Breaking News

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 ...

Programs Available For Out-Of-Work Seniors

Programs Available For Out-Of-Work Seniors Janell Sluga Question: I am over 65, was working full time, and just got laid off from my job and am overwhelmed with all that I have to change. What if I don’t have enough money? Answer: I wanted to continue to address this issue of losing ...

Senior citizen seeks counseling amidst adjustment

Editor’s note: This column by Marshall Greenstein will appear occasionally in The Post-Journal. By Marshall Greenstein I received a call from a man named Leo. He was referred to me by his neighbor friends. He stated that he was retired and anytime would work for an appointment. We agreed to a mutually agreeable time in two days. Mornings worked for him. He was “an early bird.” Included in phone calls about counseling and therapy ordinarily are inquiries about my fee. No such subject was discussed. We met at 9:00 a.m. two days later. I was watching at the door. The weather was ...