How Prescription Drug Coverage can be avoided from penalty

Are you a patient with chronic condition requiring medication in lots? There are possibilities that you get your prescription drug planned. In case, you are fit and are in no need of any medication, what is the use of Medicare signing up is the question. However, with prescription drug coverage, there is a need for Medicare and signing up becomes inevitable as you become eligible for the first time. If you miss the eligibility time, down the road you may pay more as penalties.

Why does federal government sign up and pay a premium for something that you do not use right now? The insurance concept is a shared risk such as you cannot look for homeowners insurance, when your house is on fire.

Medicare supplement plans are a must and the Medicare prescription drug coverage is in Part D. There is confusion about the penalty in Part D for not signing in time. This confusion is centered on people having coverage from a former or current employment, group plan or some union health plan.

The bottom line is that having a drug coverage meeting the minimum standards of the 2019 Medicare supplement plans do not pay penalty for not signing during eligibility for Part D.

Creditable Coverage

Coverage must be creditable such that the coverage should pay same as any standard prescription drug coverage of Medicare in an average. In case there is drug coverage through some group plan, there is a need to tell if the coverage is creditable. Thus, Medicare supplement plans send information once a year. It may arrive as a newsletter, letter or a standalone notice. You can keep this information so that it is useful as you sign for a Medicare drug plan.

 

The Penalty

If you have no ‘creditable’ drug coverage for prescription, you may pay to get Part D. The time frame allowed to have creditable coverage prescription drug is for 63 days and after that you are liable to bear the penalty.

 

The penalty is calculated depending on a few factors. This depends on the base premium, time – the late period and a fixed percentage. The charge is calculated as one percent per month of late enrolment.

This is important to know because your healthcare requirements may change with age and your doctor is likely to prescribe additional or different medications. Thus, from October 15 to December 7, using the Open Enrollment period it is ideal to evaluate your plan and to make suitable changes with your change of needs.

Are you turning 65, time to Sign Up for Medicare

Are you turning 65, time to Sign Up for 2019 Medicare

 The well-known perception is your 65th birthday is the milestone in your life to kick back, and reap the fruits and this is the time you enjoy sunsets sitting in your porch.

The eligibility of Medicare supplement plans are based on the traditional retirement age. However, now people do not retire soon and continue to work as they enjoy working or for financial reasons. This is the reason Americans who are 65 and older are either full or part-time employed. The count of employed people in 2000 was 4 million and it has increased in 2016 to 9 million people.

Ironically, stating financial reasons to work beyond 65 may cost you in the Medicare supplement plans premium penalties. In case you miss the enrollment dates of Medicare, you must be prepared to pay penalty. It is important that you understand about Medicare enrolling keeping your eyes wide open.

Here are a few points to bear in mind in case you are planning to work past your 65th birthday.

Why signing up at 65 for Medicare should be done?

Approaching age 65 implies you can have your Initial Enrollment Period of Medicare supplement plans anytime you make decisions to sign up for Medicare. This is a window for 7-month and includes the month of your birthday of 65th year, 3 months after and before birthday.

 

For instance, in case your 65th birthday falls on June 20, your IEP will start on March 1 and end on September 30. Your IEP is the time to understand about the option of Medicare coverage.

 

Medicare coverage options help in figuring out that you wish to enroll and the coverage. In case you are working, it is best to check for plan benefits with your employer to understand how Medicare works and the coverage will benefit. This must be understood before making final decisions.

 

If you do not have through your employer health insurance, you may enroll in Part A Medicare and Part B Medicare to get full benefit of Medicare supplement plans. Even if you have some other health coverage or employer offered health insurance, you may sign up for Part A on turning 65 as most people can get it and it does come for free of monthly premium.

The bottom line

Delaying your retirement after 65, does not mean you can delay in making Medicare decisions and can delay with enrollment. You will end up paying late enrolment penalties and higher monthly premium.

10 Reasons Why Is It Absolutely Necessary To Get Covered Under Medicare Supplement Plans

10 Reasons Why Is It Absolutely Necessary To Get Covered Under Medicare 2019 Supplement Plans

The Medicare Supplement plans are a type of supplementary insurance which helps in supplementation of the Original Medicare plan. There are certain coinsurances and copayments which the original plan does not cover. There are many of us who do not know that if a person spends more than 45 days in a year in the hospital, the patients need to bear some of the hospital bills. The original plan does not provide coverage after that period.

