Entries by songer1990

Why Local Medicare Assistance is Better Than Online Enrollment

Local Medicare Assistance in Beckley WV: Why It’s Better Than Online Enrollment Are you looking for Local Medicare Assistance in Beckley WV that you can truly rely on? With so many online tools and resources available, it’s tempting to handle Medicare enrollment on the internet. However, there’s no substitute for working closely with a local […]

Changes to Medicare Part D Creditable Coverage Determination

The Inflation Reduction Act of 2022 (“IRA”) made several changes that will affect the structure of the Medicare Part D prescription drug benefit program beginning in 2025. The Centers for Medicare and Medicaid Services (“CMS”) released final instructions around the redesign of the program and: acknowledge that some group health plans offering prescription drug benefits […]

Navigating Prescription Drug Plan Gaps: What to Do If Your Medication Isn’t Covered

At Songer Benefits, we understand the frustration of navigating prescription drug plan gaps. Discovering that your prescription drug plan doesn’t cover a medication you need can be stressful, especially if it’s a critical medication or one that improves your quality of life. Fortunately, there are several strategies you can employ to address this issue effectively. […]

Managing Rising Health Insurance Costs In 2024

Managing Rising Health Insurance Costs In 2024 As we progress through the calendar year 2024, employers are facing the perennial challenge of managing rising health care costs. Providing comprehensive health benefits is crucial for attracting and retaining top talent, but the soaring costs of medical care post a significant financial burden for businesses of all […]

Change on the Horizon for Prescription Drugs and EHBs

According to a recent FAQ, the Departments of Labor, the Treasury, and Health and Human Services (“HHS”) (collectively, “the Departments”) intend to issue guidance that would require large insured group health plans and self-funded plans to treat all prescription drugs as essential health benefits (“EHBs”). Background Generally, employers who offer large insured group health plans […]

Federal Tax Filing Deadline is on Monday, April 15

Why Reconciling Your Premium Tax Credit is Essential If you’re one of the many who benefited from advance payments of the premium tax credit in 2023 to lower your monthly health insurance premium, it’s imperative to report these amounts accurately on your tax return. Failure to do so not only risks potential penalties but could […]

IRS Addresses Nutrition, Wellness, and General Health Expenses

The Internal Revenue Service (“IRS”) is reminding taxpayers that expenses related to nutrition, wellness, and general health are not likely to qualify as reimbursable medical expenses under Internal Revenue Code (“Code”) section 213. In a news release and frequently asked questions (“FAQs”), the IRS: Clarifies the requirement that reimbursable medical expenses must be related to […]

Medicare Part D Notification For Group Health Plans

Employers sponsoring a group health plan (whether insured or self-insured) need to report information on the creditable (or non-creditable) status of the plan’s prescription drug coverage to the Centers for Medicare and Medicaid Services (CMS). In order to provide this information, employers must access CMS’s online reporting system at: https://www.cms.gov/Medicare/ Prescription-Drug-Coverage/CreditableCoverage/CCDisclosureForm.html. As a reminder, notice […]

Understanding the Importance of Medicare Supplement Insurance

Navigating the world of healthcare coverage can be challenging, especially as we age. Medicare provides a foundational level of health insurance for individuals over 65 but doesn’t cover everything. That’s where Medicare Supplement Insurance, also known as Medigap, comes in. This article will explore why Medicare Supplement Insurance is crucial to comprehensive healthcare planning. What […]