On November 14, 2025 the Centers for Medicare and Medicaid Service (CMS) released notices detailing the Medicare Part A and Part B premiums and deductibles for calendar year 2026:Medicare Part B income-related monthly adjustment amounts and … [Read more...] about 2026 Medicare Parts A & B Premiums and Deductibles
Medicare Basics
Helpful Hint | Who to Contact; Social Security or Medicare?
Many people are surprised to learn how intertwined Medicare is with the Social Security Administration (SSA). For that reason, it can be confusing to know which agency to contact for assistance and information. For example, the following actions … [Read more...] about Helpful Hint | Who to Contact; Social Security or Medicare?
CMA Success Story | Premium Reduction
The Center for Medicare Advocacy was recently successful in advocating for a beneficiary’s Part A premium elimination, saving the beneficiary thousands of dollars in reimbursed premiums and a significantly reduced burden in healthcare costs into the … [Read more...] about CMA Success Story | Premium Reduction
Final Rule Expands Medicare Access to Formerly Incarcerated Individuals
In the recently published 2025 Hospital Outpatient Prospective Payment (OPPS) rule, the Centers for Medicare and Medicaid Services (CMS) narrowed the description of “custody” and revised the special enrollment period (SEP) criteria for formerly … [Read more...] about Final Rule Expands Medicare Access to Formerly Incarcerated Individuals
2025 Medicare Cost Sharing
(from https://www.cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles)Hospital Deductible: $1,676 / Benefit periodHospital Coinsurance:Skilled Nursing Facility Coinsurance:Part A Premium (For voluntary … [Read more...] about 2025 Medicare Cost Sharing
When Should Medicare Coverage Be Available For Skilled Nursing Facility (SNF) Care?
Skilled Nursing Facility (SNF) care can be covered by Medicare if it meets the following criteria:Note: Medicare Advantage plans often do not require a prior hospital stay to qualify for SNF coverage.Note: “Daily” is defined as seven … [Read more...] about When Should Medicare Coverage Be Available For Skilled Nursing Facility (SNF) Care?
CMS Issues New “Medicare Beneficiaries at a Glance” Statistics
The Centers for Medicare & Medicaid Services (CMS) released an updated summary of "Medicare Beneficiaries at a Glance" statistics. Updated with the 2020 data, the infographic serves as a quick reference to help policy makers and the general … [Read more...] about CMS Issues New “Medicare Beneficiaries at a Glance” Statistics
“Medicare & You” Continues to Reverse Bias Towards, and More Accurately Describe, Medicare Advantage
The Medicare & You Handbook is widely read by beneficiaries who often use it as their sole or primary source of information about Medicare. In contrast to advertising and other promotion by companies and their agents seeking to sell products in … [Read more...] about “Medicare & You” Continues to Reverse Bias Towards, and More Accurately Describe, Medicare Advantage
2023 Medicare Cost Sharing Released
On September 27, 2022, the Centers for Medicare & Medicaid Services (CMS) released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, as well as the 2023 Medicare Part D income-related monthly … [Read more...] about 2023 Medicare Cost Sharing Released
2022 Medicare Cost-Sharing Rates Released
On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released the 2022 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs.Each year, Medicare premiums, deductibles, and copayment … [Read more...] about 2022 Medicare Cost-Sharing Rates Released