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Celebrating 35 years of making Medicare more accessible, affordable, and equitable!

Coverage and Benefits

Medicare provides health coverage to over 60 million older adults and people with disabilities, paying for important medical care in hospital and outpatient settings. Nearly 12.5 million beneficiaries also rely on Medicaid, which helps with affordability through the Medicare Savings Programs (MSPs), and covers services Medicare does not, such as long-term services and supports. The Medicare Rights Center supports strengthening Medicare and Medicaid, modernizing benefits and financial assistance, and bolstering the workers and caregivers who deliver this vital care.

CMS Announces Changes to PrEP Coverage

Starting September 30, Medicare changed the way it covers certain services that can reduce an individual’s risk of acquiring HIV. Previously, Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs was covered under Part D and was subject to regular cost sharing. Now, FDA-approved PrEP using antiretroviral drugs and the administration of injectable PrEP are covered under Part B as a preventive service.

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2025 Physician Fee Schedule

As science and medicine progress, they reveal the interconnectedness of bodily systems and expose the folly of historic silos in care. We greatly appreciate the Centers for Medicare & Medicaid Services (CMS) focusing on mental health and substance use disorder treatment and to medically necessary dental services.

Read More »

CMS Announces Changes to PrEP Coverage

Starting September 30, Medicare changed the way it covers certain services that can reduce an individual’s risk of acquiring HIV. Previously, Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs was covered under Part D and was subject to regular cost sharing. Now, FDA-approved PrEP using antiretroviral drugs and the administration of injectable PrEP are covered under Part B as a preventive service.

2025 Physician Fee Schedule

As science and medicine progress, they reveal the interconnectedness of bodily systems and expose the folly of historic silos in care. We greatly appreciate the Centers for Medicare & Medicaid Services (CMS) focusing on mental health and substance use disorder treatment and to medically necessary dental services.