Consumer Posts

April 2021: Medicare and Changes in Residence

Moving within state If you have Original Medicare, notify the Social Security Administration (SSA) of your move to update your address. If you have a Medicare Advantage Plan or Part D plan, notify the plan of your change of address and see if you will still be in your plan’s area of coverage. If not, […]

July 2021: Troubleshooting Medicare Coverage Problems

Understand your Medicare notices If you have Original Medicare, you typically receive a Medicare Summary Notice (MSN) from Medicare every three months. Your MSN is not a bill. To understand your MSN: Read the definitions and descriptions of services carefully. Check the notes section. This is where Medicare may further explain its payment decisions or […]

May 2021: Medicare Cost Assistance Programs

What is the Medicare Savings Program? Medicare Savings Programs (MSPs) are state programs that assist you with paying your Medicare costs. To qualify for a MSP, you must meet your state’s income and asset limits. Below are the baseline federal income and asset limits for each MSP. Most states use these limits, but some states […]

August 2021: Common Fall Open Enrollment Notices

You can make changes to your Medicare coverage each year during Fall Open Enrollment, which runs October 15 to December 7. Around September, you will start to receive notices with information about any changes to your coverage for the coming year. Read these notices so you can decide if your coverage will continue to meet […]

June 2021: Original Medicare and Medicare Advantage Appeals

If you were denied coverage for a health service or item, you may appeal the decision. There is more than one level of appeal, and you have the right to continue appealing if you are not successful at the first level. Be aware that at each level there is a separate timeframe for when you […]

March 2021: Medicare’s Coverage of Care at Home

Home health care includes a wide range of health and social services delivered in your home to treat illness or injury. If you qualify for the home health benefit, Medicare covers: Skilled nursing services provided up to seven days per week for generally no more than eight hours per day and 28 hours per week […]

February 2021: Getting Healthier Together

Connexion would like to help you to get healthier in 2021 by offering our complimentary online health community, which incorporates principles of the Blue Zones methodology. Our private Facebook Group has been profiled on Q13 and KOMO, and is a safe place where you can receive tips on plant-based eating, watch daily yoga videos, hear […]

January 2021: What’s New In Medicare

 Part A: Hospital insurance   Part A premium   Free if you’ve worked 10 years or more $259 per month if you’ve worked 7.5 to 10 years $471 per month if you’ve worked fewer than 7.5 years Part A hospital deductible $1,484 each benefit period Part A hospital coinsurance   $0 for the first 60 days […]

December 2020: Medicare Appeals for Care that is Ending

If you are receiving care in a hospital or non-hospital setting and are told that your Medicare will no longer pay for your care (meaning that you will be discharged), you have the right to a fast appeal if you feel that continued care is medically necessary. Non-hospital care includes care from a skilled nursing […]

Nov 2020: Medicare Coverage of Skilled Therapy

What should I know about Medicare’s coverage of skilled therapy? Skilled therapy are services that are reasonable and necessary to treat illness or injury, performed by or under supervision of a licensed therapist. There are three main types of skilled therapy covered by Medicare: Physical therapy (PT): Exercise and physical activities used to condition muscles […]

Oct 2020: Fall Open Enrollment

Fall Open Enrollment We hope everyone is staying safe and healthy. We look forward to supporting you during Fall Open Enrollment, which runs October 15 through December 7, and is the time of year when you can make changes to your Medicare coverage. The last change you make will take effect on January 1, 2021. […]

Sept 2020: The NW Connexion Challenge Begins!

Over two thousand people in the Northwest have signed up to take the Northwest Connexion Challenge, which starts Tuesday September 1st. We encourage Connexion customers to join because who couldn’t use a fun, healthy activity right about now? There will be five live seminars from two world renown doctors who will share their program to […]

August 2020: Announcing the Northwest Connexion Challenge

There’s no doubt about it. 2020 has been one challenging year. As we had written about in our newsletter recently, we’ve been thinking a lot about what we can do to serve you better during these unprecedented times. Connexion would like to bring something positive to our customers. The truth is, we actually started brainstorming […]

June 2020: Connexion Would Like To Hear From You

At Connexion, we have been thinking about our customers and attempting to factor in all the influences in your life that affect your health. How do we care for the whole person? With most of society at home, addressing some of the unfortunate impacts of sustained isolation has become more relevant than ever. We’re planning […]

June 2020: Understanding Original Medicare vs. Medicare Advantage

People with Medicare can get their health coverage through either Original Medicare or a Medicare Advantage Plan. Here’s a look at the differences between these two options. Original Medicare: The traditional program offered directly through the federal government Medicare Advantage: Private plans that contract with the federal government to provide Medicare benefits Original Medicare includes […]

July 2020: Medicare Coverage of Skilled Nursing Facility Care (COVID Update)

What is skilled nursing facility (SNF) care? Skilled nursing facility (SNF) care is post-hospital care provided at a SNF. Skilled nursing care includes services such as administration of medications, tube feedings, and wound care. Keep in mind that SNFs can be part of nursing homes or hospitals. Medicare Part A may cover your SNF care […]

May 2020: Updates on Medicare Coverage For Coronavirus

CMS has amended the guidance to reflect additional information and flexibilities regarding Medicare coverage for Coronavirus. Some of these changes are a result of legislation, while others are decisions made by the agency. One update, as a result of the Families First Coronavirus Response Act, forbids Medicare Advantage plans from charging any cost-sharing, including deductibles, copays, […]

April 2020: Medicare Coverage For Coronavirus

During this unprecedented time that the Coronavirus pandemic has disrupted all of our lives, please remember that Connexion is here to support your Medicare needs. Our team of specialists is fully operational working from home, and supporting customers everyday through phone consultations and online enrollment. If you have any needs or questions, please do not […]

February 2020: Premium-Related Appeals Copy

What is the Part B late enrollment penalty (LEP) and how can I appeal it? For each 12-month period you delay enrollment in Medicare Part B, you will have to pay a 10% Part B premium penalty, unless you have insurance based on your or your spouse’s current work (job-based insurance) or are eligible for a […]

March 2020: Medicare and Employer-based Coverage

What is the difference between primary and secondary coverage? When you have Medicare and another type of insurance, Medicare will either pay primary or secondary for your medical costs. Primary insurance pays first for your medical bills. Secondary insurance pays after your primary insurance. Usually, secondary insurance pays some or all of the costs left […]

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. […]