Individuals who have Medicare for End Stage Renal Disease (ESRD) can maintain Medicare Part B coverage for 36 months following a kidney transplant; Part B covers immunosuppressive drugs, among other benefits and services. Medicare coverage ends 36 months following the transplant, unless the individual subsequently becomes eligible due to age or disability. Historically, there has been [...]

Medicare’s annual election period runs from October 15-Dcember 7.This is an important time to review Medicare coverage for the following year.BPLC has prepared listings of Medicare Part D plans that work with Original Medicare in New York State, as well as Medicare Advantage plans that include all Part A and Part B benefits, and most also [...]

Individuals with Medicare Part D drug coverage who take insulin that is on their plan’s formulary will have their co-pays capped at $35 per insulin per month. The $35/month cost is not subject to the plan’s annual deductible (if the plan has one), meaning that one can benefit from the $35 copay before meeting any deductible. [...]

The standard monthly Medicare Part B premium will be $164.90 in 2023, a reduction from $170.10 in 2022. Individuals and married couples with higher earnings, defined by Medicare as adjusted gross income of $97,000 single/$194,000 married for tax year 2021, may be subject to higher Part B and Part D premiums. BPLC has a chart of [...]