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Continue reading →: The Partial Hospitalization Program
Over the years, I have noticed that Medicare has become increasingly attentive to mental health issues—and they’re taking steps to help. The Partial Hospitalization Program (PHP) is one such initiative. PHP is a structured outpatient treatment program under Medicare designed for individuals with mental health conditions. It offers more intensive…
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Continue reading →: Medicare Low Income Subsidiary Program
Let’s discuss the Medicare Low Income Subsidiary program. The program is called LIS for short and is also known as “Extra Help.” What is it: The LIS program helps people with limited income and resources pay for their Medicare Part D prescription drug costs, including premiums, deductibles, and copayments. Who…
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Continue reading →: Deductibles and Switching Advantage Plans Mid-Year
What happens to your medical and drug deductibles if you switch plans mid-year? Medicare Advantage (MA) plans operate on a calendar year basis (January-December) for deductibles. When you switch plans mid-year: 1. Medical Deductibles: Any amount you’ve paid toward your deductible on your old plan does NOT transfer to your…
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Continue reading →: Medicare Coverage for Motorized Scooters: What You Need to Know.
If you’re struggling with mobility issues, a motorized scooter (also known as a power-operated vehicle or POV) could significantly improve your quality of life. But how does Medicare coverage work for these devices? Let’s break it down. Medicare Part B Coverage Medicare Part B can cover motorized scooters under specific…
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Continue reading →: Dual Special Needs Plans (DSNP)
Are you eligible for both Medicare and Medicaid? If so, you’re what’s known as a “dual eligible” beneficiary, and you may be missing out on valuable benefits if you haven’t explored dual Medicare Advantage plans. As a specialist in these plans, I’m here to help you understand how they can…
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Continue reading →: Medicare and Diabetic Supplies
By now you are aware that Medicare has capped the cost of most insulins to $35 per month. But what about the supplies needed to use that insulin properly. Lets talk about supplies needed to inject insulin, including syringes, needles, alcohol swabs, and gauze. Let’s break down which part of Medicare covers…
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Continue reading →: Medicare Eligibility vs. Enrollment
Medicare Eligibility vs. Enrollment: Understanding the Difference Between ‘Entitled To’ and ‘Enrolled In’. The terms “entitled to” and “enrolled in” have distinct meanings when discussing Medicare: 1. Entitled to Medicare: This means a person meets the eligibility requirements for Medicare coverage. Typically, this includes: – Being 65 years or older…
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Continue reading →: Requirements for Medicare Part D coverage
We know that you must have Medicare Part A and part B in order to get a Medicare Advantage or Supplement plan. So what are the requirements for Medicare Part D? Surprise, Part D is a little different. And, why wouldn’t it. You do not have to have both Medicare…
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Continue reading →: Why you may See a small Part B Giveback in 2025
As we look ahead to 2025, some Medicare beneficiaries may notice a small Part B giveback. This development has left many wondering about the reasons behind this change. Let’s dive into the factors contributing to this situation. To comply with Medicare regulations, I will review the basics and NOT present…
Hello,
I’m Jack
My intention is to help make Medicare a little easier to understand.
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Jack's Blog on Medicare Plan Choices 