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Senior Care Benefits

Seniors Laughing

 

 

 

Do you know what any of the below terms mean?

 

  • DEDUCTIBLES ~~~ FORMULARIES

  •  CO-INSURANCE VS. ~~~ CO-PAY?

  • COVERAGE GAP ~~~ DONUT HOLE 

  • CATASTROPHIC COVERAGE

 

MEDICARE HEALTH INSURANCE in FLORIDA can be CONFUSING!

 

MEDICARE HEALTH INSURANCE SUPPLEMENTS change each year and to understand these changes and coverage, 
we recommend that you talk with an insurance agent.

 

Comparing your Medicare insurance options doesn’t have to be overwhelming. We independently shop various Medicare Advantage, Supplement and Prescription Drug Plans from Medicare insurance companies so you can compare their rates and find the plan that’s right for your needs and budget.

 

  1. 1. Convenience: Save time and confusion. We file the application and paperwork for you.

  2. 2. Savings: Side-by-side price comparisons help you make informed decisions.

 

              We are here to assist you in navigating through

               the confusing world of insurance! It is not that

               you picked the wrong type of insurance in the past,

               the mistake was you picked the wrong agent!

 

                  THE ANNUAL ELECTION PERIOD 
                   BEGINS 10/15 - ENDING 12/07

 

Are you in a Medicare Advantage Plan or have a Medicare Prescription Drug Plan? This is the time of the year that you can review your current coverage for changes and compare it to new plans coming out for next year.

We offer a wide variety of Plans & Companies for comparison.
Please call today to get more information and schedule your free Insurance review.

Call Today for an Appointment: 941-457-2744 or 407-801-1976 or Email at: pheme.evans@gmail.com

 

 

Medicare Supplement Insurance 

 

A Medicare Supplement Insurance (Medigap) policy helps pay some of the health care costs that Original Medicare doesn't cover, like:

  • Copayments  ​

  • Coinsurance

  • Deductibles

 

policies are sold by private companies.

Some Medigap policies also offer coverage for services that Original Medicare doesn't cover, like medical care when you travel outside the U., If you have Original Medicare and you buy a Medigap policy, here's what happens:

 

  • Medicare will pay its share of the Medicare-approved amount for covered health care costs.

  • Then, your Medigap policy pays its share.

 

A Medigap policy is different from a Medicare Advantage Plan. Those plans are ways to get Medicare benefits, while a Medigap policy only supplements your Original Medicare benefits.

 

8 things to know about Medigap policies 

  1. You must have Medicare Part A and parhealthcaret B.

  2. If you have a Medicare Advantage Plan, you can apply for a Medigap policy. But, make sure you can leave the Medicare Advantage Plan before your Medigap policy begins.

  3. You pay the private insurance company a monthly premium for your Medigap policy. You pay this monthly premium in addition to the monthly Part B premium that you pay to Medicare.

  4. A Medigap policy only covers one person. If you and your spouse both want Medigap coverage, you'll each have to buy separate policies.

  5. You can buy a Medigap policy from any insurance company that's licensed in your state to sell one.

  6. Any standardized Medigap policy is guaranteed renewable even if you have health problems. This means the insurance company can't cancel your Medigap policy as long as you pay the premium.

  7. Some Medigap policies sold in the past cover prescription drugs. But, Medigap policies sold after January 1, 2006, aren't allowed to include prescription drug coverage. If you want prescription drug coverage, you can join a Medicare Prescription Drugs Plan (Part D).

  8. It's illegal for anyone to sell you a Medigap policy if you have a Medicare Medical Savings Account (MSA)Plan.

 

 

Medigap policies don't cover everything

Medigap policies generally don't cover long-term care, vision or dental care, hearing aids, eyeglasses, or private-duty nursing.

 

Insurance plans that aren't Medigap

Some types of insurance aren't Medigap plans, they include:

  • Medicare Advantage Plans (like an HMO, PPO, or Private Fee-for-Service Plan)

  • Medicare Prescription Drug Plans

  • Medicaid

  • Employer or union plans, including the Federal Employees Health Benefits Program (FEHBP)

  • TRICARE

  • Veterans' benefits

  • Long-term care insurance policies

  • Indian Health Service, Tribal, and Urban Indian Health plans

 

Dropping your entire Medigap policy (not just the drug coverage) 

 

You may want a completely different Medigap policy (not just your old Medigap policy without the prescription drug coverage). Or, you might decide to switch to a Medicare Advantage Plan that offers prescription drug coverage.

If you decide to drop your entire Medigap policy, you need to be careful about the timing. You have to pay a late enrollment penalty when you join a new Medicare drug plan if one of these applies:

  • You drop your entire Medigap policy and the drug coverage wasn't creditable prescription drug coverage

  • You go 63 days or more in a row before your new Medicare drug coverage begins

  • Langley Insurance & Financial Enterprise offers free, comparative quotes on health insurance from multiple insurance carriers so you can get the best possible rate.

We offer a wide variety of Plans & Companies for comparison.

Please call today to get more information and schedule your free Insurance review.

Want to see how much we can save you? Just request a quote to find out

 

 

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