There have been a few changes to make note of for 2009 Medicare Part D.
First:
Part D plans do not include benzodiazepines in the standard formulary (Xanax is one example). However, some richer plans with a slightly higher premium may offer drugs in this class if they chose to do so.
Also:
The Part D coverage gap (commonly referred to as the "doughnut hole") will start at $2700 this year and ends when your TROOP (true-out of-pocket costs) reaches $4350. At this point you enter into the "catastrophic coverage" phase and your insurance will pay 95% of your rx costs.
Finally:
The premiums and formularies of all of the plans have changed. If you had the best plan last year, it may not be the best for you this year.
Free information kits can be obtained at http://www.todaysmedicare.com along with any other Medicare related materials.
Helpful healthy living and Medicare insurance tips for Seniors. This blog is edited by licensed professional Senior insurance advisers. Our goal is to provide information to help the 55 and over crowd to stay health and simplify their Medicare health insurance choices.
Monday, February 23, 2009
Wednesday, January 30, 2008
Tuesday, January 29, 2008
Medicare Supplement Plans for 2008
Medicare Supplement (Medigap plans) have been a popular and sensible way to help retirees deal with the rising costs of healthcare for many years. The recent changes in the Medicare system introduced the new Medicare Advantage plans as an alternative option. I have heard many pros and cons as to which plans are a better choice. My answer to this is quite simple. "Choose the right Medicare plan for each situation". If you are well prepared for retirement and want the most freedom to use any doctor then you will want a Medicare Supplement plan. The monthly premiums for a Medicare Supplement (Medigap) will be substantially higher than a Medicare Advantage Plan and does not include drug coverage but you can purchase a Medicare Part D plan seperately for around $25 (plans can be more or less depending on the level of coverage). Most Medicare Supplement plans do cover all or most of the part b copays which can get quite expensive and this is a great benefit and provides less stress to the insured (you)
Medicare Advantage Plans offer low or no monthly premiums beyond your regular part b premium since the government pay a monthly premium to the insurance company on your behalf. These plans usually offer additional benefits and lower copays than Original Medicare and can be a great option for those who have a limited income or for those who a generally pretty healthy. With a Medicare Advantage Plan you will have some co pays and many of these plans have an annual out of pocket maximum which limits the amount you will have to pay each year.
Whichever type of plan you decide to enroll in make sure you do some research first. There are several helpful websites available with more details and resources. One of my favorites which I have mentioned before is http://www.todaysmedicare.com/ . This site will give you helpful impartial information for insurance AND government susidized programs for those in need. You can also find forms and detailed information for almost any Medicare related issues.
Medicare Advantage Plans offer low or no monthly premiums beyond your regular part b premium since the government pay a monthly premium to the insurance company on your behalf. These plans usually offer additional benefits and lower copays than Original Medicare and can be a great option for those who have a limited income or for those who a generally pretty healthy. With a Medicare Advantage Plan you will have some co pays and many of these plans have an annual out of pocket maximum which limits the amount you will have to pay each year.
Whichever type of plan you decide to enroll in make sure you do some research first. There are several helpful websites available with more details and resources. One of my favorites which I have mentioned before is http://www.todaysmedicare.com/ . This site will give you helpful impartial information for insurance AND government susidized programs for those in need. You can also find forms and detailed information for almost any Medicare related issues.
Sunday, September 23, 2007
Navigating Through Medicare Health Plans
Millions of Americans are retiring every year. Retirement should be time to relax, travel and enjoy some of the activities we never had time for while we were working during our lifetime. Unfortunately, Most people do not realize the maze they are about to go through when choosing health coverage. Years ago, before the days of sky-high healthcare costs, seniors would receive their company pension, Social Security and Medicare, which would usually be enough to live happily ever after.
These days it is not quite that simple. Medicare deducts $93.50 per month from your check for and pays 80% after a $992 deductible. 20% can add up in a hurry. What if you should become sick or injured? What’s available to help?
A Few Helpful Tips
1. Start Early--- You may enroll 3 months before or after the month of your 65th birthday. It is definitely better to enroll early.
2. Determine which type of plan will work best for you-- For example: If you are planning on traveling much you would probably want to use a Private-Fee-For-Service plan so you won’t have as many network restrictions.
3. Do Plenty Of Research-- It is always a good idea to ask questions and check references. Although most people think a call to the local Office of The Aging is adequate, that is not usually the best way to go. They are not licensed or trained in the field of insurance.
The Office Of The Aging is a very good resource to check credibility and sometimes you may find out about local programs or organizations that are helpful if you are in need.
4. Try Some Helpful Websites-- Find sites with helpful information. The official site is medicare.gov. I have found www.todaysmedicare.com to be informational and very easy find information. Also, try Center For Medicare Services in your area.
5. Find A Qualified Broker Or Independent Agent--- This may be the best way to go. An independent broker will usually represent many different companies. For example: ABC insurance carries Aetna, Blue Cross, and Health Net. Of course this is just an example. A good broker will help you shop and save you time and money.
· Mr. King
· Please feel free to email if you have any questions or comments centurybenefits@gmail.com
These days it is not quite that simple. Medicare deducts $93.50 per month from your check for and pays 80% after a $992 deductible. 20% can add up in a hurry. What if you should become sick or injured? What’s available to help?
A Few Helpful Tips
1. Start Early--- You may enroll 3 months before or after the month of your 65th birthday. It is definitely better to enroll early.
2. Determine which type of plan will work best for you-- For example: If you are planning on traveling much you would probably want to use a Private-Fee-For-Service plan so you won’t have as many network restrictions.
3. Do Plenty Of Research-- It is always a good idea to ask questions and check references. Although most people think a call to the local Office of The Aging is adequate, that is not usually the best way to go. They are not licensed or trained in the field of insurance.
The Office Of The Aging is a very good resource to check credibility and sometimes you may find out about local programs or organizations that are helpful if you are in need.
4. Try Some Helpful Websites-- Find sites with helpful information. The official site is medicare.gov. I have found www.todaysmedicare.com to be informational and very easy find information. Also, try Center For Medicare Services in your area.
5. Find A Qualified Broker Or Independent Agent--- This may be the best way to go. An independent broker will usually represent many different companies. For example: ABC insurance carries Aetna, Blue Cross, and Health Net. Of course this is just an example. A good broker will help you shop and save you time and money.
· Mr. King
· Please feel free to email if you have any questions or comments centurybenefits@gmail.com
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