Category: Benefits & Retirement
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Humana ends its Ohio State and James Cancer Center contract on October 1
Medicare’s fall enrollment window and a major hospital network change are about to reach the same central Ohio households at almost the same moment. Humana members who get their care at The Ohio State University Wexner Medical Center or The James Cancer Center will be out of network before that enrollment window even opens. The…
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Nebraska has cut about 200 people off Medicaid, and every other expansion state must enforce the 80-hour rule by January 1
For more than a year, Medicaid work requirements have been an argument about projections, paperwork and what might eventually happen to somebody. In Nebraska, the argument ended. The state has started removing adults from Medicaid for failing to document enough qualifying hours in a month, and it is the first state in the country to…
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The subsidy that held Medicare drug-plan premiums down ends after 2026, lifting the 2027 benchmark to $41.33
If you carry a standalone Medicare drug plan, the only question that really matters each fall is whether your premium is about to move and by how much. The answer for 2027 begins with a figure that never appears on a bill: a national benchmark Medicare uses to split the cost of the drug program…
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NewYork-Presbyterian could leave UnitedHealthcare’s Medicare Advantage network on September 1
As of this writing, NewYork-Presbyterian’s hospitals and medical groups are still in-network for UnitedHealthcare Medicare Advantage members — under an extension that expires August 31, 2026. If the two sides do not sign a new contract by then, most of those members would find one of New York’s largest hospital systems out-of-network on September 1.…
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Losing a Medicare Advantage plan opens a Medigap right that expires 63 days later
When a Medicare Advantage plan shuts down or stops serving your area, federal law hands you something valuable with a short fuse: the right to buy a Medigap policy that an insurance company cannot refuse you. The clock on that right runs out 63 days after your old coverage ends. Most people have never heard…
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Children born since 2025 can get a one-time $1,000 federal contribution in a Trump Account
If a child in your family was born in 2025, or arrives any time through the end of 2028, the federal government will make a one-time $1,000 deposit into a new kind of savings account carrying that child’s name, provided the child qualifies and someone opens the account. The money comes from the U.S. Treasury,…
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Eligible Medicare Part D enrollees now pay $50 a month for certain GLP-1 drugs
For eligible people with Medicare drug coverage, a monthly supply of certain GLP-1 weight-loss medications now costs $50 at the pharmacy — a flat, predictable copay for a class of drugs whose price has kept them out of reach for many older Americans. The discount is not a coupon and not a private insurer’s perk.…
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Removing a polyp turns Medicare’s free screening colonoscopy into 15% coinsurance
A preventive colonoscopy can begin with a zero-dollar Medicare cost and end with coinsurance if the doctor removes tissue. Medicare’s current rule says an assigned screening costs nothing, but finding and removing a polyp or other tissue creates 15% coinsurance for the provider’s services and, in an outpatient facility, another 15% facility coinsurance. The Part…


