Blog
Dept of Health & Human Services Final Rule on Medicare Prior Authorization: A Tool
By: Chris Grimmond • On: May 13, 2024
Prior authorization has arisen as an issue for Medicare Advantage Organizations (MAO)—insurance companies—and Medicaid–states. According to consumer claims, consumers are denied needed coverage unnecessarily. You can imagine the pain and hardship this causes. What if there was a Medicare prior authorization tool providers, insurance companies, and patients could use to communicate with one another? Congress […]
Does Traditional Medicare Require Prior Authorization?
By: Chris Grimmond • On: April 15, 2024
People ask, what is the difference between Traditional Medicare (only Part A & Part B) and Medicare Advantage (or Part C)? Traditional Medicare does not require prior authorization. Prior Authorization Contains Cost Medicare Advantage is managed healthcare, similar to your health insurance policies under an employer health plan. A tool that managed healthcare uses is […]
Does Medicare Advantage Require Prior Authorization?
By: Chris Grimmond • On: April 10, 2024
Are you considering enrolling in a Medicare Advantage plan? Before making a decision, it’s crucial to understand the coverage options and potential limitations. One common concern is whether Medicare Advantage plans can deny coverage because they require prior authorization. Medicare Advantage plans, or Medicare Part C, are offered by private insurance companies approved by Medicare. […]
Medicare Payment for 2024: How to set it up
By: Chris Grimmond • On: March 30, 2024
Over the years, the process I use to introduce clients to Medicare and Medicare insurance has evolved. This evolution has been based on my personal and professional growth. The process has evolved chiefly because Medicare and insurance companies have evolved. Clients and their needs change and evolve as well. Paying for Medicare is one of […]
How Medicare Covers Ozempic for Weight Loss
By: Chris Grimmond • On: March 26, 2024
Finding effective solutions to manage weight loss can sometimes feel like searching for a needle in a haystack. But what if there was a medication that could help you on your journey? Enter Ozempic, a breakthrough drug making waves in the weight loss community. Does Medicare cover Ozempic for weight loss? In this article, we […]
Medicare Advantage Prior Authorization: Everything You Need to Know
By: Chris Grimmond • On: March 19, 2024
Are you feeling lost and confused about Medicare Advantage prior authorization? You’re not alone. Navigating the healthcare system can be overwhelming, especially regarding insurance processes. But fear not—we are here to demystify it all for you. This comprehensive guide will delve into everything you need to know about Medicare Advantage prior authorization. From understanding what […]
IRS Exceptions for Medicare IRMAA: Reduce Medicare Costs Now!
By: Chris Grimmond • On: March 9, 2024
Are you in the lucky top 4% of earners? You will pay more for your Medicare benefits. The more is IRMAA (Income-Related Monthly Adjustment Amount). The amount you pay for your Medicare health and prescription drug coverage depends on your level of income. There is a ladder. Would you like to avoid paying that tax […]
Medicare Cancer Drug Coverage: Navigating the Implications for Affordability and Access
By: Chris Grimmond • On: March 3, 2024
With the rising prevalence of cancer diagnoses, obtaining affordable and accessible cancer drug coverage with Medicare is critical for patients. Medicare, the government health insurance program primarily for individuals age 65 and older, is vital in ensuring that cancer treatments are financially attainable. Many of my clients will call me when they receive a diagnosis […]
Find A Trustworthy Medicare Advantage Insurance Agents Near Me
By: Chris Grimmond • On: February 27, 2024
Are you searching for a trustworthy Medicare Advantage plan insurance agent near you? Look no further! In this article, we will provide you with key tips and insights to help you find the right agent to meet your healthcare needs. Medicare Advantage plans offer additional benefits beyond the basic coverage of Original Medicare. Choosing the […]
Exploring Medicare Advantage in My Area: Uncover the Benefits
By: Chris Grimmond • On: February 20, 2024
Are you ready to unlock the potential benefits of Medicare Advantage in your area? Look no further. This informative article will explore the advantages of Medicare Advantage plans and how they can enhance your healthcare coverage. Medicare Advantage, also known as Medicare Part C, goes beyond what Original Medicare provides. With a Medicare Advantage plan, […]
