Medicare Supplement Plans, how do they work?

Traditional Medicare includes Parts A and B, thereby pays for heath care and supplies, but not for everything. This call for a reason that you need to buy Medicare Supplement plans also known as Medigap.  Medicare supplement plans are issued by private insurance companies and they bear some medical and hospital costs that the Traditional Medicare runs short of paying such as coinsurance, copayments and deductibles.


Some Medicare Supplement plans also help paying for emergency overseas travel that the Traditional Medicare does not pay or even bears excess charges of the Part B.  However, out of ten Medigap plans, two at least have a limit on the amount spent on pocket and this means the Original Medicare fails to pay these costs. Thus, Medicare supplement plans help in filling the Traditional Medicare coverage gaps.


How do Medicare Supplement plans work?

Medigap plans accompany the Traditional Medicare benefits; this is the reason that these policies are known as Medicare Supplement plans. Thus, there is a need to have the enrolment in Traditional Medicare to get Medigap coverage and there is a necessity to stay enrolled in Traditional Medicare so that the medical and hospital coverage is available. The Medicare supplement plans offer stand-alone benefits.


The coverage of Medicare supplement plans for under 65 varies as per the state you are living in and people under 65 get enrolled for the reason being disability that is crucial such as ESRD or amyotrophic lateral sclerosis. The state is not expected to give you coverage under 65. However, if you are Traditional Medicare enrolled and are under 65, you may check with the insurance of your state and find out if you qualify for a Medicare supplement plan enrolment.


Bear in mind, Medigap plans do not cover Part D, Prescription drug coverage. It means if you require assistance with medication costs, get enrolled with Medicare Prescription plan as stand-alone.  Apart from that, you also cannot make use of the Medicare supplement plans to bear the charges that is with Medicare Advantage plan. Note that the Medigap insurance covers only the costs of Traditional Medicare that it leaves uncovered.


In case, you have Aetna Medicare supplement Plan G and Traditional Medicare, the first payment will be done by Original Medicare and only the cost gaps are paid by Medigap policy. 


As a beneficiary of Medicare, you may be enrolled in different coverage types through the Medicare program or an employer. Thus, as you sign up first for Traditional Medicare, you may include all the coverage types you own and Medicare will decide who will pay first.


Revealed: The Best Investment and Personal Finance Apps Out There

With the world turning more digital with every passing day, even investment and finance sectors have not fallen back on the trend. Gone are the days when the planning and loads of investment calculation was written in a ‘special’ dairy. With the advent of hundreds of finance apps, people have the option to be assisted on the go.

The next generation of investment apps is powered by Artificial Intelligence and Machine Learning. Today’s apps help in handling the money, calculating and saving for the investments and sticking to a set budget.

Save money by saving on your insurance

But, not every solution out there is the best one. Here we have reviewed some of the best apps and this must help you pick the right one:

  • Mint App

This application available for both Android and IOS platforms is an all – in – one financial tracking solution that helps in making budget and tracking everyday expenditures relative to the budget. The app enables connection to bank accounts and thus, all financial information and tracking is done in one place.

  • The You Need A Budget App

This is the vital eye you need on your budget. It just does not allow you to make budgets that are outside the scale of your finances. Although the app is paid on a monthly basis, the immense control it brings to your budget helps you to stop living for just paying off the debts.

  • The Wally App

What makes Wally stand out from the rest is that one can store the expenditures on it by just capturing a photo of the receipt. It provides lot more smart insights about the movement of money and if you are looking for great and clean organization, Wally must be the app.

  • The Yodlee App

Yodlee is a comprehensive financial assistant out there available for both web and mobile platforms. It notes down your expenditure, keep tracks of the direction of the budget and also helps you to tune the current direction to move closer to your financial goals.

  • The Spendee App

This application is highly visual, and focuses on clean – seamless design to track expenses, show charts of expenditures, and overview the overall financial history of the user. The app can be acquired both on Android and IOS.

Indeed, regular usage of these applications can do a great work in keeping the cash flow in control. It is a much smarter and cleaner way, enabling one to remember and give value to each dollar spent.

Medicare Advantage Plans rules and qualifying plans

Medicare Advantage plans are referred to as MA Plans or Part C. They are given by Medicare approved private companies. If you enrol for Medicare Advantage plans, you have Medicare and will receive Part A and B Medicare covering hospital and medical insurance relating to the Medicare Advantage plans and not from the Traditional Medicare.


Medicare Advantage Plans Covered services

Medicare Advantage Plans cover complete Medicare services. In fact, majority of the Medicare Advantage Plans provide extra coverage such as hearing, vision and dental coverage.


Medicare Advantage Plans Rules

Medicare pays for the care a fixed amount to the companies providing Medicare Advantage Plans. Thus it is expected of such companies to adhere to Medicare set rules.

Each plan of Medicare Advantage can charge as out of pocket costs and this can include different rules for the services, such as:


  • Whether you require to see some specialist only with a referral
  • If you visit facilities, doctors or suppliers for non-urgent or non-emergency urgent care

Keep checking the rules as they change each year.


