Whу Іs Тhеrе а Сhаngе іn Тhе Меdісаrе Раrt D Еnrоllmеnt Реrіоd

Тhе Меdісаrе Раrt D еnrоllmеnt реrіоd hаs сhаngеd. Іt wіll nоw stаrt Осtоbеr 15, 2011 аnd еnd Dесеmbеr 7, 2011. Тhіs іs 24 dауs lеss thаn іn 2010. Whу іs thеrе а сhаngе іn thе Меdісаrе Раrt D еnrоllmеnt реrіоd?

Тhе сhаngе іn thе Меdісаrе раrt D еnrоllmеnt реrіоd іs duе tо thе lоbbу оf іnsurаnсе соmраnіеs thаt wіsh tо furthеr lіmіt thе аmоunt оf tіmе а реrsоn саn swіtсh раrt D рrоvіdеrs. Аs а реrsоn’s drug rеgіmеnt сhаngеs оr аs drugs bесоmе аvаіlаblе іn gеnеrіс thе раrt D рrоvіdеr thаt оffеrs thе lоwеst rаtеs саn сhаngе. Іt іs іmроrtаnt tо rеvіеw раrt D еасh уеаr durіng thе ореn еnrоllmеnt реrіоd.

Маnу іnsurаnсе соmраnіеs wіll сhаngе а рlаn оr dіsсоntіnuе а рlаn аnd аutоmаtісаllу еnrоll thеіr сustоmеr іn а nеw оr uрdаtеd рlаn. Тhіs саn bе bеnеfісіаl tо sоmе сustоmеrs but саn аlsо bе dіsаdvаntаgеоus. Іt іs іmроrtаnt tо rеvіеw уоur раrt D еасh уеаr. Тhіs іs а stаtеmеnt іssuеd bу а Меdісаrе Раrt D рrоvіdеr:

“Веgіnnіng nехt уеаr thе рrеsсrірtіоn drug рrоgrаm, run bу Unіtеd НеаlthСаrе оn Guаm, wіll оffеr оnlу оnе рlаn, іnstеаd оf twо. Тhе оnlу орtіоn wіll bе thе “Рrеfеrrеd Рlаn,” whісh wіll соst $11.20 а mоnth. А Меdісаrе bеnеfісіаrу сurrеntlу еnrоllеd іn thе “Еnhаnсеd Рlаn,” wіll аutоmаtісаllу bе еnrоllеd іn thе “Рrеfеrrеd Рlаn” оn Dес. 31, ассоrdіng tо thе Рublіс Неаlth stаtеmеnt.”


Go to medisupps.com/aetna-medicare-supplement-plans-2018/ for more information.

Аs уоu саn sее frоm thе stаtеmеnt аbоvе уоu саn bе рlасеd іn а “nеw” Меdісаrе раrt D рlаn wіthоut sіgnіng uр аgаіn оr fіllіng оut mоrе рареrwоrk. Тhіs іs dоnе bу thе іnsurаnсе соmраnу tо mаkе іt “еаsіеr” fоr thеіr сlіеnts. Іt іs реrhарs еаsіеr fоr thе ехіstіng сlіеnts bесаusе thеу аrе nоt rеquіrеd tо fіll оut аddіtіоnаl рареrwоrk оr rеvіеw thе dеtаіls оf thе nеw рlаn thеу аrе bеіng еnrоllеd іn. Тhіs аlsо lеаvеs thе dооr ореn fоr роtеntіаl unnесеssаrу сhаrgеs іn thе fоrm оf: а rаіsеd mоnthlу рrеmіum аnd lоwеr іndіvіduаl drug соsts, оr а lоwеr mоnthlу рrеmіum аnd hіghеr іndіvіduаl drug сорауmеnts. Тhе bеnеfіts аnd соsts оf рrеsсrірtіоn drug рlаns nееd tо bе еvаluаtеd оn аn іndіvіduаl bаsіs, thе раrt D рlаn thаt wаs thе lеаst ехреnsіvе fоr уоu іn 2011 mау nоt bе thе lеаst ехреnsіvе рlаn fоr 2012. Тhе іnsurаnсе соmраnіеs аrе іn busіnеss tо mаkе mоnеу аnd thеу wіll оrgаnіzе thе рlаns tо bеnеfіt thеіr bоttоm lіnе.

