The News Courier in Athens, Alabama

Local News

January 12, 2014

No increase in costs for Medicare Plan B

There’s a little bit of good news for Medicare recipients — particularly Part B coverage.

The plan usually increases as recipients’ income increases. However, this year, Part B deductibles and premiums will stay the same as last year.

Other plans though will likely see an increase this year.

“They should always get their ‘Medicare & You’ handbook out,” said Jennifer Reece, the local coordinator for the State Health Insurance Assistance Program. “If you get your health benefits from original Medicare, the Part A costs generally changes every year.”

Reece said Medicare Part A covers inpatient hospital services, skilled nursing facility services, home health care and hospice; Medicare Part B covers outpatient medical services, such as physician services.

“They should always look through their new ‘Medicare & You’ handbook to understand the benefits and costs for Part A services and Part B services.”

Reece said recipients should have received their handbooks in the fall. If they haven’t, they can contact her at 256-233-6412.

This year, the Part A hospital deductible has increased from $1,184 to $1,216 each benefit period and the hospital coinsurance for days 61-90 has increased from $296 to $304 each benefit period, she said. Skilled nursing facility coinsurance for days 21-100 has increased from $148 to $152 each benefit period.

She also said diabetes medication is covered under Part B, “people mistakenly think it’s under  Part A.”

“If they have a Medicare Advantage plan, it provides Part B coverage,” Reece said. “Most people with Medicare, whether they have original Medicare or a Medicare Advantage plan, pay the Part B monthly premium. 

“If they have the same Medicare Advantage plan in 2014 as they did in 2013, the plan should have sent them a notice of change/evidence of coverage explaining the changes for this year during fall 2013.”

Reece also said that, unlike original Medicare, Medicare Advantage plans may only cover health care services they receive from providers within their plan’s network. 

“Networks are subject to change, so they need to check with their doctor or health-care provider to make sure they are still in the recipient’s network,” she said. “If they have original Medicare, they may see any provider who accepts Medicare.”

Reece reiterated the importance of people checking with the plans directly to find out what changes there may be this year from last year.

“Medicare private drug plans can change the drugs they cover, the rules for coverage, and costs (such as copayments, coinsurances, and deductibles) from year to year,” she said. “People can get their Medicare prescription drug coverage through a Medicare Advantage plan that covers both health and drug coverage, or a stand-alone Part D plan that works with original Medicare.

“Their Part D plan should also send them the annual notice to inform them of their plan’s benefits, costs and covered drugs.”

1
Text Only
Local News
Photos


Poll

Do you believe America will ever make another manned flight to the moon or another planet?

Yes
No
     View Results
Facebook
AP Video
Trump: DC Hotel Will Be Among World's Best Plane Crashes in Taiwan, Dozens Feared Dead Republicans Hold a Hearing on IRS Lost Emails Raw: Mourners Gather As MH17 Bodies Transported Robot Parking Valet Creates Stress-free Travel Raw: MH17 Bodies Arrive in Netherlands Raw: Fight Breaks Out in Ukraine Parliament Disabled Veterans Memorial Nearing Completion Last Mass Lynching in U.S. Remains Unsolved Home-sharing Programs Help Seniors Ex-NYC Mayor: US Should Allow Flights to Israel Clinton: "AIDS-Free Generation Within Our Reach" Judge Ponders Overturning Colo. Gay Marriage Ban Airlines Halt Travel to Israel Amid Violence VA Nominee McDonald Goes Before Congress US Official: Most Migrant Children to Be Removed Police Probing Brooklyn Bridge Flag Switch CDC Head Concerned About a Post-antibiotic Era Courts Conflicted Over Healthcare Law Raw: Truck, Train Crash Leads to Fireball
Twitter Updates
Hyperlocal Search
Premier Guide
Find a business

Walking Fingers
Maps, Menus, Store hours, Coupons, and more...
Premier Guide
Stocks
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.
Business Marquee