Archive for the ‘Medicare’ Category

Medicare beneficiaries should remember:

• Medicare cannot call and ask for financial or personal information over the phone.
• Medicare numbers should be kept in a safe, secure place.
• Medicare will not notify beneficiaries of payments by phone. The beneficiary must be notified of the past due premiums via mail.

It has come to my attention that there are some Medicare beneficiaries around the country are receiving calls from scammers saying they are from Medicare for one reason or another.  Some are saying they have to pay a Pard D penalty and other things like that, while they have you on the phone.  Please remember anyone from Medicare will not ask you for financial or personal information over the phone.

If you question a phone call, hang up and call your local social security office or medicare directly at 1-800-Medicare (1-800-633-4227)

The 2010 Medicare supplement Modernization Act will certainly update current Medicare Medigap insurance plans countrywide. Nevertheless, it can not affect any existing Medicare Supplemental coverage which you have.

This exclusively has an effect on individuals that buy a brand new plan with an effective date of coverage on or after June 1, 2010. In case you already possess a Medicare Supplement insurance policy, your own health benefits are not going to change and also you are guaranteed to keep your policy given that you continue paying your payment. You will end up grandfathered in to the old plan benefits, nevertheless could possibly have a chance to go on to a new program if it performs better for you.

In case you are turning 65 on or after June 1, 2010 or considering a Medicare Medigap switch on or perhaps after that date, you’ll want to pay special attention to the brand new insurance plans and the way they’ll have an impact on you. The key modifications are going to be:

The Preventive Care and At Home Recovery features will be removed completely from all policies which bundled them prior to June 1st, 2010. Medicare has made the decision that these kind of benefits, that weren’t used very often will not be worthy of inclusion in the standard Medicare Medigap insurance plans moving forward, consequently they’ve been peeled off all policies which had them.

Together with the removal of those two benefits many of the plans are going to mirror several other policies exactly, therefore in order to reduce multiple policies with the very same coverage, plans E, H, I along with J will not be available to buy.

Yet again, make sure you try to remember for those who have a plan which won’t be available immediately after June 1st, 2010 you’re grandfathered in and get to maintain your current plan, your features cannot change.

For the brand new policies being launched immediately after June 1st, 2010, there will be a new Hospice feature added as a standard benefit within all the plans. This will now be regarded as a core feature and will be an integral part of all of the brand new plans.

The biggest revision is actually the addition of two new plans, Plan M and also Plan N. Those two plans promise to be a very practical choice for all those currently on a Medicare Advantage plan which are either losing their insurance or facing the significant rates increases / benefit decreases which are predicted in these the years to come.

Each plans will certainly use a different cost-sharing to allow for lower prices. Plan M will make the covered responsible for Half of the Part A deductible, while Plan N will have a $20 doctor’s office co-pay and a $50 emergency room co-pay. Both plans estimate to have 15-30% lower monthly premiums as compared to existing Medicare Supplement Plan F.

At the time of the witting of this article, there has not been virtually any details released with who will likely be selling these brand new plans or the exact costs. I highly recommend you subscribe to our site at www.medicaresupplementdirect.com with regard to up-to-date info as it is published.

What does all that mean?

The proposal includes

• opening up Medicare to those uninsured between the ages 55 to 64 effective 2011
• No public option, unless the insurance companies don’t respond
• Requires insurance companies to spend 90% of the premium dollars on medical expenses wich does not include administrative costs.

article here: http://news.yahoo.com/s/ap/us_health_care_overhaul

I have to start by saying the reason for this post has made me said, not because we were able to review an move a new client to a better program, but because she was paying over $6000 a year for just her prescriptions.

For every person there is a program that fits their needs, however when you are not placed into the proper program, you spend much more than you need to.  In an earlier post I noted that depending on the Part D prescription program that you were enrolled in, the difference in cost from the lowest cost to the highest cost averaged $3000 for the year.

Now to get to the point of my post.  A new client walked into my office this past week with her current plan details and a list of her prescriptions.  She was currently on a Medicare Advantage HMO plan which included prescription coverage.  Over the course of 2009 she spend $5980 some dollars on just her prescriptions, not to mention her co-pays and deductibles she was responsible for through her medical side of the plan.

When it was all said and done, to make a long story short, we moved her to an individual Part D prescription plan and saved her $900 dollars this coming year just on her prescription program.  (The $900 savings for the year already factors in the monthly cost of the Part D prescription program and all out of pocket cost including copays)

That $900 savings for the year broke down to $75 savings per month.

Her Medicare Supplement Plan J was going to run her $147 per month.  So $147 – the $75 savings means the net cost of her Medicare Supplement is now $72 per month

Her prior Medicare Advantage plan was charging her $20 per month just to be on the plan, plus the co pays and deductibles.

So now you take the $72 additional dollars she is spending and subtract the $20 that she was going to pay for her Medicare Advantage plan and she  is only spending $52 more per month.

THATS NOT ALL!  I must also point out that her Medicare Supplement Plan J does not have any of the hidden expenses such as co-pays or deductibles like her Medicare Advantage had.  So when we factor in the co-pays that she spent with her Medicare Advantage, she saved WAY more by moving to the individual Medicare Supplement and Part D prescription program.

The point I am trying to make here along with everyone of my post is: Just because an agent says they can get you a Medicare plan, does not mean they have access to the proper products for your needs.  Make sure you get with someone who will educate you on all your options so you can make a good decision.

Best Luck,

Travis

With the Annual Enrollment Period starting on November 15th I thought I would share some findings with you my friends.  By request I have been reviewing plans for my clients preparing for the Annual Enrollment Period coming up here in a few days and I wanted to share that it completely depends on your actual prescriptions, whith what your total cost will be for the year.

To give you an example, the last comparrison I ran on medicare.gov for one of my clients, she is currently on five (5) different prescriptions.  And this is the reason I STRESS that you look past the montly premium for your plan, her total costs including premiums for the year ranged from $2587 to $5490!  That is a difference of $2903 for the year, from the most cost effective plan to the least! And the funnything is, neither of the plans were the cheapest monthly or most expensive monthly premium.

The average monthly premium ranged from $34 to $50 per month. So again, make sure you look past what the montly premium is for your Part D prescription program is and look at the total cost for the year.  You will save more than just a headach later in the year, you could also save a ton of cash by makeing sure you get in the plan that gives you the best all around deal!

Happy Hunting!

Travis