A detailed explanation of the advantages and disadvantages of Medicare Advantage plans. Narrated by Steve Thurmond, this is one of an ongoing series of videos designed to eliminate the confusion about the mind numbing profusion of choices in the senior market.
Views: 2480 Rod Thompson
the host of Medicare Nation Podcast and Author of “The Medicare Survival Guide” Diane Danielsis our guest today, as we talk about Traditional Medicare vs. an “Advantage / Disadvantage Plan Medicare plans. Get the book and follow along https://t.co/rIfh8vR302
Views: 111 Karyn Rizzo
http://SeniorSavingsNetwork.org Medicare Advantage or Medicare Supplement Compare medicare advantage to Medigap. Compare Medicare Advantage to Medicare Supplement plans. Medigap or Medicare Supplement
Views: 53467 Christopher Westfall
Next Step: Take the PPO Vs. HMO test for yourself - http://www.giangolainsurance.com/health-insurance-after-obamacare-ohio What Does PPO Mean? PPO stands for Prefered Provider Organization. This type of plan offers a higher level of reimbursements when you receive treatment from a “preferred” doctor or hospital. In less fancy insurance terms, you pay less. This is also known as your health insurance company’s network. These “preferred” providers offer their services to you at a cheaper rate if they’re in your insurance company’s network. You even have the ability to see non “prefered” doctors with this plan, they are just consider out-of-network doctors. PPO’s have dominated the health insurance landscape for the last 10-15 years. What Does HMO Mean? HMO stands for Health Maintenance Organization. This plan type works a little different from a PPO. Instead of being able to choose from a list of doctors at a wide array of facilities, you are strictly limited to doctors and facilities contracted with that health insurance company. The goal of this plan structure is to have a primary physician manage your care. The most famous example of an HMO structure is the company HealthSpan, formerly known as Kaiser Permanente. These plans generally are less expensive than a PPO plan, however that is in exchange for a limited selection of doctors and hospitals. Let’s Take a Closer Look So I’ll ask you again, how many doctors do you want to be able to see if something really bad happens? The answer to that question is the answer to your internal PPO vs. HMO debate. But if you want to go even deeper, here’s what you need to think about. When does a HMO plan Make Sense? This is a hard question to answer since it will always come down to personal preference. But, this is how I like to explain it to clients. If there is a HMO plan that has doctors close to your home that you like and trust and also has an adequate number of hospital facilities, that’s a decent first step. You also need to be able to save a considerable amount of money on your health insurance payment every month. Finding both of those together is the tricky part. I have yet to see a HMO plan that offers enough savings to consider recommending one to a client. When you only save a couple dollars every month, you have to ask yourself if it is really worth it to limit yourself that severely when it matters the most. I've never been able to answer yes to that question for a client.
Views: 63878 Giangola Insurance
Subscribe Now: http://www.youtube.com/subscription_center?add_user=ehowfinance Watch More: http://www.youtube.com/ehowfinance HMO insurance has a number of clear advantages and disadvantages that really cannot be ignored. Learn about the advantages and disadvantages of HMO insurance with help from a longtime insurance specialist in this free video clip. Expert: Susan Combs Bio: Susan Combs formed Combs & Company in 2005, a full-service insurance brokerage firm, specializing in life, health, property and casualty. Filmmaker: Alexis Guerreros Series Description: Health insurance can be a very complicated topic, which is why it is always important to do as much research as you can to make sure that you're as prepared as possible. Get health insurance tips with help from a longtime insurance specialist in this free video series.
Views: 1836 ehowfinance
The Original Medicare is not enough coverage by itself. Phillip Cofield from U S Financial Advisory Group Explains Original Medicare and why you need additional coverage to cover the Gaps in the Original Medicare. www.uadvs.com
Views: 25 U S Financial Advisory Group
Many Veterans have Medicare benefits but many don't know that there are Medicare Advantage Plan designed with them in mind that can get them extra benefits and more freedom on how they get their care! This video will tell you all about it! www.graham.life Finding a Medicare Advantage Plan in Your County (Veterans) https://youtu.be/V3XR5k1g3N8
Views: 563 Graham Life Services
Source: https://www.spreaker.com/user/10449937/pdcst-the-disadvantage-of-the-advantage- Everyones perscription drug mix is different, Part D perscription drug coverage is not a "One-size fits all" choice. So why does an Advantage plan offer just one choice in drug coverage? To meet the needs of the largest number of beneficiaries, of course! If you choose a Part C Advantage plan, you have to take the drug plan that is attached to it. Period. So what is the solution to that? Go in a different direction! Consider Medicare Supplement plans, where you get better coverage, and you get to pick whatever drug coverage you want. Choice is good. Come explore the possibilities on my website, franklybetterme.com/seniorsecurity
Views: 1 Frank Sutter
www.InsuredMeds.com for information and quotes Do you know if you are buying a supplement or are you giving up your rights as a Medicare patient to an HMO? In this video Dr. Peter Holmes explains the advantages and disadvantages of both. Please let us help you find the best plan for your situation. Go to our website www.OmniProtects.com or call us at 845-452-4311
Views: 174 Bill Vargas
Kathe Kline with MedicareQuick explains the advantages and disadvantages of Medicare Supplement Insurance Plan N. To learn more, visit: https://medicarequick.com/is-plan-n-the-right-supplement-for-you/ MedicareQuick 1-866-445-6683 www.MedicareQuick.com
Views: 2 Kathe from MedicareQuick
