Ornellas & Associates Insurance Services’ Post

If you use it right, Medicare is the most powerful tool in the world. But the truth is, most people have no idea how to use it. Here are 3 Medicare tips you probably don't know: 1. MAPD plans (HMO & PPOs) offer comprehensive coverage. 2. Medi-gap plans can fill in the gaps of Original Medicare. 3. PDP plans cover prescription drugs effectively. Let's discuss what's best for you. Share or comment if you found this helpful! Join us on Youtube: https://lnkd.in/gnzafdyQ #Medicare #InsuranceSolutions #StressFree

There are so many effects of the Inflation Reduction Act that many have not yet considered, and I find it surprising that there is so little in the general press. How can patients be expected to understand what's happening and how it could impact them? This article highlights how people with Medicare prescription drug plans would have seen an increase in their premiums, had the government not implemented a new program to stabilize rates. #IRA #Medicare #healthcare

When choosing a Medicare Advantage plan, understanding the cost-sharing approach for prescription drugs is crucial. Higher tiers, such as 3, 4, and 5, can significantly influence how costs are distributed. These tiers commonly cover brand-name or specialty drugs with a hefty price tag. Plans may utilize a fixed copay system or a percentage-based coinsurance for these tiers. It's essential to grasp the disparities between these two structures to make an informed decision. Need local assistance to review? Reach out to NorthWest Medicare Solution. #Medicare #Healthcare #PrescriptionDrugs

Employers are not required to offer prescription coverage to their employees. However, they are required to notify Medicare Part D-eligible plan participants of their prescription drug plans’ creditable coverage status. Visit our Medicare page for more information regarding creditable coverage and the new changes to Medicare Part D plans beginning in 2025. https://hubs.ly/Q02YYNgY0 #Medicare #OpenEnrollment #Healthcare #MedicareInsurance #PatientCare #MedicarePartD

The Inflation Reduction Act brings significant updates, including a $2,000 out-of-pocket cap on prescription drugs and the elimination of the 'donut hole.' But questions remain, such as: Should all members sign up for the M3P (payment plan)? Don't navigate these changes alone. Access our comprehensive toolkit to learn about the important Medicare Part D updates for 2025, and empower yourself with the knowledge needed to protect your clients' health and your book of business: https://loom.ly/eAjcOm0 #MedicarePartD #AEP #HealthInsurance

New Medicare Rules Tackle Prescription Drug Prices. The Inflation Reduction Act of 2022 included provisions intended to lower prescription drug costs for Medicare enrollees and slow drug spending by the fed. govt. According to an estimate by the Congressional Budget Office, the law's drug pricing reforms could reduce the fed. budget deficit by $237 billion over 10 years (2022 to 2031.) #AllianceBenefitConsultants #insurance #resources #Chicagoland

What do 340B stakeholders need to know about CMS's 2025 Medicare Physician Fee Schedule (MPFS) proposed rule? Read our latest blog post for a summary of the rule's proposals related to identification of Medicare Part B and Part D claims for #340B drugs. We break down what you need to know about potential changes including claims-level information reporting requirements. Click here to read: https://lnkd.in/gMt69ZUe

Here’s what you need to know about the key changes: 1.) Out-of-Pocket Cap: For the first time, Medicare Part D will include a cap on out-of-pocket costs for prescription drugs. 2.) Reduced Co-Payments for Certain Medications: Many common and expensive medications will see lower co-payments, providing relief for those with chronic conditions. 3.) Enhanced Coverage for Seniors: Medicare will offer expanded coverage options to better serve seniors and those with significant medical needs. #EasyAsABC #aseasyasabc❤️ #Cigna #UnitedHealthcare #SeniorCare #DevotedHealth #Humana #MedicareAdvantage #MedicareSupplement #SeniorHealth #MedicareEnrollment

Shout out to Jeremy Counts for sharing this powerful documentary! 🎥 This is exactly the content we need to keep pushing. We need to put more resources behind it because it’s resonating not just with local communities, but also with senior executives at companies that hire PBMs. For everyone in our LinkedIn community—👀 let’s get this out there! Share this video and help spread the message. The more eyes on it, the closer we get to real change. At RxMile we’re doing more than just providing delivery solutions for pharmacies. 🚚 We’re empowering local pharmacies through technology to build loyalty with their communities and patients. As Buddy Carter said, the pharmacist is the only healthcare professional available at all times. It’s time to give them the recognition they deserve. RxMile is committed to doing everything we can to shift the pendulum back where it belongs—toward the people who care for our communities. 🏥💊 Let’s keep driving this content until we see real results. 💪💡 #PBMReform #RxMile #PharmacyInnovation #HealthcareChange #LocalPharmacies #PharmacistsFightBack #HR9096 #CommunityCare #DeliverySolutions #TheButton

Pharmacy Benefit Managers (PBMs) have become one of the biggest drivers of high prescription drug costs. Instead of helping patients, they create roadblocks, inflate prices, and prioritize profits over people’s health. It’s clear that the current PBM system is broken and needs urgent reform. We must investigate, expose, and overhaul these practices to ensure patients can afford and access the medications they need. The time for action is now. Let’s demand transparency, accountability, and real change. What steps do you think we should take to fix this? #Healthcare #Pharmaceuticals #PBMs #DrugCosts #PolicyChange