Medicare Advantage Plans cost

The amount you pay in a Medicare Advantage Plan is based on several factors.


Drug coverage

Majority Medicare Advantage Plans fortunately include Part D Prescription drug coverage.  However, if required you may take a separate plan type that:

  • Does not offer coverage for drug such as MSA plans
  • They chooses not offering coverage for drugs such as PFFS plans


In case you are in HMO or PPO of the Medicare Advantage plans and enrol for a separate Prescription Medicare drug plan, you will be returning to Traditional Medicare by getting disenrolled from Medicare Advantage Plans.

Find the best Medigap plans here

Tips to qualify for Medicare Advantage plans

Generally, being eligible for Medicare Advantage plans is effective on meeting certain conditions:

  • You have coverage for Parts A and B Medicare.
  • You live and enroll in the types of Medicare Advantage plans that is available as service in your area.
  • You do not have crucial diseases namely, the renal disease of the end-stage or dialysis of kidney failure permanently or transplantation of kidney. Of course there are exceptions and availing Medicare advantage plans with ESRD means clarify the plan you wish to buy so that it supports with coverage.


The Medicare Advantage plans costs are not fixed and it may vary with each plan and also is location based. So check if the plan is deductible annually, do they charge monthly premium apart from Part B Medicare premium, are there network restrictions, etc.

How Medicare Advantage Plus Affects Your Medicare Supplement Plans

First of all, it is important to know that there are no Medicare Supplement Plans that work with the Medicare Advantage Plus. If you have Medicare Advantage Plus, commonly known as Medicare Part C, then the benefits that you pay for cannot be utilized under your current plan. This means that even if you have an active Mutual of Omaha Medicare Supplement, you cannot take advantage of any of the services that come along with it as your advantage plan overwrites them. The best course of action to take once you switch from a Medicare Original Plan, Medicare Part A, and Part B, is to drop your Medicare Supplement Plan as you only end up incurring extra costs whose returns you cannot utilize.

It is thus a rather tricky business swathing from your original Medicare plan to the advantage plus plan. This is because if there ever comes a time when you need to switch back, then there no assurance that you will get back the same exact supplement plan that went along with it. This risk taken is even greater for patients with pre-existing conditions whose “guaranteed-issue rights” period is over.

However, there is a silver lining to this cloud that comes in the form of “Trial Rights”. These are rights that allow you a one-year trial period. In this period, you can join a Medicare Advantage Plus on trial basis if it is your first time. As a first-timer, you are allowed something of a test-drive for the plan for a period of 12 months. If by any chance you are not pleased with the plan, then you have the option to switch back to your Original Medicare Plan. You will also have the alternative to apply for the Medicare Supplement Plan that you had before switching to the Medicare Advantage Plus Plan. The success of this application is however hinged to whether or not your insurance company still offers the same supplement plan.

In some instances, your previous Medicare Supplement Plan may not be available anymore, in such a situation, the trial rights accord you the ability to apply for other plans. Plan A, B, C, F, K, and L are all available for selection at your discretion depending on which state you are in. You may be intending to drop your policy, but at the same time are looking to avoid a break in coverage. Your Medigap policy can kick in immediately the other ends if you apply for it 60 days prior to the end date of your Medicare Advantage Plus policy. You should also ensure that you apply for a Medigap policy no later than 63 days after your Medicare Advantage Policy has ended. This allows you to take advantage of your trial rights and avoid being denied your original policy.

If your Medicare Advantage Plus leaves Medicare, or your insurance company goes bankrupt, or the Medicare Advantage Plus plan terminates the rendering of services in your area, then you can buy a Medicare Supplement Plan A, B, C, D, F, K or L depending on which ones are offered in your state. Always remember that the only way you can get a Medigap plan is by first switching back to your Original Medicare Policy.

What are the Things to Consider before Buying a Dental Insurance Plan?

Medical emergencies related to dental problems can make people very uncomfortable, and even debilitate them enough to render them unable for even daily operations. Dental insurance is regarded as an effective instrument that can provide financial coverage to patients in case of such emergencies. Find out about some of the top things to consider before buying a dental insurance plan.


Check the dental network


It would be in your best interests to look for a policy that gives you access to a very wide dental network, comprising of many dentists and dental professionals. An extensive network of dentists can make the best treatment possible for you. Even if you have a very complex or rare dental issue, it can be treated easily.


Look for Preferred Dentist Program


The best dental insurance plan should be one that takes care of your interests, and it will always be in your best interests to opt for a policy that lets you choose the dentist that you want. A policy that comes with Preferred Dentist Program allows you the freedom to opt for treatment from any dentist you want – even the ones who are not in the network.


Types of things covered


You have to check the amount of coverage, and which of the things are covered by the plan. To elaborate on this, dental treatment does not include only visits to doctor’s clinics but X-rays, dental cleaning, oral examination, fillings etc as well. You have to pay from your own pockets for anything that is not covered in your insurance plan. Thus, it is important to look at the Coverage section in your plan and also get in writing all that the policy covers for you.


