Medicare Advantage Plans & Medicare Supplement Plans

Medicare Advantage Plans & Medicare Supplement Plans
Medicare Advantage Plans

Tuesday, August 31, 2010

How to Save Money With Supplemental Insurance

Health Insurance Premiums Too High?

If you are purchasing health insurance with a fairly low deductible and comprehensive coverage, you are surely paying a lot for it. If you buy a private major medical plan, you have to pay the whole deductible. But even if you get group benefits at work, you may have some choices. By taking the lower deductible option, you are probably agreeing to contribute more of the premium every month. Is there a way to make sure you family is well covered, but still pay a bit less?

Supplemental Health Insurance May Help

If you can purchase a supplemental health and accident policy, in addition to major medical, you may be able to tailor a great solution. Now all policies are different, and you will have to choose from products that are on the market in your area or allowed by your company benefit plans. But many supplemental health and accident policies actually pay cash for covered health issues. That cash can help you cover deductibles and copays, and it can even be used, sometimes, to pay for some things that a major medical plan does not even cover.

Look at an example. Let us say you purchase major medical with a $1,500 yearly deductible. That means that you will have to pay the first fifteen hundred dollars of your medical expenses every year. Most plans start covering at some percentage after that deductible is used up. Let us say your plan pays 80% up to a yearly maximum of $5,000. After that, the major medical plan kicks in at 100%.

An Example Accident With Major Medical Only

In our example, one of the covered family members breaks his leg. This requires a trip to the emergency room and then a few visits to an orthopedist for treatment. We will say the ER visit cost $2,000 which is not an unreasonable assumption. Four visits to an orthopedist for treatment cost $600. So the total bill is $2,600, which does not even include the time lost at work, transportation, etc.

The insured person has to pay the first $1,500, assuming they have not used any of their deductible yet. The insurer agrees to pay eighty percent of the next $1,100, which is $880. So the insured person will still have to pay another $220, bringing the total bill to $1,720.

So far, in this very typical example, the insured person has paid more than the insurer for a common accident.

Our Example With Supplemental Health Insurance And Major Medical

But what if they had actually paid less for a major medical insurance policy with a $2,500 deductible and supplemented that with an inexpensive supplemental accident insurance policy that paid out $2,500 in cash for an accident?

The insured person would only have to come up with $100 out of pocket, and since they had already reached the yearly deductible in this accident, they would not have to worry about it if they needed more medical services later in the year.

Now keep in mind that this is just an example. The numbers I used are from some typical major medical and accident policies, but may not represent an actual case. That all depends upon what types of health insurance plans are marketed in your area or workplace. However, it should give you a starting point to understand how supplemental health insurance can work well for you!


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Sunday, August 29, 2010

How Do You Find the Best Medicare Supplement Insurance Plan?

As of January 1st 2006, 12 different medicare supplement insurance plans were made available to individuals that qualified for this type of coverage. The plans were all given alphabetical classifications. The classification scale ranges from plan A all the way to plan L.

Each of these plans offer different benefits in opposition to their other plans. Plan A, for example is the most inexpensive medical plan for an individual to obtain. While, on the other hand, Plan J offers the most benefits for people but is also the most expensive of the health care plans.

Be aware, that even though there were twelve different plans that were introduced to the health care industry, not every state offers all of these options to seniors seeking health coverage. Massachusetts, Wisconsin and Minnesota have their own plans, however the benefits are generally the same as the twelve advantage plans offered to seniors throughout the remaining 47 states.

The best time to purchase one of these insurance plans is six months after you have been enrolled into a Medicare Part B arrangement. During this time period, insurers are basically forced to accept you as a client, regardless of any pre-existing health care problems that you may have had.

In regards to the amount of funds that you may be asked to render for one of these policies, there are three things you need to be aware of. You need to remember that paying a higher premium for your coverage, does not constitute that it is better for you. Whichever company that you decide to go with, will pretty much end up giving you the same benefits. However, the key thing is finding a company that can attend to your budget needs as well.

Also, just like everything else in this world, Medicare premiums will increase overtime in order to keep up with inflation. You also need to have a keen knowledge regarding the three different methods that these agencies use to set their premiums.

Companies will review over the attained age of an individual, their issue age as well as where the person resides. Typically, the attained age for an individual to be able to receive Medicare is 65. As the person begins to age, their premiums will begin to increase as well.

All premiums are based on your age when you receive coverage. Basically, the older that you are the more money you will be asked to render for a particular policy. Also, people that live around each other will be asked to submit the same amount of money for their coverage. If a company decides to take advantage of community-rated policies, everyone regardless of their age will be able to receive coverage.


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Friday, August 27, 2010

Helpful Tips About Medicare Supplement Insurance

Medicare supplement insurance is known as Medigaps. This is because it is designed to fill in the gaps in your Medicare coverage. You can buy this supplemental insurance from private insurance companies. They must adhere to strict guidelines to ensure consumer protection. Nonetheless, it is important to be aware of some facts before you choose your Medigaps health insurance provider.

There are twelve different Medigap policies that you can choose from. These are simply named A-L for simplicity. These are standardized policies and by law, the insurance companies must not alter them in any way. This is to protect you, the consumer. A "Plan A" from one provider will be identical to the same plan from another.

In addition to the basic benefits outlined in each of the Medicare supplemental plans, each plan will also have a list of extra benefits. Again, these are standardized and do not vary from one insurance company to the other.

On the surface, then, it seems as if it wouldn't matter who you bought your supplemental health insurance policy from. After all, every company offers exactly the same plans. However, they do have differing pricing structures and not all companies offer all twelve plans. In addition, it is their job to sell you insurance and each company will emphasize aspects of the insurance that protect their company from financial risk as much as the law allows.

Generally speaking, before you can buy Medigap policy you must first have Medicare Part A and Part B and you must pay a monthly Medicare Part B premium. This is on top of the premium you will pay to your Medigap insurance company. Roughly speaking, you should expect to pay more for your policy the higher up the alphabet you go. Plan J is the most expensive policy.

It is important to remember that these are individual policies. They do not cover your spouse. Each of you must have your own individual policy.

When you are comparing insurance companies, bear in mind that no matter what a salesperson may say, the medical coverage for each plan, from Plan A to Plan L, is identical, no matter who you buy it from. The companies are not required by law to charge the same amount for the identical product. Therefore, if Plan D, for example, seems to suit your needs the best, get the cheapest Plan D you can.

Another important consideration is to purchase your Supplement Insurance within six months of enrolling in Medicare Part B. If you do so, the insurer is required to accept your application no matter what your previous medical history is.

If you keep these tips in mind, you will get the most out of your Medicare Supplement Insurance. If you are still in doubt, consult the official U. S. Government Medicare agency for further information.


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Thursday, August 26, 2010

Getting to Know Medigap

Medicare is now currently paying for only about half of all the healthcare costs for Americans aged 65 and over. The other half of the medical expenses would be up to the people to pay out-of-the-pocket. With Medigap, which Congress standardized in 1992 and revised in 2006, people won't have to worry about the payments because this type of insurance will pay for all medical expenses in excess of what an original Medicare plan covers.

Medigap or Medicare supplement insurance can be any of the 12 supplemental insurance policies named a the letters A through L. Each one of the policies extends a different list of benefits targeted at providing additional coverage that is not available in the Medicare insurance plan. Each of these plans is priced appropriately. Medicare supplement Plans K and L are complementary to the basic benefits offered in Plans A to J. Nonetheless, the plans come at a decreased monthly premium but with raised out-of-pocket expenses.

Plan A is the most basic. Plan B offers everything in Plan A, and also covers the deductible for Medicare hospitalization. Plan C covers everything in Plans A and B, as well as the deductible for outpatient care and some healthcare outside the United States. The same thing applies for others up to Plan J, which covers all Medicare deductibles and most costs under preventive care. Plans K and L work a little differently from the others. They cover most gaps in Medicare coverage but pay only a percentage of those costs. They make up for these reduced payments by placing a cap on an insured person's total out-of-pocket expenses. After the cap is reached, these policies pay 100 percent of all covered costs.

Medigap health insurance policies are issued through private insurance companies and are particularly important to low and moderate-income beneficiaries aged 65 and above, especially those living in rural areas. However, it is available for everyone enrolled in traditional Medicare Part A and Part B, which pay for hospitalization, doctor visits, and other outpatient care. It is much cheaper when compared to other health care plans since, unlike usual medical health insurance plans, medical supplement insurance or Medigap is much cheaper.

It is important to always stay ahead of everything, including medical expenses. We'll never know when we might fall ill and we'll also never know how much our hospital bills will be. To be sure you're covered for the entire cost of your treatment, get supplementary medigap insurance to fill that gap between your Medicare plan and your actual hospital bill.


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Wednesday, August 25, 2010

Get Medicare Supplement Quotes to Compare Prices

If you are enrolled in Medicare part A and part B, you also qualify for Medigap, which is a supplementary Medicare insurance. Medigap is not going to be administered by the federal government in the same way as Medicare. It is offered by individual insurance agencies on a state to state level. It would be necessary for you to make your premium payments to these agencies, along with paying your premium for Medicare as well. Since there are differences in the amount of money that you will be spending for these premiums, getting a Medicare supplement quote can really benefit you by making sure that you're not paying too much.