Does a reverse mortgage affect medicare benefits? Call Charles to find out more at: 310-616-6965 You need to know how a reverse mortgage works with medicare eligibility. http://www.charlesguinn.com Since Medi-Cal is an asset-tested government program (i.e. California’s version of Medicaid), you should be very careful about how you take the reverse mortgage proceeds. Getting a reverse mortgage in and of itself should not disqualify you from any income or asset based programs. However, if you take the proceeds as a lump sum and put that money in the bank, most programs will look at your high bank balance and come to the conclusion that you don’t need their assistance – regardless of the fact that the funds were borrowed. If you take the reverse mortgage proceeds as a line of credit you should be OK with Medi-Cal. Just be sure to immediately spend any money you draw from the line of credit and don’t let it sit in your bank where it could be considered a countable asset. reverse mortgage income tax; reverse mortgage taxable; aarp income tax; reverse mortgage property tax; reverse mortgage irs; reverse mortgage scheme; does reverse mortgage count as income; how does reverse mortgage work after death; is a reverse mortgage considered income; reverse mortgage and VA benefits; Reverse mortgage medicaid; reverse mortgage medical; reverse mortgage medicare; reverse mortgage SSI; reverse mortgage affect medicare,does reverse mortgage affect medicare,reverse mortgage medicare,reverse mortgage and medicare,how does a reverse mortgage affect medicare,
Views: 3796 Charles Guinn
Dr. Brian V. Phillips from Spectrum Health System in Grand Rapids, MI on the value of Medicare Advantage to seniors.
Views: 23028 Better Medicare Alliance
https://www.medicarefaq.com/videos/me... As you’re making your initial transition into Medicare, you may find that there are two avenues that you can pursue medical coverage. With traditional Medicare, you can purchase a Medicare supplement plan to coincide with your parts A & B and also a Medicare prescription drug plan or Part D policy. Those programs are excellent options for consumers because they offer several key conveniences. With Medicare, although it’s a daunting and complex entity, there are several factors that should make it more convenient and give you piece of mind as a consumer. Firstly, as you approach Medicare, know it’s national coverage. As you go anywhere in the country any health facilities that accept parts A & B also accept any and all supplement providers. So, as you travel or enjoy your retirement, know that wherever you go coverage is also there to follow you. Secondly, as I just previously mentioned, these are non-network based plans. Any and all Medicare supplement programs have to be accept by any providers that accept Medicare A & B as a source of primary coverage. So no longer as you pursue medical coverage do you have to ask yourself “will my doctor or hospital accept this” or “are they a party to my network.” Because A & B coverage is your primary source that’s the only factor you have to consider as you pursue doctors and health facilities. All Medicare supplement programs are automatically accepted. Thirdly, another key factor is that these programs are uniformed and standardized. As you begin to shop for medical coverage, you’ll come to the realization that there are eleven supplement plans. Plans noted from the letters A all the way to the letter N. The coverage that denotes each of these plans is standardized by CMS and the federal government. What that means is you as a consumer have uniform coverage from carrier to carrier. So regardless of the plan and the carrier that you choose, the coverage that you receive is uniform and the same no matter what. This makes the shopping process much easier and convenient for a consumer because once you determined the plan that fits your health needs, it’s a matter of shopping for the price and the program and the carrier that offers you the most competitive rate. Now although there are Medicare supplements, which are an excellent and convenient options for consumers, on the other side of the isle you have what’s known as Medicare Advantage. Medicare Advantage plans are denoted by the term of HMP, PPO and sometimes PFFS plans. There are several factors of Medicare Advantage programs that are uniform and standard, but their inconveniences to consumers. First and foremost, Medicare Advantage plans feature network doctors and hospitals, and how that refers to you as a consumer is that you have to adhere to those doctors and hospitals. Should you stray from the network and hospitals that are provided to you, you could be paying the cost of your medical responsibilities and claims entirely out of your own pocket. The second key factor is that these plans are not standardized. As you shop Medicare Advantage programs, you’ll notice that each of the plans that are out there are unique and vary in the coverage they offer you. This can make the process of shopping much more convoluted and confusing for a consumer. Lastly, Medicare Advantage plans also have the inconvenience of prior authorizations. As you utilize your doctors and hospitals for Medical coverage and claims, you would have to have prior authorization not only from your doctor but from your medical insurer that you associate and line yourself with. Should you not have that authorization in place the claims that you file could end up being your own financial responsibility and having you pay out of pocket. These are the several factors that make Medicare Advantage plans a true disadvantage for Medicare recipients, and there are factors as to why it’s more convenient to you as a Medicare consumer to stay with Original Medicare. If you ever have questions or concerns relating to these Medicare plans and programs, feel free to contact us at our website. Google+ - https://plus.google.com/b/102137225494763985489/ Twitter- https://twitter.com/EliteIP Website - http://www.eliteinsurancepartners.com/ Facebook - https://www.facebook.com/EliteInsurancePartners
Views: 2 Elite Insurance Partners
A central question in the debate over privatized Medicare is whether increased government payments to private Medicare Advantage (MA) plans generate lower premiums for consumers or higher profits for producers. Exploiting legislation that brought a sharp change in payments, , Neale Mahoney examines how those increased payouts find their way back to consumers. If you experience technical difficulties with this video or would like to make an accessibility-related request, please send a message to firstname.lastname@example.org.
