Switching Your Medigap Supplement

Switching Your Medigap Supplement

 

Thinking about switching your Medigap supplement or just comparing prices. I think it’s in every ones best intrust to make sure you are getting all you can at the lowest price for your Medigap insurance. Knowing how to switch and when is some of the most difficult things. but I’m here to make it a simple.

these are three of some of the top reasons you might want to look into switching your Medigap plan. As long as you are on a true Medicare Supplement plan you can change your Medigap Supplement at any time.

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You need more benefits than you needed before.

With supplemental plans, there are 10 to choose from. For example, Let’s say you have a plan N. You might have picked this plan because of the lower monthly cost, but you’re going to the doctor more now. You might not like that this plan has copayments. Or if you are in a state that allows excess charges you might want to make a change to avoid this cost. Such as a Plan G. That would take away comments and the excess charges. This way your have a small deductible and your monthly payment only.

Your current Medigap policy has the right benefits, but you want to find a policy that’s less expensive.

There is an easy way to do this. You could look at all the different companies that offer Medigap supplements to your area. Most will let you call and talk to them. But let’s be honest sitting down with a list of companies to call would be a long and daunting task to take on. plus remembering everything just one company offers is hard enough! let alone 10 or 15. That’s why 1-800-MEDIGAP has set up and has agents trained on a system that lets us see all the different top rated companies that offer you Medicare supplemental insurance. We can compare prices and plans with just a click of a button and help you find the perfect plan for you.

Something else that might warrant you switching plans is, Your current Medigap policy has the right benefits, but you want to change your insurance company.

Although all the Medigap supplemental plans with the same letter are going to have the same benefits you may no longer be satisfied with the company that is insuring you. That’s okay! There are a lot of companies to pick from. This is one of the reasons I suggest you look at all of the companies that are available to you in your area. It is important to stay up to date with what is offered in your area and what might have changed.
For the most up to date rates and information, you can speak with me a  licensed agent at (475) 88CARLY.

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Medicare Health Insurance Plans

Medicare Health Insurance Plans

Medicare Health Insurance Plans

Medicare Supplemental InsuranceMedicare supplemental insurance gives you added benefits you cannot get from Medicare Part A or Part B. Some Medicare supplement plans, also known as Medigap, can give you coverage for prescriptions and preventive healthcare. These plans additionally are able to cover your Medicare Part A deductible, your Medicare co-payment amounts, foreign travel emergency healthcare, and trained nursing.

Medicare Health Insurance Plans and Medigap

This type of health insurance plan is provided by private insurance companies to people who are eligible for Medicare as added coverage on behalf of medical needs. The plans can be bought directly from insurance providers, who are subject to both state and federal laws regarding health insurance. Prior to signing up for a Medicare plan, you will want to obtain all the Medicare health insurance plans information. You will owe a monthly premium payable to the insurance company, but needy persons may be eligible for assistance. Medigap helps cover any gaps uncovered by the Medicare health insurance plans. For more information about Medicare supplemental insurance, call 1-800-MEDIGAP.

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Medicare Health Insurance Plans and Policy Options

There are 12 standardized Medicare supplemental insurance policies available- plans A through L. Each of the plans offers a different grouping of benefits. For example, Plans L and K will help you in limiting big upfront expenditures for hospital service and doctors. They also have lower premiums than certain other Medigap policies. However, you will be paying a bigger amount in deductibles prior to the policies paying for any medical related costs. So you will be assuming a larger risk in terms of costs, while getting added protection beyond what is provided under traditional Medicare.

Medicare SELECT Policies

The Medicare SELECT policies typically are less expensive but they do have a higher deductible. You must use specified doctors in order to receive full insurance benefits with Plans F and J. You are able to use any doctor or hospital in cases of an emergency. The reason these plans are less expensive is because the doctors on the SELECT listing have an agreement to treat Medicare patients at lower fees.

