Connecticut's Medicare Supplement Plans

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What do these insurance plans do?

Pay the providers of a person's outpatient treatment or professional service most or all the 20% MediCare did not pay. A couple points: 

 

Generally pay the part - the Gap - of treatment cost MediCare does not thus are also called MediGap plans


  Think of this special kind of insurance as   —   a life ring over your money!   

How does a Supplement work?

    Individuals can receive treatment from any provider in any state who agreed to participate and accept MediCare. 

     Note: When making an appointment a person tells the provider they have MediCare but does not have to say what Supplement company they have. 


    When treatment is received providers submit their charge to the MediCare claims administrator. 

 

    The Supplement company, based on your approval in the application, is able to get your Part B expenses from the MediCare system and pay your provider.


    The MediCare system mails a quarterly coverage summary following receiving treatment. The supplement company also sends an explanation of their payments. 

 

      9 out of 10 people are happy with their Medicare Supplements.


Some information on federal regulation of Supplements:

    Plans are identified with "lettered' names" and coverage is the same in most states. A has the least coverage, B, C. etc. have more. 

       [Confusing since the parts of MediCare also have letter names.


     Any plan in CT with the same letter from any company will have identical coverage.  


Some information on state regulation of Supplements The CT Dept of Insurance: 

    Approves the monthly cost of each private companies plan and when approved it can for purchased in any CT County

     Note - the monthly cost of a specific Supplement plan: 

       + can vary considerably between what companies charge for their plan.

       + will be the same for males and females and whether a person is 65 or 95.


     Allows individuals (normally) to change their plan at any time for coverage the 1st of the next month.


 A new federal regulation restricts availability of certain Supplement plans: 


Any person turning 65 in January 2020 or after will not be able to buy full coverage Plan F. Individuals enrolled in Plan F at that time can keep it. 


Call today to learn more.

A couple options to think about:

    Plan N - One company offers N for over $100 a month less than their full coverage F. 

     Why does it cost less? A person with Plan N shares in what the company pays the provider. When treatment is received they pay: 

       + Part B's annual deductible at the beginning of each year [$185 for 2019];  

       + a $20 co-pay for each MD office visit

       + a $50 co-pay if any emergency room visits.


    High Deductible Plan F. It's the lowest cost Supplement but only available from a few companies. 

       + Each calendar year an individual pays the first $2,300 (for 2019) of any treatment they receive

       + The Plan then pays all medical related expenses above the deductible.

       + It's a good option for someone who was using an under 65 high deductible plan.


    Note:  High Deductible F will not be available to individuals who turn 65 on Jan 2020 or later.

What about Prescriptions?

MediCare Part B does not cover medications purchased at a local pharmacy nor are they included in a Medicare Supplement Plan. What to do?  

    Buy a Medicare Prescription Drug Plans (PDP), which is MeddiCare's Par D, to pay part of the cost of outpatient prescriptions.  


    Buying PDPs are purchased from private companies on a voluntary basis. But a penalty would be added to the monthly cost if a person does not have "credible"  prescription coverage, such as from an employer, when they do sign up. 

 

    There are a lot of PDP options in New London County. 

 

When can a PDP be purchased? 

    A person is eligible to apply for a PDP during their Initial Eligibility Period when they turn 65. 


    Making a change after that is limited to the Oct 15 to Dec 7 Annual Election Period unless a person qualifies for a Special Enrollment Period.

Questions on a Medicare Supplement Plan?

Call or Text John C Parker's Google Voice # — (860) 451-9793 — today for an appointment. We can have a discussion (no cost to you ), to:

    Understand your interest and situation and discuss the flexibility plans provide to receive treatment from any provider in any state who accepts MediCare.


    Answer coverage questions, review plan monthly cost, and select one which is best for your budget. 


    Talk about available Medicare PDP options to help pay for any medications.


You can also send a note with questions to - Learn@JohnCParker.agency