Inspector General findings: Medicare Advantage Plans Improperly Deny Claims to Increase Profits

From a NYTIMES article By Robert Pear   WASHINGTON — Medicare Advantage plans, the popular private-insurance alternative to the traditional Medicare program, have been improperly denying many medical claims to patients and physicians alike, federal investigators say in a new report. The private plans, which now cover more than 20 million people — more than one-third of all … More Inspector General findings: Medicare Advantage Plans Improperly Deny Claims to Increase Profits

Traveling with Medicare – Can you use your drug plan on the trip?

Many of our Hawaii travelers take trips to the mainland that last more than 3 weeks.  Travelers should always check that they have enough medication to last through the duration of their trip. But what if you run out?  Can you get refills on the road?  Will they cost the same?  Can you get extra … More Traveling with Medicare – Can you use your drug plan on the trip?

Why is the nursing home billing us when mom has Medicare?

Answer:  Medicare covers some eligible nursing home costs – not all.  Maybe she has been there over 20 days or no longer qualifies for “skilled” care. Recently I received an email requesting assistance for a client’s mother who had just had a stroke. She lived alone and could not return to her home. The family, … More Why is the nursing home billing us when mom has Medicare?

MEDICARE COST ALERT

URGENT MESSAGE FOR  MEDICARE PATIENTS This year your Medicare drug plan is a moving target!  It is recommended Medicare enrollees review their current plan annually. This is even more crucial for 2018 as we have noticed a remarkable increase in some drug plan copay costs.  For example, a comparison of Medicare drug plans for a client on … More MEDICARE COST ALERT

MY MEDICARE ADVANTAGE PLAN – THE GOOD OLD DAYS

When I was first eligible for Medicare I signed up for a Medicare Advantage Plan……what a great deal! The coverage was comparable to private insurance plans and it even had wonderful drug coverage. We at Crown Care recommend annual review of Medicare plans to see if coverage is the same or better.  This recommendation is … More MY MEDICARE ADVANTAGE PLAN – THE GOOD OLD DAYS

IS IT TOO LATE TO CHANGE MY MEDICARE PLAN SELECTION?

Even though open enrollment ended Dec 7, 2016,  you may be able to change. Between January 1–February 14, if you’re in a Medicare Advantage Plan, you can leave your plan and switch to Original Medicare. If you switch to Original Medicare during this period, you will have until February 14 to also join a Medicare … More IS IT TOO LATE TO CHANGE MY MEDICARE PLAN SELECTION?