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Home Posts tagged "medicare information" (Page 27)
How to disenroll from Medicare Part B

How to disenroll from Medicare Part B

By Ed Crowe | General Articles | 0 comment | 9 August, 2023 | 0

How to disenroll from Medicare Part B

In this post, we will go over how to disenroll from Medicare Part B.  Although it is a rare occurrence, you can terminate your Medicare Part B (Medical Insurance). Although you may need to have a However, you may need to have a personal interview with Social Security to go over the risks of dropping coverage.  They will also be able to help make sure you have everything you need to process your request.

If you  want help terminating your Medicare Part B or to schedule a personal interview, you can contact Social Security either at 1-800-772-1213 (TTY: 1-800-325-0778) or in person.  Click the following link to  find your local  Social Security office.

To cancel Medicare Part B, you will need to download and print Form CMS 1763.  Once you have the form, do not fill it out until you have your interview with Social Security.  They provide instructions on how to fill it out.  If you already have your Medicare card, you’ll need to return it.  You can do this either during the in-person interview or by mail once you complete the phone interview.

Reasons to disenroll from Part B:

You were automatically enrolled

If you are receiving either Social Security or Railroad Retirement Board benefits when you age into Medicare, enrollment in Medicare Parts A & B may happen automatically.   If that is the case, you will probably receive a Medicare card even if you have not applied for benefits.

You may not want to pay a Part B premium.  If you do not opt out in time, your Part B premium might be automatically deducted from your Social Security or Railroad Retirement Board check.

You have insurance coverage through your employer

If you have rejoined the workforce and now have access to employer-sponsored health insurance, you may decide to disenroll from Part B and stop paying the premiums.  If this is the case, you need to determine if your employer coverage is either primary or secondary to Medicare.

When your employer coverage is primary, they pay for your care before Medicare kicks in; if there are any left over charges.  If your employer coverage is secondary, Medicare pays your medical bills and then the employer coverage pays if there are any left-over charges.

In the event your employer coverage is the primary payer,  It may be a good idea to disenroll from Part B if you like.  The added coverage you receive may not be worth paying the Part B premium.  When your employer coverage is secondary, it is probably better to stay on Part B so you do not get charged Medicare’s portion of your medical expenses.

It is always a good idea to speak with your human resources department at work as well as a licensed Medicare agent to determine what your best coverage options are. They can also help determine which plan would be primary and which would be secondary.

You can’t afford the premiums

When you are not sure you have the money to pay your Part B premium, please be aware of the risks of not having medical coverage. If you become ill, you could end up paying a lot more than a Part B premium.  If you do not have health coverage that is at least as good as Medicare, you might have to pay a late-enrollment penalty once you do sign up.  The penalties can make your premium even higher and they last for as log as you are enrolled in Part B.

You may be eligible for Extra Help or Medicaid coverage if you have a limited income and few assets. If you qualify for one of your states Medicare savings programs, you may receive help paying for your Part B premium.

Some risks to disenrolling from Medicare Part B:

If you do not have health coverage, you could become injured or ill and be stuck paying for all your medical services out-of-pocket.

Any time you go without creditable coverage, you have a coverage gap and will pay a late enrollment penalty unless you have a SEP (special election period) once you do sign up.  You also need to wait until the next General Enrollment Period to get coverage.  This period runs from January 1 through March 31st annually.

Click here to learn more about the risks of late enrollment in Part B

Any month that you are enrolled in Medicare Part B, you will pay a premium.  Once you disenroll from Part B, it will end the first of the following month after you file the request. If you decide to keep Part A, you will receive a new Medicare card showing Part A only.

Can I re-enroll in Medicare Part B if I disenroll now

Disenrollment from Part B does not prevent you from re-enrolling at a later date.

Click here for Medicare Part B enrollment form

There is a good chance that you will not be able to enroll online if you have Part A and disenrolled from Part B.  See instructions below to re-enroll in Part B.

Download and fill out the Part B Enrollment form –Click here for Medicare Part B enrollment form

If you currently have coverage through an employer, make sure you have them complete Section B of the form.  You may need supporting documents from your employer to prove you had creditable coverage.  Click here for help with your application

Send your completed forms either by mail to your local Social Security office or by fax to 1-833-914-2016.