Medicare Supplemental Insurance in Georgia

Medicare Supplemental Insurance in Georgia

Medicare Supplemental Insurance in Georgia aren’t any different from any of the other states that sell Medicare Supplement plans. The only thing that would be different is the prices. It could be either more expensive or less expensive in different states.

The price depends a few different things. It will go off of the zip code that you live in, the state that you live in, the attained age that you sign up for the plan, if you are a male or female, and if you are not in your Open Enrollment period then it will also depend on if you use any tobacco products. If you do then the price will go up a lot more than some people might think it would.

In my personal opinion, the top three Medicare Supplement plans that I recommend to all of my clients are plans F, G, and N. These plans are best for all different situations, prices, and coverage. These are all different plans but most of the plan is the same.

Plan F

The plan F is the best plan that you can get. The plan F will cover you 100%. All you will have is a monthly premium. This plan is for someone who either doesn’t want to deal with a deductible, copayments, or coinsurance costs. They just want to pay a monthly premium and be done with it. Or this plan is for someone who has many health conditions and want to be fully covered when they have to go to the doctor or hospital.

Plan G

The plan G is the second best Medicare Supplement plan that you can get. This plan will cover you 100% after you meet the Part B deductible of $166 per year in 2016. If you go to the doctor, get lab work done, have x-rays, or anything outpatient wise then those costs will go towards your deductible. This plan is for someone who has maybe one or two health conditions that aren’t major. Or people might choose this plan because its cheaper than the plan F sometimes, and don’t mind having a small deductible.

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Plan N

The plan N is for someone who has a minor health condition to no health conditions at all. This plan is the cheapest of the three plans monthly wise. But with this plan you will have more out of pocket expenses when you go to the doctor or ER. With this plan you will still have the Part B deductible of $166 per year. Also with this plan, if you go to the doctor you will have a copayment up to $20, and if you go to the ER and don’t get admitted into the hospital then you will have up to a $50 copayment.

 

If you are ready to get signed up for a Medicare Supplement plan please feel free to give me a call here at 1-800-Medigap (1-800-633-4227). Or you can reach me directly at 901-KORTNI8 (901-567-8648). I am a Licensed Broker, therefor I can look at a variety of insurance companies to see who is offering the cheapest rates for these plans, and help you decide which plan is best for your situation.

Texas Medigap Insurance Rate Changes

Texas Medigap Insurance Rate Changes 

Medigap Plans rates can change every year and most do if they are Attained-Age-Rated Policies. There are two other types of plans Community-rated (also called No-Age-Rated) and Issue-Age-Rated Policies. Below is what type of pricing you can expect.

Type of pricing How it’s priced What pricing may mean for you Examples
Community-rated (also called No-Age-Rated) The same monthly premium is charged to everyone who has the Medigap policy, regardless of age. Premiums are the same no matter how old you are. Premiums may go up because of inflation and other factors.

Mr. Smith is 65. He buys a Medigap policy and pays a $165 monthly premium.


Mrs. Perez is 72. She buys the same Medigap policy as Mr. Smith. She also pays a $165 monthly premium because with this type of policy, everyone pays the same price, regardless of age.

Issue-Age-Rated Policies The premium is based on the age you are when you buy (are “issued”) the Medigap policy. Premiums are lower for younger buyers and won’t change as you get older. Premiums may go up because of inflation and other factors.

Mr. Han is 65. He buys a Medigap policy and pays a $145 monthly premium.


Mrs. Wright is 72. She buys the same Medigap policy as Mr. Han. Since she is older at the time she buys it, her monthly premium is $175.

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Attained-Age-Rated Policies The premium is based on your current age (the age you have “attained”) so your premium goes up as you get older. Premiums are low for younger buyers, but go up as you get older and can eventually become the most expensive. Premiums may also go up because of inflation and other factors.

Mrs. Anderson is age 65. She pays a $120 monthly premium. Her premium will go up every year.

