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A Birthday Check List

It’s the end of the summer and for me that means another birthday. In fact, my birthday is today. As I was musing about how old I’ve become I thought there had to be something productive I could do other than wish I was younger. And, as you might have guessed, I thought that maybe a birthday was a good time to do some things that will help us stay healthy and happy and might make a for a helpful blog. We all know to change the batteries in our smoke detectors when we change the clock to, or back from, Daylight Saving Time. It’s a great way to keep our houses safe. So why not use our birthday as a reminder to do some other things that not only keeps us safe and healthy but also maybe a little bit richer. You might have some more things to add to the list, I’m always open to comments with suggestions. Here’s my list . . .

Get your yearly physical – This reminder is almost as common as the smoke detector batteries, but I think it might be the most important item on the list. Many of us have been self-quarantining, which has kept us away from the doctor’s office. I just got my physical and our care givers are really good at keeping us safe. They take everyone’s temperature, we go through a check list to see if we might be a COVID-19 risk, and everyone wears a mask and makes sure we are wearing ours. They clean everything between patients. I felt safe wherever I went. Getting a yearly physical exam is the best thing we can do for our long-term health.

Review your immunization needs – Part of our yearly physical should include gathering and reviewing our immunization records and finding out what immunizations we might still need. Click here to go to my recent blog about immunizations. It has links to some great sites to help you determine what vaccines you need. If you don’t have your immunization records, request them when you visit the doctor. Many doctors’ offices have online portals that give you access to your health records. One way or another, get a copy and keep it in a safe place.

Review your Medicare Part D drug coverage – While your birthday may not coincide with the Part D annual enrollment period (October 15 to December 7), your birthday is not a bad time to get your prescription drug information together. It’s a good time to update your information with any changes you’ve had to your medications.

Actions required on important birthdays – As we get older there are some important birthdays that needs special scrutiny and possible important action. The important date for Medicare is 65, that’s when we need to sign up and register for Medicare and decide whether we want to use Medicare fee-for-service or Medicare Advantage. Even if we are still working and have private insurance there are still actions that we must take.  Go to CMS.gov to find out about your Medicare benefits. There are other important birthdates, 62, 66 and 8 months to 67 (depending on your birth year), and 70. These are birthdays when you can elect to begin receiving Social Security (SS). There are a lot of variables that go into when you should begin taking Social Security. Before your 62nd birthday make an appointment to talk with a SS representative. In these times of the COVID-19 virus, it might be difficult to meet in person but don’t put off finding out all about this important benefit.

Inventory your medicine cabinet – Your birthday is a great time to inventory your medicine cabinet. It’s a good time to get rid of old medicine, both prescriptions and over the counter medicines. Many pharmacies will help you dispose of old medicine. Don’t flush it down the toilet or throw it in the garbage. We want to safely remove it from the environment. Now, I need to talk about a touchy but important topic. Many people suffer from drug addictions. We have all heard of the alarming increase in opioid addiction in our country. Unfortunately, a common way these drugs are obtained are by friends and relatives stealing prescription drugs from someone’s medicine cabinet. Having a medicine cabinet lock helps prevent this problem while also keeping these medicines from unsuspecting children. At the very least, monitor who has access to your prescription medicines.

Review your financial health – Being financially secure helps both our physical and mental health. You should review your finances with a trusted advisor. It’s up to you who you deem trustworthy, but it is a place to be very careful. Unfortunately, there are people out there who prey on older people and find ways to rob them of their savings. It’s always a good idea to have a third party, unconnected with your trusted advisor, independently review any actions with your savings. Due to the COVID-19 impact on the economy and investments it is especially important to review your finances. It’s also a good time to go over your non liquid assets, like property, jewelry, etc. A balance sheet to identify your net worth helps you understand your financial standing.

Inventory your passwords – This might seem like a trivial item but many people’s identity and ultimately their money are stolen because a person used common passwords or made access to their passwords easy. Find a smart computer person to help you set up a secure password vault and, after it is set up, change all of your passwords. There are vaults that only require you to remember one password to get into the vault, and they have all of your other passwords.

I’m sure you can think of other things that should be done at least once a year. I suggest creating a check list. Unlike my keys or my cell phone, my birthday is one thing I don’t forget. Use that fact to help you remember some things that may be even more important than your birthday.

