Crowe & Associates

Blog

Humana over the counter catalog

Humana over the counter catalog

Humana over the counter catalog

If you are a member of Humana, you will want to know how to get your Humana over the counter catalog.  Please remember, only some of the Humana plans have an OTC benefit.

If your plan offers this benefit, you can use it to purchase over the counter items such as; first aid supplies, aspirin, cold and allergy medicine and many other supplies.  You use your benefit allowance with Humana Pharmacy’s mail-delivery service. To find out if your plan has an OTC benefit allowance,  go to myhumana.com, go to “Documents & Forms” at the bottom of the page, from there you can see your Evidence of Coverage or Annual Notification of Change documents that will explain your policy’s benefits.

Click here to download a copy of the OTC catalog

For an OTC order form, Click here.

If you have questions about how to use your OTC benefit, you can call Humana Pharmacy at 1-855-211-8370.  There are Customer Care representatives available from Monday to Friday, 8 a.m. to 11 p.m.  They are also available on Saturdays from 8 a.m.  until 6:30 p.m., Eastern time. 

There are a few ways to order your OTC items:

Order items Online. You can create an online account by  clicking here for Humana Pharmacy.,   Once you are registered you select “Over-the-Counter (OTC) Items”  and then go to  “Shop Products” there you will see a list of the available products you can order from you Humana over the counter catalog .

You can order by Mail.  Just Fill out the Health and Wellness Products Order Form (download a copy here) send the order form to:
Humana Pharmacy
PO Box 1197
Cincinnati, OH 45201-1197

You can Fax your order into Humana. Once you download and fill out the order form, fax the pages to 1-800-379-7617.

How much is the OTC benefit allowance?

If you have a plan with the OTC benefit, you will have to check every year to see what your OTC benefit amount is.  Because Humana updates plan benefits annually to try and offer the best value to their members.  You can find this information if you sign in to your Humana account by going to Humana.com.   Once you are in your account go to the bottom of the page and click on  Documents & Forms.  From there you can review your Evidence of Coverage or Annual Notification of Change documents.  This is where you will see the amount of your OTC benefit as well as other important plan information.
In the event that your OTC order exceeds your benefit allowance, you must pay the remaining balance.  You can make your payment either by check, money order or by credit card.
Please note: sales tax may apply if your order total is over your benefit allowance.

If you do not use your OTC benefit; the unused balance does not roll over to the next month or quarter.

If you need help find the right plan please contact us either by phone at (203)796-5403 or by email at teal@croweandassociates.com.

To learn more about us go to croweandassociates.com.

Compare Medicare Advantage plans

Compare Medicare Advantage plans

If you are new to Medicare, you should Compare Medicare Advantage plans to find the one that fits you best.  Some people refer to Medicare Advantage plans as either Part C or MA Plans.  These plans are used as an alternative to original Medicare.  If you choose to participate with a Medicare Advantage plan, you do not lose your Medicare benefit.  These plans include your Medicare Part A and Part B and in most cases a prescription drug plan or Part D.

How does a Medicare Advantage Plan work with Medicare:

Private insurance companies must have their plan approved by Medicare before they can offer them to clients.  Medicare has very strict guidelines that insurance companies must follow.  Once Medicare approves the plan, Medicare will pay a certain amount to these insurance companies every month for your care.

Every plan has different charges, costs and rules for services you receive.  Some plans require you to get a referral before seeing a specialist and weather or not you have to go to certain approved providers for your medical care for non emergency care.  Insurance companies change there policies every year.  That means you should check your policy each year during open enrollment to be sure it is still the best option for you.

Compare Medicare Advantage plans to be sure what services are covered:

Although Medicare Advantage Plans cover all the services that original Medicare approves, some Medicare Advantage plans offer additional extra coverage.  The options can include things like; vision, hearing and dental coverage.  The cost for each plan also varies depending on the company you choose as well as your location and a few other things.  Click here for more cost information.

Click here to compare Medicare Advantage plans in your area.

