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

  • Your source for insights & information on CT's medical insurance plans!
  • Gain a better understanding of MediCare & MediCare Health Plans from a health insurance professional!
  • eMail health related insurance questions to .

Getting involved in your health and the cost of medical treatment will result in a more enjoyable life!

Many treatment expenses are applied to your medical plans deductible and since the cost of medical procedures vary from one provider to another it is important to learn the cost. How? Enter your zip code here. Then select the category for your medical situation and you will see some costs.

     Note: The number of providers shown may be limited but you will have an example to talk about. For example: I have a HSA and found one cost was $____ . I would like to know what your cost will be?

 

 

Medical treatment resources and info on insurance costs.

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

 

A look at MediCare:

  

Social Security (SS) is responsible for enrollment in MediCare but no longer does this automatically when individuals turn 65!

Plan to enroll at 65 or later? First Step meet with a Local SS retirement person.

        Note (1): Surveys report people have received incorrect information when calling SS's 800#! Suggestion - call the Local office and tell them you want an appointment to understand options to pay your share of Part B. They may want to handle the enrollment over the phone.

        Note (2): If enrolling after working past 65 ask for the special form your employer needs to sign so you avoid the Part B late enrollment penalty

Second Step So many medical treatments and services are done outpatient. But providers are just paid 80% of the amount MediCare approved so its important to cover your 20% share by buying one of two types of Medicare Health Plans:

A Medicare Supplement: You can receive medical treatment from any provider in any state who accepts MediCare's payment. Often called MediGap plans they are purchased from private companies. Some points:

  • Supplement plans have "lettered' names". A has the least coverage. B, C, etc. have more. Coverage in any companies plan, with the same letter, is the same. However, their monthly cost can vary considerably.
  •  Supplement N from one company is over $100 a month lower than their full coverage F. Why? The person in N pays Part B's annual deductible [$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? MediCare's Part A or Part B nor Supplement Plans do not include outpatient prescription medications. Thus, to cover part of these costs MediCare's Prescription Drug Plan (PDP) is available. It's MediCare's Part D and is considered voluntary. However, even if a person over 65 is not taking medications a penalty is applied for each month they did not enroll unless they had "credible" prescription coverage such as through an employer plan.

Second: A Medicare Advantage (MA) plan is MediCare's Part C. Some points:

  • MA plans provide the same coverage as original MediCare plus additional benefits such as a full physical each year thus are of interest to many. Availability is based on the County you live in.
  • You pay co-pays or cost sharing when treatment is received through the companies network of providers. Your cost 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 their plan's co-pays, cost sharing, and MOP.
  • Most Medicare Advantage plans include a Part D plan for prescription expenses and are then a MAPD plan. The monthly cost for many MAPD options is more economical than for many MediGap plans plus a Part D plan.

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

Call my Google Voice # today or send a Text (860) 451-9793 to set up a (no cost to you) time to eliminate MediCare's confusing parts and increase understanding of:

  • How a Medicare Supplement in Connecticut or Medicare Advantage in Connecticut plan works.
  • Select the best option for your interest and budget.

Interested in coverage for a short time?

Short Term Medical (STM) plans help pay eligible illness or injury expenses up to $1,000,000 after the selected deductible. (5 options) Coverage period are now no more than 90 days.

  • What are they for? An economical way to cover unexpected medical situations until able to enroll in qualified Individual or Employer plan.

There are no health question when you enroll in the EZ STM plan but medical conditions which existed during the previous 12 month period are not covered. However, a person can apply for a 2nd and 3rd 90 day plan and any medical condition(s) which developed while on this STM plan do not become pre-existing on the next plan.

You can view the EZ STM coverage in this plan brochure.  Costs are on page 4. You can then enroll 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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