PNW Medicare Advisors, LLC

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Not Affiliated with the US Government or Medicare

Not Affiliated with Medicare or the US Government

Tag: Washington County, Oregon

Here are some of the key changes to Medicare for 2026

Medicare beneficiaries will see several important changes in 2026. The standard monthly premium for Medicare Part B increases to $202.90, up 9.7% from 2025’s $185 premium. The annual Part B deductible also rises to $283, compared to $257 in 2025. These increases reflect rising healthcare costs and will impact most Medicare beneficiaries’ budgets. On the […]

Medicare Prescription Changes for 2026

The Medicare Prescription Payment Plan, which began in 2025, continues in 2026 to help beneficiaries manage out-of-pocket costs for prescription drugs covered under Medicare Part D. This plan works alongside your existing drug coverage, spreading costs over the calendar year from January to December. Key Features: – Available to all Medicare drug plan or Medicare […]

Warning: Medicare Part D Drug Plans May Not Cover Chemotherapy

Medicare Part D drug plans typically do not cover most chemotherapy treatments because chemotherapy is usually covered under Medicare Part B, not Part D. This distinction is crucial for cancer patients to understand when navigating their treatment coverage. Medicare Part B covers chemotherapy drugs that are administered by infusion or injection in a doctor’s office, […]

4 Popular Medications That Medicare Will Never Cover

1 – Compounded treatments Medicare supplements cover most broad categories of medication-the key is to find one that works for you. The reason for this is that compounded medications are not usually approved by the FDA and therefore are not covered by Medicare Part D. 2 – Sexual dysfunction medications Medications for erectile dysfunction and […]

What sort of scams should I watch out for during Medicare open enrollment?

Every year, they are after the same kind of data: Medicare numbers and bank account information. However, fraudsters’ tactics can change from year to year. The scammers thrive on anything that might confuse the Medicare population and target that. As open enrollment begins, beneficiaries will receive text messages and emails requesting their personal information. Medicare […]

Is dialysis covered by Medicare?

Your costs in Original Medicare pay for dialysis services in a dialysis facility. When you have Original Medicare, you’ll have to pay a 20% coinsurance after you pay the Part B yearly deductible. The remaining 80% will be covered by Medicare. Your coinsurance will vary. Depending on whether you have Medicare Supplement Insurance (Medigap) or […]

What is an attained-age Medicare policy?

Your attained age is based on the current year, and the years you’ve lived. So if you were born on December 2, 1952, your attained age in the summer of 2022 would be 69 years. But on your actual birthday during the same year, your attained age would be 70. Some insurance companies use a […]

What Are Medicare Dual Eligible Special Needs Programs?

Dual Special Needs Plans (DSNPs) coordinate care for individuals eligible for both Medicare and Medicaid — otherwise known as dually eligible. Dual Special Needs Plans (DSNPs) are specific Medicare Advantage plans made for duals or dual eligibles. Due to the often-complex nature of social, mental and physical care needs for duals, DSNPs help centralize the […]

What is the Medicare Part B giveback?

Over half of Medicare Advantage plans have $0 premiums. When you enroll in one of these plans, you pay the premium for Part B and the Advantage plan. Some of these plans with $0 premiums go further and offer “giveback” rebates. These rebate the enrollees’ Part B premiums. While most Advantage plans do not provide […]