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Comparing Medicare health and prescription drug plans can be complicated. Keep in mind these 4 things to make your plan choice easier with the Medicare Plan Finder. Total cost for care. It’s important to think about your total out-of-pocket costs, including deductibles, copayments, coinsurance, maximums, and drug costs, that you’ll pay with a Medicare health or drug plan. When […]
Posts Tagged ‘Medicare’
CMS Publishes 2020 Benefit Payment and Parameters Final Rule | CA Employee Benefits UBA
The Centers for Medicare and Medicaid Services (CMS) published its final rule and fact sheet for benefit payment and parameters for 2020. Although the final rule primarily affects the individual market and the Exchanges, the final rule addresses the following topics that may impact employer-sponsored group health plans: The 2020 maximum annual limitation on cost sharing is $8,150 for […]
CMS Disclosure Requirement for Employer Health Plans | California Employee Benefits
Do you offer health coverage to your employees? Does your group health plan cover outpatient prescription drugs? If so, federal law requires you to complete an online disclosure form every year with information about your plan’s drug coverage. You have 60 days from the start of your health plan year to complete the form. For […]
Latest IRS ACA Round Up (Including 2018 Cost-of-Living Adjustments) | California Benefit Advisors
Recently, the Internal Revenue Service (IRS) issued the instructions for Forms 1094/1095 for the 2017 tax year, announced PCORI fees for 2017-18, and announced cost-of-living adjustments for 2018. The IRS provided additional guidance on leave-based donation programs’ tax treatment and released an information letter on COBRA and Medicare. Here’s a recap of these actions for […]
How to Realize the Full Potential of a Private Exchange | California Employee Benefits
In Part 1 of this series, I took a few shots at some of the hype around private exchanges, but I still come down firmly on the “pro” side of the conversation. Given the right circumstances, and by taking the right approach, a private exchange can deliver a tremendous amount of value while solving many […]
How to Complete the IRS/SSA/CMS Data Match Report | CA Employee Benefits Specialist
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors Data Match is a program coordinated by the Internal Revenue Service (IRS), Centers for Medicare & Medicaid Services (CMS), and the Social Security Administration (SSA) to identify Medicare beneficiaries who received Medicare benefits with Medicare as the primary payer when Medicare should have been the […]
Top 5 Questions about Medicare Secondary Payer Rules | Bay Area Employee Benefits
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors Under federal regulations, Medicare is a secondary payer for many individuals who have an employer group health plan available to them, either as an employee or the dependent spouse or child of the employee. Generally the Medicare Secondary Payer rules prohibit employers with more than […]
