The standard design of the Medicare Part D benefit currently has four distinct phases, where the share of drug costs paid by Part D enrollees, Part D plans, drug manufacturers, and Medicare varies (Figure 1). (The Part D enrollee shares reflect costs paid by enrollees who are not receiving low-income subsidies.) If you have any questions or concerns please contact your Total Benefit Solutions, Inc Medicare health insurance specialist at (215)355-2121.
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Medicare insurance can seem complex on your own. We’re here to help! Medicareful is our easy-to-use Medicare plan finder that compares some of the available plans in your area and connects you with a Total Benefit Solutions, Inc. licensed sales agent who will guide you through enrollment. Whether it’s a Medicare Supplement, Medicare Advantage Part C Plan, or a Medicare Part D drug plan, we’ve got you covered. https://medicareful.com/totalbenefitsolutions Download our Medicare cheat sheet below to help you keep track of your most important points while shopping for a Medicare supplement! Contact Total Benefit Solutions, Inc today at 215-355-2121 or www.totalbenefits.net to get started.
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Independence Blue Cross (Independence) is required to collect information from group customers with 300 or fewer employees regarding their employer size to ensure proper coordination of benefits and reporting under the Medicare Secondary Payer (MSP) laws. This information is used by The Centers for Medicare & Medicaid Services (CMS) to determine whether Independence or Medicare is the primary payer of claims for Medicare-eligible employees. We are mailing MSP notification letters this week to customers directing them to our MSP group size webpage, where they will find additional information on MSP and can complete a required survey. The survey must be completed by December 31. Customers will need their CID number (provided on the… Read More
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MA plans have adopted more restrictive criteria commonly used by commercial health insurance carriers, found consulting firm Crowe. Medicare Advantage plans denying more inpatient claims MA plans have adopted more restrictive criteria commonly used by commercial health insurance carriers, found consulting firm Crowe Healthcare systems have found themselves in precarious financial standing due to a dramatic increase in the number of inpatient claims being denied by health insurers based on the lack of medical necessity, according to data collected by accounting and technology firm Crowe. These level-of-care reimbursement disputes are especially rising in frequency among Medicare Advantage plans. Read the full story by clicking the link below. https://www.healthcarefinancenews.com/news/medicare-advantage-plans-denying-more-inpatient-claims As always if you have any… Read More
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The Medicare Advantage Open Enrollment Period (OEP) is different than the annual election period in the fall. The MA OEP happens annually from January 1st to March 31st. The OEP allows beneficiaries who are enrolled in a Medicare Advantage Plan to make a one-time change. Beneficiaries can use the Medicare OEP to: The Medicare OEP does not allow a beneficiary to change from one Part D plan to another Part D plan. The reason for the OEP is that Medicare beneficiaries are often confused about Medicare Advantage plans. They don’t understand how these plans work or they may not realize the plan has a network. Some Medicare beneficiaries try to make their… Read More
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