It is the time of year when people can shop around and make sure they are signed up for the health coverage that makes the most sense for them.
Open enrollment for Medicare lasts through Dec. 7, an important date for more than 378,000 enrolled Idahoans.
Colleen Clark, program supervisor of the State Health Insurance Benefits Advisors program, which helps people with enrollment, has tips for how people can save money while looking at plans.
"The key is making sure that you get a plan that best meets your needs because you don't want to have unexpected costs, like find out that your favorite doctor is out of network or that the medications you have aren't covered," Clark explained. "That tends to be where we find the highest costs."
Clark noted plans can change from year to year and so it's important to stay on top of them. She added people can reach out to her program to speak with a counselor about their options. The program's number is 1-800-247-4422.
Dr. Rhonda Randall, chief medical officer and executive vice president of UnitedHealthcare Employer and Individual, said Medicare enrollees should also consider advantage plans.
"Things like dental, vision and hearing," Randall outlined. "Many Medicare beneficiaries might be surprised to know that original Medicare doesn't cover most of those things, but many Medicare Advantage plans do. I also recommend people to check for mental health coverage."
About 47% of Idahoans on Medicare have advantage plans. UnitedHealthcare also offers an online guide for navigating Medicare.
Clark noted the max out-of-pocket costs for prescription drug plans is lowering from $8,000 dollars to $2,000 next year. She pointed out people can also look into Medicare prescription payment plans.
"This is something new for 2025," Clark emphasized. "It allows folks that might have higher drug costs at the beginning of the year to spread out those monthly payments at the capped rate rather than having to pay the pharmacy directly at the beginning of the year with large costs."
Meanwhile, open enrollment dates vary for other types of health plans. People with employer-sponsored coverage typically select a plan during a two-to-three week period between September and December. And open enrollment for plans on the Health Insurance Marketplace generally runs from November 1 to January 15 in most states. More information is available at www.UHCOpenEnrollment.com.
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A new study showed costs are rising for caring for Hoosiers with Alzheimer's disease and forms of dementia.
The report indicated nearly 122,000 residents age 65 and older are living with the health conditions. The 2025 Alzheimer's disease Facts and Figures report showed Indiana has 219,000 unpaid family caregivers, who cost the state almost $7 billion annually.
Natalie Sutton, executive director of the Greater Indiana chapter of the Alzheimer's Association, said knowing the difference between the two disorders is important for an accurate diagnosis.
"Dementia is an umbrella term that represents a set of symptoms that are known with cognitive impairment, memory loss, and ultimately an impact on activities of daily living," Sutton explained. "Alzheimer's disease is a progressive brain disease that is the most significant cause of someone developing dementia, or those symptoms that we know."
The timing of a diagnosis can influence the quality of life for someone with Alzheimer's disease and dementia symptoms, which can be present in the brain for years prior to detection. Alzheimer's and dementia are unique and personal illnesses, Sutton pointed out, so the frequency and type of care provided should be tailored to a patient's needs.
Forgetting what day it is or misplacing routinely used items are often mistaken for general age-related changes instead of Alzheimer's or dementia. The report found almost four of five Americans would want to know if they have the disease before symptoms surface due to concerns over how a diagnosis could affect daily activities. Sutton noted science is addressing the concerns.
"We can detect and diagnose Alzheimer's with biomarkers like imaging and cerebral spinal fluid, and there are blood tests now that are being used in research settings that are proven to be highly effective," Sutton outlined.
In 2024, Indiana passed a bill requiring insurance companies to cover biomarker testing. Sutton added two Food and Drug Administration-approved treatments to slow the progression of Alzheimer's are covered by most insurance companies and Medicare.
A 24/7 resource helpline is available at 800-272-3900.
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The Kentucky Cabinet for Health and Family Services is reporting a second confirmed measles case in March, in a child who was traveling through the state while seeking treatment.
The first reported case this year occurred in an adult Kentucky resident in February. Measles is a highly contagious respiratory virus spread through the air that can cause serious health complications.
Cody Kemmer, communications coordinator with Kentucky Voices for Health, said declining vaccination rates in the state have allowed measles to start spreading again.
"Kentucky already had one of the lowest MMR coverages in the nation, and that brings us to our lowest coverage in seven years," said Kemmer. "In fact, we've got lower statewide coverage than some of those states that are currently experiencing outbreaks, so we are vulnerable."
The Centers for Disease Control and Prevention said as of May 1, 935 confirmed measles cases have been reported nationwide. Nearly all involve people who were unvaccinated or unsure about their vaccination status.
According to state data, vaccination rates among Kentucky kindergartners have dropped to levels lower than before the pandemic.
Kemmer said the disruption caused by COVID-19 set many families off track.
"With the pandemic, many families fell behind on their routine checkups and wellness visits," said Kemmer. "That delay created a lag in staying current with the CDC schedule for recommended vaccines."
He added that the end of the school year is a good time to start making doctor's appointments, especially for new families navigating immunization schedules.
"We want to encourage families to be proactive and make an immunization plan for their family," said Kemmer. "Staying on track with those recommended immunizations, like the MMR vaccine, lets families enjoy their summer."
A recent poll by the health policy research organization KFF found nearly a quarter of participants believed false claims about measles vaccinations and have not had their child vaccinated.
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Groups advocating for better access to health care have introduced what they call "Care4All California," a package of 13 bills designed to shore up the health system as the state braces for the possibility of huge cuts in federal funding for Medi-Cal.
The bills aim to get more people insured, connect them to care and make health care more affordable.
Chris Noble, organizing director for the nonprofit Health Access California, explained the group's priorities.
"It's crucial that our State Legislature shows their commitment to advancing a universal, affordable and equitable health care system," Noble emphasized. "This year's package of legislative and budget priorities requires no interventions by the federal government and should be adopted to safeguard our health care system in case there are federal attacks."
One bill would make sure people with Medicare supplemental insurance cannot be penalized for having preexisting conditions. Another would require hospitals to prescreen all patients to see if they are eligible for discounted or charity care programs. A third bill would allow undocumented people access to health plans on the CoveredCA exchange. Opponents cited cost concerns.
Noble emphasized the bills build on the progress California has made to lower its uninsured rate.
"These priorities will continue to cover gaps within our health care system, ensure that when people are denied or delayed care, there's certain accountability, or ensure that folks are getting access to accurate and up-to-date provider directories," Noble outlined.
Advocates have also made a number of budget requests, including one to give kids who qualify for Medi-Cal continuous coverage from birth to age 5, rather than making their parents reapply every year.
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