  • At age 66, her premium goes up to $126
  • At age 67, her premium goes up to $132
  • At age 72, her premium goes up to $165

Mr. Dodd is age 72. He buys the same Medigap policy as Mrs. Anderson. He pays a $165 monthly premium. His premium is higher than Mrs. Anderson’s because it is based on his current age. Mr. Dodd’s premium will go up every year.

  • At age 73, his premium goes up to $171
  • At age 74, his premium goes up to $177Now that you understand what might make your rate rise here are some of the rate changes in Texas on some of the top companies

Texas Medigap rate changes

 

Now that you understand what might make your Texas Medigap plan rates change, Here are some of the rate changes in Texas based on a woman that’s the age of 69 in Texas zip code 75169 city Wills Point.

Company Year A B C D F F (high) G K L M N
Aetna Life Insurance Company 2013 -14.0% -14.0% -14.0% 0% -14.0% 0% 5.0% 0% 0% 0% 5.0%
Aetna Life Insurance Company 2014 8.0% 8.0% 8.0% 0% 8.0% 0% 8.0% 0% 0% 0% 8.0%
Aetna Life Insurance Company 2015 9.0% 9.0% 9.0% 0% 9.0% 0% 9.0% 0% 0% 0% 0.0%
BlueCross BlueShield of Texas 2013 0% 0% 0% 0% -0.6% 0% 1.4% 0.0% 0.0% 0% 1.7%
BlueCross BlueShield of Texas 2013 5.5% 0% 0% 0% 4.1% 3.1% 3.3% 3.0% 3.4% 0% 3.5%

Didnt see a company you wanted to know the rate changes on? Here at 1-800-Medigap we have all the top Medigap compaines rates. You can reach me at (475) 88CARLY

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Dental insurance Medicare Supplement plans

Dental insurance Medicare Supplement plans

Dentaflex PPO Advantage plan

Premium $38.60/mo
Deductible $50 per person per calendar year. $150 Family per calendar year. *The deductible is waived in-network on preventative services

Copay N/A

Description In Network Out of Network
Diagnostic and Preventative Procedures (Benefits Begin Immediately) Two (2) routine exams of mouth and teeth per calendar year Two (2) cleanings and polishes per calendar year Space Maintainers 100% 70%
Basic Procedures Plan Pays (Benefits begin after 6 months of enrollment) Extraction of teeth X-Rays Pin Retention of fillings Fillings Antibiotic Injections 80% 70%
Major Dental Service (Benefits begin after 18 months of enrollment) Oral Surgery Scaling Endodontic Treatment of Disease Periodontal services Crown build up Re-cementing Denture or bridge repair General Anesthesia and analgesic Restoration services Prosthetic services 60% 50%
 
Deductible
$50 per person per calendar year. $150 Family per calendar year. *The deductible is waived in-network on preventative services
Copay
N/A

Premium $39.07

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Deductible
 $50 Per Person Per Calendar Year/$100 Per Person Per Calendar Year for 65+
Copay
$10 Per Person Per Visit/$25 Per Person Per Visit for 65+
Description Plan Pays Year 1 Plan Pays Year 2
Preventative Procedures Preventative: Routine oral exams—limited to 2 per calendar year, Prophylaxis—limited to 2 per calendar year, Topical application of fluoride—for dependent children under age 19; limited to 1 per calendar year (not applicable in all states) 100% 100%
Diagnostic Procedures Diagnostic: Intra-Oral Occlusal Film, Bitewing X-rays (up to a set of 4)—Limited to 1 per calendar year, Full mouth X-rays (Panoramic film or Full series)—No less than 36 months apart 90% 90%
Basic Procedures (4 month waiting period) Simple extractions, Pin retention – per tooth, in addition to restorations. Fillings (restorations): Amalgam restorations, Composite restorations—limited to anterior teeth and bicuspids, and Sedative fillings. Antibiotic injections administered by a dentist, Maintenance Prosthodontics: Denture repairs/Adjustments, Denture Rebase—no less than 24 months apart, Denture Reline—no less than 24 months apart 80% 80%
Major Procedures (15 month waiting period) Endodontic treatment Periodontic services Inlays, onlays and crowns Prosthetic services (dentures or bridges) Oral surgery 0% 50%

If you are wanting more specific information then you can Click here.