Be safe and register to vote, Thair



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Our Legislative Focus

As summer wanes and fall begins to come into focus, it’s time to look ahead to the healthcare legislative issues that could come into play. With campaigns heating up and the debates beginning, you can guarantee that promises will be made and accusations leveled concerning your healthcare. Some of the issues that will be brought up might have a small chance of actually being implemented, but this doesn’t mean that we shouldn’t pay attention. In the past, seemingly long shot proposals have become late night trading fodder when politicians make deals on far reaching legislation. Many of the issues I’ll talk about today were thought to be not-starters a few years ago and now they are political realities. What I will do is offer a simple explanation of each issue, give you an idea on how it could affect you and how likely I think it will be to be implemented. I’ve written an earlier blog about many of these issues. You can look through recent posts to get a more detailed explanation of some of the issues.

International Pricing Index/Favored Nation Pricing

Background – In an effort to lower drug costs some in Washington (most recently the President) have proposed that we fix the cost of a drug to the lowest price a “favored nation” paid. As I’ve explained before, price fixing has never been a long-term solution to any cost problem. There are better ways to have other nations share in the costly research and development that goes into discovering and manufacturing prescription drugs.

Impact – If this approach is implemented the supply line safety that we have enjoyed over the years will be jeopardized with no guarantee that any savings will make its way to you.

Chance of Implementation – While this idea has been around for at least a couple of years, its chances of becoming a reality have gone up. It would be difficult to implement and the chance of unintended consequences high. This makes its implementation politically unpopular but a great thing to talk about during debates.

Importation

Background – This issue has some of the same characteristics as the international pricing index. The goal is again to lower drug prices by allowing importation of these drugs from Canada. I talked about this proposal in my earlier blog explaining how it bypasses the safety net we now enjoy without any proof that the patient will see any savings while counting on Canada to implement a program that they have already said they can’t support.

Impact – While you or someone you know has gone across either our southern or northern boarders to purchase medicine at a lower price, this is not what this proposal is about. This importation proposal is at a much higher-level involving suppliers and transporters and large volumes. Some states have passed laws allowing importation but none of them have been implemented.

Chance of Implementation – This approach has been around for many years and no one yet has found a way to safely implement it. A pilot program of some sort may be started but it will take some real political will to make it happen.  Canadian officials have indicated they will not support it. However, the chances of it happening are much more likely than they were just a few years ago. This is one of those solutions that may gain some traction.

Changes to Medicare Part B

Background – The price of drugs administered and paid for under Medicare Part B have increased substantially. These are drugs that are often injected at a doctor’s office for serious diseases like cancer and many types of autoimmune diseases. A proposal to fix the cost of these medicines has been put forth. This approach would go against the market-based approach that is now in place. It would impact many of the doctors who perform these services and upend and regulate this vitally important portion of our healthcare. Again, fixing prices has never been and efficient, long range solution.

Impact – If implemented, this approach would change the economics of this vital service. Any savings to the patient has been hard to quantify but it would most certainly put pressure on already pressured neighborhood practices. Losing these close, more accessible, services would have serious consequences.

Chance of Implementation – Part B drug prices have become a focal point for people seeking solutions to increased costs. We need to correct the underlying parts of the system rather than using a sledgehammer to bludgeon one part of the business.

Part D Cap

Background – Almost all of us, either in private insurance or Medicare or Medicare supplemental insurance, have experienced caps on our healthcare out-of-pocket costs. It helped us budget our money, we even decided what type of insurance to buy based on the yearly cost caps. Medicare Part D has no such caps. Depending on what prescription drugs, we need we may have out-of-pocket costs that balloon to the tens of thousands a year.

Impact – While we have been against the other proposed changes, a Medicare Part D cap would have a huge impact on those of us who are already retired and everyone younger as they plan for their retirement. I’ve known people, maybe you have also, who were living comfortably until an illness struck and their drug costs forced them to tap into their retirement. The peace of mind that a cap on our drug costs would give all of us, whether planning for or already retired, would be immense. This a change that is worth fighting for.

Chance of Implementation – This change is gaining some traction. While it probably won’t be something that is done on its own, it is a change that could be incorporated in some larger legislation as a balance or concession to reach final approval on the bigger legislation. It would be a most welcome change.

