St. George Village Blog
Tag Archive: Medicare
Posted on November 10, 2013 by Stacy Anthony
During Medicare’s annual open enrollment period, which ends December 7, millions of Medicare beneficiaries must decide on their Medicare Advantage (MA) health plan for the coming year. While many factors go into deciding about a plan—cost, choice of doctors, benefits—there’s one important question Medicare beneficiaries should ask: What is the quality rating of the plans I’m considering?
A high rating means better health care and the best value for your money. Medicare uses a system called Star Ratings. Plans receive a rating of up to five stars. These ratings are based on things like how well the plan does at keeping people healthy by making sure they get the treatments, tests and vaccines they need to prevent illness, how quickly you can get an appointment and see specialists, and how the plan responds to your complaints and concerns.
For 2014, over a third of MA plans will receive four or more stars, which is an increase from 28 percent in 2013. Seven of the 11 MA plans earning five stars this year are members of the Alliance of Community Health Plans, an organization representing the nation’s leading health plans.
You can learn more about MA plans—and their quality ratings—using the Medicare Plan Finder. MA plans are called “Medicare Health Plans” in the Plan Finder.
The National Committee for Quality Assurance also evaluates quality in MA plans; those rankings can be found at www.ncqa.org.
— Patricia Smith, president and CEO, Alliance of Community Health Plans.
Posted on March 15, 2013 by Stacy Anthony
If you’re one of the 30 million Americans with a new Medicare card, you may take a healthy interest in how best to benefit from it.
One of the first and most important things to consider now that your new plan is in effect is prescription drug coverage. Perhaps the best way to save on medication costs is to utilize a pharmacy that’s within your Part D plan’s preferred network. Walgreens, for example, is a part of preferred networks with some of the nation’s largest plans, such as Coventry, Humana, SmartD Rx and UnitedHealthcare.
The benefit to beneficiaries is not only convenience, but cost savings. By using a preferred network pharmacy, you can recognize significant savings on prescription co-pays and medication expenditures.
It’s also important to understand the preventive health services you may need, what’s covered by Medicare and where you can go for these and other services. Medicare covers an annual wellness visit at your doctor’s office. In addition, immunizations, health tests and annual medication and plan reviews may also be available at your local pharmacy, so talk with your pharmacist or plan provider if you have questions on these or other services.
If you take multiple medications, many Medicare Part D plans will cover face-to-face annual checkups as well. Your pharmacist will review all your medications, vitamins and supplements, see if there are lower-cost alternatives and make sure you’re taking everything in the right way to get the best possible results. The pharmacist can then call your doctor to discuss any recommended changes, and you’ll receive a Medication Action Plan that you can share with your doctor.
Medicare Wellness benefits provide discounts on medications and services including immunizations, screenings for a number of common conditions, as well as education and counseling to encourage wellness and prevent disease. However, according to the Centers for Medicare & Medicaid Services, only 6.5 percent of eligible seniors have utilized this benefit. That’s where your pharmacist can be a great resource to help understand what services are covered.
Visit www.medicare.gov to learn more about how to make the most of Medicare and your Medicare Prescription Drug Plan.