Consumer Posts

November 2019: Medicare Advantage Supplemental Benefits Copy

What are Medicare Advantage Supplemental Benefits? A supplemental benefit is an item or service covered by a Medicare Advantage Plan that is not covered by Original Medicare. These benefits do not need to be provided by Medicare providers or at Medicare-certified facilities. Instead, to receive these items or services, you need to follow your plan’s […]

December 2019: Complaints and Grievances

What is a Grievance? A grievance is a formal complaint that you file with your plan. If you are dissatisfied with your Medicare Advantage or Part D prescription drug plan for any reason, you can choose to file a grievance. A grievance is not an appeal, which is a request for your plan to cover […]

October 2019: Open Enrollment is Here!

2020 Open Enrollment is Here! Fall Open Enrollment opens today and runs from October 15 through December 7. This is the time of year when you can make changes to your Medicare coverage. It can be a good idea to be open to exploring other plan options in your area. You may find a more […]

January 2020: What’s New in 2020?

  Happy New Year everyone! At Connexion, we’re particularly excited for 2020 because we’re working hard on some exciting new projects that will help us serve our customers better in the second half of the year. We’ll keep everyone posted through this newsletter as updates become available. Now onto this month’s topic, which is what’s […]

January 2019: What’s New in 2019

  Part A Premium Free if you’ve worked 10 years or more $240 per month if you’ve worked 7.5 to 10 years $437 per month if you’ve worked fewer than 7.5 years Part A hospital deductible $1,364 each benefit period Part A hospital Coinsurance $0 for the first 60 days of inpatient care each benefit […]

February 2019: Medicare Enrollment Periods

When can I sign up for Medicare Part A and/or Part B? If you are already receiving benefits from the Social Security Administration or Railroad Retirement Board at the time you become eligible for Medicare, you will be automatically enrolled in Medicare Parts A and B. If you don’t yet receive benefits or if you […]

March 2019: Emergency Care

  How does Medicare cover emergency room services? If you have Original Medicare, Part B covers emergency room services anywhere in the U.S. Emergency room services are typically provided when you have a medical condition that requires immediate action, such as an injury or sudden illness. Medicare Advantage Plans must also cover emergency room services […]

April 2019: Medicare Coverage of Hospice Care

What is the Medicare hospice care benefit? Hospice is a program of end-of-life pain management and comfort care for those with a terminal illness. Medicare’s hospice benefit offers end-of-life palliative treatment, including support for your physical, emotional, and other needs. It is important to remember that the goal of hospice is to help you live […]

May 2019: How does Medicare Pay for Prescription Medication?

Part B and Part D Prescription Drug Coverage Part A covers the drugs you need during a Medicare-covered stay in a hospital or a skilled nursing facility (SNF). Part B covers most drugs administered by your doctor or at a dialysis facility, but the provider or the facility must buy and supply the drugs. Part […]

June 2019: Original Medicare and Medicare Advantage Standard Appeals

What can I do if I get a denial for a health care service or item? If you receive a denial from Original Medicare or your Medicare health or drug plan, you have the right to appeal. An appeal is a formal request for review of a decision made by your Original Medicare, Medicare Advantage, […]

July 2019: Medicare Savings Programs

What are the Medicare Savings Programs? Medicare Savings Programs (MSPs), also known as Medicare Buy-In programs, are state programs that assist you with paying your Medicare costs. These costs include premiums, deductibles, coinsurance charges, and copayments for Part A and B. There are three main programs*, each with different benefits and eligibility requirements:    MSP […]

August 2019: Medigap Plans

What are Medigap Plans? Medigaps are health insurance policies that offer standardized benefits to work with Original Medicare (not Medicare Advantage). They are sold by private insurance companies. If you have a Medigap, it pays part or all of certain remaining costs after Original Medicare pays first. Medigaps may also cover health care costs that […]

September 2019: Fall Open Enrollment

Fall Open Enrollment You can also listen to the podcast on this topic here. Fall Open Enrollment runs October 15 through December 7, and is the time of year when you can make changes to your Medicare coverage. You can make as many changes as you need to your Medicare coverage during Fall Open Enrollment. […]