It is guaranteed that there will be other changes to our healthcare put forth as we near election day. We will keep you up to date on each one, explaining in simple terms what the change is and its impact on you. There is one over all criteria that I would like you to consider. Making short term, knee jerk, politically popular, changes is not the answer. Trying to band aid or quick fix a broken process never ends well. We need to fix the underlying problem, simplify the process, and let the free market drive us to the most effective, cost efficient solution. I believe the reduction of administrative overhead and regulations is a big step toward this goal. Measure each change to see if it offers simplicity and transparency in its solution.

Let’s stay informed as we approach this critical election. Get involved, tell those in Washington how you feel. Also, get registered to vote and then vote! It’s one of the most powerful things we can do.

Thair



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Alzheimer’s and Brain Awareness Month

Last month, June, was Alzheimer’s and Brain Awareness Month – you may have seen some information about it on social media. I wanted to add to those voices before everyone moved on.

Alzheimer’s is the most common form of dementia, accounting for 60 to 80% of dementia cases, it affects over 5.5 million Americans. Alzheimer’s is one of those diseases that is all to common, most of us either have someone close to us with the disease or know someone whose loved one has Alzheimer’s. It has a huge affect on our nation because it requires caregivers with enormous patience, it lasts a long time, has no cure and is one of the nation’s costliest diseases. It is estimated that it will cost our nation over 300 billion dollars this year and the cost is going up. This cost doesn’t even figure in the cost to society of unpaid caregivers. While the death rate of other diseases has fallen . . . the death rate of heart disease, the most common cause of death, has fallen 11% . . . the death rate from Alzheimer’s has risen 123% between 2000 and 2015. Alzheimer’s impacts us all, personally and financially.

So, you might ask, “why haven’t we found a cure? It is obvious that we should be working day and night on a cure for this disease.” Well, we have, but it has been rough going. Alzheimer’s is a complicated and multifaceted disease. There have been many promising medicines that have been tested and failed, some of the failures coming at the very end of the clinical trials. It has been heartbreaking to those impacted by Alzheimer’s to have hope and then be disappointed.

Scientists have identified that plaque buildup in the brain seems to be common in those with Alzheimer’s. They have also discovered that a vital brain cell transport system collapses when a certain protein twists into microscopic fibers called tangles. These discoveries have given hints to the cause, but a solution has been elusive. While there have been medicines created that treat some of the symptoms, there is still no cure. But there is hope. Scientists have joined forces by forming the Coalition Against Major Diseases (CAMD), an alliance of pharmaceutical companies, nonprofit foundations and government advisers, that have forged a first-of-its-kind partnership to share data from Alzheimer’s clinical trials. It will take a combined effort like this to tackle this terrible disease.

As a country we need to ensure that our government allows coalitions like this the freedom to pursue a cure for Alzheimer’s. My math says an Alzheimer’s cure could save our nation 3 trillion dollars over 10 years, to say nothing of the impact on the millions of patients and caregivers whose lives are devastated by this disease.

In these times of isolation my sincere thanks goes to those in the Alzheimer’s units throughout the country who have stayed on the front lines, often at the risk of their own health, to care for the millions of Alzheimer’s patients. Find out more about Alzheimer’s and Brain Awareness Month by going to this website. You might also try wearing a nice-looking purple outfit in hopes that someone will ask you about it and you can tell them about Alzheimer’s and the importance of finding a cure.

In the meantime, stay safe and be joyful.

Thair



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Call on the Administration to Reject the International Pricing Index!

Medicare beneficiaries: listen up! The Administration is introducing a proposed rule that would arbitrarily base the prices of American medications on prices of drugs in foreign countries. Proponents of this proposal, known as the International Pricing Index (IPI), claim that this type of plan would cut costs, but the truth is, this measure could harm seniors’ access to prescription medications and stifle medical progress and the development of improved treatments here at home.

If IPI is enacted, seniors will likely see new restrictions in the number and variety of medication options available to them and their physicians. International reference pricing proposals – which would tie U.S. drug prices to foreign countries that heavily regulate medicine accessibility — could also force a one-size-fits-all approach on beneficiaries, worsening health outcomes by assuming every patient responds the same way to all medications. If seniors are not given a voice or a choice in matters regarding their own healthcare needs, it will be harder to do what their physician believes is most effective.

Seniors must act NOW! Tell the Administration just how harmful enacting IPI and other foreign reference pricing policies could be, both for beneficiaries’ health and for American medical progress. Click here to make your voice heard.



