Posts Tagged ‘pennsylvania medicare supplement’

Using Pennsylvania Medicare Supplement Insurance

Monday, September 19th, 2011

It seems Medicare beneficiaries deal with more and more complicated issues on a daily basis.  There are hundreds of choices for plans which compliment basic Medicare coverage, and for those living in the state of Pennsylvania, several Pennsylvania Medicare supplement insurance choices are available.  Most beneficiaries already have a supplementary plan, but may not understand the proper use of these plans.

Most Pennsylvania Medicare supplement insurance plans work with your Medicare benefits to provide extra coverage for expenses.  The problem is, not all of these plans work the same way and not all plans will provide 100% coverage.  It is important that beneficiaries understand their coverage and which insurance plans are available to them before incurring medical expenses.  A full understanding of your Pennsylvania Medigap insurance coverage will help you avoid surprise expenses after visiting a doctor or obtaining medical supplies.

To learn about your plan, read through your policy materials, or call the customer service line for your Pennsylvania Medicare supplemental insurance plan.  Ask the following questions regarding the policy:

– Does the plan cover 100% of any copay after Medicare pays?  If it doesn’t, you will have to pay some of the expenses, so find out what it does cover.  A common set up is for the Pennsylvania Medigap plans to cover 80% of charges after Medicare.  So, if the charge was $100, Medicare might pay $80 and put $20 toward a copayment.  The supplemental insurance would pay %80 of the $20.  This means they pay $16 and you pay $4.  This doesn’t sound like much, but the expenses can mount quickly if you are not aware of them.

-Does the plan cover deductibles.  Medicare has an annual deductible of $110 for its Part B benefit.  This is the benefit that covers visits to the doctor, some supplies and other outpatient procedures.  If the plan does not cover deductibles, you will have to pay this amount each year before your insurance kicks in.

-Does the plan pay for items that are non-covered under Medicare’s Part B benefit?  Some services and supplies are not covered at all under Medicare.  A very good supplement insurance will also pick up some charges for these supplies, although the majority of these plans will only follow after what Medicare actually pays for.

-Does the plan offer a Pennsylvania Medicare Part D Coverage?  You should always know if you have a drug benefit associated with your insurance, because it can save you a great deal of money at the pharmacy!  Standard medical insurance policies hardly ever cover prescriptions, so ask about this benefit before purchasing insurance.

-What providers can you use under the plan?  Generally, most supplemental insurances will pay for services provided by any Medicare eligible provider.  However, there are some plans which operate under a managed care environment, and providers must contract with them.  Make sure your doctor is contracted with the plan, if that is the case.

Once you fully understand your Pennsylvania Medicare supplement insurance, you can avoid extra expenses and surprise bills.

Where To Find Pennsylvania Medicare Supplement Insurance

Monday, September 5th, 2011

Medicare beneficiaries living in the state of Pennsylvania may want to locate an established Pennsylvania Medicare supplement insurance plan to help defray medical costs.  However, if you are like me, simply searching for something like “Pennsylvania Medicare supplement insurance plans” online doesn’t provide much help.

There seems to be an infinite amount of information regarding these plans, and it can be difficult to understand which plan you really need.  A quick look online may spark an entire list of questions, such as:

– Do you need Pennsylvania Medicare supplemental insurance, or do you need Pennsylvania Medicare Part D coverage? 
– Is Pennsylvania Medigap insurance coverage better, and just what exactly are Pennsylvania Medigap plans? 
– How much should you be willing to pay for these plans, and do you need more than one? 
– What can you expect to be covered under the plan, and how much of your medical costs will you still have to pay for?

There are a lot of things to consider when researching these plans, but don’t worry.  You aren’t on your own.  There are many great resources available to assist beneficiaries in choosing the plan that best fits their need.

A first option is to contact a local health insurance broker.  If you already have car insurance, life insurance or home owners insurance, try those brokers first.  If you are comfortable dealing with these agents, the process of purchasing supplemental health insurance can be less stressful.

Of course, not all agents who offer car or life insurance deal in health insurance.  If your current brokers do not offer a supplement plan and cannot refer you to someone who does, then you will need to do a bit more research.  Begin by asking your friends and family for a referral.  Often, someone you know will have a plan they are satisfied with, and this may be the right plan for you as well.

