When we add the Part B deductible, your total costs for the infusion therapy are $20,283. This cost is more than double the two-week hospital and 40-day nursing facility stay.
Medicare
Posts focusing on Medicare Parts A, B, C and D, Medicare Advantage, Supplements, changes in benefits, enrollment.
Original Medicare 2026 Premiums, Costs, and IRMAA
You may have to pay an Income Related Monthly Adjustment Amount (IRMAA) if your income is greater than $109,000 for a single adult or $218,000 for joint tax filers. The income is the Modified Adjusted Gross Income which is comprised of your AGI plus tax exempt interest. The income year is 2 years prior. For 2026, Social Security uses the 2024 tax return to determine if you are subject to the IRMAA.
Medi-Cal Medicare Asset Information Request for Eligibility
There are many different rules to determine if assets and personal property are exempt or counted. It quickly gets complicated if the applicant is married, but their spouse is not applying for the Medi-Cal extra help.
2026 Medicare Part D Cost Structure
Medicare allows alternate cost structure designs. These designs must be as good as the standard cost structure. One alternate structure only has drugs in tiers 3, 4, 5 subject to the pharmacy deductible. Generic drugs, tiers 1 and 2, are not subject to any deductible. The plan member goes straight into a set copayment or coinsurance for the prescriptions.
Comparing Medicare Supplement Plan G and Plan N
When we extrapolate the savings to an annual basis, Plan N rates are $214 lower than Plan G by age 68. This means that at age 68, an individual could incur ten $20 office visit copayments during the year and still pay less than Plan G (annual premiums plus copayments.) The individual could also have two emergency visits at $50 and five office visits at $20 and still pay less money.
Dr. Oz Injecting Artificial Intelligence into Medicare Health Care
Under the leadership of Dr. Oz, Medicare is rushing to implement Artificial Intelligence (AI) to review, authorize, or deny health care services received by Original Medicare beneficiaries. The primary goal is to save money not necessarily improve patient outcomes. CMS calls the new AI health care initiative “Wasteful and Inappropriate Service Reduction (WISeR) Model.
2025 Medicare Insurance Premiums for the Monthly Budget
The monthly insurance premium for Part B of Medicare is $185 for individuals who had earned less than $106,000 or $212,000 for a married couple filing a joint federal income tax return. As the household income increases, the insurance premium for Part B increases. For individuals who earned over $500,000, the Part B premium is $628.90 per month for 2025. Remember that the monthly premiums are per person. If a married coupled earned over $750,000 and are eligible for Medicare, each person will pay $628.90 for Part B.
The Medicare Medi-Cal Covered California Trap
Regardless of the error, Medi-Cal updates the Covered California income section denying the non-Medicare spouse their private health insurance with the subsidy. The spouse is determined Medi-Cal eligible and their health plan is terminated.
Social Security Deposits Reduced In 2025
Social Security recipients who have a Part D drug plan need to review their 2025 monthly premium rate. The changes to the Part D drug plans with a lower maximum out-of-pocket amount has forced many Part D plan sponsors to raise their monthly premiums. Rate increases of $30 to $50 per month is not uncommon.
Why Medicare Health Plan Help Maybe Difficult to Find
The impacts of so many Medicare plans not paying an agent commission will suppress the number agents who are willing to assist enrollments for no compensation. In other words, some Medicare beneficiaries may have a tough time finding local agent help to evaluate their Medicare plan options.
