Showing posts with label Medicare Supplement. Show all posts
Showing posts with label Medicare Supplement. Show all posts

Friday, May 5, 2017

What Is Medicare Supplement Insurance?

                      *repost: https://www.medicare.gov/supplement-other-insurance/medigap/whats-medigap.html               What's Medicare Supplement Insurance (Medigap)?


A Medicare Supplement Insurance (Medigap) policy, sold by private companies, can help pay some of the health care costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles.
Some Medigap policies also offer coverage for services that Original Medicare doesn't cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
A Medigap policy is different from a Medicare Advantage Plan. Those plans are ways to get Medicare benefits, while a Medigap policy only supplements your Original Medicare benefits.

8 things to know about Medigap policies 

  1. You must have Medicare Part A and Part B.
  2. If you have a Medicare Advantage Plan, you can apply for a Medigap policy, but make sure you can leave the Medicare Advantage Plan before your Medigap policy begins.
  3. You pay the private insurance company a monthly premium for your Medigap policy in addition to the monthly Part B premium that you pay to Medicare.
  4. A Medigap policy only covers one person. If you and your spouse both want Medigap coverage, you'll each have to buy separate policies.
  5. You can buy a Medigap policy from any insurance company that's licensed in your state to sell one.
  6. Any standardized Medigap policy is guaranteed renewable even if you have health problems. This means the insurance company can't cancel your Medigap policy as long as you pay the premium.
  7. Some Medigap policies sold in the past cover prescription drugs, but Medigap policies sold after January 1, 2006 aren't allowed to include prescription drug coverage. If you want prescription drug coverage, you can join a Medicare Prescription Drug Plan (Part D).
  8. It's illegal for anyone to sell you a Medigap policy if you have a Medicare Medical Savings Account (MSA) Plan.


Medigap policies don't cover everything

Medigap policies generally don't cover long-term care, vision or dental care, hearing aids, eyeglasses, or private-duty nursing.


Insurance plans that aren't Medigap

Some types of insurance aren't Medigap plans, they include:
  • Medicare Advantage Plans (like an HMO, PPO, or Private Fee-for-Service Plan)
  • Medicare Prescription Drug Plans
  • Medicaid
  • Employer or union plans, including the Federal Employees Health Benefits Program (FEHBP)
  • TRICARE
  • Veterans' benefits
  • Long-term care insurance policies
  • Indian Health Service, Tribal, and Urban Indian Health plans

Dropping your entire Medigap policy (not just the drug coverage) 

If you decide to drop your entire Medigap policy, you need to be careful about the timing. For example, you may want a completely different Medigap policy—not just your old Medigap policy without the prescription drug coverage. Or you might decide to switch to a Medicare Advantage Plan that offers prescription drug coverage.
You have to pay a late enrollment penalty when you join a new Medicare drug plan if:
  • You drop your entire Medigap policy and the drug coverage wasn't creditable prescription drug coverage, or
  • You go 63 days or more in a row before your new Medicare drug coverage begins


Tuesday, May 24, 2016

Medicare Made Clear


10 Key Medicare Facts

Your Medicare journey may be smoother when you understand the rules of the road.

Medicare is a complex subject. Watch this video to get the main ideas behind it. Then you can dig deeper into what’s most important to you



10 Key Medicare Facts Summary

  1. There are two main ways to get Medicare.

    • Original Medicare (Parts A and B) which is provided by the federal government
    • A Medicare Advantage plan (Part C) offered by a private insurance company
  2. With Original Medicare, you may pay a share of the cost.

    • You contributed to Medicare by paying taxes. That’s why you’re eligible for Medicare when you turn 65.
    • Original Medicare may not pay for everything. You may pay a share of the cost in monthly premiums and copays.
  3. Medicare supplement insurance helps with some out-of-pocket costs.

    • Medicare supplement insurance plans help with some of the expenses Medicare Parts A and B don't pay.
    • Medicare supplement insurance plans are offered by private insurance companies
  4. Prescription drug coverage may help limit drug costs.

    • Original Medicare does not include prescription drug coverage. However as a Medicare member you can get Medicare Part D prescription drug coverage.
    • Prescription drug plans, also known as PDP, and Medicare Advantage plans are offered by private insurance companies.
    • You can enroll in a stand-alone Part D plan to go with your Original Medicare coverage.
    • You can enroll in a Medicare Advantage plan that includes prescription drug coverage.
  5. Coverage choices vary by plan type and state.

    • Original Medicare (Parts A and B) is the same across the United States.
    • Medicare Advantage (Part C) and prescription drug (Part D) plans are offered by private insurance companies and may be available only in certain counties, states or regions.
    • Medicare supplement plans travel with you nationwide. The plans are standardized, but the availability may vary by state.
  6. Your initial enrollment in Medicare is time sensitive.

