So yes, you can get test strips under Medicare as part of your CGM supplies. The crucial part of this policy is the mention of supplies billed separately being denied because of being “unbundled.” Bundled versus unbundled. Bundled is when my CGM DME supplier provides me with a meter and ...
September 27, 2022 – Medicare Part B premiums and deductibles will decrease in 2023, while Part A costs will rise, according to a fact sheet released by CMS. Medicare Part B offers coverage for physician services, outpatient hospital services, certain home healthcare services, durable medical eq...
Medicare Part B premium (and IRMAA, if applicable) Medicare Part A premium (if applicable) Medigap plan premium Medicare Part B Deductible –All Medigap plans except Medigap Plan C and Plan F Copayments – Not applicable on all plans Coinsurance – Not applicable on all plans Medigap insura...
The federal government distributes Original Medicare benefits (Medicare Part A and Part B), but supplemental coverage like Parts C and D are provided by private carriers. Furthermore, there are Medicare coverage guidelines to follow that will help determine how you enroll. ...
This enrollment is extended for those who enrolled in Medicare Part B after the age of 65. During this open enrollment period insurance companies cannot use medical underwriting to turn you down for insurance, make you wait for coverage, or charge you a higher premium. An insurance company ...
Medicare Savings Programs (MSPs) help low-income Medicare beneficiaries to pay some Medicare Part A and B costs.
On October 24, the HHS Office of Inspector General (OIG) released a report titled “Medicare Advantage: Questionable Use of Health Risk Assessments Continues to Drive Up Payments to Plans by Billions.” In evaluating 2022 MA...more Groundbreaking Approvals for Medicaid and CHIP Coverage of Tradit...
The most sweeping set of regulatory changes to the Medicare Advantage program since the Medicare Modernization Act of 2003 will go into effect in the next three years, affecting rates, risk adjustment, Star ratings, and Part D. To adjust, these changes necessitate a nimble response from payers....
In regards to the seed money, CMS specifically included in this version that “In a structured WCMSA, an initial deposit is required to cover the first surgery or procedure for each body part, and/or replacement and the first two years of annual payments.” Furthermore, CMS goes on to no...
The remaining beneficiaries stick with basic Medicare and may pair it with a so-calledMedigap policyand a stand-alone Part D plan. Be aware that higher-income beneficiaries pay more for drug coverage; see the chart below. Late-enrollment penalties last a lifetime. For Part B, that s...