Helpful tips to understand Medicare Eligibility

People on reaching the age of 65 tend to qualify for initial Medicare enrollment period. It is at this time that one can buy their Medicare Supplement plans without having to answer any health related questions. Generally, the person is eligible to get one time initial enrollment period, which begins 3 months prior to the month of Medicare eligibility. It ends 3 months after the eligibility month, which is typically the month of the individual’s 65th birthday.

Retired men and women are provided with a wonderful opportunity to derive Medicare health insurance and Medicare Supplement plans during initial enrollment period. Insurance providers during this time are required to use medical underwriting for determining, if they will accept the application or not. During the initial enrolment period, the providers will not be able to deny any of the Medicare Supplement plans selected by the beneficiary, citing health reasons. However, one should understand that people at the age of 65 and having Medicare, because of disability, are likely to be eligible for 2nd initial enrollment period.

More about Medicare Supplement plans

Supplements in majority of the cases, do pay what is not otherwise covered by the original Medicare at the doctor’s or hospital office. Also, most of the prescription drugs are not covered by supplements.

In case of drug coverage, it will be wise to enroll with a Prescription Drug plan also called Part D. It is voluntary and separate and can help lower down prescription drug out of pocket expenses. Part-D drug plans are offered by private insurance providers. Even though Medicare Part D is considered to be voluntary, the truth is that those not enrolling with any qualified drug plan especially when first becoming eligible to avail Medicare are likely to face unwanted consequences. The penalty can be a monthly fine that needs to pay for each and every month that the person could have enrolled, but has avoided. Penalty can be lifetime carry that might surprise many.

It will be wise and useful to compare the benefits and rates of different Medicare Supplement plans, so as to choose the best one. Also, it is necessary to compare the different providers in the region and check out their customer care service to ensure they offer prompt services as and when required. With all the supplement plans standardized, the only difference witnessed is the price difference that exists between companies.


Tips to understand traditional Medicare coverage better

A good number of people reach their retirement age every year. Hence, it becomes important to plan their retirement stage much in advance. One such aspect that cannot be left neglected or ignored is getting to understand Medicare coverage and Medicare Supplement plans available.

Understanding traditional Medicare

There are many people who are eager to know how a specific health ailment, service, treatment, etc will be covered by original Medicare. Going through the official Medicare.gov site can help provide all the details about the different plans and coverage offered.

For instance, when searching for kidney dialysis coverage, visit the homepage and enter the desired keyword in the search field present. Instantly, list of services comes up, with supplies and dialysis services being at the top. Click the link and the visitor can get to see the detailed coverage summary. The link discusses about outpatient vs. inpatient coverage, home dialysis training, equipment & supplies, support services and certain drugs meant for home dialysis. Besides the list is mentioned those items not covered by Medicare. Aides for home treatment assistance, lost pay while training for self dialysis, packed RBC or blood for self dialysis, place to stay at the time of treatment, etc, are not covered. The page also details the amount covered by Medicare, generally 80/20 split for everything. It is here that Medicare Supplement plans can prove to be a savior from that out of pocket expenses. It is necessary to choose both Medicare and supplement plans to get enhanced coverage.

Useful information on Medicare and Medicare Supplement plans- Find a plan at https://www.bestmedicaresupplementplans2019.com/

In broad terms, Medicare.gov does explain what is covered by Parts A & B. Medicare Supplement plans also are known as Medigap plans and they fill up the gaps not covered by original Medicare for different treatments and services provided. For instance, the initial 60 days of hospital inpatient stay (deductible to be met prior to getting coverage) is paid by Medicare. However, from 61st to the 90th day, the beneficiary is to pay daily coinsurance. The Medicare Supplement plans pay for the remainder, which is good news, since coverage is likely to get worse much longer the beneficiary stays in hospital. 91-150 days also includes daily coinsurance which will be covered by Medigap plan.

This way, the person does not have to worry about the gaps present in Medicare as the Medigap plan will take full care of it, ensuring that no one has to pay anything from own pocket.


Are Medicare Advantage and Medicare Supplement plans the same?

About Medicare supplement plans

According to the industry experts the traditional supplement plans are quite different from that of the Medicare Advantage plans. With supplements, the beneficiary is able to use the original Medicare card and also add up the supplement health card. The insurance providers supplement deductibles and gaps presented by Part A and B Medicare.

