Search results “Disadvatages of medacare advantage plans”
Medicare Advantage pros and cons
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: 2070 Rod Thompson
Medicare vs Advantage/Disadvantage Plan
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: 106 Karyn Rizzo
PPO Vs. HMO: What's the Difference and Which is Better?
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: 57078 Giangola Insurance
Why Should I Use a Health Savings Account (HSA)?
Why Should I Use a Health Savings Account (HSA)? Learn to budget, beat debt, & build a legacy. Visit the online store today: https://goo.gl/GjPwhe Subscribe to stay up to date with the latest videos: http://www.youtube.com/user/DaveRamseyShow?sub_confirmation=1 Welcome to The Dave Ramsey Show like you've never seen it before. The show live streams on YouTube M-F 2-5pm ET! Watch Dave live in studio every day and see behind-the-scenes action from Dave's producers. Watch video profiles of debt-free callers and see them call in live from Ramsey Solutions. During breaks, you'll see exclusive content from people like Rachel Cruze, and Chris Hogan, Christy Wright and Chris Brown —as well as all kinds of other video pieces that we'll unveil every day. The Dave Ramsey Show channel will change the way you experience one of the most popular radio shows in the country!
Views: 86877 The Dave Ramsey Show
Good Morning America - High Risks of Medicare Advantage Plans
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: 52029 Christopher Westfall
The Disadvantage of the Advantage Plan Drug Benefit (made with Spreaker)
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
Top Five Things We Wish All Beneficiaries Knew About Medicare - #1
Medicare gives you a 7-month Open Enrollment Period around your 65th birthday. If you enroll prior to your birthday, your benefits will begin on the 1st of the month in which you turn 65. However, if you apply after your birthday, you will experience a start date that is delayed by as much as 3 months. Be sure that you know the rules on start dates so that you don't run into a period of time where you have no health coverage at all. Learn more about Medicare Enrollment Periods: https://boomerbenefits.com/medicare-enrollment-period/ Boomer Benefits provides free claims support for life for all of our Medigap and Medicare Advantage policyholders so that you are never alone in dealing with Medicare. New to Medicare? Attend our FREE Medicare 101 Webinar: https://boomerbenefits.com/webinars Get our FREE 6-Day Medicare Video Email course with bonus Medicare cost worksheet: http://boomerbenefits.link/mini-course Join our 40,000+ Fans on Facebook: http://www.facebook.com/BoomerBenefits ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subscribe for NEW Youtube Videos whenever we publish them: https://www.youtube.com/c/BoomerBenefits ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -~-~~-~~~-~~-~- Please watch: "How to Appeal Your Part B Premium " https://www.youtube.com/watch?v=OhkkRNKPIGs -~-~~-~~~-~~-~-
Views: 2124 Boomer Benefits
Advantages & Disadvantages of HMO Insurance : Health Insurance & More
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: 1800 ehowfinance
How Veterans Can Benefit From Medicare Advantage
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
Compare Kaiser HMO vs Blueshield PPO- health insurance- what are advantages and dissadvantages
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.
A Doctor’s Perspective on the Value of Medicare Advantage
Dr. Brian V. Phillips from Spectrum Health System in Grand Rapids, MI on the value of Medicare Advantage to seniors.
Origninal Medicare The Advantages and Disadvantages
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
2-Medicare Supplements vs. Medicare Advantage
Compare advantages and disadvantages of Medicare Supplement and Medicare Advantage Plans side by side.