If you don’t have any luck with referrals from those you know, there are many agencies who offer advice regarding such matters.  Check the local phone listings for helplines or brokers, and if you have an AARP or similar membership, call their customer service line.  AARP may be able to provide recommendations regarding supplemental insurance, and can send out brochures detailing available plans.

If you do decide to search for insurance online, make sure you read all information carefully and check up on any company before buying a policy from them.  You can read about companies on the Better Business Bureau site for your area.  Complaints, and whether or not they were resolved, will be noted by the Better Business Bureau.   This allows you to find out if the company has a history of satisfying customers.

Pennsylvania Medicare supplement insurance is a great investment for any Medicare beneficiary.  Although it can take some time and work to research these plans, you will be glad you did when you have a medical expense which is completely covered between Medicare and your supplemental insurance!

The Process I Used To Find My Pennsylvania Medicare Supplement Insurance

Monday, August 29th, 2011

When I became eligible for Medicare, I realized that I wanted more coverage so I started looking for Pennsylvania Medicare supplement insurance. In order to find the right coverage for me, I followed several steps. My journey to find good Pennsylvania Medigap insurance coverage was very successful. Thus, I have decided to discuss the steps that I took to find this coverage. In this blog, I will explain the steps that I took and why I took them. Hopefully, other people can use the steps in my process to help them find their own supplemental coverage.

 First, I made of list of all of the things that I wanted coverage for. I included big ticket items like long term private nursing home care. I also included small items like help paying for my prescription drugs and help paying the co-pays and other out of pocket costs that Medicare did not cover. Then, I made a chart. I listed all of the things that I wanted along one side of the page. Along the top of the page, I listed all of the Pennsylvania Medigap plans. There was a series of plans labeled with the letters A through N. However, I did not include all of these plans, as some of them were no longer available for new patients. Then, I made X’s to indicate which plan covered which items. Using this chart, I was able to match which of the Pennsylvania Medicare supplement insurance plans would cover the most of what I wanted.

Then, using the internet, I found the websites of several companies that sold Pennsylvania insurance for supplements. Some of the companies that sold these plans were famous companies whose names I recognized and trusted. For instance, the AARP offered Pennsylvania Medicare supplement insurance plans. There were other companies that I had never heard of who also sold these plans. I looked through all of their websites and made a few phone calls. Then, I decided which company I wanted to work with by comparing their costs. I did not want to take the cheapest offer. I wanted to take a low price offer but only from a company whose name I trusted.

If you are not internet savvy, you can skip the above step by contacting your state’s Health Insurance Assistance Program. Ask them if they have a guide with a cost analysis of different insurance companies. They may be able to mail you a chart that gives you a look at which companies offer which coverage at which prices. This can help you make your final decision.

While going through this process, you should keep in mind that you may not be able to find a plan that covers everything that you want. For instance, I could not find a plan that would cover a long term private nursing home stay. However, the plan that I opted to buy had many benefits that would help me to save money for a nursing home later. I also got Pennsylvania Medicare part d coverage to help me pay for my prescriptions. All of these Pennsylvania Medicare supplement insurance plans had one thing in common, and that is that they would help lower my bills and make my financial and health life better.

Benefits Of Getting A Pennsylvania Medicare Supplement Insurance

Monday, August 22nd, 2011

Pennsylvania Medicare supplement insurance plans are one type of Medicare insurance provided to people who have Medicare. Commonly referred to as Medigap, the Pennsylvania Medicare supplemental insurance plan can help pay for your coinsurance, copayments, or deductibles of Medicare-covered services. Working together, these two types of insurance plans will provide the most comprehensive coverage that anyone over the age of 65 can get. Residents of the state of Pennsylvania who have been legal residents of the US for at least 5 years are eligible for Pennsylvania Medigap insurance coverage.

Important Things to Know about Pennsylvania Medicare Supplement Insurance 

When I planned on getting Medigap insurance there were some things I had to have before I became eligible. For one, anyone who wants to buy Pennsylvania Medigap plans will need to have Medicare Part A and Part B. Medigap policies are not paid for by Medicare since this is a private insurance policy. Your policy must follow Federal laws as well as Pennsylvania state laws that cover Pennsylvania Medicare supplement insurance plans and Medicare. The policy should also state clearly that you are taking a Medicare Supplement Insurance.

