‘medicare’ Tagged Posts

Here Are Some Concerns Of Medigap Insurance Plans

Also known as Medicare Supplement Insurance, these Medigap Insurance Plans are not Medicare Advantage Plans (HIMs, PPOs). You must pay a premium on ...

 

Also known as Medicare Supplement Insurance, these Medigap Insurance Plans are not Medicare Advantage Plans (HIMs, PPOs). You must pay a premium on it to an insurance company, and if you bought it after 1991, it will automatically renew, providing you pay the premium. It must clearly state on the front of the policy that this is a Medicare Supplement Insurance.

You need to know that this is not part of your government coverage, it is private insurance sold through insurance companies. When you get a Medigap policy it only helps fill in the gap that your Original Medicare does not cover.

Medigap Basics – There are currently 12 different types of Medigap plans to choose, A – L. They are intentionally standardized so that you get the same benefits from any plan with one company as you get for the same plan with any other company.

If you purchase Plan F from Company One, it provides the same coverage as Plan F that you could buy from Company Six. Plan F gives you the same benefits regardless of the company who sold it to you. The only difference is the price. Prices vary greatly from one insurance company to the next, so be sure to shop around for prices.

The Reasons To Buy A Medigap Policy – Your Original Medicare does pay for a lot of health care services, but it does pay for all of your health care costs. Coinsurance, co-payments and deductibles are not covered. These are called “gaps” in the Medicare coverage.

Because these are supplemental policies, they cover things like routine yearly checkups, expenses for recovering at home, and even emergency coverage if you are traveling out of the U. S. However, if you or your spouse have retiree coverage through a former employer, you might not need a Medigap policy. Ask your benefits administrator if you need this coverage to fill in the gaps.

The Best Time To Buy A Medigap Policy – As soon as you are age 65, and within the open enrollment period. The reason you want to do this during the enrollment season is because no insurance company can refuse you a Medigap policy if you want one. They also cannot make conditions like a waiting period, not can they raise the price due to pre-existing conditions. Please understand that Medigap is not Medicare. These Medigap policies are for paying that money you would owe after Medicare quits paying.

The main advantage in buying Medigap is that during the period of your enrollment this policy may cover any pre-existing health problems without placing a waiting period on your benefits. However, if you wait too long and your enrollment expires, they can make you wait, typically six months duration, before it covers any pre-existing conditions. With that in mind, be sure to start shopping prices on Medigap Insurance Plans and do so before your enrollment term expires.

When it comes to Medicare supplements, you might refer to using medigap. With the Medigap quotes, you will see the cost you’re searching for. It’s very important to have medical insurance and a way to get certain medical supplements.

Protect Your Senior Market Clients From New Medicare Scams

 

With the passage of the PP&AC Act comes many new laws, so many in fact that most American still know little about them and are confused about what it all means to them. One segment of the American population to be most confused and concerned about the changes affecting them are senior citizens. And where there is confusion you will always find devious individuals who will try to profit from that confusion.

Shortly after President Obama signed the PP&AC Act into law, there was a cable television advertisement that told viewers to call an 800 number to take advantage of a “limited enrollment” period to get special coverage that is now entitled to them by the passage of health care reform. There are also several news articles going around reporting that there are door-to-door salespeople going around selling “Obamacare” insurance policies.

Combine confusion about the new laws and the fear generated by the worst economy since the depression and you have a perfect mix for scammers to take advantage of consumers, especially senior citizens. As agents, we encourage you to talk to your clients and tell them to beware of any potential offers they receive in relation to their health care. This also means you’ll have to stay abreast of the latest scams as well. Here are some areas of the Act that could potentially be exploited:

Better access to nursing home records – scammers may offer bogus data services whereby they try to get seniors and their families to pay a lump sum or for a subscription for data on nursing homes that is either falsified or that is freely available elsewhere.

The creation of Plan B – federal and state governments have 90 days to create this program, but scammers may likely start selling policies for this Plan B though it won’t exist for quite awhile.