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Inflation Reduction Act and Medicare Changes

Inflation Reduction Act and Medicare Changes

By Ed Crowe | General Articles | 0 comment | 7 August, 2023 | 0

Inflation Reduction Act and Medicare Changes

This post will go over the Inflation Reduction Act and Medicare changes.  The goal of the Inflation Reduction Act is to provide some financial relief for Medicare beneficiaries by making adjustments to the Medicare program.  The new prescription law improves the Medicare program by expanding benefits, lowering drug costs and keeping the drug plan premiums stable.

Inflation Reduction Act and Improvements to Medicare Part D:

Medicare beneficiaries will have access to lower prescription drug costs as well as a redesigned prescription drug program. This new program includes benefits such as:

A $35 monthly co-pay for covered insulin prescriptions.

An annual cap of $2,000 on out-of-pocket costs, starting in 2025.

No cost for recommended adult vaccines.

Starting in 2024 the LIS/Extra Help program under Part D will be expanded to include 150% of the federal poverty level.

Inflation Reduction Act and Price negotiation of Medicare prescription drugs:

This is an important change.  It gives Medicare the power to negotiate the cost of prescription drugs directly with the manufacturers.  This will lead to lower costs on some of the most expensive, brand-name Medicare Part B and Part D drugs.  Because of this change, more people will be able to afford the life saving treatments they need.

The inflation reduction act requires drug companies that raise their prices faster than the rate of inflation to pay Medicare a rebate.  Because of this, drug manufacturers will be discouraged from charging Medicare beneficiaries ridiculous price increases.

Inflation Reduction Act and Changes to Medicare Part B:

Changes in the Medicare Part B program will improve access to high quality, affordable biosimilars for people with Medicare as well as impose a $35/month cost-sharing cap on insulin used in durable medical equipment pumps.

The Inflation Reduction Act makes Medicare stronger for current and future enrollees. It makes health care more accessible, equitable, and affordable by lowering what Medicare spends for prescription drugs and limiting increases in prices.

Find the answers to some FAQs on the Medicare drug price negotiation

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Losing Medicaid benefits

Losing Medicaid benefits

By Ed Crowe | General Articles | 0 comment | 28 July, 2023 | 0

Losing Medicaid benefits

Because of the recent Medicaid redetermination, many people are losing Medicaid benefits.

During the last 3 year period, Medicaid benefits have been automatically renewed for individuals who became eligible because of the public health emergency caused by COVID-19.  During this time, beneficiaries were not required to recertify annually for Medicaid coverage.

Because the public health emergency has ended or “unwinding” as of May 11, 2023, the requirement to recertify for Medicaid coverage is back in place.  This means there will not longer be any automatic renewal and Medicaid beneficiaries must prove the need for benefits.

In other words, beneficiaries will go through redetermination.

This process takes place each year and reviews each person’s need for health care assistance through their state government. It is important to reply to any valid communication you receive from your state’s department of Social Services or DSS.  If you fail to respond, you may lose your coverage even if you do qualify.

Each state has 1 year to begin the redetermination process starting on March 31, 2023.  All states must finish processing renewals within 14 months. In other words, beneficiaries may lose Medicaid coverage as soon as April 2023.

Millions of people will lose Medicaid coverage:

Although we do not know the exact number of people slated to lose coverage, it may be over 15 million.  For many employment is a main factor in their loss of Medicaid coverage.

Some individuals will lose coverage due to not confirming eligibility with their state’s DSS offices before the expiration of their coverage.  There also may be problems with a backlog of paperwork and a processing system that is simply overwhelmed.  This can cause delays and coverage loss.  This backlog has the potential to effect millions .  That is why it is best to be proactive and go into your Medicaid account to ensure you are still eligible and covered.

Click here to learn more about the unwinding of Medicaid’s continuous enrollment

What if I no longer qualify for Medicaid:

If you reapply for Medicaid and do not qualify, there are other low cost or even free healthcare choices available to you.  The choices depend on your personal circumstances.