Having Medicare Part A & B, portion of the medical bill not paid by Medicare will be covered by the supplement plan. These do differ and hence, there is an urgent need to know exactly the portions that will be covered by the Medicare Supplement plans prior to enrollment. Premiums are to be paid for availing the supplement plan and it may exclude unfit individuals. But, they do offer broad access to good quality healthcare, especially when required the most.

 

About Medicare Advantage Plans

When compared to Medicare Supplement plans, Advantage plans are considered to be health plans offered by insurance providers having contracted Center for Medicaid and Medicare. Advantage plans can be availed by those having access to Medicare Part A & B. There are available specialized plans for those suffering from specific health conditions. However, beyond that scope, general plans cannot decline applications for specific reasons based on health.

Enrolling with the Advantage plan does not mean that the beneficiary will lose his Medicare coverage. Rather, they can cancel their Advantage plan and avail the original Medicare the following month. When enrolled with the Advantage plan, they need to use their insurance card and not the Medicare card.

Advantage plans similar to Medicare Supplement plans are not expensive, although many will require participation amount of Part B. However, Medicare plan does not come for free. CMS does make monthly contribution to the plan, rather than giving the tax money to original Medicare. It is in this manner that the bulk of plan gets paid from, which is from tax money.

Which plan to select for enhanced coverage?

So both Medicare Supplement plans and Advantage plans are not the same! Hence, it is the individual’s own preference and medical needs that should actually determine the type of plan to be availed. One crucial decision that any newly retired person is likely to make, which will impact his/her health and lifestyle, is the selection of appropriate Medicare health plan. Taking help of the qualified and experienced agent can help find a good plan which will fit perfectly the individual’s budget, lifestyle and medical needs.


The Medicare Supplement Plan For Americans

Medicare Supplement policies are planned to cover things like copayments, coinsurance, deductibles and so on. These are sold by private companies and are divided into ten sections or types that are denoted from letter A to N. In case of those counting letters on their fingers, letters E, H, I and J are no longer sold. It is worth mentioning that not all companies sell all the types but at the very least they sell type A or any other standardized type.

medicare advantage 2019

Each type offers a different level of coverage but since they are standardized all companies must offer the same level of coverage in a given type. Furthermore, all noted type must cover a basic portion of coverage, where coinsurance costs up to 365 days after Medicare benefits are exhausted is included in type A. Other plans include additional coverage but beware as additional coverage means additional costs. Nothing in this world is free, and Medical care in USA is not likely to become soon.

In 47 of the United States, there were 10 Medicare Supplement plan offerings at earlier, which were designated with the letters A through N. Each type of plan comes with different benefits, with the plans of the same letter offering the same set of benefits. For example, Plan F in Massachusetts offers the same exact benefits as Plan F in Wisconsin. The only thing that varies was the cost of the plan, which will depend on the insurance company offering the plan.There was also another type of Medigap insurance called a Medicare SELECT plan. These plans required beneficiaries to use hospitals and/or physicians within the plan’s network of health-care providers in order to be eligible for full plan coverage..

In order to be eligible to enroll in a medicare supplement, one must be enrolled in both parts of Original Medicare, Part A and Part B. Also live in the state in which the plan is being offered.The best time to enroll in a Medicare Supplement plan is during your Medigap Open Enrollment Period. This six-month enrollment window begins the month in which you are both age 65 or older and enrolled in Medicare Part B. During this time, one can buy any Medigap insurance policy in own state, even if he have pre-existing health conditions, because he cannot be denied due to medical underwriting.

Enroll in a medicare advantage plan in 2019 at https://www.medicareadvantageplans2019.org

The important thing to know is that every US citizen is required to have Medicare plan A or plan B, but as we already mentioned, these do not cover everything, so you might be interested in another type of Medical insurance plan and that is the AARP Medicare Supplement Insurance Plan, which is insured by UnitedHealthcare Insurance Company. Yes, that is again a private company and yes, you must pay for it, but it includes a lot more than say Medicare plan A or B.

Now, let’s say you want to be able to go to a hospital and you want to have a possibility to call a doctor for a house visit when you are unable to walk, but you do not need any drugs. Then you can get a Medicare advantage plan which covers everything that is covered in the type A plus some needed benefits of type B, like house visits, outpatient care and preventive services. Some of these Advantage plans also include a fitness program or a wellness service which might come in handy when those old bones start to go clickety clang.