If you are ready to get signed up on a plan or a Supplemental plan then please feel free to give me a call directly at 901-KORTNI8. I’m a Licensed Broker which means I can see who is offering the cheapest rate for these plans.

How to Choose a Medigap Supplement

How to Choose a Medigap Supplement

Are you trying to choose a Medigap Supplement for yourself or maybe a loved one? Medicare and Medigap has a lot of different plans to pick from. And making the right decision can be hard.

 

The Medigap Supplement plans

There are 11 Medigap plans. they have all been standardized and named by the government. Each plan was given a letter to designate what benefits are with what plan.

Medigap Supplement plans Chart

Medigap Supplement Chart

What’s next?

Now that you know what the plans are how do you  pick the right Medigap Supplement plan? This will depend on what you are looking for from your secondary insurance. Most people are looking for the fastest and easiest plan that will fit their budget.

Payment

My clients say that it is much easier to have their monthly premium drafted from there account. Then having to worry about remembering to make a payment. This is the best way to set up your supplement. Although you can pick a  different type of payment if you would like. After the first drafted premium.

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Plan

When looking at the plans and talking with my clients, I have found that there are three plans that most people like. the plans are F, G, and N. this is because they are the simplest and most effective. The plans F and G are very similar. Where the plan F covers all of your out or pocket payments by having just a monthly premium the plan G has a once yearly deductible. This deductible is called the Part B deductible. Although you are not paying this Part B deductible out of your pocket with the plan F it is covered by your insurance company. in some cases it will be more cost a effective to go with the plan G and pay the deductible yourself rather then the insurance company. Now the last plan is N. this plan has copayments and a deductible. For some people this plan works better for them because of how much you go to the doctor.

Last Step

The last step is to pick what company that you want to go with. There are quit a few compaies you can pick from. Here at 1-800-MEDIGAP we have made this simpel adn easy for you.all you have to do is give us a call and we can help you find the best fit for you!

or you can give me a call directly at (475) 88CARLY/ (475) 882-2759.

 

 

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Gerber Insurance Medicare Supplement

Gerber Insurance Medicare Supplement

Gerber Life Insurance Company was founded in 1967. Gerber Life is an affiliate of Gerber Products and has shared in their tradition of helping parents to raise happy, healthy children.

Gerber Life is rated “A” (Excellent) by A.M. Best, the impartial reporting firm that rates insurance companies based on financial stability, management skill and integrity. The rating refers only to the overall status of the company and is not a recommendation of specific policy provisions, rates or practices of the company.

The plans

Now keep in mind that not all of these plans may be available to you in some of the states.

