Looking For Lower Medicare Drug Costs? Ask Your Pharmacist For The Cash Price.

KFF Health News Original

Sometimes a drug plan’s copayment is higher than the cash price, and under a little-known federal rule, pharmacists have to tell Medicare beneficiaries that — but only if they ask.

Medicare Advantage Plans Cleared To Go Beyond Medical Coverage — Even Groceries

KFF Health News Original

Under new federal rules unveiled this week, these privately run alternatives to traditional Medicare might provide air conditioners, rides to medical appointments and home-delivered meals.

Planes de Medicare Advantage pronto servirán hasta para hacer las compras

KFF Health News Original

Los Centros para Servicios de Medicare y Medicaid ampliaron la forma en que definen los beneficios “relacionados directamente con la salud”, que las aseguradoras pueden incluir en sus pólizas.

Lifting Therapy Caps Is A Load Off Medicare Patients’ Shoulders

KFF Health News Original

Last month’s budget deal means Medicare beneficiaries are eligible for physical and occupational therapy indefinitely. Plus, prescription drug costs will fall for more seniors.

Home Care Agencies Often Wrongly Deny Medicare Help To The Chronically Ill

KFF Health News Original

Agencies sometimes turn away Medicare beneficiaries with chronic health problems by incorrectly claiming Medicare won’t pay for their services, say patient advocates.

Counting On Medicaid To Avoid Life In A Nursing Home? That’s Now Up To Congress.

KFF Health News Original

Tighter Medicaid budgets could jeopardize states’ home-based services that help older adults and disabled people live in their homes instead of more expensive nursing homes.

By Law, Hospitals Now Must Tell Medicare Patients When Care Is ‘Observation’ Only

KFF Health News Original

Not being officially admitted — a status known as observation care — can have financial consequences for beneficiaries, and patients had often complained they were not informed.

Medicare’s Coverage Of Therapy Services Again Is In Center Of Court Dispute

KFF Health News Original

According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.

COBRA, Retiree Plans, VA Benefits Don’t Alleviate Need To Sign Up For Medicare

KFF Health News Original

Thousands of people mistakenly think that if they have insurance, they can wait to sign up for Medicare Part B. Generally, insurance other than that provided by a current employer will not exempt them from Medicare’s strict enrollment requirements.

Medicare Bars New ‘Seamless Conversion’ Efforts For Some Seniors

KFF Health News Original

Some insurers have been allowed to move customers on the health law’s marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.

Officials Warn Some Older Marketplace Customers To Switch To Medicare

KFF Health News Original

The government is sending emails and letters to some seniors to warn them that if they are eligible for Medicare and stay on the health law’s exchange, they will have to repay any subsidies they receive and if they miss their Medicare enrollment opportunity, they will face a life-long penalty.