Medicare Part D plans are not standardized, so each plan may have different drug formularies, copays, coinsurance, or deductibles. Part D plans can change the formulary, which is the list of covered drugs, the deductibles, copays, coinsurance, and plan premiums every year. If you are enrolled in Part D, you’re your insurance company will mail […]
Medicare Advantage plans can be very cost-effective, and in fact, there are plans with $0 premiums. So how is that possible? To understand how $0 premium plans are possible, you must understand how Medicare Advantage plans are paid. There are two parts to how Medicare Advantage plans get paid. The first is the premium members […]
Medicare only covers medically necessary surgical procedures. Medicare defines medically necessary services as “health care services or supplies that are needed to diagnose or treat an illness, injury, condition, disease, or its symptoms – and that meet accepted standards of medicine.” Medicare further defines medically necessary services as ones that: Are proper and needed for […]