Rеmеmbеr еvеrуоnе оn Меdісаrе must hаvе а рrеsсrірtіоn drug рlаn оr rіsk bеіng реnаlіzеd fоr lаtе еnrоllmеnt. Маnу іndіvіduаls turnіng 65 dо nоt nееd ехtеnsіvе рrеsсrірtіоn drug bеnеfіts аnd dеsіrе а рlаn wіth thе lоwеst mоnthlу рrеmіum. Whеn іnsurаnсе соmраnіеs сhаngе thе рrеmіum tо сорау rаtіо іt саusеs thе bеst рlаn fоr аn іndіvіduаl tо сhаngе. Іn сlоsіng nо mаttеr whаt уоur рrеsсrірtіоn drug rеgіmеnt іs іt іs nесеssаrу tо rееvаluаtе уоur Меdісаrе Раrt D рrеsсrірtіоn drug соvеrаgе еvеrу уеаr durіng thе ореn еnrоllmеnt реrіоd.

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A general idea about the Medicare supplement plans

If you are planning to buy Medicare supplement plans or insurance, you will find that there are several agents as well as the recipients of the Medicare and for each of them, they consider that the plan F of the Medicare supplement is quite the Cadillac or the master of all the other supplement plans out there.

What do you know about Medicare supplement plans?

Now before the subject of supplement plans are delved into deeper, you need to have an understanding of some of the basic information or idea about these insurance products. Medicare is nothing but a programme which is run by the government, and he supplies these Medicare supplement plans via which he provides medical assistance to those people who are the senior citizens of the country.

The government is responsible for the payment of the health coverage of the older people in the country. All those people who also fall under the senior citizenship and have been physically or mentally disabled are also the ones who suffer from these problems. However, you need to understand that the coverage provided NY Medicare itself is not at all adequate as far as your health is concerned.

Medicare has a lot of loopholes in them

In fact, there are several gaps or problems or loopholes which are present in the coverage which can result in the recipient having to pay for his or her treatments by him despite having a Mediclaim. This is where the Medicare supplement plans come into play. This plan is basically used for the purpose of filling in all the loopholes which are otherwise present in the Medicare by itself.

Monthly premium paid varies from place to place

In fact, it is also known as the medical insurance at times due to the role it plays. There are three factors which are paid huge importance with respect to the supplement plan. They are the medical history, the financial condition as well as the opinions which they personally hold on their health care.

The first thing which is made sure is whether they have the money required to pay for their supplement plan. The starting price of the plan F is about 95 dollars, and it just upgrades or increases from there. There are some factors based on which the month-based premium will be differing. Monthly premiums for Medicare supplement plans depend on the area you are residing in, your age.

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Advantages and Disadvantages of Medicare Supplement Plans

In today’s time, we are all aware of the term Medicare Supplement plans. But if you are not certain about getting one or do not know the advantages or disadvantages of having one, then this article will inform you about the most important and prominent facts of these plans.

  • Advantages

Uniform Coverage in Most of the States – Private Insurance companies offer various Medicare Supplement Plans in varied styles. However, Medicare Supplement Plan A or Plan F mostly covers similar insurance benefits as any other Medicare Supplement Plan A or F irrespective of the insurance company.

Six Months Assured Enrollment – In your state, you can register in any Medicare Supplement Plans, without worrying about turned down for any medical reasons during the Medicare Supplement Part B open enrollment period. This period is of six months, which starts with the first day of the month in which you turn 65 or older. In most of the states, the uniform Medicare Supplement plans to provide additional 365days of hospitalization coverage after the consumption of Original Medicare.

Countrywide Coverage – In general, coverage under Medicare Supplement Plans can be availed nationwide. The benefits of these plans are not confined to any particular state or local city. This is a preferred option for the “snowbird” seniors, who may stay half the year in one state and half the year in another.

Guaranteed Renewable Coverage As long as you maintain your payments of monthly premiums, you continue with your Medicare Supplement plan.

Some Extra Benefits – Some Medicare Supplement Plans also provide a few extra benefits like coverage of extra charges, foreign travel emergency care, etc.

  • Disadvantages

Uncertain cost of Medicare Supplement Coverage – Some supplement plans could be costlier than the other Medicare health insurance plans administered privately. This often causes more restrictions on the coverage.

Increase in annual Rate – The monthly rates paid against the Medicare Supplement Plans may increase from one year to another.

May not qualify beyond guaranteed acceptance period – Medicare Supplement open enrollment period is eligible to sign up a Medicare Supplement plan without medical underwriting. After this period, there is the possibility of being declined for the coverage on the basis of your health or medical history, or coverage may cost much more.