Views: 367 Becker Friedman Institute at UChicago - BFI
medicare advantage plans in ct, medicare advantage ct,medicarare advantage ct 2106 medicare advantage plans in ct go to http://www.medicaremadeeasyct.com medicare advantage plans in ct,medicare advantage ct,medicare advantage ct 2016 ---------------------------------------- CLICK HERE: http://www.lifesolutionsct.com ---------------------------------------- More Information about medicare advantage plans in ct: Connecticut Medicare Advantage Plans with Part D ... health.usnews.com › Medicare U.S. News & World Report The plans below offer Medicare Advantage and Part D coverage to Connecticut residents. Medicare Advantage plans, also known as Medicare Part C, are ... Medicare Advantage Plans in Connecticut - Q1Medicare www.q1medicare.com/.../MedicareAdvantage-2016CHealthPlanMAPDC... Get an overview and plan details for Medicare Advantage plans in Connecticut. Details include both Prescription and Health benefits and cost-sharing along ... Anthem's Medicare Advantage Plans in Connecticut https://www.anthem.com/.../connecticut/medicare/medicare-advantage-pl... Learn the difference between a Connecticut Medicare Advantage Insurance Plan versus Original Medicare benefits and costs. Anthem Blue Cross Blue Shield ... Connecticut Medicare Advantage Plans - CT Medicare Part C www.ehealthmedicare.com › ... › Medicare in Connecticut Looking for Connecticut Medicare Advantage Plans? Offered by private insurance companies, Medicare Advantage in Connecticut (also known as CT Medicare ... Best Connecticut Medicare Advantage Plans | Compare and ... medicare-advantage-plans.healthgrove.com/d/a/Connecticut Search and compare Connecticut Medicare Advantage plans from private insurance companies covering Part A and Part B of Original Medicare, and in most ... Medicare Advantage Plans | Medicare.gov https://www.medicare.gov/...plans/medicare...plans/medicare-ad... Medicare Medicare Advantage Plans i Medicare Advantage - Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Medicare_Advantage Wikipedia Most Medicare Advantage plans (sometimes referred to as "Part C") include the Part D prescription drug benefit plan, and are known as a Medicare Advantage ... Medicare (United States) - Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Medicare_(United_States) Wikipedia 5.1 Part A: Hospital/Hospice insurance; 5.2 Part B: Medical insurance; 5.3 Part C: Medicare Advantage plans; 5.4 Part D: Prescription drug plans. 6 Out-of-pocket ... WellCare - Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/WellCare Wikipedia In 2003, WellCare began offering Medicare Advantage plans with prescription ... but investigations by Florida, Connecticut, and federal prosecutors are ongoing. Medicare Prescription Drug, Improvement, and ... - Wikipedia https://en.wikipedia.org/wiki/Medicare_Prescription_Drug,_Im... Wikipedia With the MMA, new Medicare Advantage plans were established with several ... New Jersey, and Pennsylvania; Jurisdiction 13—Connecticut and New York ... Health insurance in the United States - Wikipedia, the free ... https://en.wikipedia.org/wiki/Health_insurance_in_the_United... Wikipedia Medicare Advantage plans expand the health insurance options for people with ... Alaska, Arkansas, California, Colorado, Connecticut, Florida, Illinois, Indiana, ... Health Net - Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Health_Net ---------------------------------------- CLICK HERE: http://www.lifesolutionsct.com ---------------------------------------- People who watched this video: Replace this text with the url to this YouTube video. If you have not uploaded your video yet skip this CONNECT WITH US: Replace this text with urls to your various social accounts. Enter one url per line. These links will be clickable in your video's description. You can also add links to other video urls in your Playlist here if you wish (see Tutorials for more info). ------------------------------------------ Don't forget to check out our YouTube Channel: https://www.youtube.com/channel/UCgPb9UmzTYn1uhH5oefxc2A and click the link below to subscribe to our channel and get informed when we add new content: Replace this text with your Channel's Subscription link (see Tutorials on how to find this url). -------------------------------------------- #medicareadvantageplanscomparison #aetnamedicareadvantage #medicaresupplementalvsadvantage #medicareoptionplans #medicareadvantageplanvs.supplementalinsurance #aetnamedicare #bestmedicareoptions #medicareadvantageplansct2011 -------------------------------------------- VISIT OUR SITE: http://www.medicaremadeeasyct.com https://www.youtube.com/watch?v=oW_0nUqdGVU
Views: 227 Medicare Advantage Plans In Ct
Special News Webcast, Wednesday, March 23 Vent your frustrations and air your grievances over the alleged misconduct by Medicare Advantage contractors and auditors during a 60-minute special-edition news webcast — an open door forum during which you'll receive advice and learn from others dealing with the disadvantages of Medicare Advantage. Register today before it's too late: http://shop.racmonitor.com/ProductDetails.asp?ProductCode=R032316
Views: 167 MedLearn Media, Inc.
