CMS (Centers for Medicare and Medicaid Services) has certain rules and regulations in place for beneficiary protection. Sometimes, CMS has to issue sanctions against health plans. While sanctions don’t necessarily indicate that a plan is bad, it can indicate that they broke a rule. One of the major CMS “rules” for health plans is that they must have a “medical …
Report: Medicare Advantage Prices Dropping and Ratings Increasing
2020 Medicare Advantage costs are going down while star ratings are going up. Learn about this positive change and how you can use it to your advantage.
2020 SEP Changes: When Can you Sell to DSNP and LIS Clients?
In the past, Dual-Eligible Special Needs (DSNP) clients, other people who receive Medicaid assistance (QMB-only, SLMB-only, etc.), and LIS clients could make changes to their plans every single month of the year that would become effective in the following month. In 2019 and moving forward, those clients have new SEP rules. Basically, AEP rules now apply to DSNP and LIS …
Study: What Medicare Consumers Want in 2019-2020
Based solely on impressions (the number of times it showed up in a Google search), the most popular content on our consumer site, MedicarePlanFinder.com, is about: Medicare fitness programs Medicare transportation solutions Using Medicare to fight obesity Orthotics Medicare coverage Medicare + rehab for stroke recovery Why is this important? This data tells us that fitness programs, weight loss programs, …
BREAKING NEWS: No More YMCAs for Tennessee Seniors with SilverSneakers
On Tuesday, September 17, it was announced that the Tennessee State Alliance of YMCAs would not be participating in the SilverSneakers network in 2020 (effective Jan 1). While your clients with SilverSneakers won’t be losing their program access, many (especially in rural areas) will lose a large part of their network. Major gyms (Gold’s Gym, Planet Fitness, etc.) will remain …