A blog about Medicare. What you and your employees need to know
Goals – An Apple a Day
Author: Lora Drummond
Medicare Transition Specialist
48 of 52 Solution Series – Goals – An Apple a Day & More
How many folks do you know who have health and wellness goals at the top of their resolution list for 2022? For as long as I can remember, I have made eating healthier and creating a fitness plan part of my new year’s resolutions. Of course, some years of staying on track were better than others. But for many of our Medicare clients, making nutritional plans and incorporating fitness is essential every day for managing their health conditions. Folks with diabetes and kidney disease can find comfort in the fact that Medicare wants to help manage their conditions too. So there are some dietary programs Medicare will pay for to help you stay on track.
Medicare also provides coverage for some folks who need support for losing weight. For example, if you have a body mass index (BMI) of 30 or more, Medicare Part B will cover an obesity screening,dietary assessment, and behavioral counseling to help you lose weight by focusing on diet and exercise. You won’t pay anything if your primary care doctor provides your weight management counseling. If you have a Medicare Advantage (Part C) plan, some plans will provide coverage for overall wellness services. But you would need to check with your particular Medicare Advantage plan to confirm if coverage for weight loss plans includes things like meal programs before you sign up for them, to avoid unexpected out-of-pocket expenses.
Nutritional Help For Managing Medical Conditions
Generally, folks with medical conditions requiring special diets consult a registered dietician or other qualified nutrition specialists to create management plans. Original Medicare Part B provides 100% coverage to beneficiaries who qualify, and many Medicare Advantage plans offer coverage for those visits as long as utilizing an in-network provider. Medical Nutritional Help or Medicare MNT is a diet management therapy that Medicare will cover for a defined number of referral-approved visits. The patient will need to meet specific medical criteria which their physician will provide to Medicare to get them qualified for the therapy to be covered.
Medicare has other specific coverage requirements and limitations
- The patient seeking nutritional service coverage by Medicare must have one of the following medical conditions: diabetes, non-dialysis chronic kidney disease, or post kidney transplant (within 36 months of surgery).
- The nutritionist providing the care must have an NPI number and be registered as a Medicare provider.
- Patients need a referral from their primary care physician annually to obtain care from a Medicare MNT nutritionist.
- Medicare limits the duration and frequency of nutritional visits based on a patient’s diagnosis and condition management.
Don’t forget about fitness program coverage! Medicare Advantage plans have grown in popularity as a way for folks to incorporate visits to the gym into their wellness goals. Requests for plans with free gym memberships come up regularly in our advisors’ discussions with our clients transitioning to Medicare. Some of those gym memberships even include diet and nutrition education.
Medicare wants your employees to stay healthy. Our advisors can help them find plans to help them maintain their wellness goals when preparing to transition from your group plan.
Need guidance on how to support your employees with Medicare scenarios and helpful solutions?
Our Certified Medicare Planners® have more than 20 years of experience helping employees create Medicare transition plans BEFORE they need to enroll. We are ready to help!
Supporting Medicare guidance for your employees in 2022.
Create a compliant Medicare benefit support plan. Give your employees personal guidance from a team of experts that will follow them after they retire.
You can receive helpful Medicare resources, and tips and tricks to build your Medicare transition strategy just by signing up to receive a blog article a week delivered to your email. ( We promise only one per week and you can opt-out at any time)
Plus get early notifications of any NEW helpful resources and Medicare news! SIGN UP BELOW!
Your Medicare Transition Partner
Subscribe to Medicare@work
Other Posts from Medicare@work
Stay Tuned! Medicare Help for Business is Here
Don’t adjust your dial! Our Medicare help for businesses is now more accessible than ever. Stay tuned to your favorite social media sites for links to enjoy helpful topics for guiding employees with their options regarding Medicare. When folks turn 65, they have more healthcare choices. We are here to help!
Medicare Stew Series – Medicare Supplements -Like Peas and Carrots
Medicare Stew – A series simply explaining the main ingredients of Medicare to help your employees. Read about Medicare Supplements (Medigap) Plans.
Medicare Stew – Medicare Advantage Plans
Medicare Stew – A series simply explaining the main ingredients of Medicare to help your employees. Read what Medicare Advantage Plans are.
Medicare Stew – What is Part D
Medicare Stew – A short series simply explaining the main ingredients of Medicare to help your employees. Read about Medicare Part D.
Medicare Stew – What is Original Medicare
Medicare Stew – A short series simply explaining the main ingredients of Medicare to help your employees. Read what Original Medicare is.
Tackle 2022 by Reducing your Workload
Ready to reduce your workload in 2022? Add a team of Medicare experts and education to your benefits team. We make Medicare@Work 123easy!
Emergency – That Snowbank and Medicare
You are on a vacation with your family in another state. How does your Medicare Advantage plan work in an emergency?
Gratitude – Wrapping Up the Year
Thank you from The Medicare Architects for trusting us with helping your employees transition stress-free from their group plan to Medicare.
Advice – Stop Your HSA When You Get Part A
If your employees enroll in Medicare while still working neither they or their employer can continue to contribute to their HSA.
Celebrate – 65 Candles in 2022? Groovy!
Turning 65 in 2022? Here are are some thing to consider if you will keep working past your birthday and want to keep your employer plan.