http://LibertySeniorSavings.com 88 Medicare Questions in 88 Days (888) 506-7510 What is Medicare HMO? What is Medicare HMO or PPO? When we are talking about Original Medicare with a Medicare Supplement you don’t have HMOs or PPOs or network restrictions. The alternative to Original Medicare is Medicare Advantage. Medicare Advantage has HMO or PPO and network restrictions that go along with them. HMO is a health maintenance organization. You usually get one primary physician who coordinates everything for you. Generally you need to get referrals to see specialists & need to have prior authorization. You can see out-of-network providers for a higher fee with separate fee structure deductibles. Compare that to a PPO which is Preferred Provider Organization . You have more flexibility then you pay for seeing doctors and healthcare providers within that network. You generally don’t need referrals. People with PPOs are responsible for scheduling appointments and paying the corresponding extra fees. The deductibles are usually combined. So that’s the difference between the HMO and PPO. Look here on the screen and you can see specifically the differences. Again we are not going into the discussion about too much more about HMO and PPO because Medicare Supplements do not have anything to do with HMOs and PPOs. You will only be subject to HMO/PPO if you choose a Medicare Advantage plan. Check out the Article on differences between Medicare Advantage and Medicare Supplement here. The biggest difference between Medicare Advantage & Medicare Supplement is the amount of money that you could have to pay if you get sick. Medicare Advantage maximum out of pocket is $6700 every year. It starts again on the 1st of the year. Compare this to a Medicare Supplement where there is nothing close to that. There are no Network restrictions on Medicare Supplement compared to Medicare Advantage. These are the biggest differences. It depends on if you have PPO or HMO within the Medicare Advantage plan. Keep in mind that no copay for the supplement (Plan F & Plan G) versus the Medicare Advantage. You can travel with the Medicare Supplements. If you need to go to the Mayo or MD Anderson those are okay on the Supplement but not on the Advantage. With the Medicare Advantage like we saw here on the HMOs and PPOs structure, you have to have things pre-certified. You can’t just go to doctors without a referral. You are subject to referrals, pre authorizations and Pre-certifications. Medicare Supplements can’t drop you unless you don’t pay your premiums. That’s the only way they cancel you, so make sure that’s paid. But on the Advantage plan you can be cancelled or they can leave the area. These are just some of the differences between the two. Thank you for checking out What are HMO and PPO in Medicare. Feel free to give us a call with any Medicare questions. We’re happy to help. Our number is (888) 506-7510. Or if you are like so many folks that are just confused by so much information in Medicare have a look at our 6-Part Medicare mini course. You’ll find that at www.GetMedicareSavings.com.
Views: 50 Nicole Rada
Take Advantage of the Industry Leading Indemnity Plan - GTL's Advantage Plus • NEW 3-day and 6-day benefit • NEW Dental/Vision rider • NEW Short Duration Hospital Stay Rider • Cancer Coverage is now a rider on Advantage Plus and includes a skin cancer benefit! Call MAS for More Information! 800.480.9857 www.medadvspc.com
https://www.medicarefaq.com/videos/medicare-advantage-vs-medigap As you’re making your initial transition into Medicare, you may find that there are two avenues that you can pursue medical coverage. With traditional Medicare, you can purchase a Medicare supplement plan to coincide with your parts A & B and also a Medicare prescription drug plan or Part D policy. Those programs are excellent options for consumers because they offer several key conveniences. With Medicare, although it’s a daunting and complex entity, there are several factors that should make it more convenient and give you piece of mind as a consumer. Firstly, as you approach Medicare, know it’s national coverage. As you go anywhere in the country any health facilities that accept parts A & B also accept any and all supplement providers. So, as you travel or enjoy your retirement, know that wherever you go coverage is also there to follow you. Secondly, as I just previously mentioned, these are non-network based plans. Any and all Medicare supplement programs have to be accept by any providers that accept Medicare A & B as a source of primary coverage. So no longer as you pursue medical coverage do you have to ask yourself “will my doctor or hospital accept this” or “are they a party to my network.” Because A & B coverage is your primary source that’s the only factor you have to consider as you pursue doctors and health facilities. All Medicare supplement programs are automatically accepted. Thirdly, another key factor is that these programs are uniformed and standardized. As you begin to shop for medical coverage, you’ll come to the realization that there are eleven supplement plans. Plans noted from the letters A all the way to the letter N. The coverage that denotes each of these plans is standardized by CMS and the federal government. What that means is you as a consumer have uniform coverage from carrier to carrier. So regardless of the plan and the carrier that you choose, the coverage that you receive is uniform and the same no matter what. This makes the shopping process much easier and convenient for a consumer because once you determined the plan that fits your health needs, it’s a matter of shopping for the price and the program and the carrier that offers you the most competitive rate. Now although there are Medicare supplements, which are an excellent and convenient options for consumers, on the other side of the isle you have what’s known as Medicare Advantage. Medicare Advantage plans are denoted by the term of HMP, PPO and sometimes PFFS plans. There are several factors of Medicare Advantage programs that are uniform and standard, but their inconveniences to consumers. First and