Better access to nursing home records – scammers may offer bogus data services whereby they try to get seniors and their families to pay a lump sum or for a subscription for data on nursing homes that is either falsified or that is freely available elsewhere.

As more details of health care reform come out, there may be more areas that could be exploited, so continue to be on the lookout. The best way to verify the legitimacy of any offer received by your clients is to call your state department of insurance and see if the organization or person offering the deal is licensed to do business in your state. Once you verify a scam, report it to authorities and your state’s DOI, and then spread the news as much as possible. Stay vigilant my friends.

Want to find out more about medicare supplements? Then visit Alex Stone’s site on how to choose the best medicare supplement for your needs.

Understanding Medicare

 

Most people have heard of Medicare, but the specific details of this federally funded program are not as familiar as the name. If you are a health insurance agent or an individual approaching the age of 65, you will want to learn more about Medicare benefits.

Medicare is a federal health insurance program that is composed of two parts. It provides medical coverage for older adults and for those who qualify with a disability. Medicare has Part A – Basic Hospital Insurance and Part B – Supplementary Medical Insurance.

Every American age 65 or older and are entitled to Social Security benefits are also eligible for Medicare benefits. These benefits become available on the first day of the month, in which the individual turns age 65. Individuals under the age of 65 may also be eligible, if they have been receiving Social Security Disability benefits for at least twenty four months.

Medicare Part A provides coverage for inpatient hospital services for up to 90 days in each benefit period. Benefits also include payment for prescription drugs only while in the hospital. However, there is no coverage provided for the first three pints of blood that the individual may have received while in the hospital.

Under Part A, skilled nursing care is provided for up to one hundred days, in which the first twenty days are fully paid after the deductible is met. The next 80 days fall under the coinsurance amount of coverage. Home health services are provided for medically necessary home health visits as well as hospice care. Psychiatric hospital care is covered up to one hundred ninety days during the individual’s lifetime.

Part B provides supplementary benefits and is a voluntary medical insurance plan. Part B pays benefits for physician and surgeon fees, medical services and supplies, outpatient hospital services, x-rays, lab tests, and other services such as ambulance service and durable medical equipment. For Part B benefits, individuals pay a monthly premium and have an annual deductible. Under this plan, there are certain exclusions such as: eye and hearing examinations, routine physical exams, foot care, immunizations and private nurses.

Medicare Advantage Plans make up Part C of Medicare. These plans allow participants to opt out of the traditional Part A and B and enroll in a coordinated care HMO, PPO, PSO or a private fee for service plan. Health Maintenance Organizations (HMOs) require services to be provided by its own medical providers, except in an emergency. Preferred Provider Organizations (PPOs) allow individuals to receive services from providers outside the plan, but with higher cost sharing. Provider Sponsored Organizations (PSOs) are similar to PPOs, but they are operated by a group of physicians and hospitals. Private fee for service plans are similar to PSOs but they may pay providers more than Medicare recognizes and may charge beneficiaries additional premiums and other expenses.

For more information on Medicare programs, contact the Center for Medicare Services. You may also want to contact your local health insurance agent to provide more information about private insurance plans and Medicare Advantage plans.

Want to find out more about Medicare Advantage Plans, then visit Bennett David’s site on how to choose the best Medicare Plan for your needs.

Introducing Medicare Supplement Plans M and N

 

Starting in June 1, 2010, Medicare supplement insurance Plans M and N will be available for purchase.

Medigap Plans M and N are cost sharing plans. Plans M and N will have lower monthly premiums in exchange for more out of pocket payments for medical expenses. For instance, Medicare supplement Plans M and N will not cover the Part B deductible and Part B excess charges.

Plan M will cover half of the Part A deductible, while Plan N will cover the entire Part A deductible. Plan N also will have instances in which co-pays will be required. Plans K, L, M and N may be suitable low cost alternatives to Medicare Advantage Plans (minus the prescription drug coverage and network restrictions.) This means that you may visit any doctor or hospital that accepts Medicare.

Most insurance companies will offer Plan N on a guaranteed issue basis in the majority of states. This will come as a great relief to those who may have health conditions which prove troublesome when obtaining coverage which requires medical underwriting. Medicare supplement Plan M, on the other hand, will require underwriting with most companies in many situations.