Plan A

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YES

Benefit For Blood YES

Part B Co-Insurance YES

Hospice Co-Insurance YES

Skilled Nursing Facility Co-Insurance NO

Part A Deductible NO

Part B Deductible NO

Part B Excess NO

Foreign Travel Benefit NO

Preventive Care Co-Insurance YES

Out-Of-Pocket Limit  NONE

Plan B

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YES

Benefit For Blood  YES

Part B Co-Insurance YES

Hospice Co-Insurance  YES

Skilled Nursing Facility Co-Insurance NO

Part A Deductible YES

Part B Deductible NO

Part B Excess NO

Foreign Travel Benefit NO

Preventive Care Co-Insurance  YES

Out-Of-Pocket Limit NONE

Plan C

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YES

Benefit For Blood YES

Part B Co-Insurance YES

Hospice Co-Insurance YES

Skilled Nursring Facility Co-Insurance  YES

Part A Deductible YES

Part B Deductible YES

Part B Excess NO

Foreign Travel Benefit YES

Preventive Care Co-Insurance YES

Out-Of-Pocket Limit NONE

Plan D

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YEA

Benefit For Blood YES

Part B Co-Insurance YES

Hospice Co-Insurance YES

Skilled Nursing Facility Co-Insurance YES

Part A Deductible YES

Part B Deductible  NO

Part B Excess NO

Foreign Travel Benefit YES

Preventive Care Co-Insurance YES

Out-Of-Pocket Limit NONE

Plan F

Part A hospital Co-Insurance  YES

365 Additional Hospital Reserve days YES

Benefit For Blood YES

Part B Co-Insurance YES

Hospice Co-Insurance YES

Skilled Nursing Facility Co-Insurance YES

Part A Deductible YES

Part B Deductible YES

Part B Excess YES

Foreign Travel Benefit YES

Preventive Care Co-Insurance YES

Out-Of-Pocket Limit NONE

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Plan G

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YES

Benefit For Blood YES

Part B Co-Insurance YES

Hospice Co-Insurance YES

Skilled Nursring Facility Co-Insurance YES

Part A Deductible YES

Part B Deductible NO

Part B Excess YES

Foreign Travel Benefit YES

Preventive Care Co-Insurance YES

Out-Of-Pocket Limit NONE

Plan K

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YES

Benefit For Blood 50%

Part B Co-Insurance  50%

Hospice Co-Insurance  50%

Skilled Nursing Facility Co-Insurance  50%

Part A Deductible  50%

Part B Deductible NO

Part B Excess NO

Foreign Travel Benefit NO

Preventive Care Co-Insurance YES

Out-Of-Pocket Limit $4,620

Plan L

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YES

Benefit For Blood 75%

Part B Co-Insurance 75%

Hospice Co-Insurance 75%

Skilled Nursing Facility Co-Insurance  75%

Part A Deductible 75%

Part B Deductible  NO

Part B Excess  NO

Foreign Travel Benefit YES 

Preventive Care Co-Insurance YES

Out-Of-Pocket Limit $2310

Plan M

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YES

Benefit For Blood YES

Part B Co-Insurance YES

Hospice Co-Insurance YES

Skilled Nursing Facility Co-Insurance YES 

Part A Deductible 50%

Part B Deductible NO

Part B Excess NO

Foreign Travel Benefit YES 

Preventive Care Co-Insurance YES 

Out-Of-Pocket Limit NONE

Plan N

*THIS PLAN HAS $20 CO-PAY FOR DOCTORS VISITS AND $50 FOR ER VISITS*

Part A hospital Co-Insurance YES

365 Additional Hospital Reserve days YES

Benefit For Blood YES

Part B Co-Insurance * CO-PAYS

Hospice Co-Insurance YES

Skilled Nursing Facility Co-Insurance YES

Part A Deductible YES

Part B Deductible NO

Part B Excess NO

Foreign Travel Benefit YES

Preventive Care Co-Insurance YES

Out-Of-Pocket Limit NONE

 

If you are ready to get signed up for your Medicare Supplement insurance. Then please feel free to give me a call directly at 901-KORTNI8. I am a Licensed Broker, which means I can look at a variety of insurance companies to see who is offering the cheapest rate for those plans.

Medicare and Private Insurance

Medicare and Private Insurance

Do you have Medicare and Private Insurance or your already have Private Insurance and your about to start Medicare? Are you wondering how they will work together if at all? Well, todayI’m going to show you how Medicare brakes that down for you.

 

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How Medicare works with other insurance

If you have Medicare and Private Insurance or coverage, each type of coverage is called a “payer.” When there’s more than one payer, “coordination of benefits” rules decide which one pays first. The “primary payer” pays what it owes on your bills first, and then sends the rest to the “secondary payer” to pay. In some cases, there may also be a third payer.