  1.  If either you or your spouse/partner has an employer that offers health insurance coverage, you may qualify to join during either their open enrollment period or with a special election period.
  2. In the interim, if you are not yet eligible for employer based coverage, you can enroll in a short-term insurance plan while you wait to qualify.  There are several options for these types of plans.
  3. You can also access healthcare through the healthcare marketplace.  In many cases, beneficiaries may qualify for a subsidy and pay a low monthly premium.   If you lose health coverage, you have a special enrollment period or SEP you can use to enroll in coverage.  To find the market place for your state go to healthcare.gov/marketplace-in-your-state.
  4. College students may be able to purchase health coverage directly through a campus health plan. Students can get details from their registrar’s office.
  5. If you are either 65 or older or have a qualifying disability, you may be eligible for health coverage through  Medicare.  Contact a licensed Medicare agent for help going over all your plan options.
  6. Anyone who is either a veteran or an active duty service member may qualify for Tricare.  Use the following link to get more information: Tricare healthcare coverage.

It’s important to note that if you believe you qualify for Medicaid, you should reapply. We’ll discuss that next. But even if you do apply, you may need to explore some of the options above while you wait to be approved.

How do I reapply for Medicaid benefits:

If you have limited income/funds, you may be eligible to retain your Medicaid coverage.   If this is the case, Click here to for information on how to apply for Medicaid.  Contact your state DSS office for applications and guidance.

Medicare Card Numbers

Medicare Card Numbers

By Ed Crowe | General Articles | 0 comment | 11 July, 2023 | 0

Medicare Card Numbers

Medicare is a national service that provides healthcare and medical coverage to any citizen over the age of 65 and some younger with certain disabilities. As one might imagine, there are many, many people who benefit from this service. At last count, in September of 2022, there were over sixty-five million people on Medicare in the United States, which was an increase of over one-hundred thousand since the previous year. Because of the staggering amount of people who are enrolled in this service, it becomes imperative to have a system to keep track of everyone’s personal information. There are two different numbers that are important to know for agents looking for help work with perspectives and manage their insurance enrollment.  What are the important Medicare card numbers?

 

Medicare Card Numbers – Medicare Beneficiary Identifier

This  number  is important!  The Medicare Beneficiary Identifier, or the MBI, is a randomly-generated personal identification number.  Each person gets a unique number. That means spouses and families will have different numbers, one for each individual person. The MBI is an 11 digit mix of numbers letters, much like the Health Insurance Claim Number, or HICN.

Beneficiaries will find their MBI on their Medicare ID card. If the card is not available, there is an alternative way of finding the number.  Login to Medicare.gov to create an account or call 1(800)Medicare. The Medicare Beneficiary Identifier is important to protect as it lets the beneficiary receive their benefits. Any doctor or healthcare services will require the patient’s Medicare card for their MBI. It is also required to access any of the additional assistance that can come from the federal government, like grocery assistance.

 

Medicare Card Numbers – National Provider Identifier

The National Provider Identifier, also called the National Provider Identifier Standard or NPI, is the other number that agents may need to access. The NPI is a unique identification number for covered healthcare providers who participate in Medicare. All covered doctors and providers must use their NPI in financial and administrative transactions under HIPAA regulations. The National Provider Identifier is a 10 digit number that can be looked up on the Center for Medicare and Medicaid Services (CMS) website. By entering the provider’s name and location, the database will be able to access their NPI.

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Medicare easy pay form

Medicare easy pay form

By Ed Crowe | General Articles | 0 comment | 16 May, 2023 | 0

Medicare easy pay form

The Medicare Easy Pay form is a quick option for individuals who are either still working or not collecting social security yet for some other reason. This option will ensure you never miss a Medicare payment.  This is a great way to avoid the complications that could occur if you neglect to pay your Medicare premium.

Once you receive a bill from Medicare, you can sign up for Medicare easy pay.  Medicare easy pay automatically deducts your Medicare premiums on the 20th of each month from either your checking or savings account.

Learn more abut signing up for Medicare A & B

There are 2 ways to enroll in Medicare easy pay:

  1.  The fastest option is online.  You can either log in to an existing account or create an account.  Once you log in, click on “My Premiums” and follow the links from there to sign up and fill out the online form.
  2. Another option is to Click here to download the Medicare easy pay form.  This option takes longer (from 6-8 weeks) for your deductions to begin.  In the meantime, you need to be sure you pay your premiums in a timely manner.  You can do this either online through your account or by using the paper bill you receive.  Mail the completed form to: Centers for Medicare & Medicaid Services,  Medicare Premium Collection Center, P.O. Box 979098, St. Louis, MO 63197-9000.

