Medicare is actually the federal health insurance program for different categories of people including who are aged 65 or older. It also includes younger people with disabilities, and people having End-Stage Renal Diseases. Every country has its own Medicare policies while the unfortunate countries don’t even have the basic medical insurance plans. The different parts of Medicare help in Phoenix, Arizona cover specific services, some of them are mentioned below:
Hospital Insurance (Plan A):
This Medicare policy covers inpatient hospital care, care in a skilled nursing environment, hospice care, and some health care.
Medical Insurance (Plan B):
This medical insurance covers some specific doctor’s services, outpatient care, medical supplies and preventive services.
Medicare Advantage Plans (Plan C):
This type of special plan is mostly offered by private companies that contracts with Medicare to provide you with all the hospital and medical insurance benefits. Moreover, Medicare Advantage plan includes health maintenance organizations, preferred health service provider organizations, private fee-for-service plans, special needs plans and Medicare medical savings account plans. If you are enrolled in under such program then they may also offer prescription drug coverage.
Prescription Drug Coverage (Plan D):
This plan adds the prescription drug coverage to the original Medicare Advantage plan. These plans are mostly offered by insurance companies and other private organizations approved by Medicare.
In United States, essentially every 65-year-old person enrolls in Medicare and most of them also receive additional coverage. One medical plan of additional coverage is through supplements to traditional Medicare which includes prescription drug plan to cover some or all of the payments.
Now the question which confuses most people is which Medicare is plan is right for me?
Not every plan is right for everyone. There are numerous Medicare supplement insurance plans which are also sometimes called Medigap plans. What we need to understand is which plan is the best for us. Some of the Medicare supplement plans in Phoenix, AZ are mentioned below:
Full Coverage Plans:
Full coverage plan is the most comprehensive plan. It has the ability to pay for all of your expenses that are already approved but not have been paid by Medicare. This plan includes all your deductibles, co-pays and co-insurances that originally Medicare is not supposed to cover. Full coverage plan is typically the most expensive of all the plans, and is well suited for those who think that they will have medical expenses and/or for those who want the peace of mind knowing that all approved expenses will be covered.
The high deductible Plan is similar to Full Coverage Plan, when you meet the deductible, you pay for all expenses that are approved but not paid by Medicare . In 2015, the deductible amount was $2180. This amount usually changes every year. This plan works probably best for those who are healthy and think that they will require less expenses or those who are willing to take some risk in exchange for a much lower cost rate.
An important point to keep in mind it is that the Original Medicare plan still pays the fair share of medical expenses – for example, Medicare generally pays 80% of your medical/sickness costs and are responsible for 20%. Only 20% of this applies to your deductibles. Think of the high deductible Plan as a plan where you pay the difference to minor expenses, but if you have large expenditures for health, your maximum amount for the year is $2,180, and then your Medicare Supplement high deductible plan picks up all other expenses approved but not paid by Medicare.
Mid Range Plans:
There is a wide variety between 9 full coverage and deductible plans – so if you are not familiar with one of these two options , you have much more to choose from.
Basically, Medigap plans are sold to provide additional coverage for already covered Medicare services. The aim of a good Medicare Supplemental Insurance plan is to reduce some costs for services that are partially covered by traditional Medicare plans.
Medicare insurance plans offer twelve standardized service plans so that consumers can easily compare policies and costs. Medigap plans are labeled A through L, and offer more comprehensive set of covered services. A Medigap policy A example is the most basic Medigap policy. Medigap Policy B will cover all policy Medigap and will offer some improved benefits, however it will not provide as many benefits as Medigap Plan C does. Medigap policy only covers one person at a time, whether a participant is eligible for coverage through her husband or wife. Each participant must have their own Medicare insurance. Just as Medigap insurance plan is optional, participants pay Medigap insurance in addition to Medicare Part B and Part D premiums optionally.
Features of a Medicare Supplement Plan:
- The doctor’s Choice – Individuals can choose their preferred doctors and hospitals (as long as the patients receive Medicare) .
- Access to specialists – Individuals can see specialists without a referral.
- Convenience – Virtually no claim forms to file.
- Freedom – coverage that travels with you anywhere in the US
- Guaranteed changes – Medicare supplement plans are automatically renewed as long as the individual continues to pay their premiums on time, without twisting one or more of the basic facts after the first application registration.
To get a Medicare Supplement plan, you must have Medicare Plan A and B. You must continue to pay the monthly premium of Part B in addition to your monthly Supplement plan premium. You can get this plan during your Medigap open enrollment period, which is a six-month period starting in the first month, you are 65 years or older. During this period, you cannot deny coverage because of past or present medical problems. For more information, visit www.azmedicare.info now!
Whether you are one of the few people who are satisfied with their current Medicare plan, or are looking for something better, it is always a good idea to review other options. If you are trying to improve your health care coverage, you should research Medicare supplements in Phoenix AZ and get informed about your options.
Health care is one of the most crucial aspects of your life, so you need to be fully satisfied with your Medicare coverage. The idea that there may exist a better option than your current Medicare plan, opens up a new perspective – an opportunity to learn if something better might be available and more appropriate for you.
