Why Medicare Won’t Cover Paxlovid

Paxlovid is an experimental oral COVID-19 treatment, and as with other experimental treatments, it’s not covered by Medicare. This is because Medicare does not cover any experimental treatments that have not been proven to be safe and effective. Therefore, if you are seeking therapy for COVID-19, you may not be able to have Paxlovid covered

Why Medicare Won’t Cover Paxlovid
How the Leqembi FDA Approval Affect Medicare Beneficiaries

The Food and Drug Administration has provided approval of Leqembi as a treatment option for mild to moderate Alzheimer’s disease. It works by blocking a specific enzyme responsible for the production of amyloid beta, a protein responsible for forming plaques in the brain, a hallmark of Alzheimer’s disease. Leqembi is the first drug to receive

How the Leqembi FDA Approval Affect Medicare Beneficiaries
What to Expect With The Medicare Part B Decreases for 2023

Each year the Centers for Medicare and Medicaid Services review the spending from the federal Medicare Program to project cost changes for the following year. While this is necessary, many Medicare beneficiaries become nervous waiting for the new numbers and expect increases. Fortunately, in 2023, these costs will be lowered from the previous year. We’ll

What to Expect With The Medicare Part B Decreases for 2023
How the Inflation Reduction Act of 2022 Will Impact Medicare

One of the biggest concerns for Medicare beneficiaries is their prescription drug costs. For some seniors, it’s the difference between life and death. Unfortunately, as inflation runs rampant across the nation, it’s getting harder for them to pay for their medications. Fortunately, this could be better with the changes in the Inflation Reduction Act of

How the Inflation Reduction Act of 2022 Will Impact Medicare
Changes to Medicare HSA Contributions

HSA or Health Savings Accounts are growing more popular every year. The increase in popularity within this style of plan is a result of growing insurance and healthcare costs. More than 32 million HSA accounts are currently active in the United States and receiving contributions. One of the lesser-known items is that you can no

Changes to Medicare HSA Contributions
How Price Transparency Would Impact Medicare Beneficiaries

Health care costs are a source of pain and anguish for many Americans. On January 1st. 2021, the Federal Government implemented a new law that went into effect to force hospitals to be more transparent about their charges. So far less than 20% of all hospitals are in compliance with the new rules. There are

How Price Transparency Would Impact Medicare Beneficiaries
Medicare & Budget Sequestration: What You Need to Know

Medicare is a vital program for many Americans, but it’s also one that’s been in the news a lot lately because of budget sequestration. Here’s what you need to know about how the sequester affects Medicare. Medicare & Budget Sequestration Medicare and the federal budget are in the news lately, as Congress — made up

Medicare & Budget Sequestration: What You Need to Know
Medicare Program Will Now Take on Postal Service Retirees

After passing in the house in February, the Postal Service Reform Act of 2022 was passed in the Senate with bipartisan support on March 8, 2022, with a vote of 79-19. The bill will now be passed to President Biden to sign into law. Already-Stressed Medicare Program Will Now Take on Postal Service Retirees Despite

Medicare Program Will Now Take on Postal Service Retirees
CMS Proposed Rule to Medicare Coverage Waiting Periods

The Centers for Medicare & Medicaid Services recently proposed a rule change that would affect the current Medicare coverage waiting periods. Currently, the rules are pretty reasonable, but these new changes could be a quality improvement for Medicare beneficiaries that fall into certain categories. Eligibility for the Medicare Program To be eligible for the Medicare

CMS Proposed Rule to Medicare Coverage Waiting Periods
Medicare Advantage Plans Deny Needed Care

Although the majority of requests for services and payment are approved, the U.S. Department of Health and Human Services (HHS) has recently reported that Medicare Advantage denies millions of medically necessary care requests. About 28 million beneficiaries are enrolled in Medicare Advantage plans, which offer privatized versions of Medicare that are often cheaper and provide

Medicare Advantage Plans Deny Needed Care