Many insurance providers are currently offering Medicare supplement Plans M and N, and you may now start signing up for these types of coverage as long as your effective date is June 1, 2010 or later.

Medicare supplement Plans M and N will be cost effective ways to cover most of what Original Medicare Parts A and B do not cover. Still, be sure to do thorough research on these plans to make sure you are aware and at peace with the out of pocket expenses you may need to pay. For any additional assistance in your Medigap decision, contact a trusted Medicare attorney and/or Medicare supplement insurance brokerage.

Looking to find the best deal on Medicare supplement insurance, then visit www.gomedigap.com to find the best advice on a policy for you.

The June 2010 Modernization: Medicare Supplement Changes to Occur

 

Medicare has recently passed and will implement the following changes to Medicare supplements June 1, 2010:

Plans E, H, I, and J will cease to exist. These plans will not be provided by any insurance company after June 1, 2010. Yet, if you are currently enrolled in Plans E, H, I, or J, then you can be “grandfathered” in to retain the policy. Please keep in mind that some insurance companies will let you convert your coverage to one of the new “modernized” Medicare supplement policies. This may be a good opportunity as there could be higher renewal premiums for E, H, I, and J in the future caused by the lack of premiums from new recipients of that coverage. If you wait to convert beyond the allotted time period, then you may need to go through medical underwriting and thus risk decline.

Plans M and N will be introduced. Medicare supplement insurance Plans M and N will have lower monthly premiums in exchange for higher out of pocket payments for medical expenses. For instance, Medicare supplement Plans M and N will not cover the Part B deductible or Part B excess charges. Plan M will cover half of the Part A deductible, while Plan N will cover all of the Part A deductible. Plan N also will have instances in which co-pays will be required. Plans K, L, M and N could be suitable low cost alternatives to Medicare Advantage Plans (minus the prescription drug coverage.)

New Medicare supplement policies will issue with lower premium rates. An advantage associated with this Medicare modernization should be lower monthly premium rates for those who choose a conversion plan who are healthy (enough to pass medical underwriting qualifications.) As new plans are introduced they nearly always offer lower rates as there are no claims associated with them. New risk pools equal lower rates.

In contrast to all the aforementioned changes, Plans A, B, C, D, F, G, K and L will have nearly the same benefits as before with Plan F being the most comprehensive.

For more information, please be sure to do your research and contact a trusted Medicare supplement agent.

Learn more about Medicare supplements. Stop by Richard Cantu’s site where you can find out all about Medicare supplement policies and what they can do for you.

Medigap: Choosing the Right Coverage for You

 

Shopping for insurance can be confusing, complicated, and time-consuming. Fortunately, shopping for Medigap insurance does not need to be.

Why?

The U.S. Government created 12 standardized Medicare supplement plans for people who need gap coverage for their existing insurance. That means that no matter which private insurance company you choose, there will only be those 12 plans from which to choose. Gap coverage is often the only way that some Medicare recipients are able to pay for their medical care, prescriptions, and other healthcare expenses.

Fortunately, you can find many different resources out there that can help you to understand the plans that exist and how to choose the best one. All that you need to know is your current coverage (which you can find in your insurance paperwork on the sheet that is known as the declarations page.) Once you are aware of what coverage you do have, you’ll be better able to get the Medigap coverage to fill in the missing spots with ease. The 12 plans are not given fancy names that can confuse you. They are kept very simple and known as Plans A, B, C, D, E, F, G, H, I, J, K, and L.

Still, it might seem overwhelming to have to go through the process of figuring out which coverage is best. The good news is that you don’t have to this alone. You can utilize the resources out there to help you choose the right plan, and you can even work directly with a private insurance company to pick out the best one.

Each private insurance company has the same standardized 12 plans for Medigap coverage; however, every one will have slightly different rates. This allows you to get the right insurance for the right price every time.