Medicare Advantage plan prescription drug coverage:

For most of us, prescription drug coverage; also know as Part D is an important benefit to have.   Most Medicare Advantage plans offer prescription drug coverage.  If you choose a plan that does not offer Part D, you can enroll in a stand alone Medicare Prescription Drug Plan.

 

If you would like help choosing a Medicare plan, please contact us either by phone (203)796-5403 or email teal@croweandassociates.com.

 

click here to view image contributor

What is Medicare Part D

What is Medicare Part D

If you are thinking about signing up for Medicare, you will need to ask the question; What is Medicare Part D.  Medicare Part D is prescription drug insurance.  This insurance will cover your medication needs. If you choose a Medicare Part D plan, you will pay a monthly premium to an insurance carrier for your coverage. The insurance carrier will send you an ID card to use at your  insurance provider’s network of pharmacies to fill your prescriptions. In most cases, you will not pay full retail price for your medication, you will pay a copay (a percentage of the drug’s price).  And, the insurance carrier pays the remaining balance.

The federal government controls the Medicare Part D program:

Medicare Part D is administered through private insurance companies. These companies provide beneficiaries prescription drug coverage. This program began in 2006 and offers Medicare recipients a valuable benefit that saves them thousands of dollars on medication each year.  Beneficiaries can choose 2 ways to receive this benefit.

  1.  They can enroll in a standalone prescription drug plan along with a Medigap/Medicare Supplement plan.
  2.  Or, they can choose a Medicare Advantage(Part C) plan that includes prescription drug coverage.

All Medicare Part D plans must follow guidelines set by the federal government.  This means, every insurance carrier who participates must submit it’s plan to the CMS/Centers for Medicare and Medicaid Services.  The carriers have to do this every year to have their plans approved before they can offer them to clients.

What is Medicare Part D; how does it work:

  1. There is a Deductible

    Medicare allows a  part D deductible of $480 (2022) per year.  Remember, this number changes each year.  Some plans charge the entire allowable Part D deductible amount.  Although, other plans will either charge a portion of the deductible or waive the deductible entirely. You do not start the initial coverage period until you satisfy your plans deductible.  In addition,  you will pay the network discounted price for your prescriptions.

  2. The Initial Coverage period

    Once you enter this stage of your Part D coverage, you pay only the copay for your prescriptions.  The copay amount is determined by the plan’s formulary.  Additionally, every carrier has a drug formulary they use to decide the cost you pay for your medication based on a system of tiers.  Tier 1 is used for generic medications and usually has a low to no co-pay amount. When you get into each higher tier the copay amount tends to go up.  Every year,  there is a set spending limit amount. Your insurance company  will keep track of the amount spent by you and the insurance company.  Once the total amount spent reaches the yearly limit (in 2019 it is $3820) you have reached your coverage gap and your coverage goes to the next level.

  3. The next level is the coverage gap

    You will enter this level after you reached the initial coverage limit for the year.  This is the coverage gap level. Once you hit the coverage gap for the year,  the price you pay for brand name prescriptions goes to 25%.  The cost for generics goes to 37%.  You will remain in the coverage gap level until your out of pocket drug costs reach the annual limit.  In 2019 the limit is $5100.  You should be aware that to get into the gap, Medicare tracks the total amount you and the insurance company have spent.  Medicare only counts the amount you pay in deductibles, co-pays and gap spending for the year as well as manufacturer discounts,  to get out of the coverage gap.  However, they do not count contributions made by the federal government.

  4. Final level is catastrophic coverage  Once you reach the maximum amount for the coverage gap, your enter into the catastrophic coverage level.  At this level, your  insurance plan will pay 95% of the costs of your medications for the rest of the year.  As long as they are on the formulary.  This coverage will be very helpful if you have expensive medications.

What is Medicare Part D; important:

Some medications are not covered by Part D.  However, if you use a medication that is not on your plan’s formulary, you can ask our provider to file an exception.  Sometimes this can help you get your prescription approved.  If your drug is not approved, you will have to pay the total cost for your prescription.

