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Everything you need to know about Medicare starts here: there are three ways to receive Medicare coverage: Original Medicare, Medicare Advantage, and Medicare Part D. Each option has its own benefits and costs. 

Plans F and G are the most popular Medigap plans because they take away ugly healthcare billing surprises. High-deductible F and G Medigap plans do the same thing, but choosing these plans means you have to have enough savings to pay the annual deductible upfront.

Original Medicare includes Medicare Part A  (Hospital Insurance) and Medicare Part B (Medical Insurance).  The Government pays for 80% of all Medicare-covered and Medically Necessary procedures, while you, the Medicare Beneficiary, pa for the other 20% of health services not paid for by Medicare. You typically pay for services as you receive them. When you get services, you’ll pay a deductible at  the start of each year, and you usually pay 20% of the cost of the  Medicare-ap

What makes matters confusing to the public is that it is different from any Healthcare we have ever had, and it uses words, concepts, and acronyms we have never seen or heard of before. However, once you have a chance to work with someone who not only understands Medicare but also has the requisite skills and attributes to teach and explain it to others, it becomes much less daunting. In this article, I have tried to encapsulate Medicare in a basic but friendly format that

If you’re 65 or older, you are eligible for Medicare. You may elect employer coverage instead of Medicare if you or your spouse is actively employed and your employer offers creditable coverage. Generally, if your employer has more than 20 employees, Medicare considers its Group Health Plan creditable. If your employer has fewer than 20 employees, Medicare does not consider your Group Health Plan creditable coverage. In this case, you should consider dropping your plan and en

Currently, and since 2020, Medicare Supplement Plan G has been the most popular and the most purchased Medicare Supplement plan, and it is not even close. As of January 1, 2020, Medicare Supplement Plan F was the most popular plan; however, it is no longer available to anyone who was not 65 before 1/1/2020. Since then, Plan G has taken over.

The reason Special Needs Plans exist is to better serve individuals with a Team approach to their care. Having multiple "Specialists" in their networks is vital to these individuals receiving the best possible care possible. It is also an efficient way to coordinate resources for the Insurance companies. Medicare SNPs typically have specialists in the diseases or conditions that affect their members.

From this article, you’ll learn about what Medicare costs you can deduct from your taxes. We will talk in-depth about Medicare expenses that are and are not deductible, about whether and when the self-employed can deduct their health insurance premiums, and whether or not you can pay for your Medicare premiums with your HSA funds.

A Medicare PFFS Plan is a type of Medicare Advantage Plan (Medicare Part C) offered by a private insurance company. PFFS plans aren’t the same as Original Medicare or Medigap. The plan determines how much it will pay doctors, other health care providers, and hospitals, and how much you must pay when you get care.  

The Fall Opera Enrollment Period runs from October 15th to December 7th. Here is what you can do during this critical time: If you are a Medicare Advantage Member, you can choose to stay with your current Medicare Advantage Plan, as long as your plan is still available. If that is what you decide to do, then you do not need to do anything else. Your plan will automatically renew on January 1st.

CAN YOU CANCEL YOUR MEDICARE ADVANTAGE PLAN? Yes, you can cancel your Medicare Advantage plan. You need to qualify for one of the four Medicare Enrollment Periods during the Medicare Plan Year. The short answer is yes; however, you can only do this during certain times of the year, and there are a few trap doors you need to navigate. But if you are truly unhappy or dissatisfied with your Medicare Advantage Plan, this Article is definitely what you need to read.

What do we mean by Do All Doctors Accept Medicare? The Term "Accepts Medicare" refers to Doctors who have signed an agreement with the Government to see and treat patients, using the national Medicare Fee Schedule for the rates they charge for a given appointment, treatment, or service. No, not all doctors in America accept Medicare. A few do not take it, but the overwhelming majority of physicians and other Healthcare professionals accept Medicare.

Medicare uses Prior Authorization to ensure that certain medical services or prescription drugs meet specific coverage criteria before they are approved and paid for. Prior Authorization rules are implemented as cost-saving measures. Medicare wants to ensure that every Medical Procedure is medically necessary for the beneficiary's health.

DOES MEDICARE PROVIDE FOR ASSISTED LIVING FACILITIES? No, Assisted living facilities are often referred to as Long Term Care Facilities. These facilities serve individuals requiring non-medical custodial care and assist with daily activities they cannot perform on their own. These ADLs (Activities of Daily Living) include Dressing, Bathing, Medication Management, getting in and out of a Chair or a Bed, Walking Independently, going to the Restroom, and eating.

A Medicare Insurance Broker, also known as a Medicare Broker or Medicare Agent, undergoes extensive training on Medicare law and Medicaid services and is officially certified by insurance companies by CMS guidelines. They are required to adhere to stringent regulations, particularly about marketing and enrollment, ensuring full compliance with Medicare, state insurance regulations, and private insurance companies.

Did you know that the two most significant factors in a successful retirement plan are retirement income and healthcare costs? Everyone should spend some time with a Medicare Broker to get a feel for what Medicare will cost in retirement.  I know you cannot be 100% accurate in projecting premiums too far in advance, but retirees need to understand the financial implications of Healthcare once they retire.   You need to plan for and understand Medicare effectively.  

You may never need to file a Medicare Claim, but if you do, we want to provide you with step-by-step instructions on how to file a Medicare Claim in the event you ever need it.

When it comes to Medicare for Veterans, Veterans and their families are required to be enrolled in Medicare Part B in order to receive and take advantage of their VA Health Benefits.

I know most Medicare Beneficiaries understand what they can do and what they need to do during AEP, which runs from October 15th through December 6th each year. Hopefully, this article is a quick read and full of timely information, serving as both a reminder and a call to action where applicable. Enjoy....................................

Here at Braden Medicare Insurance, it is almost an oxymoron to say the words Medicare and Reader's Digest Form in the same sentence. That is simply because Medicare is so broad and complex that it is challenging to encapsulate the concepts in a book, let alone a chapter, and have them make sense. In this article, we have done our best to present the condensed Reader's Digest version of Medicare. We hope you find the article helpful and worthwhile.