The Inflation Reduction Act of 2022 (IRA) continues to reshape the Medicare Part D program in 2026 and 2027, with changes aimed at lowering prescription drug costs for beneficiaries that may also affect employer-sponsored drug coverage. 2026 Updates Annual...
If you have Medicare plus another form of coverage—like an employer plan, retiree insurance, or Medicaid—you might wonder which one handles your medical bills first. This is managed by Coordination of Benefits (COB) rules. The Basics: Primary vs. Secondary Primary...
If you’re enrolled in Medicare and also have other health coverage—like a group health plan, retiree insurance, or Medicaid—it’s important to know which insurer pays your claims first. This process, called Coordination of Benefits (COB), ensures your medical bills are...
Employers offering prescription drug coverage to Medicare-eligible individuals must disclose whether the coverage is “creditable.” This annual disclosure is required for both CMS and the employees themselves. Understanding and meeting these obligations...
Medicare Part D is a voluntary prescription drug program available to Medicare beneficiaries. To encourage employers to continue offering prescription drug benefits to Medicare-eligible retirees, Medicare provides an employer subsidy through the Retiree Drug Subsidy...
Medicare Part D Disclosure Requirements Every year, sponsors of group health plans must notify both Medicare Part D–eligible individuals and the Centers for Medicare & Medicaid Services (CMS) about whether the plan’s prescription drug coverage is...
Medicare Enrollment Periods You can only sign up for Medicare or make changes to your coverage during specific enrollment periods: Initial Enrollment Period (IEP): Begins three months before your 65th birthday, includes your birthday month, and extends three months...
Navigating health insurance choices can be complex, especially when considering Medicare and the Health Insurance Marketplace (Marketplace). While the Marketplace is generally for those without health insurance or who don’t qualify for Medicare, specific...
