To receive coverage, a person must have a Medicare prescription drug plan. If they have Original Medicare (Part A and Part B), they also need a stand-alone Part D plan to receive coverage.

That means there's no longer a coverage gap for prescription drugs in Part D or Medicare Advantage plans with drug coverage. Closing the donut hole is one of several changes to Medicare in 2025. The ...

Prior authorization leeway will be trimmed while health plans get more money under new federal rules for Medicare Advantage ...

Medicare Advantage updates while halting proposed anti-obesity drug coverage, impacting millions of potential beneficiaries.

Understanding how Medicare and Medicaid work together can be crucial for millions of Americans relying on Social Security.

A group of Democratic senators are calling on Health and Human Services Secretary Robert F. Kennedy Jr. to keep a proposed ...

UnitedHealth is the first insurer to report results every quarter, and many on Wall Street see it as a bellwether for the ...

Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements.

With Medicare coverage, a person can still have certain out-of-pocket costs for an inhaler. Out-of-pocket cost: This is the amount a person must pay for care when Medicare does not pay the total ...