Of note, CMS has lifted the six (6) year limit on Amended Review—meaning legacy claims with previous approvals too old formerly for reconsideration may now be eligible for reduction, assuming the other parameters of the program are met. This may allow for complete closure of open claims, wi...
Doctors, hospitals, and other providers are willing to provide discounts to the managed care plan in exchange for a steady flow of patient referrals. And so Medicare Advantage plans tend to limit coverage for non-emergency care provided out-of-network. As a result, Medicare Advantage plans tend...
2024 Medicare Part D costs: -- Initial Deductible will increase by $40, from $505 in 2023 to $545 in 2024. -- Initial Coverage Limit will increase by $370, from $4,660 in 2023 to $5,030 in 2024 when the “Donut Hole” begins. -- Donut Hole (Coverage Gap) begins once you reac...
Groups fighting wheelchair limit: Medicare plans $5,300 max, stair- climbing iBot costs $26,100Kerry Young
Expanding hearing coverage in Medicare: The BBB would expand Medicare fee-for-service (FFS) to cover hearing services, including hearing aids, starting in 2023. This would limit hearing aid coverage to no more than once per year over a five-year period. Notably, the BBB would not expand Med...