One thing that you need to understand about Medigap insurance is the fact that it is completely standardized across the board. Each insurance company that offers Medigap insurance will offer the same exact policies as any other insurance company that offers those policies as well. There is not going to be a variation in the coverage whenever you're talking about the same policy. This can help you to make your choice easily as to which policy you need. All that is really necessary at that point is to get a Medicare supplement quote.

More than likely, you have already received a Medicare supplement quote from your insurance agency of choice. That doesn't mean, necessarily, that you need to stick with them. The Internet makes it very easy for you to get quotes on all of your insurance needs, regardless of whether it is for auto insurance, life insurance or even for Medicare supplement insurance. All that is needed is for you to fill out a simple form online and within minutes, you will be comparing these various Medicare supplement quotes, side by side.

Of course, you would want to check out any insurance company carefully before you decided to go with them. Just as you would not go with the fly-by-night automobile insurance company, you should not choose one for your Medigap insurance. You're going to want to make sure that the insurance company is approachable and that you will be able to go to them with any questions that you may have at any time. If you choose wisely, you not only be able to save money with this Medicare supplement quotes, you will also have an insurance policy that you can live with.


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Monday, August 23, 2010

Are Supplemental Discounts For Everyone?

When it comes time to take out health insurance we always try to get the best coverage we can for our family. Then we search for the additional policies that cover the extra care we need for vision, pharmaceuticals and dental services. At what point do you think enough is enough? If we were to look at the dental piece and take the routine dental work performed you would easily pay twenty five dollars a month on a payment plan for the year and this would be for one person. If you were able to get a dental discount plan for the same price except it covered everyone in your household then that would be something to seriously consider.

Well there are companies, for example that offer these types of discounts services. They are not health insurance policies they are discount dental plans. They have a network of providers that have agreed to perform services at a contracted rate and this benefits you and your family in addition to the customers that have signed on to the discount dental plan. If you think about how it works it has the same principle of a store discount card.

Instead of swiping your card you provide your membership number. There is no paperwork to complete and the fees are paid monthly so you have no contracts. Dental services are one of the expenses that everyone dreads. You know you need them and the preventative services attempt to keep you from the more expensive procedures if you can catch things early and treat them. When you do need care you want to be able to get it and be able to afford the out of pocket expenses without going broke.

If you are able to have a policy and a supplemental discount plan you would get that additional savings that would allow you to get the services you need and not feel the stress of the full financial burden dental services can become if a lot of work is needed. We try to provide what we can for our own health and for our family the best way we know how to. Think about making the dental and the dental supplement or discount plan another option for you. The more you can protect yourselves and save the more comfortable you will feel when you know it time for your appointment to see the dentist.


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Sunday, August 22, 2010

A Quick Look at Supplemental Insurance

Acquiring insurance for you and your family members is away of keeping yourselves secure. Saving a little money in case of emergencies is also a good thing to do. This will make sure that everyone is well taken care of especially in terms of the one most important thing you all share in common - health. But aside from regular insurance or savings that your family can rely on, supplemental insurance will also go a very long way.

Supplemental insurance will shoulder expenses that a regular insurance will not. For example, when you get hospitalized and your bills exceed what your Medicare policy would cover, you can count on supplemental insurance to bridge that gap so you'll never have to dig into your own pockets. You will also have different options when obtaining supplemental insurance and each one will depend on the extent of coverage you want and can afford.

There is no question about the value of this type of insurance these days. Health care prices are not very low and they're not showing signs of being more affordable in the near future. Hence, to make sure that you have everyone treated as needed, you can rely on supplemental insurance so you don't have to worry about out-of-pocket expenses which are very likely when you only have your regular insurance to rely on.

There are various types of supplemental insurance policies, including including supplemental disability insurance, supplemental accident insurance, supplemental health insurance and supplemental life insurance. You can choose from any these programs and they will each have a specific purpose to serve. Supplemental insurance policies are also generally inexpensive and affordable to low-income earners. There are even certain criteria that allow some people to be totally exempt from paying any premiums or, at least, to enjoy discounted rates.

With not-so-reassuring economic prospects at this time, it is all the more necessary to seek security, especially in terms of health, as we would never really know when we might have to throw all our savings into a hospital bill. But with supplemental insurance, we simply feel safe and peaceful for its great benefit of protecting us from financial instability in the future. Sometimes, accidents will come to us and cause us financial immobility. Being hospitalized and getting into emergency situations is the last thing we want to happen to us or to any of our family members because not only do these threaten our lives. They can also be very financially unsettling.


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Saturday, August 21, 2010

Did You Do a Medicare Supplemental Comparison?

Doing a medicare supplemental comparison could save you money. If you do not have this plan in place, you should find a policy as soon as possible and sign up. You do not want to have to pay for the twenty percent of medical cost not covered by your Medicare coverage.

You will even find some supplemental plans that pay for the Part A and Part B deductibles. But in any case, you need this supplemental plan for the sake of your financial security. Without this plan you could end up with a large out of pocket medical bill.

Some plans will reduce or even eliminate your part of your medical bill. Even if you are in great health for your age, do not try to save money on your premium costs by not paying for this plan. You do not want the future holds and you do not want to be responsible for a large medical bill.

You can avoid financial ruin by having this supplemental plan in place before a major medical bill. You will find that by law all of these plans are standardized, but you will find that different companies charge different rates. So find the one with the best price for you budget depending on the plan that fits your needs.

Some choose not to price shop because they think comparing is difficult and time consuming. It may have been this way years ago. But it is easy to compare now. You have no excuse to comparison shop. Do not be afraid to learn about the plans that might save you from financial disaster.

You will find all the company plans and prices in one place on the internet. You can speak with an objective insurance broker, rather than an insurance agent representing one company. Many do not call for information because they do not want to listen to a sales pitch. If you are not familiar with how to do research on the internet, have one of your children or grandchildren help you.

You can get the information you need without having to listen to an agent trying to sell you. So make the comparison today. You need this supplemental policy and you will be able to get the right plan at the best price when you spend a few minutes on the internet and speaking with a broker who will not pressure you to buy what you do not want.


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A Guide to Medicare Supplement Insurance

If you are considering purchasing Medicare supplement insurance there are facts you need to know to make an informed decision. There are many advantages to buying this insurance but there are also a lot of popular misconceptions out there that need to be corrected before making a decision. Following is a discussion of these facts in detail.

This type of insurance is also known as Medigap insurance, because it is intended to cover gaps in your primary coverage through Medicare. In order to qualify for a Medigap policy it is usually required that you already have Medicare Parts A and B. Your premium for the new policy will be in addition to what you already pay for Medicare.

Medigap policies cover individuals only. If you purchase a policy for yourself, it will not cover your husband or wife. If you both need this coverage you need to purchase two separate policies.

Policies intended to cover gaps in Medicare coverage all offer standardized sets of benefits. These are grouped into Plans A-L and each plan provides a different level of coverage. No matter which insurance company you buy supplemental insurance from, Plans A-L will be consistent throughout. This means that the benefits from Plan A purchased through one company will be exactly the same as the benefits from Plan A purchased through a different company.

Companies that provide this type of insurance are allowed to set their own prices, so it pays to shop around and compare costs. In addition, each insurance company is not required to sell all of the plans, so you may be steered towards one of the plans they sell. For this reason, you should make sure you have information on each plan before committing to a purchase.

Another thing you may not have realized about the type of insurance known as Medigap is that it does not cover prescription drugs. This is because this type of coverage is already available as part of Medicare Parts A and B. If you do not have insurance coverage for prescriptions, visit the Medicare website and find out how to get it under their plans. Buying supplemental insurance because you think it will cover prescriptions would be a mistake.

Finally, it is illegal to sell any individual duplicate Medicare supplement insurance. Because it is intended to cover gaps in Medicare coverage and all plans across each company that sells it are the same, there is no need for more than one of this type of policy. US regulations have therefore made it illegal for people to try to sell you an unnecessary policy to protect your rights.


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Friday, August 20, 2010

My Medicare Advantage Plan is Not Renewing For 2011 - What Should I Do?

Insurance companies that offer Medicare Advantage plans engage in a familiar ritual every fall. Beginning in early October, they introduce their plans for the coming year. This is also the time, if plans are not being renewed for the following year, that notices are sent to those plan members informing them of their plans renewal status and detailing the options that they have available.

If your Medicare Advantage plan is not renewing for 2011, there are certain things that you need to be aware of and several steps that you need to take to make sure that you are properly protected in the coming year.

Understanding the realities of your plans renewal status and knowing what steps to take can give you the piece of mind required to make an informed decision for the following year.

Why do insurance companies choose not to renew their plans?

Often, when Advantage plan members receive a notice from their insurance company informing them that their Medicare Advantage plan will not be renewed, the first response is anger. Most of us like some degree of certainty. Having the rug pulled out from under our feet, especially when it comes to our insurance and health care, is unsettling.