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Let’s try to simplify health care

How we pay for our health care is a mystery to most of us. We get our Medicare and insurance bills and they are hard to decipher. We pay money for premiums and when we go to the doctor, the hospital and buy are medicines, but the reason things cost what they do is often a mystery. When we hear the politicians talk about changes to Medicare, they use words and descriptions that are often unfamiliar. What we do know is that when Medicare is changed it often affects us directly, either by access to care or cost. My goal with this blog is to try, and I emphasize TRY, to simplify how the different players in our health care system interact and the forces that influence how they operate. I will also seek to explain the different tools that are used and how each one of them affect your health care access and your cost. My goal is to help you become a more knowledgeable constituent, one that understands your health care today and the ramifications of possible future changes.

I realize this is a long blog, believe me it could have been many times longer. My hope is that this blog gives us a base of understanding, a reference place, that we can use when we get into a detailed discussion concerning possible regulatory and legislative changes.

There are four major players in how we receive our Medicare health care benefits:

Patients
Providers (doctors, hospitals, prescription drug manufacturers, etc.)
Payers (the government, insurance companies and patients)
Middlemen (pharmacies, pharmacy benefit managers [PBMs], etc.)

All of them have regulations, legislation, costs and
competitive forces that affect them.

Patients –
• Many of you have seen out-of-pocket costs go up while access to care has become more complicated.

Providers –
• Doctors are inundated with regulations that require ever expanding administrative costs and require them to spend more and more time on non-patient contact tasks. Malpractice insurance costs continue to rise which encourages them to protect themselves by ordering more tests, procedures and specialist appointments.
• Hospitals have huge fixed costs and are required to treat the uninsured.
• Drug manufacturers face the risk and cost of research and development that has raised the cost of developing a new drug to two billion dollars. They are faced with required discounts on drugs while paying ever increasing rebates to insurance companies and PBMs.

Payers –
• The government has seen health care prices rise while the population lives longer, drawing on a fund that is dwindling each year.
• Insurance companies must keep premiums low to compete, but costs continue to spiral up.
• Patients, especially the sicker ones, are saddled with paying a higher percentage of their health care costs.

Middlemen –
• Pharmacies are squeezed with paying after the sale rebates and providing a myriad of uncompensated services.
• PBMs are faced with a changing business model that may impact their relevance.

This is certainly a complicated business; it is a balance of the free market with a highly regulated environment. It is convoluted and, in many places, inefficient, but it is where we are today.

As the players work to improve our health care, they have tools that they use to offer choices, control costs and direct access. My goal in the explanations below is to define how these tools operate and, more importantly, how their use will impact you, either in access to care or cost.

Deductible – The patient is responsible for 100% of health care costs until this amount is reached. It is used to control unnecessary health care usage. It is a big out-of-pocket expense for patients and should be considered as health care plan choices are made.

Co-pay – An amount the patient pays each time they use a product or service. Payers use this to give the patient some cost to pay to help limit unnecessary usage. It operates a little like a deductible and adds to a patient’s out-of-pocket costs. Co-pays are often higher when seeing a specialist.

Co-insurance – Unlike a co-pay, co-insurance is not a set amount, it is a percentage of the cost of the product or service. This tool can have a big impact on a patient’s costs and its use by insurance companies has increased over the last few years. For instance, there is co-insurance in Medicare’s prescription drug benefit, Part D. If your out-of-pocket costs in 2020 exceed $6,350 dollars you are only responsible for 5% of the cost of the drug. 5% may sound small but with some of the costs of medicines today it could be a large amount. For instance, if you are taking a drug that costs $10,000 a month your out-of-pocket costs for the year would be $8,187. You would reach your $6,350 very quickly and would pay 5% of the drug’s list price after that ($500 a month). That is a lot different than paying a $3.00 co-pay once a month. By the way, the $6,350 maximum out-of-pocket in 2020 increased $1,250 dollars from 2019 rather than the approximately $100 a year increase in the years prior. This happened because of legislation that accompanied Obama care. Many senior advocacy groups fought this unwarranted increase.

Out-of-pocket maximum – Many of you are acquainted with out-of-pocket maximums, it is almost a universal benefit in private insurance. Medicare DOESN’T have an out-of-pocket maximum. Many supplemental and Medicare Advantage plans do, however, offer an out-of-pocket maximum. The Part D drug benefit also doesn’t have an out-of-pocket maximum. This is an area that many people say needs to be changed. We’ll no doubt talk more about this in later blogs.

