Soon be 65? The Social Security system does not automatically enroll individuals in MediCARE when they turn 65.
Suggest calling the local Social Security office and set up a meeting with a retirement person. Going to a local office is best. There are many reports of errors when the 800# was called.
MediCARE's Part B covers physicians and outpatient procedures and pays them 80% of the amount allowed for your treatment! Thus, to cover part or all of your 20% its important to buy one of the two types of Medicare plans.
Be 65 soon? Lets meet for a no cost discussion about your interests and to simplify the complexities on how MediCARE's Part A and Part B work. Call my Google Voice # today - (860) 451-9793 to set up a time to talk. You can also send a Text:
The first type of plan: A Medicare Supplement in Connecticut. You can receive medical treatment from any provider in any state that accepts MediCARE's payment. They are often called MediGap plans and pay part or all of the treatment expenses MediCARE does not fully pay. Buying gives you certainty. Some points:
- Supplement A covers the least amount. Supplement B, C, etc. include more. F has full coverage. Coverage in any of the plans is the same no matter what private company you select. However, there can be considerable variation in monthly cost from one company to another.
- In Plan N you pay Part B's $147 deductible (in 2015), then a $20 co-pay for office visits, and a $50 co-pay for emergency room visits. Thus, it has a lower cost than full coverage Plan F.
- 9 out of 10 people are happy with their Medicare Supplements.
MediCARE's Part A, or Part B, or a Supplement do not cover outpatient prescription medications. Medicare Prescription Drug Plans (PDP) are thus available to help pay for the medications you receive at the pharmacy. A PDP is MediCARE's Part D. Enrolling is important since a penalty will be applied if you don't sign up when eligible unless you have credible prescription coverage such as through an employer plan.
The second type of plan: A Medicare Advantage (MA) plan. Some points on Medicare Advantage in Connecticut plans, which are also available from private insurance companies:.
- A MA plan is MediCARE's Part C and individuals receive at least the same or more benefits then in original MediCARE.
- You can receive an annual physical and more extensive preventive care then in original MediCARE.
- You pay various co-pays and cost sharing when you receive medical treatment through the companies network of providers. The amount of your overall cost sharing during the plan year is limited by the plan's Maximum Out of Pocket (MOP) provision.
- MA companies have a yearly contract with MediCARE and receive a fixed monthly payment from MediCARE for each person who enrolls. Most MA plans include coverage for Part D prescription expenses, which makes them a MAPD plan.
- MAPD plans are of interest to many since the monthly cost is usually more economical than a MediGap plan plus a Part D plan.
Another way to lower the monthly cost and reduce your MediCARE cost sharing is to select the High Deductible Medicare Supplement ($2,180 in 2015). Together with a Part D plan for medications the monthly cost is lower than some MAPD plans.
Note: Surveys of people close to 65 tell us more than 50% are confused about Medicare and only about 10% understand Medicare's Part C! Thus, I would like to - Ask you to call my Google Voice # today - (860) 451-9793. You can also send a Text.
Even though your current MediCARE plan can't be changed until Oct. 15th and we can't talk about specific plans we can have a general conversation at no cost about MediCARE. The focus will be to simplify any confusion, discuss your interests, and:
- Review the value gained with a Medicare Supplement in Connecticut or a Medicare Advantage in Connecticut plan.
- When eligible to enroll you will receive specific plan information and help to select a plan to cover your share.
Want to send a note! Certainly - John@Parker.agency
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? Cover unexpected medical situations for a short period. For example:
- When a new employer plan is not effective for a couple months?
You can view various STM 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