If we understand the reality of how an Advantage plan works, we should be able to anticipate possible changes. When an insurance company contracts with CMS (Centers for Medicare and Medicaid), they agree to an annual contract in a defined County or service area. By design, you should be aware that things can change from year to year. Understanding this can alleviate any anger.

Beginning in January 2011, companies that offer PFFS (private fee-for-service) Advantage plans, will be required to allow those members access to a provider network should they decide to utilize it. A PFFS plan is not a network based plan, but rather members are able to visit any provider that accepts Medicare assignment. The provider must agree to accept the plans payment terms and conditions, as well as having the right to accept the plan on a visit-by-visit basis.

If a company decides not to renew your Medicare Advantage plan for 2011, this could be due to not having a credible network in place for your County or service area. If an insurance company only has one plan available, and it is a PFFS plan, it may be an easier and a more cost efficient solution for them to merely pull out of the market.

What do I need to know?

First, you need to be aware that the insurance company has a contractual obligation to honor their commitment to you. Your plan is still a valid plan for you to use for the remainder of the calendar year. Claims will still be paid and customer service will still assist you with any issues that may arise.

In addition, you now have a guaranteed enrollment period to apply for a Medigap insurance policy. If you decide to apply for a Medigap policy, which is also known as a Medicare supplement, the company cannot refuse to sell you any plan that they offer. Health conditions will not prevent you from purchasing a Medicare supplement during a guaranteed enrollment period.

What do I need to do?

If your Medicare Advantage plan is not renewing for 2011, you need to assess you options. It is comforting to know that you have several choices.

Return to traditional Medicare and purchase Part D drug coverage. Enroll in another Advantage plan. Purchase a Medicare supplement and Part D drug coverage.

If your Medicare Advantage plan is not renewing for 2011, start exploring you options early. Your current Advantage plan will end at midnight December 31st. You are not required to stay with the same company should they have an alternative plan available. It is in you best interests to take this time to look at all available options. Armed with knowledge, you can choose the right coverage and be protected for the following year.

David Forbes is President of Alliance Marketing Associates, Inc. David enables older adults to make informed decisions to protect their health and wealth. He also offers helpful advice on topics related to insurance for seniors, including finding an affordable Medicare Plan.

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Wednesday, August 18, 2010

Why You Need Medigap Insurance

When your hair is gray and thinning and your health is not at its finest, you need to have medical insurance in order to cover medical bills. Physicians and pharmacists can charge you a lot from your medications or maintenance medicines. There are inevitable times when you get sick and need to be admitted to a hospital. However, after your admission, you will be shocked by how much you need to pay. There are gaps in your medical bill and your Medicare insurance and you wonder how you're going to bridge that space in between. That's where a Medicare supplement insurance or Medigap plan becomes valuable.

With medigap insurance, you won't have to worry about the payments because the insurance pays all of the bills you incur. In our daily tasks, we don't know when we will need emergency medical assistance. Most of the time, this will cost much. With medical supplement insurance, you won't have to feel anxious that you won't be able to pay the hospital for emergency services because you will have your Medigap to cover that for you.

People who have turned sixty all the more need to consider getting a medical supplement insurance so they will feel confident that they won't be having to spend so much in hospital bills. The only thing one should worry about is how to show love and care to the sick people who need it. One should not have to worry about money and especially not when life is on the line. But since this is an imperfect world, this sometimes cannot be helped even as one can be assured that there is a medical health insurance that fills the gap between Medicare coverage and an actual hospital bill.

So if you don't want to have to pay a large amount of money to your hospital, get a medical supplement insurance plan. Health matters most because life matters when you want to see your children growing and their children's children growing, if you get lucky enough. The good news about medical supplement insurance is, it does not cost much compared to a usual medical health insurance plan. So go ahead and get medical supplement insurance. It is beneficial for you especially if you or your family's life is involved. This way, you won't have to worry about hospital payments anymore.


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Tuesday, August 17, 2010

Medigap Cost

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As individuals approach the age where they qualify for medicare, they begin to wonder about . Medigap is a supplement policy that pays for the portion of medical bills that medicare itself doesn't cover. As with so many things of an insurance nature, delivering an exact budgeted amount for this supplement is difficult. Consider some of the factors that have an effect on this monthly or yearly expenditure.

According to Weiss Ratings, the for the most popular supplemental coverage is $1,813 yearly for a woman who is 65 years old. Plan F is the plan of choice for many retirees. Age does make a difference in the coverage cost in addition to where a person lives.

Medigap Insurance Policies - Ratings Explained

Medigap insurance policies are rated in three different ways. The first is issue-age rated, which means that the is dependent on the age at issuance, and the amount will not increase as the covered individual gets older. There is no assurance, though, that the cost will not go up due to inflation or other factors.

Community rated means that there is no consideration of age, and every new member who insures under this kind of policy pays the same amount. Of course, the insurance company has the right to adjust all premiums based on inflation and other factors.

The third rating is called attained-age rating. When a person obtains a policy of this type, the cost is based on his or her age on the policy's start date. As the covered individual ages, premiums increase. The of a new policy of this type might be substantially lower than under the other two ratings in the beginning, but it stands to become very expensive if the person lives for many years.

Medigap Insurance Policies - Price Comparisons

There can be significant price differences for the same coverage from one insurance company to another. Shopping prices for the lowest monthly premiums involves two important parts.

The first part is being sure what type of coverage is being quoted. Although there are rules, some variations may exist from one insurer to the next. The second part is the rating structure in which the premiums are based.

Other factors also determine what insurance coverage will cost, much the same as with standard insurance policies. Non-smokers get better rates than those who smoke. Females pay lower premiums for their than males do. Married couples receive lower premium rates than single individuals. Anyone who allows the insurance company to withdraw the funds automatically from their bank account each month gets a reduction in cost, too.

Medigap Insurance Policies - Deductibles

Deductibles make a big difference in the cost of any insurance plan, and they may be effective on a yearly basis as well as per occurrence. A separate deductible is charged for foreign emergencies when the insured is out of the country.

Medigap Insurance Policies - Open Enrollment

When initially obtaining a policy for Medigap, it is important to do it during the open enrollment period or during the time of the guaranteed-issue right. The premium for the supplemental insurance cannot be varied during these times based on health status. Two states, New York and Connecticut, have continuous open enrollment programs.

The best advice for anyone concerned about and looking for medigap coverage is to shop around and compare prices. This could save you a large sum of money over the years. The rates are not government imposed, so there is competition with the insurance companies and you can find many to choose from on the internet.

Our website has a world of up to date information concerning medigap and medicare. You should visit to stay well informed on this important subject. http://www.medigapcost.com

Robert Perry specializes in the building of income producing niche websites, usually using Google AdSense ads. For $75 he builds a 5 article website that the search engines love. You should visit his site. http://www.thenichebuilders.com

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Monday, August 16, 2010

Medigap Plans

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Those who value added security will find it in which serve to augment the financial medical requirements beyond a Medicare coverage. Of course, this is greatly useful especially these days when economies around the world are not at their best. Prices of commodities are soaring everywhere and this unfortunately includes even medical treatment and the cost of medicines. While it may not pose a major problem for those above the social ladder, average individuals and families have clearly been affected. To avoid hospitalization costs, some would even opt to simply stay home and self-medicate. But with a Medicare supplement plan to bridge one's Medicare coverage and actual hospital bills, the problem is eliminated.

However, although the promise of a Medigap policy can be a true lifesaver, choosing the right plan is not something one can do indiscriminately, especially in terms of the provisions on medicines. While the intention to mislead may not be there, some people are actually mislead by what an insurance provider may offer. In fact, there could be a number of pharmaceutically related issues in typical supplementary plans which every potential buyer must examine.

One of the most common pitfalls that people find themselves in concern actual drug prices which may be offered in a sometimes deceptive way. When looking into this, it is important to consider the average cost of each drug throughout a year as individual costs can differ depending on how the plan is designed to compute prices. Another thing that should be looked into is the actual coverage of a drug that is presented to be part of the plan. Sometimes, insurance providers advertise drugs as included in a plan package but there is actually another requirement that has to be fulfilled before those drugs can actually be covered such as the purchase of other drugs or getting a physician's authorization beforehand. Yet another possible source of confusion could be the cost of mail-order drug delivery whose cost varies greatly from plan to plan. It is also important to check what pharmacies work with what plans to be sure that you can actually take advantage of a certain benefit that is claimed by that plan that you are considering to buy.

Although the general concept of Medigap insurance is beneficial to all, there are different plans that will be suited to people with varying needs and circumstances. And because medicines play a significant part in any course of treatment, they should be a major consideration when looking for the best plan to buy.

For Texas Medicare supplement plans, check online to review the different providers that offer various types of Medicare supplement insurance to ensure security on top of regular Medicare coverage.

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Sunday, August 15, 2010

Is Medicare Part D Insurance Necessary?

