Medicare

Posted October 2nd, 2023 in Employers, Producers
Each year employers must provide a written notice to Medicare-eligible employees who are covered under their group health plan. The notice must include information about the creditable coverage status of the prescription drug benefit. In other words, the notice tells employees if the prescription drug benefit on the group health plan is at least as good as the standard Medicare Part D plan.
 
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Posted September 27th, 2023 in Employers, Producers

Employers often wonder if they can pay or reimburse employees for Medicare premiums if they waive coverage under the employer-sponsored group health plan. This may drive down the overall cost to the employer, and it may even be in the best interest of some Medicare-eligible participants; however, this type of action is generally prohibited under various laws.

Posted February 8th, 2023 in

It’s official. The Biden Administration announced the COVID-19 national emergency and public health emergency will end on May 11, 2023.

Posted February 1st, 2023 in

You may be familiar with Medicare’s annual enrollment period (AEP) which occurs each fall. From October 15th until December 7th of each year, Medicare beneficiaries can enroll in a Medicare Advantage or Part D plan of their choice. This includes enrolling in a plan for the first time or changing to a new plan.

Posted December 14th, 2022 in Employers

Annual Medicare Part D reporting is required for all employers who provide health benefits with prescription drug coverage. The reporting is an online filing to the Centers for Medicare & Medicaid Services (CMS), and it lets CMS know if the prescription drug coverage available on the employer’s health plan is “creditable.”

Posted November 23rd, 2022 in Producers

The Centers for Medicare and Medicaid Services (CMS), the federal agency that largely oversees the Health Insurance Marketplace (Marketplace), has indicated that agents and brokers who assist with Marketplace enrollments must obtain client consent before assisting with enrollments and other Marketplace functions.

Posted November 16th, 2022 in Producers

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) published some new compliance rules that will impact Third-Party Marketing Organizations (TPMOs) who sell Medicare Advantage and/or Part D plans.

Posted October 4th, 2022 in Employers, Producers

On September 27, 2022, the Centers for Medicare & Medicaid Services released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2023 Medicare Part D income-related monthly adjustment amounts. Below is a summary of those numbers:

Posted August 29th, 2022 in Employers, Producers
The Inflation Reduction Act (IRA) signed into law last week included some healthcare provisions that primarily impact Medicare and plans sold on a Health Insurance Marketplace; however, some of the provisions included in the law may indirectly impact employers and group health plans.
 

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