What it means to pay primary/secondary

  • The insurance that pays first (primary payer) pays up to the limits of its coverage.
  • The one that pays second (secondary payer) only pays if there are costs the primary insurer didn’t cover.
  • The secondary payer (which may be Medicare) may not pay all the uncovered costs.
  • If your employer insurance is the secondary payer, you may need to enroll in Medicare Part B before your insurance will pay.

Paying “first” means paying the whole bill up to the limits of the coverage. It doesn’t always mean the primary payer pays first in time. If the insurance company doesn’t pay the claim promptly (usually within 120 days), your doctor or other provider may bill Medicare. Medicare may make a conditional payment to pay the bill, and then later recover any payments the primary payer should’ve made.

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Medicare Fraud

Medicare Fraud

Medicare Fraud

Medicare Fraud

I know some of you are wondering what Medicare Fraud is and what happens. But I am her to give you some information on what it is, and what Medicare abuse is and also some examples for both of those.

To protect the organization you will need to look for a few things.

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  • Examples of Medicare fraud and abuse.
  • Overview of the laws used to fight fraud and abuse.
  • Descriptions of the partnerships among government agencies engaged in preventing, detecting, and fighting fraud and abuse.
  • Resources on how you can report suspected fraud and abuse.

What is Medicare Fraud?

  • Knowingly submitting false statements or making misrepresentations of fact to obtain a federal health care payment for which no entitlement would otherwise exist.
  •  Knowingly soliciting, paying, and/or accepting remuneration to induce or reward referrals for items or services reimbursed by Federal health care programs.
  •  Making prohibited referrals for certain designated health services.

Examples Of Fraud

  • Knowingly billing for services not furnished, supplies not provided, or both, including falsifying records to show delivery of such items or billing Medicare for appointments that the patient failed to keep.
  • Knowingly billing for services at a level of complexity higher than the service actually provided or documented in the file.

What is Medicare Abuse?

Abuse describes that, either directly or indirectly, result in unnecessary costs to the Medicare Program. Abuse includes any practice that is not consistent with the goals of providing patients with services that are medically necessary, meet professional standards, and priced fairly.

Examples of Abuse

  • Billing for services that were not medically necessary.
  • Charging excessively for services or supplies.
  • Misusing codes on a claim, such as up coding or unbundling codes.

 

If you are wanting more information about Medicare fraud and abuse then you can either feel free to give me a call at 901-KORTNI8, or you can Click here.

What Medicare Supplement plan is the best?

What Medicare Supplement plan is the best?

Best Medicare Supplement Plans

Best Medicare Supplement Plans

The Best Medicare Supplement plan F

The best Medicare Supplement plan that most people would say, is the Medicare Supplement plan F. Because the plan F is going to cover you 100% with no out-of-pocket expenses, except a monthly premium. You can go to any doctor you want as long as they accept Medicare. You would have no copayments, coinsurance, or deductibles. So yes, in most cases the Medicare Supplement plan F would be the best plan.

Plan G

But in my personal opinion and from experience I would disagree with some people about it. In some cases I would agree with those people. The reason why I don’t agree with those people is because the Medicare Supplement plan G in my opinion, is the best. First of all, its cheaper, then again you do have a deductible each year. But in the long run you will save money even though you do have that deductible. Its very similar to the plan F but there is one difference. The reason I would agree with those people is because in some peoples cases they might have a lot of health conditions and need the full coverage from the beginning.

 

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edicare Insurance Comparison Chart 2015

So what I’m trying to say is that there really isn’t a “best” plan for all people. Because everyone has a different situation. So it would depend on what your situation is on what plan is the best for you.

Above you can see the differences between the two plans and what the cover. If you have anymore questions then you can feel free to give me a call here at 1-800-Medigap. You can reach me directly 901-KORTNI8.