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Fact-checking Biden’s statement on prescription costs for Medicare including cancer drugs

Biden also cited changes that, as of 2025, will cap out-of-pocket drug costs. He said that under this shift, "No matter what your total bills are for prescription drugs, you'll never have to pay … ... read more

TONI SAYS: Why is Medicare Part D’s IRMAA premium so high?

The IRMAA rule for Medicare Part D’s additional IRMAA premium went into effect on January 1, 2011, and new Medicare Part B and D premiums for all income levels are released every fall. read more

Beyond The Alphabet Soup: What Advisors Need To Know About Medicare

Getting Past The Alphabet Soup Advisors say the Medicare system can be confusing to clients. read more

Why doesn’t Medicare cover drugs like Ozempic for weight loss?

Medicare Part D, which provides prescription drug coverage, will now cover the weight-loss medication Wegovy in cases where the patient is at risk of a heart attack or a stroke. read more

6 Medicare mistakes to avoid if you’re working past age 65

Medicare encourages people to enroll around their 65th birthday — whether they’re working or not. But in some cases, you may choose to delay Medicare enrollment if you’re still working, or receive ... read more

Some Older Women Need Extra Breast Scans. Why Won’t Medicare Pay?

Mammography can miss tumors in women with dense breasts, so their doctors often include ultrasound or M.R.I. scans. Patients often wind up paying the bill. read more

Payers react to 2025 Medicare Advantage, Part D Final Rates

April 10, 2024 - Payer trade organizations responded negatively to the 2025 Medicare Advantage and Part D Final Rate Notice, citing rising healthcare costs. read more

Caring for older Americans’ teeth and gums is essential, but Medicare generally doesn’t cover that cost

It seems that Dr. Koop was onto something – you can’t be healthy without good oral health. Adding basic dental benefits to Medicare would likely help many older Americans to live happier and healthier ... read more

How Medicare beneficiaries with Part D plans can help ensure their medications are covered

If you have a Medicare Part D prescription drug plan and take one or more brand-name medications—especially, expensive ones—there’s a very good chance you’ll run into trouble getting it ... read more

How A Handful Of Drugs Is Squeezing Medicare

The program spent $5.7 billion on drugs such as Ozempic and Mounjaro in 2022, according to the Kaiser Family Foundation. read more

Medicare Advantage final rule addresses competition and marketing practices

CMS has finalized policies to promote competition in Medicare Advantage and Part D plans, boost access to behavioral healthcare services, and reduce deceptive marketing practices. read more

Janie Slaven: TONI SAYS: Why is Medicare Part D's IRMAA premium so high?

I am turning 65 in June, self-employed, and my income together with my wife's is over $300,000. Recently I received a letter from Social Security telling me that my monthly Medicare Part B premium of ... read more