Each year the drug plan providers make changes to benefits; this includes the formulary, in network pharmacies, providers as well as costs.  The changes go into effect on January 1st.  Be sure to check your coverage during open enrollment every year.  This is important if you need to change your insurance provider.  If you do not check, it could end up costing you a lot.

Find the best prescription drug plan for you, click here

If you need help finding the right plan for you, please contact us either by phone at (203)796-5403 or by email at teal@croweandassocites.com.

Click here to sign up for Medicare A & B

Looking for a Medicare Quote?   Click here to Quote, Compare and Apply!

Agents

If you are an agent looking to work with an FMO, click here to see what we offer.

 

 

click here for image attribution

Anthem OTC catalog

Anthem OTC catalog

This post will give you the information you need to access the Anthem OTC catalog. That way you can use your OTC benefit. Beneficiaries can use the benefit to purchase certain non-prescription, over-the-counter items such as; vitamins, pain relievers, first aid supplies, and orthopedic support braces, as well as other items to help with minor health concerns.  You can use the benefit one time each quarter.  Any benefit that you do not use during the quarter, will not rollover to the next quarter.  If you do not use the entire OTC benefit amount for the year it will not roll over to the next calendar year.

THIS BLOG HAS BEEN UPDATED – CLICK HERE FOR UPDATE

If you are a member of  a participating Anthem Medicare Advantage plan:

You will receive an OTC card.  This card is called Healthy Benefits Plus.  This card is used for select over-the-counter item purchases. Beginning in January 2019, beneficiaries can use this benefit to purchase OTC supplies in Walmart stores and in a few states, such as California, New York and new Jersey you can shop in CVS stores.

To get a copy of the OTC catalog, just call the customer service number on your member ID card

There are a few ways to order over the counter items.

1.  In-Store – to use your OTC card in store, simply purchase eligible items and use the card as your form of payment 2.  Order items online either at Walmart.com or in the App.  You must first download the app to use it. If you want to place an order online at Walmart.com, once you create an account you can sign in and place items in you cart and then check out using your OTC card number as a gift card for payment. 3.  You can call 866-413-2582 to place an order by phone.

  By giving beneficiaries more access to OTC products, Anthem can help address more healthcare needs of members and reduce their out-of-pocket expenses. If you have other questions about your health insurance coverage, please call the member services number on the back of your insurance card. If you would like help choosing an insurance plan, you can use our on line quoting tool to compare Medicare Advantage  or Supplement plans. Click here to compare plans. To speak with a licensed agent for guidance, you can either call (203)796-5403 or email teal@croweandassociates.com. Looking for other OTC catalogues?  Click the links for other companies otc catalogues.    AETNA      UHC

When can you collect Medicare

When can you collect Medicare

There is one important question many people need the answer to; When can you collect Medicare.

When can you collect Medicare:

If you are going to turn 65, you should plan to sign up for Medicare.  You are eligible to receive Medicare at the age of 65.  In fact, if you delay your enrollment you will be charged a penalty that will last the entire time you receive Medicare benefits.  If you are disabled you can sign up for Medicare any time otherwise, you must be 65 years old to receive Medicare benefits. Unfortunately, many people think you can get Medicare when you are eligible for Social Security benefits. Unfortunately, if you retire early at age 62 you still have to wait until 65 to claim Medicare benefits.

You can sign up for Medicare three months before you turn 65 and for the 3 months after. If you already receive Social Security benefits, you will automatically be enrolled in both Medicare Part A & B the beginning of the month you turn 65.

There are many choices to make when you sign up for Medicare:

Medicare has four main parts:  The first part is Medicare Part A, Part A  covers hospital stays.  Second is Medicare Part B , Part B covers doctors fees and medical expenses.  The third part is Part C also know as; Medicare Advantage. If you choose to use a  Medicare Advantage plan, it will take the place of both your Medicare Part A as well as Part B. This means it will cover hospital care and doctor visits. The last part is Part D. Part D covers prescription medications. There are also plans called Medigap or supplements that you can purchase to help pay the 20% of Medical costs that Medicare A & B do not cover.  So you can cut down or eliminate your out-of -pocket expenses.

