Medicare Advantage

The current Medicare Advantage payment structure results in overpayments

Current research states that the millions of beneficiaries in traditional Medicare who have switched to Medicare Advantage plans have lower spending than those with similar health risks. Why is this important? CMS bases payments to Medicare Advantage health plans on…

Understanding Medicare and Medicare Advantage

Seniors approaching–or, already at–Medicare eligibility are often bombarded by ads, promotions, “advice,” and general conversation about the differences between Original Medicare and Medicare Advantage plans. It happens every year at Annual Enrollment time, causing many senors to wonder what their…

Here are the Medicare basics 

More than 10,000 people turn 65 every day in the United States. Knowing your options for health care are more important than ever before. Medicare is the federal health insurance program for people who are 65 or older. Understanding Medicare…

Health care in retirement can come with a hefty price tag

Employee Benefit Research Institute found in their latest study compared health care costs in retirement between having a Medicare with a Medigap policy or a Medicare Advantage plan and found that you would pay more during the course of their…

You’re not stuck with a bad Advantage plan

Are you unhappy with your Medicare Advantage health plan? If so, this is the Medicare Advantage Open Enrollment Period which runs from January 1 – March 31 each year. You can switch to a different Medicare Advantage Plan or switch…

Ask Rusty – For Some Simple Guidance About Medicare

Dear Rusty: I’m nearing 68 years old, have never signed up for Medicare but thinking that I should look into it. I’m currently covered by my wife’s health insurance through her employer. I would greatly appreciate some simple guidance regarding…

Do you want to ditch your Advantage Plan?

The open enrollment period allows people already on Medicare to switch to a different plan that suits their needs better or add prescription coverage to their existing plan. Should you drop your Medicare Advantage plan and go to the original…

Are there trade-offs to Medicare Advantage plans?

How does Medicare open enrollment work? The open enrollment period allows people already on Medicare to switch to a different plan that suits their needs better or add prescription coverage to their existing plan. Should you enroll in a Medicare…

Learn more about Medicare and determine the type of coverage you’ll need

Medicare is an essential health insurance program serving millions of Americans; it is the second largest program in the federal budget. With all the money spent on Medicare, a total of $917 billion in 2020, Medicare only covers specific services…

Medicare “homebound requirement” for Home Health Benefits Addressed in S. 3545

Last week, the Home Health Payment Innovation Act — S. 3545–was introduced with an objective of amending the Social Security Act to “loosen” the homebound stipulations governing the eligibility for home health care benefits for Medicare Advantage participants. HOme Health Care…

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