 


Medicare Advantage Plans, its core benefits and its deductibles

Medicare advantage plans are sold in 12 standard plans. However, bear in mind that there is no drug coverage with insurance plans H, I and J.

 

There are certain things to be noted such that the Plan A is the basic plan and every company must sell it as it is the plan with ‘core benefit’.  The plans are standardized and labeled from A to L and this offers the advantage and liberty of buying from any of the company. However, remember to get a quote so that you get to choose the Medicare Advantage plans offering lowest premiums and also the finest customer service.

 

Core Benefits:

  • Part A Hospital copayment is paid for 61-90 days at $322 per day and for 91-150 days at $658 per day.
  • Pays hospitalization charges for surplus 365 days after the end of Medicare benefits.
  • Pays Part B copayment that is normally Medicare approved amount to 20%.

 

You may pay for some covered services as cost-sharing until the out-of-pocket annual meet is met. Plan K or Plan L as in 2018 has a limit out-of-pocket as $5240 and $2620. On meeting the plans annual limit, the plan pays 100% Medicare coinsurance, copayments, and deductibles for the entire calendar year. Also bear in mind these amounts that are out-of-pocket limits, change each year.

humana medicare advantage 2019

Deductible Part A

The Medicare initial amount is not paid for any stay as inpatient hospital during the benefit period ($1,316 in 2018).

 

Part B Deductible and Premium

The Medicare initial amount does not include paying for other outpatient services or physical services in each calendar year accounting to ($183 in 2018). Generally, people will pay each month around $134.00 (2018) as the premium of Part B.

 

Emergency Foreign Travel

Medicare is not responsible to pay for foreign country care received. This benefit covers a deductible per year after $250 that is emergency care health expenses for 80% received in the initial 60 days of a foreign country, accounting to maximum lifetime of $50,000.

Get the best policy for you at https://www.medicareadvantageplans2019.org/humana-medicare-advantage-plans-2019/

 

At Home Recovery

Medicare pays for nursing home health care and it covers home health visits offered as assistance to handle daily living activities, when Medicare home health coverage is received currently or within eight weeks up to $1600 each year from the last home health visit of Medicare.

 

Part B Excess

Medicare pays only the approved amount charges, and covers difference of Medicare approved and limiting charge that is within 15% about the amount Medicare approved. Thus, the benefits pay 80 to 100% Part B extra charges.

 


Medicare Advantage Plans, is it a must buy?

 

Medicare advantage insurance is known as the Medigap insurance as well. This is referred to as the Medigap as it covers the gaps in the benefits of Medicare that are the services that are uncovered by Medicare Original and it includes the deductibles and copayments. The traditional Medicare does not cover all the charges, it pays a portion of the medical expenses, so there is a need for Medigap or Medicare advantage plans to cover the services uncovered by Medicare, copayments, deductibles, and excess charges that the doctors are to be paid.

 

Medigap

Medicare advantage plans refer to the advantage insurance that is a private health insurance. This can be purchased by a Medicare beneficiary. The state and Federal law regulates the policies of Medicare Advantage. Only a Medigap policy or a Medicare Advantage policy helps in filling the gaps in the Medicare benefits. There may be other insurance types assisting in paying the costs as out-of-wallet and it is paid for health care cost, but is not regarded as Medicare advantage insurance. For instance, an employer health retirement plan may be used to pay for vision, prescriptions, and dental services, but it does not pay for copayments and Medicare deductibles.

 

Must buy?

Now as it is not a genuine Medicare Advantage policy though it coordinates the Medicare benefits, you may have a query as if you need to buy Medicare advantage plans policy? The solution to your query is based on one fact, that is if you are sure you have sufficient income and assets to cover all the medical costs that are uncovered by Medicare including the copayments, deductibles or the non-covered services. If you do not wish to risk, you may explore other options to Medicare advantageing, but otherwise, the answer is a sure Yes to buy Medicare advantage plans policy.

Get a plan at https://www.medicareadvantage2019.org/

Standard Coverage Medicare Advantage

The Medicare Advantage Plans are labelled with letters A to J. The basic benefit package is Plan A and Plan J is the comprehensive benefit package. There are ten standardized plans and the benefits will be similar, regardless of the company you are buying from or the company selling to you the policy. This means buying Plan D from one company is similar to Plan D from the other. As the Medicare advantage policies are standardized, you can shop freely from any of the company offering the best customer service and price.

