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Explaining the differences between HMO, PPO plans

Question: My friend has a $0 premium HMO, and I have a PPO plan. I pay a premium for my plan. Our copays are similar, so what are the differences? Answer: In talking about insurance products, it is a lot like talking about cars. Every car has a different price, with different options, ...

Comedy Center to launch Susan Sargent Caregiver Week

The National Comedy Center will launch its first Susan Sargent Caregiver Week to honor caregivers supporting loved ones through illness, disability or other conditions requiring care. Presented during National Family Caregivers Month and reflecting its 2026 theme, “Care Connects Us,” ...

Finding options after PCP moves out of network

Question: I just received a letter that my primary care provider is no longer in network for my Medicare Advantage Plan. What are my options? Answer: We have gotten a LOT of calls about this situation and you may remember an article I wrote about a month ago. This situation can happen ...

How to replace Medicare prescription drug plans

Question: I got notification that my Prescription Drug Plan coverage will no longer be offered in 2027. What should I do now? Answer: It sounds like you have Original Medicare, a Medicare Supplement Plan (Medigap) and a stand-alone Prescription Drug plan (PDP). Let’s review some of the ...

Explaining Medicare enrollment periods

Question: I am confused about my insurance. This year I turned 65 and signed up for Medicare and a Medicare Advantage Plan. Now they are saying I have to choose my insurance during October, November and December. Why do I have to do this again? Answer: Medicare can be difficult to ...

How Medicare Advantage Plans handle claims

Question: My doctor just sent a bill from my last visit & a procedure they completed, but I don’t think I should pay this much. How do I know what to pay? Answer: Whenever you go to see your doctor or are admitted to the hospital, your benefits are processed through your insurance carrier. The insurance carrier will either mail a Medicare Summary Notice (MSN) or an Explanation of Benefits (EOB) notice. This week we will review how Medicare Advantage Plans handle those claims and notify you of the coverage status. Last week we covered how Original Medicare handles your claims. Like ...