Understanding Medigap and Medicare supplement insurance can be challenging if you’re not prepared. However, all you need to worry about is finding the coverage that complements the insurance that you already have and choosing the company that you want to get it from. You can do this based on rates, customer service, accessibility, or a combination of these factors and others. It’s all up to you, really.

Given that you understand that you do have options and they aren’t hard to find, you’ll be on the right track to getting the coverage that you need in no time flat.

Learn more about Medigap coverage. Stop by Richard Cantu’s site where you can find out all about Medigap and what it can do for you.

Finding a Medigap Policy: A Step by Step Process

 

There are many elements of Medicare and Medicare supplemental that cause many to feel like they’re navigating unchartered waters sans map or compass. However, if you take just a little time to research Medicare supplement insurance and your coverage options, you will easily be able to find the coverage that you need and be protected in the event of any medical need.

Medicare was not created to be perfect, and as the times have changed, the need for supplemental insurance has increased. Here are the three steps to success with your Medicare supplement insurance acquisition:

1. Find a plan. There are 12 plans that are government standardized. This means that they are the same 12 plans whether you get them from one private company or another. It is advisable to check them out and decide which best complements your existing insurance. They are pretty similar, but they do have slight variations that you’ll want to consider. Feel free to spend some time and learn about the plans and Medicare supplement insurance. Then you’ll be better prepared.

2. Get quotes. You will find many private insurance companies that sell this sort of insurance. You can apply for free quotes from all of them, and you should with as many as you want. Although the plans are the same all-around, the premiums won’t be. Make the effort to check out different companies and what they have to offer. You’ll want to check on things like customer support, premium costs, and the reputation of the company so that you can ensure that you’re getting the best policy from the best company.

3. Apply for coverage. After you have chosen a company that you want to work with, all that you need to do is fill out the application for coverage. You’ll have to answer many medical questions, along with supplying details about when you want the policy to start and how long you are planning on needing this coverage. If the time period is indefinite, you may have to renew after a period of time, but this doesn’t cost anything extra. Once you have applied for coverage, you’ll generally have your policy within 30 days so long as you are approved.

There are numerous tools and resources out there that can assist you along the way when it comes to Medicare supplement insurance. However, provided that you follow these simple steps you should have no trouble getting the coverage that you desire.

Want to find out more about Medicare supplement insurance, then visit Richard Cantu’s site on how to choose the best plan for your needs.

Medicare and Medicare Supplements: The Basics

 

When it comes to getting a Medicare supplement, there are many things that you need to understand. However, the most crucial thing that you need to understand is Original Medicare itself and how it functions before you can become involved in getting your own Medicare supplement policy.

Medicare started in 1965 as a government-sponsored healthcare program for seniors over age 65 and those who are disabled under certain circumstances. The policies are administered and regulated by the Centers for Medicare and Medicaid Services, or CMS.

Anyone who has reached age 65 and is eligible for social security or railroad benefits can get Medicare, as can anyone who’s disabled and has been on social security or railroad benefit plans for more than a couple of years.

Additionally, people who have end-stage renal disease and require dialysis meet the criteria for Medicare if they qualify for social security. The purpose of Medicare is to act as health insurance for individuals who need it. The coverage is the same for all, and includes two parts:

Medicare Part A covers hospitalization expenses, home health care and hospice care.

Medicare Part B covers doctor visits, surgical services, diagnostic testing, therapies of certain kinds, medical supplies and equipment, ambulance services, and some preventative care.

However, since these insurance programs are all uniform, some people miss out on critical services they need because they aren’t covered.

Enter the Medicare supplement. When a person has a Medicare plan of healthcare and it doesn’t cover all their medical needs, he or she will likely seek out the coverage that they need in other places. However, those who are retired or disabled are generally living on a fixed income, which makes it hard to afford the insurance and/or medical services that they need.

Often known as Medigap, this is a government-regulated supplement plan which can be obtained by anyone with Medicare insurance to cover the expenses that aren’t covered by their Medicare plan. You will find different plans to select from, and each one has different benefits and coverage types.

You are able to consult with many resources online or an actual Medicare supplement insurance agent to find out which plans are best for your specific needs. The supplement works by paying the leftover expenses that Medicare didn’t cover for any health services that you need performed.

