Posts Tagged ‘health’

Breaking Down Types of Wisconsin Medicare Advantage Plans (Part C)

Wednesday, January 11th, 2012

A Medicare Advantage Plan (Medicare Part C) is another medicare health plan option offered by private companies approved by Medicare.

Medicare Advantage isn’t supplemental insurance, but completely separate insurance coverage from a private company. When acquiring a Medicare Advantage Plan, remember that it will provide your Medicare Part A and Medicare Part B coverage as well. Advantage plans may include prescription drug coverage as well.

Medicare Advantage Plans are required to provide coverage that meets or exceeds guidelines set by the original Medicare program, but they are not required to cover everything the same way. There are many different kinds of Medicare Advantage Plans:

Health Maintenance Plans: Plans of this type require patients to pick a PCP, or primary care physician, which is the only doctor which can refer you to other medical services. Primary Care Physicians (PCP) are usually general practitioners, family doctors or pediatricians. When your PCP refers you to a specialist, it is almost always a doctor within your network. This is because only specialists that in your network will be covered by an HMO. HMOs provide general care at comparatively lower cost because certain, more expensive, treatments are less likely to be covered. The goal of this type of insurance plan is exclusively maintenance.

HMO Point-of-Service (HMO-POS) Plans: An HMO plan that may allow you to get some services out-of-network for a higher cost. You also do not have to select a primary physician.

(PPO) Plans: Preferred Provider Organizations operate as a network like HMOs, but are generally more flexible. You may visit an out of network provider if the insurance company has not negotiated prices with the provider already. You may be subject to additional fees and co-insurance, or you may need to pay for the treatment yourself and get reimbursed. With PPOs, you there is not a primary physician and no need to receive referrals for special medical services.

PFFS Plans: With Private-Fee-For-Service Plans, Medicare gives out set amount of money to your provider each month and then your insurance company decides how to cover your services. Plans like this may only be available in certain parts of the country where the private companies operate.

SNP: Medicare Special Needs Plans for individuals are plans where certain chronic diseases exist and the patients have persistent special needs. These plans are designed for people who require more Medicare coverage for their specialized needs.

Medical Savings Account Plans: MSA’s are high deductible health plans attached to a bank account. Medicare gives you money through your MSA account, though usually a smaller amount than your deductible. Health care services throughout the year are paid for through your MSA account.

Interesting Stats On Medicare Advantage Coverage:

Enrollment in Medicare Advantage Plans increased from 5.4 million in 2005 to 8.2 million in 2007

As of 2008, 19% of Medicare beneficiaries received Medicare Advantage coverage

1/3 of Medicare recipients receiving Part D coverage are enrolled in a Medicare Advantage Plan

Nearly half (48%) of Medicare Advantage beneficiaries have a household income of less than $20,000

There are many options and it is definitely a good idea to speak with a specialist in the Medicare industry. Medicare can differ greatly between states like Texas and Wisconsin, so speak to a Medicare specialist in your area.

Confused by Medicare and Medicare Advantage Plans? Visit www.easywisconsinmedicare.com for great information on Wisconsin Medicare Plans.

SUPPLEMENT TO MEDICARE

Supplement to Medicare

Locating a Trustworthy Insurance Agent Who Specializes in Medicare

Tuesday, January 10th, 2012

Medicare is unbelievably confusing to a new beneficiary. Stacks of mail come in daily from both the goverment and from insurance carriers hawking their medicare supplement or medicare advantage plans, making it difficult to figure out which plan is best suited for you. Your Part B open enrollment window only last 6 months from its effective date, so many people feel pressured to make a choice quickly, which can have terrible consequences if your doctor or preferred hospital does not accept your chosen plan. Independent insurance agents specializing in Medicare supplements can help you sort through the clutter so that you fully understand the insurance plan that you end up choosing.

How can you find a credible person who will give you unbiased information? Follow these tips to track down an insurance agent with the right experience to assist you.

First of all, watch out for the mailers sent to you directly from big insurance companies who claim to have the best plan. Calling the customer service number on these mailers for information will usually result in you speaking with a sales representative who works for only that one specific carrier. Since this person generally gets paid to sell you the company’s plan, he or she may not be willing to acknowledge if their plan doesn’t fit your personal needs. Throw out the direct mail and instead search the web for an insurance broker who is authorized to offer plans from several different carriers. An independent agent will first determine your needs and then search through various plans to find one that meets those needs.

Next, find a broker who has chosen to make Medicare supplements and other medicare-related insurance plans a specialty. In today’s world, there are literally hundreds of different types of insurance to sell, ranging from group health insurance to disability insurance. Medicare-related insurance plans, however, are very detailed and will demand alot of time to be spent by an agent before he or she can sell each carrier’s medicare plan. Agents who solicit too many kinds of insurance sacrifice being really knowledgeable in any one type of insurance. So if an agent sells group health insurance along with individual health insurance, cancer plans, and also Medicare supplements, it’s a good bet that he or she won’t have time to really be an expert in Medicare and knowhow it works. As a result, the agent may not know all the rules and regulations that affect you under Medicare.