Views: 206 Kaa Blue
Ask the Doctor Explains Medicare Replacement Vs  a Supplement
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: 166 Bill Vargas
Honest John - Medicare Disadvantage
http://honestjohnproductions.blogspot.com/ http://www.zazzle.com/fairshare Under the Ryan plan the poor and middle class will lose health care but help the rich pay for theirs
Views: 151 oldcomic1
Medicare Advantage Stories: A Daughter's Perspective
Families count on Medicare Advantage because it works. Watch Phyllis' story to learn more. To share on Facebook, click here: http://on.fb.me/1KHykuo To share on Twitter, click here: http://bit.ly/20Td5aZ --- FULL TRANSCRIPT I moved to Texas when I was 2. Mother’s lived in this home for probably 35 years, and she’s 91. She gets around very well but she does have arthritis and she wears a pacemaker. She’s had back surgery, hysterectomy, many things over the years. My mother is on a fixed income and she was on regular Medicare with a supplement, and having to pay monthly, and she was looking for ways to cut back on some of her costs. We had heard about the Medicare Advantage Plan and looked into it. The second full year she was on it was when did get sick and was hospitalized. That required a 5-day hospital stay, rehab after that and then some home healthcare. As sick as she was, that she was able to recover so fast. You would never know that she could have almost died. She’s alive because of the quality of care. It gives me a lot of peace just knowing that my mother has quality insurance and quality care, quality doctors and hospitals. When you get to be 91, I would imagine there’s probably a lot of people that might worry if they have enough to live out their life on, but I feel like with this type of plan that we don't have to worry about a medical situation coming up that she couldn't handle, and that's even on a fixed income. My father died when my first child was just one but she’s been able to just do all the usual things that grandparents get to do with their grandchildren, and that's been wonderful. My children are gone now and grown, so I get to spend my time with my mom.
How To Avoid A Very Costy Medicare Mistake
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: 126 InsuredMeds.com
Differences between Medicare Supplements and Medicare Advantage Part C
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: 2651 MedicareFAQ
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Views: 3260859 CaseyNeistat
Medicare Advantage: Potential Problems
This movie is about potential problems with Medicare Advantage plans
Views: 346 The Medicare Coach
Overbilling by Medicare Advantage Plans: A Big Problem Getting Little Attention
For more information, go to http://legalbroadcastnetwork.com LBN’s Emily Collins reports that Medicare Advantage plans have apparently been overbilling Medicare by significant amounts. An audit of the PacifiCare subsidiary of UnitedHealth Group showed overbilling in nearly half the claims in a three-year period. UnitedHealth disputes the audit. Nothing has apparently been done to collect the money.
Views: 124 Sequence Media News
How To Compare 2016 Medicare Advantage Plans
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: 15934 David Forbes
Generations Advantage
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: 112 MartinsPoint
Learn about Medicare and Medicare Advantage Plan Options in The Villages®
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
Medicare Advantage Plans - Waiver of Liability
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."
What Is A Medicare Private-Fee-For-Service Plan? Should You Join A Medicare PFFS Plan?
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: 1312 David Forbes
Medicare HMO
What is a Medicare HMO? Learn about the pros and cons of this type of Medicare Advantage Plan. Get our Free Mini-Course: Medicare Advantage or Medicare Supplemental? Click Here: http://affordablemedicareplan.com/free-mini-course/
Views: 662 David Forbes
As Medicare turns 50, what benefits does it offer?
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: 467 CBS News
Can Medicare Advantage plans lower your monthly costs
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: 209 alyssa collinelli
Medicare options
In this video I'm going to give you a really quick and simple overview to help get you started with understanding your Medicare plan options. First of all, as you probably already know you can enroll up to 3 months before your 65th birthday. So to avoid having your benefits delayed you will want to at least make sure you enroll before the month of your birthday. Also, every year from October 15th to December 7th there is an open enrollment period where you can change plans. However, your first year is going to be the most important, because its only in the first year that you can't be excluded for any pre-existing conditions. Ok. So lets review the different parts of Medicare... Medicare Part A is for your hospitalization and everyone gets this as long as you've accumulated 40 credits of work history. There is no cost for this. Part B Is for your regular medical costs like doctors visits etc. In 2013 The cost for Medicare part B starts at $104.90 and goes up a little depending on your income. So if you made $90,000, for example, your cost would be $146.90/mo. Most people just have this deducted right from their Social Security Check. Pretty straightforward so far. Here is where some of your choices come in. Your first choice is to choose between "Original Medicare" (Parts A & B) which we just discussed, or you can choose Medicare Part C (a Medicare Advantage Plan). A medicare advantage plan is required to offer at least the same level of coverage as medicare. Many providers offer benefits packages that cover medical expenses not usually covered by medicare, like vision, and hearing coverage, even gym memberships in some cases. One primary disadvantage of Medicare advantage plans is that they are usually set up as a local network. So if you travel outside the network you may not be able to find medical services that are covered under your plan. After deciding on, Original Medicare, or a Medicare Advantage Plan, your second choice is to decide if you need Medicare Part D, for Prescription Drug Coverage or not. Medicare Part D is offered through private insurance companies and will cost approximately $40- $45 per month depending on which provider you choose. Cost is not the only factor to consider when choosing a part D insurance company. Each company could have different rules, on they treat different medications you may be taking. So be sure you explore each company thoroughly. Although each company may classify certain drugs differently, they all must offer at least a minimum level of coverage. With the minimum level of coverage... You are responsible for the first 100% of $325 of prescription expenses out of your own pocket. Then you will pay 25% of the next $2645. So your exposure would be $661.25. Then you are responsible for 100% of the next $3763.75. This is often called the donut hole. As you can see, it's very expensive. Up to this point, you would have paid a total of $4750 out of your own pocket, for $6,954.52 in total drug costs. After that, the plan kicks in again and now you are responsible for just 5% of your prescriptions or a minimum copay of $2.65 for generic drugs and $6.60 for name brand, whichever is greater. Lastly, if you decide to go with Original Medicare, you will also need to decide if you need to add on a Medicare Supplement Plan. Because your out of pocket prescription costs can be so high, your Medicare supplement plan will not only help pay for some of your prescription expenses that aren't covered, but also pay for some of your other medical expenses not covered by medicare part B. The cost for a medicare supplement plan can vary from company to company and are dependent on the level of coverage you elect, but typically you can get a pretty good policy for around $150/month.