If you are still working and receive health insurance from an employer:

You may not need to sign up for Medicare Part B immediately. It is important to meet with your employer to find out whether the employer’s plan is the primary insurer. If you will have Medicare, for your primary insurer, then you need to sign up for Part B. Either way, you still need to sign up for Part A.  This can help with some of the costs your group health plan does not cover.

If you don’t have employer health insurance, or when your employer coverage is secondary to Medicare, you must enroll in Medicare Part B during your initial enrollment period.

Important;  Medicare does not consider Cobra, retiree coverage or VA benefits as a health insurance plan.  In order for a plan to be considered health coverage by Medicare, you must be actively working for an employer with 20 or more employees.  You must either have an approved health plan or you must sign up for Medicare Part B in order to avoid penalties.

If you delay signing up for Part B:

You will be subject to a penalty of 10%  for every year you were eligible and did not sign up for Part B benefits. In addition, you will have to wait for the general enrollment period to enroll. The general enrollment period starts  January 1 and goes to  March 31 each year. If you enroll during this period, your coverage will begin on July 1.

When can you collect Medicare, Medicare Part C, also called Medicare Advantage:

Before you enroll in Part C /Medicare Advantage plan, you must be enroll in Medicare Parts A and B. Medicare Advantage Plans provide all of your Part A and Part B coverage.  Some of these plans offer options, such as vision, hearing, dental, and wellness programs such as discount gym memberships. Many of these plans include Part D/prescription drug coverage.

After you consider deductibles, copays and exclusions, There are a good portion of medical expenses that Medicare does not cover. Medigap or Medicare supplement plans can help you pay the health care costs left over after Medicare pays their portion. If you would like more information on these plans, please contact us either by phone (203)796-5403 or email at teal@croweandassociates.com.

When can you collect Medicare, Medicare Part D:

Medicare part D is prescription drug coverage. If choose not to sign up for a Medicare Advantage plan with prescription drug coverage, you should enroll in a prescription drug plan.  You should enroll in Part D coverage when you sign up for Part A & B. If you do not sign up for some type of Part D coverage, you will receive a 1% penalty for every month you wait to sign up after your initial enrollment period.  You will not receive a penalty if you have drug coverage from a private insurer (retirement plan).  This is referred to as credible coverage. Check with your insurer to verify that your coverage is credible.

CLICK HERE TO QUOTE AND COMPARE MEDICARE ADVANTAGE, SUPPLEMENT AND PART D PLANS

This is a lot of information and it can be confusing, please feel free to contact us with any questions. Click here to learn more about Crowe and Associates

How do I apply for Medicare

How do I apply for Medicare

If you are like most people who are almost 65, you might be wondering How do I apply for Medicare.  A common misconception is that you can get Medicare as soon as you claim Social Security benefits, which can be as early as age 62. Unfortunately, if you retire early and claim your Social Security benefit, you’ll have to wait until 65 before you’ll be eligible for Medicare benefits.

In cases where you already receive Social Security retirement benefits, you will automatically be enrolled in both Medicare part A & B when you turn 65.  You will receive your Medicare card a little before you turn 65.

If you are not receiving Social Security retirement benefits when you turn 65, you will need to apply for Medicare.  This is easy to do on line at www.SocialSecurity.gov. It can also be done by phone 1-800-325-0778 Monday-Friday, 7 am to 7 pm, or in-person at your local Social Security office. Your initial enrollment period starts three months prior to your 65th birthday and ends three months after the month you turn 65.

Enrolling in Medicare can be confusing, because of all the plan options available.  Finding an experienced Medicare agent can make it easier to find a plan that both suits your needs and budget.

Already enrolled?  Click here to look up your Medicare number.

First:

As we stated above, the initial enrollment period for Medicare starts 3 months before the month you turn 65 and ends 3 months after the month you turn 65. That gives you seven months to complete your enrollment. In other words, it is best to get yourself enrolled as soon as possible to get your benefits in place so you avoid any coverage gap that might occur when you lose your current health coverage.