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Some of the expensive things that many of us have to deal with on a monthly basis is our prescription medication. If you have become eligible for Medicare plan A or B, you are automatically eligible to take part in Medicare part D as well. This is prescription drug coverage, and many people have been able to afford their prescriptions as a result of qualifying for this government run program. There are many times, however, when people may opt to delay taking part in the Medicare part D program. Here are some of the more common reasons why that may be the case.

If you or your spouse has become eligible for part A or B, yet you still have insurance through your employer, it may be to your benefit to delay getting Medicare part D at this time. For example, if you are over 65 years of age and have already applied for and been accepted into the standard Medicare packages, you may have insurance through your employer that is better than what is available through Medicare part D. When an employer has over 20 employees, it is necessary for him to offer you the same opportunity for insurance as all of the other employees. This is true, even if you also have Medicare. This may be one reason why you would want to delay getting into the Medicare plan D program.

If you are under the age of 65 and qualify for Medicare part A or B, yet are still working, your employer may also offer you a better prescription package than what is available through Medicare. This is the case whenever an employer has over 100 employees, as they are required by law to offer you the same insurance that is available to the other employees. Many people are able to receive better prescription coverage through their employer and they delay getting Medicare part D as a result.

It is important for you to understand, however, that if your circumstances change and it becomes necessary for you to get Medicare prescription coverage, you have a period of two months in order to apply for Medicare part D once your old insurance lapses. There are several different stipulations that go along with this, and it may be different if you have COBRA. Make sure that you talk to your insurance agent about these differences so that you can sign up when necessary in order to avoid any late enrollment penalties that may be charged.

Medicare Part D

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How to Take Part in Medicare Part D

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Many people would be unable to afford their prescription medication if it weren't for Medicare insurance that covers prescriptions. This is known as Medicare part D, and if you are qualified for Medicare part A or B, you automatically qualify for Medicare part D. This can help to supplement your prescription costs and there are even times whenever the government may subsidize these costs even further, according to your personal circumstances. Here is how to take part in Medicare plan D insurance so that you will be able to afford your prescription medication.

We have already established that you need to be enrolled in Medicare part A or B in order to qualify for the standard prescription drug plan (PDP). If you want to get onto one of the Medicare advantage plans that are available, you must qualify for both part A and B. Most people, however, simply go for the standard prescription drug plan, as it is generally enough to pay for most of the prescriptions.

It is important for you to understand everything that goes into the Medicare part D program before you decide which of the programs you're going to choose. The reason why this is the case, is because Medicare insurance works much the same as other types of insurance policies that you may have. You're going to be responsible for a monthly premium, as well as an annual deductible in most cases. If you do not understand anything about the insurance policy that you're looking at, make sure that you ask questions until you know what you are signing up for.

There may also be certain time limits as to when you can join the Medicare part D program. For example, if you are employed and have prescription insurance coverage through your current employer, you have 63 days to switch over to Medicare plan D once your old insurance lapses. It is still possible to get onto the Medicare insurance, but you will probably have to pay a late enrollment fee if you let it go too long. There may be other time periods that need to be followed, such as signing up whenever you first become eligible. If you miss this cutoff date, you may have to wait until November 15 in the following year and you will probably end up paying a late enrollment fee as a result.

Medicare Part D

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Medigap Or Medicare Supplements

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If you or your parents decide to stay with traditional Medicare, you should strongly consider the purchase of a Medigap policy (frequently called a Medicare Supplement) to fill the gaps in coverage. Before making a decision to buy, you need to do some research so that you clearly understand the benefits of each type of Medigap policy and how to compare plans.

A large number of Americans on Medicare rely on some form of insurance whether it be a retiree plan, Medicaid, or a Medigap policy- to supplement Medicare. Let's briefly review some of the areas where an individual might need assistance with Medicare Benefits.

First, Part A, which covers hospitalizations, has a benefit period deductible of $1100 for 2010. The first 60 days in the hospital are provided at no charge once the deductible is satisfied. If hospitalization goes beyond 60 days, the Medicare beneficiary is then responsible for a copay of $275 per day for days 61 through 90. The copay increases to $550 per day for days 91 through 150 which are your lifetime reserve days. For days 151 and beyond, the insured is responsible for all hospitalization costs. In the case where an individual is transferred from a hospital to a skilled nursing facility, the first 20 days are provided at no charge. Days 20 through 100 require the payment of a copay of $137.50 per day. Days beyond 100 in a Skilled Nursing Facility are excluded by Medicare.

Part B, which primarily addresses professional services, has an annual deductible of $155. After the deductible is satisfied, Medicare pays at 80% of approved charges (as determined by Medicare) with the insured being responsible for the remaining 20% and overage charged by the provider of service but not approved by Medicare. This 20% is open ended with no cap.

If you are traveling outside of the United States, Medicare generally does not cover anything. The insured would be responsible for all costs.

Changes Coming to Supplements as of June 1, 2010

Back in 2003 a law was passed that required changes to the types of Supplements sold and the benefits that these plans were to provide. Ironically, this new law takes effect as of June 1, 2010 and has nothing to do with the recently passed Health Care reform bill. In the past, the different types of Supplements had letter names assigned to them corresponding to the alphabet ranging from A thru L. With the implementation of the new law; plans E,H, I, and J are being eliminated while plans M and N are being added. People who purchased E, H, I, and J plans prior to June 1, 2010 will be able to keep them as long as they continue to pay their premiums. Please do not confuse the Supplement Plan types with the different coverages available thru Medicare; Part A, Part B, Part C, and Part D.

The Supplement plans that will be available as of June 1st will be A, B, C, D, F, High Deductible F, G, K, L, M, and N. These plans are sold by private insurance companies. In actual practice, most companies sell only selected plans. Historically, the "C" and "F" supplements have been the most popular.

With the change in the number of plans being sold come some changes in benefits. Plans E and J have had the "Preventive Care Benefit" eliminated (even though these plans will no longer be sold after 5/31/10). With some exceptions, Medicare has started providing preventive care. However, Preventive Care is first subject to the $155 annual Plan B deductible and then would be pay at 80% of approved charges with the insured being responsible for the balance. "At Home Recovery" has been eliminated from Plans D and G. For new sales of Plan G, the 80% Excess Benefit has been changed to 100%. However, if you have versions of D,G,E and J sold prior to June 1, 2010; you will continue under the old benefit provisions.

What is being added to Supplement plans sold as of June 1, 2010? Basic benefits for plans sold after June 1st will now include your share of Medicare Part A eligible Hospice Care and Respite Care. Plan K will pay your share of the cost at 50% while Plan L will pay 75% of the cost until the out of pocket limit is met, with any balance then being covered at 100%.

Brief Overview of Supplements C, F, M and N

Plan C: For copayment visits, includes 100% Part B Coverage; provides skilled nursing facility coinsurance; Pays part A deductible; Pays part B deductible; Does not pay part B excess; Covers foreign travel emergency

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Saturday, August 14, 2010

Medicare Supplement Insurance Plans Comparison

One of the most hotly contested debates in the country today revolves around Medicare reform. It is certainly no secret that Medicare alone is not sufficient to cover all of our health care needs. Medicare supplement insurance is one step the government has taken in order to address the need for more medical coverage for the average person at as low a price as possible.

The twelve Medigap plans have been put into place in order to help close the gaps in the standard Medicare package. These 12 plans have been named "Medigap Plan A" through to "Medigap Plan L." Not all of them are available in every state, but there are twelve in total.

It is very important that you understand from the outset that they are called "plans, " because Medicare comes in two different "parts." Part A is the basic Medicare health package, while Part B must be paid for in monthly premiums. Bear this in mind for two important reasons.

When you start looking into Medigap plans, you will discover that it is generally necessary to first purchase Medicare Part B before you can qualify for Medigap plans. One of these plans is "Plan B." It is not the same as Medicare Part B.

Another aspect of this that sometimes creates confusion and misunderstanding is that when you purchase a Medigap plan, that does not exempt you from also paying for your Medicare Part B policy. You must pay these two separate premiums separately. Sometimes people get the mistaken impression that if they opt for the gap program's "Plan B, " they no longer have to participate in Medicare's "Part B."

Another thing to remember is that the Medicare supplement packages are the same. Whatever plan you choose will be the same, whoever you purchase it from. Your first order of business, therefore, is to understand what is included in the plans and to choose the one that is right for you. If you choose a more comprehensive plan, such as Plan J, is will naturally cost more than Plan B, for instance, but even so, one insurance company may charge more or less for it than another. Insurance companies are not bound by law to charge the same premium for the same policy.

For this reason, choose your plan first and only then do your price comparing through the different insurance companies. If you want Plan J, you know that no matter which company you get it from, it will be the policy you want, though one company may offer it to you cheaper than another.

Keep these facts about Medicare Supplement Insurance firmly in mind when you start comparing prices. This way, you can save money on your Medigap insurance and get the coverage you need.

For those that are in need of insurance fast, try medigap insurance. This supplement medicare insurance does not take much and many are approved each day.


