If you are looking for a Medicare supplement, you are at the right place! We have made our site very user friendly with an abundance of information so you can educate yourself about Medicare, Medicare supplements, and other Medicare insurance products. If at any time, you need assistance, you can call us toll free at 877-561-9378 and speak with a real person directly.
Scroll down the page to find educational and helpful information regarding Medicare and Medicare insurance products.
Dear Website Viewer,
You most likely have found this website because you are looking for Medicare supplement insurance. Whether you are on Medicare now, or will be soon, this site will educate you on the "ins and out" of Medicare and provide you quotes for many of the available Medicare supplements in your area. Below you can review some examples of individuals on Medicare, and compare your situation to those listed; you will get some idea on what route you would like to take on addressing your Medicare insurance needs. If you have questions at any time please call 877-561-9378 to get professional advice on your particular situation. There is no charge for the services we provide.
I am turning 65 will am eligible for Medicare Part A and B:
Will you be turning 65 soon? You are going to have an open enrollment period, where you are a guaranteed issue for any insurance product of your choosing. This "guaranteed issue" period last 3 months before your 65th birth month, the month in which you turn 65, and 3 months after your 65th birth month. If you or your spouse worked more than 10 years in the United States, you will automatically be enrolled in Medicare Part A. If you are drawing a Social Security check, you will automatically be enrolled in Medicare Part B. The Medicare Part B premium in 2012 is $99.90 per month. You will receive a letter from the Social Security office that allows you to opt out of Medicare Part B if you choose. If you are not drawing a Social Security check, you will have to notify Medicare or your local Social Security office that you would like to enroll in Medicare Part B. If you are currently employed and have a group health plan, you may want to defer your Part B until you retire. After retiring, you can opt into Medicare Part B without paying any penalty; you will be a guaranteed issue for any Medicare insurance product available at that time.
Medicare supplements, sometimes referred to as medigap policies, help to pay for some or all of the gaps in Medicare. You will notice that a Plan A Medicare supplement does not cover as many gaps as a Plan F Medicare supplement (plan F covers every gap in Medicare); therefore a Plan A Medicare supplement will cost less than a Plan F Medicare supplement. It is very important to note that Medicare supplements are standardized from company to company. For example, AARP's Plan F Medicare Supplement is identical in coverage to Mutual of Omaha's Plan F Medicare supplement or any other company for that matter. Medicare supplement insurance plans are standardized from the benefits, to the claims processing, to the provider network. As long as your provider or health care facility accepts Medicare, they must accept your Medicare supplement insurance, regardless of the company. The Medicare supplement insurance buying process is much simpler when you understand that all Medicare supplements are standardized from company to company. Once you understand the standardization of Medicare supplement insurance, you will become aware that premium is the primary deciding factor when choosing your Medicare supplement insurance. Lets take a look at a real scenario that will help to illustrate Medicare supplement insurance and the wide range of premiums:
Sandy Smith in Iowa gets monthly rates for Medicare supplement insurance. She likes the Plan F supplement. Sandy is a non-tobacco user.
Forethought - $87.70
United of Omaha - $93.10
Conseco - $139.74
AARP - $117.60
Gerber Life - $99.30
The difference in premium between Forethought to Conseco is $624.48 per year! The difference between Forethought and AARP is $358.80 per year! Again, the coverage, the benefits, the network, and the billing process is identical from company to company. Which one would you go with? The most competitive company will greatly depend on the state in which you reside as well as the region (zip code or county).
The old adage, "you get what you pay for" is not true with Medicare supplements. In many cases it is best to go with the company that offers the best premium. This fact is important to remember, because in the future you will incur rate increases to your Medicare supplement policy. By contacting us, we can review your current policy and look at all the rates your area to make sure you have the most competitive Medicare supplement insurance policy. Make a note of this: you can change your Medicare supplement at any time of the year.
Your Medicare supplement is good at any doctor or facility in the United States, as long as that doctor or facility accepts Medicare. If a person chooses a Plan F Medicare supplement, they will find that they never pay for any medical bills (excluding drugs). With a Plan F, you will never have a co-pay at the doctors office, the hospital, the outpatient clinic, etc. The only facilities you can incur bills at will be a dentist office, or an ophthalmologist (eye doctor). This is because Medicare (and the supplement) pay for all medically necessary procedures. Unfortunately, most dental and eye services are not seen as "medically necessary." Medicare does cover cataract surgery (and the first pair of frames and lenses after the surgery) and certain "medically necessary" dental services. There are plans that (in many cases) we can make available to our clients, that will cover dental and vision services.