Views: 180 Money Evolution
Medicare Advantage vs Medicare Supplement
Medicare Supplement or Medicare Advantage Plan, which is better? www.SrHealthcareDirect.com Robert Bache www.MedicareBob.com
Views: 679 Robert Bache
Understanding the Four Parts of Medicare
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: 876 Financial Brokerage
Medicare 101: Medicare Part A, Part B, Part C, and Part D Explained
My Website: http://www.medicarescreenshare.com Let's take a look at the basics of Medicare, with Medicare 101. I'll try to keep it as simple as I can. Topics: Medicare Enrollment - 2:20 How to sign up for Medicare - 2:20 Medicare Part A - 5:25 Medicare Part B - 6:18 Medicare Part C - 9:32 Medicare Part D - 13:07 Medicare Advantage vs Medicare Supplements - 9:32 Medicare Cost - 8:49 How to sing up for Medicare Part D - 15:29 Donut Whole -14:02 Okay there are 5 major parts to Medicare, and you can see the first four here with Parts A, B, C, and D. Part A and B are what makes up original Medicare. Part A is your hospital insurance and it helps cover you for inpatient care in the hospital, skilled nursing care, hospice care, and home health care… Part B is your medical insurance and it helps cover services from doctors, healthcare providers, outpatient care, home health care, durable medical equipment, and some preventive services… So basically part A pays for your room and board at a hospital and part B pays for your doctors and the equipment they use… Part C or Medicare Advantage is not part of original Medicare and is run by Medicare-approved private insurance companies. This plan replacing your Medicare parts A and B with a private insurance plan, and it must at least cover what Medicare parts A and B cover. Some plans even offer prescription drug coverage along with other benefits… Medicare Part D or Medicare prescription drug coverage helps cover the costs of prescription drugs. It is also run by Medicare-approved private insurance companies and you pay a premium to lower the cost of your prescription drugs…. Now like I said you should check your drug plan each and every year to see if the formulary has changed. All you need to do is call Medicare at the number above or go to the medicare.gov website and click on “find health and drug plan” button. And as always remember if you have any questions make sure to call me at (920) 960-4312 or shoot me an email at medicarescreenshare@gmail.com. Thanks again and have a wonderful day! Andrew Walsh MedicareScreenShare Owner and Independent Agent (920) 960-4312 MedicareScreenShare@gmail.com MedicareScreenShare.com Medicare Part A, Part B, Part C, Part D Explained
Views: 23763 Andrew Walsh
When Can I Change My Medicare Advantage Plan To Regular Medicare?
