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

  • Call for answers or information about medical insurance plans!
  • Call to gain a better understanding of MediCare!
  • You can also eMail questions to .

To gain a more enjoyable life everyone should get involved in their health and the cost of medical treatment!

Today the cost of many medical treatments is applied to your plans deductible. Thus, it's important to learn the cost of a planned medical procedure since they can vary from one provider to another even within your local area. . 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 will have a cost to ask 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

You can learn more about why medical insurance is expensive on this page and find some resources to help make treatment decisions.

 

A look at Medicare: The Social Security (SS) system no longer automatically enrolls individuals in MediCare at 65!

Want to enroll at 65 or later when coming off an employer plan?

First step - meet with a retirement person at the local SS office.

     Note: Surveys report people have received incorrect information when calling SS's 800#!

When you call the Local office they may want to complete the enrollment over the phone. Suggest asking for an appointment. Indicate you want a meeting to understand the options to pay your share of Part B.

Second step - Lets meet to simplify MediCare so coverage selection is less stressful. More than 50% of people, close to 65, are confused about MediCare! Call my Google Voice # today (860) 451-9793 or send a Text for a no cost meeting.

 

80% of the amount MediCare approved for each outpatient service is paid to the provider! Thus, since so much treatment is outpatient today, its important to cover your 20% share of Part B costs with a Medicare Health Plan.

The first type: A Medicare Supplement: You can receive medical treatment from any provider in any state who accepts MediCare's payment.

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

  • Supplements have "lettered' names. A has the least  coverage. B, C, etc. have more. Coverage in a plan, with the same letter, offered by any company is the same. However, the monthly cost can vary considerably.
  •  Supplement N from one company is over $100 a month lower than their full coverage F. Why? Because the person with N pays Part B's deductible each year [$188 in 2017], a $20 co-pay for any office visits, and a $50 co-pay if any emergency room visits.
  • 9 out of 10 people are happy with their Medicare Supplements.

What about prescriptions when you have MediCare? Outpatient prescription medications are not covered by Part A or Part B. Nor by Supplement Plans. Thus, to cover part of the cost of medications MediCare's Prescription Drug Plan (PDP) is available. A PDP is MediCare's Part D and even if you don't take any medications enrolling is not optional. Why? A penalty is applied for each month after 65 unless you have "credible" prescription coverage such as through an employer plan.

The second type: A Medicare Advantage (MA) plan, which is MediCare's Part C is also purchased from private companies. Some points:

  • Availability is based on the County you live in. MA coverage is of interest to many since they include more no cost to you preventive care such as a full physical each year, and at least the same benefits as original MediCare.
  • You pay a co-pay or cost sharing based on the type of medical treatment received through the companies network of providers. Your cost sharing over the year is capped by the plan's Maximum Out of Pocket (MOP) provision.
  • Companies, which offer MA plans, have a yearly contract with MediCare and are paid a fixed monthly payment for each person who enrolls. Individuals also pay the company a monthly cost, which varies, based on the level of co-pays, cost sharing, and the plan's MOP.
  • Most MA plans include a Part D plan for prescription expenses and are then a MAPD plan. Many MAPD options are more economical than a MediGap plan plus a Part D plan.

Another option to lower the cost of your 20% risk protection plan is MediCare' High Deductible plan. ($2,200 in 2017) It's lower monthly cost and limited cost sharing, together with a separate Part D plan, results in the overall cost over the year being less than with a MAPD plan. This Supplement is available here in CT from a few companies.

Let meet to increase understanding, take away MediCare's confusing parts, and:

  • Review the value of a Medicare Supplement in Connecticut or Medicare Advantage in Connecticut plan and some options.
  • Select the best option for your interest and budget.

     

    Call my Google Voice # today or send a Text (860) 451-9793 to set up a no cost to you time to talk.

Interested in coverage for a short time?

Short Term Medical (STM) plans help pay eligible illness or injury expenses for up to $1,000,000 but for no more than 90 days. Pre existing conditions before applying are not covered and the plan is not a qualified health reform plan. A special feature of the EZ STM plan - a person can apply for a 2nd and 3rd 90 days and any condition(s) which developed while covered do not become pre-existing on the next plan.

  • What are they for? Cover any unexpected medical situations until able to enroll in other coverage.

You can view coverage and costs on the Parker Agency page of EZ STM's site.  

Coverage is better when you use the EZ STM network of providers.

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

 

 

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