A senior citizen who is suffering from any kind of terminal illness, the copayments can become a serious burden on them. The Original Medicare plans are generally sold by government bodies but the Medicare Supplement plans Medicare are sold by privately owned agencies. These plans are exclusively designed for senior citizens. Yet it was reported that only 30% person of the total senior citizens residing in the US come under the Medicare Supplement plans.

Benefits of the Medicare Supplement plans:

The benefits of owning a Medigap plan outnumbers the monthly burden of premium. If a person is insured under this plan, he gets supplementation when it comes to hospital and medicine bills. If the person wishes to receive treatment in a foreign land, the plan covers as much as 80% of the total expense. It also provides expense for hiring skilled nursing facility.

Criteria:

Since Medicare Supplement plans were designed exclusively for senior citizens, a person must attend the age of 65 to become eligible for this plan. There is a period called Medicare Supplement Enrollment Period which lasts for about 6 months and starts from the month the person turns 65 or more. There may be disqualification criteria for people who have pre-existing medical conditions. Either the company disqualifies the person or charges a higher premium amount from the person. It is very often found that a person pays more premium amount in spite of receiving basic benefits. The location of the insurer often comes into play while calculating the premium.

Conclusion:

Apart from the location, there are several other factors that are taken into consideration. There are some companies who do not consider the age of the insurer but some agencies take the age of the insurer into consideration. There are certain limitations of a Medigap. It does not cover the expenses of Type D prescribed drugs. The Medicare Advantage plan may come in handy in such cases. If a person wishes to cover his entire family with Medigap, he has to buy separate plans for each of the family member. These plans are individualistic in nature.

How To Avoid The Medicare Part A Deductible

 

Medicare part A and Medicare part B cover for your health insurance costs, but only up to a certain amount and only for limited health care providers and services. The Medicare Part A is designed to help with expenses due to hospital stay. This also includes skilled nursing facilities, hospice and in-home health services. The Medicare Part A deductibles, leaves you paying a whole lot out of your pocket too! In 2018, these expenses were as following:

  • The first 60 days of hospital pay you will need to pay up to $1, 100
  • After the 60 days, it is $275 per day
  • After 90 days it is $550 per day
  • All expenses after 150 days of hospital stay per year

For healthy individuals who don´t need to be admitted to a hospital, this won´t be a warning sign, as they won´t have to pay for this at all. However, imagine having a condition that will require you to stay in a hospital for a longer period of time? Imagine having an accident or injury, that will take time to heal? The bill can go so high, that some individuals are left ruined financially due to the high costs. If you have been worrying about this too, there is a solution available, that will give you a peace of mind. Enroll to a Medicare supplement plan!

A Medicare supplement plan that covers for the Medicare part A deductible will leave you worry-free. You will pay a monthly premium rate for the supplement plan and know, that if you ever need to be attained to hospital, your health insurance company will cover for it. Not only does it give you a peace of mind, it can also save you money in the long-run. Statistics say, that even if you only need a couple of days per year of hospice stay, it may save you money paying for the monthly rate instead.

The AARP 2019 Medicare supplement plans that cover for the Medicare part A deductible, are: Medicare supplement plan B, C, D, F, G and N. There are two Medicare supplement plans who only cover 50% of these expenses: Medicare supplement plan K and M. The Medicare supplement plan L will cover 75% of the Medicare part A deductible costs.

These Medicare supplement plans are all available at different premium rate costs. Some of them, such as B or N, offer only a limited amount of additional expenses and are therefore cheaper. Plans, such as supplement plan C or G, who offer for more benefits will also cost you more. You need to look at the other benefits of these plans before deciding. Although it might seem smart to get the cheaper one, you might end up having to pay out of your pocket for other expenses, apart the Medicare part A deductible, such as for the Medicare part B deductible, part B excess charges, foreign travel and more. Compare different health insurance companies to find the lowest premium rate available for you!

 

How to Avoid Costs for Foreign Travel Insurance

How to Avoid Costs for Foreign Travel Insurance

When it comes to travelling, it is important to know that the health plan you are now on, might not be covering for it! This means, that when abroad, you will be left with paying for all kinds of expenses due to travel insurance. There is a good way of avoiding this, especially if you already know that you will be travelling. Enroll to a Medicare supplement plan and know that no matter what happens abroad, your Medicare supplement plan will cover for it!

