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Many Medicare Advantage Prescription Drug (MAPD) plans include hearing benefits, but the way those benefits are structured can be confusing and limiting. This blog explains how third-party hearing vendor programs work, and what your options are. How MAPD Hearing Benefits Are Structured Most MAPD plans split their hearing coverage into two separate components: Audiology visits (exams, diagnostics, medical care), covered under the plan's standard specialist benefit , with a co-

This blog explains four alternatives Medicare plan members commonly explore when trying to drive down their drug costs. Please note that none of these options should replace your Part D plan. These are tools to use selectively. Keep reading to understand why. Option 1: Cost Plus Drugs (Mark Cuban's Pharmacy) In 2022, entrepreneur Mark Cuban launched the Mark Cuban Cost Plus Drug Company ( costplusdrugs.com ) with a simple pricing strategy with no negotiating, no middlemen, an

Q1: What is prior authorization? Prior authorization (PA) is when your doctor or medical facility must get approval from your Medicare Advantage or drug plan before providing certain services, tests, or medications. It’s a “check‑first” step: the plan reviews the request to decide if the service is medically necessary, fits coverage rules, and is being done in the right setting. Q2: Why does prior authorization exist in the first place? The main reasons are cost control and f

2025 brought the biggest shift to Medicare’s prescription drug coverage in two decades. While the reforms were designed to lower...

If your Medicare Advantage Prescription Drug (MAPD) plan is leaving your area, you’re not alone. Each year, some Medicare Advantage plans...

For most people, Original Medicare (Parts A and B) is the foundation of healthcare coverage after turning 65. While it’s comprehensive, it does not  cover everything, and it leaves you responsible for significant out-of-pocket costs : Hospital (Part A):  a deductible each benefit period for inpatient stays, plus daily copays if your stay extends beyond 60 days. Medical (Part B):  an annual deductible, followed by 20% coinsurance on most services like doctor visits, outpatient

As you approach the milestone of Medicare eligibility, you will find that Original Medicare alone does not provide adequate coverage, and...

Medicare covers emergency medical services received when you are traveling within the United States. But does Medicare cover expenses...

Navigating the world of Medicare, including prescription drug coverage, can feel like learning a new language. Whether you're a new...