Soon be 65? The Social Security system no longer automatically enrolls individuals in MediCARE when they turn 65.
Call the local Social Security office and ask for a meeting with a retirement person. Going to the office is best. There are many reports of errors when the 800# was called.
MediCARE's Part B pays 80% of the amount allowed for your physician and outpatient treatment! What to do? Buy a Medicare Health plan to cover your 20%.
A no cost conversation to help you understand how Medicare's Part A (hospitalization and Part B (MD & out patient) works can be set up by calling my Google Voice # today - (860) 451-9793 or send a Text. We can discuss your interests and review the certainty you gain by buying one of two kinds of Medicare Health Plans to cover MediCARE's gap in coverage:
Option One: A Medicare Supplement, which pays part or all of the eligible medical treatment expenses MediCARE does not cover. When enrolled you can receive medical treatment, in any state, from any provider that accepts MediCARE. These plans are often called MediGap plans. Some points:
- Supplement A has the least coverage. Supplement B includes more. F provides full coverage.
- Coverage in each Medicare Supplement in Connecticut plan is the same no matter what company you select. There can be considerable variation in the monthly cost for the same plan.
- Plan N is one of the newer plans and you pay Part B's $147 deductible, a $20 co-pay for office visits, and a $50 co-pay for emergency room visits. Thus its monthly cost is lower than the full coverage Plan F
- Surveys tell us 9 out of 10 people were happy with their Medicare Supplement coverage.
MediCARE's Part A, or Part B, or a Supplement do not cover outpatient prescription medications. By enrolling in a Medicare Prescription Drug Plan (PDP) you gain help paying for medications you receive at the pharmacy. A PDP is MediCARE's Part D. Enrolling in Part D is important since a penalty will be applied if you don't sign up when eligible unless you have credible prescription coverage such as an employer plan.
A Second Option - a Medicare Advantage (MA) plan, which is MediCARE Part C and available from private insurance companies. Some points:
- Medicare Advantage in Connecticut plans have at least the same or more benefits as in original MediCARE.
- Medical treatment is received through the companies network of providers. The co-pays and cost sharing you pay for various types of treatments are limited by the plan's 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 annual physicals, then in original MediCARE and the monthly cost is usually more economical than a MediGap plan plus a Part D plan. Thus, they are of interest to many individuals.
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 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 or send a Text. We can have a no cost to you conversation to discuss your interests and:
- Translate all the information you received or found and help you select an effective and economical way to cover MediCARE's gap in coverage.
- Compare the value gained with a Medicare Supplements in Connecticut or a Medicare Advantage plan in Connecticut.
You can also send a note to - John@Parker.agency
Under 65 and Interested in coverage for a short time?
Short Term Medical plans are not qualified health reform plans and do not cover any pre existing conditions. What do they do? Provide economical coverage for 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 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