Medicare part A and part B only cover for very limited cases of health care emergencies that happen outside of US border. In fact, when on US waters, you would get coverage only if the emergency occurs six hours away from the U.S, port. When by road, the coverage will only be accepted, if you were found near a border in the moment the emergency occurs. If the nearest hospital is in the country nearby, then you can freely visit that hospital, knowing that Medicare part A and B will cover for it. For any other cases, you are basically left on your own. Unless, you get a Medicare supplement plan!

While the Medicare supplement plans A, B and K also don´t cover for any expenses, all other seven Medicare plans do! You are free to choose between the Medicare supplement plan C, D, F, G L, M or N.

If you are only looking into a Medicare supplement plan that will cover travel insurance and nothing else, the supplement plans L, M or N might be the best choice for you. These all offer only a limited amount of additional benefits, apart from the travel insurance, which also means that the premium rates will be lower. Supplement plans C, F and G offer more benefits, with supplement plan F covering for all expenses. Therefore, these last Medicare supplement plans will also be more expensive.

You also need to make sure that you are enrolling to a Medicare supplement plan at the right time. Yes, there is a right time when it comes to Medicare. While you can enroll to it throughout the year, the premium rates might be higher. The lowest possible rates will be provided to you during your open enrollment. This is a period of six months, which starts when you turn 65. It is best to think about whether you need a supplement plan or not before this time runs out. When enrolling to a Medicare part A and B, you should also get a supplement plan, if you feel that this will be necessary for you financially. Unfortunately, in many cases, this is hard to predict and some make the mistake of believing that they will not need any health care, or only up to a limited amount. However, as many conditions cannot be foreseen, you might be left paying only for Medicare part A and B, which is cheaper short-term, but then receive an out-of-pocket amount that could be more than you can afford!

 

Medicare Advantage VS Medicare Supplement Provider

The 2019 Medicare Advantage VS 2019 Medicare Supplement Provider

 

When you reach the age of 65, you will be provided with some choices when it comes to your health care policy. Ultimately, the first option for seniors is “traditional” Medicare or Medicare Advantage. Although these two government programs are often accepted as equal, they are in fact completely separate. You cannot sign up for both at the same time. The first step is to decide which of these plans you will use as your primary health care insurance.

Medicare Advantage Plans (Medicare Part C) are plans that are approved by Medicare and handled by private companies. Some plans are free and offer additional benefits that are not included in Medicare. The annual election period is 11/15 to 31/12. During this time, you can make changes to your insurance.

The open enrollment period is 1/1 to 3/31. You can make changes to your plan during this time.

Some plans may also include a prescription drug plan (Part D). As a result, members not only receive high-quality health care without the cost of high premiums or deductibles, they have virtually no paperwork to fight. And at the same time they still enjoy more medical services and benefits than what the original Medicare offers for little or no additional cost.

The most preferred option is the so-called “traditional” Medicare, which includes Part A and Part B. Some of the key benefits associated with this selection include:

Benefit of Choice: You can choose the doctors you see and the hospital you prefer for any appointment or procedure that you encounter. It is usually very important that the elderly are allowed to use any doctor they want. Often, they already have a doctor that they have used in the past and are completely happy with them so that they cannot cope with changing physicians.

Medicare Supplement / Medigap: Those enrolled in “traditional” Medicare are also eligible for a Medicare Supplement, or Medigap Plan, to cover the gaps associated with just Medicare alone. Medicare alone can cover 80% of approved medical costs, while you are responsible for the other 20%.

On the other hand, some opt for Medicare Advantage, also referred to as “Medicare Part C”. This is the least popular of the two options for some reasons:

Choice Restrictions: Under this type of plan you are limited to which doctors and hospitals you can use. For many, this fact is somewhat disturbing. For those who have seen the same doctor for several years, they are understandably unwilling to switch to someone unfamiliar with them and their medical history.

No Medigap Option: Seniors who enroll in a Medicare Advantage program, are not eligible to sign up for a Medigap / Medicare Supplementary Policy. For some, this could mean in the long run that they pay more for their medical expenses out of pocket.

As mentioned above, “traditional” Medicare is generally the coveted plan of the two. Medicare accompanied by a Medicare supplement policy tends to provide the best and most thorough coverage for seniors. While Medicare Supplement plans are standardized in their services, Medicare Supplemental providers will have different prices due to many influences. It is always recommended to research these top insurers before making a final decision.

 

 

What Medicare Supplement C Is All About

Medicare supplement plans are there to help you cover for expenses that won´t be covered by Medicare plan A or Medicare plan B. One of the 10 available plans is the supplement plan C. Here is what Medicare Supplement Plan C is all about! Find out whether it´s the right supplement plan for you or not!

