Posts Tagged ‘medicare supplement plans’

Medicare Supplement Basics

Monday, July 19th, 2010

Medicare supplements (also known as Medigap) help to bridge the gap between the amount a provider charges and the portion Medicare covers. While Medicare does cover the majority of your healthcare expenses, it does not foot the entire bill.

Medigap Plans aid in covering the rest of the amount that is owed. Some Medigap Plans even cover the entire amount that Medicare does not, leaving you with virtually zero out of pocket expenses (at least for your medical needs.)

Medicare supplement Plans are regulated and made standard by the federal government. Each Plan type must contain the same coverage. However, Medicare supplement prices are not standardized. Medicare supplements are provided by private insurance companies which name their prices according to their own guidelines.

One of the best traits of Medicare supplements (also known as Medigap) is that they do not have networks of doctors and other health practitioners. As long as the practitioner accepts Medicare, he or she will accept a Medicare supplement. The claim will simply go through Medicare first then onto the supplement to pick up the specified remainder (according to the Plan chosen.)

One of the most popular Medicare supplement Plans is the Plan F. The Plan is popular simply because it picks up the entire remainder of what Medicare does not cover. Hassle free! However, due to Plan F’s vast nature, it is a little bit more expensive than the also popular Plans G and N.

Please be sure to do your research before you decide which Medicare supplement to apply for, and make sure to start researching your options a good few months before you will need that extra coverage. You want choose a Plan that will be a good fit for you. If you choose wisely the first time, you may never need to go through the hassle of finding a new Plan and making a new application again.

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 Supplement Plans- Plan A

Monday, June 21st, 2010

Medicare supplement plan A is the first of the Medicare plans that was designed to supplement existing coverage. Medicare, even when it was first launched in 1965, was not designed to be an all-encompassing healthcare product. It was simply created to take the edge off of the medical expenses that senior citizens experience. Over time, the healthcare industry and the economy have changed drastically. Rather than overhauling the entire Medicare system, the government decided to implement 12 plans for supplemental coverage and two variations of plans F and J with higher deductibles and lower monthly payments, so that people could get complete healthcare.

-Medicare supplement plans pick up where Medicare leaves off. There are so many different types of plans that it doesn’t matter which things you’re missing because you can find them all with Medigap insurance plans. For those who need medical care and are living on a fixed income, this assistance can be critical.

-Medicare supplement insurance is affordable. It generally has lower premiums and better coverage than typical insurance, as it is government regulated. You can find coverage of all types and sizes, no matter how big or small your budget might be. Plus, getting quotes is free so you can check out your options before you buy.

-This insurance takes all the guesswork out of getting healthcare coverage. Instead of choosing from limitless options and coverage types, you can enjoy only having 12 plans to choose from depending on what you need. You don’t have to make as many choices, and you can find plenty of resources to help with the few choices that you will have to make. Medicare supplement plans are simple, affordable, and often critical to the medical care of those who are over 65 or disabled and living on a fixed income. By taking the time to learn about how you can supplement your Medicare coverage, you might realize that you need it more than you thought. Some plans will even offer extra benefits like preventative care and foreign travel emergency coverage, which can be priceless for those who want to live a full and happy life but don’t want to hassle with typical health insurance. If you have or are eligible for Medicare coverage, you need to check out supplemental plans as well. These additional benefits can prove to be priceless to those who need medical care and can’t afford to pay too much for health insurance.

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

Medicare Advantage Plans: Proposed Changes

Sunday, April 18th, 2010

Medicare Supplemental Insurance is not the sole Medicare-related coverage that may endure changes within the next few months due to the health care reforms proposed by President Obama. Medicare Part C Plans, commonly known as Medicare Advantage plans, may also be experiencing change.

Here is some background on Medicare Advantage Plans:

Medicare (Part C) Advantage Plans are Health Maintenance Organization (HMOs), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans, or Medicare Special Needs Plans . You must have Medicare Parts A and Part B to enroll in a Medicare Advantage plan, and you may need to pay a premium to your Medicare Advantage policy for the extra benefits that they provide. Advantage plans are privately operated. You may not be enrolled in a Medicare Advantage plan and a Medigap plan at the same time as they counter one another.

Current reports state that Medicare Advantage Plan payments to private health insurers will be limited to 2010 rates for the entirety of 2011. The proposed health care laws stipulate cuts amounting to $130 billion over the next ten years to these plans to prevent government overcompensation to insurance providers.

Seeing as next year’s payments cannot match rising health care costs, what may occur is that insurance companies will offset the loss of payment increases by increasing the premiums that their customers are required to pay.

Medicare Advantage Plans and drug plans additionally must have significant differences betwixt their products due to CMS regulation requiring elimination of duplicate prescription and health plans. These differences range from plan types, client out-of-pocket costs, premiums, and formulary offerings.

Beginning in 2014, Medicare Advantage Plans will need to spend 85% of insurance premiums collected on providing health care to their customers as another limiting factor to overcompensation of insurance executives.

