Do You Really Have to Wait Five Years to Access Medicaid Benefits?

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If you or someone you love is trying to qualify for Medicaid, you may have heard people talking about—or in most cases, complaining about—having to wait five years to access benefits. If you don’t have access to professional guidance, you could easily fall victim to this common misconception about Medicaid. When people complain about waiting for Medicaid to kick in, what are they talking about? It’s what Medicaid calls its five-year lookback period. How does this work? Let’s say you’re applying for Medicaid. As part of the application process, you may  be required to provide financial information for the previous

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Durable Medical Equipment & Medicare

Durable Medical Equipment & Medicare

Many baby boomers rely on Durable Medical Equipment (DME) supplies for their daily activities. Medicare covers medically necessary supplies such as a wheelchair, CPAP machine, or oxygen tank. So, if you’re wondering about Medicare coverage on your Durable Medical Equipment; ask yourself this; is this medically necessary and is my doctor going to write a prescription for this? If you can answer yes, then coverage will be likely. Will My Medicare Coverage Pay for Durable Medical Equipment? Durable medical equipment is covered under Medicare Part B. The yearly Part B deductible is applicable and then Medicare pays an 80% coinsurance. That

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How to compare Medigap and Medicare Advantage Costs

Senior

Whether you’re enrolling in Medicare for the first time or taking advantage of the 2021 open enrollment period to explore your options, it can be hard to evaluate whether Medigap coverage or Medicare Advantage make more sense for your wallet. Have you ever thought to yourself, “how much does Medicare cost?” Figuring it out is far from simple. Here, we’ll explain the difference and how to identify which option will work best for you. Understanding Medigap and Medicare Advantage Medigap and Medicare Advantage can seem similar, in that both are different options for Medicare coverage and you can only choose

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Medicare OEP 2020: How Mrs. Jones Made Changes to Her Medicare Advantage Plan

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The new year is upon us and so is Medicare Open Enrollment Period (OEP) 2020. Yes, just when Annual Enrollment Period 2020 has finished, it’s time for OEP 2020! We know the Medicare system can be difficult, so today we’re going to follow Mrs. Jones through the Medicare Open Enrollment Period. Mrs. Jones is a little confused since the Medicare rules can be complicated. But we’re here to help! What is Medicare Open Enrollment Period? Mrs. Jones wasn’t happy with the Medicare Advantage Plan she chose in the fall during AEP, and she’s been waiting for January 1st so she

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3 Quick Tips before Medicare Deadline December 7th

Senior couple

The December 7th DEADLINE is FAST APPROACHING….. The Sosa Insurance Group in West Orange Offers THREE KEY QUICK TIPS to help you find if your current Medicare Health Plan is RIGHT FOR YOU.   With the deadline of December 7, 2020 just a few weeks away, there is still time for those who are eligible for Medicare to make an important decision about their Medicare Healthcare Plan needs for 2021. Deadline for Medicare Open Enrollment Nears With more Medicare Health Plan options than ever, it is important for people to understand their options and specifically, what their needs are when it

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What Happens If You Delay Medicare Coverage? 

What Happens If You Delay Medicare Coverage? ‎

When most people start Medicare, it begins on the 1st day of the month of their 65th Birthday. Of course, this is not what is the best for everyone. Frequently,  people are choosing to continue working later into life. What Happens If You Delay Medicare Coverage?  In many cases with group insurance there is no need to start their Medicare Part B coverage. These Medicare Beneficiaries have a few options, and can delay their Part B enrollment with no penalty. If you do not have creditable coverage and you decide to delay your Part B enrollment, you will have to wait

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Healthcare Coverage for Rheumatoid Arthritis

Anyone with a chronic health condition knows it’s important to have healthcare coverage. For those with Rheumatoid Arthritis, healthcare coverage is vital. Rheumatoid Arthritis (RA) is an autoimmune disease affecting approximately 1.5 million people in the United States. It happens to be the most common inflammatory joint disease, affecting 1-2% of the worldwide population. The chronic inflammatory disease causes the immune system, which usually protects the body, to attack its own joints. One of the biggest concerns for most suffering from a chronic illness is health insurance coverage. The second being out of pocket costs. Medicare Coverage for Rheumatoid Arthritis

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Is Plan F a Viable Medicare Supplement Option?

Is Plan F a Viable Medicare Supplement Option?

When you look over the Medigap coverage chart, which shows the standardized Medigap plans, you may notice an asterisk beside the Plan F. Most people never pay much attention to this or read the fine print below the chart to understand exactly what this signifies. Is Plan F a Viable Medicare Supplement Option? Actually, this notation represents an entirely separate Medigap plan called the High Deductible Plan F (often referred to in shorthand as HDF). High Deductible Plan F is a unique Medigap plan that has a large deductible of $2,200 (for 2017) that must be met before any plan benefits

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Does Medicare Cover Power Mobility Scooters?

Power scooters increase mobility to make everyday tasks possible again for many individuals. They are a great choice for this, but they are quite expensive. Medicare will provide coverage for mobility scooters if you are able to meet certain requirements. Scooters and wheelchairs are considered durable medical equipment, which is covered under Medicare Part B. If you follow the steps we’ve listed below, you can increase your chance of getting Medicare to pay for your scooter. DME Guidelines from Medicare Medicare Part B covers 80% of outpatient medical expenses whenever they are deemed medically necessary.  Whenever a piece of equipment is

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