Lumaktaw sa pangunahing content

What suits you best.

Which Medicare Plan suits you best
The most comprehensive plan that is currently available is Medigap Plan F, which covers all of the gaps in Medicare. The next most comprehensive plan is Plan G, which covers nearly as much, with the Part B deductible being the only difference. Finally,  the Plan N is probably the third most popular plan because it operates similarly to Plan G except that you pay copays for doctor and E.R. visits, and also, you will pay your own excess charges out-of-pocket.

Medigap Plans are Standardized
There are currently 10 different Medigap plans that are standard across most states. (Massachusetts, Minnesota and Wisconsin have their own plan standards.) This means that Plan A offered by Company X in Anaheim is exactly the same as Plan A offered by Company Y in Boise. While premiums may differ, benefits and coverage are the same.
Medigap is offered by private insurance companies. These companies do not have to offer all 10 plans.  However, any company that offers Medigap coverage must offer Plan A. Also, if it wishes to offer more than one plan, it must also offer either Medigap Plan C or Plan F in addition to any other plans it offers.
Ever wondered which Medigap plan is the most popular?, the answer is Plan F, wherein it is about 55% of all Medigap plans. Plan C is a distant second at about 9%, according to the most recent Medigap enrollment data.
If you’re looking for the plan with the highest enrollment growth, Plan N and Plan G is skyrocketing in popularity, up to 33% and 25% respectively over last year’s numbers.
Here’s what you need to know about what these plans cover so you can choose the right one for you.
Medigap Plan Benefits
    F
    G
     N
Medicare Part A Coinsurance and Hospital Cost
(Up to an additional 365 days after Medicare benefits are used)
YES
YES
YES

Medicare Part B Coinsurance of Copayment
YES
YES
YES

Blood (First 3 pints)
YES
YES
YES

Part A Hospice Care Coinsurance or Copayment
YES
YES
YES

Skilled Nursing Facility Insurance
YES
YES
YES

Medicare Part A Deductible
YES
YES
YES

Medicare Part B Deductible
YES
NO
NO

Medicare Part B Excess Charges
YES
YES
NO

Foreign Travel Emergency (up to plan limits)
YES
YES
YES


What’s Covered on Medigap Plan F?
Medigap Plan F is the most favored with individuals who want First-dollar coverage on their health care costs. First-dollar coverage means that both your Part A and Part B deductibles are covered by the plan, so you won’t be paying anything before your Medicare benefits kick in. This kind of broad protection makes sense if you’ve got serious or chronic health conditions and have a lot of medical expenses each year.
Premiums for Plan F tend to be the highest among the Medigap plans, but if you’re looking for lower premiums and broad coverage, there is a high-deductible option for Plan F. Under this plan, you’ll have to pay first $2,200 of your expenses out-of-pocket before your plan pays.
There’s another thing, Medicare Plan F is being phased out. It won’t be offered as a new policy, however, if you’re already enrolled in a Plan F, you’ll be allowed to keep it.
What’s Covered under Medigap Plan G?
Medigap Plan G is currently outselling most other Medigap plans because it offers the same broad coverage as Plan F except for the Part B deductible, which is $198 in 2020. The only difference when you compare Medicare supplements Plan F and Plan G is that its deductible, otherwise they function just the same. 
There is one important feature that Medicare supplements Plan F and G have over all the other Medigap plans.  These two popular plans are the only Medicare Supplement Plans that offer coverage for Part B excess charges and that’s important if you want maximum flexibility to choose your healthcare provider. 
When you see a provider that doesn’t participate with Medicare, he can charge up to 15% more than the standard Medicare rate for your services. You will pay this money out of pocket unless you have Medigap Plan F or Plan G. It’s definitely something to consider if the provider's choice is important to you.
The good thing is that this plan won't be going away like Plan F.
What’s Covered under Medigap Plan N?
This one is another fast-selling plan because it offers a good balance between protection against catastrophic out-of-pocket expenses and affordable premiums.
Under this, you have all the same coverage as Plan F EXCEPT:
·         No coverage for Part B deductible
·         No coverage for Part B excess charges
·        You may have a copay of up to $20 for doctor visits and $50 for hospital visits         that don’t result in admission.

This one belongs to the newer plans, rolled out in 2010. It’s a good fit for individuals who don’t mind a little cost-sharing in exchange for lower premiums. It’s also not going anywhere in 2020, unlike Plan F.


Mga etiketa:

Mga Komento

Mag-post ng isang Komento

Mga sikat na post sa blog na ito

NCOV -19 and MEDICARE 2020

Medicare Part B , which includes a variety of outpatient services cover medically necessary clinical diagnostic laboratory tests when a doctor or other practitioner orders them. Medically necessary clinical diagnostic laboratory tests are generally not subject to coinsurance or deductible. It will cover medically necessary imaging tests, such as computed tomography (CT) scans, as needed for treatment purposes for lung infections, however not for screening asymptomatic patients. For those imaging tests paid by Part B, beneficiary coinsurance and deductible would apply. If the Part B deductible ($198 in 2020) applies to the Part B services, beneficiaries must pay all costs - up to the approved amount of Medicare until the beneficiary meets the yearly Part B deductible. Once it is met, Medicare pays its share, and beneficiaries typically pay 20% of the approved amount of the service, except laboratory tests. There’s no yearly limit for what a beneficiary pays out-of-pocket tho
Mag-post ng isang Komento
Magbasa nang higit pa

Cardiovascular Disease Risk Reduction

Cardiovascular disease generally refers to conditions that can lead to a heart attack or stroke. Cardiovascular disease risk reduction visits can help detect and prevent this disease. How to know if I am Eligible? Medicare   Part B  covers an annual cardiovascular disease risk reduction visit with your primary care  provider . You do not need to show any signs or symptoms of cardiovascular disease to qualify for screening, but you must be considered competent and alert when counseling is provided.  During the screening, your provider may; Encourage aspirin use if the benefits outweigh the risks You are a man  of age 45-79 Or a woman of age 55-79 Screen for high blood pressure if you are age 18+ Provide behavioral counseling and tips to encourage a healthy diet Note: Men under 45 and women under 55 are not encouraged to use aspirin as a tool to reduce cardiovascular disease. How much will it cost? If you are eligible,  Original Medicare  will cover your cardiovascular disease risk red
Mag-post ng isang Komento
Magbasa nang higit pa

Lifetime Reserve Days

There are  90 days of  inpatient  hospital care coverage on Original Medicare for each  benefit period , In addition, you also have an additional 60 days of coverag e , called LIFETIME RESERVE DAYS .   These Lifetime Reserved Days  can be used only ONCE, and you will pay a  coinsurance  for each of it. To have a better understanding of it, let’s imagine an individual who had a 120-day  Medicare -covered inpatient stay, this means that they used 30 lifetime reserve days. After they have been out of the hospital for 60 days in a row, they will be eligible for another 90 days of hospital coverage because they will be in a new  benefit period . However, if they need  inpatient care  beyond the benefit period maximum, they will only have 30 of their 60 lifetime reserve days remaining. The above example illustrates that lifetime reserve days do not have to be applied to the same hospital stay. If you need to stay in the hospital twice for 120 days each time during different benefit
Mag-post ng isang Komento
Magbasa nang higit pa