foremost, Medicare Advantage plans feature network doctors and hospitals, and how that refers to you as a consumer is that you have to adhere to those doctors and hospitals. Should you stray from the network and hospitals that are provided to you, you could be paying the cost of your medical responsibilities and claims entirely out of your own pocket. The second key factor is that these plans are not standardized. As you shop Medicare Advantage programs, you’ll notice that each of the plans that are out there are unique and vary in the coverage they offer you. This can make the process of shopping much more convoluted and confusing for a consumer. Lastly, Medicare Advantage plans also have the inconvenience of prior authorizations. As you utilize your doctors and hospitals for Medical coverage and claims, you would have to have prior authorization not only from your doctor but from your medical insurer that you associate and line yourself with. Should you not have that authorization in place the claims that you file could end up being your own financial responsibility and having you pay out of pocket. These are the several factors that make Medicare Advantage plans a true disadvantage for Medicare recipients, and there are factors as to why it’s more convenient to you as a Medicare consumer to stay with Original Medicare. If you ever have questions or concerns relating to these Medicare plans and programs, feel free to contact us at our website. Blogger - http://medicarefaq.blogspot.com Google+ - https://plus.google.com/u/0/+Medicarefaq Tumblr - https://medicarefaq.tumblr.com
Views: 2700 MedicareFAQ
http://www.Medigaplist.com Difference between Medicare advantage plans and medigap plans especially Medigap Plan F. Medicare advantage plans can without a doubt lower your monthly spending if you are HEALTHY! If you notice the key to that sentence is if you are healthy. Medicare Supplements are very popular with doctors because they pay their bills on time and they don't argue the cost, because they can't. Lets take a look at the comparison between the Blue Cross Medicare Advantage plan in Pennsylvania and the Aetna Medicare Supplement Plan F. One advantage plan from Blue Cross (HMO) has a zero premium. The out of pocket cost for the year could possibly be over $6500 for a year. It may cost you $20 for a doctor visit or $200 per day in the hospital etc etc. The point is it is $0 for the premium which gets everyone excited, but if you need to get a surgery done in December, it could cost you $6000 out of pocket. Also, the hospital may or may not take the Medicare Blue Cross Advantage plan. The Advantage Plan from Blue Cross that is "0″ premium is an HMO plan and some hospitals and doctors won't take it. The Medicare supplement plan F from Aetna is a Medigap plan that could cost around $150-$200 a month premium depending on if your a Male or Female, what zip code you live in etc. The difference is, the out of pocket cost for Medicare approved procedures is "0″. Also, any hospital that excepts Medicare has to except the Medigap plan F from Aetna. Also, this Medigap supplement Plan F could be from any company including, KSKJ life, Family Life, Mutual of Omaha, New Era, ANTEX, AARP, etc etc. The out of pocket cost is going to be your premium not copays and deductibles. The bottom line is do you want to pay in the front or in the back. Do you want to pay a zero premium and pay deductibles and copays, or do you want zero deductibles and copays with a higher premium. Your going to pay either way. Put your zip code into Medigaplist and we can give you the best Medigap rates possible. We have a list of Medigap companies to choose from with low Medicare supplement premiums.
Views: 210 alyssa collinelli
A closer look at UnitedHealthcare and Medicare with information about how Medicare works, eligibility, and enrollment. This video also provides a detailed overview of two UnitedHealthcare Medicare Advantage plans offered in The Villages®. For more information, visit http://bit.ly/2gm4oqM
Views: 275 uhcmedicaresolutions
Here's how to compare 2016 Medicare Advantage Plans Follow these simple tips and find the best Medicare Advantage Plan for 2016. Learn about your Medicare Plan options - Get my free 8 Part Video Mini-Course. Get Instant Access http://free-mini-course.com Medicare Advantage Plans are Medicare health plans offered by private insurance companies. All Medicare Part A and Medicare Part B benefits are included. Plans often include Part D drug coverage and extra benefits like dental and vision. To learn about the differences between original Medicare and Medicare Advantage watch: http://www.youtube.com/watch?v=uk5eMeVloOw 2016 Medicare Advantage enrollment tips: Sources to find available plans: Medicare.gov Plan Websites Online Comparison site Local agent or broker Medicare.gov is a good place to start and will include all available plans, but in-depth plan information is not included. If you intend to compare plans by visiting plan websites, you will need to visit multiple sites. Online comparison sites like PlanPrescriber allow you to compare multiple plans and often give you the opportunity to speak with a licensed agent toll-free. Compare Medicare Plans -- Call: (888) 310-0376 TTY 711 Meeting with a local agent can give you a one-on-one experience when you compare Medicare plans. Review these resources: Summary of Benefits -- The Medicare advantage Summary of Benefits is a complete listing of all covered services and what you can expect to pay. Cost-sharing amounts may be in the form of deductibles, copayments, or coinsurance. Your Maximum out-of-pocket cost will also be included. Medicare Advantage Provider Directory -- Check for your primary care provider, specialists, hospitals and ancillary facilities. Medicare Part D Formulary -- The formulary lists all medications covered by the plan. Make sure all your drugs are covered and use a drug look-up tool to estimate your annual Part D costs. The best 2016 Medicare Advantage Plan will include your providers, have reasonable out-of-pocket costs, include all your drugs and have an affordable monthly premium.