It doesn’t matter how much or how little supplemental coverage you require, because there is something for just about everyone. When you understand Medicare and what it is lacking, you can then go on the hunt for a Medicare supplement that should complete the puzzle.

Learn more about Medicare supplements. Stop by Richard Cantu’s site where you can find out all about Medigap and what it can do for you.

Medicare Supplement Costs: Saving Money on Your Insurance

 

When it comes to saving money and living on a fixed income, having lower healthcare expenses can be a great place to start and a welcomed relief. That’s why you need to set aside some time to figure out the best Medicare coverage plan for your needs, and then also find a supplemental insurance plan that is affordable.

Medigap costs are generally not exorbitantly expensive and are cheaper than what you would need to pay for medical services sans coverage. To find the best deal on Medicare supplements, you need to rate shop and compare your options with different plans and providers.

Medicare supplement costs usually differ from person to person. Each of the 12 different supplement plans is rated differently, and private insurance companies which provide the plans can charge various premiums for the plans according to their own pricing guidelines.

Thus, you cannot calculate the price of your Medicare supplement until you have chosen a plan, a provider, and received a quote. Medicare supplemental insurance is not like other types of insurance where you are able to predict an average cost. While there is, of course, an average, it is not very indicative as it varies greatly from one company to the next.

Medicare supplements are going to cost more in economies that have higher costs of living. Take for example, the state of Texas. Texas has a higher cost of living than Indiana; therefore, Medicare supplemental insurance rates will usually be higher in Texas than they are in Indiana.

You may ask those who live in your vicinity what they pay for their Medigap policies, but again, your policy could still be a different price when you apply with private providers even if you choose the same provider as those you ask.

Each private insurance company that provides Medicare supplements has its own guidelines for price setting as does each state. Some companies set their rates based on age and zip codes, while others might base theirs on something completely different.

Take some time to shop around and compare your options so that you get the best coverage every single time, no matter what plan you choose or which company you work with. If you choose the first plan and provider that you find you’ll be much more likely to pay too much, which you cannot afford to do on a fixed income.

Looking to find the best deal on a Medicare supplement policy, then visit www.gomedigap.com to find the best advice on a plan for you.

Health Insurance Options For the Elderly

 

Medicare is health insurance coverage for those over the age of 65, under the age of 65 with specific disabilities and any person with permanent kidney failure. To be eligible, you must have entered in the United States in a way recognized by law and lived for 5 years. The need for a medical program for seniors became apparent in the 1950s, but it was not until 1965 when Congress passed the laws that created Medicare. Just like Social Security, those individuals contribute to Medicare during the years they work. It is a federal program so guidelines for eligibility and services are very similar in all states.

Medicare is made up of two parts:

Medicare Part A – If you are a patient in a hospital, nursing home or hospice this is the part that helps cover the cost. It also covers care in your home under certain conditions. Because this was paid through taxes, that you paid while working, many do not need to contribute this part.

Medicare Part B – had a standard monthly premium of $96.40 in 2008. This part helps pay for doctors services and outpatient care. It also pays for flu shots and other preventative services.

During the first seven months after your 65th birthday, medicare enrollment is free. Individuals covered by medicare as called beneficiaries and will have help paying for most of their medical needs. Medicare does not cover care given at home, or in a nursing facility, for those with recurring disability or longtime illness.

Advantage Plans, provided by medicare, are customized plans to fit medical needs. Some of these plans are covered by private insurance companies and offer prescription programs. Details of the Advantage Plan depend on the certain program chosen and the eligibility of the patient. Advantage Plans are not available in every state.

If you are receiving Social Security benefits before you turn 65, you will be enrolled in Part A and Part B automatically the month you turn 65. You will receive your Medicare card in the mail three months before your birthday. Signing up is simple but you need to be knowledgeable on the different plans and enrollment periods.

Finding health insurance that is suitable for your medical needs can be difficult. The best thing to do is obtain multiple health insurance quotes from various companies. For assistance log onto www.gohealthinsurance.com.