Category: Medicare
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Medicare’s late drug plan penalty is 1 percent of $38.99 per month, forever
The Part D late enrollment penalty adds 1 percent of the $38.99 national base premium for every full uncovered month, and Medicare adds the result to the premium permanently.
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Medicare covers a skilled nursing stay in full for 20 days, then charges $217 a day and pays nothing past day 100
Part A pays skilled nursing costs in full for 20 days, charges $217 a day from day 21 through 100 in 2026, and covers nothing after that. The 3-day rule decides eligibility.
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Mary Washington Healthcare could leave Humana’s Medicare Advantage network September 1
The Fredericksburg system’s contract with Humana Medicare Advantage expires September 1, 2026 unless a renewal is reached. Emergency care stays protected either way.
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Medicare’s $1,736 hospital deductible resets with each new benefit period, and day 61 starts costing $434 a day
The 2026 Part A hospital deductible is $1,736 per benefit period, not per year, and Medicare caps neither the number of benefit periods nor the day-61 charge of $434.
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UHealth leaves UnitedHealthcare’s Medicare Advantage Preferred Care Network in Miami on January 1
Most contract fights between an insurer and a hospital system end with an announcement that everything is fine. This one ended with an announcement that most of it is fine. UnitedHealthcare and the University of Miami Health System renewed their relationship for commercial, individual and Medicaid coverage — and separately confirmed that one Medicare Advantage…
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Medicare plans must mail every member a 2027 change letter by September 30
Between now and the end of September, a document arrives that decides more household money than almost anything else in the Medicare year, and it looks like junk mail. It is the Annual Notice of Change, and it is the first place a member learns what their own plan will cost and cover in 2027…
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Without a deal by August 31, NewYork-Presbyterian goes out of network for most UnitedHealthcare Medicare Advantage members, with active treatment covered to November 29
An extension is not an agreement, and the difference is about to matter for a large number of Medicare Advantage members in New York. NewYork-Presbyterian and UnitedHealthcare bought themselves another month at the end of July while talks continued. That month expires at the end of August, and the hospital system has published exactly what…
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A Medicare Advantage plan that drops you opens a 63-day window to buy Medigap without health questions
Medigap policies are normally sold with health questions attached. Outside a few protected windows, an insurer can ask about a person’s medical history, charge more because of it, or decline to sell at all. That is why a Medicare Advantage member who develops a serious condition often finds the door back to Original Medicare with…
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Two waiting periods that slowed Medicare sales pitches are gone this enrollment season
For the past several years, a Medicare beneficiary who signed a form at an informational seminar had two days of quiet before an agent could legally pitch them a plan. That gap was built into federal regulation on the theory that a decision worth thousands of dollars a year should not be made in the…
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Medicare’s 2027 base drug-plan premium rises the full 6 percent the law allows
Medicare’s Part D program has a number that almost nobody pays and everybody’s premium is built from. For 2027 it is $41.33, and the way CMS arrived at it says more about the state of drug coverage than the figure itself does. The agency did not choose that number. It is the highest number the…