Views: 15945 David Forbes
What is a Medicare Private Fee-for Service plan? This video answers that question, discusses how a PFFS plan works and why you may or may not want to enroll in one. Want more information about your Medicare plan options? Get my 8 Part Video Mini-Course so you can choose the most suitable plan. Get Instant access: http://free-mini-course.com A Medicare Private Fee-for Service plan (PFFS) is a Medicare Advantage Plan. As with any Medicare Advantage Plan, when you join a Medicare Private Fee-for-Service plan you are subject to the enrollment periods, must have Medicare Parts A and B, live in the plans service area and not have end-stage renal disease. Plans may or may not include Part D coverage and will often include ancillary benefits like dental and vision. Unlike a Medicare HMO or Medicare PPO, you are not required to use a provider network when you are enrolled in a Medicare Private Fee-for-Service plan. You can choose any provider that will accept the plan's terms and conditions. But this freedom to choose any provider comes with a cost. Providers can choose to accept Medicare PFFS plans on a visit-by-visit basis. You may not be able to keep the same provider throughout the year. You need to be aware of this when deciding whether or not you will enroll in a Medicare Private Fee-for-Service plan.
Views: 1368 David Forbes
Quick information on what the Medicare Advantage Waiver of Liability is all about. The Medicare Managed Care Manual states, "A non-contract provider, on his or her own behalf, is permitted to file a standard appeal for a denied claim only if the non-contract provider completes a waiver of liability statement, which provides that the non-contract provider will not bill the enrollee regardless of the outcome of the appeal."
Views: 141 Illinois Chiropractic Society
The Villages Health, with presenter Amie Deak, walks you through the benefits of enrolling in a Medicare Advantage Plan.
Views: 1072 The Villages Florida
Part A of Medicare is known as the “free” hospital coverage provided by Medicare. There are typically no premium charges for Part A coverage and most individuals reaching age 65 and beyond are covered by Medicare under this program. So what does Part A cover? Inpatient care in the hospital, Skilled nursing facility, hospice, and home health care. Part A has a benefit period deductible of $1,288 for hospital confinement up to 60 days. After the initial deductible if hospital care and confinement exceeds 60 days then there is a $322 per day deductible up to 90 days. If confinement care goes beyond 90 days in a benefit period then there would be a lifetime reserve (can be used just once) of 60 days which would carry a daily deductible of $644 per day. For any care beyond the lifetime reserve days, Medicare no longer pays any inpatient costs. The next benefit in Part A Medicare coverage is Skilled Nursing Facility Care. Medicare currently covers at 100% the cost of Skilled Care in a facility for the first 20 days. Beyond 20 days then Medicare has a daily deductible of $161.00 from the 21st thru the 100th day. For care needed beyond 100 days, Medicare has no coverage available. Blood. Medicare currently does not cover the first 3 pints of blood needed during a benefit period. After that Medicare covers any additional blood needed at 100%. Hospice Care. Medicare currently covers all costs associated with hospice. They also have a very limited copayment/coinsurance for outpatient drugs and inpatient respite care needs. Medicare will cover hospice both as a facility confinement and at home. Part B of Medicare (monthly premium charge) This covers the medical expenses in or out of a hospital for physicians services, medical and surgical services, physical and speech therapy, diagnostic tests and durable medical equipment. Medicare has a $166 annual deductible (not benefit period) for the initial services. Once the deductible has been satisfied Medicare generally pays 80% of the approved services and amount. Blood. If provided outside of a hospital confinement Medicare would cover 80% of the cost of blood after the initial 3 pints have been administered and the $166 annual deductible had been met. Clinical Lab services that are charged for tests and diagnostic services are generally covered at 100% after the annual deductible of $166 is met. Home health care. Is generally covered at 100% of the medically necessary and approved service and amount after the annual deductible of $166. Durable medical equipment. The annual part B deductible applies here and once met Medicare generally pays 80% of the approved amount. Part C of Medicare known as Medicare Advantage: Medicare Advantage by its name is a fairly new addition to the Medicare offering with it becoming available in 2003. The original concept was developed and implemented back in the 1970’s as an alternative to traditional Medicare and was know as Medicare HMO’s. Medicare Advantage takes Medicare part A and B and combines both costs and shifts it to a private insurance carrier. A Medicare Advantage insured is no longer covered by Medicare but by the chosen private insurance carrier under an Advantage plan. For clients with limited income or clients who are traditionally healthy, a Medicare Advantage plan may be better suited for their health care needs. Premium costs are generally less or none at all in comparison to a Medicare and a supplement thus becoming appealing to those on limited or fixed incomes in retirement. Those clients that are healthy and typically don’t access health care much during the calendar year also may benefit from an Advantage plan as again the premiums are reflective in the coverage. If the doctor that they typically use is in the Advantage network it becomes even more advantages to consider an Advantage plan since they wouldn’t have to change doctors. The disadvantages of an Advantage plan is the fairly high deductibles and or copays which can set a fixed income purchaser back several thousand dollars in a calendar year. If the client's physician is not in the Advantage network it can increase the cost to the client as then the physician would be considered out of network and there would be higher copays assessed. Part D Prescription Drug coverage: Prescription drug coverage is something fairly new to Medicare as it was added in 2006 as a benefit under the Medicare umbrella. With the aging population and prescription drug costs continuing to rise, Congress made available voluntary coverage for prescription drugs. Although Medicare is prohibited from negotiating prices for prescription drugs with the drug companies, many drugs today remain competitively priced.