 

What It Covers

The benefits of an AARP 2019 Medicare supplement plan C are found at  www.bestmedicaresupplementplans2019.com/aarp-medicare-supplement-2019/    It is one of the Medicare supplement plan C that covers for almost all of the expenses. The benefits of this supplement plan, are:

  • Coverage for part A hospital insurance expenses
  • Coverage for additional hospital days (up to 365 days)
  • Coverage for the expenses of getting the first three pints of blood (Medicare plan A and B cover for the rest)
  • Coverage for the expenses of Medicare Plan B coinsurance
  • Coverage for the expenses of hospice coinsurance
  • Coverage for the expenses due to skilled nursing facilities
  • Coverage for the part A deductible
  • Coverage for the part B deductible
  • Coverage for expenses of preventive care coinsurance
  • Coverage for travel insurance

What It Doesn´t Cover

There is only one expense that isn´t being covered by Medicare supplement plan C. This is the expense of the Medicare Part B excess charges. Yet, this can also be avoided and you might end up not having to pay any excess charges at all. Avoiding these charges is actually not as difficult. All you need to make sure is, that you´re visiting only doctors who will charge you what Medicare supplement plans cover. And there are many health providers who do! Excess charges are costs of health providers who will charge you over what is being covered by your supplement plan.

When it comes to this supplement plan, it is worth knowing that it won´t be available for much longer. New law has been passed, which prohibits health insurance companies from offering plans that cover for the part B deductible. This is why starting on January 1st, this plan will not be available to new members. Those who enroll to this plan before 2020 can still continue using its benefits.

The part B deductible is a yearly amount of 183$. Due to the new law being passed, many are choosing not to enroll to this plan or change on another one. The predicament is, that once the plan has less and less members, the premium rate for it will increase. The health insurance companies have said, that this is not to be expected and that if there is an increase, it will be a minimal one. Only the future will tell what will happen to the premium rate of this plan, however until now, it has been a favorite, as it covers for almost everything, yet costs less than a plan who cover for the Medicare Part B excess charges. One of these plans is the supplement plan F, which covers for the excess charges but also has a higher premium rate.

Take advantage of the benefits of Cigna Medicare supplement plans

Take advantage of the benefits of 2019 Cigna Medicare supplement plans

If you have been struggling due to high bills for health care, you might just need a better solution. Medicare part A and Medicare part B cover for the most basic expenses. Everything else needs to be paid out of one´s own pocket. For healthy individuals, the out-of-pocket amount won´t be as high and they won´t feel disturbed by the fact that they need to pay for the bills additionally. However, anyone who has been in a hospital and had to stay there, knows that the bills just keep getting more and more! If it´s already up to a point where it is leaving you behind financially, you need to do something about it as soon as possible. Better yet, you start doing something about it before this even happens.

A Medicare supplement plan is offered to all citizens of the U.S and those with a legal permit. It is offered by private health insurance company exactly for that reason, so that you don´t have any surprises financially, which you then can´t afford. It is best to pay a monthly rate for the health insurance premium, then pay an amount that will leave you sleepless at night. There are different kinds of supplement plans that have been designed for different kinds of needs. For example, not everyone needs a supplement plan that will cover for Medicare part B excess charges. These are expenses that some health care providers will charge you, but not all. You can also find a health care provider that won´t charge you any excess charges at all and will only charge you what they know will be covered by your health insurance company. This would mean that you can´t visit all health care professionals. To some, this would not be a disadvantage and they can enroll to a plan that won´t cover it and will cost lest. To those, for whom it is a disadvantage, more expensive premium plans cover for the Medicare part B excess charges too!

The Medicare supplement plans are available as such in 47 States of the United States. In Massachusetts, Wisconsin and Minnesota, the Medicare supplement plans will be standardized differently. If you are enrolled to a Medicare supplement plan A in, for example Arizona, you won´t need to do anything if you move to another state, unless it´s one of the three. Moving to one of the three states with different Medicare supplement plans would also mean that you would have to choose a new one. However, the good thing about it is that, due to this, you will be able to enroll to any Medicare supplement plan there. The health insurance companies would grant you the same rights, as during open enrollment period. The premium rate will be the lowest, because the health insurance company will not be allowed to look at your preexisting conditions.

Health insurance companies set the prices based on different types of criteria and before choosing the first available option, make sure to compare what different kinds of companies charge!

Do Medicare Supplement Plans Cover for Prescription Drugs?

