August Medicare Must-Knows | Monthly Updates From Your Local Advisors in Medicare

August Medicare Must-Knows

Every month, our advisors summarize the latest Medicare industry news for you. Our local advisors in Medicare want you to be informed about how current events could impact your health care. In August, we’re coming to you with updates on telehealth coverage, hospital pricing, and more.

Medicare to Cover Telehealth Only Temporarily

In late July, the Centers for Medicare and Medicaid Services (CMS) published their 2022 proposed payment rule—in other words, their standards for covered services in the next year. Within this document, CMS rejected all requests to permanently add telehealth services to Medicare coverage.

This means that for beneficiaries on Original Medicare (Part A and Part B), coverage for telehealth services could be going away.

At the start of the pandemic in 2020, telehealth was temporarily added to Medicare’s list of covered services. As a safety measure, this allowed people to visit their doctors without face-to-face contact. The temporary coverage has been renewed several times. But now CMS now plans to minimize their list of covered telehealth services back to pre-pandemic standards.

However, many Medicare Advantage plans will continue to cover telehealth services in 2022—so if you’re interested in visiting your doctor virtually, our advisors can help you review your plan options.

CMS Enforces Price Transparency in Hospitals

On July 19, CMS published a rule that will encourage price transparency in hospitals. In the event that pricing is inconsistent or unclear, hospitals now face stricter and more expensive fines.

According to the statement, this rule will help Medicare beneficiaries by “expanding access to onsite care in their communities, ensuring they have access to clear information about health care costs, or enhancing patient safety.”

This new rule intends to make prices easier to access and understand. That way, you know exactly what to expect to pay if you’re hospitalized. Learn more about hospital insurance (Medicare Part A) from our advisors.

New Alzheimer’s Drug Coverage Debate Continues

Last month, we reported on a controversial new Alzheimer’s drug approved by the Food and Drug Administration (FDA). CMS is in the process of considering whether Medicare will cover this drug for beneficiaries.

Note that while part of this drug’s controversy is around its price, CMS is not allowed to consider the price of a drug when deciding if Medicare will cover it. Limited research means there are questions around the effectiveness and impact of the drug on patients.

A decision from CMS likely won’t come out until next year. As a resolution unfolds, RetireMEDiQ will update you and explain any impact on your health coverage.

Upcoming Medicare Webinars

Our advisors host a series of webinars that cover the basics of Medicare. Whether you’re preparing to enroll or still weighing your coverage options, you have something to learn from these free sessions.

In August, our experts are hosting webinars on topics such as:

  • Medicare 101: Understanding Medicare
  • Mistakes to Avoid When Enrolling in Medicare
  • Medicare Mistakes to Avoid if Working Past Age 65
  • Retiring Before Age 65: Your Health Coverage Options

View a full list of our upcoming webinars and register for a session. We look forward to answering your questions!

Medicare Questions? Our Local Advisors Have Answers

As your local advisors in Medicare, we’re here to give answers to all your questions—from enrollment to plan options and more. Email advice@retiremediq.com or schedule a call with us to start on the path towards Medicare peace of mind.

Already a RetireMEDiQ client? Your client advisor team is here to help when you call 1-877-222-1942 or email client@retiremediq.com.

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