Prescription Drugs

The following tools are used primarily in the use of prescription drugs that are covered under Medicare Part D and Part B. Part B drugs are usually injected at a doctor’s office or at the hospital.

Step Therapy – This treatment requirement is used by insurance companies to ensure that a doctor has tried the least costly medicine or procedure before prescribing a more expensive solution. This usually applies to medicines and is also called fail first, meaning the medicine must not work on the cheaper option before the more expensive option is tried. This treatment regulation is also used to negotiate with drug manufacturers to lower their price so they can be the medicine first tried in the step therapy requirement. This approach raises a barrier to timely access when the doctor, who knows a patient will not respond to the cheaper medicine must still delay the treatment that works while the patient fails on the first medicine. Another access barrier occurs when a patient changes insurance companies and must repeat the step therapy/fail first protocol before they get access to the medicine that had preciously proven to work for them. It is also important to mention that doctors sometimes receive payments for using specific, often expensive, medicines. This is one tool the insurance companies use to control costs.

Drug tiers – This tool puts different medicines in different tiers or categories, historically 3 or 4 but the number of tiers seems to be increasing. These tiers usually go from least expensive to more expensive, with increasing amounts of patient co-pay or co-insurance as the tier gets higher. It is a way to encourage a patient to use the least costly medicine. It also is used to negotiate with drug manufacturers to lower the cost to the insurance company for inclusion on a lower, i.e. higher usage, tier. Identifying which tier your medicine is in can make a huge difference in your out-of-pocket costs.

Importation – There is a disconnect between the price of drugs in America and the price of drugs in some other countries. This is one of the most complicated areas of health care. Some have proposed importing drugs from Canada. Some states have even passed legislation to allow the importation of medicines. There are safety issues and supply issues involved with this approach. Canada itself has said it couldn’t authorize, support or guarantee the safety of drug importation into the U.S. This is a tough issue that will take some big changes to rectify. This is another area we will pursue in later blogs.

International Reference Pricing – This government authored approach seeks to solve the problem described in importation of other countries paying less for medicines. It uses drug prices from some selected countries to set the maximum price for those drugs in America. This solution, which seems simple, is fraught with many questions and problems. We will delve into those questions and problems in a later blog.

Non-interference/government negotiations – This part of the initial Part D legislation left the negotiations of drug prices to the forces of the free market. While it seems like allowing the government to use its force of the millions of Medicare beneficiaries to negotiate lower prices would be beneficial, it isn’t supported by studies and projections. The main barrier is the need to restrict the formulary (the list of drugs available under Part D) to generate any leverage on drug prices. It would be a recipe for access restrictions for life saving medicines. This is another area for future discussion on this blog.

These are just a few of the tools and just scratches the surface of the complexities of our health care system. Hopefully it will give us a base for better understanding any proposed changes in the regulations and legislation that govern Medicare.



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Was your open enrollment review good, bad or ugly?

Happy Holidays! I hope everyone’s preparations for family and friends this holiday season is going well. There’s a lot of things going on this time of year to keep us all busy.  As I mentioned in my last blog, one of the most important year end tasks is reviewing your Medicare insurance coverage, including your Part D prescription drug plan.  Because I moved to a different state it was especially important that I reviewed my coverage and in doing so I had some interesting experiences and some money saving discoveries.  I think by going through some of the decisions and tradeoffs I had to make, they might help us all better understand the policies and regulations that are in place now or how the changes that are being considered by our leaders in Washington might affect each one of us.

As I mentioned I moved to a different state and that move gave me some broader choices.  Previously, I had a supplemental insurance plan and a stand-alone Part D plan.  The availability of Medicare Advantage plans in my old state were limited so a supplemental plan was the best choice for my wife and myself.  In my new state I had the choice of various Medicare supplemental plans, but I also had the choice of five different Medicare Advantage plans.  Since the premiums are often less or zero with Medicare Advantage, I was very interested in what these five plans had to offer.  Here are just a few things that I had to consider when looking at the Medicare Advantage plans offered in my state:

  • Were my new doctors in the PPOs?
  • What doctors were part of the HMOs?
  • What would my new premiums be?
  • What were the copays for an office visit to my primary care doctor?
  • What were the copays for an office visit to specialists?
  • What was the copay for a visit to the emergency room?
  • Did the plan include Part D, if so, did it cover the prescription drugs that we currently use?
  • What were the copays on the medication?
  • Was any medication on specialty tiers?
  • Was coinsurance part of the plan, if so, what was the percentage? 
  • What was the yearly out-of-pocket maximum for health services?
  • Did the plan include dental, hearing, eyesight or other benefits (like silver sneakers)?