Regardless of your current Medicare coverage, you should search for and evaluate all available Medicare plans, including Medicare supplements in Phoenix AZ. You should consider the prescription drug benefit that each plan is offering and see which plan offers you the most suitable coverage.
The Medicare plan that worked for you in 2014 may just not be the best option in 2015. Reviewing Medicare supplements in Phoenix AZ and planning in advance could help you save a large amount of money on your medical bills. This money saving opportunity is welcome, especially if you foresee a surgery or any special testing and examinations.
What is a Medicare Supplement plan?
If Medicare beneficiaries wish to make changes in their Medicare coverage plan, they can certainly do so by choosing Medicare supplements in Phoenix AZ. A medicare supplement plan is referred to as Medigap, since this plan would fill out gaps and complete your original Medicare coverage.
Beneficiaries are offered to choose from a variety of Medicare supplements in Phoenix AZ. These medical supplements are classified by letters. Regardless of the insurance company that offers the plan, same lettered Medicare plans offer the same benefits for the beneficiaries.
Even though same-lettered Medicare plans offer the same benefits, they differ by cost. Every company has its own pricing policy when offering Medicare benefits to its users. In general, coverage doesn’t include vision or hearing care, although some additional benefits may be covered (medical coverage while traveling outside the country).
How to evaluate your current Medicare Plan?
In order to determine if your current Medicare plan is the right one for you, there are few crucial things to consider. The first thing is to decide if your current coverage plan meets your needs at the moment, based on your current health condition. The next thing is to determine if there are any changes in the way you can benefit when using your Medicare services.
If you are diagnosed with a health condition that requires a specialized test and your plan doesn’t cover such expenses, you should change it. Start comparing Medicare supplement plans to find which ones offer you the best possible coverage for your current health and needs.
If your doctor retires, and you have a new doctor that doesn’t accept your current Medicare plan, you should choose another option. If your Medicare plan doesn’t provide you with the right Medicare services, you should find the one that offers the best for your health care.
Considering the costs for your current Medicare plan, you should determine a few crucial things. If you are paying more out-of-pocket than expected, or can’t afford to pay for your medications, consider changing your Medicare plan.
In addition, if you spend a lot of money on your prescription drugs, search for a Medicare plan which offers the lowest medication costs. If you pay high prices for specialist services, choose the plan which offers the lowest copayments for specialist visits and services.
If you spend a lot of money on monthly premiums and you are in a good health condition, it is wise to consider the Medicare plan with the lowest premium. However, you should keep in mind that lower premium costs may mean a higher deductible.
Choosing from the available Medicare supplements in Phoenix AZ
Although your current Medicare plan coverage may be similar to the Medicare Supplements of the same type, you should perform a careful selection. You should first select the Medicare plan that meets your needs in terms of coverage. Then, you can choose plans within that single plan type, based on your needs and their cost.
If you have Original Medicare, you already know that it is the default category which is managed by the Federal Government. An Original Medicare coverage policy is accepted anywhere Medicare is accepted. This coverage consists of hospital insurance referred to as Part A and medical insurance known as Part B.
When referring to the Original Medicare, it is essential to understand that it doesn’t cover all of your medical costs. Therefore, you should consider a Medicare supplement policy which will cover expenses such as dental care, hearing aids, prescription drugs etc. Medigap helps you out with expenses such as deductibles and coinsurance.
If you prefer having a single plan which includes dental coverage, prescription drug or vision coverage benefits, you should consider Medicare Advantage. This plan includes Part A and Part B and is known as Part C Medicare coverage.
Unlike Original Medicare, the Medicare Advantage coverage plan is managed by private insurance companies. These Advantage plans correspond with other private insurance plans and differ in costs and coverage options. If you choose the Advantage plan, you will have a monthly premium to pay and become a beneficiary to deductibles and coinsurance.
If your Medicare plan no longer meets your budget or health needs, change it for a better Medicare supplement plan. The best Medicare supplements in Phoenix AZ are: Aetna Medicare Supplement, Blue Cross Blue Shield Arizona, Mutual of Omaha Medicare and United Healthcare Supplement.
The Aetna Medicare Supplement Plan is an addition to Medicare Part A and Part B. It offers assistance in paying for the additional healthcare costs (copayments and deductibles). This Medicare plan is available in fifteen states across the country. It allows you to choose the doctors and hospitals you want to be checked-into.
Blue Cross Blue Shield Arizona covers the expenses that Medicare and Medicare Advantage plans do not cover. These plans do not work with Medicare Part C and other insurance plans you may have as part of your retirement benefits.
Mutual of Omaha offers Medigap insurance plans that reduce co-pays, deductibles, and premiums for Medicare Part A and Medicare Part B plans. Although these Medigap policies are offered by various private insurance companies, they are all standardized and offer the same coverage.
United Healthcare Supplement Plans offer coverage that is not included in Medicare Parts A and B. They cover expenses such as coinsurance, deductibles and copayments. These Medicare supplement plans may help you cover your annual out-of-pocket expenses.