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Considering Medicare Supplement Insurance Options

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Compare Medicare Supplement Insurance Plans

Most consumers are more than aware that Medicare alone is not enough to cover all your medical needs. The subject is in the news every day and is one of the most controversial issues facing the nation at this time. The U. S. Government has created Medicare supplement insurance plans as an inexpensive way for citizens to get better health coverage at an affordable price.

These supplemental insurance plans are collectively called "Medigap" plans. As you can guess by the name, they are intended to close gaps in your Medicare coverage. There are twelve of these plans available in total, although not all twelve are available in every state. These plans are alphabetized from Plan A to Plan L.

Note that they are called "plans." Your basic Medicare coverage comes in two "Parts." Part A is the one that comes at no monthly premium. You must pay a monthly premium for Part B. This is important to remember for two reasons.

When you decide to purchase a Medigap policy from a private insurance company, you generally have to first buy into Medicare "Part B." This is not the same as Medigap's "Plan B." Some people understandably get confused by this.

You must also remember that because having Part B is often a prerequisite for getting a gap policy, you will be paying for two separate policies. While they are both very reasonably priced, they both must be paid for. Occasionally, people mistakenly believe that when they purchase supplemental insurance they no longer must pay for Medicare Part B.

All of the Medicare supplement plans are identical, no matter who you buy them from. When you apply for your insurance policy, the first and foremost thing you must do is choose the plan that suits you and your situation. Because the plans vary in features, they also vary in price. However, whether you choose "Plan A" or "Plan L, " it will not necessarily cost the same from every insurance company. This is a common misconception.

This is why, before you choose your plan according to its cost, you should choose it according to what it offers. Only then are you in a position to get price comparisons. If you decide that you want the more comprehensive "Plan J" coverage, it will exactly the same policy no matter who you buy it from, but it may not cost the same.

If you bear these facts in mind before you purchase Medicare Supplement Insurance, you will be in a position to get the most insurance for the cheapest price. Do an intelligent Medigap insurance comparison and save.

For those that are in need of insurance fast, try medigap insurance. This supplement medicare insurance does not take much and many are approved each day.

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Medicare Supplement Plans That Make Sense

Most of us would not be able to afford medical coverage if it weren't for the Medicare program. There are many different advantages to using Medicare, and more than likely you are already enrolled in Medicare part A and part B, which covers your hospital stays and doctors visits along with general medical coverage. There may be some gaps in coverage, however, and these generally show up in the form of annual deductibles and co-pays. If you would like to have additional Medicare supplement insurance which will cover these gaps, it is available in a type of insurance that is known as Medigap.

Medigap is a Medicare supplementary policy that helps to pick up any out-of-pocket expenses when you are using Medicare. It is important for you to look at these various policies that are available and to do a comparison in order to choose the one that is going to be right for you. The reason why this is the case, is because there may be some things that are covered under some of these policies that are going to be unnecessary for you. The best way to keep your premiums as low as possible is to compare Medicare supplement insurance in this way and you choose one that will result in the lowest premium and the lowest out-of-pocket expenses in the balance.

This can be a little bit difficult, but the Medigap insurance makes it a little bit easier because it is regulated. Regardless of which insurance company you happen to go with, the policies are going to be standardized and you will get the same exact coverage. For example, if you went with one insurance company and chose Medigap plan C, you're guaranteed to get the same exact coverage with any other insurance agency when choosing Medigap plan C.

One thing that is not regulated in Medigap insurance is going to be the amount of money that you're going to spend. As a matter of fact, there is going to be quite a variation in the cost of these policies, even when you are choosing the same one. That is why it can benefit you to do a little bit of comparison shopping, either by calling the various companies or by doing so on the Internet. In that way, you'll be certain to be getting the coverage that you need without paying too much for the policy.

Medicare supplemental insurance


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Friday, August 13, 2010

Did You Choose the Right Medicare Supplement Policy?

Using Medicare is an excellent way to be able to afford your medical expenses, but there is still going to be some out-of-pocket expenses that are going to be incurred. If you are currently enrolled in Medicare part A and part B, you also qualify in order to receive any Medicare supplement policy. This policy is referred to as Medigap, as it helps to fill in the gaps that are left, financially, whenever you are using Medicare. For example, it will cover out-of-pocket expenses that come from deductibles and co-pays.

This type of Medicare supplement policy is going to be offered by independent insurance agencies and it is not going to be offered through the federal Medicare program. It will be necessary for you to pay a premium to the insurance agent, along with paying a premium for your Medicare policy. You should also understand that if you are part of Medicare part C, which is called the Medicare advantage program, you will not need, nor will you be able to use this type of Medicare supplement policy. Since the Medicare advantage program is administered by private companies that are under contract with the federal government, Medigap will be useless.

The various types of policies that are available through Medigap are lettered in order to make it easy for you to see which one you will choose. At this particular time, there are policies available from letter A through letter N. These policies are standardized and it is regulated on a statewide level. If you choose one particular policy with one insurance company, you're going to receive the exact same coverage with another company. There is not going to be a variation in coverage.

What will vary, and certainly deserves some attention, is the amount of money that you're going to pay for your Medicare supplement policy. This is not regulated by the state and it is in no way standardized. Paying more for your Medigap policy is not going to get you any more benefits, and it may make it difficult to keep up on your monthly premiums. It is a good idea for you to do a little bit of comparison shopping whenever you are choosing a Medicare supplement policy in order to make sure that you are not paying too much. This can help to make sure that you're out of pocket expenses are covered and it does not cost you too much on a monthly basis.

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Supplemental Insurance For Senior Citizens

What Is Medicare?

Medicare is a federal health insurance program for senior citizens and disabled people. Most US seniors do qualify for Part A and Part B of Medicare. There is usually no additional premiums for qualified seniors if they choose Part A. There is a premium, though, which is less than $100 right now for most seniors on Part B. Most social security recipients have the Part B premium deducted from their social security checks so some are not even aware they are paying it.

Medicare is not a new program, and it has been around since the 1960's. So it has helped protect the health of retired and disabled Americans for over a generation now. But even though the traditional plan is not new, there are always new changes. So if you are concerned about Medicare, it pays to keep up. The US government provides a pretty good online resource at medicare.gov. This website can help you stay current, find additional Medicare health plans, and find contact information if you need it.

Why Do People Buy Medicare Supplements?

Even though Medicare is a very large program, it does not cover every medical service that an older or disabled person might need. In addition, there are plan copays, deductibles, and limits. Some beneficiaries choose to purchase a Medicare supplement to help them manage expenses.

What Is A Medicare Supplement?

A supplement, also called a medigap or medsup policy, helps pay copays and deductibles that Medicare does not cover. It is a very specific type of health insurance policy. Private insurers sell these plans, and they are meant to complement the original Medicare plan. A policy owner will be required to pay an additional plan premium for these plans. The cost will depend upon the level of the plan, the age of the covered person, the zip code it is issued for, etc. In this way, it is similar to any other sort of private health isurance plan.

Prescription Supplements

There a newer addition to the Medicare family, and these are called Medicare Part D or RX plans. They are also sold by private insurers, but some of the cost is paid from tax money so the qualified beneficiary will pay a smaller premium. These newer plans help pay for the cost of prescription drugs.

Should You Buy Supplemental Health Insurance?

There is not one right answer for everybody. Sometimes it can be hard to pay the premium on a tight budget. But it can be even harder to come up with the money to cover deductibles or copays if there is no supplement to help. Note that there are different levels of supplemental plans, and these levels provide different types of coverage and have different price tags.

How Much Does Supplemental Insurance Cost?

Let me repeat that the premium will depend upon the coverage level, age, and address of the covered person. There is not one right answer for every Medicare beneficiary. That is why there are so many different options. You should consider your options to find a plan and premium that will work out well for you!

Are You On Medicare?

Let us help you learn more about Medicare Supplements and Medicare Advantage plans.

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Understanding Medicare Eligibility

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There are two different methods in which someone eligible for Medicare can receive the programs benefits. The first is called "fee for service," sometimes also referred to as "traditional Medicare" or "Basic Medicare." With this type of coverage, a beneficiary can receive healthcare from any physician, hospital, clinic, or other provider of service who accepts Medicare patients. Medicare pays the provider a fee for each for each specific procedure rendered during the date of service. For services Medicare does not fully pay for, the patient has several choices.

Different Medicare Options.

(1)Patients may pay out of pocket.
(2)Purchase a private supplemental insurance policy, more commonly known as "medigap" coverage which is designed to pay for what Medicare does not,
(3)Purchase Medicare Part D prescription drug coverage as part of a separate Part D Insurance plan.
(4)Apply for Medicaid coverage, which is a federal program for low income people that pays almost all of the health care expenses that Medicare does not pay, Even if you do not qualify for Medicaid, you can apply for subsidized coverage of prescription drugs through Medicare Part D.

The second method that people can receive Medicare benefits is through a managed care plan, called Medicare Advantage, offered by private insurance carriers and managed care providers. These plans cover everything that traditional Medicare does, plus additional services Medicare does not cover at all. These programs also eliminate some of the copayments and deductibles required by traditional Medicare.

