Medicare Insurance Program for Age 65 or Above
The Medicare insurance
program is for anyone age 65 or older. You may also qualify if you are
disabled or are suffering from an end-stage renal disease or Lou Gehrig´s
disease. Medicare pays for a large protion of personal medical expenses,
but you may need a supplemental Medicare insurance policy to cover extra
expenses. The 12 standard Medicare plans are listed from "A to L" with
the F, J, K and L offering a high deductible option.
Supplemental Medicare
insurance helps to cover "gaps" regular Medicare benefits don't. There's
also deductibles, co-payments, and co-insurance it can help pay for. These
policies are often referred to as Medigap insurance and pay for services
Medicare deems as necessary. Medigap plans differ and you'll want to see
which plan would best suit your lifestyle such one with emergency care
while in a foreign country.
All Medicare insurance
companies are required to carry plan A but not plan B through L. If you
bought a Medigap insurance policy before 1992, you may keep it.
You may not need a
supplemental Medicare insurance policy if you have other insurance. Gaps
in Medicare may already be covered if you have group health insurance
at work or from a former employer.
. Government or military
plans
. The Medicare Advantage
plan
. Medicaid if you
qualify, or
. You are a member
of the Qualified Medicare Beneficiary program
Medicare Advantage
plans have a number of options which include "Managed Care Plans" such
as:
. Religious fraternal
plans
. Health maintenance
organizations (HMOs)
. Preferred provider
plans (PPOs) and
. Medical special
needs plans Private fee for
service plans (PFFS)
With a Medicare Advantage plan, you will not need a Medigap policy. If a
Medicare Advantage plan is available in your area you can join if you have
Medicare Parts A and B and are not suffering from end-stage renal disease.
These plans are administered by the Federal center for Medicare and
Medicaid Services (CMS) You are given a handbook when you enroll that
explains your rights concerning complaints and appeals process for denial of
services. The handbook published by CMS is called Medicare and You. It
describes Medicare insurance and health plan options. Every Medicare
beneficiary is mailed a copy each year.
If you are still working
another option is Medicare Select, which is a type of Medigap policy that
can offer a lower price if you agree to use specific providers made available
through your company.
We would be happy
to discuss which Medicare plan would be a good fit for you. Fill in your
details below and one of our Medicare insurance specialists will be happy
to offer a personal consultation.