medical & long term care insurance
Medicare Health Plans - Short Term Medical
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Employers and individuals in New London County & Eastern Conn:

  • Get answers or information about medical insurance plans?
  • Gain a better understanding of MediCARE?
  • eMail your questions to .

It's important for everyone to get involved the cost of medical treatment!

The cost of many medical treatments is applied to the plans deductible today. Costs can vary from one provider to another even within your local area. Thus, it is important to learn the cost of a planned medical procedure. Enter your zip code here. Then select the category for your type of medical situation and you will see some costs.

     Note: The number of listed providers may be limited but you now have a cost to ask other providers. For example: I found the cost was $____ . I have a HSA and would like to know what your cost will be?

 

 

Medical insurance costs and treatment resources

Learn more about why medical insurance is expensive on this page. The page also has some resources on making treatment decisions.

 

Soon be 65? The Social Security (SS) system no longer automatically enrolls individuals in MediCare at 65. Thus, suggest calling the local Social Security office to meet with a retirement person. Surveys have reported errors when the SS 800# was called.

     Note: When you call the Local office they may want to handle your enrollment over the phone. However, you can ask to set up an in person appointment so you can also review and select an option to pay your share of Part B.

Surveys of people close to 65 report more than 50% are confused about MediCare. Thus, lets meet for a no cost discussion to simplify MediCare's complexities. Call my Google Voice # today - (860) 451-9793 to set up a time to meet. You can also send a Text.

 

A quick look at MediCare Part B:

MediCare pays 80% of the amount it approved for physician and outpatient procedures! Since so much treatment is outpatient today its important to enroll in a MediCare Health Plan to cover your 20%. You can buy either:

There are two Medicare Health Plans - First: Selecting a Medicare Supplement means you can receive medical treatment from any provider in any state, that accepts MediCare's payment.

Note: Supplements are purchased from a private company and often called MediGap plans. Some points:

  • Supplement A has the least amount of coverage. B, C, etc. have more. The coverage will be the same however, the companies monthly cost can vary considerably.
  •  Supplement N's monthly cost can be over $100 lower than full coverage F simply by paying Part B's annual deductible, a $20 co-pay for office visits, and a $50 co-pay if any emergency room visits. The deductible will be $188 during 2017.
  • 9 out of 10 people are happy with their Medicare Supplements.

What about prescriptions? MediCare's Part A, or Part B do not cover the cost of outpatient prescription medications nor do any Supplement Plans. Thus, by enrolling in a MediCare Prescription Drug Plan (PDP) you can get help paying for the medications you receive. These plans are MediCare's Part D. Enrolling is important even if you currently do not take any medications. Why? A penalty is applied unless you had, prior to enrolling, credible prescription coverage such as through an employer plan.

Second: A Medicare Advantage (MA) plan. These plans are MediCare's Part C and purchased from private companies. Some points on Medicare Advantage in Connecticut:

  • They provide at least the same or more benefits as original MediCare.
  • You pay a co-pay or cost sharing when you receive medical treatment through a network of providers. MA plans are of interest to many because they provide more no cost preventive care, such as annual physicals, then original MediCare.
  • Your annual cost sharing is limited by the plan's Maximum Out of Pocket (MOP) provision.
  • MA plan companies have a yearly contract with MediCare and are paid a fixed monthly payment  for each person who enrolls. You pay the company you select a monthly cost, which varies, based on the coverage and the plan's MOP.
  • Most MA plans include a Part D plan for prescription expenses, which makes them a MAPD plan.
  • MA plans are often more economical than a MediGap plan plus a Part D plan so they are of interest to many.

Another way to lower the monthly cost is to select the High Deductible Medicare Supplement. ($2,200 in 2017) Together with a Part D plan your cost would be lower than some MAPD plans. This Supplement is available in Connecticut from a few companies.

Call my Google Voice # today or send a Text(860) 451-9793. We can discuss your interests, simplify any confusing parts, at no cost and:

  • Review the value of a Medicare Supplement in Connecticut or Medicare Advantage in Connecticut plan.
  • Help you select the best option for your situation.

     

    Note: MediCare's annual enrollment runs until December 7th. Want help deciding on a plan for 2017? Call my Google Voice # today - (860) 451-9793 to set up a time to meet and talk. You can also send a Text.

Under 65 and Interested in coverage for a short time?

Short Term Medical (STM) plans are economical but are not qualified health reform plans. They also do not cover any pre existing conditions. What do they do? For example:

  • When a new employer plan is not effective for a couple months they can cover any unexpected medical situations?

You can view STM options and costs on the Parker Agency page on HCC Medical Insurance Services. HCC is rated A+ (Superior) by A.M. Best.

You can look here for network providers.

Questions on short term plans? Send a note to - John@Parker.agency

 

 

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