There was a lot to consider and a lot of acronyms and terms that I had to understand.  It was no small task and took considerable time.  It was a little easier given I’ve been involved in health care policy for over 20 years, but it was still time consuming and arduous at times.  After I had made my preliminary decision, I used another resource that was available to me as a military veteran.  When I first joined the Air Force, I had the opportunity to use USAA for my car insurance.  I’ve gone on to use them for other insurance and financial needs and they offer a phone number and assistance for choosing insurance plans.  I’m not selling USAA products, I don’t sell anything on this blog, but I want to remind you that you should research all the resources available to you and take advantage of any help available.  I did and was very pleased with the help and advice I got from the USAA person.

In the end I chose a Medicare Advantage PPO plan and found that I saved a large amount of money on premiums.  I had to balance that with an increase in my yearly out-of-pocket maximum and some higher copays.  I’ll have to see what kind of care I receive, but on balance I think I will be better off.

I hope you are satisfied with your insurance or made a change during this open enrollment period that will give you better benefits or cost less.  As I’ve said before this blog will focus on you, the consumer and the impact that regulations and legislation will have on your access and cost.  Health care is complicated, you probably had that driven home as you reviewed your coverage.  I will work to try to simplify the Washington rhetoric and boil things down to show how their proposals and solutions will affect you. As part of this endeavor my next blog will define some of the terms that are used in health care insurance, regulations and legislation.  My definitions will focus on how these different items affect you and your level of care or pocketbook.  Ever wonder what the difference is between copay and coinsurance?  Watch for my next blog, that will strive to demystify this complicated thing we call health care.



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Open Enrollment is Here!

I know that you have been getting bombarded with emails, television ads, and mail telling you to change your enrollment to a new money saving Medicare plan. While I’m not here to sell you insurance I am here to encourage you to review your Medicare or Medicare Advantage plans and your Medicare Part D plans. It quite possibly could save you money and give you easier access to critical medicines and procedures.

This is the time where you can review and make changes to existing plans. Medicare and Part D Open Enrollment started on October 15th and lasts until December 7th. There is also a separate Medicare Advantage Open Enrollment Period which lasts from January 1st through March 31st every year. You can alter Medicare Advantage plans during both periods.

As a quick refresher – Medicare Advantage plans are offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits. Medicare Part D plans provide coverage for prescription drugs but unlike Parts A and B you are not automatically enrolled and must opt into a Part D plan.

For those turning 65, now is a great time to take a close look at your options and select a Medicare plan that matches your needs based on the medications you take and the coverage offered. If you’re already a Medicare beneficiary and have a Medicare Advantage or Part D plan, this time of year is still important to take a look at how your care needs have changed and make sure your plans still work best for you.

It’s especially important to review your plans if you have had some changes, like some new health issues, retirement, added some prescription medicines or were able to go off some medicines you had been taking. Another change that could impact the type and cost of your insurance is if you moved.

I just moved to a different state and I’ve started the process of reviewing all aspects of my health insurance to make sure myself and my wife have the right coverage at the right price.

There are a number of tools and resources available. We have some of those resources under are Medicare tab at the top of the page. We also have information on our sister website Medicare Today to help you find information on Medicare, your eligibility and how to enroll. There is also a very helpful and newly upgraded plan finder tool that can help you find plans based on where you live. To access this easy-to-use plan finder click here. You can also use this graphic that contains helpful tips for reviewing plans during the open enrollment period.

For seniors, taking these little steps to review and renew plans will make all the difference to your health. We all know time flies when you are having fun, so take a quick look at your coverage during the next few days and ensure your plans are fitting your future health needs.



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Greetings, my name is Thair Phillips and I’ll be your new host on “Seniors Speak Out”

I’m a former CEO of two Senior Advocacy groups and have been involved in public policy for older Americans for over twenty years. I’m looking forward to talking with you about the issues that you face as you try to navigate the always complicated and often changing Medicare program.

As we honor veterans this week, I will join everyone in thanking those who served in our countries armed forces. As a former B-52 bombardier, who lost a crewmember and friend last week, I understand the challenges our veterans face.