Look at the premiums


It would obviously be in your best interests to get a dental policy that is as affordable for you as possible. Check the premiums. Whether you go for monthly, bi-monthly, quarterly, half-yearly or yearly premiums, you have to ensure that they are cost effective.


Your insurance needs


Before purchasing a dental insurance plan, you need to consider your own requirements. Do you wish to go for a policy that covers only your own needs or that of your family members as well? If you have a small business, and would wish to get sufficient dental coverage for all the employees, you would need a plan that covers all these things exactly as you wish.

Don’t forget to look into Medicare Supplement Plans 2018 as well.

Medicare Supplement Plans, arrive at a proper decision

Choosing Transamerica medicare supplement for some people may be depending on the risk tolerance. This means, people who do not take medications or take very few medications can consider the Medicare prescription drug plan to enjoy low cost or consider taking Medicare Advantage Plan that has the prescription coverage as inclusive. Such people may check the medication coverage and arrive at a decision:


  • If they get enrolled in Medicare supplement plans that features low monthly premium, they can prevent the premium penalty in the future that may be charged as late enrolment, for not getting enrolled at eligibility period. OR
  • If they should pay more for Part D Medicare plan per month featuring a $0 as initial deductible or/and a drug list or/and a familiar name of insurance company, in case their health changes during that year. OR
  • They will not get enrolled this year in any of the plans, thus save premiums and pay penalty as late enrolment on choosing in the future Part D Medicare/ Medicare Advantage plan. The down side is the monthly premiums are high and may increase annually with time.


There are benefits in having Medicare supplement plans. However, though it is available through private insurance companies, all the Medicare policies provide the same coverage and these are referred to as standard plans. In fact, people with fewer health complaints also prefer taking Medicare Select policy as the premium is much lesser than the Original Medicare Supplement policy.


The Medicare Select Policy, but for emergency care, will deny paying less or payment if you go beyond the network to avail services. However, Medicare pays it share even in such situation for the approved charges.


Free look period


Medicare supplement plans must be enrolled during the eligibility period that is before and after the month of your 65th birthday. However, a free look period of 30 days is also given on all the plans and policies of Medicare supplement so that it benefits the insurers. In this period you can return a policy taken to the company and also receive a full refund of the premiums you have paid.


The free look period initiates from the policy day it is delivered and on returning the policy to the insurance company means it should be confirmed by them of receiving the policy back. Only then your premiums paid refund process will be initiated. Likewise, the provision of free-look is not applicable to Medicare Advantage Plans.


All you need to know about Medicare Supplement Plans

About the plans:

Are you among those individuals who visit their doctor or health specialist quite frequently? If it is true, you may need to understand that Medicare Part A, as well as Part B, accompany affordable costs that you need to pay on your health.  Medicare Supplement, also known as Medigap, plans fill in all the areas left uncovered by Original Medicare plan, Part A and Part B, for example, deductibles, copayments & coinsurance.

In 47 states of the USA, there are 10 institutionalized Medicare Supplement plans that are denoted by the letters A to N, however the plans E,I,J and H are no longer available. The private insurance agencies offering these plans don’t really provides each Medicare Supplement policy / plan, yet they always offer Plan A. On the off chance that an insurance agency offers any Medicare Supplement plan along with the Plan A then it must offer either Plan C or Plan F alongside some other institutionalized Medicare Supplement plan that it offers.

Their coverage:

Every Medicare Supplement policy/plan offers an alternate coverage, however, each lettered policy incorporate the same institutionalized advantages no matter that insurance agency and area it is. For instance, Medicare Supplement Plan G in Florida incorporates the similar advantages from Plan G in North Dakota. But, if you live in Massachusetts, Wisconsin or Minnesota then your Medicare Supplement protection alternatives are not quite the same as in the other areas of the nation. Medicare Supplement plans don’t really cover long-term, vision, dental, or hearing devices, yet all plans must cover the following things:

  • Medicare Part A coinsurance costs up to an extra 365 days after Medicare benefits are depleted
  • Medicare Part A hospice care copayments or coinsurance.
  • Medicare Part B copayments or coinsurance
  • Initial three pints of blood utilized as a part of a medicinal procedure

A few plans incorporate extra coverage. For instance, Medicare Supplement Plan F, the best institutionalized Medigap plans, conveys the following extra advantages:

  • Medicare Part A deductible
  • Skilled Nursing Facility care coinsurance
  • Medicare Part B deductible
  • Medicare Part B preventive care coinsurance
  • Medicare Part B excess charges
  • Foreign medical care

Medicare Supplement plans cost:

All the private insurance agencies offer similar advantages for each similar lettered plan but, they can charge higher premiums for the coverage. You should need to look around to discover a Medicare Supplement plan that fits both your medical as well as financial requirements.

Their eligibility:

To be qualified to select in a Medicare Supplement plan, you should be enlisted in both Medicare Part A as well as Part B. A perfect time to enlist in any such plan is for the most part amid the Medigap Open Enrollment Period, which starts on the exact day of the month when you are age 65 or older and you are selected in Part B, and lasts for a half year.

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