Medicare Advantage Plans: Exploring the Pros and Cons

If you’re a frequent TV viewer, chances are you’ve come across commercials discussing Medicare Part C, also known as Medicare Advantage plans. These plans are offered by private insurance companies in collaboration with Medicare, and they must provide coverage equivalent to original Medicare. However, before you enroll in a Medicare Advantage (MA) or Medicare Advantage Prescription Drug […]

Navigating Formulary Exceptions

At Gr8 Medicare Solutions, we understand the importance of accessing the medications you need. If you find that your prescribed medication is not on your plan’s formulary, you can take action by requesting a “formulary exception” from your insurer. Here’s a step-by-step guide to help you through this process. Understanding Formulary Exceptions Health plans maintain a formulary, a […]

Medicare Income Limits 2024: What You Need to Know

Medicare income limits play a significant role in determining costs for beneficiaries. Let’s explore the details of how income affects Medicare premiums and its impact on those enrolled in the program. Why Medicare Income Limits Matter Approximately 7% of Medicare beneficiaries are affected by income limits. Each year, the Social Security Administration establishes the income limit used for the Income-Related […]

Medicare and Home Healthcare: A Comprehensive Guide

Introduction As the population ages, the need for quality healthcare services continues to grow. For many seniors and individuals recovering from illnesses or injuries, home healthcare plays a crucial role in maintaining their well-being. In this blog post, we’ll explore the intersection of Medicare and Home Healthcare, highlighting eligibility criteria, covered services, and what you […]

Supplemental Medicare Insurance

Supplemental Medicare Insurance: Your Guide to Medigap Coverage Supplemental Medicare insurance, commonly known as Medigap, Medicare Supplement, or Med Supp, is offered by private insurers to those eligible for Medicare. Typically, Medicare covers around 80% of approved medical expenses, leaving beneficiaries to handle the rest. Medigap plans aim to cover that remaining 20%, thereby reducing out-of-pocket costs […]

Navigating Medicare Appeals

Navigating Medicare Appeals: A Comprehensive Guide for 2024  Navigating the intricacies of Medicare coverage can be a smooth sail for some, yet a challenge for others, particularly when facing denials. It’s crucial for clients to know that if they encounter a denial, they possess the right to appeal. This guide aims to demystify the Medicare […]

What is Medicare Smoothing?

Medicare Part D Changes in 2025: Understanding the New ‘Smoothing’ Payment Plan As we approach 2025, significant changes are on the horizon for Medicare Part D beneficiaries. Gr8 Medicare Solutions is here to guide you through these updates, ensuring you understand and can take full advantage of the new measures designed to ease your prescription drug costs. […]