My approach to communicating with you is to simplify the policy issues that affect your healthcare, ask those in the know common sense questions about the issue and then translating all the information into language we all can understand. The common denominator in all my communication will be to relay the affect every policy will have on YOU, the most important part of Medicare. I’ll focus on how a certain policy will affect the amount of money you will spend or how your access to a certain medicine or procedure will be affected. My goal will not be to judge any specific entity in the supply line of players who supply our healthcare. I will endeavor to focus solely on the impact that a specific policy will have on you, the patient . . . the consumer.

It will then be your turn to speak out, to tell everyone how you will be impacted, how you see a specific solution working, to present your ideas on a solution that you think will work better. Our law makers in Washington often lose touch with the realities that older Americans face each day. This will be your chance to speak out, to tell those in Washington how you feel. We will always be open to your comments, which you can leave by clicking here or on this button anywhere you see it on our web page.

Check the web page periodically to see what new issue has sprung or to see some helpful advice we might have as you navigate through the Medicare labyrinth.

I look forward to this exciting journey,

Best, Thair



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National Immunization Month is Here!

Can you believe how fast summer has flown by? Although the summer festivities may be starting to wind down, the exciting news is that fall is right around the corner—along with cool weather, changing leaves, and the beginning of the holiday season!

This time of year is when children go back to school and people wind down their vacations. This means that many people will be in close proximity, which unfortunately increases the chances of being exposed to individuals who may be harboring contagious illnesses. The good news, however, is that there is an easy way for us to protect ourselves as seniors—making sure our vaccinations are up to date!

August is National Immunization Awareness Month, and a great time to revisit our overall health and ensure that we are utilizing the most effective tools possible to protect ourselves from potentially deadly diseases. Often, seniors may incorrectly assume that vaccination is only important for children and young adults, but this could not be further from the truth. In fact, some diseases, like Pneumococcal disease, are common and fairly benign in kids but present much more danger to older adults.

The CDC even recommends specific vaccinations for seniors, including pertussis, tetanus, shingles, and the seasonal flu shot. There is a special tool, which you can find here, that allows you to take a quiz and see which vaccinations are recommended for you. It is also critical to speak with your doctor about your vaccination history to make sure you are being properly protected. Most necessary vaccines are covered under Medicare Part B and Part D, enabling us all to have access to these potentially life-saving treatments.

As seniors, one of the easiest ways for us to protect the health of our friends, families, and ourselves is through vaccination. Not only will making sure our vaccines are up to date help give us peace of mind as we enter the new season, but could also potentially save our lives. Getting your vaccines is a critical component of maintaining our health and wellbeing, so make sure you are educating yourself and taking the proper steps this August!



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Check Out the Results of the Latest Senior Satisfaction Survey!

It’s that time of year—the results of the Senior Satisfaction Survey from our partners over at Medicare Today are in! Since 2007, researchers have surveyed seniors to measure our level of satisfaction with our Medicare Part D plans in order to take a critical look at the program and ensure that our needs are being addressed.

The purpose of the Senior Satisfaction Survey is to gauge the success of Medicare Part D, examine what aspects of the program are working, and take a look at what the program can be doing differently to achieve maximum success for American seniors. Each year, the survey has demonstrated that seniors are pleased with their Medicare Part D plans, including their coverage options and the prices they pay for their medications.

This year, nearly nine in 10 seniors report being satisfied with their Medicare Part D coverage. Some other key findings include:

  • 93 percent of seniors say their prescription drug plans are convenient to use
  • 86 percent of seniors report that their Part D plans work well
  • 85 percent of seniors view their prescription drug plans as a good value that provide coverage at a fair price
  • 81 percent of seniors are happy with their ability to compare prescription drugs covered under Part D and choose what best works for them
  • 88 percent of seniors say that their Medicare Part D plans are delivering on their promises

 

These results are exceptional and demonstrate just how happy seniors are with the current state of their Medicare Part D coverage. Although some changes are being proposed to the program by the Administration and Congressional leadership, it is critical that seniors continue to advocate for ourselves by urging lawmakers to protect the integrity of Medicare Part D. We must also continue to push policymakers to support improvements that will strengthen affordable access to medications.

For more information and past survey results, please visit Medicare Today’s website at: www.medicaretoday.org, and share your thoughts with us on Twitter and Facebook today!