Medicare prescription drug plans (referred to as "PDP's") typically come in 2 varieties:
*Basic - plans that are lower in premium ($15-$33) but have an annual deductible, and a smaller drug formulary. These plans are the most popular.
*Enhanced - medium premium plans ($40+) that have little or no deductible and a more extensive formulary. These plans also have coverage for generic medications during the coverage gap (donut hole).
When looking for the best drug plan, it is helpful to use the "drug plan comparison" on the Medicare website. Click here to go there now. We can do this for you if you would like, as this is a service we provide. Call us toll free @ 877-561-9378 or click the "get a quote" tab and we can help. By using this tool, you can find a plan that gives you the best rate while providing the best coverage for the medications you take. Drug plans are "guaranteed issue", meaning you can not be declined for any health related reason. You can change your drug plan during the "annual election period" from October 1st - November 15th. The annual election period, prior to 2011, was November 15th - December 31st.
Medicare Advantage Plans are plans that take the place of Original Medicare Part's A and B, although you are still required to pay your Medicare Part B premium. Advantage plans normally have a much lower premium than that of a Medicare supplement. Advantage plans have co-pays for most all health care services. Advantage plans are similar to Medicare Parts A and B and are legally required to provide "as good or better" benefits than that of Medicare Part's A and B. Advantage plans do provide better benefits in some cases but the argument can be made that in other cases they provide less benefits. These plans range in benefits, depending on company, and your geographical location. It is possible that you could live in an area where some Advantage plans are available at a $0 premium (you are still required to pay the Medicare Part B premium). Advantage Plans also utilize provider networks that are specific to each company. Some Advantage plans have HMO networks, and therefore require you to have referrals and prior authorizations for anything other than a primary care visit. Before making a decision to go with one of these type plans, be sure you know all the facts. Advantage Plans can be very confusing and complex. You should have a professional help you in the process. Call us today @ 877-561-9378, to get sound advice about the plans available in your area and which one is right for you.
Definition of Medicare - The United States government's program for: Senior citizens (65 years of age and older), certain younger persons with disabilities, and persons diagnosed with "End Stage Renal Disease;" permanent kidney failure requiring dialysis or a transplant..
Medicare consists of 4 parts: Medicare Part A, Part B, Part C, and Part D. Don't confuse these with the supplements that use the same letters to describe their plans. Remember, Medicare is "Part" A, B, C, and D and supplements are referred to as "Plan" A,B,C, D, etc.
Medicare Part A is the part of Medicare that covers hospice care, home health care, skilled nursing facilities, and inpatient hospital stays.
Medicare Part B is the part of Medicare that covers doctor's services, outpatient hospital care, and other medical services that Part A doesn't cover such as physical and occupational therapy. Other examples include X-rays, medical equipment or limited ambulance service.
Medicare Part C is the part of Medicare that, if a person elects to participate in and is eligible for Part A and B, takes the place of Medicare Part A and B. Certain insurance companies have contracts with the Federal Government to provide "as good or better coverage than Medicare Part's A and B. When a person chooses to participate in Medicare Part C and elects to have a Medicare "Advantage Plan", Medicare no longer is responsible for paying for that members claims. The insurance companies that participate in these types of plans, receive a subsidy from the Federal Government. There are several types of Medicare Advantage Plans including PPO's, HMO's, Medical Savings Accounts, and PFFS (private fee for service).
Medicare Part D is a federal program to subsidize the costs of prescription drugs for Medicare beneficiaries in the United States that was enacted as part of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and went into effect on January 1, 2006.
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Utah Medicare Supplement | Vermont Medicare Supplement | Virginia Medicare Supplement | Washington Medicare Supplement
West Virginia Medicare Supplement | Wisconsin Medicare Supplement | Wyoming Medicare Supplement
AARP Medicare Supplement | Admiral Medicare Supplement
Assured Life Medicare Supplement | BCBS Medicare Supplement
Family Life Medicare Supplement | Forethought Medicare Supplement | Gerber Medicare Supplement
Heartland National Medicare Supplement | Humana Medicare Supplement
Mutual of Omaha Medicare Supplement | National States Medicare Supplement
New Era Medicare Supplement | Philadelphia American | United Health Care Medicare Supplement
United of Omaha Medicare Supplement | United World Medicare Supplement
Woodmen of The World Medicare Supplement
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Medicare Supplement Companies Represented:
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What are the gaps in Medicare?
Printable Medicare Benefits 2012. The gaps in Medicare Part A and B.
What gaps do Medicare supplements pay for? Printable Medicare supplement graph: Click here to view a user friendly/easy to understand graph, that will illustrate the gaps in Medicare, and which supplements pay those gaps.
Everything you need to know about Medicare and the insurance products available to Medicare beneficiaries.