Monthly Archives

June 2019

Medicare Options, Steinlage Insurance Agency

What Medicare Outpatient Observation Notice (MOON) Is and How It Impacts Skilled Nursing Care Coverage

By | Medicare, Medicare Outpatient Observation Notice

There may come a time over the course of your health care journey when you will need to stay overnight in a hospital. This can happen for a wide variety of reasons. However, you and your family will need to consider how or whether this impacts your skilled nursing care coverage under Medicare. You or your family may receive a Medicare Outpatient Observation Notice (MOON), but if you have never received it, it can be hard to know what steps to take next. Read below about what this is and what questions you might have about the impact of this on your general care needs. What is Medicare Outpatient Observation Notice (MOON)? A Medicare Outpatient Observation Notice (MOON) is a document that provides you notice as to whether or not you are considered an inpatient during your hospital stay. This can be confusing to some because if the hospital does…

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Understanding Medicare, Steinlage Insurance Agency

New Medicare Drug Plan Regulations May Confuse Patients, Push for Trying Cheaper Options

By | Making the Most of your Medicare, Medicare

New regulations from Centers for Medicare and Medicaid Services (CMS), an arm of the U.S. Department of Health and Human Services, puts new regulations on the private Medicare drug plan market to move towards use of cheaper drugs first. Referred to as “step therapy,” the push towards using the cheaper drugs first before more expensive alternatives are tried has been part of the regulations in the past but was not preferred by providers or patients. According to an article from ThinkAdvisor, “CMS says it will speed up its process for handling patient appeals related to the kinds of drugs affected by the new rules.” This will hopefully alleviate the concerns from previous attempts at moving towards a step therapy policy. A preliminary version of the final Medicare Part D and Medicare Advantage drug price regulations is available here. For help understanding this and other changes in the Medicare marketplace, contact…

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