After years of legislative opposition, Medicaid in North Carolina experienced its biggest change in decades when the state finally expanded Medic...
In 2026, more than 2.6 million Michigan residents are covered by Medicaid /Medical Assistance (MA), or over one-quarter of the state's population...
Medicare Supplement Insurance (Medigap) in Texas is one of the biggest and most competitive markets in the nation. In Texas, there are about 4.4 milli...
The Medicare Advantage market in New York is one of the most unique in the nation, characterized by significant presence of nonprofit Medicare Ad...
California is the largest state for Medicare with over 7 million beneficiaries enrolled in Medicare, and the Medicare Advantage market is no exce...
In the United States, Medicaid is a critical component of maternal health care that covers about 40% of all births across the country. Medicaid o...
One of the most impactful rules of long-term care planning is the Medicaid 5-Year Look-Back. The state looks back 60 months (5 years) from the da...
Medicaid Estate Recovery Program (MERP) is a federally-required program that must recover some Medicaid benefits from the estate of a deceased Medicai...
Medicaid waiver programs, also known as Home and Community Based Services (HCBS), are waivers that enable states to provide long-term care services fo...
The annual process the states use to verify Medicaid beneficiaries continue to meet the qualifications for Medicaid is called Medicaid renewal, o...
Medicare and VA benefits are two, completely different, federal health care programs without coordination. The most basic of the truths is that all ve...
Medicare is NOT a family policy. While employer health plans cover an entire family with one premium, Medicare requires each spouse to be enrolled, an...
Amyotrophic lateral sclerosis (ALS) – often referred to as Lou Gehrig's disease – is one of the broadest and most automatic Medicare eligi...
One of the most unique eligibility pathways is End-Stage Renal Disease (ESRD) which can be eligible for Medicare at any age. About 485,000 people have...
Eligibility for Medicare through Social Security Disability Insurance (SSDI) gives medical insurance to people who are under the age of 65 who have a ...
A Medicare Special Enrollment Period (SEP) is a period of time after the regular Medicare enrollment periods in which you can enroll in Medicare or ma...
Forfeiting Medicare's enrollment period results in permanent monthly premium increases for the rest of your life. The 2026 penalties apply to Part A (...
Thanks to provisions in the Inflation Reduction Act, the Medicare Part D donut hole is finally gone as of January 1, 2025. Unfortunately, there is no ...
The Annual Wellness Visit (AWV) is one of Medicare's most helpful, but underutilized preventive services. The AWV differs in many ways from the tradit...
As of 2026, over 3.5 million Pennsylvanians receive coverage from Pennsylvania Medicaid (also known as Medical Assistance [MA]) administered as a...
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