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Posts Tagged ‘medicare part d’

Proposed Changes to Medicare Advantage Plans

Sunday, April 25th, 2010

Medigap insurance is not the only Medicare-related coverage that may be going through changes during the next few months due to the new health care reforms proposed by President Obama. Medicare Advantage Plans, which are also known as Medicare Part C plans, may also be experiencing change.

Here is some background on Medicare Advantage Plans:

Medicare Advantage Plans are Health Maintenance Organization (HMOs), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans, or Medicare Special Needs Plans. In order to enroll with a Medicare Advantage plan, you need to have Medicare Parts A and Part B, and you may have to pay a monthly premium to your Medicare Advantage Plan for extra benefits that they offer. Advantage plans are privately provided. You should not be simultaneously enrolled in a Medicare Advantage Plan and a Medigare Supplement Plan as they counter one another.

Current reports state that Medicare Advantage Plan payments to private health insurers will be limited to 2010 rates for the entirety of 2011. The proposed health care laws stipulate cuts amounting to $130 billion over the next ten years to these plans to prevent government overcompensation to insurance providers.

As next year’s payments will not be able to match rising health care costs, what could occur is that insurance companies will offset the loss of payment increases by the increasing premiums that their customers pay.

Medicare Advantage Plans and prescription drug plan sponsors also must have significant differences between their products due to CMS regulation requiring the elimination of duplicate prescription and health plans. These differences run the gamut from plan types, client out-of-pocket costs, premiums, and formulary offerings.

Starting in 2014, Medicare Advantage Plans will have to spend 85% of health insurance premiums collected by insurers on providing health care to their customers as an additional limiting factor to overcompensation of insurance executives.

Looking to find the best deal on a Medigap Plan, then visit www.gomedigap.com to find the best advice on a policy for you.

Senior Citizens Can Save Money From Medicare Health Insurance

Saturday, July 4th, 2009

When the Medicare program was passed in 1965 it had two parts to it. There was what we’ll call “Part A”: hospital insurance coverage. And then there was “Part B”: medical insurance coverage. Late a “Part C” and a “Part D” were added to cover further health concerns.

Medicare insurance Part A is insurance covering hospital stays at least 72 hours long, depending on time of admission and release. Furthermore, it pays for nursing home stays on the condition that the stay is related to a covered hospital stay, and that both the nursing supervision and nursing both require skilled personnel. Medicare insurance Part A part is paid for by the beneficiary’s (and their employer’s) periodic payroll tax deductions during his or her working career.

Part B is an optional benefit of Medicare. Pat B includes many medical services and medical providers not covered by Part A. This means that lab tests, visits to the doctor, particular outpatient procedures, flu vaccinations and more are covered by Part B of Medicare insurance.

Part A is completely free, however, Part B requires a monthly premium. When you are notified that you can have Medicare insurance just before you turn 65, you must choose whether or not you would like Part B coverage. You must pay $88.50 for Part B premiums as of 2006.

Part C Medicare insurance gave Medicare members the option to receive medical care through private insurance plans in beginning in 1997. The private plans replaced Part A/B Medicare insurance coverage. In 2003, the private plan changed and they were called Medicare Advantage (MA) Medicare insurance plans.

On January 1, 2006, Part D Medicare insurance was activated. Those already eligible for Parts A and B were therefore already eligible to participate in the new Part D prescription drug plan. The Medicare insurance benefit of Part D allowed members to subscribe to one of many private insurance prescription drug plans.

Part D Medicare insurance allowed members to pay less for their prescriptions. Like Part B, Part D Medicare insurance required the member to pay a monthly premium. Unfortunately, each of the private insurance prescription drug plans had varying restrictions and caused a great deal of confusion among those trying to choose a plan.

Some government agencies predict that the Medicare insurance program may run out of money around 2018. It seems that workers are retiring and using Medicare insurance faster than current workers are paying into the Medicare insurance bank account.

In 2005, the Medicare insurance program provided coverage to an estimated 42.5 million persons. The “Baby Boom” generation, once fully retired and enrolled in Medicare insurance, is expected to swell the ranks of the Medicare insurance members to approximately 77 million persons around the year 2031.

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