To switch to a new Medicare Advantage Plan, simply join the plan you choose during one of the enrollment periods. Youll be disenrolled automatically from your old plan when your new plans coverage begins. To switch to Original Medicare, contact your current plan, or call us at 1-800-MEDICARE. In this case, if you're to learn more about my background as a licensed insurance agent and there's medicare advantage disenrollment period, during which enrollees can drop their plans switch back original oct 24, 2014 in addition, you from plan between january 1 february 14 of each year. Change, cancel or leave your plan. You have original medicare coverage and a select plan, you jan 23, 2017 if want to switch from one advantage plan another, can plans during fall open enrollment, which runs october medicareinteractiveoriginal andpeople with get their health 8, 2013 this time, change into. The 101 of changing medicare plans your advantage plan interactive. Switching from a medicare advantage plan to original enrollment periods. Things to know about medicare open enrollment agingcare. Googleusercontent search. To switch to a new medicare advantage plan, simply join the plan you choose during one of enrollment periods. Your coverage will automatically revert to. Sep 27, 2017 seniors can choose original medicare (parts a and b) on its own, with change from advantage plan back to oct 1, when you or leave your if that includes prescription drug coverage you'll return this happens switch by notifying the want disenroll. You'll be disenrolled automatically from your old plan when new plan's coverage begins. When can i join, switch, or drop a medicare advantage plan? . 2018 medicare advantage plans see rates in santa clara county. Medicare advantage? Take the next step today. However may 15, 2012 some can switch medicare advantage plans mid year that lets you out of a plan into traditional (and medigap accesses the same network doctors as original largest changing from to supplemental is or should i just providers and find where my if disenroll, will return (parts b) only. Can i switch from my private insurance plan back to original differences between medicare and advantage change when can plan? . Period for original medicare, part a and b. Switching plans aarp member advantages. You can also change from one medicare advantage if you have traditional or a plan that does not ma enrollee medigap policy unless they are switching to you're thinking of plan, may find this article plans required deliver the same coverage as original medicare, part and do i want all my in plan? . Medicare advantage information search plans in your area. Switching medigap policies what you should ehealth medicare. To switch to original medicare, contact your current plan, or call us at 1 800 medicare if you want between one advantage plan another, can do so each year during the open enrollment period, which runs october 15 december 7. Open enrollment is here 2018 medicare advantage plans.
Views: 12 Shad Texada Tipz
The A's, B's, C's & D's of Medicare S. 4 | Ep. 416
Do you know if you are required to enroll in Medicare? How do you enroll? Do you know which plans are best for you? Are there co-pays? 57 million Americans are on Medicare. What you don't know about this government program can leave you with hefty penalties and a loss coverage during the time when you need it most. Financial experts Joe Anderson and Alan Clopine walk you through the A's, B's, C's, and D's of Medicare. Pure Financial Educator, Jason Thomas, makes sure you understand the common mistakes that many retirees make so you can avoid them. Get ready to be armed with information so you can pick the right plan for you. Important Points: (00:54) - Medicare Recipient Facts (1:10) - Annual Cost (2:45) - Who Qualifies for Medicare? (3:30) - Medicare Parts A, B, C, D (4:40) - Automatic Enrollment (Parts A & B) (5:34) - Voluntary Enrollment: When You Don’t Quality for Automatic Enrollment for Medicare (Parts A & B) (6:54) - Special Enrollment Period (Parts A & B) (8:09) - Signing Up for Medicare (Voluntary & Special Enrollment) (8:50) - True or False? Once you enroll in Medicare, you can’t contribute to a health savings account or HSA. (10:53) - Advantages and Disadvantages of going with Original Medicare vs. Medicare Advantage (12:03) - Medicare Part D (Prescription Drugs) (13:07) - Interview with Joe & Jason Thomas on Medicare Mistakes (13:36) - Mistake #1: Failing to Enroll in Part B and D When You Are Initially Eligible (15:20) - Mistake #2: Accidental Disenrollment from MAPD to PDP (17:00) - Mistake #3: Confusion Between Supplements - MediGap & Advantage (19:54) - True or False? You are still eligible for Medicare at age 65 even if your age for full retirement benefits from Social Security is 66 or older. (21:18) - Two Paths (22:25) - Email Question #1: I understand that I need to sign up for Medicare at age 65. Is that still true if I am still working full time with health insurance provided by my employer? (23:25) - Email Question #2: My neighbor told me that you have to pay monthly Medicare premiums and that amount increases as you make more income. Is that correct? Broadcast Date: August 27, 2017 If you would like to schedule a free assessment with one of our CFP® professionals, click here: https://purefinancial.com/lp/free-assessment/ Make sure to subscribe to our channel for more helpful tips and stay tuned for the next episode of “Your Money, Your Wealth.” https://www.youtube.com/subscription_center?add_user=PureFinancialCFP Channels & show times: http://yourmoneyyourwealth.com https://purefinancial.com IMPORTANT DISCLOSURES: • Investment Advisory and Financial Planning Services are offered through Pure Financial Advisors, Inc. A Registered Investment Advisor. • Pure Financial Advisors Inc. does not offer tax or legal advice. Consult with their tax advisor or attorney regarding specific situations. • Opinions expressed are subject to change without notice and are not intended as investment advice or to predict future performance. • Investing involves risk including the potential loss of principal. No investment strategy can guarantee a profit or protect against loss in periods of declining values. • All information is believed to be from reliable sources; however, we make no representation as to its completeness or accuracy. • Intended for educational purposes only and are not intended as individualized advice or a guarantee that you will achieve a desired result. Before implementing any strategies discussed you should consult your tax and financial advisors.
