Once you've selected a new Medicare Advantage plan, it will take effect in the month following your request to change. For ...

Overall Medicare Advantage plans denied 6.4% of prior authorization requests in 2023. Prior authorization was needed 1.8 ...

The Coverage Gap is a temporary limit on what the drug plan will cover for drug costs. In 2025, Medicare will eliminate the donut hole coverage gap, further simplifying coverage. Now, with the new ...

The cost of Medicare supplement insurance, also called Medigap, can vary due to several factors, including the type of plan you choose, where you live, and the company administering the plan.

Medicare is big business, recently providing healthcare coverage to 68 million people. It changes a little or a lot every ...

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

The ability to switch Medicare plans isn’t as available as many beneficiaries are told or believe. Most Medicare beneficiaries know that each year during open enrollment (October 15-December 7 ...

Medicare recipients who take expensive prescriptions will get a break this year with a $2,000 cap on drug costs.

Under the Inflation Reduction Act of 2022 (IRA), signed into law by President Joe Biden in August 2022, the federal government capped prescription drug cost inflation and is negotiating drug ...

Before 2025, if you were enrolled in a Medicare Part D prescription drug plan, it’s possible that you could encounter a coverage gap if you and your plan spent a certain amount on medications in ...

The Affordable Care Act (ACA) set out to make healthcare more affordable. It had various effects on Medicare, such as ...

Medicare, the federal health program for adults over 65 and the disabled, covers prescription drugs through Part D insurance plans. In past years, these plans had a coverage gap that required ...