These managed care plans are usually provided by health maintenance organizations (HMOs) and are generally less expensive than the combination of traditional Medicare with a medigap supplemental insurance policy. However, managed care plans limit the health care providers a patient may use. And sometimes impede access to specialist by not authorizing treatment or limiting care.

Understanding your Medicare eligibility is important. Not knowing the different options available to you could mean the difference in terms of economic feasibility and also the preservation of your health. If you need assistance in researching or navigating the multitude of options available to you, please visit our website at http://www.health-insurance-buyer.com and leave your contact information. One of our licensed agents will call you at your convenience and help explain in detail what is for most a very complex subject in a way you can understand.

Carlos Diez is a senior benefits consultant for Health Insurance Buyer a referral service that refers consumers to the insurance carriers that can best fit their wants and needs. He holds life, health, and annuity licenses in 48 states and is appointed with over 88 carriers. For contact information please reach him at http://www.health-insurance-buyer.com

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Thursday, August 12, 2010

Understanding Medigap Supplemental Insurance

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Have you just retired from your job? Did you just lose it? Did you just have a vehicular accident? Do you have a child who is about to enter college? These are some of the questions whose answers are going to play a huge part in your financial situation. Having insurance is a good way to start preparing for your future needs, but sometimes this is not enough. There are some medical bills or health care costs that your original medical insurance won't cover and this is going to be difficult especially if you cannot even pay for basic health care. If you're having a problem with this, Medigap can provide some good solutions.

Medigap is a supplementary insurance that will help you pay some of your medical bills that your original health insurance won't. It may be considered secondary insurance that will pay for whatever excess there will be in your hospital bill beyond your Medicare coverage. Medigap offers different plans ranging from basic health care to those involving complicated scenarios and preexisting conditions. Of course, Medigap only works when you, at least, have your standard Medicare policy.

Just as there are different standardized Medigap policies, there are different companies that offer this policy. Of course, the premiums will vary as well and most differences will depend on the age, marital status, financial capacity and existing health condition of the member.

It is important to have something to rely on in times of emergencies and there is no question about the benefits of Medigap for someone who needs to pay hospital bills that come up to an amount in excess of what his existing Medicare plan covers. Choosing and knowing the right policy for you before you enroll will give you an idea on what program will suit your needs and how much you will need to pay.

When people don't take the time to review each policy, they tend to waste their time, money and effort on the wrong one. The worst consequence of this is not being able to enjoy any benefits due to minor technicalities such as misreported age. For this reason, it is very important for one to carefully go through each policy when determining which one among the different types is going to work for them when the need arises. It is easy to take these things for granted, but a small, unexpected error can cost the person a big sum. Thus, one should always take the time to research on the various plans before coming up with a final decision.

Medigap insurance, otherwise known as Medicare supplement insurance, has been proven to be an indispensable instrument in ensuring an individual's or family's health security. It is wise to read about this type of insurance before calling an agent.

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New Medicare Plan For Seniors Offers Choices For Consumers

June 1, 2010, is the launch date for the modernized Medicare supplement plans. For the first time in many years, a new and unique plan design is being offered. Mutual of Omaha, through one of its subsidiary divisions, is unveiling the new plan "N" to residents of Virginia.

Plan N will become one of the standardized supplement plans that insurers can offer to Medicare beneficiaries. A Medicare supplement plan, or a "Medigap" plan, can help pay for some of the expenses that are only partially paid by Medicare.

The new plan, which was recently approved by the Virginia Department of Insurance, is a great low-cost plan option. This is made possible by having the consumer pay some nominal copays for doctor visits, emergency room visits, and eliminating coverage for the part B deductible. While some supplement plans normally cover these charges, the premium savings in most instances far outweigh the potential out-of-pocket cost to the insured. Premium amounts are very low even at older ages.

Here is the most exciting point about this new plan for Virginia residents beginning June 1: United World Insurance Company, a division of Mutual of Omaha, will be processing applications without medical underwriting. This is a truly amazing opportunity for those who have desired to change plans or insurers, but have been unable to do so because of health reasons. Those who have become trapped in high-cost plans due to rate increases can now switch plans without worries of being denied coverage due to medical history.

These plans will be available for purchase though an agent licensed to sell Medicare plans in Virginia and appointed by the aforementioned company for the state of Virginia. For a free no-obligation, no hassle quote on this incredible offer, visit FindMeAPlan.com.

Mark Brooks specializes in affordable Virginia Medicare Insurance.

Mark is an independent agent with nearly 30 years of insurance and financial services experience. For more information about affordable medicare insurance visit his site at FindMeAPlan

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California Medicare Supplement Insurance Information

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Medicare insurance premiums are deducted from a persons social security check each month. It is a federally funded health insurance for people under 65 with a disability, people over 65 and for people with several other severe medical problems. This program is divided in sections A, B, C, and D, covering things from basic health care to prescriptions. Most people also obtain California medicare supplement insurance, although most insurance companies are "A" rated, the prices will differ. One company can start you off with paying a higher premium than others.

Because of the requirement for co-pays, premiums and other things many people, falling into these categories, found that they could not afford the coverage. As a result, anyone who has medicare insurance is urged to obtain supplement insurance. This insurance is intended to make up the difference between the Medicare allowance and the actual cost.

Under Part A of Medicare coverage, a person who enters the hospital must pay $1,100 in order to remain there up to 59 days. If staying 61-90 days it is $275 per day and 91-250 days it is $550 per day. Needless to say, the average retiree does not have the funds for this expense.

Part B, Medicare Medical Insurance, Part C, Medicare Advantage and Part D, Prescription Drugs are all part of the Medicare program. All involve charges, for the people covered under this insurance, whenever they incur expenses under these sections. Supplemental Insurance pays the difference between what Medicare pays and the co-pay, or other charges, required from the patient. Another name for it is Medigap.

As with any health insurance policies, a person will be questioned about their current medical condition and a determination made regarding their eligibility. Under recent Federal law, a person cannot be refused a policy because of existing or previous health conditions. Rates for the policy are set by the insurance companies and can change at any time, but California residents are given a "guaranteed insurance" day each year on their birthday which allows them to switch medicare companies in order to accommodate their changing health needs.

Many people have retirement health insurance, which is combined with Medicare, in a program called Senior Advantage. Most HMO groups have adopted this. Under this plan, after the Medicare payment is made the retirement insurance pays the difference. This has been excellent for those whose income falls considerably after they are no longer working.

There are certain health items that are not covered, even in a small amount, by Medicare, which is where the supplemental policy steps in. These private policies are stringently policed by the federal and state governments and must follow strict regulations. As a result, all California medicare supplement insurance. Policies are the same regardless of which company issues it.

Find the right California medigap coverage by looking online. Discover why medicare supplement insurance is a good idea. Head online today.

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Wednesday, August 11, 2010

Purchasing Medicare Supplement Insurance in Missouri

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Purchasing a Medicare supplement in Missouri can be somewhat overwhelming if you are not familiar with the process. You must be at least 65 years old or approved for Medicare disability. You must also be enrolled in Medicare Parts A and B with the federal government.

There are ten modernized plans available to choose from (A- N) as well as high deductible Plan F. It is important to request an outline of coverage from your agent so that you know what each plan covers. All plans are not offered by all insurance companies. Traditional Plan F is most comprehensive and usually most popular with those who are Medicare eligible.

All other plans will cover some of the gaps in Medicare and therefore you will have more potential out of pocket expenses. Should you choose a less comprehensive plan, you may end up with larger medical bills.

Missouri Medigap Anniversary Rule

What makes Missouri unique when compared to other states is the yearly anniversary rule. Each year, you can switch Medicare supplements in Missouri without medical underwriting. You can switch to like or lesser coverage with a different company in order to lower your premiums.

If for instance you have Plan G coverage, you could switch to another Plan G or any plan with less benefits without underwriting. However, because Plan F provides greater benefits than G, you would need to be underwritten in order to switch to a F Plan.

Your yearly anniversary is unique and occurs within a month of your effective date. It does not necessarily occur during the month of your birthday, but rather when you were enrolled into the Medigap coverage. The window of time to take advantage of this rule encompasses the the 30 days on either side of your effective date.

In order to enroll in a new Medicare supplement during this time, you only need to provide the new insurance company with a copy of the effective date of your old policy.

Medicare Supplements Under Age 65 - Disability Coverage

The state of Missouri also allows for individuals who are on Medicare disability to enroll into a supplemental plan. Just like those who are Turing 65, you must enroll during your open enrollment period to be issued a policy on a guaranteed basis. Open enrollment encompasses the three months before your approval, the month of your approval, and the three months after.

It is important for those who are on disability to take advantage of this window of time. Otherwise, you can be denied coverage later on if you need to be medically underwritten. Those on disability can also take advantage of the yearly anniversary rule.

Purchasing a Supplemental Policy

If you are in need of supplemental insurance, it is wise to shop through an agent. There is no mark up for their services and you can compare prices from several companies at once. By learning the plan designs and shopping for the best rates, you should have no problems finding a suitable Medicare supplement insurance plan.

