Medicare

Lance Henderson 2037049

Before we go too far, here are some helpful videos, to help understand more about Medicare.   The videos are part of a Medicare Made Clear campaign, but they really make things much easier to understand, so I placed them here for you.   

10 Medicare Insurance Tips

 

How to choose a plan

Now let’s Focus on Medicare Parts A & B

 

Now, for Retirees:

 

Let us start with Medigap, otherwise known as Medicare Supplement plans

 


Medigap policies are standardized.   Every Medigap policy must follow federal and state laws designed to protect you, and it must be clearly identified as “Medicare Supplement Insurance.” Insurance companies can sell you only a “standardized” policy identified in most states by letters.  According to Medicare.gov, the current plans (for California in 2015) are A, B, C, D, F, G, K, L, M, N.  There’s also a High Deductable Plan F (called HDF).

How these plans work with Medicare is the same for each company.  What’s the difference?  Cost, rate increase history, the ability to make changes while a member, and sometimes some added benefits like health club benefits or access to a nurse line.

For more information about Medicare Supplements (also known as Medi-Gap plans), please see the Medicare website, OR Call me: 408-982-7358 or Email

The two most popular plans, for those I serve, are Plan F and Plan N.  Why is that?  Plan F is the most comprehensive plan to address the costs left to you by Medicare for Medicare approved procedures/services.  this being said, it is also the most expensive supplement option

Medigap Plan F covers:

  • The Part A (commonly known as Hospital) deductible, copayments and coinsurance. This includes the PER STAY deductible, PER DAY copayments and coinsurance while Medicare pays it’s share, PLUS an added 365 days after Medicare benefits are used.
  • The Part B deductible (commonly understood to be Doctors & Outpatient benefits), which is $147 per year (for 2014).
  • Co-payments for Medicare Part B.  Medicare typically pays 80% of the Part B approved amounts.  Plan F picks up the 20%, normally left to you under original Medicare.
  • Excess charges for Medicare Part B.


Medigap Plan N:  It’s a lot like Plan F, except you agree to pay the:

1) Part B Deductible, and

2) low copays for doctor visits or Emergency Room use. You would also be responsible for

3) the Part B Excess charges. 

However, I have clients, that are fairly healthy, and find Plan N to be a cost savings, since it is typically a decent savings on the monthly premium, compared to the Plan F monthly premium.

There are plenty of other options, including a High Deductible Plan F, which works like F above, ONCE you have reached the annual deductible.  This plan typically has a lower monthly plan premium.

There are multiple options to consider, which is why we need to talk, and discover the option most suited to your needs.

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