MHI – Medicare Blog

Q: Can my Part D plan remove drugs from their formulary during the year?

Monday, January 23, 2017

p.p1 {margin: 0.0px 0.0px 10.0px 0.0px; font: 12.0px 'Times New Roman'} A: Part D plans are allowed to remove drugs from their formulary during the year. Removing a drug from the formulary, increasing it to a higher cost sharing tier or adding a restricti ...


Q: Does Medicare cover nursing home costs?

Monday, January 16, 2017

A: It’s a bit of a trick question. Medicare may pay for a short stay in a nursing home under very specific conditions but it will not pay at all if the only reason you are there is because you are no longer able to take care of yourself. In order fo ...


Q: What is the Medicare General Enrollment Period?

Monday, January 9, 2017

A: Think of it as your chance to do what you should have done during your Initial Enrollment Period. If you did not sign up for Part A and Part B when you were first eligible, you will not be able to enroll until the General Enrollment Period (GEP). The G ...


Q: Are there out-of-pocket limits on Medicare Advantage and Medicare Supplement plans?

Monday, December 19, 2016

A: Medicare Advantage plans have a maximum out-of-pocket (MOOP) of $6,700 in 2017. This amount represents the most you would have to pay in copays and/or coinsurance for Medicare-covered health services in a calendar year. In the event you reach that amou ...


Q: What are the 2017 Part A and Part B premiums and deductibles?

Monday, December 12, 2016

A: The new Medicare premiums, deductibles, and cost-sharing amounts have been announced for 2017. Part A 2016 2017 Hospital Deductible $1,288 $1,316 Hospital Copayment $322/day for days 61-90; $644/day for days ...


​Q: Are there some medications not covered by Part D?

Monday, December 5, 2016

A: There are some medications not covered by Part D plans.  Medicines covered by Part A or Part B won’t be covered by Part D. Any medications you get while in the hospital as an inpatient or in a skilled care facility are covered by Part A. Par ...


Q: Is there such a thing as a Medicare plan with a zero dollar premium?

Monday, November 28, 2016

A: There are three general types of insurance to go along with your Medicare – Medicare Supplement plans (also called Medigaps), Part D drug plans and Medicare Advantage plans (also called Part C). A few Medicare Advantage plans do have zero dollar ...


Q: Can I use mail order for my diabetic testing supplies?

Monday, November 21, 2016

A: You can order your test strips and lancets through Medicare’s National Mail Order Program for diabetic testing supplies. Although oral diabetic medications and injectable insulin are paid for by Part D, diabetic testing supplies are paid for by M ...


Q: My doctor just told me I have diabetes. She told me that I need to make changes to my diet and get more exercise and stop smoking and…

Monday, November 14, 2016

A: November is National Diabetes Month. It’s a good time to make sure you understand how you can prevent complications from this disease. A diabetes diagnosis brings with it an increased risk of heart attack, stroke, nerve damage and kidney disease. ...


Q: Can I switch from one Medicare Supplement to another?

Monday, November 7, 2016

A: You can switch from one Medicare Supplement to another Medicare Supplement at any time during the six month period following your Part B effective date.  Your ability to switch supplements after that time depends on your ability to pass medical un ...


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