Special Enrollment Periods

The Centers for Medicare & Medicaid Services (CMS) has just released new information regarding new Special Enrollment Period (SEP) rules. The Department of Health and Human Services (HHS) is tightening the rules for certain SEPs and clarifying that SEPs are only available in six defined and limited types of circumstances. Please read below for details […]

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Last week to file 2015 federal income tax returns without an extension

The 2015 filing deadline is 11:59 PM on April 18, 2016. For information to help you understand how having health coverage affects how you file please visit this link for tax filing information provided by the Internal Revenue Service (IRS). The website describes the tax provisions contained in the Affordable Care Act that affect individuals, families, and small […]

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Medicare’s New Payment Rules

New Medicare payment rules that started April 1 could affect you as a patient. Medicare’s new bundled-payment initiative for hip and knee replacements and other lower-extremity-joint-replacement surgeries, proposed last July and finalized in November, affects close to 800 hospitals in 67 randomly chosen US cities. It’s called the Comprehensive Care for Joint Replacement (CJR) model, and its goal, […]

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FREQUENTLY ASKED QUESTIONS ABOUT ACA and TAX INFO FOR IRS FORM 1095-C

Beginning in 2015, the Affordable Care Act (ACA) requires certain organizations to report certain health care coverage information to the Internal Revenue Service (IRS) as well as to their own employees. Part of this new reporting requirement includes providing full-time employees with the new IRS Form 1095-C. You will need this form to complete your […]

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Retiree Coverage

If you’re retired and have Medicare and group health plan (retiree) coverage from a former employer, generally, Medicare pays first for your health care bills and your group health plan coverage pays second. How your retiree group health plan works depends on the terms of your specific plan. Your employer or union, or your spouse’s employer or union, might not offer […]

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