Click here to enroll in Medicare A & B on-line

Second:

Because Medicare doesn’t cover all healthcare costs, many people choose to supplement their coverage.  You can use either a Medigap/Medicare supplement plan or Medicare Advantage Plan/Medicare Part C.  Medicare Advantage plans or Part C takes the place of your original Medicare (A&B).  These plans all offer the same benefits that both Part A & Part B offer, and most of these plans cover healthcare expenses that Part A & Part B do not cover; this can include prescriptions. Each plan has it’s own coverage options.   Please note, these plans have a specific provider network and you will pay extra if you use an out-of-network provider.  Before you choose a plan,  make sure that your prescriptions are on that company’s formulary.

In most cases, Medicare supplement/Medigap plans charge higher premiums than Medicare Advantage plans.  Although, people who choose Medicare Supplement/Medigap plans usually have little to no deductibles.  On the down side, these plans do not include prescription drug coverage.  For that reason, you will need to purchase a prescription drug plan to go with your Medicare Supplement/Medigap Plan.

Third:

If you choose a Medicare Supplement/Medigap plan, you need to find a drug plan or Part D coverage.  If you take any medication now or may need to in the future, this is an important thing to consider.  There are many companies that offer Par D coverage.  Because of this,  you will need to check each company’s formulary to find the best coverage for your needs. This is something your insurance agent can do for you.

Finally:

Keep in mind, each year Medicare has an open enrollment period which runs from October 15 through December 7.  During this time you should check your plans against other plans to see if you are still in the best plan for you.  If you find your needs have changed, you can make changes for the coming year. Each year insurance companies make changes to their plans, they may change their provider network or formulary among other things.  This is why if you have a diligent agent, they will contact you before or during open enrollment and make sure you have the coverage that is best for you.

QUOTE AND COMPARE MEDICARE ADVANTAGE, SUPPLEMENT AND PART D PLANS HERE

What is Medicare Plan F

What is Medicare Plan F

If you are ready to enroll in a Medicare supplement, you might ask; what is Medicare Plan F?  Medicare supplement/Medigap Plan F is the most comprehensive Medicare supplement you can buy. Plan F covers both Medicare deductibles and copays as well as coinsurance.  That means you will have no out-of-pocket expenses.

Click here to learn about Plan G

What is Medicare Plan F:

Plan F has been the top selling Medicare supplement plan for quite some time. More than half of all Supplement/Medigap policies in effect are Plan F.

Medicare Supplement/Medigap plans, pay the amount left on your medical bill after Medicare pays.  This will cover your deductibles, copays, and coinsurance. These plans do not replace either Medicare Part A or Part B. You must enroll in both Part A and Part B to be eligible to enroll in any Medicare supplement Plan.  Once you add a Plan F to your Part A & B coverage you will have complete Medical coverage.  That translates to zero out-of-pocket medical expenses.

Benefits of a Medicare Supplement Plan F:

  • Plan F covers your Part A hospital deductible as well as your Part B outpatient deductible.
  • Medigap plan F covers the 20% of medical expenses that Medicare Part B does not pay.
  • This plan also covers Part B excess charges.  This means you will not have to pay the standard 15% excess charge that doctors who accept Medicare are allowed to charge for Part B services.
  • You do not need a referral to use Medicare Supplement plans. You can use any doctor who participates with Medicare.  This gives you a wide variety of health care providers to choose from.
  • Your coverage can never be canceled because of medical issues; these plans are guaranteed to renew as long as you make your payments.
  • All Medicare supplement Plan F coverage is exactly the same.  It does not matter which carrier you choose to purchase it from.  The only thing that differs by carrier is the price of the plan.

What is Medicare Plan F: Benefits; what does the plan cover/not cover:

All Supplement/Medigap plans cover medications that you receive while you are in a hospital or clinic.  Although, Supplement/Medigap plans DO NOT COVER prescription drugs.  You need to enroll in Part D in order to receive prescription coverage.

Supplement plans DO cover chiropractic services that Medicare approves, such as adjustments.  Medicare does not cover x-rays done in conjunction with a chiropractor.

Supplement/Medigap plans don’t cover dental, hearing or vision exams or services.  If you need coverage for any of these services, you must purchase a stand alone plan.

