Medicare Supplement Canceled

I got a call from a client who had her Medicare supplement canceled.  It turns out she had some upheaval in her home and she had to move out for a few months.  She did not get her mail, so she did not pay her bill, and her supplement was canceled. Sara [...]

Lidocaine Patch Not Covered by Part D

Is your Lidocaine patch not covered by your Medicare drug plan?  Medicare seems to be cracking down on drugs that are prescribed for “off label” usage.  I got an email from a client who has been using the Lidocaine Patch for years [...]

Preventive Services and Medicare

I had a call yesterday from a client who got a bill from her gynecologist.  She has a Plan F Medicare supplement and I have told her she should never get a bill – because Plan F fills every gap in Medicare.  If Medicare pays the bill, [...]

Guaranteed Issue for Medigap

Seniors enrolled in a Medicare Advantage plan who move to a new state (or sometimes another county), can get a Medicare supplement with “guaranteed issue”.  Medicare supplements are also knows as “Medigap” plans because [...]

Aetna to Buy Humana

Have you heard that Medicare Advantage plans have no future?  If that is true, why are the biggest insurance companies buying other insurance companies that focus on Medicare Advantage? An article from the Hartford Courant  says: Aetna to [...]

Centene to Buy Health Net

Centene to Buy HealthNet….unless United steps in and offers more for Health Net. Last week, Centene announced  a $6.8 billion offer to buy Health Net.  The two companies combined would become one of the nation’s largest Medicaid-focused [...]

Observation Status Lies

A friend sent me an email recently about a senior who was told by a doctor that Medicare will not pay for “observation status” in a hospital.  This new rule is supposedly part of the Affordable Care Act – but I knew this was [...]

Medicare Advantage Mergers

The Wall Street Journal has an article on merger mania among big insurance companies, some of which are big players in the Medicare Advantage market. One-third of all Medicare beneficiaries (16 million) are enrolled in a Medicare Advantage plan, [...]