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Articles written by Sean Mcphilamy

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 By Sean McPhilamy    Columns    March 1, 2023 

When is the correct time to enroll in Medicare?

Enrollment into Medicare or choosing different Medicare coverage may only happen during specific times of the year. This month we will learn about these enrollment periods, so you can make the most of them. As a reminder, initial Medicare enrollment...

 

Here is what's new in Medicare for 2023

Medicare coverage and costs normally change each year, so it is important to understand and review your benefits. Here is an overview of what’s new in 2023. Part A Medicare Part A covers inpatient hospital services, skilled nursing facility...

 

Don't confuse Marketplace insurance with Medicare

Medicare and Marketplace health insurance can easily be confused, but the two are different federal benefit programs. The Health Insurance Marketplaces were created by the Affordable Care Act. These Marketplaces allow people to buy insurance who do...

 

Medicare offers benefits to military veterans

As a military veteran, this month’s topic resonates with me. Medicare can work with military-related healthcare, whether you are a military veteran or a military retiree. As a reminder, Original Medicare (available to the majority of eligible...

 

Review and update your Medicare Part D plan

Medicare Part D, the prescription drug benefit, is the part of Medicare that covers most outpatient prescription drugs. Part D is offered through private companies as a standalone prescription drug...

 

Medicare Open Enrollment presents options

Another autumn is upon us, and one thing that means is that Medicare's Open Enrollment Period (OEP) will be happening soon. Each year from Oct. 15 through Dec. 7, you can make changes to your...

 

Medicare Open Enrollment season is approaching

You may make changes to your Medicare Part D prescription drug plan coverage each year during Medicare’s Open Enrollment Period, which runs Oct. 15 to Dec. 7. Beginning in September, you may receive notices with information about possible...

 

Services that Medicare does not cover

Our Medicare benefits were established under the Social Security Amendment of 1965, reflecting the restrictions and limitations of most health insurance at that time. This law excluded coverage for certain things, like dental care and routine vision...

 
 By Sean McPhilamy    Health    June 1, 2022

Identifying and fighting Medicare fraud

This June, we acknowledge 25 years of progress helping each other in preventing Medicare fraud. We appreciate your efforts, both for yourself, your fellow Alaskans, and all who benefit from Medicare. As your local Senior Medicare Patrol (SMP), we...

 
 By Sean McPhilamy    Health    May 1, 2022

Filing Medicare grievances and complaints

Things don’t always go according to plan. When unforeseen challenges or mistakes occur, you may wish to know to whom you may voice your concerns and who can help resolve your concerns. For an appeal regarding a denied claim, be sure to review your...

 
 By Sean McPhilamy    Health    April 1, 2022

Medicare and preventive care

Preventive care is the care you receive to prevent illness, detect medical conditions and keep healthy. A service is considered preventive if you have no prior symptoms of the disease. In contrast, diagnostic services address symptoms or conditions...

 
 By Sean McPhilamy    Health    March 1, 2022

Medicare decisions when you have other coverage

Medicare-related decisions can be quite challenging, especially when you or your spouse areabout to turn age 65, during your Initial Enrollment Period. The decisions can be even more complicated when you have other health insurance coverage....

 

Overview of Medicare benefits for 2022

Your Medicare costs and coverage can change every year; this year is no exception. Here is an overview of changes and opportunities to consider. Medicare Part A Part A inpatient hospital services, skilled nursing facility services, home health care...

 

Medicare covers some genetic testing

Medicare may include coverage of diagnostic-level genetic testing for patients when the test is ordered by a physician, as long as certain requirements are met. Genetic tests of this sort are performed in order to help identify medical traits which...

 

What vaccines does Medicare pay for?

Preventive healthcare is care you receive to prevent illness, detect medical conditions, and keep you healthy. Medicare covers many preventive healthcare services, including vaccines. Today I will discuss how the different parts of Medicare cover vac...

 

Choosing a Medigap policy that works for you

As you may know, Original Medicare Part B covers 80 percent of the cost of most health care needs. But what about the remaining 20 percent, or even the other out-of-pocket costs like deductibles or copayments? This is where supplemental insurance pla...

 

Time to review and compare your Medicare drug plan

The end of another summer is fast approaching and one thing that means is Medicare’s Open Enrollment Period (OEP) will be happening soon. Each year from Oct. 15 through Dec. 7, you can make changes to your Medicare insurance here in Alaska,...

 

Be on the lookout for these important Medicare notices

You can make changes to your Medicare coverage each year during Medicare’s Open Enrollment Period, which runs Oct. 15 to Dec. 7. Beginning in September, you may receive notices with information about possible changes to your coverage for the coming...

 

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