged 60 and over suffer from a mental or neurological disorder (excluding headache disorders) and 6.6% of all disability among people over 60 years is attributed to mental and neurological disorders. These disorders in older people account for 17.4% of Years Lived with Disability (YLDs).  Fortunately Medicare does offer multiple mental health benefits. Mental health conditions, like depression or anxiety, can happen to anyone at any time. If you think you may have problems that affect your mental health, you can get help. Talk to your doctor or other health care provider if you have: Thoughts of ending your life (like a fixation on death or…

  • Medicare

    Part D Medication Therapy Management (MTMP) Program

    If you’re taking a considerable list of drugs, you may wonder if all those different medications are necessary. In an effort to reduce your costs and more importantly reduce any risk to your health, it’s recommended to have your pharmaceutical intake reviewed from time to time by your doctor or pharmacist. If you’re enrolled in a Part D drug plan, you may qualify to have this analysis done free of charge under its Medication Therapy Management Program. This is an important benefit you should accept, it offered to you. All Part D plans must provide the MTMP. However, your plan will only invite you to participate if you meet certain…

  • Medicare

    Medicare Limits on Hospital Stays

    Chances are, if you’re even hospitalized, you won’t spend more than a few days as an inpatient. The fear of catching a serious hospital infection, a leading cause of death, is enough to make anyone want to limit their stay. So the chances of you exhausting your Medicare coverage during a hospital stay is remote. However, in the case you have a serious illness and require a long admission period, here’s how Medicare breaks things down. If you’re enrolled in traditional Medicare (Parts A & B) If you need to stay for a long period in the hospital for one spell of illness or injury, that’s known as a benefit…

  • Medicare

    Medicare and Concierge Medicine

    Concierge and boutique physician practices are terms for describing services provided by primary care doctors who offer a more personalized experience, if you agree to private-pay a special annual fee. If you agree to this fee, you are promised a higher level of service. Services vary, but most including same-day appointments, longer visits, a car service, house-calls, and more personal attention. The fee also varies, but averages range from $2,000 to $10,000 annually, depending on location and physician. Some of these physicians have opted out of Medicare and only offer direct billing to their patients. Many however, also accept Medicare patients, as long as those patients also agree to pay…

  • Medicare

    Part D Drug Formularies

    A drug formulary is simply a list of prescription drugs, both generic and brand name, that each Part D plan decides to cover. There is no standard drug formulary, each insurance company has their own. When securing a Part D plan, it’s important that your drugs are in the plans formulary for three reasons: You will likely have to pay the entire cost of the drugs that are not covered. You will not get doughnut hole credit for uncovered drugs. If you’re not paying the full price, which can be extremely expensive, you’re more likely to properly fill and take your medicines. What all Part D plans must cover Although…

  • Medicare

    Medicare launches new app giving consumers a modernized Medicare experience

    The new “What’s Covered” app lets patients with Original Medicare, caregivers and others quickly see whether Medicare covers a specific medical item or service. You can now use your mobile device to more easily get accurate, consistent Original Medicare coverage information in the doctor’s office, the hospital or anywhere else you use their mobile device. CMS created the app to meet the needs of the growing population of people with Medicare. The Medicare population is projected to increase almost 50 percent by 2030—from 54 million beneficiaries in 2015 to more than 80 million beneficiaries in 2030. As of 2016, about two-thirds of Medicare beneficiaries indicate they use the internet daily…

  • Medicare

    Paying Higher-Income Premiums

    No one is denied Medicare coverage on the basis of being wealthy. However, since the 2007 enactment of the 2003 Medicare Modernization Act, those with incomes over a certain level have been required to pay higher premiums for Part B. And under Obamacare, those same folks must now pay more for Part D as well. Currently the federal government covers roughly 75% of the actual costs for Medicare Parts B and D, while beneficiaries cover 25% through premiums. The rationale for the higher-income surcharge was based on fairness, thinking wealthier people can pay more than 25% of the cost of their Medicare. Agree or disagree this the reasoning, most will…