Published by: medicarerights.org Good news from Medicare! It now covers prescriptions for the oral antiviral COVID-19 treatment, Paxlovid, through the end of 2024. You can access it in a couple of different ways. If your Part D plan participates in the Paxlovid patient assistance program, you can have your prescription filled free of cost at […]
Will Medicare cover my Paxlovid prescription? Read More »
Published by: medicarerights.org The donut hole—the coverage gap—can be very confusing! Here’s what you need to know: There are four phases of Part D coverage in 2024: the deductible, initial coverage period, coverage gap (or donut hole), and catastrophic coverage. During the deductible, you are responsible for the full cost of your medications. After you
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Published by: medicarerights.org The Affordable Care Act (ACA), passed 14 years ago during the week of March 21, strengthened Medicare and Medicaid and created important coverage guarantees and consumer protections for people of all ages. From expanding access to affordable care to preventing discrimination based on health status, as well as improving Medicare’s financial status,
After 14 Years, ACA Protections Remain Crucial for Older Adults Read More »
Published by: Medicare.gov Medicare fraud and abuse can happen anywhere and usually results in higher healthcare costs and taxes for everyone. Some examples include: If you suspect Medicare is being charged for an item or service you didn’t get, or your Medicare card or number is stolen, call 1-800-MEDICARE 1-800-633-4227 to report suspected fraud or
Reporting Medicare fraud & abuse Read More »
Published by: Medicare Rights Center Limits on Drug Costs Medicare Part D plans have different coverage phases throughout the year. During these coverage phases, you pay different amounts for your drugs. In all Part D plans, you enter the catastrophic coverage phase after you reach $8,000 in out-of-pocket costs for covered drugs. This amount comprises
Medicare, What’s New? Read More »
Published by: Medicare Rights Center A newly effective Inflation Reduction Act (IRA) provision is improving prescription drug affordability for many people with Medicare Part D — but too few know about it, potentially limiting its efficacy. As of January 1, 2024, Part D enrollees are no longer required to pay 5% coinsurance after they reach
Few Beneficiaries Know Part D Out-of-Pocket Cap Now in Effect Read More »
Happy New Year! Searching for ways to stay on top of your health in 2024? Published by: Medicare.gov People with Medicare Part D (drug coverage) can get even more covered vaccines, including RSV, shingles, whooping cough, and more to help keep them healthy in the new year. Medicare also covers many preventive and screening services.
Take charge of your health in the new year! Read More »
While most services come with a cost, some preventive screenings, vaccines, and counseling are covered without charge Published by: AARP We worry a lot about what Medicare beneficiaries must for pay out of pocket, such as monthly premiums, annual deductibles, and copays for doctor visits and prescription drugs. But what many enrollees may not realize
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Published by: Medicare Rights Center If you have Original Medicare, your Part B costs once you have met your deductible can vary depending on the type of provider you see. There are three types of providers for cost purposes, meaning three different relationships a provider can have with Medicare. A provider’s type determines how much
Does it matter what kind of provider I see? Read More »
Published by: Medicare Rights Center If your Part D plan covers your medication but your copayment is expensive, it could be that the medication is on a high tier. Part D plans use tiers to categorize prescription drugs. Higher tiers are more expensive and have higher cost-sharing amounts. Each plan sets its tiers, and plans
How do I request a tiering exception? Read More »