Medicare and Program of All-Inclusive Care for the Elderly (PACE)
PACE is a comprehensive Medicare and Medicaid program that provides all-inclusive care for elderly individuals who need nursing home level care but can still live safely in their community. To qualify for PACE, you must be 55 or older, live in a PACE service area, be certified by your state as needing nursing home care, […]
What is the Medicare Diabetes Prevention Program?
The Medicare Diabetes Prevention Program is a proven health behavior change program to help you prevent type 2 diabetes. Medicare covers the Medicare Diabetes Prevention Program once in your life if all of these conditions apply to you: – You have Medicare Part B (Medical Insurance) or a Medicare Advantage Plan – You have a […]
Getting Started with Medicare – 5 tips for using Medicare
1. Create your secure Medicare account to access your information anytime. You can also: – Add your prescriptions to help you better compare health and drug plans in your area. – View your Original Medicare claims as soon as they’re processed. – Print a copy of your official Medicare card. – Review a list of […]
Medicare Decisions for Those Over 65 and Planning to Retire in the Next 6 Months
If you’re over 65 and planning to retire within six months, timing your Medicare enrollment correctly is crucial to avoid gaps in coverage and penalties. When you have employer coverage through your own job, you can delay Medicare enrollment past 65 without penalty, but you must act within eight months after your employment ends or […]
What is the Additional Medicare Tax?
As a result of the Affordable Care Act (ACA), the Additional Medicare Tax was added in 2013. Additional Medicare Tax rates are 0.9 percent and apply to highly compensated workers. Individuals are liable for Additional Medicare Tax if their wages, compensation, or self-employment income (together with their spouse’s income if filing a joint return) exceed […]
Who Should Get a Medicare Supplement Plan G?
It may be a good idea for you to consider a Medicare Supplement Plan G if you fall into the following categories: * Are receiving your Part A and Part B benefits under Original Medicare and wish to have comprehensive coverage for most of your out-of-pocket expenses. * Would like to see any Medicare provider […]
What is the Medicare Shared Savings Program?
Medicare Shared Savings Program (MSSP) is a program created by the Centers for Medicare & Medicaid Services (CMS) that promotes accountability among providers and reduces costs for beneficiaries. As part of the MSSP, providers are encouraged to form Accountable Care Organizations (ACOs) to provide high-quality coordinated care at a lower cost to Medicare beneficiaries. ACOs […]
Does Medicare Cover Physical Therapy?
Physical Therapy Coverage by Medicare Outpatient physical therapy, occupational therapy, and speech therapy are covered by Medicare Part B. Private practice therapists, outpatient hospital departments, and skilled nursing facilities provide these services. What are the Limits on Physical Therapy? The Medicare therapy spending cap has been eliminated as of 2019. Therefore, Medicare does not limit […]
Seven life-changing events that can exempt you from Medicare premium surcharges
Seven qualifying life-changing events can help you avoid Medicare premium surcharges if your income has decreased. These events include death of a spouse, marriage, divorce or annulment, work reduction such as switching to part-time employment, work stoppage from retirement or layoffs, loss of income from property due to disasters or theft, and loss of pension […]
What chiropractic services doesnt Medicare cover?
Medicare does not limit the number of chiropractic visits covered, but only medically necessary spinal manipulation to correct subluxations is covered. It won’t cover regular maintenance or preventive chiropractic visits or chiropractic treatments to other parts of the body. Medicare will cover the cost of a physician-ordered X-ray that’s needed to validate that a spinal […]