Next, find out if the agent has considerable experience in the Medicare industry. Look at the agent’s business card to see if there is a toll-free phone number, a recognizable business address, and a website. If the agent’s card lists his email address as insurancebystephen@yahoo.com, he probably hasn’t even invested the time or money into a website that offers free information to the public. A business address shows you that the agent you are working with has an actual office where you can walk in the front door whenever you need help. Agents who list P.O boxes or no addresses at all probably work out of their home. This doesn’t necessarily mean the agent is inexperienced, but it might mean you’ll have problems reaching the agent at times when he is out meeting with other clients or pursuing new sales. Furthermore, if the agent wants to meet with you at your home, you are getting yourself into a high-pressure situtation. It’s advisable to meet either by phone or at the agent’s office, where you can take your time deciding, and hang up or walk away if something tells you the agent has his own agenda.

Finally, does the agent have other people available to help you with questions when he or she is tied up in an appointment or on vacation? A meeting with a prospective client can take from 1 – 2 hours, especially if the consumer is new to Medicare and needs extra time learning the basics. Solo agents can sometimes be in back-to-back appointments all day long. This means that it could take awhile before the agent gets around to returning your phone call. If you can find a well-established agency where several staff members are available to help clients with their questions, you’ll rest easy that you’ll be able to get the information or assistance you need in an emergency situation.

These tips can help you find an experienced and reliable agent whose most pressing concern is to make sure that you always have a policy that best fits the needs you have communicated. Such an agent rarely pressures you to buy something but instead focuses on educating you fully about Medicare, and making sure you feel empowered to choose a policy. He knows that by giving you information that helps you understand your choices, he can count on being your agent for the long term.

Overall, look for an agent or broker who has long-time experience in the Medicare insurance field and is appointed to sell various different Medicare-related insurance plans. Make sure the agent or agency offers you a true office location or suite where other staff members are available at least five days a week to take your calls and respond to your questions. Ask the agent if you can hold your initial consultation either at the agent’s office or by phone (whichever your prefer) instead of at your home. Last but not least, don’t be afraid to ask for references. Well-established agencies have many happy clients who can tell you how well their needs were met when they themselves were shopping for a medicare supplement.

If you or a friend is seeking an experienced Medigap insurance agent, be certain to read the wealth of great information compiled by the expert team at Boomer Benefits.

SUPPLEMENT TO MEDICARE

Supplement to Medicare

Term Life Insurance And Your Financial Obligation

Sunday, January 8th, 2012

Buying a term life insurance shows that you care for your family’s welfare. Life insurance is one product a lot of people don’t like to purchase. The reason for this is that most folks don’t like to talk about death, especially their own. If we don’t discuss it maybe it will never happen seems to be the common train of thought. Nonetheless, there are only 2 things in life that are certain: death and taxes.

Term life insurance is the cheapest and simplest form of life insurance. You are covered for as long as you pay the monthly premiums. If you stop paying the premiums, the policy stops. Term life insurance can be very inexpensive for the amount you are purchasing ($1 million can cost between $32 for a 25 year old very healthy male non-smoker and $150 per month for a 40 year old male smoker). It depends on age, sex, smoking habits and lifestyle. Term life insurance pays a lump sum in the event of death within a specified period of your choice. Premiums are normally paid monthly though some policies allow annual pay. There is no investment element with this form of life insurance, as such if no claim has been made there is no maturity value payable at the end of the term.

You don’t have to wait until you’re married to buy insurance. As long as you are 18, you can buy insurance. Being single does not mean that you do not have to think about expenses. If you are married and have children, deciding to buy lufe insurance is a no-brainer. If you have no kids but you and your spouse depend on each other’s income to pay your house and other expenses, then insurance is for you.

If you want to leave a cash sum to your family, dependants or to pay off a mortgage after you have died, term insurance could be right for you. Term life insurance is one of the most affordable type of life insurance, but it is more expensive than decreasing term insurance for mortgage protection. The policy only pays out if you die or are diagnosed with a qualifying critical illness, if you add on critical illness cover, during the term of the plan. If you survive beyond the end of the term, the policy has no maturity value.

Term life insurance will provide you with the best bang for your buck and policys start very cheaply, but you should still shop around and get quotes as even a few dollars a month in the premium price can make a difference. Many people keep paying their life policy just because they can’t deal with losing all the money they’ve paid in each month. This doesn’t make sense at all, the money is gone and unless your policy has a cash value, there’s nothing you can do about it. The idea of life insurance is to look after your family when you are gone so you should be looking at the best financial decisions for them and not worrying about money that has already been spent.

Term Life Insurance is regarded as the preferred form of Life Insurance today which provides protection for a guaranteed number of years. All things considered, that is what insurance policies are for: Protection for yourself and your loved ones.

SUPPLEMENT TO MEDICARE

Supplement to Medicare