No Prescription Drugs Coverage – These plans do not cover the prescribed drugs. If you wish to get coverage for prescription drugs then you need to enroll in another Medicare health insurance plan.    


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Understand the difference between Medicare Advantage and Medicare Supplement Plans

What are Medicare Advantage Plans (Medicare Part C)?

The insurance organizations that have the approval of Medicare, provides Medicare Advantage plans. They provide benefits of Part A and Part B plans with an exception of Hospice care.

What are Medicare Supplement Plans (Medigap)?

The private insurance organizations offer these plans. They cover some health care costs not covered by Original Medicare, like deductibles, premiums, and copayments.

How to choose between the two?

One must always compare the advantages, benefits, and costs in relevance to one’s present health conditions and healthcare requirements. While comparing consider, the following factors:

  • Monthly Premiums
  • Deductibles
  • Predicted healthcare and hospital services costs, often used by oneself
  • Plans network of doctors, hospitals, and pharmacies.
  • Prescribed drugs required on regular basis
  • Maximum expected out-of-pocket expenses.

Can one avail both the plans?

No, both of them cannot be availed together as Advantage plans do not operate with Medicare Supplement plans. Hence, one cannot make the payment of Part C Medicare Advantage plan using Supplement plan to cover copayments, premiums, or deductibles.  

A comparative chart study:

Benefits Medicare Supplement Plans Medicare Advantage Plans
Doctors – Hospitals Freedom to choose any doctor and hospitals, if they accept Medicare patients. One may need to choose doctors or hospitals only from the plan network.
Referrals One can consult specialists even without any referrals. Referrals may be required and may need to consult specialist covered in the network only.
Network It does not confine to any area, hence, it works across the United States of America. Network restrictions are likely to be present. However, it covers emergency care during travel within the United States of America and in some cases abroad also.
Enrolling After attaining the age of 65 years or older anyone can purchase a supplement plan and enroll in Medicare Part B plan. One can enroll or switch to another Medicare Advantage plan in the specific periods of the year only.
Costs In addition to Part B premium, monthly plan premium is also paid. It limits the out-of-pocket costs at the time of using services. In general, there is no requirement or a very low monthly plan premium is required to pay against Part B premium. At the time of availing services costs like, co-pays, co-insurance, and deductibles need to be paid.
Prescription Drug Coverage Prescription drug coverage is not included, can also enroll in Medicare plan Part D. Prescription drug coverage is included with most of the plans.






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Know Your Eligibility to Enroll in Medicare Supplement Plans

Medicare Supplement plans are health care plans sold by private health insurance organizations. However, in contrast to other private organizations, they have some eligibility criterion.

Eligibility in accordance with Original Medicare

Medicare Supplement Plans propose to work in accordance with Original Medicare (Part A and Part B). You must enroll in Medicare to be eligible for any supplement plan. Part A and Part B are accessible to all the U.S. citizens or permanent legal residents fulfilling following requirements, for a minimum of five years:

  1. Attaining age of 65 years or older.
  2. Diagnosed with ESRD- permanent kidney failure requiring dialysis or transplant.
  3. Availing any disability benefits either from the Railroad Retirement Board or Social Security Administration. However, only after 24 months of receiving the disability benefits, you can avail medicare facility.
  4. Diagnosed with ALS.

As part of the system, people get to enroll in Medicare Part A after turning 65 years of age. It offers a premium-free plan for the people, who have work experience of 10 years and paid their Medicare taxes. In most of the cases, people also enrolled by default in Part B with the policy of payment of monthly premium.

 Eligible Age to Avail Supplement Plan

The centralized law does not instruct insurance organizations to sell the plans to people who are under the age of 65. Although in some states, Supplement plans have the age as one of the eligibility criteria. This implies that one cannot avail the services until he/she is 65 years old, even if one has ESRD. However, many states instruct the organizations to provide one type of Medicare Supplement plans to people who are under the age 65.

Plan Eligibility for People under the Age of 65 Years

Many insurance organizations in some states offer Supplement plans to people under the age of 65 years, even without any instructions by the law. Although, the plans may cost higher than the plans are costing to people of 65 years or older. An insurance organization may also access the health conditions to make policy related decisions, which may result in an increase in premium subject to any case of existing health condition.

After enrolling in plans Part A and B, you can enroll in any Medicare Supplement plans. There will be no restriction of enrollment periods because of any other Medicare enrollment options.


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