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2023 Medicare Annual Enrollment Period – Start Here​

Medicare Annual Enrollment Period 2023 - Start Here

Ready for 2023 Medicare Annual Enrollment Period?

Check out this video message to learn more.

More information about Annual Notice of Change

By the end of September, you should have received the Annual Notice of Change (ANOC) for your current Medicare Advantage Prescription Drug Plan (MAPD) or Medicare Stand-alone Prescription Drug Plan (PDP).  Please review the Annual Notice of Change (ANOC) document.

Some plans may adjust their premiums or copays, make modifications to the prescriptions included on their drug formulary list, or make benefit changes.

If you have any questions or would like to review your options, please do not hesitate to contact your agent, Jeff or Suzanne. We are contracted with most insurance companies. We work for you, not the insurance company!

The 2023 Medicare Annual Enrollment Period runs from October 15 through December 7.

If you are satisfied with the plan design for 2023, there is nothing additional for you to do. Your new card and information for 2023 will automatically be sent to you by the end of 2022.

Call us with any questions or schedule a time to talk with Jeff or Suzanne using the buttons above.

Do you want to know more?
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2023 Medicare Part D – Stand-Alone Prescription Drug Plans (PDP)

2023 Medicare Part D - Stand-alone Prescription Drug Plans (PDP)

Ready for 2023 Medicare Annual Enrollment Period?

Check out this video message to learn more.

Please review your Annual Notice of Change for your Stand-alone Prescription Drug Plan (PDP)

By the end of September, you should have received the Annual Notice of Change (ANOC) for your Medicare Stand-alone Prescription Drug Plan (PDP).  

Some plans may adjust their premiums or copays, make modifications to the prescriptions included on their drug formulary list, or make benefit changes.

If you have any questions or would like to review your options, please do not hesitate to contact your agent, Jeff or Suzanne. We are contracted with most insurance companies. We work for you, not the insurance company!

The 2023 Medicare Annual Enrollment Period runs from October 15 through December 7.

If you are satisfied with the plan design of your Stand-alone Prescription Drug Plan (PDP) for 2023, there is nothing additional for you to do. Your new card and information for 2023 will automatically be sent to you by the end of 2022.

Call us with any questions or schedule a time to talk with Jeff or Suzanne using the buttons above.

Do you want to know more?
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2023 Medicare Advantage Update

2023 Medicare Advantage (Part C) Update

Medicare Advantage plans are becoming more popular than ever.

Would a Medicare Advantage plan work for you?


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How to pick a 2023 Medicare Part D – Stand-alone Prescription Drug Plan

How to pick a 2023 Medicare Part D - Stand-alone Prescription Drug Plan 

Do you have the right drug plan for 2023?

Use our finder to select the best plan for you!

New for 2023, use our website to make sure you have the best drug plan for your unique situation during Annual Enrollment Period (October 15 – December 7).  Enter your drugs with dosages and your preferred pharmacy to see which plan will work for you next year.

Important Points:

 1. We do NOT represent ALL of the drug plans.  Some Part D insurance companies do not work with agents so we cannot show their plans on our website.

2. You must CLICK the Prescription Drugs tab to search Part D plans.  The page default takes you to to Medicare Advantage on the quoting site. 

3. The default start date is January 1 if you are signing up during the AEP period (October 15 – December 7). After this period, the default effective date is the 1st of the next month.

4. If you are currently on a Medicare Advantage plan, and sign up for a Part D plan, this will disenroll you from that Medicare Advantage plan. Make sure you first have been approved for a Medicare Supplement, if you are applying for one.

5. If you make an account on the page, DO NOT use the +4 ZIP code. Just use the 5 digit ZIP code.

If you have any questions or would like to review your options, please do not hesitate to contact your agent, Jeff or Suzanne. We are contracted with most insurance companies. We work for you, not the insurance company!
Do you want to know more?
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2023 Medicare Part B Premium Announced

2023 Medicare Parts A & B Premiums and Deductibles 2023 Medicare Part D Income-Related Monthly Adjustment Amounts

Sep 27, 2022

On September 27, 2022, the Centers for Medicare & Medicaid Services (CMS) released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2023 Medicare Part D income-related monthly adjustment amounts.

Medicare Part B Premium and Deductible

Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A. 

Each year the Medicare Part B premium, deductible, and coinsurance rates are determined according to the Social Security Act. The standard monthly premium for Medicare Part B enrollees will be $164.90 for 2023, a decrease of $5.20 from $170.10 in 2022. The annual deductible for all Medicare Part B beneficiaries is $226 in 2023, a decrease of $7 from the annual deductible of $233 in 2022.