I also learned that the Pennsylvania medical insurance coverage only covers me, since Medigap policies only cover one person. This means that if you are a couple and you both want coverage, you each have to buy individual Medigap policies. Another important thing to note is that there is some coverage not included in a Medigap policy. Therefore, it is important that you view the benefits of the policy before buying. For one, prescription drug coverage or Pennsylvania Medicare part D coverage is not included in Medigap policies. In my case, I wanted prescription drug coverage so I joined the Medicare Prescription Drug Plan, which is offered by private companies but approved by Medicare.

How to Get Affordable Pennsylvania Medicare Supplemental Insurance

There are various companies in the state that offer Medigap policies, which are categorized according to letters A through N. Most companies can only sell standardized policies, which offer the same basic benefits, no matter which company offers it. However, companies differ slightly in the cost of each policy, which is the only difference between them. This is the reason why it is important to shop around for the company that offers the most affordable Pennsylvania Medigap plans with the same basic coverage as the rest. In other states such as Wisconsin and Minnesota, insurance companies also offer a policy called Medicare Select, which is also composed of standardized plans that require the use of certain providers but cost less compared to other Medigap plans. 

Getting a Pennsylvania Medicare supplement insurance plan has provided me the widest range of coverage. Knowing that Medigap works hand in hand with Medicare to cover all my health and hospital needs, I am assured that I am covered no matter what medical emergency may arise. The extra cost for a Medigap coverage is worth every penny for the peace of mind that Pennsylvania Medicare supplement insurance gives.

How I Found The Right Pennsylvania Medicare Supplement Insurance

Monday, August 15th, 2011

When I needed Pennsylvania Medicare supplement insurance, it was time to panic. So many choices were offered at different premiums, I was confused and afraid to make a decision. I could not afford to buy the wrong policy. Finally, I found the right insurance agent to help me. This insurance agent said to write down my medical history, any special protections I might need and buy the best Pennsylvania Medigap insurance coverage I could afford. It was easy to find the right policy and feel good about the coverage when I followed her advice.

Medical History

It only took 20 minutes to write-down the medical history at first. Over the next two days, I added more information. By making a complete list of prescriptions, past medical history, present conditions and possible future events, important items, like expensive arthritis prescriptions or severe hay fever attacks in the spring, were not overlooked. Besides the normal doctor visits, tests and prescriptions, I have to be concerned with the aftermath of any hospitalization. As I live alone, any serious medical condition requires recuperating in a skilled nursing facility. After checking the Medicare coverage, I discovered Medicare only pays for 20 days and will pay anything over $124 a day from day 21 through day 100.

Probable Needs

I am young and fairly healthy. The only known major medical problem is a painful left knee. As my doctors have recommended a knee replacement, this procedure will be done sometime in the next few years. Therefore, the Pennsylvania Medicare supplemental insurance must cover rehabilitation care as I cannot go home without help or pay this expense myself. My blood pressure is under control, my heart is in good condition and my cholesterol level is low. Although I need to lose 20 pounds before surgery, I have no other known health issues.

Analyzing Different Policies

When I called the helpful insurance agent, she set an appointment and said we would only need 30 or 45 minutes if I brought the information. Once I showed the agent my list, the insurance agent asked a few questions and then reviewed different Pennsylvania Medigap plans. Although she included some economy priced packages, she clearly explained why they might not work. Among the best options were Pennsylvania Medicare part D coverage, which included rehabilitation and the two options under part F, the regular plan and the high deductible plan. The high deductible plan F pays nothing until I pay $1860 but it was less expensive. All of these covered foreign travel emergencies. After analyzing the different benefits and premiums, I chose the lowest cost policy meeting my requirements. The insurance agent cautioned me to purchase a policy I could easily afford, as the premium will probably rise in the future.

With the help of a knowledgeable agent, reviewing Pennsylvania Medicare supplement insurance plans was easy. By looking at health issues and anticipating future needs, I got the best policy. Pennsylvania Medicare supplement insurance takes the worry out of the future and allows me to get the medical treatment I need.

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