Category: Uncategorized

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 anywhere […]

April 2019: 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 comfortably, […]

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, […]

Small Group Attestation Process Now Also Required for Groups of Two

Beginning April 1, Premera will require that all new and renewing groups with either one or two subscribed employees must attest their group meets the definition of a small group employer.  Groups must have at least one common law employee who meets the requirements of an eligible subscriber. In order to purchase or renew a […]

2019 Medicare Advantage Re-Certifications

2019 Medicare Advantage Re-Certifications Get Sales Ready for AEP! Click the logos below for the each of the carrier’s links currently available to start your 2019 Medicare Advantage re-certifications. As new carriers are onboarded and certifications become available we’ll continue to update this list for you. For first-time certification with any of these carriers, please email Connexion’s Licensing Department ahead […]

What You Need To Know About Flu Shot Season

Flu season is right around the corner, so here is information to help members get their flu shot.  Seasonal immunizations are covered according to the group’s Preventive Care benefit for immunizations using in-network providers.  There are no immunization benefits available through out of network providers. Members have several ways to access their immunizations: Visit a […]