Medicare supplement plans are known for helping you minimize your out-of-pocket expenses for health care. To those who don´t like financial surprises, Medicare supplement plans serve well, as they cover for what´s not being covered by Medicare part A or B. It is better to pay for a premium rate of a supplement plan and always know how much you will need to pay. They give you the freedom of getting the health care you need, whenever you need it. Otherwise, you will be left with either not being able to visit a health care provider due to the financial costs, or in cases of emergency, you will have to visit a health care provider and will be left with a huge bill to pay on your own. Paying a monthly premium rate is sort of like splitting this big bill into bits and pieces, making it easier for you all-round.

There are so many benefits that Medicare supplement plans cover, that it can sometimes get confusing. Which Medicare supplement plan covers for which expense? Do I really need a plan to cover for those expenses? Medicare part A or B deductibles, coinsurances, excess charges and so much more. One question that many also wonder is when it comes to prescription medication, will my supplement plan cover for it too?

The Best 2019 Medicare supplement plan that covers for all possible expenses out there, is the Medicare supplement plan F. and not even this one will cover for expenses of prescription drugs. No supplement plan will. Instead, your option is to enroll into a Medicare part D!

The rate for Medicare part D is often also paid monthly. Medicare part D are also offered by private health insurance companies, but only those, who have been approved by Medicare. As these health insurance companies are private, the premium rate that you will need to pay will vary from company to company. It is therefore a smart move if you compare the price before choosing enrollment to one particular company.

In 2018, the deductible of Medicare part D was as much as 405$. After you´ve paid for prescription drugs up to 405$, the part D Medicare will start covering for the rest of the expenses until the end of the year. Keep in mind, that part D Medicare is also available with a deductible of a smaller amount. It all depends on the company you choose to enroll to. Some health insurance companies offer the part D and start covering for all expenses immediately, with a deductible of 0$.

The best solution for those who have high expenses due to necessary prescribed drugs is to enroll to Medicare part D. When it comes to health insurance companies, keep in mind that monthly premiums are often cheaper! If you choose to pay annually, you might end up having to pay more. This is because the health insurance companies prefer members who pay their expenses month by month.

5 Facts About the Medicare Supplement Plan L You Need to Know!

If you have been looking at the Medicare Supplement L as a best choice for you, you might be wondering whether there is something that you might have missed! As there are nine other Medicare supplement plans to choose from, decision doesn´t always come easy. While everyone appreciates the possibility to be able to choose from different types of products, this also means that you need to put some thought into your decision. To make this process easier, we have gathered all the facts that you need to know on the Medicare supplement plan L!

1) The 2020 Medicare supplement plan L covers four benefits to a 100%:

  • Hospital coinsurance (part A)
  • Hospital stay days up to 365, after Medicare part A or part B no longer cover
  • Foreign travel
  • Coinsurance for preventive care

2) There are five benefits that are covered by the Medicare supplement plan L, but also include a co-sharing on your part. 75% will be covered by the Medicare supplement plan L, while the rest of the bill you will need to pay out of your own pocket:

  • Three first pints of blood
  • Coinsurance (part B)
  • Hospice coinsurance
  • Coinsurance for skilled nursing facility
  • Deductible (part A)

3) The benefits that the Medicare supplement plan L doesn´t cover at all, are:

  • Deductible (part B)
  • Part B excess charges

The part B deductible is an annual amount of $183. The excess charges vary from health care service to health care service and from one health care provider to the other. Medicare sets a certain price for each health care service and only cover up to this amount. Many health care providers agree to this price and won´t charge you anything above it. This way, you won´t need to pay any excess charges at all. If, however, you go to a health care provider that sets a price above it, you will need to pay the difference from what the Medicare supplement plan won´t cover. Avoiding these excess charges is easy, as all you need to make sure is that your health care provider charges only up to the Medicare limits. To find out, all you will need to do is call your health care provider and ask!

4) The Medicare supplement plan L has an out-of-pocket limit, which applies to the benefits they partially cover. Once you´ve paid $2310 out of your own pocket, the Medicare supplement plan L will start covering for 100% of the benefits that have been mentioned on the second fact!

5) The Medicare supplement plan L and all other available plans offer the same benefits from state to state. If you´re moving from New York to Colorado and you´re already enrolled to the Medicare supplement plan L, you will be able to enjoy the same benefits in your new location. This applies to 47 States of the U.S. There are three states that have their own, individual standardization and these are: Massachusetts, Wisconsin and Minnesota.