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The ABC’s of Medicare | OH Benefits Consultants

Trying to figure out Medicare can be one of the most frustrating aspects of retirement.  Even the savviest of retirees struggle with figuring out when to enroll and which parts to enroll in – there’s Part A, Part B, Part C, Part D, Medigap plans and so on. And, what in the world is a … Continued

Employer Medicare Part D Notices Are Due Before October 15, 2021 | OH Employee Benefits Group

Are you an employer that offers or provides group health coverage to your workers? Does your health plan cover outpatient prescription drugs — either as a medical claim or through a card system? If so, be sure to distribute your plan’s Medicare Part D notice before October 15. Purpose Medicare began offering “Part D” plans — … Continued

Does Enrolling in Medicare Trigger an Offer of COBRA? | Ohio Employee Benefits Agency

Enrolling in Medicare does not cause COBRA to start. Under the federal rules, COBRA must be offered to persons enrolled in the employer’s health plan only if they lose coverage because of certain specific events. Termination of employment is an example of a COBRA qualifying event. Becoming eligible for Medicare, or enrolling in Medicare, is not a … Continued

4 Things to Consider When Comparing Medicare Plans | Ohio Employee Benefits Agents

Comparing Medicare health and prescription drug plans can be complicated. Keep in mind these 4 things to make your plan choice easier with the Medicare Plan Finder. Total cost for care. It’s important to think about your total out-of-pocket costs, including deductibles,copayments, coinsurance, maximums, and drug costs, that you’ll pay with a Medicare health or drug plan. When you … Continued

CMS Publishes 2020 Benefit Payment and Parameters Final Rule | Ohio Benefits Team UBA

The Centers for Medicare and Medicaid Services (CMS) published its final rule and fact sheet for benefit payment and parameters for 2020. Although the final rule primarily affects the individual market and the Exchanges, the final rule addresses the following topics that may impact employer-sponsored group health plans: The 2020 maximum annual limitation on cost sharing is $8,150 for … Continued

CMS Disclosure Requirement for Employer Health Plans | Ohio Employee Benefit Advisors

Do you offer health coverage to your employees? Does your group health plan cover outpatient prescription drugs? If so, federal law requires you to complete an online disclosure form every year with information about your plan’s drug coverage. You have 60 days from the start of your health plan year to complete the form. For … Continued

Latest IRS ACA Round Up (Including 2018 Cost-of-Living Adjustments) | Ohio Benefit Advisors

Recently, the Internal Revenue Service (IRS) issued the instructions for Forms 1094/1095 for the 2017 tax year, announced PCORI fees for 2017-18, and announced cost-of-living adjustments for 2018. The IRS provided additional guidance on leave-based donation programs’ tax treatment and released an information letter on COBRA and Medicare. Here’s a recap of these actions for … Continued

Separating Fact From Fiction When It Comes to Long-Term Care Insurance | Ohio Benefit Advisors

Few people are prepared to handle the financial burden of long-term health care. In fact, many people have a false sense of security when it comes to long-term care. Let’s separate fact from fiction: “Medicare and my Medicare supplement policy will cover it.” FACTS: Medicare and “Medigap” insurance was never intended to pay for ongoing, … Continued

ACA Market Stabilization Final Rule | Ohio Benefit Advisors

On April 18, 2017, the Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) published its final rule regarding Patient Protection and Affordable Care Act (ACA) market stabilization. The rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the … Continued

Medicare Costs Explained | Ohio Employee Benefits Broker

By Kathy Binkley, RHU, ChHC, Benefit Advisor at The Wilson Agency A UBA Partner Firm I’m sure you’ve heard the phrase “Nothing in life is free,” and nothing is – not even Medicare. In most cases, you won’t have to pay a premium to get Medicare, at least for Part A (here’s a refresher on … Continued

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