Medicare

JAN  2025 UPDATE: CMS notified MassHealth that CommonHealth members who qualify for Medicare Savings Programs should get both and approved a 1902(e)(14) waiver to enable MassHealth to comply pending necessary system changes.  MID-NOVEMBER 2024 UPDATE: We understand that after…

The attached chart shows information on Medicare costs for 2025, including deductibles, premiums, co-insurance, and amount in controversy thresholds. Older chart(s) also included.

Click the "go to website" below to see a table summarizing key COVID-19 related changes affecting applicants and members in Medicare. This table includes links to sources, where available. It is not a complete list of every change made, but focuses on the changes that applicants, members,…

Part D is Medicare’s outpatient prescription drug benefit. It is offered by a private health insurance company, in combination with Parts A and B (Original Medicare) or as part of a Medicare Advantage Plan. Plans differ in terms of what medications and pharmacies they will cover.  Plans…

There are 3 Medicare Savings Programs (MSP/Buy-In): the Senior Buy-In also called QMB that pays for Medicare Pt B premiums ($144.60 in 2020) and cost-sharing for Medicare Parts A & B, and the Buy-In programs also called SLMB or QI that only cover the Medicare Part B premiums. (Despite…