Medicare Specialist LLC

05/12/2026

Early predictions are that Medicare Advantage plans will continue to reduce plan benefits in 2027. Some may even need to add a premium (the most popular options are currently $0). Expect even fewer PPO options available.

Americans enrolled in Medicare Advantage health plans should expect to see fewer extra benefits like gym memberships and vision and dental coverage next ​year, investors and industry experts say.

04/01/2026

Game changer....

Medicare had banned coverage of weight-loss drugs for 23 years, and what happens next isn't as simple as the headlines suggest.

01/12/2026

We've all consulted Dr. Google. Would you consult Dr. AI?
https://time.com/7344997/chatgpt-health-medical-records-privacy-open-ai/

12/26/2025

Possible holiday present from CMS, price reductions and Part D coverage for weight loss GLP-1s in the future

The BALANCE Model aims to increase access to select GLP-1 medications and healthy lifestyle interventions — to help people with Medicare and Medicaid improve their health.

12/11/2025

Brokers are held to a high standard, and most of us in this field hold ourselves to an even higher one. Do what is best for the client, and don't worry about the commission rate. Well, the insurance carriers are now starting to exploit that for profit. The carriers have annual certifications that remind us not to "steer" a Medicare beneficiary, yet they are doing precisely that. Many state Departments of Insurance have tried to step in and have your back and mine. CMS just sided with the insurance companies.

CMS is reminding state insurance departments that federal law preempts any efforts to regulate Medicare Advantage broker compensation and marketing practices. The Dec. 4 memo obtained by Becker’s comes as UnitedHealthcare is suing the director of the Idaho Department of Insurance over his attempts...

12/01/2025

Many drug prices will be reduced in 2026. Eliquis and Xarelto are the headliners. The list for the next 15 to be reduced in 2027 is here:

The coming price cuts were negotiated under the Inflation Reduction Act passed under the Biden era.

11/18/2025

The monthly premium is going to $202.90

2026 Medicare Parts A & B Premiums and Deductibles2026 Medicare Part D Income-Related Monthly Adjustment AmountsOn November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) released the 2026 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and t...

11/11/2025

Hope for the enhanced ACA tax credit extension is pretty much gone. We were in a holding pattern; now we move on. We are seeing increases ranging from about 17% to 134%

A legislative package that could end the weekslong government shutdown leaves out any clear resolution on the expiring Affordable Care Act tax credits that have made private health insurance less costly for millions.

10/30/2025

Without any Rs on board, I do not see this getting anywhere.

The Boosting Benefits and COLAs for Seniors Act would adjust benefits based on either CPI-W or CPI-E, whichever is greater.

10/24/2025

Social Security COLA announced at 2.8%. Here are the new averages
https://www.ssa.gov/news/en/press/releases/2025-10-24.html