October 2024

Over the past decade, we’ve observed a trend in billing issues among Medicare beneficiaries, whether they have Medicare Supplement or Medicare Advantage plans.   Key Points: Understand the importance of medical necessity in claims approval. Learn the significance of obtaining prior authorization. Avoid common administrative errors that lead to denials.   These issues often lead […]

Acupuncture, an ancient practice with roots in traditional Chinese medicine, has been gaining popularity in the Western world, especially among seniors seeking alternative treatments for chronic pain. But what exactly is acupuncture, how does it work, and how can you get it covered under Medicare? Let’s dive in! A Brief History of Acupuncture Acupuncture dates

Medicare Advantage (MA) plans have gained popularity among seniors, largely due to the additional benefits they offer. These plans bundle Medicare Part A (hospital insurance) and Part B (medical insurance) services into a single plan, often including Part D (prescription drug coverage) as well. On top of that, many MA plans provide extras like dental,

Understanding Medicare and taxes can be a bit overwhelming, but we’re here to make it simpler for you. If you’re 65 or older, knowing how to deduct your Medicare premiums can help you save money. Let’s break it down together, step by step, so you can make the most of your benefits.   Key Points:

Key Points: Understand Your Plan’s Coverage and Costs: Knowing what your plan covers—whether it’s Original Medicare, a Supplement, or an Advantage plan—can help you avoid unexpected expenses at every stage of care, from the ER to home health care. Optimize Your Medicare Benefits: By understanding and coordinating your benefits, you can minimize out-of-pocket costs and

As we look ahead to 2025, Social Security recipients are keenly awaiting the announcement of the new Cost-of-Living Adjustment (COLA). Here’s what you need to know: Key Points COLA Determination Process: The Cost-of-Living Adjustment (COLA) for Social Security benefits is calculated based on the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W)

As you enter retirement, planning goes beyond just managing your finances. It’s essential to ensure that your wishes are clearly outlined and protected in legal documents. Wills, trust, and power of attorney are critical tools for safeguarding your legacy and giving you peace of mind. Key Points: Wills ensure your assets are distributed according to

Parkinson’s disease is a progressive disorder of the nervous system that affects movement, and it disproportionately impacts seniors. The newly enacted Dr. Emmanuel Bilirakis and Honorable Jennifer Wexton National Plan to End Parkinson’s Act (H.R.2365) is designed to tackle this debilitating condition head-on. Signed into law in 2024, the act is a groundbreaking step toward

What is the Plan Annual Notice of Change (ANOC)? If you’re enrolled in a Medicare plan, you can expect a crucial document each fall known as the Plan Annual Notice of Change (ANOC). This document provides important details about any changes to your current Medicare plan, including updates on coverage, costs, or service areas for

Three Key Points: Redetermination Request (CMS-20027): Start your Medicare appeal with this form if you disagree with a coverage or payment decision. Medicare Reconsideration Request (CMS-20033): Use this for a second appeal if you’re unsatisfied with the first decision. Request for Administrative Law Judge Hearing (OMHA-100): The third step involves requesting a hearing with an