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Continue reading →: Continuous Glucose Monitors
Medicare, Diabetes, and Continuous Glucose Monitors (CGM) Managing diabetes can be complex, but Medicare offers coverage to help with many of the costs—especially for insulin and monitoring supplies. Here’s a simple overview of what’s covered and how it works. What Medicare Part D Covers: What Medicare Part B Covers: Continuous…
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Continue reading →: April 2025 – New Social Security Anti-Fraud Measures
The Social Security Administration (SSA) has taken steps to protect you from scams and identity theft. These changes are especially important for seniors, who are often the main targets of fraud. I hate to report it, but I do get multiple phone calls every week form my customers who have…
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Continue reading →: Do Medicare Agents Need Written Permission to Call You?
When it comes to Medicare Advantage Plans and Drug Plans. You bet they do! CMS (Centers for Medicare & Medicaid Services) requires agents to have Permission to Contact (PTC) before making sales calls. This means: ❗ Exceptions: Here is what I do when I get an unwanted Medicare Plan sales…
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Continue reading →: How Medicare Advantage Started
How Medicare Advantage Started and How It Works Medicare Advantage (MA) is a type of health insurance for people on Medicare. It was created to give people more choices beyond the basic government-run Medicare plan. It all started with the Balanced Budget Act of 1997, which added a new section,…
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Continue reading →: Healthcare Price Transparency
The May 2025 Compliance Deadline I refer to this as a “New Rule” to get things started, but in reality, the regulation has been in place since 2019—it just hasn’t always been enforced. What’s new? As of now, all healthcare organizations must be fully compliant by the end of May…
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Continue reading →: Medicare and Cataract Surgery
Does Medicare Cover Cataract Surgery? Here’s What You Need to Know I recently received a question about Medicare and cataract surgery, and I was confident in my response—Medicare Part B covers cataract surgery when it is medically necessary. But then came the follow-up question, and that’s when I had to…
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Continue reading →: Understanding the Flu in 2025
As we step into 2025, the seasonal flu remains a significant health concern, affecting millions of people and possibly someone you know. This year, the focus is on the trivalent flu strain, which encompasses three distinct influenza viruses. I am not pushing the flu vaccination, I’m just passing on what…
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Continue reading →: Looking Back at the 2025 AEP Season
Medicare Mayhem: My Year-End Survival Guide Another Medicare Annual Enrollment Period (AEP) has come and gone, and whew, what a wild ride it’s been! This season was like navigating a complex maze. The healthcare landscape shifted like sand beneath our feet, testing the resilience of clients and agents alike. The…
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Continue reading →: Understanding Medicare Payments After a Loved One’s Passing
When a person enrolled in Medicare, Medicare Supplement (Medigap), or a Medicare drug plan (Part D) passes away, here’s what typically happens to the payments: 1. Medicare Premiums 2. Medigap (Medicare Supplement) Plans 3. Medicare Prescription Drug Plans (Part D) 4. Reimbursement of Claims 5. Steps for Families Here is…
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Continue reading →: 2025 Medicare Premiums and Deductibles
Medicare has announced the 2025 premiums and deductibles for Parts A and B. For Medicare Part B enrollees, the standard monthly premium will be $185.00 in 2025, reflecting a $10.30 increase from the $174.70 premium in 2024. Similarly, the annual deductible will rise to $257, up $17 from $240 in…
