Did you know that Original Medicare only covers a portion of your needs?

by Natalie Stefan

In a society where health and safety are rapidly changing, having Medicare coverage is of the utmost importance. However, Original Medicare does not account for office visits and prescriptions. That is where a Medicare Supplement Plan, also known as Medigap, comes to your aid.

Since most Medigap plans are standardized and can be used with any medical provider who accepts Medicare, having a Medigap plan gives you all the added benefits while staying with the doctor you feel most comfortable with.

There are three ways in which Medigap plan premiums are calculated: issue-age rated, attained-age rated, and community rated. Understanding your needs and options will help you determine which plan and insurance provider to choose. Still have questions and want more information? Health Plans of America does all the hard work for you by offering information and resources to help you make informed decisions. Don’t wait! 

5 Interesting Facts About Medicare You Should Know

by Natalie Stefan

President Lyndon B. Johnson signed Medicare into law some 56 years ago. A lot has changed in that time, and there are some facts that Americans may not be aware of the health insurance program.

  1. Claiming Social Security does not mean Medicare will automatically start. Check your enrollment period so you don’t miss out on important dates!
  2. Medicare insurance isn’t entirely free. Hospital insurance is covered at no additional cost by Medicare; however, the deductible is $1,364 for each benefit period with a $0 for the first 60 days of a benefit period, but then goes up from there.
  3. You don’t have to enroll in Medicare just because you turned 65, but you may want to. Check what coverage you have with your employer so you don’t get a lapse in insurance coverage! 
  4. Planning to travel on retirement? Medicare won’t travel with you. Medicare Part A and Part B are not applicable outside of the U.S, so consider getting travel medical insurance, or a Medigap Plan that provides foreign travel emergency health care coverage.
  5. Long-term care is not included in Medicare coverage. Long-term care only covers a limited number of days, but if seniors want more coverage, a supplemental plan is needed.

With all the information out there it’s hard to know where to start. That’s where Health Plans of America comes in. They do all the hard work for you by offering information and resources to help you make informed decisions. Don’t wait! Connect with a licensed Medicare specialist in your area today.

Ask These Questions Next Time You’re Shopping for a Plan

by Natalie Stefan

Navigating health insurance can often feel like a labyrinth of jargon and decisions. It’s natural to be a bit overwhelmed. That’s why we’re here to break it down for you. Before you commit to a health insurance plan, it’s essential to ask these top five questions:

1. Will it Save Me Money, Even When I’m Healthy?
Consider factors like monthly premiums and the costs of doctor’s visits when you’re feeling fine. It’s not just about sick days; you want a plan that’s cost-effective throughout the year.

2. Is It Affordable When I’m Ill?
Life throws curveballs, and accidents happen. You need a plan that fits your budget when unexpected health issues arise. Key questions to ask include the deductible and out-of-pocket maximum.

3. Are My Doctors Covered?
Your relationship with your doctor is crucial. Peace of mind comes from knowing your preferred healthcare provider is in your plan. Ensure your plan’s coverage network is extensive and that your doctor is a part of it.

4. Does it Include Prescription Drug Coverage?
Medication costs can add up quickly. Check the plan’s formulary to see which drugs are covered and their costs. Other essential questions include your regular prescription expenses and in-network pharmacies.

5. Will it Support Me When I’m Unwell?
Suffering from a sore throat is no fun, and you want a plan that provides swift care. Find out if you need to choose a primary care doctor or clinic and if they’re conveniently located.

Remember, there’s no one-size-fits-all solution when it comes to health insurance. Whether you’re a first-time buyer or switching policies, Health Plans of America is here to make the insurance process hassle-free. We have the tools and resources to guide you through this important decision.