New law expands Medicare benefits
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It's not often that there's exciting news to share about Medicare, yet recent legislation is, in fact, good news.
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Starting next year, Medicare will cap beneficiaries' insulin co-pays at no more than
In 2024, Medicare Part D drug plans will face limits on how much they can increase their monthly premiums. Next, Medicare beneficiaries who reach the "catastrophic" prescription drug coverage level will have their co-insurance obligation eliminated. Finally, the low-income subsidy, also known as Extra Help, will be expanded to provide assistance to beneficiaries with incomes up to 150% of the federal poverty level. (Those on the low-income subsidy can get help with their Medicare Part D premiums, deductibles and out-of-pocket costs).
Starting in 2025, Medicare beneficiaries will pay no more than
Even with these expansions, many elders and persons with disabilities may be wrongfully denied Medicare coverage. Some may be denied coverage for physicians' services, durable medical equipment, home health care or skilled nursing facility care. Others could be forced to leave the hospital prematurely, will be denied prior approvals by their managed care plans or will be made to wait for coverage to begin while facing permanent surcharges on their monthly health insurance premiums.
Countless others could hit roadblocks, such as medication denials, created by Medicare's complex systems. As a result of these denials, beneficiaries risk gaps in insurance coverage, interference with access to necessary medication or medical care, and/or severe financial duress.
Medicare beneficiaries can get help with these issues, and more, by reaching out to the
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