    • The Initial Enrollment Period (IEP) is your first chance to enroll in Medicare. It’s the three months before your 65th birthday month, the month of your birthday, and the three months after your birthday month.
    • If you are eligible for Medicare due to disability, your IEP is based on your disability date.
    • Late enrollment penalties may be incurred for missing certain enrollment periods for Part B and prescription drug coverage.
  7. Your health care needs may change over time.

    • After you choose your Medicare coverage, you can make changes once a year during Medicare Open Enrollment, October 15 through December 7.
    • You may change your coverage at certain other times if you qualify for a Special Enrollment Period.
    • Review your coverage each year to see if it still fits your needs.
    • These enrollment period restrictions do not apply to Medicare supplement insurance.
  8. Special Enrollment Period (SEP).

    • In some cases you may be able to enroll in or switch plans at times besides your IEP or Medicare Open Enrollment.
    • You may qualify for an SEP if you retire and leave a health care plan sponsored by your employer or union.
    • You can usually use an SEP to change your coverage if you move out of your current plan’s service area.
  9. Medicare can work with other health insurance.

    • Group or retiree health insurance sponsored by an employer or union can work with Medicare.
    • Your plan administrator can help you figure out how Medicare could work with your current coverage.
    • Medicare supplement plans work with Original Medicare, but not with Medicare Advantage plans.
  10. Help is available.

    • Medicare can be complicated, but help is available.
    • You may qualify for financial help.

Friday, April 8, 2016


Medicare Supplement Insurance Policy Costs Vary By Up to 68 Percent

Monthly Costs for 65 Year Old Range From $118 to $444 According to Medicare Supplement Insurance Association's 2016 Price Index


Marketwired

Medicare Supplement Insurance Policy Costs Vary By Up to 68 Percent
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Medicare Supplement insurance expert, Jesse Slome, head of the American Association for Medicare Supplement …
LOS ANGELES, CA--(Marketwired - April 04, 2016) - A 65-year old male purchasing Medicare Supplement insurance will pay anywhere from a low of $126-per-month to a high of $444-per-month according to the just-published 2016 National Medicare Supplement Price Index.
"Costs for Medicare Supplement insurance, also called Medigap, vary significantly for both men and women," reports Jesse Slome, director of theAmerican Association for Medicare Supplement Insurance (AAMSI), which released the first phase of the study that compares rates for the top-10 metropolitan areas.
According to the Price Index, a 65-year-old woman will pay as little as $118-per-month in San Antonio, TX to as much as $444 monthly if she lives in Manhattan, NY. The Association study examined costs and reported percentage differences between the low and high rates. "For a 65-year old male, the average difference was 39 percent," Slome notes. "For 65-year-old females, the average difference was 34 percent but in some cities the spread between the lowest and highest costs is as much as 48 percent."
Some 12.2 million Americans were protected by Medicare Supplement insurance in 2015 a significant increase compared to 2010 when 9.7 million owned a Medigap policy. "More Americans value the significant benefits and advantages these policies provide," Slome shares. "With 10,000 Americans turning 65 every day, the number of Medigap policyholders will continue to grow."
The Association examined monthly rates for Medicare Supplement Plan F, the most commonly purchased coverage. "Some 66 percent of individuals choose Plan F," Slome shared. Private insurers offer Medigap policies but the government has standardized coverage by assigning a specific letter to make it easier to comparison shop. Three states that had standardized policies before the federal law passed follow different rules.
"Prices vary and no single insurer was consistently the least expensive nor the most expensive," Slome says the study found. "Consumers who want the best coverage for the lowest cost would be well served by working with a knowledgeable Medicare Supplement insurance agent who can educate and help you with the comparison shopping."
Highest Costs in New York City; Lowest Costs In San Antonio, Texas
Among the top-10 U.S. cities, the highest cost for Plan F coverage was $444-per-month for a 65-year-old male living in Manhattan, New York according to the Price Index. The lowest cost was $126-per-month for a male living in San Antonio, Texas. For a 65-year-old female, the highest cost was $444 and the lowest was $118 for the same cities.
Jesse Slome is director of the American Association for Medicare Supplement Insurance, established to provide consumer awareness and education, marketing support and networking opportunities for professionals who market Medigap insurance.
The organization maintains the nation's largest online directory of local independent Medicare Supplement insurance professionals at www.medicaresupp.org or call AAMSI at 818-597-3205 for information.
Slome is a leading national advocate for consumer awareness and financial and insurance product education. He has authored over 25 comprehensive consumer books and guides, and recently established the National Advisory Center for Short Term Care Information. He is the author of the soon-to-be published Essential Guide to Short-Term Care Insurance Protection.