Premiums for most Medicare Advantage (MA) plans will remain the same for the new year, and in some cases go down, the Centers for Medicare and Medicaid Services (CMS) has announced. The health agency said the average monthly premium for a Medicare Advantage plan for 2019 is expected to be $28, down from $29.81. About 83% of […]
When it comes to Medicare, turning 65 and “aging in” can be quite overwhelming. Most seniors are hit with a barrage of mail, emails and phone calls. We are here to help you sort through it all. If you prefer to do your research online, here are a few trusted resources: Administration on Aging: To […]
Ten quick and simple general facts to make sure you know when considering your Medicare options: Original Medicare includes Parts A and B which are offered through the Federal government. Part D prescription drug coverage, is a standalone add-on plan to Original Medicare. You can browse Part D Plans by state in our online catalog […]
It is important for every senior to know that Medicare gives you the flexibility to change your coverage. If you’ve already signed up for a Medicare plan, you are by no means locked into your choice. Medicare offers you the freedom to add, switch or drop coverage each year. Your personal, medical and financial needs […]
Did you know that Medicare offers a no-cost one-time comprehensive “Welcome to Medicare” preventive visit during the first 12 months that you have Part B? This is a free and easy benefit that helps you and your doctor plan for your current and future health. Facts about your “Welcome to Medicare” preventive visit Free means […]
Many seniors become overwhelmed with the job of managing prescription drugs. Some studies say that the average older adult takes up to five or more medications a day in addition to over-the-counter medications. Here are some ideas to help you manage your medication use: Keep Records of Your Prescription Medications It’s very important that you […]
It’s here! The Open Enrollment Period (OEP) for 2017 started October 15th. Drug Plans and Medicare Advantage Plan sign up and changes can be done through December 7th. Every calendar year Insurance companies offering Medicare Advantage Plans and/or Prescription Drug Plans may change or eliminate plan coverage benefits, premiums, deductibles and co-payments. The plans are […]
HHS is the acronym for the Department of Health and Human Services. It is the U.S. government’s principal agency for protecting and regulating the health of all Americans and for providing essential human services. It has jurisdiction over 11 operating divisions and regulatory agencies including: Administration of Children and Families (ACF); Administration on Aging (AoA); […]
A single-payer system is a health care system in which one entity collects all health care fees and pays all health care costs. Generally, single-payer systems are operated and regulated by the government, which sets the rules and decides what gets paid.
The FDA is the acronym for the Food and Drug Administration. It falls under the jurisdiction of the Department of Health and Human Services (HHS). It is responsible for protecting and advancing the public???s health and securing the nation???s food supply as well as monitoring and approving the safety of prescription drugs and medical devices.
NIH is the acronym for the National Institutes of Health. It is part of the U.S. Department of Health and Human Services (HHS), and it serves as the nation???s medical research agency. NIH is the largest source of funding for medical research in the world, awarding grant money to universities and research centers in the […]
Self-pay means that the patient pays completely out of pocket for his or her medical care and is therefore often paying the full retail price for health care, unless a hospital or doctor provides a sliding scale. Self-pay individuals pay much more than those with health benefits because they do not have the clout or […]
COBRA is the acronym for the Consolidated Omnibus Budget Reconciliation Act of 1986. According to the U.S. Department of Labor, the landmark legislation provides for continuation of group health coverage that otherwise might be terminated. COBRA provisions give certain former employees, retirees, spouses, former spouses and dependent children the right to temporary continuation of their […]
The CDC is the acronym for the Centers for Disease Control and Prevention. It is the nation???s top public health agency and one of the main components of the Department of Health and Human Services (HHS). Based in Atlanta, Ga., it works to protect the health of people and communities by identifying and preventing potential […]
Medical underwriting is the process used by insurance companies to determine whether to offer an individual health care coverage and how much a policy premium will cost. It also can be used to determine coverage exclusions or limits.
Charity care is free or discounted health care provided by a hospital. The people who receive this care generally do not qualify for either Medicaid insurance for the poor or Medicare insurance for the elderly, or they do not have insurance.
Private health insurance is coverage by a health plan provided by an employer or purchased by an individual from a private health insurance company.
Preadmission certification is preapproval by a health insurance company or employer-sponsored plan for an individual???s admittance to a hospital. If precertification is not obtained for a non-emergency procedure, the insurance provider may pay for some of the services received or may not pay for any of the services.
HIPAA is the acronym for the Health Insurance Portability and Accountability Act of 1996. Known primarily as the health privacy law, it provides federal protections for personal health information held by covered entities and gives patients a large number of rights as far as how that information is shared.The law also protects an individual’s ability […]
Group health insurance is insurance coverage offered through an employer or other entity that covers all individuals in the group.
Coinsurance is the money a patient must pay after a deductible has been paid. It is generally specified by a percentage of a retail price. For example, an employee may pay 10 percent for a service while the insurance company or employer pays 90 percent. Many drug companies also use coinsurance in part to make […]
An outpatient is an individual who receives health care services on an outpatient basis, meaning the person does not stay overnight in a hospital or inpatient facility. These services can include diagnosis, treatment and surgery.
The out-of-pocket maximum or limit is the maximum amount a person will have to pay for covered services in a year. Generally, this includes copayments, coinsurance and deductibles, though it may vary from insurance plan to insurance plan.
An electronic medical record is a digital medical record of a patient???s health maintained by the patient???s physician as a record of the physician???s care for the patient. A patient must be able to leave an office with an electronic copy of his or her medical record.