How much does a Plan F cost:

The costs for Medicare Plan F depends on a few different factors.  The first thing that determines the cost of your Plan F is the carrier you choose to use.  Other things that decide the cost include the area you live in(this had the greatest effect on the cost), your gender, and whether or not you use tobacco.   Some carriers charge a higher price for a male as opposed to a female of the same age.  Certain carriers offer a  household discount when both spouses use the same company for their coverage. If you would like a quote for plan in your area, please contact us either by phone at (203)796-5403 or email at edward@croweandassociates.com.

NEED TO QUOTE MEDICARE SUPPLEMENT PLANS? -CLICK HERE

Is the Plan F being discontinued:

The answer to that is yes.  In the year 2020, plan F no longer be available to new enrollees.  If you are already enrolled in the plan, you will be able to stay in it.  In 2020, new Medicare beneficiaries will no longer be able to have Medicare supplements cover their Part B deductible.

If you have questions about this or any other aspects of Medicare, please contact us either by phone (203)796-5403 or email edward@croweandassociates.com.  For more information, click here 

IRMAA Part D

IRMAA Part D

Most people do not pay IRMAA part D and only pay their Part D premium.  Be aware if you do not sign up for Medicare part D when first eligible, you may have to pay a Part D late enrollment penalty.

Click this link, to see an updated IRMAA chart for 2022.

If your modified adjusted gross income (MAGI) is above a certain amount of income for you and/or your spouse, you may have a Part D income-related monthly adjustment (Part D-IRMAA). Medicare will use the MAGI   on your IRS tax return from 2 years prior to the current year. If the income is over the stated 2019 guidelines you will pay the Part D-IRMAA amount in addition to your monthly part D plan premium, this extra amount of monthly premium is paid directly to Medicare but is billed through your plan. The chart below shows the additional amounts and income for 2019 but is based on 2017 earnings.

IRMAA Part D

Social Security will send a notice stating the Part D-IRMAA, based on your income. The amount you pay is adjusted each year based off the prior two years earnings. If you do not agree with the IRMAA amount or make a lot less than you did two years ago you can appeal, just fill out this form and send it in to Social Security using the instructions provided.  If you have questions about your Medicare prescription drug coverage, contact our office.  Crowe and Associates phone number is 203-796-5403

The chart below shows your estimated prescription drug plan monthly premium based on your income as reported on your IRS tax return. If your income is above a certain limit, you’ll pay an income-related monthly adjustment amount in addition to your plan premium. 

Filing status and annual income from 2 years prior
Individual tax return Joint tax return Married & separate tax return You pay each month (in 2019)
$85,000 or less $170,000 or less $85,000 or less your plan premium
 $85,000 up to $107,000  $170,000 up to $214,000 NA $12.40 + your plan premium
 $107,000 up to $133,500  $214,000 up to $267,000 not applicable $31.90 + your plan premium
$133,500 up to $160,000  $267,000 up to $320,000 not applicable $51.40 + your plan premium
 $160,000 and less than $500,000  $320,000 and less than $750,000  $85,000 and less than $415,000 $70.90 + your plan premium
$500,000 or above $750,000 and above $415,000 and above $77.40 + your plan premium

Do you want to learn more about Medicare Part B IRMAA?   Click to learn more

IRMAA Part B

IRMAA Part B

Most people with Medicare part B will pay the standard premium amount of $135.50 a month. If your modified adjusted gross income goes above certain  income thresholds, you may pay an Income Related Monthly Adjustment Amount (IRMAA Part B). Medicare uses the MAGI reported on your IRS tax return from 2 years prior to determine the amount you will pay. They do this in order to have access to a filed tax return in order to determine income.

INFORMATION ON THIS PAGE HAS BEEN UPDATED.   CLICK HERE TO VIEW THE NEW PAGE.

