The following 17 services/items will require prior authorization under the WISeR Model. Please note that the WISeR Model is a new program that is subject to change and will initially be applied only to Texas, Arizona, New Jersey, Ohio, Oklahoma, and Washington. The changes have not taken effect as of today, but the wheels are in motion for its implementation. It's slated to begin January 1, 2026 and run though December 31, 2031 According to the program, providers must submit

Let me start off with one assurance: if you are in a Medicare Supplement plan, you are still in the plan that provides the most access and least hassle. This is not a reason to change! It is simply something to be aware of and that you can be sure I’m watching. One of the big reasons I always advocate for a combination of Medicare and a Medicare Supplement is that you aren’t required to get Prior Authorization for Services with your Medicare Supplement. However, on June 27, C

Medicare Annual Enrollment Dates: October 15, 2025 - December 7, 2025. For those age 65 or older, this is the window of time in which they can change their Part D plan or change from a Medicare Advantage Plan. If your family and friends are Medicare candidates, let them know we can help! Our Office: Our staff is comprised of Robert Ledman, Jennifer Triplett, and Julie French. We work hard to assist every existing client and new referral. If you are already a client and rec

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