Medicare

A Medicare supplement (Medigap) insurance, sold by private companies, can help pay some of the health care costs not covered by original Medicare (ie, copayments, coinsurance, and deductibles).

Some Medigap policies also offer coverage for services not covered by original Medicare. For example, medical care if you travel outside the U.S. If you have Original Medicare, and you buy a Medigap policy, Medicare will pay its approved amount of costs. After that, your Medigap policy will pay its share.

A Medigap policy is different from a Medicare Advantage Plan. Medigap policies only supplement your original Medicare benefits. The Advantage Plans are designed as ways to get Medicare benefits.

Medicare Part C

We represent over 30 Medicare Advantage Carrier options, including Dual Plans that coordinate with Medicaid/Medicare; and special needs plans for people with challenging health issues, we can find a plan to fit nearly any situation. Our Customer Service Department provides overwhelming “Concierge” service . Our Customer Service Representatives are problem solvers, solution finders and their objective is to make sure it works out for you. So, whether its replacing a card, fixing an error on a claim or answering your questions our customer service representatives will be there to help you.

 

Medicare Part D

We also help you get the most from your Medicare Part D Prescription Drug Plan. There are as many as 32 different plans available and they can change formularys every year. We can assist clients in managing Medicare Part D during the annual election period. We will provide a comparative analysis with our recommendation each year.

Medicare Supplement policies
don't cover everything

Medicare Supplement policies generally don't cover long-term care, vision or dental care, hearing aids, eyeglasses, or private-duty nursing.

Dropping your entire Medicare Supplement policy (not just the drug coverage)

If you decide to drop the entire Medicare Supplement policy, you need to be careful about the timing. For example, you may want a completely different Medicare Supplement policy (not just your old Medigap policy without the prescription drug coverage), or you might decide to switch to a Medicare Advantage Plan that offers prescription drug coverage.

If you drop your entire Medicare Supplement policy, and the drug coverage wasn't creditable, or you go more than 63 days before your new Medicare coverage begins, you have to pay a late enrollment penalty for your Medicare Prescription Drug Plan, if you choose to join one.

8 facts about MedicareSupplements

  1. You must have Medicare Part A and Part B.
  2. If you have a Medicare Advantage Plan, you can apply for a Medicare Supplement, but make sure you can leave the Medicare Advantage Plan before your Supplement policy begins.
  3. You pay the private insurance company a monthly premium for your Medicare Supplement policy in addition to the monthly Part B premium that you pay to Medicare.
  4. A Medicare Supplement policy only covers one person. If you and your spouse both want Medigap coverage, you'll each have to buy separate policies.
  5. You can buy a Medicare Supplement policy from any insurance company that's licensed in your state to sell one.
  6. Any standardized Medicare Supplement policy is guaranteed renewable even if you have health problems. This means the insurance company can't cancel your Medicare Supplement policy as long as you pay the premium.
  7. Some Medicare Supplement policies sold in the past covered prescription drugs. However, Medicare Supplement policies sold after January 1, 2006 aren't allowed to include prescription drug coverage. If you want prescription drug coverage, you can join a Medicare Prescription Drug Plan (Part D).
  8.  It's illegal for anyone to sell you a Medicare Supplement policy if you have a Medicare Medical Savings Account (MSA) Plan.