Page 54 - November 2022 Issue.indd

required Medicare RX coverage is (QMB), enrollees in this form of
supplied by for profit companies who are Advantage can expect their out-of-

licensed by the state to sell prescription pocket expenses to be capped at $8,300
Spot overseen by the Center for Medicare for In-Network services for 2023. More
Senior drug insurance. Th ese vetted plans are
to come on Advantage so keep reading!
and Medicaid Services(CMS). As with
any insurance, premiums change, Each year the RX plans may change
drug tiering can change (which is the their covered, and not covered,
Senior Moments medication list, the formulary. For
by Mary Moran designated level of cost each drug
receives) and deductibles can change instance, your drug that was covered
410-829-2535 / 410-490-3078 in 2022 may not be covered in 2023.
annually.
Drug pricing is established by the tiers
Now that Open Enrollment has arrived, Open enrollment is also what prompts (or levels) assigned to each medication.

it’s time for the annual Medicare those well-known celebrities to This tiering system can, and oft en does,

refresher for those new to the game! advertise the alternate form of Medicare change every year. The higher the tier
This is the long one with something provided by for profit Health Care the more expensive the drug.
for everyone in it so grab a cuppa Systems known as Medicare Advantage
something good and settle down for on TV and radio. Advertisers generally Call Mary Moran at 410-479-2535 for
a part “D” checkup now to make sure
a spell! do not refer to the product as Medicare
Advantage, but simply refer to Medicare there are no surprises starting January

Original Medicare Part “A” covers when pitching their product. Get 1, 2023! Aft er filling out a simple form
inpatient hospital, skilled nursing your magnifying glass out to read the and returning it to SHIP for careful
facility, inpatient rehab, and some fine print at the bottom of the screen evaluation on Medicare.gov, the

home health care services. Medicare defining the product as Advantage! decision will be made to either stay with

Part “B” covers physician services, the same RX plan moving forward into
outpatient hospital services, certain Medicare Advantage is known as “C” next year or change plans to better suit
home health services, durable medical and blends coverage of hospitalization, one’s medication and fi nancial needs.
equipment, certain other medical outpatient, and sometimes prescription
and health services, such as infusions drug coverage, under one umbrella.
administered in a clinical setting, not beneficiaries are required to pay the
covered by Medicare Part A, and some part “B” premium, plus any premium
medications, such as insulin for a pump. charged by the Advantage plan, and
sometimes an additional prescription
Open enrollment runs from October drug premium. Additionally,
15th through December 7th. It provides beneficiaries pay out of pocket costs
the annual opportunity to evaluate Part for prescription drugs, copays, and
“D” Prescription Drug Coverage for coinsurances during the year. Unless
changes in the upcoming year. This one is a Qualified Medicare Benefi ciary

ĂŝůLJ ĐƟǀŝƟĞƐ
RN on Call
TURNING 65? ,ŽŵĞ ŽŽŬĞĚ DĞĂůƐ͕
^ŶĂĐŬƐ Θ ĞǀĞƌĂŐĞƐ
Confused about all the Medicare Terms & Options? >ĂƵŶĚƌLJ Θ ,ŽƵƐĞŬĞĞƉŝŶŐ
Let Me Help You! >ŝĐĞŶƐĞĚ ƚŽ WƌŽǀŝĚĞ
ĂƌĞ ĨŽƌ >ĞǀĞůƐ ϭ͕Ϯ͕ϯ
DĞŵŽƌLJ ĂƌĞ
Anthony Insurance Services ^ƉĞĐŝĂů ŝĞƚ Θ ŝŶŝŶŐ ƐƐŝƐƚĂŶĐĞ
WŽƐƚͲƌĞŚĂďŝůŝƚĂƟŽŶ WĂƌƚŶĞƌƐŚŝƉƐ
Ann M. Anthony ǁŝƚŚ ŽĐƚŽƌƐ ĂŶĚ dŚĞƌĂƉŝƐƚƐ
ĂŶĚ ŵƵĐŚ ŵŽƌĞ͘͘͘

Specializing in Medicare Supplemental Plans, www.arcadia-living.com
Medicare Advantage Plans, Medicare Part-D Plans,
Dental and Vision, Long Term Care, and Life Insurance
Call Ann Today for an Appointment 410-708-0899 • anthonyins17@gmail.com
22850 Fleming Road, Denton, MD 21629 Come Home to Arcadia

54