Once easy pay begins:

  1.  Each month you receive a statement that tells you how much will be deducted from your bank account.
  2. The premium is deducted from your bank on the 20th each month.  Your bank statement will show a payment marked “CMS Medicare Premiums”.

Click here to download Understanding your Medicare easy pay statement.

If your payment is rejected, you will receive a notice that provides instructions to get the payment in to Medicare.  Once your account is up tp date, your easy pay will start up again as scheduled. Medicare will send you a notice if the premium amount changes. The new rate will automatically be deducted from your account on file.

More Medicare easy pay information:

What to do if you need to change the  banking information for our automatic payments:  simply log into your Medicare account and choose “My Premiums” and “see of change my Easy Pay” form there you can complete a quick online form.

If you do not like to do online forms, you can mail a completed SF-5510 form.  Click here to download the Medicare easy pay form.  Be sure that you indicate the change you want to make on the form.  You can mail the form to the address indicated above.  Again, this will take a long time to update (possibly 6-8 weeks).  It can take about 4 weeks to stop Medicare easy pay deductions.

If you are having trouble with the Medicare easy pay; please contact 1-800-MEDICARE (1-800-633-4227)  TTY users call 1-877-486-2048 for assistance.

 

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How to avoid Medicare mistakes

How to avoid Medicare mistakes

By Ed Crowe | General Articles | 0 comment | 9 May, 2023 | 0

How to avoid Medicare mistakes

If you are getting close to your 65th birthday, you need to know how to avoid Medicare mistakes.  Some mistakes can be difficult to repair and may end up costing you money.

Let’s start by explaining what original Medicare is;  Original Medicare is a health insurance program offered by the federal government.  There are 2  parts to original Medicare.  The first part is Part A.  In general, Part A covers hospital costs.  The second part is Part B.  Part B covers things such as doctor’s visits as well as other outpatient services.  Most providers participate in original Medicare.

Here are some mistakes people make with Medicare:

1. Waiting to long to sign up for Medicare

There are specific time that you can sign up for Medicare coverage.  The most common is your initial enrollment period.  This enrollment period begins 3 months before he month you turn 65 and ends 3 months after the month you turn 65.

If you choose not to sign up during your initial enrollment period (IEP), you will need to wait until the Medicare general enrollment period (GEP). The GEP starts January 1st and ends March 31st each year.  Your Medicare coverage begins the first day of the month after you apply.

Signing up for Medicare late may leave you with a late enrollment penalty.  This penalty can add 10% to your monthly Part B premium for every year (12 months) you delay.  This penalty applies only if you do not have other credible insurance coverage (credible coverage is most likely an employer sponsored plan).  If you have insurance either through yours or your spouse’s employer, you may be able to delay your Medicare enrollment until you retire or lose your group coverage.

2.  Not enrolling when your employer coverage is considered secondary insurance

Although your employer provides health insurance, you may still need to enroll in Medicare. One thing that helps determine if you need to sign up is the size of the company. If there are 20 or more employees, your group health insurance is considered your primary coverage and Medicare is secondary coverage.   When this is the case, you may want to delay signing up for Medicare while you or your spouse are still working.

If the employer has less than 20 employees, Medicare normally becomes the primary insurance once you turn 65 and the employer coverage becomes secondary.  This can happen even if you have not signed up for Medicare yet.

Additionally, both retiree coverage and COBRA are considered secondary coverage.  This means these plans will pay for claims only after Medicare has paid their portion. If this is the case, signing up for Medicare on time is very important.

Because there are exceptions to every rule, it is important to speak with your human resources or benefits manager to determine if your employment based health insurance is primary or secondary to Medicare.

Watch a quick video on Medicare with Employer coverage

3. A lack of understanding of your coverage options

Because original Medicare does not cover 100% of your medical expenses, you will need some type of additional coverage.  In general, you have two options for coverage.  You can choose either original Medicare with a supplement and drug plan or a Medicare Advantage plan.  Many factors will help you decided which type of coverage is best for you.  You will have to consider things such as; your health, the doctors you see, the area you live in (plan availability), your finances and weather or not you travel.

Some people prefer a Medicare Supplement plan:

These plans are a good choice for individuals who do not want to check a doctor’s network and do not like the idea of referrals for services needed.  If you are considering this choice, keep in mind, you will need to purchase a separate prescription drug plan.  Both the Medicare supplement and the drug plan will have a monthly premium.