Views: 901 Financial Brokerage
Medicare Advantage Plans, sometimes called "Part C" are offered by private companies approved by Medicare. Understanding Medicare Advantage plans and your options can be very confusing. Watch our video to clear up the confusion. Visit http://medicareworld.com/ a non-government resource to discounts and savings on Medicare. Also provided are the latest healthcare news, financial tips, and changes in Medicare. Medicare World offers the Medicare Plus Card, which gives benefits of up to 75% off healthcare services not covered by Medicare. This includes prescription drugs, dental care, hearing care, vision care, diabetes, and lab testing. http://medicarepluscard.net/
Views: 483 Medicare World
It's the 50th anniversary of Medicare, so it's a good time to take a look at your coverage. Most Americans ages 65 and older are qualified for coverage, and the plan offers a slew of benefits. Jill Schlesinger reports.
Views: 468 CBS News
Subscribe Now: http://www.youtube.com/subscription_center?add_user=Ehowfinance Watch More: http://www.youtube.com/Ehowfinance Mediagap and PPO insurance policies both have their fair share of advantages and disadvantages. Get information about Medigap versus PPO insurance policies with help from an insurance agent in the areas of health and life in this free video clip. Expert: Tom Dyar Filmmaker: Ilya Eliseev Series Description: It's always important to get answers to your pertinent Medicare insurance questions before locking yourself into any particular policy. Get answers to your Medicare insurance questions with help from an insurance agent in the areas of health and life in this free video series.
Views: 78 ehowfinance
Go To http://www.InsuredMeds.com for FREE Quotes & Info How To Avoid Making A Very Costly Medicare Mistake Costly Mistake • If you don’t enrol when within the 7 month period starting 3 months before your 65th birthday and 3 months after your 65th you could be hit with a lifetime penalty on your Medicare insurance premium. • Full Social Security age is now 66 BUT Medicare is still starts at 65. This rule applies even if you are still working and have medical coverage via your employer. Medicare is automatic if you are already receiving Social Security. • If you don’t enrol when within the 7 month period starting 3 months before your 65th birthday and 3 months after your 65th you could be hit with a lifetime penalty on your medicare insurance premium. • Full Social Security age is now 66 BUT Medicare is still starts at 65. This rule applies even if you are still working and have medical coverage via your employer. Medicare is automatic if you are already receiving Social Security. Choices, Choices Part A does not require a premium payment. So you might as well sign up -- unless you have a health savings account (HSA) at work. Taking Part A means you can no longer contribute to the HSA. But the real decisions revolve around Medicare Part B, which covers outpatient services, such as doctor visits. If you are still working, and covered by your employer's health plan but not receiving Social Security benefits -- or if your spouse is still working and you are covered under his/her group health plan -- you are faced with a decision about signing up for Part B, for which you will pay monthly, with the amount depending on your income level. Play It Safe! Play it safe and get a Medicare supplement insurance when you enroll in Part B. It's important to realize that if you sign up for a Medicare supplement within six months of enrolling in Part B, you cannot be turned down for the best supplement policies for health reasons. So when you do sign up for Part B, pick your supplement at the same time. Yes, it's complicated. But penalties for late or incorrect signups can add up to lifelong monthly penalties on your Medicare Part B premiums. This Medicare mistake can cost you thousands of dollars every year. You can learn more about these issues or get counselling at http://www.InsuredMeds.com. Medicare ignorance can be expensive. What Insurance Company Do I Work For? I am an independent insurance agent! I work for you, NOT the insurance companies to get you the best possible rate for the most coverage. Can you purchase your coverage from us online? We are different from other insurance agents, most of our application enrollments are done online, while you stay in comfort of your own home. I work for you not the insurance companies! How Do You Contact Me? Phone: 845-380-5809 Email: InsuredMeds@gmail.com Snail mail: Bill Vargas, CLU, ChFC 1145 Rt. 55, Suite # 3, Lagrangeville, N.Y. 12540 http://www.InsuredMeds.com What Other Services Do I Offer? I offer retirement planning , Life Insurance, Medicare Supplement & And Medicare Advantage Plans, Final Expense Insurance and a full line of financial services. InsuredMeds.com is an independent Health,Medicare, Life, Final Expenses insurance specialist. We work for you not the insurance companies to get you the best prices and insurance protection. IMC
Views: 133 InsuredMeds.com
Kathe Kline explains what Medigap Plan C is, how it is different from the other Medigap Plans, and the advantages and disadvantages of having this plan. To learn more, visit https://medicarequick.com/medigap-plan-c-is-it-right-for-you/ MedicareQuick 866-445-6683
Views: 9 Kathe from MedicareQuick
Barry Mowbray from the Seniors Health Insurance Information Program or SHIIP explains the differences between Medicare Part D, Medicare Advantage and Supplemental Plans.