Part B deductible & coinsurance

You pay $185 per year in 2019 for your Part B deductible. After your deductible is met, you typically pay 20% of the Medicare-allowable amount for these:
  • Most doctor services (including a number of doctor services while you are a hospital inpatient)
  • Outpatient therapy services

IRMAA Part B

Please note:  If you make substantially less in 2019 than you made in 2017, you may be able to appeal the IRMAA adjustment.  Talk to the local Social Security office about an appeal. You will need to be able to prove you now make less than what is shown on the 2017 tax return.  Call Crowe and Associates with any questions at 203-796-5403

If the yearly income in 2017 (for what you pay in 2019) was You pay each month (in 2019)
Individual tax return File joint tax return File married & separate tax return
$85,000 or less $170,000 or less $85,000 or less $135.50
$85,000 up to $107,000 $170,000 up to $214,000 Not applicable $189.60
$107,000 up to $133,500  $214,000 up to $267,000 Is not applicable $270.90
$133,500 up to $160,000  $267,000 up to $320,000 Not applicable $352.20
$160,000 and less than $500,000  $320,000 and less than $750,000  $85,000 and less than $415,000 $433.40
$500,000 or above $750,000 and above $415,000 and above $460.50

Get more information about your Part B premium from Social Security .

Looking for the IRMAA amounts for Part D of Medicare?   CLICK TO LEARN MORE

Medicare savings program CT 2019

Medicare savings program CT 2019

There have been some updates to the income limits for the Medicare savings program CT 2019.

INFORMATION IN THIS POST HAS BEEN UPDATED.   CLICK HERE FOR THE NEW PAGE.

The first question you might ask is; who is eligible for the Medicare savings programs CT 2019?  Anyone that qualifies for Medicare part A who has income below a certain level may be eligible for the program.  In most cases, you qualify for Medicare Part A when you turn 65.  Although, certain people who have a permanent disability for 2 years or more can also qualify.

Below is a chart that shows the current income limits for the Medicare savings program Ct 2019:

    Program   QMB   SLMB   ALMB
     Single income   $2,196.51   $2,404.71   $2,560.86
     Couple income   $2,972.99   $3,254.79   $3,466.14

If you have Medicare Part B:

You may receive help paying your monthly premium.  The premium for Part B normally comes out of your Social Security check.  When you qualify for any of the Medicare savings programs (either QMB, SLMB or ALMB) the state will pay your Part B premium.

If you do not qualify for Part A or Part B benefits,  the state of CT will help you get them.  If you qualify for QMB, the state will pay your Part A premium for you.  You can “conditionally” apply for Medicare Part A through your local Social Security Administration office or by phone at 1-800-772-1213.

When you qualify for any level of MSP, you are able to apply for benefits outside the normal enrollment period.  This enrollment is called a “buy-in”.  The QMB program will also help with co-insurance payments as well as deductibles.  The SLMB and ALMB programs do not pay either co-insurance or deductibles for you.

Click here to download the MSP Brochure in English.

Click here for MSP Brochure 2019 in Spanish.

These programs take time to go into effect.  It can be 90 days before there is a difference in your Social Security check.  If this happens, Social Security will reimburse you for the premiums that you paid during that time.  Keep in mind, there is no asset limit for any of the programs.  The only thing that matters is your income.  The amount of help you get will depend on your income.

What is considered income?

Things such as; wages, alimony, rental income, interest or dividends as well as Social Security, pensions and disability payments area all considered income.  You will not have to supply proof of your income when you first submit your application for benefits.  Social Security can easily check the information you provided them.  They will notify you if they need more information to process your request.

MSP 2019 Quick guide 2019 – click here

 

How to apply for benefits:

MSP application CT – click here

Either you can send your application to:
DSS ConneCT Scanning Center
P.O. Box 1320
Manchester, CT 06045-1320
Or, speak to a representative at 2-1-1.  The representatives are available 24 hours a day every day.  You can also call a Choices health insurance counselor at 1-800-994-9422.

To learn more about the services we offer at Crowe and Associates, click this link.

You can also contact us either by phone at (203)-796-5403 or by email at edward@croweandassociates.com.