 

Thus, though the benefits for each standard plan are the same, the premiums may vary greatly. Thus, prior to purchasing an insurance advantage policy, determine how its premiums are calculated.


Mental Health Physicians

When one is under mental duress, thinking of finding a mental health physician can be an overwhelming concern. One must find someone who has much experience and be very knowledgeable in their field. Looking for a doctor who can help with your mental health concerns is most important to you. Most people have a lot of difficulty in finding the right physician for their present mental health issues. The main concern is to be able to be comfortable with your health provider and talk easily with them and have them really listen to you.

When one is looking for a mental health counselor, there are many avenues one may explore. Area hospital and health clinics may be able to provide a list of many physicians in the mental health field. Also they will have many dealings with area health specialists who they may personally know and can recommend to you. There may be several mental health programs run by the hospital or clinic that they can tell you about and will suit your needs.

Your family physician may be a good place to start having the conversation about finding a health care physician. He or she knows your medical history and has association with many specialists and can guide you expertly. Of course, you will want someone with an excellent reputation.

Your family and friends may also be of great help in finding your health care provider. They have experiences that may help your decision for choosing a particular doctor. One must remember, not everyone will get along with all people, so it will be your decision who you choose and will fit your needs.

When you have found several names of providers, another choice can be searching the internet to find out what you can about them. Many physicians have their own websites and even blogs, so one can find out a lot about that specialist. Their achievement, their reputation and their own professional history can be found on the internet and can help with your decision on choosing a physician. Look carefully and get a list of several whom you can choose from and start on your journey to good health.

Your choice of a mental health specialist may take some time finding the right one for you. Your health is the top priority and matching up with the best specialist may take some time. Don’t get discouraged in finding your special physician.

Learn your insurance benefits and find better rates here http://www.comparemedicaresupplementplans2018.com/.


HOW TO PLAN FOR RETIREMENT

Retirement is a period when one stops engaging in an active occupation or working life. Retirement is as a result of age, or early withdrawal from employment.

Every person has the right to choose at what age they would wish to retire although for every country there is a set law that defines the retirement age.

Retirement may come unexpected and if at times may find people unprepared thereby making them live a sad life because of lack of financial dependence and at times may lead to early deaths or chronic diseases such as high blood pressure due to overthinking of what to do in the later life.

There are various steps that one can follow to plan and these are outlined below.

  1. Setting retirement goal- Think of where to spend life after employment, what type of a house and what activities to involve yourself in, the financial obligations relating to such and how to meet them.

When the goals have been adequately established, then it will be possible to focus on how to attain each of them.

  1. Focus on being physically fit while in employment- One of the most basic needs in life is all about health. One should commit to eating healthy, having regular checkups with the doctors to make sure that the preventive measures for good health are in place and proper advice is given.

Having enough rest is critical to ensure once you retire the body is not worn out.

  1. Plan on the estimated time for the refund of savings- Mostly people make savings during the tender age, and this should never stop until one is ready to retire. Plan how the savings will be refunded back either as a lump sum or on a monthly basis could be to ensure that the monthly expenses are catered.
  2. Plan to remain relevant- This could be through social media to be able to get most of the updates, and this ends up creating future opportunities.
  3. Deciding on the amount of saving you need to make sure that the time to spend working will cater for retirement fully.
  4. Budget on how much you will need upon retirement- Among the budget should include food, clothing, medical costs all of which one should ensure that this money is set aside in case of eventualities.
  5. Let the plan remain relevant-The set aside program should not be diverted by other needs which may mess up with the retirement plan.

Click here for more information www.medicaresupplementplans2019.com.


3 Most Popular Medicare Supplement Plans

There are ten different Medicare supplement plans in operation but all of them are not popular. Depending on the features here are the 3 most popular plans offered by Medigap.

Medicare Supplement Plan F

Plan F can be considered as the most popular plan. Simply finished portion of the general population that possess a Medicare supplement have Plan F. This plan is well known on the grounds that it is the most comprehensive and covers the greater part of the gaps in Medicare. On the off chance that you go in for covered medicinal treatment and have this plan, you ought not to need to pay anything out of your own pocket for Medicare-qualified costs. For whatever length of time that you see a specialist who takes Medicare and the treatment is a Medicare-affirmed cost, you ought to have the capacity to stroll in, demonstrate your cards, get treatment and go home. You won’t need to pay a co-pay and you ought to never get a bill. Of course such a comprehensive plan will cost you more but the benefits it provides are indeed great.

