Obamacare Medicare Supplement Health Insurance Agent

"Getting Ready For Medicare" One step by Step Guide ~ Kevin Angle (Agent) Alvin, Texas

"Getting Ready For Medicare" One step by Step Guide ~ Kevin Angle (Agent) Alvin, Texas

Obamacare Medicare Supplement Health Insurance Agent

Congratulations, you turn 65 and are qualified to receive Medicare. Your monthly advantages from the Federal Government include social security in addition to deductions for Part A and B of Medicare. Below we will give you a brief synopsis and show you through the first steps of learning the Medicare options available for your requirements. Under no circumstances is this a comprehensive review. In order to completely understand the benefits you will receive under Medicare, read the comprehensive brochure for seniors "Choosing a Medigap Policy: Helpful tips for Health Insurance for People with Medicare".
Original Medicare parts A & B
To be sure it, there are 3 parts to Medicare-Part A, B and D. Managed with the Federal Government, Part A (hospital insurance) covers inpatient hospital costs so it helps cover skilled nursing facilities, hospice and some home medical costs. Medicare Medicare part b covers physicians and services, outpatient care and several preventative services to help maintain your health when you are ill. The premium for Part A is $443.00 a month and unless you are disabled and have survivor benefits from a spouse who was covered by Social Security, these cost is the same for everyone and section of the benefit. Part B premium starts at $96.40 (might cost more depending on your annual income) which is withdrawn directly from your social security check. You can opt out of Medicare part b coverage if you choose. Both A (hospital benefits) & B (Physician and medical benefits) have deductibles, co-insurance/co-payments, and maximum benefits with extra lifetime reserve days. You can find gaps in the government plan and payments you'll be directly responsible to pay. Selecting a supplemental plan from your private insurer can cover section of these gaps.
Medicare Medication Coverage (Part D)
Section D, included with law effective January 1, 2006, was enacted beneath the Bush administration and is funded with taxpayer dollars. Should you have a Medicare plan before January 2006, maybe you have a Medicare Supplement policy which includes drug coverage. If you are new to Medicare, you could select a separate plan for drugs. There are two ways to buy a Drug plan-as portion of a Medicare Advantage Plan or even a separate Medicare Medication Plan. Since Part D provides basic coverages with large deductibles and co-payments, besides premium differences, these drug supplemental policies must offer Formulary or Generic Drugs in every category of treatment. Deciding which drug program's best for you may be challenging. Knowing your drugs and dosages prior to buying the plan is helpful. For approved drug plans check out the department of insurance site in your state. 

Obamacare Medicare Supplement Health Insurance Agent


Medicare Advantage Part C Plans
Within the description of Medicare is an element C, which you might assume is another benefit you receive --it's not. Part C is coverage you can select instead of traditional Medicare. Made available from private insurance companies, Medicare Advantage Plans (MA) are private plans which can be approved by the federal government. Selecting a MA plan means you will decline coverage through traditional Medicare. The insurance company has rigorous regulations to follow and can be suspended for misleading material or infractions. A completely independent agent must be certified separately to trade Medicare Advantage Plans since they're perceived to be an extension from the Federal Government. These plans can be HMO (Health Maintenance Organizations), PPO (Preferred Provider Organizations), PFFS (Private Fee for Service), MSA (Medical Savings Accounts, or SNP (Special Needs Plans). With MA plans, you won't purchase a Medicare Supplement plan since the supplemental benefits will likely be included in the Part C, MA plan.
Which plan's best for you? Listed below are some of the differences between Medicare Advantage (MA) and Medicare Supplement (a.k.a. Medigap) plans.
Health related conditions you choose
Your real choice using a MA versus a normal Medicare Supplemental program's to make sure you get the doctors and hospitals you would like. Most MA plans are regional along with the insurance company may not give a MA plan with your zip code but may give a Medicare Supplement plan in the area. MA plans designate the hospital and the doctor you must see. If you like HMO plans, you would probably be satisfied with a MA plan. If you prefer to select your own doctor and hospital, you'd probably best be served with a PPO/Medicare Supplement plan. Many doctors will require Medicare patients but aren't on the list to take Medicare Advantage patients. Do your research first and find out what sort of plan your doctor will honor.
Guaranteed Issued Rules
Legislation strictly regulated with Medicare is Guaranteed Issue. You can get Medicare, Medicare Supplement or even a Medicare Advantage plan even though you have health problems (preexisting conditions) the first month that you are permitted be covered under Medicare Medicare part b age 65 or older. However, this guaranteed issue right will work for only 6 months you're now eligible. After that the insurer can underwrite your track record and you can be turned down, excluded for preexisting conditions or surcharged. If you are covered under a group medical care insurance program at your work now you are eligible for Part B, you can wait until your group program's over before you pick a supplement or MA plan, guaranteed issued. You have to provide proof of enrollment of Medicare Medicare part a and B to be able to purchase a supplement. (There are a few other exceptions for guaranteed issue.) Regardless, if you plan on choosing a supplemental intend to fill in the gaps of Medicare or you wish to take a bonus plan, you are better to choose the coverage when you are first eligible or when group benefits end together with your employer.
Medicare Supplement Plans (Medigap Policies)
Medicare Supplement policies are available to fill out the gaps of traditional Parts A & B. Efforts are standardized and called Plans A through L and has to offer the same benefits, no matter what company sells the plan. Not all companies sell A - L. Premiums and contracted doctors and hospitals will be the major differences in these plans. Plans F & J provide the riches coverages for Medigap plans and in addition cover foreign travel emergencies which might be important if you travel away from US. The Department of Insurance where you live can provide a list of firms that provide Medicare Supplemental plans. These supplemental plans are usually less than $180 per month depending on the company you select and most doctors that accept Medicare accept the supplemental plan benefits you choose as long as the plan isn't an HMO or MA plan. Again, check with your physicians billing department to make sure your plan will be accepted before any selection.
Summary
You'll find benefits not covered by Medicare. These include: Lasting Care, Vision, Dental, assistive hearing devices, eyeglasses, and private duty nurses during recovery from illnesses. As you approach age 65, your mailbox will explode with offers for Medicare Advantage and Medicare Supplement plans. Marketing material from the.A.R.P. along with other senior organization can be confusing. Understanding the differences can help you save time and money. Choosing an independent agent who is contracted to market both Medicare Supplement and Medicare Advantage Plans is to your advantage. Call or contact our agency for more details and for your free guide to "Choosing a Medigap Policy: Strategies for Health Insurance for People with Medicare".

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Carter & Davis, 12 Pike St, New York, NY 10002, (541) 754-3010
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