Understanding Medication Costs and Telehealth Coverage Under Medicare If you take a medication that must be administered in your doctor’s office, it’s important to know that your out-of-pocket costs can vary significantly depending on how the medication is billed. How Medication Billing Works Here’s the key difference: If your prescription is filled at a pharmacy and you bring the medication to your doctor’s appointment for administration, the cost is usually covered under your Medicare Part D prescription drug plan . If your doctor provides the medication directly from their office , the cost will typically be billed through Medicare Part B medical insurance . Why Does This Matter? The distinction is important because Medicare Part B and Part D have different cost-sharing rules , especially if you have a Medicare Advantage plan . Under Part D , you typically pay a copayment or coinsurance based on your plan’s formulary tier system. Under Part B , you general...
Are Those Ads for Free Money Cards or Groceries Real? If you’ve seen ads promoting free groceries, prepaid cards, or other extra benefits for Medicare beneficiaries, you’re not alone. These ads are common on TV and social media, often catching the attention of people on Medicare. But are they legitimate? The answer is: These benefits exist—but only for certain individuals. Who Qualifies for These Benefits? The benefits in these ads are available through specific Medicare Advantage Dual Special Needs Plans (D-SNPs), which are designed for people who are enrolled in both Medicare and Medicaid (also called "dual-eligible" individuals). Depending on the plan, these benefits may include: ✅ Grocery or healthy food allowances ✅ Assistance with utilities ✅ Over-the-counter (OTC) product benefits ✅ Transportation services ✅ Prepaid benefit cards for qualifying expenses However, not everyone qualifies for these programs. If you are not enrolled in both Medicare and Medica...