You’ve seen the headlines with all the Medicare promises. • The Inflation Reduction Act (IRA) is saving seniors millions through lower drug costs, stable premiums, drug rebates, and negotiations. • Over 50 percent of beneficiaries are enrolled in Medicare Advantage plans; many of them because of the lower premiums and extra benefits. • Beneficiaries can get a Medicare Advantage plan that lets you see any doctor you choose. • CMS rejected over 1,000 Medicare Advantage television commercials in eight months. • CMS’ rules will streamline prior authorization, while plans are reducing the number of procedures that require prior authorization.
Is it any wonder that seniors expect great things to happen this year? Unfortunately, the reality is a lot uglier.
Let's go beyond Bernie Sander's talking points for "Medicare For All" (Free, single payer, no restrictions for preexisting medical conditions), and actually look at how Medicare works in the real world.
In this session, we'll dig into:
• Medicare Advantage vs. Original Medicare with a Medigap policy --The implications to provider choice, timely healthcare, and out-of-pocket costs --Prior authorization, network changes, what is really means to have a PPO Medicare Advantage plan (it's often not what you think), referrals and more.
• The impact the Inflation Reduction Act is having on Medicare Part D coverage --The $2,000 spending limit sounds great... but what's the catch? (YES! There's a HUGE catch.) --How is the $2,000 spending limit actually going to work? --How will the negotiations of the 10 most expensive drugs impact Part D coverage overall?
• The most common myths about Medicare --"Medicare is FREE!" --"Medicare covers long-term care" --"Everyone needs to get enrolled in Medicare at age 65" --"Anyone working after the age of 65 can delay Medicare" --"Everyone pays the same amounts for Medicare"
