The Cigna Group Made its Enrollees Appear Sicker to Get More Federal Money
Did you know the government pays Medicare Advantage Organizations (MAOs) more money to cover sicker enrollees? Knowing this, Cigna deliberately falsified patient records to make them appear sicker and therefore…
CHA Calls for Medigap Guaranteed Issue Rights when Providers Withdraw from Medicare Advantage Plans
Bonnie Burns, Training and Policy Specialist with California Health Advocates, spearheaded a letter calling for a Medigap guaranteed issue right for beneficiaries when providers withdraw from Medicare Advantage (MA) plans…
Your Protections to Access Care During COVID-19
Living in a time of a public health emergency, the current COVID-19 pandemic, it’s important to know your extra Medicare protections to access health care when you need it. Medicare…
Medicare’s Open Enrollment is Happening Now ~ Review Your Options for 2021
Medicare’s Fall Open Enrollment, officially known as the Annual Enrollment Period (AEP) is happening now. It runs from October 15 – December 7, and is the time beneficiaries can change…
Congress Expresses Concerns on the New Medicare Plan Finder
On December 10th, a bipartisan group of congressional leaders from the U.S. House of Representatives sent a letter to the Centers for Medicare and Medicaid Services (CMS) about their concerns…
Weigh In Today & Tell HHS to Strengthen & Protect Medicare
The Office of the Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services (HHS) issued an informal request for information(RFI) in late December, with…
New Report Cards for Medical Groups
Are you in a Medicare Advantage plan? Wondering what doctor(s) to use? You can review the Office of the Patient Advocate’s new Medicare report card for medical groups that are…
Did Your Health Plan Terminate in December? You Have Rights to New Coverage Before 2/29/16
If your MA plan terminated at the end of last year, you have the right — regardless of age or health condition — to join another MA plan if one…
Want to Leave Your Medicare Advantage Plan & Join a New Part D Plan? You Can Before 2/14!
If you are enrolled in a Medicare Advantage (MA) plan and want to leave your plan, you can use the Medicare Advantage Disenrollment Period (MADP). The MADP is from January…
Updated! ~ Do You Have an Aetna Medicare or First Health Part D Plan?
If yes, you may find that your pharmacy is no longer a network pharmacy. Pharmacies that are not in your plan’s network can charge you more, even full price, for…
