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 […]
How does the Social Security Income-Related Monthly Adjusted Amount (IRMAA) affect me?

If your income is above a certain level you may be required to pay an additional amount called “The Medicare Income-Related Monthly Adjustment Amount (IRMAA)” This is added to your Part B or Part D premiums. The Social Security Administration (SSA) sets four income levels used to determine if you must pay an IRMAA. This […]
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 […]
Do I have to Sign Up for Medicare at Age 65?

You don’t have to sign up for Medicare at age 65, but delaying enrollment can have serious financial consequences. If you’re still working and have employer health coverage, you can delay Medicare enrollment without penalty through a Special Enrollment Period that extends eight months after your employment or coverage ends, whichever comes first. However, if […]
What is the Medicare Cross-over Option?

Medicare Cross-over is designed to eliminate some of the paperwork involved in filing medical claims. Some plans have an agreement with Medicare to crossover claims for any services that Medicare processed as primary. Medicare will automatically forward your Medicare Summary Notice (MSN) to those plans for services you receive throughout the United States. Claim forwarding […]