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Medicare Seeks to Cut Drug Costs for People in Part D Plans

December 6, 2022 By Insurance Experts Leave a Comment

The Biden administration said this week it intends to challenge insurance companies to deliver better service to people enrolled in Medicare, including applying discounts on drugs covered by Part D more directly to their pharmacy costs.

The Centers for Medicare and Medicaid Services (CMS) on Thursday unveiled a 360-page proposed rule that seeks many changes in how insurers manage their federal contracts. This proposed rule, for example, also would require insurers to show that they have enough contracted medical professionals when they want to create new Medicare Advantage plans or to expand existing ones.

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Filed Under: Medicare

Medicare

October 17, 2021 By Insurance Experts Leave a Comment

Turning 65…not you? You may not be even close to 65, but I’m sure you know of a parent, grandparent, brother, sister, aunt, or uncle who is 65 or turning 65 in the very near future. Medicare Open Enrollment is October 15th – December 7th.

Medicare can be very complicated and frustrating with so many plan options to choose from. Keeping your current doctor and finding the right prescription drug coverage are two of the key determinants of which plan you may want. You can choose an HMO or PPO Medicare Advantage Plan that includes a Prescription Drug coverage with co-pays and no monthly premiums. You can choose a Medigap, also called a Medicare Supplement Plan, with a monthly premium that allows you to go to any medical provider that accepts Medicare.  And along with this challenge, Medicare-eligible individuals receive huge amounts of advertising from Medicare insurance carriers. Trying to decipher which plan is the best fit for their needs and budget can overwhelming.

The InsuranceExperts.team can help you with all of this. Put the marketing propaganda away and give us a call.  There is no charge for our services! We represent a variety of insurance carriers. When we find the best solution for you and/or your referrals, the Medicare insurance carriers compensate us.

Filed Under: Health Insurance, Medicare

Medicare Open Enrollment Begins October 15th!

September 20, 2021 By Insurance Experts Leave a Comment

Turning 65…not you? You may not be even close to 65, but I’m sure you know of a parent, grandparent, brother, sister, aunt, or uncle who is 65 or turning 65 in the very near future. Medicare Open Enrollment is October 15th – December 7th. You can start reviewing the new plans on October 1st.

Medicare can be very complicated and frustrating with so many plan options to choose from. Keeping your current doctor and finding the right prescription drug coverage are two of the key determinants of which plan you may want. You can choose an HMO or PPO Medicare Advantage Plan that includes a Prescription Drug coverage with co-pays and no monthly premiums. You can choose a Medigap, also called a Medicare Supplement Plan, with a monthly premium that allows you to go to any medical provider that accepts Medicare.  And along with this challenge, Medicare-eligible individuals receive huge amounts of advertising from Medicare insurance carriers. Trying to decipher which plan is the best fit for their needs and budget can overwhelming.

The InsuranceExperts.team can help you with all of this. Put the marketing propaganda away and give us a call.  There is no charge for our services! We represent a variety of insurance carriers. When we find the best solution for you and/or your referrals, the Medicare insurance carriers compensate us.

Filed Under: Medicare, Open Enrollment

Are You Covered?

March 24, 2020 By Insurance Experts Leave a Comment

It doesn’t cost as much as you may think. There are different opinions about COVID-19 and the health impact on our country. However, one thing is certain. If you became infected and hospitalized, the cost of your care would exponentially outweigh the cost of your monthly premium and the right health insurance plan. There are many reasonably priced options and plan durations to choose from.

Filed Under: Affordable Care Act, COBRA, Health Insurance, Medicare

I Need Heath Insurance… What Options Do I Have?

March 21, 2020 By Insurance Experts Leave a Comment

Today, many people are self employed, losing their employer benefits or finding their employer benefits too expensive along with higher deductibles and decreasing benefits.

If you are in this situation, it can be a challenging and daunting task to find and understand the right health insurance option that will fit your coverage needs and budget. Going on-line can get you in trouble as you believe that you are getting a certain type of coverage and then when you go to use your insurance, it is not what you signed up for.

I would also caution you, that there are insurance companies and agents that will lead you to believe you are getting a major medical plan when the only major medical plans remaining in the market are Affordable Care Act (Obama Care) plans or employer group plans.

Currently, there are three types of plans available for private (or non-employer paid) health insurance.

Affordable Care Act (Obama Care) which is well suited for those individuals who have a pre-existing condition of which they are currently being treated to ensure that they are not without treatment. These plans have an open enrollment period of November 1st – December 15th or you can enroll outside of these dates if you have a qualifying life event.

Short Term Plans. These plans work well for people in transition; i.e., between jobs that offer employer paid benefits or needing a few months of coverage before moving into Medicare. These plans are currently offered for 30 days to 36-months terms and are re-writeable after the plan term expires. These are structured similar to a major medical plan with a deductible, co-insurance and max out of pocket with annual benefit of $2 million.  Doctor office and some well care is included. These plans do not have a designated open enrollment and one can enroll any day of the year.

Hospital Indemnity Plans offer the best option for those looking for a permanent plan, in other words, one that is guaranteed renewable. These plans offer a set insurance benefit for medical services for hospitalization, surgery, doctor visits, well care and other medical services. Some plans have a zero deductible or you can choose a higher deductible. Your auto insurance is an indemnity plan; i.e., when in an accident, your deductible (should you have one) is deducted and then your benefit is applied to pay for the repair of your automobile…this process is per incident. As with the Short Term plan, enrollment is offered any day throughout the year.

Don’t get caught with the wrong health insurance…for information or questions, please feel to contact me. And, by the way, if you are unhappy with your current health insurance plan, you are able to cancel at any time and switch to another type of plan.

Filed Under: Affordable Care Act, COBRA, Health Insurance, Medicare

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