When choosing a prescription drug plan (Part D), always check your list of medications and see which plan covers them the best

Find out more about Medicare Supplement plans

Medicare Advantage plans are another choice:

Medicare Advantage plans are offered by private insurance companies.  They cover Medicare Parts A & B and most times Part D benefits as well.  These plans are very competitive and offer many additional benefits that you cannot get with a Medicare Supplement plan.  Some of the benefits include dental, eye and hearing as well as free transportation to medical appointments and much more.

Some things to consider when choosing a Medicare Advantage plan are; are you current doctors in the plans network?  Although many of the plans are PPOs (this means they provide out-of-network coverage), Some of the plans are HMOs and they do not provide out-of-network coverage.  This means it is very important to check your list of providers (doctors & hospitals) and make sure they are in-network with any plan you are considering. Click here to learn more about MA plans.

4. Forgetting to sign up for Part D

Because original Medicare does not cover prescriptions, you will need to enroll in a plan that covers your medications. Make sure you have Part D coverage as soon as you are eligible for Medicare.  If you do not have credible drug coverage when you are first eligible, Medicare will penalize you.  The penalty may not be a large amount but, it will last the entire time you are on Medicare.

Credible coverage is Drug coverage that is considered equal to or better than what a Part D plan provides.  If you are either staying on employer coverage, receive retiree benefits or Tricare military benefits you probably have credible drug coverage.   If you choose to enroll in a Medicare Advantage plan, most of them include Part D coverage as well.

When you choose to purchase a Medicare Supplement plan, you need to purchase a stand alone prescription drug plan (part D).  Independent insurance companies offer Part D plans and the coverage varies from plan to plan.  If you choose to purchase either a stand alone drug plan or a Medicare Advantage plan, you need to check the cost of your prescriptions on that possible new plan.

Each part D plan has a list of covered drugs (a formulary) this will tell you if your prescription is covered and what your co-pay will be.  If your drug is not on the formulary, you may need to request an exception from the plan, pay for the drug out of pocket or file an appeal wit the insurance company to cover the cost.

Learn more about prescription drug prices

If you lose your drug coverage for some reason

You are eligible for a special enrollment period for up to two-months after. During this special enrollment period, you can sign up for a Part D plan without a penalty.  If for some reason you lose your drug coverage and do not replace it for over 63 days, you may have to pay a penalty.

5. Being unaware of your Out-of-pocket costs

Once you meet your Medicare deductibles, Medicare pays about 80% of approved charges.  You will be billed for the remaining cost as well as the deductible. That is why it is a good idea to purchase either a Medicare Supplement and Prescription drug plan or a Medicare Advantage plan to help pay these costs.

Here is a list of some of the costs associated with Medicare:

  1.  Plan premium – Medicare consists of many parts.  Most people qualify for free Medicare Part A (hospital coverage) if they have worked the required amount of 40 quarters.  If you have not worked long enough, there is premium for Medicare Part A.    Medicare Part B (doctor’s visits) has a premium of $164.90in 2023.  You will need to pay this amount via deduction from your Social Security check or by quarterly invoice.  If you enroll in a Medicare Supplement plan and a Part D plan, they will both have a premium to pay.  Medicare advantage plans may also come with a monthly premium although there are many $0 options for these plans.
  2.  Deductible – In 2023, the deductible for Medicare Part A is $1,600 for each benefit period.  It is not an annual deductible.  The Part B deductible is $226 annually in 2023.  Most Part D plans also have deductibles, but this varies by plan.
  3.   Co-pays – this is an amount that is decided by the plan you are on and is applied to specific services/providers you use for care.  To view the co-pays associated with your plan, please refer to the summary of benefits for your plan.
  4. Coinsurance –  this is a percentage of the cost of services or prescriptions you receive.  Original Medicare usually pays 80% of the cost leaving the beneficiary with a 20% cost share. With Part D plans,  you may need to pay a percentage of the cost for more expensive name brand drugs.

6.  Not signing up because you assume you can’t afford to get Medicare coverage

Fortunately, there are many programs in place to help individuals with limited income pay premiums and cost shares.

The federal government offers a program called Extra Help.  This program helps qualified individuals pay for both Part D premiums and the cost of their medications.  To see if you qualify for Extra Help; click here. 