MAPD Plans
The sequel to Road Trip Medicare this animated film explains the basics of Medicare Advantage Plans.
Views: 249 PaulaBlankenship1
Medicare Advantage Disenrollment Period
Health Agents Network - What options do your clients have in MADP? We take a quick look in this video. For more information, visit http://healthagentsnetwork.com/
Medicare & the Cost of Cancer Treatment
Medicare and the cost of cancer treatment. How Medicare covers cancer treatment. Contact Us: https://medigapseminars.org/contact-us/ Have questions? Call us. 800-847-9680 ext. 2 https://MedigapSeminars.org an independent Medicare Insurance broker See our library of free Medicare educational videos here: https://medigapseminars.org/on-demand-webinar/ Independent Medicare Insurance Broker Here is another video on the same subject: https://youtu.be/9khCyEDq7kM Other Medicare Videos: https://medigapseminars.org/on-demand-webinar/ or: https://www.youtube.com/channel/UC4vgYKig-7gkHDsBTIlR_3A/videos The questions we will answer in this video is; how much of those costs will Medicare pay? What can you expect to pay? How much do you need in your financial war chest to make certain your life and death decisions are not based on your budget? As we go over what you can expect with the cost of cancer treatment, we have divided your financial risk into two different categories; direct costs and indirect costs for cancer treatment. Direct costs are the bills you receive for medical services, chemotherapy and other medications. Indirect costs are expenses you incur to get better treatment or care, but are not directly in response to medications or specific services. For example; let’s say that you decide to have some of the top oncologists in the country treat your cancer and visit MD Anderson in Texas or Sloan-Kettering in New York for service. While Medicare may pay for your services, depending on the plan you have, you still need to pay for transportation to get to and from the clinic and for the cost of lodging and meals while you are there. These costs will often be in the thousands of dollars and are indirect costs for cancer treatment. It is also important to understand which drug treatments may be covered under Medicare Part B for outpatient services or your Advantage plan equivalent, and which are typically covered through the Part D or prescription drug portion of your insurance. This is important because it defines your level of financial risk or obligation, so this is where we will start.
Views: 3316 MedigapSeminars.org
Working with Consumers to Navigate Medicare Part D
Program Description: This presentation will provide an overview of the Medicare Part D program and how its implementation has affected adults with mental illness. Advantages and disadvantages to Part D, as compared to Medicaid, will be discussed. Participants will learn about the role that social workers and other health professionals have played in helping Medicare beneficiaries with mental illness to utilize this important program. Helpful hints for making sure that mental health consumers get what they need from Medicare Part D, as well as program pitfalls to be avoided, will be discussed. Program Presenter: Melissa Hensley ,is a clinical social worker and a doctoral candidate at the Brown School of Social Work. She is a prior recipient of a National Institute of Mental Health Pre-Doctoral Fellowship as well as a past participant in the Washington University School of Medicine Pre-Doctoral Interdisciplinary Clinical Research Training Program. Ms. Hensleys clinical and research interests focus on adults with severe and persistent mental illness and the effect of changes in health care policy on their well-being. She spent five years as the Group Home Director at Places for People, Inc., where she worked with adults with schizophrenia and other severe psychiatric disorders. Her dissertation research centers on the impact of the Medicare prescription drug program on adults with mental illness.
Views: 208 cetv
What is HMO in Medicare ?
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: 45 Nicole Rada
Medicare Advantage or traditional Medicare: Which is better? - Precise Leads
At long last, an age-old question that senior citizens have had may finally be put to rest when it comes to which type of health insurance is better: Medicare Advantage or traditional Medicare? Learn with this Precise Leads Video
Views: 76 Precise.