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Comments close next Monday on the CMS rule giving Medicare drug plans 72 hours to answer prior authorization

Medicare beneficiaries waiting on drug approvals, and the health plans that process those requests, face a fast-approaching deadline. The public comment period for a proposed CMS rule that would formally require Medicare drug plans to resolve most prior authorization decisions within 72 hours closes next Monday. The proposal, designated CMS-0062-P, also sets a 24-hour clock…

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Medicare special needs plan enrollment for chronic conditions jumped 45% this year

Millions of Medicare beneficiaries with diabetes, heart failure, and other chronic conditions now have access to a fast-growing category of specialized coverage. Enrollment in Chronic Condition Special Needs Plans, known as C-SNPs, jumped 45 percent this year, according to the monthly SNP Comprehensive Report series published by the Centers for Medicare and Medicaid Services. The…

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Workers who leave a job at 55 or older can tap that employer’s 401(k) without the 10% early-withdrawal penalty

Workers who leave an employer at age 55 or older can pull money from that company’s 401(k) plan without paying the 10% early-withdrawal tax that normally applies to distributions taken before age 59 and a half. The rule, rooted in federal tax code, applies only to the plan held by the employer the worker just…

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Medicare’s Part D late-enrollment penalty adds 1% per month delayed to your premium for as long as you have drug coverage

Medicare beneficiaries who delay signing up for Part D prescription drug coverage face a permanent surcharge that grows with every uncovered month and never resets. The penalty is calculated as 1% of the national base beneficiary premium multiplied by the number of full months a person went without creditable drug coverage, and that amount is…

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Medicare is cutting costs on 15 more commonly used prescription drugs for chronic conditions including cancer, diabetes, and asthma

Millions of Medicare beneficiaries who rely on prescription drugs for cancer, diabetes, and asthma will see lower costs after the federal government finalized negotiated prices on 15 widely used medications. The Centers for Medicare and Medicaid Services projects the deals will cut net spending by roughly 44 percent, saving an estimated $12 billion compared with…

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A 401(k) loan must be repaid within 5 years — leaving the job can turn the unpaid balance into a taxable distribution with a 10% penalty

Workers who borrow from their 401(k) accounts face a strict five-year repayment clock, and a job change before that clock runs out can convert the remaining balance into taxable income plus a 10% early-withdrawal penalty for those under age 59 and a half. The IRS requires repayment in substantially equal installments made at least quarterly,…

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VA pension claims that once took 170 days now finish in 57 on average

Aging veterans and surviving family members waiting on pension decisions from the Department of Veterans Affairs now receive answers roughly three times faster than they did before recent processing changes. The VA cut the average time to complete an initial Veterans Pension claim from 170 days to 57 days, a reduction of more than two-thirds….

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Crossing the $109,000 income line in retirement triggers Medicare’s IRMAA surcharge, adding $974 a year to the Part B premium

Retirees whose modified adjusted gross income edges past $109,000 in 2026 will pay an extra $81.20 per month on top of the standard Medicare Part B premium of $202.90, a surcharge that adds $974 to their annual health-care bill. The penalty, known as the income-related monthly adjustment amount, or IRMAA, is calculated from tax returns…

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The 2026 IRA contribution limit is $7,500, and a backdoor Roth still works above the income cap if you hold no pre-tax IRA balance

High earners who want to fund a Roth IRA for 2026 face a narrow but well-defined path. The IRS confirmed that the annual IRA contribution limit rises to $7,500 for 2026, the same combined cap covering both traditional and Roth accounts. For taxpayers above the Roth income phase-out, the backdoor conversion strategy still works, but…

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