Looking to find the best deal on a Medigap Plan, then visit www.gomedigap.com to find the best advice on a policy for you.

What are Medicare Supplement Plans M and N?

Sunday, April 18th, 2010

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

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

Plan M will cover 50% of the Part A deductible, while Plan N will cover 100% of the Part A deductible. Plan N will additionally have instances in which co-pays will be required. Plans K, L, M and N will be suitable low cost alternatives to Medicare Advantage Plans (minus the prescription coverage and network restrictions.) This means that you will be able to visit any doctor or hospital that accepts Medicare.

Certain insurance companies will offer Plan N on a guaranteed issue basis in the majority of states. This will be a relief to those who have health complication and thus may have trouble obtaining coverage which requires medical underwriting. Medicare supplement Plan M, however, will require underwriting with most companies in many situations.

Many of Medigap insurance providers are now offering Medicare supplement Plans M and N. You may now begin 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.

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

The Modernization of Medicare Supplement Plans to Occur June 2010

Tuesday, April 13th, 2010

Medicare passed and will implement the below listed changes to Medicare supplements June 1, 2010:

Plans E, H, I, and J will no longer exist. These plans will not be sold by any insurance company after June 1, 2010. However, if you are currently enrolled in one of the aforementioned plans, then you can be “grandfathered” in to keep the policy. Do keep in mind that some insurance companies will let you convert your coverage to one of the new “modernized” Medicare supplement policies. This may well be a good opportunity as there may be higher renewal premiums for E, H, I, and J in the near future due to the lack of premiums from new recipients of that coverage. If you wait to convert beyond the allotted time period, then you may be required to go through medical underwriting and thus risk decline.

Plans M and N will be introduced. Medicare supplement Plans M and N will have lower monthly premiums in exchange for higher out of pocket payments for medical expenses incurred. For instance, 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.)

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 direct contrast to all the above listed changes, Plans A, B, C, D, F, G, K and L will have virtually the same benefits as before with Plan F now being the most comprehensive.

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

Looking to find the best deal on Medigap, then visit www.gomedigap.com to find the best advice on a medicare supplement for you.

Medicare Supplements: What is the Deal with Rate Increases?

Monday, April 5th, 2010

For those thinking about enrolling with a Medicare supplement policy and those already covered by one, worry regarding rate increase can seem consuming, confounding, and confusing. If you are looking for a guide to specify the who, what, when, where, and why of Medigap rate increases, then you have come to the right place!

Most Medicare supplement providing companies have a twelve-month rate lock-in during which their new clients will not experience a rate increase. However, once that period is up and rate increases occur, many are perplexed as to why. In most cases, the why of rate increases can be attributed to one or more of the below causes:

The Post 12-month administrative rule: If a rate increase takes effect during the initial 12-month period the client owns a policy, the rate increase will occur for that client at the first premium payment date after the end of the twelve-month period.

Consecutive annual rate adjustments: This is when there are consecutive rate increases during the first two years an individual is covered by a given policy. In this case, both rate increases happen at once.

Attained age: For policyholders in attained-age states, the premium payment amount goes up each year on the first policy payment date. However, if an attained age rate increase and an annual rate adjustment take place two months in a row, the later increase will go into effect three months after the first.

Please be aware that insurance premiums increase due to rising health care costs (caused by inflation) as well as increases in Medicare’s deductibles and copayments (which increase each year.) No one enrollee of a Medicare supplement policy is singled out for a rate increase.

For more information on Medicare supplements, Medicare, and all other related plans, you make sure to do your research so that you are completely comfortable with the plan you purchase and are prepared for its processes.

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

Medicare Supplements: Their Parts, Plans, and Coverage Clarified

Sunday, April 4th, 2010

Medicare supplemental insurance, in terms of the provisions and coverage offered, are made standard by the federal government. However, their prices and availability are not standardized.

Not every plan is offered by every company or in every state, and while the plans are standardized by the federal government, the government did not standardize the premium prices. Hence, the prices may be different for the same Medicare supplement plans with different providing companies. That’s right. You may buy Medicare supplement Plan F in your area from one company that charges $189 a month, or from a company that charges $95 a month. There truly is that much variation, because there is no cap or standard.

Add that price variation to the already ingrained fear that people have of Medicare supplements, and it equals disaster. People are in a rush to quickly and efficiently acquire a Medicare supplement policy as they wish to be done with the stress. Ironically, this fear perpetuates these companies’ ability to charge so much for coverage that shouldn’t be that expensive. Plans for supplement insurance ARE the same. Prices for the plans are NOT.

So what’s the deal with parts? You hear about Medicare Part A or Part D, and then you hear about Plan A or Plan D. You are sitting there, staring at the screen, trying to figure out if they’re the same thing, or what type of person would name them something like that to create so much confusion. Just to be clear, they ARE different.