A.M. Hyers has been working in the insurance and investment industry for over twelve years. He owns and operates Hyers and Associates, Inc. an independent insurance agency doing business in Missouri and several other states.

His agency offers insurance products in the individual, family, and small business group marketplace. They use the leading national insurance carriers to quote health insurance, health savings accounts, dental, and vision plans.

Other lines of insurance offered include life insurance, disability insurance, and long term care insurance.

They use several carriers to quote Medicare supplement plans and Medicare Part D coverage for seniors.

Additionally, the independent agents of Hyers and Associates Inc. offer fixed, indexed, and immediate annuity policies for individual and group retirement plans.

Medicare supplement insurance quotes and coverage across the US.

Missouri Medicare Supplement Insurance Quotes

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What is Medicare Advantage and Why Do I Need it?

get the additional benefits offered by the Medicare Advantage Plan, you will also have to a pay a monthly premium towards it. Based on where you are located, you can also avail the facility of $0 monthly premium Medicare Advantage Plan and even get a part of your Part B premiums reimbursed. There are certain plans that are designed to cover dental and visual costs for inpatient services, doctor's tests, hospital fees, skilled nursing, outpatient fees and many others. There are health club memberships also that are included under certain plans.

The Medigap plan will cease to work if you enroll for the Medicare Advantage Plan. There will be no co-payments, cost sharing or deductibles that will be paid by your health plan. Though, as per law you have the right to hold on to your Medigap policy, you might want to consider dropping it when you opt for the Medicare Advantage Plan.

As always, to save on Medigap plans, compare Medicare quotes before enrolling in a specific plan.

Jeb Blank writes frequently about medicare quotes for Insuriffic.com.

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Part C Supplement to Medicare Coverage

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It is best to take one section at a time when it comes to Medicare coverage. It can be overwhelming and confusing. Part C is explained here.

Part C is also called the Medicare Advantage Plan and is much like an HMO (Health Maintenance Organization) or PPO (Preferred Provider Organization).

Medicare Part C basically combines both Part A and Part B and is available through private insurance companies. As such, it must cover all medically needed services, and in most cases usually offers additional benefits and prescription drug coverage (Part D). It is to your advantage to shop for Part C. Different companies offer different plans with certain incentives or options to get you to purchase their plan. If you search "compare Part C Medicare plans" you will have a number of options offered by which you can make a much more informed decision.

So, what Part C (Medicare Advantage) Plans are out there? There are several and include the following:

PPO-Medicare Preferred Provider Organization - In a PPO you have the freedom to choose or doctor or specialist. If your preferred provider is not in the PPO network, there is an 'out of network' charge and your care will be more expensive. The upside is that you can usually see a specialist without a referral. HMO-Medicare Health Maintenance Organizations - You can only choose from medical providers within the HMO network, and that may include the hospital(s) you are authorized to use. This is especially important to remember in the event of an emergency and transport by ambulance. Most ambulance companies will take you to the nearest hospital, but if you are stable enough, you can request transportation to your hospital of choice or the one covered under your HMO. You will also most likely be required to have a referral from your Primary Care Physician (PCP) in order to see a specialist. PFFS-Medicare Private Fee-for-Service - In this plan you are able to see any doctor or specialist that you choose, without a referral. The only caveat is that your choice be willing to accept the PFFS's terms and conditions. It is a simple matter of asking the provider's office and of possibly obtaining that agreement in writing for your financial protection. Watch the small print on the insurance forms you fill out and ask the office personnel if you are asked to sign anything that says that you will be responsible for anything not paid by your insurance. MSA-Medicare Medical Savings Account - There are two parts to this plan. The first is a high-deductible plan that will not provide coverage until that deductible is met and the second is a savings account managed by Medicare and into which money is deposited for you to use for health care costs. Medicare Special Needs - These types of plans are for persons with specific chronic diseases or other special health needs. Any Special Needs plan must include Part A, Part B and Part D.

When it comes to prescription drug coverage most Medicare Part C plans have it included. If it is included you must take it. If you already have a standalone prescription plan and your Part C also has one, then you cannot keep your Part C coverage or must do away with the standalone prescription plan. You may want to just subscribe to Part A and/or Part B and keep your current prescription plan.

Medicare takes some time to understand, but the best approach is just straight forward. Don't hesitate to ask questions. Most Medicare representatives are more than happy to explain benefits to you and to help you choose a plan. Don't settle either! Ask questions until you understand. Do not be embarrassed at your inability to understand when it is first explained to you. Medicare is a government agency and therefore tends to talk in 'government speak'. You are not alone and if you are speaking with a representative that doesn't seem to be helping you, then find another representative. It is your right.

Along with writing online articles about Medicare, Joseph enjoys working in his gardens. Garden Harvest Supply is one of his favorite gardening websites which offer two products that will increase your tomato harvest, neptune's harvest for the proper nutrient needs and tomato cages folding for proper support of the plant.

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Tuesday, August 10, 2010

Turning 65 Soon, and Going on Medicare?

Getting medical attention can at times be an expensive venture and to ensure that your interests are safeguarded, it is important to opt for a Medicare supplemental insurance. This is largely due to the fact that it is the best plan for people who rely on fixed income. Supported by the National Medicare supplements program, this provision is made by various companies and for this reason, it is important to know some of the things that you ought to consider before signing up with any provider.

For starters, it is important to note that according to the law, this is supposed to be availed in fourteen plans which are labeled from A to N and they are supposed to cover varying expenses. Among these, part A and part B are a must have since they cover the doctor and hospital costs respectively. At this point, it is imperative to note that you should aspire to find out more about the provisions made in each plan so as to choose the one that matches up to your needs perfectly. This can be done easily by visiting some of the companies that provide these plans and going through the provisions made in each plan to understand the contents better.

There is a general Medicare plan and it is advisable to understand what it covers before shopping for your coverage plan. At this point you should note that this provision covers for 80 percent of the overall medical costs and this will include the costs for doctor services, recovery at home, hospital expenses and any other additional costs which might be faced. Since each of these plans caters to different things, it is ideal to ensure that you understand each fully. The best way through which you can do this is by getting a Medicare advisor. Since they understand the content well, they will educate you on what features to look out for in accordance to your health condition. What is more, the provisions made in each plan also vary in terms of overall costs. What is more, since they understand the varying needs of people with varying health conditions, they will also ensure that they point out this information before advising you on the best plan.

Another important thing that you have to note is that the Medicare supplemental insurance plan A to L cater for specific Medicare coverage while plan K and L though offering the same provisions require lower premiums and subsequently call for higher additional costs on the part of the insurance holder in the event of any accident. For this reason, provisions the effectiveness of the plan changed since 2009 to contain a $ 2,000 deductible which is the sum the holder of the policy has to pay before the plan can cover the rest of the costs. Whichever way you look at it the National Medicare supplements plan is an ideal investment that will ensure your medical needs are catered to in an easy and convenient manner in case of any eventuality.

Always make sure that you consult with expert advisers on the most viable Medicare supplemental insurance policy for your needs to ensure that you get the best out of the National Medicare Supplements plan.


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Medicare Complete - Is it a Medicare Supplement Or Medicare Advantage Plan?

If you watch TV, you probably have seen one or more advertisements for Medicare plans. Many of these plans are offered by United Health Care. They offer Medicare supplements, also known as Medigap, and Medicare Advantage Plans. But which type of plan is Medicare Complete?

Many people refer to all Medicare plans offered by private insurance companies as supplements. But this is not the case. Medicare supplements and Medicare Advantage Plans are two distinct types of plans. This misunderstanding leaves people confused about Medicare Complete. Before we unravel the mystery of Medicare Complete, let's take a look at the difference between a supplement and an Advantage plan.

Medicare supplement - A supplement or Medigap insurance is an insurance policy that is offered by a private insurance company to fill the gaps left by Medicare. When Medicare was enacted in 1966, it was not meant to be totally comprehensive coverage. The beneficiary is responsible for a certain level of cost sharing. In general terms, the beneficiary is responsible for a hospital deductible, co-pays after extended hospital stays and 20% of outpatient expenses.

Medicare Advantage Plan - An Advantage Plan is also offered by a private insurance company, but instead of filling the gaps left by Medicare, the Advantage Plan is another way to receive your Medicare benefits. Insurance companies contract with and are approved by CMS (Centers for Medicare and Medicaid Services) to administer your Medicare. Plans are required to meet certain criteria, and in many cases offer benefits beyond conventional Medicare. You may still have cost sharing, but it is in the form of deductibles, co-pays and co-insurance. Plans typically include a maximum out-of-pocket expense. Advantage Plans often include Part D prescription drug coverage.

Setting the record straight. Medicare Complete is a Medicare Advantage Plan. Offered in some service areas as a PPO and offered in others as a HMO, Medicare Complete does not fill the gaps left by Medicare, but rather is an Advantage Plan with predetermined out-of-pockets costs. Unlike a standardized supplement, Medicare Complete may have varying levels of coverage and benefits depending on the plan's service area. You may have a regional PPO plan available in your County, while someone in a neighboring County may have Medicare Complete available as a HMO plan.