The 2022 premium included a contingency margin to cover projected Part B spending for a new drug, Aduhelm. Lower-than-projected spending on both Aduhelm and other Part B items and services resulted in much larger reserves in the Part B account of the Supplementary Medical Insurance (SMI) Trust Fund, which can be used to limit future Part B premium increases. The decrease in the 2023 Part B premium aligns with the CMS recommendation in a May 2022 report that excess SMI reserves be passed along to people with Medicare Part B coverage.

Beginning in 2023, certain Medicare enrollees who are 36 months post kidney transplant, and therefore are no longer eligible for full Medicare coverage, can elect to continue Part B coverage of immunosuppressive drugs by paying a premium. For 2023, the immunosuppressive drug premium is $97.10.

Medicare Open Enrollment and Medicare Savings Programs

Medicare Open Enrollment for 2023 will begin on October 15, 2022 and ends on December 7, 2022. During this time, people eligible for Medicare can compare 2023 coverage options between Original Medicare, and Medicare Advantage, and Part D prescription drug plans. In addition to the soon-to-be released premiums and cost sharing information for 2023 Medicare Advantage and Part D plans, the Fee-for-Service Medicare premiums and cost sharing information released today will enable people with Medicare to understand their Medicare coverage options for the year ahead. Medicare health and drug plan costs and covered benefits can change from year to year, so people with Medicare should look at their coverage choices annually and decide on the options that best meet their health needs.

To help with their Medicare costs, low-income seniors and adults with disabilities may qualify to receive financial assistance from the Medicare Savings Programs (MSPs). The MSPs help millions of Americans access high-quality health care at a reduced cost, yet only about half of eligible people are enrolled. The MSPs help pay Medicare premiums and may also pay Medicare deductibles, coinsurance, and copayments for those who meet the conditions of eligibility. Enrolling in an MSP offers relief from these Medicare costs, allowing people to spend that money on other vital needs, including food, housing, or transportation. People with Medicare interested in learning more can visit: https://www.medicare.gov/your-medicare-costs/get-help-paying-costs/medicare-savings-programs.

Medicare Part B Income-Related Monthly Adjustment Amounts

Since 2007, a beneficiary’s Part B monthly premium is based on his or her income. These income-related monthly adjustment amounts affect roughly 7 percent of people with Medicare Part B. The 2023 Part B total premiums for high-income beneficiaries with full Part B coverage are shown in the following table:

Full Part B Coverage

Beneficiaries who file individual tax returns with modified adjusted gross income:

Beneficiaries who file joint tax returns with modified adjusted gross income:

Income-Related Monthly Adjustment Amount

Total Monthly

 Premium Amount

Less than or equal to $97,000

Less than or equal to $194,000

$0.00

$164.90

Greater than $97,000 and less than or equal to $123,000

Greater than $194,000 and less than or equal to $246,000

$65.90

$230.80

Greater than $123,000 and less than or equal to $153,000

Greater than $246,000 and less than or equal to $306,000

$164.80

$329.70

Greater than $153,000 and less than or equal to $183,000

Greater than $306,000 and less than or equal to $366,000

$263.70

$428.60

Greater than $183,000 and less than $500,000

Greater than $366,000 and less than $750,000

$362.60

$527.50

Greater than or equal to $500,000

Greater than or equal to $750,000

$395.60

$560.50

 The 2023 Part B total premiums for high-income beneficiaries with immunosuppressive drug only Part B coverage are shown in the following table:

Part B Immunosuppressive Drug Coverage Only

Beneficiaries who file individual tax returns with modified adjusted gross income:

Beneficiaries who file joint tax returns with modified adjusted gross income:

Income-Related Monthly Adjustment Amount

Total Monthly

 Premium Amount

Less than or equal to $97,000

Less than or equal to $194,000

$0.00

$97.10

Greater than $97,000 and less than or equal to $123,000

Greater than $194,000 and less than or equal to $246,000

$64.70

$161.80

Greater than $123,000 and less than or equal to $153,000

Greater than $246,000 and less than or equal to $306,000

$161.80

$258.90

Greater than $153,000 and less than or equal to $183,000

Greater than $306,000 and less than or equal to $366,000

$258.90

$356.00

Greater than $183,000 and less than $500,000

Greater than $366,000 and less than $750,000

$356.00

$453.10

Greater than or equal to $500,000

Greater than or equal to $750,000

$388.40

$485.50

Premiums for high-income beneficiaries with full Part B coverage who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:

Full Part B Coverage

Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses, with modified adjusted gross income:

Income-Related Monthly Adjustment Amount

Total Monthly Premium Amount

Less than or equal to $97,000

$0.00

$164.90

Greater than $97,000 and less than $403,000

$362.60

$527.50

Greater than or equal to $403,000

$395.60

$560.50

Premiums for high-income beneficiaries with immunosuppressive drug only Part B coverage who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:

Part B Immunosuppressive Drug Coverage Only

Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses, with modified adjusted gross income:

Income-Related Monthly Adjustment Amount

Total Monthly Premium Amount

Less than or equal to $97,000

$0.00

$97.10

Greater than $97,000 and less than $403,000

$356.00

$453.10

Greater than or equal to $403,000

$388.40

$485.50

Medicare Part A Premium and Deductible

Medicare Part A covers inpatient hospital, skilled nursing facility, hospice, inpatient rehabilitation, and some home health care services. About 99 percent of Medicare beneficiaries do not have a Part A premium since they have at least 40 quarters of Medicare-covered employment.

The Medicare Part A inpatient hospital deductible that beneficiaries pay if admitted to the hospital will be $1,600 in 2023, an increase of $44 from $1,556 in 2022. The Part A inpatient hospital deductible covers beneficiaries’ share of costs for the first 60 days of Medicare-covered inpatient hospital care in a benefit period. In 2023, beneficiaries must pay a coinsurance amount of $400 per day for the 61st through 90th day of a hospitalization ($389 in 2022) in a benefit period and $800 per day for lifetime reserve days ($778 in 2022). For beneficiaries in skilled nursing facilities, the daily coinsurance for days 21 through 100 of extended care services in a benefit period will be $200.00 in 2023 ($194.50 in 2022).

Part A Deductible and Coinsurance Amounts for Calendar Years 2022 and 2023
by Type of Cost Sharing

 

2022

2023

Inpatient hospital deductible

$1,556

$1,600

Daily coinsurance for 61st-90th Day

$389

$400

Daily coinsurance for lifetime reserve days

$778

$800

Skilled Nursing Facility coinsurance

$194.50

$200.00

Enrollees age 65 and over who have fewer than 40 quarters of coverage and certain persons with disabilities pay a monthly premium in order to voluntarily enroll in Medicare Part A. Individuals who had at least 30 quarters of coverage or were married to someone with at least 30 quarters of coverage may buy into Part A at a reduced monthly premium rate, which will be $278 in 2023, a $4 increase from 2022. Certain uninsured aged individuals who have less than 30 quarters of coverage and certain individuals with disabilities who have exhausted other entitlement will pay the full premium, which will be $506 a month in 2023, a $7 increase from 2022. 

For more information on the 2023 Medicare Parts A and B premiums and deductibles Notices (CMS-8080-N, CMS-8081-N, CMS-8082-N), please visit:

CMS-8080-N: https://www.federalregister.gov/public-inspection/2022-21180/medicare-program-calendar-year-2023-inpatient-hospital-deductible-and-hospital-and-extended-care

CMS-8081-N:https://www.federalregister.gov/public-inspection/2022-21176/medicare-program-cy-2023-part-a-premiums-for-the-uninsured-aged-and-for-certain-disabled-individuals

CMS-8082-N:https://www.federalregister.gov/public-inspection/2022-21090/medicare-program-medicare-part-b-monthly-actuarial-rates-premium-rates-and-annual-deductible

Medicare Part D Income-Related Monthly Adjustment Amounts

Since 2011, higher income beneficiaries’ Part D monthly premiums are based on income. These income-related monthly adjustment amounts affect roughly 8 percent of people with Medicare Part D. These individuals will pay the income-related monthly adjustment amount in addition to their Part D premium. Part D premiums vary from plan to plan and roughly two-thirds of beneficiaries pay premiums directly to the plan, while the remaining beneficiaries have their premiums deducted from their Social Security benefit checks. Regardless of how a beneficiary pays their Part D premium, the Part D income-related monthly adjustment amounts are deducted from Social Security benefit checks or paid directly to Medicare. The 2023 Part D income-related monthly adjustment amounts for high-income beneficiaries are shown in the following table:

Beneficiaries who file individual tax returns with modified adjusted gross income:

Beneficiaries who file joint tax returns with modified adjusted gross income:

Income-related monthly adjustment amount

Less than or equal to $97,000

Less than or equal to $194,000

$0.00

Greater than $97,000 and less than or equal to $123,000

Greater than $194,000 and less than or equal to $246,000

12.20

Greater than $123,000 and less than or equal to $153,000

Greater than $246,000 and less than or equal to $306,000

31.50

Greater than $153,000 and less than or equal to $183,000

Greater than $306,000 and less than or equal to $366,000

50.70

Greater than $183,000 and less than $500,000

Greater than $366,000 and less than $750,000

70.00

Greater than or equal to $500,000

Greater than or equal to $750,000

76.40

Premiums for high-income beneficiaries who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:

Beneficiaries who are married and lived with their spouses at any time during the year, but file separate tax returns from their spouses, with modified adjusted gross income:

Income-related monthly adjustment amount

Less than or equal to $97,000

$0.00

Greater than $97,000 and less than $403,000

70.00

Greater than or equal to $403,000

76.40

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Kentucky’s Health Insurance Marketplace

Kentucky’s Health Insurance Marketplace

Kentucky moved from healthcare.gov to Kynect for 2022 and beyond.  The transition was a little bumpy for many Kentucky residents.  If you need help with under age 65 health insurance in Kentucky and you are already in the Kynect system, I can try to help.  First, you must assign me as your agent by calling Kynect at 1-855-306-8959 or logging into your Kynect profile.  Please make sure you assign me as your Insurance Agent (not authorized rep), Jeffrey Janosick MedMyWay NPN 10935898.  Once I am assigned as your agent, I can access your information on Kynect and try to help sort out any issues you are having or help find new coverage.  Due to complexities with Kynect, I cannot guarantee I can solve all problems but I can try to help.

Kynect logo with phone number
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All these Medicare commercials, what are they talking about?​

All these Medicare commercials, what are they talking about?

Check out this video message to learn more.

Medicare Savings Programs

You can get help from your state paying your Medicare premiums. In some cases, Medicare Savings Programs may also pay  Medicare Part A (Hospital Insurance) and  Medicare Part B (Medical Insurance) deductibles, coinsurance, and copayments if you meet certain conditions. 

How do I apply for Medicare Savings Programs?

  • Do you have, or are you eligible for, Part A?
  • Is your income at, or below, the income limits listed for any of the programs at the links below? 
  • Do you have limited resources, below the limits listed at the links below?
Do you want to know more?
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New to Medicare? Start Here​

New to Medicare? Start Here!

There are so many Medicare options. Which one is right for you?

Let us help at MedMyWay. Schedule a time with us to discuss your options.

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What are the Parts of Medicare?

The Four Parts of Medicare

Check out the video above to learn about parts of Medicare.

Summary of the Parts of Medicare ...

Part A. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. coverage if you or your spouse paid Medicare taxes for a certain amount of time while working. This is sometimes called “premium-free Part A.” Most people get premium-free Part A.

Part B. Medicare Part B helps cover medical services like doctors’ services, outpatient care, and other medical services that Part A doesn’t cover. Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary.  Most people have to pay a premium to get Part B from Medicare.

Part C. A Medicare Advantage is another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare. If you join a Medicare Advantage Plan, you’ll still have Medicare but you’ll get most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare.

Part D. Medicare Part D is a voluntary outpatient prescription drug benefit for people with Medicare, provided through private plans approved by the federal government. Beneficiaries can choose to enroll in either a stand-alone prescription drug plan (PDP) to supplement traditional Medicare or a Medicare Advantage prescription drug plan (MA-PD), mainly HMOs and PPOs, that cover all Medicare benefits including drugs.

Need assistance figuring out what is the best plan for you?

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How do I sign up for Medicare?

How do I sign up for Medicare?

Ready to sign up for Part A and or Part B?

Contact Social Security (or the Railroad Retirement Board) to sign up for Part A (Hospital Insurance) and Part B (Medical Insurance).  Medicare provides your coverage, but you’ll sign up through Social Security (or the Railroad Retirement Board) because they need to see if you’re eligible for Medicare, including whether you (or another qualifying person) paid Medicare taxes long enough to get Part A without having to pay a monthly premium. Social Security also process requests to sign up for Part B for Medicare.

Turning 65? Ways to sign up:

1 – Online (at Social Security) – It’s the easiest and fastest way to sign up and get any financial help you may need. (You’ll need to create your secure my Social Security account to sign up for Medicare or apply for benefits.)

2 – Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.

3 – Contact your local Social Security office.

4 – If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772.

Over age 65? Ways to sign up:

 

If you are over 65 and still working, you can sign up for Medicare Part A and/or Part B when you are ready to end your work based coverage.  You can sign up for Medicare Part A and/or Part B using the 4 ways listed above.  One important note, REQUEST FOR EMPLOYMENT INFORMATIONshould be completed by your employer that is providing your credible employer based health insurance to AVOID a Part B late enrollment penalty for the time you had employer-based coverage since turning 65.  You will also want to complete the Application for Part B.

Have questions about signing up for Medicare?
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