Medicare has announced eligibility guidance for the Extra Help program, which helps individuals with their prescription drug costs. Medicare’s Low Income Subsidy (LIS) limits determine what level of support seniors can receive. Budgets are getting tighter with increased prices and inflation, and the Extra Help program can be a difference-maker for some of your clients. Understanding these limits is an important first step in the process.
Topics: Medicare Extra Help
Most Medicare beneficiaries understand that they may face out-of-pocket costs if they have to stay in a hospital. What they might not know is that their hospital status can impact their coverage. Over the years, some beneficiaries have been hit by greater costs and ineligibility for nursing care coverage due to their “observation status,” but a recent court ruling gives these beneficiaries a new Medicare appeal option.
Topics: Medicare Appeal
Are your clients making the most of their Medicare Advantage and prescription drug plans? It’s a good idea to check in with your clients to make sure they’re happy with their coverage and using the benefits they’re entitled to. These tips and reminders will help you stay compliant while conducting a utilization review to boost Medicare retention.
Topics: Medicare Client Retention
Don’t be surprised if you get a lot of questions about the No Surprises Act. Surprise medical bills have been a serious concern for people receiving hospital care for a while now. The No Surprises Act aims to ease these concerns. Here’s what your Medicare clients should know about the new patient protection.
Topics: No Surprises Act
The Medicare Advantage Open Enrollment Period runs from January 1 to March 31. It is important to remember the rules of this Special Election period – Agents/Plans cannot market OEP and Member Eligibility.
Topics: Medicare Advantage OEP
Your clients trust you to help them with their Medicare plan selections. To make sure you’re looking at the complete picture, you need to understand Medicare’s Star Ratings.
Topics: Medicare Star Ratings
To stay fully compliant as a Medicare broker, you need to stay in the know. Recent updates to Medicare and Social Security benefits will have a significant impact on your clients. Make sure you’re giving them current information. Here are six recent updates you should know.
Topics: Medicare Compliance
More than one in four Medicare beneficiaries has diabetes. November is National Diabetes Month, and it seems fitting that National Diabetes Awareness Month and Medicare’s Annual Election Period overlap. This November, help Medicare enrollees with diabetes get the care and coverage they need.
When opportunity knocks, you have to be ready to open the door.
This AEP, opportunity will be knocking. According to Fierce Healthcare, a report from the Better Medicare Alliance found that Medicare Advantage enrollment hit 26 million in 2021. Over the last decade, enrollment has almost doubled, and enrollment is still rising. Every day, 10,000 Americans age into Medicare, and 42% of all Medicare beneficiaries enroll in Medicare Advantage.
Topics: Medicare Sales Certification