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Category: Uncategorized

Medicare-Negotiated Prices for 15 More Drugs Begin in 2027

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A significant change is coming for some people who receive prescription drug coverage through Medicare Part D. Beginning January 1, 2027, Medicare-negotiated prices will take effect for 15 additional high-cost medications used to treat conditions such as diabetes, asthma, chronic obstructive pulmonary disease, cancer, digestive disorders, and mental health conditions. These medications join the first 10 drugs with negotiated prices that took effect in 2026, bringing the total to 25. However, a negotiated price is […]

New CMS Program: Certain GLP-1 Medications May Be Available for $50/Month Starting July 2026

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CMS has announced a new, time-limited program called the Medicare GLP-1 Bridge. Beginning July 1, 2026, some Medicare beneficiaries may be able to access certain GLP-1 medications for $50 per month, and CMS says the program is expected to run through December 31, 2027. Which medications are included? CMS’ beneficiary guidance indicates that starting July 1, 2026, the program will include Foundayo®, Wegovy®, and the Zepbound® KwikPen® formulation (and CMS notes this list may change […]

What You’ll Pay for Medicare Part A & B in 2026: A Simple Breakdown

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CMS has announced the official 2026 costs for Medicare Part A and Part B, including premiums, deductibles, and some coinsurance amounts. If you’re on Medicare now or about to enroll, here’s a simple explanation of what’s changing and what it might mean for your budget. Medicare Part A: Hospital Coverage Medicare Part A helps cover inpatient hospital stays, skilled nursing facility care, hospice, and some home health services. The good news is that about 99% […]

Medicare and Dental

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Why Doesn’t Medicare Cover Dental? Plus Options for Seniors When it comes to healthcare in retirement, many seniors are surprised to learn that Original Medicare (Part A and Part B) does not cover most dental services. This means routine exams, cleanings, fillings, dentures, and other essential dental care are out-of-pocket expenses for most beneficiaries. Why Isn’t Dental Covered by Medicare? Medicare was designed in 1965 primarily to cover hospital and medical insurance, focusing on urgent […]

National Nutrition Month

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How Medicare Supports Your Nutrition Journey to Better Health March marks National Nutrition Month, a time dedicated to raising awareness about the importance of healthy eating and making informed food choices. This year’s theme encourages us to “Fuel for the Future,” reminding us that good nutrition plays a key role in maintaining health and well-being, especially as we age. Why Nutrition Matters for Seniors Good nutrition is essential for everyone, but as we get older, […]

How Medicare and In-Home Care Support Aging in Place

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February is Senior Independence Month, a time to highlight the importance of tools and services that help older adults maintain their independence. For seniors recovering from an injury, surgery, or illness, access to therapy, rehabilitation services, durable medical equipment (DME), and in-home care services can be critical for a successful recovery and long-term health. Medicare Coverage: Therapy, Rehabilitation, and Durable Medical Equipment Therapy and Rehabilitation Services Covered by Medicare Part B Medicare Part B plays […]

Understanding Medicare Enrollment Periods: MAOEP vs. GEP & Why it’s Important to Work with a Broker, Your Advocate!

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As a Medicare beneficiary, it’s important to understand when and how you can make changes to your Medicare coverage. Two key enrollment periods are the Medicare Advantage Open Enrollment Period (OEP) and the General Enrollment Period (GEP). These periods occur from January 1 to March 31 each year, but they serve different purposes and apply to different situations. Here’s a simple breakdown to help you understand when each period applies and what you can do […]

Understanding the New Medicare Prescription Payment Plan for 2025

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Managing your Medicare prescription drug costs is about to get easier with the Medicare Prescription Payment Plan, starting in 2025. This program offers a new way to handle out-of-pocket expenses for your prescriptions, spreading costs evenly across the year to help with budgeting. Here’s what you need to know: What is the Medicare Prescription Payment Plan? This optional payment option allows you to pay for your prescription drugs in manageable monthly installments instead of paying […]

Understanding Seasonal Depression (S.A.D) & How your Medicare Coverage Benefits Can Support You

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As the days get shorter and the weather grows colder, many people notice changes in their mood and energy levels. For some, these changes may develop into a condition known as seasonal affective disorder (SAD), a type of depression that typically occurs during the fall and winter months. If you’re a Medicare beneficiary, it’s important to know how to recognize the signs of seasonal depression and learn how telehealth services can help manage your mental […]

Understanding Medicare’s Support for Diabetes: Benefits, Supplies, and Healthy Living Tips

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Over 37 million Americans are living with diabetes, and nearly half of them are over the age of 65. For seniors, managing diabetes is crucial, and Medicare plays a key role in providing access to life-saving supplies and treatments. November is American Diabetes Month, a time to raise awareness about diabetes, its risk factors, and how to manage it. For Medicare beneficiaries, understanding diabetes and how Medicare helps cover treatment is especially important. What is […]