Florida Health Insurance Advisors
Are My Medications Still Covered By My Prescription Drug Plan (PDP)
That's a very important question, especially during annual enrollment! The best way to find out if your medications are covered by a Prescription Drug Plan (PDP), which is Medicare Part D, is to check the plan's formulary (also called a "drug list").1 Here are a few ways you can check: Use the Official Medicare Plan Finder: The official government website's Medicare plan comparison tool allows you to enter your drugs and dosage to compare costs and coverage across different plans in your area. Check the Plan's Formulary: Each Part D plan has its own unique formulary.2 You can: Look for [...]
How An HRA Can Help Employees On Medicare
As we approach Medicare's Annual Enrollment Period, it’s the perfect time to review benefit options for clients with older employees who may be moving onto Medicare. One great strategy we see this time of year is employers using a Health Reimbursement Arrangement (HRA) to reimburse Medicare premiums. Whether the client has under or over 20 employees, there’s an HRA solution that can work—and both options have no contribution limits. Here’s a quick snapshot: Groups with fewer than 20 employees: IF Medicare is primary Employers can offer an HRA to cover Medicare premiums and qualified expenses Groups [...]
Navigating The Changes to Medicare Advantage Plans
Navigating the changes to Medicare Advantage: What you need to know With the Medicare Annual Enrollment Period (AEP) upon us, many seniors and other Medicare beneficiaries are reviewing their healthcare options for the upcoming year. This year, however, many are finding that their current Medicare Advantage (MA) plan is being dropped, altered, or restricted. Major insurers are scaling back their offerings, causing market disruption and raising concerns for millions of enrollees. If you have been notified of a change to your plan, you are not alone. Here's a look at what's happening and what you should do next. Why are [...]
Florida Medicare AEP 2025: Your 10‑Step Checklist for Oct 15–Dec 7
If you’re on Medicare in Florida, the Annual Enrollment Period (AEP) runs from October 15 to December 7, 2025. This is your once‑a‑year window to change Medicare Advantage and Part D prescription drug plans for coverage starting January 1, 2026. Use this simple, Florida‑focused checklist to make confident choices and avoid costly surprises. Who this guide is for Current Medicare beneficiaries in Florida (Original Medicare + Part D or Medicare Advantage) Floridians helping a parent, spouse, or friend with Medicare decisions Those newly eligible for Medicare who want to understand AEP versus other enrollment windows The 10‑step AEP checklist for [...]
78% of Adults Support Extending the Enhanced Tax Credits for ACA
A new poll from the Kaiser Family Foundation shows that 78% of adults support extending the enhanced tax credits for ACA Marketplace insurance. With the recent government shutdown, many are advocating for continued support to make healthcare more accessible. Do you believe extending these credits will improve healthcare affordability for more Americans? Share your thoughts!
U.S. companies are facing the largest health insurance cost hikes in over a decade, with projections of a 9-10% increase in 2026. This surge, driven by higher hospital prices, increased service use, and costly medications, impacts both employers and employees. Many are adjusting plans, but costs are often passed down through higher premiums and out-of-pocket expenses. Staying ahead of these trends is crucial for managing healthcare budgets effectively. Are you prepared for the upcoming insurance cost shifts.
AI Will Soon Have a Say in Approving or Denying Medicare Treatments
Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the federal government by denying care to Medicare patients. The pilot program, designed to weed out wasteful, “low-value” services, amounts to a federal expansion of an unpopular process called prior authorization, which requires patients or someone on their medical team to seek insurance approval before proceeding with certain procedures, tests, and prescriptions. It will affect Medicare patients, and the doctors and hospitals who care for them, in Arizona, Ohio, Oklahoma, [...]
United Healthcare To Stop Selling Medicare Advantage Plans In 109 Counties
NEW YORK, Oct 1 (Reuters) - UnitedHealth said it will stop offering Medicare Advantage plans in 109 U.S. counties in 2026, impacting 180,000 members, as the company balances higher costs with reimbursement pressure in the insurance program. "The combination of (Centers for Medicare and Medicaid Services) funding cuts, rising healthcare costs and increased utilization have created headwinds that no organization can ignore," said Bobby Hunter, who runs the company's government programs.
Medicare Advantage enrollment is poised to fall for the first time in nearly two decades, according to the Centers for Medicare & Medicaid Services. The agency estimates that enrollment in the program will be 34 million in 2025 – marking less than half of all seniors — down from nearly 35 million this year, according to projections from health insurers.