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About somarco

Super Contributor

Tell us about yourself:

I enjoy helping people understand the complexities of Medicare. Married (45 years) live in Atlanta with my college sweetheart and wife. Empty nester's but our rescue Doxie (Elsie) entertains us and serves as our burglar alarm. Our son lives in CA and is an engineer @ Google. Our daughter is an art teacher in DC.

Area of knowledge and what I know well:

Over 45 years working in the health insurance arena. 18 years on the carrier side, the balance as an independent agent. Specialize in Medicare benefits since 2010.

Bio

Live in Atlanta as an empty nester. Bring extensive knowledge in medicare and insurance to the community table! Just ask.

All Activity

POSTS
KUDOS
SOLUTIONS
TAGS

Medicare & Insurance

Re: PDP "Prior Authorization"

Not really back . . . just popped in after getting a kudo notice from a post 5 years ago. I have enough going on without monitoring this board like I once did. You are a good friend and this board won't be the same without you. Best to you!

somarco 12-10-2025 05:24 AM

1

Reply

0

Kudos

1374

Views

Medicare & Insurance

Re: PDP "Prior Authorization"

Prior authorization is only needed when using a drug plan . . . not needed when paying cash. . . the Part D prior authorization may be required by your drug plan. If so, the Rx cannot be filled until your doctor contacts the drug plan carrier to aut...

somarco 12-09-2025 09:24 AM

2

Replies

3

Kudos

1459

Views

Medicare & Insurance

Re: Nursing home billed as an inpatient charge for mother on Medicaid

@ChristinaC71503 if you have POA you can take up the matter with Medicare/Medicaid.

somarco 11-28-2021 04:29 PM

1

Reply

0

Kudos

3986

Views

Medicare & Insurance

Re: Nursing home billed as an inpatient charge for mother on Medicaid

@ChristinaC71503 if your mother is "dual eligible" then Medicare and Medicaid will be billed. Medicare pays first, and Medicaid pays second. Medicaid never pays first for services covered by Medicare. It only pays after Medicare, employer group healt...

somarco 11-25-2021 05:16 AM

1

Reply

0

Kudos

4123

Views

Medicare & Insurance

Re: Paperless Medicare Premium Bill (CMS-500)?

@rm7683 you have4 ways to pay your Medicare bill:1. Pay online through your secure Medicare account — You can pay by credit card, debit card, or from your checking or savings account. Learn more about paying your premiums online.2. Pay directly from ...

somarco 03-09-2021 12:22 PM

1

Reply

0

Kudos

24184

Views

Medicare & Insurance

Re: PDP "Prior Authorization"

Not really back . . . just popped in after getting a kudo notice from a post 5 years ago. I have enough going on without monitoring this board like I once did. You are a good friend and this board won't be the same without you. Best to you!

somarco 12-10-2025 05:24 AM

1

Reply

0

Kudos

1374

Views

Medicare & Insurance

Re: PDP "Prior Authorization"

Prior authorization is only needed when using a drug plan . . . not needed when paying cash. . . the Part D prior authorization may be required by your drug plan. If so, the Rx cannot be filled until your doctor contacts the drug plan carrier to aut...

somarco 12-09-2025 09:24 AM

2

Replies

3

Kudos

1459

Views

Medicare & Insurance

Re: Nursing home billed as an inpatient charge for mother on Medicaid

@ChristinaC71503 if you have POA you can take up the matter with Medicare/Medicaid.

somarco 11-28-2021 04:29 PM

1

Reply

0

Kudos

3986

Views

Medicare & Insurance

Re: Nursing home billed as an inpatient charge for mother on Medicaid

@ChristinaC71503 if your mother is "dual eligible" then Medicare and Medicaid will be billed. Medicare pays first, and Medicaid pays second. Medicaid never pays first for services covered by Medicare. It only pays after Medicare, employer group healt...

somarco 11-25-2021 05:16 AM

1

Reply

0

Kudos

4123

Views

Medicare & Insurance

Re: Paperless Medicare Premium Bill (CMS-500)?

@rm7683 you have4 ways to pay your Medicare bill:1. Pay online through your secure Medicare account — You can pay by credit card, debit card, or from your checking or savings account. Learn more about paying your premiums online.2. Pay directly from ...

somarco 03-09-2021 12:22 PM

1

Reply

0

Kudos

24184

Views

Medicare & Insurance

Re: PDP "Prior Authorization"

Not really back . . . just popped in after getting a kudo notice from a post 5 years ago. I have enough going on without monitoring this board like I once did. You are a good friend and this board won't be the same without you. Best to you!

somarco 12-10-2025 05:24 AM

1

Reply

0

Kudos

1374

Views

Medicare & Insurance

Re: PDP "Prior Authorization"

Prior authorization is only needed when using a drug plan . . . not needed when paying cash. . . the Part D prior authorization may be required by your drug plan. If so, the Rx cannot be filled until your doctor contacts the drug plan carrier to aut...

somarco 12-09-2025 09:24 AM

2

Replies

3

Kudos

1459

Views

Medicare & Insurance

Re: Nursing home billed as an inpatient charge for mother on Medicaid

@ChristinaC71503 if you have POA you can take up the matter with Medicare/Medicaid.

somarco 11-28-2021 04:29 PM

1

Reply

0

Kudos

3986

Views

Medicare & Insurance

Re: Nursing home billed as an inpatient charge for mother on Medicaid

@ChristinaC71503 if your mother is "dual eligible" then Medicare and Medicaid will be billed. Medicare pays first, and Medicaid pays second. Medicaid never pays first for services covered by Medicare. It only pays after Medicare, employer group healt...

somarco 11-25-2021 05:16 AM

1

Reply

0

Kudos

4123

Views

Medicare & Insurance

Re: Paperless Medicare Premium Bill (CMS-500)?

@rm7683 you have4 ways to pay your Medicare bill:1. Pay online through your secure Medicare account — You can pay by credit card, debit card, or from your checking or savings account. Learn more about paying your premiums online.2. Pay directly from ...

somarco 03-09-2021 12:22 PM

1

Reply

0

Kudos

24184

Views

Public Statistics

Date Registered	‎07-20-2011 07:13 PM
Last Visited
Total Messages Posted	41
Total Kudos Received	17

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