Lost Your Job Mid-Year? You Have 60 Days to Make a Health Coverage Decision. Here’s How to Make It.
Laid off mid-year? You have about 60 days to choose between COBRA, an ACA plan, or a short-term plan. Here is how the real trade-offs work.
Your ACA Carrier Is Leaving. If You Do Nothing, a Stranger Picks Your New Plan.
Nine carriers are leaving ACA marketplaces for 2027. If yours is one of them and you do nothing by December 15, the marketplace picks your replacement for you.
Your ACA Carrier Is Leaving. If You Do Nothing, a Stranger Picks Your New Plan. Read Post »
Your Medicare Advantage Plan Kept Its Name. It May Not Have Kept Its Benefits.
Fewer benefits, higher costs, tighter networks. Here is what is actually happening to Medicare Advantage extra benefits for 2027, why it is happening, and the three things to check before January.
Your Medicare Advantage Plan Kept Its Name. It May Not Have Kept Its Benefits. Read Post »
Five Questions to Ask Before You Choose Medicare Advantage Over Medigap
Medicare Advantage is easy to walk into and can be hard to walk back out of. Five questions to answer before you pick it over Medigap this AEP.
Five Questions to Ask Before You Choose Medicare Advantage Over Medigap Read Post »
Industry Insights
The 2027 Out-of-Pocket Ceiling Jumps to $12,000
The 2027 ACA out-of-pocket ceiling rises to $12,000 for one person, and standardized plan designs are repealed. Here is what changes when you shop.
The 2027 Out-of-Pocket Ceiling Jumps to $12,000 Read Post »
Industry Insights
Two-Thirds of Medicare Denials Get Overturned
KFF data shows 67% of appealed Medicare Advantage prior authorization denials get overturned. Most denials are paperwork problems, not medical verdicts.
Two-Thirds of Medicare Denials Get Overturned Read Post »
Industry Insights
Humana Is Dropping Plans for 600,000 in 2027
Humana is ending Medicare Advantage plans covering about 600,000 members in 2027. The letters mail by September 30. Here is what to do when yours arrives.
Humana Is Dropping Plans for 600,000 in 2027 Read Post »
Industry Insights
Medicare Blocked $1.6 Billion in Fake Lab Bills
CMS stopped $1.6 billion in improper Medicare lab payments and revoked 157 labs. Here is what to check on your own Medicare statement.
Medicare Blocked $1.6 Billion in Fake Lab Bills Read Post »
Doing Nothing Is a Decision. Here’s Why 2027 Is the Wrong Year to Let Your Medicare Plan Auto-Renew.
Your Medicare Advantage plan’s Annual Notice of Change arrives by September 30. Here is why 2027 is the wrong year to skip reading it.
How Network Tiers Quietly Cost You Money
Two providers can both be in network and still cost you very different amounts. Here is where plan tiers hide and how to check yours.
How Network Tiers Quietly Cost You Money Read Post »