In addition to the federal Extra Help program, several states offer pharmaceutical assistance.  These program can also help individuals pay for prescriptions.  Check to see if the programs are available in your state.

Most states offer the MSP (Medicare Savings Program).  This program offers help to pay for both Part A & Part B premiums as well as deductibles, co-insurance and co-pays.  There are 4 levels of help available on this program based on the individuals income.  Learn more about the MSP

 

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Medicare prescription drug prices

Medicare prescription drug prices

By Ed Crowe | General Articles | 0 comment | 19 April, 2023 | 0

Medicare prescription drug prices

Every time you turn on the tv or talk to a Medicare beneficiary, you hear about Medicare prescription drug prices.  The actual cost of prescription drugs with a Medicare plan can have a lot of moving parts.

Here is a list of some things that determine what Medicare beneficiaries pay for their prescriptions each year:

  1.  The premium for your Part D (if you have a stand alone prescription drug plan).  This cost varies depending on the carrier and plan coverage option you choose.  The price can be as little as about $7 up to about $100.  This all depends on your personal needs.
  2. Most plans have an annual deductible for certain medications.  This depends on where the medication falls on the plan’s formulary.  In other words, what tier it is classified as (Most plans do not charge a deductible for Tier 1 medications).  In 2023 PDPs cannot exceed an annual deductible of $505 .
  3. Copayments and coinsurance are the amounts you pay for covered drugs once you have met your plan’s deductible (if your plan has one).  The amount you pay for a copay or coinsurance depends on the tier level assigned to your medication by your particular drug plan.
  4. If you hit the coverage gap (sometimes called the donut hole), you will not pay more than 25% of the cost of  covered brand name drugs.  Many people don’t reach the coverage gap. Once you and your drug plan spend a specified total amount of money for your prescriptions ( $4,660 in 2023), you reach the coverage gap. spent a certain amount for covered drugs. This amount may change each year.  Please note; people with Medicare who get Extra Help paying Part D costs do not fall into the coverage gap.

Some other things that effect the cost of your Medicare prescription drug prices:

  1.  Medicare provides “Extra help” to individuals who have limited income and resources.  This is a program that helps pay for Medicare Part D costs including; premiums, deductibles and coinsurance as well as other costs.   It will also cover any late enrollment penalty that an individual may have incurred.  Some people automatically receive Extra Help if they are on full Medicaid coverage while others have to apply.  After you apply for extra help, you will receive a letter stating what level of help you will receive and how much you will pay for your prescriptions.
  2. You may have to pay a late enrollment penalty.  The penalty is added to your (Part D) Medicare prescription drug plan premium. This penalty applies after the initial enrollment period is over; if there was a period of 63 or more days in a row where you did not have either Medicare Part D or other credible prescription drug coverage.
    In most cases, you will pay the penalty for as long as you have Medicare Part D.  Please note: this applies even if you have a $0 Medicare advantage plan.

    Medicare calculates the penalty by multiplying 1% of the “national base beneficiary premium” ($32.74 in 2023) by the number full months you didn’t have either Medicare Part D or other creditable drug coverage. The penalty amount is added to your monthly Part D premium by rounding to the nearest $.10.

  3. Each prescription drug plan has it’s own monthly premium.  This amount varies by carrier and plan offered.  It can be helpful to enlist the help of a licensed Medicare agent to find a plan that covers your prescriptions best.

Important:  The inflation reduction act may change the amount Medicare beneficiaries pay annually for their medications; click here to learn more.

Additionally; The cost for Part D covered insulin drugs is now capped at $35 for a one month supply. A deductible does not apply to this amount.  If you receive either a 60 or 90 day supply of insulin, The price cannot exceed $35 for each month’s supply as long as it is a Medicare covered insulin brand.

Sometimes the cost for a particular prescription is higher than you had anticipated.  If this is the case, ask your doctor if there is a lower cost alternative.  You can also check with your prescription drug plan provider and see if they cover an alternative drug at a better rate.   If you want more information on drug prices, visit the cms.gov website where you can view a list of year-to-year drug price information.  This is general information on prices and increases.  It may not match what you pay.

