Published by: medicarerights.org If you think you’re being discharged from the hospital too soon, you do have the right to file an appeal. You should’ve gotten a notice that explains this right titled, Important Message from Medicare when you were admitted. If you were there more than 3 days, you should receive another copy of […]
How do I appeal if my hospital stay is ending too soon? Read More »
Published by: medicarerights.org Many people with Medicare Part D drug coverage—in particular those who reach the catastrophic coverage phase—may experience unexpected costs and significant confusion as their out-of-pocket obligations change throughout the year. The Inflation Reduction Act (IRA) brings much-needed consumer protections and predictability to these coverage phases, limiting financial exposure for everyone and generating
Published by: medicarerights.org There are indeed some changes coming in 2025, and you might’ve received an eligibility letter about it earlier this year. A new program called the Postal Service Health Benefits (PSHB) program will be offering health insurance to eligible Postal Service employees, retirees, and their eligible family members. PSHB will replace your current
What are Postal Service Health Benefits? Read More »
Published by: medicarerights.org In the first week of April, the Centers for Medicare & Medicaid Services (CMS) announced the 2025 payment rates for Medicare Advantage (MA) and Part D plans. The final policies largely align with those proposed in the Advance Notice and are expected to increase Medicare payments to MA plans by 3.7%—over $16
Medicare Advantage Payments to Remain on the Rise in 2025 Read More »
Published by: National Institute on Aging There are many types of services available to help meet the long-term care needs of an older person living at home. Family members and friends may be able to help with some personal and household tasks. But you might want to hire professionals to assist with others. Home health
Services for Older Adults Living at Home Read More »
Published by: medicarerights.org During the week of March 25, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to make enrolling and staying in Medicaid easier, especially for older adults and people with disabilities. This rule is a companion to one finalized last fall that streamlined enrollment into Medicare Savings Programs (MSPs). Medicaid
Important Final Rule Streamlines Enrollment into Medicaid Read More »
Published by: medicarerights.org Good news from Medicare! It now covers prescriptions for the oral antiviral COVID-19 treatment, Paxlovid, through the end of 2024. You can access it in a couple of different ways. If your Part D plan participates in the Paxlovid patient assistance program, you can have your prescription filled free of cost at
Will Medicare cover my Paxlovid prescription? Read More »
Published by: medicarerights.org The donut hole—the coverage gap—can be very confusing! Here’s what you need to know: There are four phases of Part D coverage in 2024: the deductible, initial coverage period, coverage gap (or donut hole), and catastrophic coverage. During the deductible, you are responsible for the full cost of your medications. After you
What is the Part D donut hole? Read More »
Published by: medicarerights.org The Affordable Care Act (ACA), passed 14 years ago during the week of March 21, strengthened Medicare and Medicaid and created important coverage guarantees and consumer protections for people of all ages. From expanding access to affordable care to preventing discrimination based on health status, as well as improving Medicare’s financial status,
After 14 Years, ACA Protections Remain Crucial for Older Adults Read More »
Published by: Medicare.gov Medicare fraud and abuse can happen anywhere and usually results in higher healthcare costs and taxes for everyone. Some examples include: If you suspect Medicare is being charged for an item or service you didn’t get, or your Medicare card or number is stolen, call 1-800-MEDICARE 1-800-633-4227 to report suspected fraud or
Reporting Medicare fraud & abuse Read More »