Views: 1249 OPENnetTV
Utah Medicare Supplement Plans Three things you should know about your Medicare options in Utah: 1) You can shop and save today. The December 7th deadline does not apply to Medicare Supplement Plans 2) Medicare Makes it easy for you to shop and save because all the Medicare Supplement Plans are federally regulated. This means that the letter of your Utah Medicare Supplement Plan determines your coverage, not the Carrier. Example: Cigna Medicare Supplement Plan G offers the same benefits and is accepted by the same Providers / Doctors as Blue Cross Blue Shield Medicare Supplement Plan G. The only difference is what each Carrier is charging for their Medicare Supplement Plan G. 3) Our office makes it easy for you to get the best price for your Medicare Supplement Plan. As a Broker, we get to offer you the best price available. Senior Healthcare Direct is Insurance Agency specializing in Medicare Supplement Plans, Medicare Advantage Plans and Medicare Part D Plans. Owned by Robert W. Bache, aka Medicare Bob, all Senior Healthcare Direct’s agents are licensed, certified and appointed with all the top Medicare insurance Carriers. Our Mission has three components that our Agency strive to fulfill: 1) To educate Utah Medicare beneficiaries about the Medicare insurance coverage options, essentially with understanding the differences between a Medicare Advantage Plan verse a Medicare Supplement Plan, as well as understanding how to get the most cost-effective drug coverage, Medicare Part D. 2) To Provide our clients with all the top Carrier’s Medicare Plan offerings. As a Broker, we are not “captive” to any one Carrier, we get to shop all of the Carrier’s plans a pricing to help our client’s get the most cost-effective plan. 3) To provide excellent Customer Service to our clients. We have a dedicated Customer Support Team that assists our clients with shopping and/or renewing their Medicare Plan every year. Brands You Know and Trust: Senior Healthcare Direct works with all Major Medicare Insurance Carriers; Aetna, Anthem Blue Cross and Blue Shield, Central States Indemnity, Cigna, Coventry, Combined Insurance, Equitable Life, Heartland National, Humana, Manhattan Life, Medico, Mutual of Omaha, Oxford Life, Standard Life, Wellcare, and MORE! Contact one of our Agents today,1-855-368-4717: Terms / things you should know about Utah Medicare Supplement Plans: Medicare Supplement Plan and Medigap mean the same thing. A Medicare Advantage Plan, is not a Medicare Supplement Plan. You can shop your Medicare Supplement Plan in Utah all year.
Views: 14 Robert Bache
please subscribe to our channel for more videos! https://www.youtube.com/letstalkmoneychannel http://www.sfcheapinsurance.com/ Let’s take a look at a comparison of Blue Shield of California and Kaiser. Both are the most popular plans in California and I some zip codes these are the only plans available for consumers. In this video, I will mainly compare the Kaiser HMO plan with the Blue Shield PPO plan. Make sure to watch this video until the end, as I will share with you the advantages and disadvantages of both Kaiser and Blue Shield.
Views: 8150 Let's Talk Money Channel
In this segment, we will learn more about Medicare Advantage Plans. What are they? What options do they provide? How do they differ from traditional Medicare? We are speaking with Tempra Mosely, owner of Tempra InsurancePlus3. Tempra has 25 years in the insurance business and has a passion for serving seniors, the disabled and the underserved.
Views: 17 NewsChannel 5
http://SeniorSavingsNetwork.org Dr. David Belk in California says that seniors don't need a Medigap (Medicare Supplement) policy. He is dead wrong, and millions of seniors would disagree. Here, Chris Westfall, a 20 year agent, shows some examples of why seniors need supplemental coverage to original medicare. Chris Westfall is licensed in 42 states as an independent Medicare insurance broker and has helped thousands of seniors across the country to determine the best value for their specific situation. Christopher does not work for any one insurance company and DOES NOT represent AARP plans. Instead, he offers the best value plans in the country. See: http://PlanGisBetter.com Christopher can be reached at 1-800-729-9590 Original story from: http://www.philly.com/philly/health/20100704_High_cost__rigorous_rules_can_trap_Medicare_patients.html Used with permission from the author. Dr. David Belk: FAIR USE: is a limitation and exception to the exclusive right granted by copyright law to the author of a creative work. In United States copyright law, fair use is a doctrine that permits limited use of copyrighted material without acquiring permission from the rights holders. Examples of fair use include commentary, search engines, criticism, parody, news reporting, research, teaching, library archiving and scholarship
Views: 18373 Christopher Westfall
Learn more about the Martin's Point Generations Advantage program, a Medicare Advantage plan currently available throughout the state of Maine. In 2012, we earned a 5-star rating from Medicare*, indicating excellence in health care quality and service (one of only nine plans in the country!) We are the only Maine-based Medicare plan and in 2012 we are the largest and the fastest growing plan in the state.** * Source: Medicare.gov, Medicare's 2012 Plan Quality and Performance Ratings. Plan performance summary ratings are assessed each year and may change from one year to the next. Prime (HMO-POS) and Value (HMO) are 2012 5-star rated plans. **Source: Medicare enrollment reports, February, 2012.
Views: 113 MartinsPoint