Medicare Advantage

  • Weigh In Today & Tell HHS to Strengthen & Protect Medicare

    By on January 23, 2018

    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 significant implications for Medicare and Medicaid. Comments are due January 25. Below is an alert from the Medicare Rights Center and their template to use to weigh...

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  • New Report Cards for Medical Groups

    By on April 5, 2016

    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 contracted with Medicare Advantage plans. This is a new resource can help you make your choice.  Let us know how it works for you! http://reportcard.opa.ca.gov/rc/MedicareMGCounty.aspx

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  • Did Your Health Plan Terminate in December? You Have Rights to New Coverage Before 2/29/16

    By on February 5, 2016

    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 is available where you live, or to return to Original Medicare and join a Part D plan. Your Special Election Period (SEP) started December...

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  • Want to Leave Your Medicare Advantage Plan & Join a New Part D Plan? You Can Before 2/14!

    By on February 5, 2016

    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 1 to February 14 and allows you to disenroll from your MA plan. If you leave your MA plan, you may enroll in a...

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  • Updated! ~ Do You Have an Aetna Medicare or First Health Part D Plan?

    By on January 20, 2015

    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 your drugs. But Aetna is putting in place a temporary solution so you pay the network price. What happened? Incorrect information about network pharmacies...

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  • Medicare’s Open Enrollment is Over, Can I Still Switch Plans?

    By on December 15, 2014

    Medicare’s Open Enrollment period is over, yet some people may have some options for changing coverage. This article provides a Q&A to review these options, including for people whose Medicare Advantage and/or Part D plan is terminating December 31, 2014. Even though Medicare’s Open Enrollment is over, can I still enroll in a new...

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  • Open Enrollment is Here! Do You Know Your Plan Changes for 2014?

    By on October 17, 2014

    Open Enrollment is upon us. Technically referred to as the Annual Election Period (AEP), this enrollment period runs from October 15 through December 7, and is one of the few times you can change, enroll into or disenroll from a Medicare Advantage or Part D plan. Change is effective January 1, 2014. (Note: Medicare...

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  • Actions to Take If Your Doctor is No Longer in Your Medicare Advantage Plan’s Network

    By on December 5, 2013

    If you or someone you know has been notified that one of your medical providers in your Medicare Advantage (MA) plan will no longer be part of the plan’s network, you may switch to another MA plan or return to Original Medicare. Here are your options: Use Medicare’s Annual Election Period (AEP) to switch...

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  • 5,400 Beneficiaries to be Disenrolled from Kaiser’s Special Needs Plan

    By on November 8, 2011

    Kaiser will be disenrolling more than 5,400 beneficiaries from the Kaiser’s Senior Advantage Medicare Medi-Cal Plan, a Medicare Advantage Special Needs Plan (SNP), by December 31, 2011. This involuntary disenrollment will affect beneficiaries in 30 counties. Counties with more than 200 beneficiaries being disenrolled include: Alameda, Contra Costa, Fresno, Los Angeles, Riverside, Sacramento, San...

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  • CMS Removes Sanctions Against Aetna

    By on June 21, 2011

    The Center for Medicare and Medicaid Services (CMS) released Aetna from its enrollment and marketing sanction last month, in June 2011. These sanctions were put in place in April 2010 in response to numerous complaints from providers and beneficiaries. The complaints included limited access to medications; failure to make prescriptions available under CMS transition...

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