Learn more by clicking here https://www.medisupps.com/aetna-medicare-supplement-plans-2018.

Medicare Supplement Plan G

Plan G is relatively indistinguishable to Plan F, with the special case that you will be required to cover the cost of your Medicare Part B deductible ($183 in 2018). In specific conditions identified with accounts, this plan might be the best supplement plan for you on the off chance that you need insignificant out-of-pocket costs, yet at a lessened protection premium cost compared to the Plan F. That is on account of the cost for this plan is not as much as that for Plan F, however with the exchange off of having more out-of-pocket costs for you. For particular monetary and medicinal services circumstances, this plan could be the best Medicare supplement protection plan for you.

Medicare Supplement Plan N

Plan N is fairly like the other two plans, with the special cases where the Medicare Part B deductibles are not covered, Medicare Part B requiring some co-payments and overabundance charges for some emergency room visits and office visits. This plan may be considered as the best plan for you if there are sure monetary circumstances that support your capacity to cover those extra charges, should they happen. Plan N costs not as much as the other two plans, however with the exchange off of higher out-of-pocket costs for you if you require Medicare-covered administrations. Sometimes, nonetheless, this could work further bolstering your good fortune and really be the best plan for you.

 

 


The ABCs of Medicare Supplement Plans

Part One: What is a Medicare Supplement Plan and what are the costs

     If you are already covered by Medicare Part A and Part B and you usually visit your doctor, you probably already know that there are some costs you have to pay because your Medicare does not cover them, like Medicare premium, coinsurance, copayments and annual deductibles. If this is your case, getting a Medicare Supplement Plans 2018 may help you cover some of these costs and save some pennies.

What is a Medicare Supplement Plan?

     Medicare Supplement Plans, also known as “Medigap”, were created to fill in the gaps in the coverage of Original Medicare. This means that they help paying some of the costs Original Medicare does not cover, such as coinsurances, copayments and deductibles. Depending on the Medigap plan you get, they can also cover extra services, like foreign travel emergency care or a Skilled Nursing Facility coinsurance.

There are 10 standardized Medigap Plans and each of them is identified by a letter: A, B, C, D, F, G, K, L, M, and N. They are offered by private insurance companies and they are available in all of the states except for Minnesota, Massachusetts and Wisconsin in which they offer Medigap plans with benefits and insurance options that differ from the rest of the country. In the past there were also Plans E, H, I, and J but they are not available anymore.

Although, the level of coverage is different depending on the Medigap, they include the same standardized benefits no matter what the state or the insurance company is. This means that if you are in Georgia, the benefits of Medigap Plan C will be the same as the ones of Medigap Plan C in Pennsylvania.

All insurance companies that are licensed to sell Medigap must offer at least Medigap Plan A and if they offer any other plan in addition to Plan A, they must also offer either Plan C or Plan F. When getting a Medigap make sure that the company where you are doing it is licensed to sell them.

What are Medicare copayments, coinsurance and deductibles?

     Before going into the coverage of Medicare Supplement Plans, it is important to understand the definition of the things covered by them. These are the costs you would have to pay if you did not have Medigap because they are not covered in Original Medicare.

First, there are Medicare copayments, which are out-of-pocket payments that you make for your share of the health-care cost and whose amounts are often pre-established. A person is in charge of a copayment amount when he or she receives most Medicare-covered services or any additional covered services like x-rays. This also applies to covered prescription medications the person takes.

Then there is Medicare coinsurance, which is an out-of-pocket payment that you make for your part of the health-care cost and this coinsurance structure is related to the benefits offered by Medicare Part B. The difference between this and copayments is that coinsurance amounts vary depending on the service and they are often a percentage, so you pay for a small portion while Medicare pays the other portion.

There are also annual deductibles which are an amount of money you have to pay for your health care or prescription medications before your Medicare insurance starts paying for your health care or medications and they vary depending on your Medicare plan.

Finally, there is a maximum out-of-pocket limit that is only covered in a few Medigap plans. An out-of-pocket limit is an annual limit on your out-of-pocket spending for Medicare-covered services. This means that when a person reaches the maximum spending limit of his or her plan, the plan will cover 100% of the cost for covered services, and the person won’t have to pay anything else for the rest of the year.