3-D Graphics image provided by Quince Creative, click here to view more by this artist

How to find and compare hospitals

How to find and compare hospitals

If you are aware either that you will need medical care in the future or if you are moving to a new area you will want to know How to find and compare hospitals.  You can compare hospitals easily by clicking on the link to use the new Hospital Compare tool.   This tool can be found at Medicare.gov.  When you get to the page, all you need to do to start the search is to enter the zip code of the area you want to look in.  It is that easy.  Of course, it is always best to speak to you health care provider before making any medical decision.

 Some things you want to consider when choosing a hospital are:

  • Participates in Medicare and your health care plan in particular
  • Has a good quality rating, this include patient surveys
  • Has best experience dealing with your particular issue..
  • Is located in a convenient area for you.

 

This tool will also let you view both Department of Defense and Veterans Health Administration hospital performance data.  You can also find information about things like; how to file a compliant, Medicare coverage and healthcare providers.

Hospital Compare gives you information about over 4,000 Medicare-certified hospitals.

This includes more than 130 Veterans Administration (VA) medical centers.

How to find and compare hospitals helps you decide where to get health care services.  By providing patients both options and information, this tool also helps give hospitals an incentive to improve on care.

  • Important:  In an emergency, always go to the nearest hospital.

 

Hospital Compare was made with help from the Centers for Medicare & Medicaid Services (CMS), in collaboration with organizations that represent consumers such as; hospitals, doctors, employers, accrediting organizations, as well as other federal agencies.

Please contact us either at (203)796-5403 or by email at teal@croweandassociates.com, if you would like help with your Medicare coverage options.

If you would like to see what we can offer you; go to the Crowe and Associates home page – click here .

 

 

 

 

 

images by pixabay

Medicare Part D plan finder 2019

Medicare Part D plan finder 2019

What is Medicare Part D?  Medicare Part D provides you with prescription drug coverage.  The Medicare Part D plan finder 2019 will help you choose the drug plan that will best suit your prescription needs as well as your budget.  This can be very important coverage to have and can save you thousands of dollars each year on the cost of prescription drugs.  Before you go to the website to check on the best plans for you, you will need a list of medications that you currently take along with the doses. Once you have that information in front of you, you are ready to get started.

Recorded Webinar on how to use the Medicare.gov drug plan finder tool

Click here to go to the plan finder.

When you get to the website you will enter your zip code and click on find plans.

  1. On this screen you will see 3 questions:

    1. How do you get your Medicare coverage? There are 4 options to choose from.  If you are unsure, just pick the one that says I don’t know.
    2. Do you get help from Medicare or your state to pay Prescription drug costs? There are 6 choices for this question. Again, if you are unsure, choose I don’t know.
    3. Would you like to add drugs? There are 3 options for this question. If you have a list of medications, choose yes then click on the continue to plan results tab.

     2.  The next screen will ask you for the name of the medication.

A.  Type in the name of the medication, click on find my drug.

B.  When you see the correct drug, click on add drug.

C.  The following screen will prompt you to choose a dosage and quantity as well as the frequency and pharmacy type. Answer each question accordingly and continue to the next drug until you have entered all your medications.

D.  Once you have a complete list of your medications, click on my drug list is complete.

     3.  When you get to the Next screen,  you will choose which pharmacies you like to use. You can choose only 1 or 2, no more.  Then you click on the continue to plan            results tab.

     4.  The next screen you will ask you what type of plan you are looking for.

A.  Prescription drug plans (with original Medicare).

B.  Medicare Health Plans with drug coverage.

C.  Medicare health plans without drug coverage.

   5. After you click on the appropriate choice, click continue to plan results.

On the next screen, you will see which plans are available and the costs associated with those plans.   You are able to choose up to 3 plans to compare.  Once you have selected the plans you want to compare, you will click on compare plans.   The next screen will show the plans side by side so you can compare them by cost and coverage to find the one that best suits your needs.

Once you use the Medicare Part D plan finder 2019, you will see what a great tool this really is.

If you need help choosing a plan or signing up for Medicare, please contact us.  You can reach us either by phone at (203)796-5403 or by email at edward@croweandassociates.com.

For more information about the products that we can offer you, go to our website – click here.

To view more comparison tools; click here