If you are looking for a plan that includes Part D drug coverage and a low monthly cost, then you may want to take a look at Medicare Complete when you are comparing Medicare Advantage Plans. If on the other hand, you don't mind a higher monthly premium and are looking for a plan that will fill the gaps left by Medicare, you may want to consider a Medicare supplement.

Determining if Medicare Complete is right for you.

Here are some things to consider when determining whether Medicare Complete is the best plan for your needs.

Is the plan affordable? This means affordable, not only as far as any premium that may be required (there may not be one!), but also the amount of cost sharing that may be required to use the plan.Do you feel comfortable with the plan's provider network? In many service areas Medicare Complete has a strong network, but you need to investigate this for yourself.Does the plan offer as many extra benefits as other Advantage Plans that may be available to you? Many plans offer dental, vision, hearing and in many cases the Silver Sneakers program.Do you feel that the maximum amount out-of-pocket that you could incur is reasonable compared to paying a higher monthly premium for a supplement? If the maximum annual amount is high and you have several costly health conditions, you may want to consider whether a supplement would be a better option.

Choosing a Medicare Advantage Plan is an important decision, but armed with the right information, it does not need to be overwhelming. Now that you know that Medicare Complete is an Advantage Plan, it is up to you to do your homework and determine if the plan is right for you.

David Forbes is President of Alliance Marketing Associates, Inc. David offers helpful advice on topics related to insurance for seniors, including finding an affordable Medicare Plan.

Sign up for your Free Mini-Course on Medicare Plans at http://www.affordablemedicareplan.com/


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Understanding Medigap

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We are only humans and no no matter how careful we are in taking care of our health, we cannot completely avoid getting sick. Modern lifestyles even increase our risk for falling ill and even if we multi-vitamins or the anti-oxidants available in the market, we simply get sick more often today than people of older generations.

So, how can we ease the burden of our families when medical costs add up? Fact is, looking after us when we are sick can already be very taxing on them and if they have to worry about paying the bills in the hospital, we'll only be stressing them out more. Medications are yet another problem we will be facing when we are just average individuals who may not even make enough money for savings. And even if we're covered by Medicare, sometimes, there will be an excess of what this insurance covers. To make sure this gap is filled, getting Medigap insurance will go a long way.

Qualifying for medical supplementary insurance will depend on whether or not you are Medicare-covered. The following are two important and more detailed guidelines for qualifying for a supplemental policy:

1. If you are sixty five years old or older

2. If you are enrolled in Medicare A & B

When you're sure you qualify for Medigap, the next thing you need to do is explore the benefits you'll be enjoying by getting a medicare supplement insurance. First of all, this policy can offer you 100 percent hospital bill coverage when applied to specialty hospitals. Outpatient prescription drugs are dependent on the member's policy.

However, not every sickness is covered by Medigap. Diseases that require long-term treatment or care like eye or dental care, hearing aids, nursing care, eyeglasses and private-duty nursing are not covered by any medicare supplement insurance policy. Many people are interested to avail of prescription drug coverage and to do this, simply go to any private insurance company and tell them you need a Medicare Prescription Drug Plan which is called Part D Insurance.

If you want to know more about the ways a Medigap plan can help you, there are websites that tackle each plan and provide specific details about how you can make use of a particular policy for your added security. Medicare works but it can work better when you have something to supplement it during times when it simply won't suffice to pay for everything.

Get Medigap and be assured of peace of mind when it's time to pay your medical bills. These days, a medicare supplement plan can provide valuable help in terms of the health care needs of average families.

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Monday, August 9, 2010

New 2010 Modernized Medicare Supplement Plans

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Medicare insurance is a health insurance program for citizens who are over 65 years old. it covers different types of treatments, doctors visits as well as hospitalization and many other medical related expenses apart from those that are incurred by care for the long term. It takes care of up to 80% and depends on a number of things such as the type of coverage the patient is under. There are times where people are not able to make co-payment in cash and therefore they opt for Medicare supplemental insurance that are available and managed by different companies but work with Medicare guidelines
National Medicare supplements come with 12 options from which the clients can choose. Though they all have different types of terms and conditions, they contain the basic Medicare benefits. The difference is seen in the premium, as well as the expenses that the client will pay which vary from one company to the other.

Also known as Medigap, Medicare supplemental insurance is not available in other states and in others like Massachusetts, Minnesota and Wisconsin; it is very different from the others. The plan is divided into different policies as below



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Medicare Advantage Health Plans Offer the Benefit of Predictable Costs

No one likes uncertainty, especially when it comes to money. If you are enrolled in Medicare, you know all to well that Medicare has some gaps in coverage. Medicare is a safety net and was never intended to pay 100% of covered services. Cost sharing with original Medicare includes hospital deductibles, co-pays and co-insurance for outpatient services. The biggest area of uncertainty is outpatient services. Medicare beneficiaries are required to pay 20% of medical costs.

One of the main reasons that individuals enroll in Medicare Advantage health plans is because of the predictable cost. With an Advantage plan, you know ahead of time what your costs will be for any services rendered.

Many Advantage Plans have predetermined co-pays for covered services. Although plan design varies from one Medicare Advantage health plan to the next, medical services with co-pays, may include:

Primary care doctor visits, Visits to a specialist, Urgent care visits, Emergency room visits, Some outpatient testing, Ambulance service and other Medicare covered services

Knowing your costs ahead of time can bring peace of mind. In addition, if you have an idea what your responsibility will be, you may be more likely to seek medical treatment.

Medicare Advantage health Plans can mean certainty.

The biggest benefit that an Advantage plan has to offer, is the feature that ensures beneficiaries have an annual maximum out-of-pocket amount. Original Medicare does not offer a maximum out-of-pocket amount. In the case of outpatient services, you are responsible for 20% of the charges for covered services no matter what that may be.

Medicare Advantage health plans typically give a dollar amount indicating your maximum annual responsibility. When you have reached that amount, through deductibles, co-pays and co-insurance, your responsibility stops and the plan pays covered expenses at 100%.

Advantage Plans often include coverage for additional services not covered by Medicare, such as; dental, vision, hearing and sometimes health club memberships. When on a fixed income, these benefits can make a big difference.

If you are looking for a plan that will ensure predictable costs, you may want to consider a Medicare Advantage health plan.

David Forbes is President of Alliance Marketing Associates, Inc. David offers helpful advice on topics related to insurance for seniors, including finding an affordable Medicare Plan.

Sign up for your Free Mini-Course on Medicare Plans at http://www.affordablemedicareplan.com/

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Medicaid and Medicare Beneficiaries Advantage Plan Options

If you are enrolled in both Medicaid and Medicare, you are considered to be a dual eligible individual. Your health benefits are coordinated between Medicare and your State's Medicaid program. It is important to know that, as a dual eligible individual, you have some choice when deciding on a Medicare Plan.

There are Special Needs Medicare Plans available for certain categories of individuals, including those that have both Medicaid and Medicare. A special Needs Medicare Plan is a type of Medicare Advantage Plan that is offered by a private insurance company. Insurance companies that offer Medicare Advantage Plans contract with and are approved by CMS (Centers for Medicare and Medicaid Services) to administer your Medicare Plan.

There are three types of Special Needs Plans (SNP)

Dual eligible Special Needs Plans for those with both Medicaid and MedicareChronic Illness Special Needs Plans for those with qualifying chronic illnesses.Institutional Special Needs Plans for those confined to a nursing home.

Part D Medicare Drug Plans are included in all Special Needs Plans. If you are dual eligible and have both Medicaid and Medicare, your co-payments will be subsidized and the Medicare Drug Plans generally will not require a monthly premium. In general, if you are enrolled in both Medicaid and Medicare, you will not pay a premium for your Special Needs Medicare Advantage Plan.

But if you have both Medicaid and Medicare, and Medicaid only allows for partial benefits, you may want to discuss your Medicaid status with your insurance agent to make sure a special Needs Plan is right for you.

The benefits of choosing a Dual Eligible Special Needs Plan

If you have both Medicaid and Medicare, a SNP may allow you more benefits than what you would otherwise have. Many include dental, vision, gym memberships, as well as transportation benefits to and from medical appointments.SNPs for those with both Medicaid and Medicare are generally network-based plans and may afford you some provider options that you otherwise may not have available.If you qualify, you are not subject to the enrollment periods that limit most people who would like to enroll in or change Medicare Plans.Part D drug plans are included in the SNP and you will only have to interact with one customer service department, should it be required.

Medicare Advantage Plans generally offer benefits beyond what original Medicare offers. As a dual eligible individual, you have the right to explore your options. Enrolling in a Special Needs Plan for people with both Medicaid and Medicare may give you more freedom of choice and some benefits you would otherwise not have available.

David Forbes is President of Alliance Marketing Associates, Inc. David offers helpful advice on topics related to insurance for seniors, including finding an affordable Medicare Plan.

Sign up for your Free Mini-Course on Medicare Plans at http://www.affordablemedicareplan.com/

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