 

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Medicare Supplement sales

Medicare supplement sales

By Ed Crowe | General Articles | 0 comment | 24 March, 2023 | 0

Medicare supplement sales

Although Medicare covers many medical expenses for qualified individuals, it doesn’t cover everything.  That is why many health care agents go into Medicare supplement sales. Medicare supplement plans, also known as Medigap plans, help fill the gaps in Medicare coverage.

If you want to offer Medicare supplement plans to your clients, there are several things you should know:

First, it’s important to understand the basics of Medicare as well as the different types of Medicare supplement plans.

This information will help clients choose the plan that best meets their needs. You may have to ask questions about your client’s health, budget, and preferred providers, as well as explaining the plan differences.

There are four parts to Medicare: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage), and Part D (prescription drug coverage). Medicare supplement plans are designed to work with Parts A and B.  There are 10 standardized Medigap plans available in most states.

There 10 Medigap plans available in most states are;  A, B, C, D, F, G, K, L, M, and N.

Each plan has its own set of benefits, so it’s important to understand what each plan covers and how it works with Medicare. Here are some of the key differences between the plans:

  • Plan F: This plan provides the most comprehensive coverage, covering all of the benefits listed above. However, it is no longer available to new enrollees as of 2020.
  • Plan G: This plan is similar to Plan F, but it does not cover the Part B deductible. It has become a popular alternative to Plan F since it provides similar coverage at a lower cost.
  • Plan N: This plan has lower premiums than Plans F and G, but it requires some cost-sharing.  This includes copays for doctor visits and emergency room visits.

Please note;  Medigap plans are standardized. This means that each plan must offer the same benefits, regardless of which insurance company is offering the plan.

Because supplement plans have their own benefits, it’s important to understand what each plan covers and how it works with Medicare. For example, some Medigap plans may cover deductibles, copayments, and coinsurance, while others may provide coverage for foreign travel emergency care or skilled nursing facility care.

In addition, it’s important to be aware of the rules and regulations surrounding Medicare supplement sales.

For example, there are strict guidelines around marketing and advertising, and it’s important to follow these guidelines to avoid any legal issues.

It is extremely important to build relationships with clients and provide any assistance you are qualified to offer.  This may include answering questions about Medicare and Medigap plan coverage and plan enrollment.

In conclusion, selling Medicare supplement plans can be a rewarding career path for salespeople who are passionate about helping others. By understanding the basics of Medicare, the different types of Medigap plans, and the rules and regulations surrounding Medicare supplement sales, salespeople can help clients make informed decisions and provide ongoing support and assistance.

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Medicare Information Connecticut

By Ed Crowe | Medicare, Medicare Drug Coverage | 0 comment | 19 July, 2012 | 0

Crowe & Associates will holding a number of seminars for Untied Health Care Medicare Advantage plans  and AARP branded Medicare supplement plans.  The meetings will run from 10:30 am to 12:00 and will provide a review of the Medicare offerings by United Healthcare for 2013.  The review will include basic information on Medicare A and B and, reviews of the United products and the enrollment rules for 2013.

The sessions will be presented by Edward Crowe and Paul Smith of Crowe & Associates. There will be ample opportunity to ask questions before and after the presentation.  The meeting dates, locations and times are listed below.  You must call or email in order to reserve a seat at one of the meetings.  

You may call one of two numbers 860-992-4494,  203-241-7261 or email Edward@Croweandassociates.com to reserve your seat.

Location:  304 Federal Road,  Suite 107,  Brookfield, CT 06804

Dates:  Tuesday, October 2, 2012  –  Tuesday, October 9, 2012 – Tuesday, October 16, 2012 – Tuesday, October 23, 2012 – Tuesday, October 30, 2012 – Tuesday,  November 6, 2012 – Tuesday, November 13, 2012 – Tuesday, November 27, 2012

Time:  All meetings are from 10:30 am to 12:00 noon

Location: Danbury Library (170 Main Street, Danbury, CT 06810)

Dates: Tuesday, October 2, 2012  –  Tuesday, October 9, 2012 – Tuesday, October 16, 2012 – Tuesday, October 23, 2012 – Tuesday, October 30, 2012 – Tuesday,  November 6, 2012 – Tuesday, November 13, 2012 – Tuesday, December 4, 2012

Time:  All meetings are from 10:30 am to 12:00 noon

Call or email to reserve you seat(s) today!

252627

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