ACA Refunds & Employer Contributions

ACA Refunds & Employer Contributions The statement about the Affordable Care Act (ACA) refunding employer contributions up to a certain percent is partially accurate but requires clarification. Here’s what’s important to understand: 1. The ACA doesn’t directly refund employer contributions: While the ACA provides various mechanisms for employees and individuals to receive premium subsidies or…

LTC Insurance

Medicare Advantage when Compared to Original Medicare

Medicare Advantage when Compared to Original Medicare A recent study conducted by Harvard Medical School and Inovalon indeed suggests that Medicare Advantage plans may offer higher quality of care compared to Original Medicare in certain aspects. Here’s a breakdown of the key findings: Lower Readmissions and Preventable Hospitalizations: The study found that Medicare Advantage enrollees…

Medicare Open Enroll

2 Days Left for Medicare Open Enrollment!

2 Days Left for Medicare Open Enrollment! Medicare Open Enrollment is your chance to review your current Medicare coverage and make changes for the following year. This includes: Switching Medicare Advantage plans Adding or dropping Medicare Part D prescription drug coverage Joining a Medicare Advantage plan for the first time The Open Enrollment period for…

new to Medicare

New To Medicare?

New to Medicare? If you are new to Medicare, there are a few things you need to know. Medicare is a health insurance program for people age 65 and older, and people with certain disabilities. It is important to sign up for Medicare on time to avoid late enrollment penalties. Here are some steps you…

Medicare Open Enroll

Medicare Beneficiaries Have Until Dec. 7 To Change Coverage

Medicare Beneficiaries Have Until Dec. 7 To Change Coverage. Medicare open enrollment is a time each year when Medicare beneficiaries can make changes to their Medicare health and prescription drug coverage for the coming year. This year, open enrollment runs from October 15 to December 7, 2023. During open enrollment, Medicare beneficiaries can: Switch to…

medicare HMO

Medicare HMO-POS

Medicare HMO-POS Medicare HMO-POS stands for Health Maintenance Organization Point-of-Service. It is a type of Medicare Advantage plan that combines the features of an HMO (Health Maintenance Organization) with the flexibility of a POS (Point-of-Service) plan. With an HMO-POS plan, you must choose a primary care physician (PCP) who will coordinate your care. You must…

Medicare N

What Does Medicare Plan N Cover?

What Does Medicare Plan N Cover? Medicare Plan N is a Medicare Supplement plan that helps to pay for out-of-pocket costs associated with Medicare Part A and Part B, such as deductibles, copays, and coinsurance. Specifically, Medicare Plan N covers the following: Medicare Part A coinsurance for hospital stays (up to an additional 365 days…

Medicare group insurance

Medicare with Small Group Insurance

Medicare with Small Group Insurance Medicare is a federal health insurance program for people age 65 and older, as well as people with certain disabilities and end-stage renal disease (ESRD). Small group insurance is health insurance that is offered by employers to their employees. How Medicare works with small group insurance depends on the size…