New Prior Authorization Requirements for Texans on Medicare (2026): What’s Changing and How to Protect Your Care Prior authorization (often shortened to “prior auth” or “preauth”) is the insurer’s “green light” that certain services are medically necessary before they are performed or paid. For many Texans, 2026 brings two big shifts: Original Medicare (Part A/B)...
For seniors in Tyler, Longview, Marshall, and across East Texas, Medicare provides essential health coverage. But each year, Medicare beneficiaries have a limited time to make changes to their health and prescription drug plans. This window is called the Medicare Annual Enrollment Period (AEP)—and knowing how it works can help you save money and ensure...
This article details upcoming changes to Medicare with the Inflation Reduction Act, or IRA. What is the Inflation Reduction Act (IRA)? The Inflation Reduction Act (IRA) is a U.S. law enacted in August 2022, primarily aimed at addressing climate change, reducing healthcare costs, and increasing tax equity. The IRA is designed to tackle inflation through...
With the ever-changing changing economic landscape of late, and with many considering retirement at age 65, it’s helpful to know what expenses you may need to plan for. Today, we will answer the oft-asked question, “How Much Does Medicare Cost at Age 65?”. Our goal in this article is to help readers turning 65 understand...
We live in a scam-filled world. Evil people who attempt to scam money or “business” from others continually scheme to come up with ways to do so. Beware of Current Scams Targeting Medicare Beneficiaries In 2024, seniors in the U.S. face several Medicare insurance scams, each designed to trick them into giving away personal information...
Claeys Group Insurance recommends that new Medicare Beneficiaries researching coverage options reach out to an Independent Insurance Agency for best results. TYLER, TEXAS — Claeys Group Insurance Services, LLC, a leading independent insurance agency specializing in Medicare coverage, is urging those exploring Medicare insurance options to consider the many advantages of working with an independent...
Medicare Open Enrollment period kicks off October 15 and continues through December 7. During this time-frame, most Medicare beneficiaries can make necessary changes to their health and drug coverage options. If you missed your Initial Enrollment Period in October or qualify for a Special Enrollment Period, now is your only chance to enroll for Parts...
This article discusses how to apply for Medicare in Texas and gives an overview of the Medicare application process for Texans. Over 4.4 million Texans currently enroll in Medicare, the federal health insurance program designed for people 65 or over. People younger than 65 with qualifying disabilities such as end-stage renal disease or amyotrophic lateral...
Original Medicare (Parts A and B) is free for most people who qualify, depending on their or their spouse’s work history and/or income levels. Individuals with higher incomes may have to pay a premium for Part A coverage. Part B provides coverage for doctor visits and outpatient services as well as durable medical equipment and...
Selecting the ideal Medicare Supplement plan may seem daunting at first. With ten standardized plans available and coverage varying depending on individual healthcare needs and budget constraints, selecting one may seem impossible. There are 10 Medicare supplement policies, each offering its own set of standardized benefits (plans A through N; Massachusetts, Minnesota and Wisconsin also...
You must be logged in to post a comment.