Blog

By Cynthia Macluskie
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September 17, 2025
If you're enrolled in a Medicare Advantage plan and your doctor recommends a treatment or prescription, it can be frustrating — and even alarming — to learn that your plan has denied it. Unfortunately, this scenario is becoming more common. Medicare Advantage plans are increasingly using prior authorization as a cost-control tool. While this process is designed to ensure care is medically necessary, it can also create delays, confusion, and unnecessary stress. Here’s what you need to know — and what steps to take if your care is denied.

By Cynthia Macluskie
•
July 30, 2025
If you're enrolled in Medicare—or planning to be—you may have heard of something called IRMAA . No, it's not a new type of Medicare plan. It stands for Income-Related Monthly Adjustment Amount , and it can significantly impact what you pay each month for your Medicare Part B and Part D coverage. Let’s break down what IRMAA is, who it affects, and how to plan for it.