Part A and Part B are included in all Plans. They are both parts of Original Medicare Coverage. Part C acts in place of Original Medicare plans and is known as a Medicare Advantage Plan. Part D is prescription coverage. Plans A-L are the Medicare supplemental plans that you can buy to increase the coverage that you have by supplementing the coverage provided by Original Medicare, hence their name. Each Medicare supplement has varying levels of coverage.

Medicare supplements, commonly known as Medigap, are designed to fit in with Medicare coverage. They fill in the gaps where Medicare lacks to provide coverage. Speaking with an agent who has an allegiance to a specific insurance company will not be in your best interest as that person will most likely tell you that the policy and price they offer is the best all around. The truth is that they may just want the sale.

You should instead speak with a Medicare attorney, broker, or another objective source that can help you navigate this confusing world of plans, parts, and headaches so that you can get the medical coverage you need.

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

Find The Best Medicare Supplement For You

Sunday, April 4th, 2010

Choosing your Medigap insurance policy can often seem complicated. Fortunately, there are many great resources for people who need to purchase this type of coverage.

Medigap (also known as Medicare supplemental insurance) is available to those that are eligible for Medicare coverage. However, there are some factors to consider that may be a bit confusing….

For instance, spouses must have separate policies when applying for Medigap coverage. This insurance is offered on a standard system of 12 different plans from which to choose, all ranging in coverage type and amount. Additionally, each of these policies are offered by many different private insurance companies, which gives you even more power in choosing the exact Medigap insurance coverage for your needs.

The way that supplemental insurance works is that you first choose the plan that suits your needs, based on the existing coverage that you have and what you want to change. Afterwards, you can comparison shop with the companies that sell Medigap insurance to determine which has the best rates and service for the plan that you need. All companies who sell supplemental Medicare coverage will offer all 12 plans, so you don’t need to worry about that. All you have to do is choose the one that you like best.

Your reasons for choosing a Medigap insurance provider are allowed to be whatever you want them to be. You can pick the one with the lowest rate, or the one with the best customer service. You can even pick a company just because you happen to like their website, if that’s what you choose. It’s all up to you.

The first step is determining what you need, and also what you can afford. Remember that your coverage will be different if you are healthy than if you have medical conditions or a constant need for visits to the doctor. Make sure that you are asking questions so that you understand everything very clearly before you make any decisions about what you’re going to do or which plan you want.

Medigap insurance providers and policies do not have to be complicated. If you take things one step at a time and allow yourself to figure things out and learn as you go, it can be a simple process. If all else fails, you can easily find a private insurance company that deals with this type of coverage and get their assistance in choosing the best insurance policy to cover the gaps in your Medicare insurance.

Want to find out more about Medigap, then visit Richard Cantu’s site on how to choose the best policy for your needs.

Medicare Supplements: A Clarification

Monday, March 29th, 2010

Many Medicare recipients are looking into Medicare supplement plans that they simply do not understand. While the process is easy enough when it comes to getting extra coverage, the mere lack of information may serve to scare many away entirely.

Finding information regarding Medicare supplements written in plain English can be difficult, at least until now. If you have ever been confused by the maximum benefit limit, the supplement versus the Advantage plan, or even the variety of plans from which you may choose, you have come to the right place.

First, you should be aware that there are 12 Medicare supplement plans to choose from.

These 12 Medicare supplement plans are A, B, C, D, E, F, G, H, I, J, K, and L. They are easy to find and relatively similar in many aspects.

You should also know that Medicare is planning some big changes this June, including eliminating duplicate coverage by getting rid of policies E, H, I, and J. They will additionally be introducing plans M and N, which have lower premiums and offer co-pays instead. These plans are simple to choose from because all you do is compare your existing coverage to the various plans and choose the one that makes the most complete match.

The premium you pay for Medicare supplements is the cost of the policy. The premium can be paid annually, bi-annually, quarterly, or monthly with most insurance companies. However, since private insurance companies offer Medicare coverage, their premium rates and policies for payment will vary according to the company’s policies.

Medicare supplements are NOT the same as the Medicare Advantage Plan. The Medicare Advantage Plan acts IN PLACE of Medicare coverage. Supplemental coverage, contrastingly, adds to your existing Medicare coverage.

Benefits are the covered areas or elements that you may claim with your Medicare supplement plans. For instance, some plans have a travel emergency benefit, others have a preventative care benefit, and most just come with basic benefits for medically necessary procedures and visits.

Once you have chosen a Medicare plan, you will need to find an insurance company that offers the plan that you desire at a price you can afford accompanied by the service you deserve.

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

How to Choose Your Medicare Supplement Coverage

Wednesday, March 10th, 2010

Looking for health insurance can be confusing, difficult, and time-consuming. Fortunately, researching and shopping for Medigap insurance does not need to be.

Why is this true?

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 may find many different resources out there that will 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 locate 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 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 all alone. The good news is that you don’t have to. 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 12 plans for Medigap coverage, but every one will have slightly different rates, allowing you to get the right insurance for the right price every time.

Understanding Medigap and Medicare supplement insurance can be challenging if you are unprepared. 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. It is all up to you.

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.

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