In Medicare Part D, prior authorization is called ... If the decision is nonaffirmation, the MAC will explain why, and they will share this information with beneficiaries. As long as the claim ...

An ABN will explain: the goods or services that Medicare will not cover the estimated cost of each item and service that Medicare will not cover However, an ABN is not required for items or ...

The good news is Medicare provides coverage for certain types of mattresses under specific conditions, as we explain below… To obtain a mattress covered by Medicare, it must qualify as Durable ...

Part B covers medical care that you receive in a hospital outpatient setting such as an ER, outpatient surgery center or pain ...

People that currently have a Medicare Advantage plan or Part D prescription drug plan have these 7 weeks each year to ensure that they are in the best possible plan for their needs.

If you have ever felt you were not ready to be discharged from the hospital, you have options. Speak with Your Doctor: Express your concerns to your healthcare provider. Explain why you feel you’re ...

Dr. Oz lacks policy experience but has TV show chops. Tom Scully, who led Medicare & Medicaid for President George W. Bush, ...

Balancing salespersonship with an unwavering commitment to doing the right thing can transform the way we do business, ...

A provision in Gov. Mike DeWine’s proposed budget could threaten health insurance coverage for the nearly 770,000 Ohioans ...

Please explain what her options are. Thanks, Clyde from Lake Charles, LA. Medicare Part B (medical insurance) covers medical care that you receive in a hospital outpatient setting like an ...

U.S. Sens. Mark Kelly and Ruben Gallego of Arizona hosted their first joint town hall, which focused on potential Medicaid ...