Popular Articles

  1. How do I choose a Medicare Advantage plan type?

    When you're shopping for Medicare Advantage plans, it's important to find a plan type that meets your needs. Do you need personal care? Are your doctors covered in this plan's network? Knowing what comes with each type of Medicare Advantage plan is ...
  2. What is the Medicare Prescription Payment Plan?

    Starting January 1, 2025, Medicare members with prescription drug coverage (Part D) will have the option of spreading out (smoothing) your out-of-pocket Part D drug costs through monthly payments over the duration of the plan year (January-December)...
  3. Low Income Subsidy (LIS) Info

    You might be able to get extra help paying for your prescription drug premiums and costs. For more info and to see if you qualify, contact: Medicare.gov at (800) MEDICARE (800) 633-4227, TTY (877) 486-2048 24 hours a day, 7 days a week Th...
  4. If my claim or pre-coverage determination was denied, what can I do?

    If you would like to appeal the decision related to a denied claim or coverage determination, you can find details on the appeals process for your specific plan in your policy materials. Your policy materials can be found by logging in to your memb...
  5. What is Original Medicare?

    Medicare is the government-run insurance program for those 65 and older, or people with certain disabilities or end-stage renal disease (permanent kidney failure). What's covered on Medicare is based on federal and state laws, national decisions ma...
  6. What do I pay for Medicare?

    What is a monthly premium? What are out-of-pocket costs? What do I pay for Medicare Part A? What do I pay for Medicare Part B? What do I pay for Medicare Advantage? What do I pay for Medicare Part D? ...
  7. What if I’m still covered at work?

    In most cases, you can keep the health plan you have and enroll in Medicare when you retire. If you have other insurance, like through your work, there are rules for whether Medicare pays first. If your employer has fewer than 20 employees, you ma...
  8. What is Medicare Supplement?

    Medicare Supplement, also called Medigap, is coverage you buy to help pay for some of the costs Original Medicare doesn't. Benefits are identical from company to company, and you must have Part A and Part B. These plans don't cover everything, so t...
  9. What do I pay for Medicare Part B?

    Some people get Part B automatically when they turn 65, and some must sign up for it. Learn how and when you can sign up for Part B. For Part B, you pay: A premium each month. If you get Social Security or a Railroad check, this premium will b...
  10. Initial Enrollment Period

    Your Initial Enrollment Period (IEP) is a 7-month period, which includes the 3 months before your 65th birthday, the month of your birthday, and the 3 months after your birth month, when you can enroll in Original Medicare, a Medicare Advantage plan...