Tag: #eligibility

The Basics of Part D Medicare

By Roz Jones

You’re a caregiver. You understand the complex world of insurance and health care. But when it comes to Part D Medicare, you may feel like you’re in over your head. Part D Medicare is a prescription drug plan offered by private insurance companies that are approved by Medicare. It is available to people who have Medicare Part A and/or B, which covers hospital and medical insurance, respectively. 

What is Part D?

Part D is a prescription drug coverage plan that is available to Medicare beneficiaries. This plan helps to cover the costs of prescription drugs that are not covered under Original Medicare. Part D plans are offered by private insurance companies and each plan has its own list of covered drugs, called a formulary. 

How Part D Works

Part D plans vary, so it’s important to do your research to find the one that best meets your aging loved one’s needs. Some plans have low monthly premiums but high deductibles, while others have higher premiums but low deductibles. There is also a wide range in the types and costs of drugs covered by each plan. All plans must offer at least a standard level of coverage set by Medicare. 

Once you enroll your aging loved one in a Part D plan, they will usually pay a monthly premium. They may also have to pay an annual deductible before their coverage begins. After that, they will typically pay coinsurance or copayment for each prescription filled. Some plans charge a late enrollment penalty if you do not sign up for Part D when you first become eligible. 

Part D Medicare can be confusing, but as a caregiver, it’s important to have a basic understanding of how it works. By doing your research and comparing plans, you can find the one that best suits your aging loved one’s needs. And remember, if you have any questions, don’t hesitate to contact your local Medicare office for more information.

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2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregivers’ experiences.

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Part B Medicare: An Overview

By Roz Jones

As a caregiver, you may be responsible for managing your loved one’s health care. If your loved one is enrolled in Medicare, you may be wondering what Part B covers and how it works. Here’s a quick overview of Part B Medicare.

What is Part B Medicare & What Does it cover?

Part B is sometimes called “Medigap” coverage because it helps cover some of the costs not covered by Part A. This can include things like outpatient care, preventive services, and durable medical equipment. 

Who is eligible for Part B Medicare?

In order to be eligible for Part B Medicare, your loved one must be 65 years of age or older and a United States citizen or legal permanent resident. Your loved one may also be eligible if you are under 65 years old and have a disability.

What Doesn’t Medicare Cover?

There are some services that Part B does not cover. It is important to note that Part B Medicare does not cover hospitalization costs of nursing home care. These include long-term care, dental care, eyeglasses, and hearing aids. Additionally, Part B has a deductible that must be met before coverage begins. Once the deductible is met, Part B pays for 80% of covered services. Your loved one is responsible for the other 20%. 

How much does Part B Medicare cost?

Part B also has an out-of-pocket maximum. This is the most your loved one will have to pay for covered services in a year. Once the out-of-pocket maximum is met, Part B pays for 100% of covered services for the rest of the year. 

As a caregiver, it is important to be aware of the different types of coverage that are available through Medicare. In this blog post, we’ve given you an overview of what Part B Medicare is and what it covers. We hope this information will be helpful to you as you navigate the world of healthcare with your loved ones.

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Are you a Caregiver who is struggling with being confident in the decisions you have to make for your aging clients or loved ones? Check out the latest episode of The Caregiver Cafe Podcast to learn why you should trust your gut!

As a caregiver, should you trust your gut when making decisions that affect your loved one?
Research has shown that when people base decisions on their instincts, they often come up with the correct answers to problems.

In this episode, I share why you should trust your gut when responsible for the health and well-being of a loved one.

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ATTENTION: INSTAGRAM UPDATE!!!

Thank you for your patience with me as I attempted to gain access to my Instagram account @rozjonesenterprises! Unfortunately, I have been prompted to create a NEW Instagram account.

Be sure to follow my new Instagram page @rozcaregiverconsulting and check out my top business mistakes as a Business Owner!

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Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 
Subscribe Now!