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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...

For those enrolled in Medicare, it's essential to stay vigilant against scams targeting your benefits. Scammers are constantly coming up...

Medicare Savings Plans, also known as a Medicare Savings Programs (MSP), are state-based programs that help eligible individuals with...

The Inflation Reduction Act (IRA) of 2022 represents a historic legislative move with profound implications for Medicare beneficiaries,...

Your income could affect your Medicare Premiums. Let's start with a high level overview of Medicare, and then discuss how your income can...

Many Medicare-eligible veterans will benefit from enrolling in a Medicare Advantage plan in addition to taking advantage of the health...

The Annual Enrollment Period (AEP) is the time each year during which Medicare beneficiaries can make changes to their Medicare coverage....

Extra Help (also known as the Low-Income Subsidy, or LIS, program) is designed to provide assistance to qualified Medicare beneficiaries...

For many people, turning 65 means getting started with Medicare. That process can feel daunting, but it doesn't have to be. Here, we...

Sleep plays a crucial role in overall health and well-being, and its importance becomes even more pronounced as individuals age. You may...

Enrollment in Medicare is limited to certain time periods, as outlined and managed by the federal government via the Centers for Medicare...

Most people become eligible to enroll in Medicare when they turn 65. But just because you can enroll in Medicare doesn't always mean you...

Even if you are happy with your current Medicare health care coverage, it's important to conduct a Medicare Advantage Plan review during...

If you watch any television, you have probably seen the commercials that urge people over the age of 65 to call a toll-free number to...

When you move to a new home; whether just a few blocks or a couple thousand miles away; you will need to take action to protect your...

So you've enrolled in Medicare Part A (hospital coverage) and Part B (medical coverage.) But there is still work to be done! Before we...