Soon be 65? The Social Security system no longer automatically enrolls individuals turning 65 in MediCARE. Best way to sign up is to call the local Social Security office and ask for a meeting with a retirement person. Many reports of errors when calling the 800#.
MediCARE's Part B pays 80% of the allowed amount for your physician and outpatient treatment! What to do? Cover your 20% by buying a Medicare Health plan.
Those soon eligible or others 65 or older. You can better understand how Medicare's Part A (hospitalization) and Part B (out patient) work by calling my Google Voice # today - (860) 451-9793 for a no cost conversation to discuss the certainty gained by buying a Medicare Health Plan:
Note: The annual enrollment started Oct. 15. 2014 and runs to Dec. 7th for coverage effective January 1, 2015.
One Option: Medicare Supplements. Pays part or all of the medical treatment expenses MediCARE covers but not not fully pay. Some points about this special health insurance, which is often called a MediGap plan:
- Supplement Plan A has the least coverage. Supplement B includes more. F provides full coverage.
- The coverage or benefits in each Medicare Supplement in Connecticut plan is the same but there can be considerable variation in the monthly premium.
- Supplement N has some cost sharing and thus a lower monthly cost than F. You pay Part B's $147 deductible, a $20 co-pay for office visits, and a $50 co-pay for emergency room visits.
- You can access medical treatment from any provider that accepts MediCARE, no matter what state you are in! A recent survey found 9 out of 10 reported they were happy with their Medicare Supplement coverage.
MediCARE's Part A, or Part B, or a Supplement do not cover outpatient prescription medications. Your can gain help to pay for the medications you get at the pharmacy by enrolling in a Medicare Prescription Drug Plan (PDP). A PDP is MediCARE's Part D. Enrolling is important! If you don't sign up for a Part D plan a penalty will be applied unless you have credible prescription coverage such as an employer plan.
A Second Option - a Medicare Advantage (MA) plan. Some points about MediCARE Part C:
- A MA provides at least the same or more benefits as original MediCARE. Most charge a monthly premium and are available from private medical insurance companies.
- Medical treatment is received through a Medicare Advantage in Connecticut companies network of providers and most visits have co-pays. Cost sharing is however limited with an annual maximum out of pocket (MOP) provision.
- MA companies have a yearly contract with MediCARE and receive a fixed monthly payment for each person who enrolls. Most MA plan include coverage for Part D prescription expenses, which makes them a MAPD plan.
- MA plans include more extensive preventive care, such as an annual physical, then in original MediCARE and are usually more economical than a MediGap plan plus a Part D plan. Thus, they are of interest to many individuals.
Another way to lower a Medicare Health plan's monthly premium and reduce your cost sharing is to select the High Deductible Medicare Supplement ($2,140 in 2014). Together with a Part D plan for medications the monthly cost is lower than some MA plans.
Surveys of people close to 65 tell us more than 50% are confused about Medicare and only about 10% understand Medicare's Part C!
I would like to - Ask you to call my Google Voice # today - (860) 451-9793. We can meet for a no cost to you conversation to:
- Translate all the information you received or have found and help you select an effective option.
- Compare the value gained with a Medicare Supplements in Connecticut or Medicare Advantage plan in Connecticut.
You can also send a note to - John@Parker.agency
Interested in coverage for a short time?
Short Term Medical plans do not cover any previous pre existing conditions but are an effective and economical approach, when protection from unexpected medical situations is only needed for a limited period such as:
- Between jobs?
- When a new employer plan is not effective for a couple months?
You can view various deductible options and costs on the Parker Agency site of 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