Monday, December 5, 2011

Continuing To Understand Differences within Medicare

Medicare is a discussion that often comes with many misinformation being shared and past on.  One issue that is often misunderstood is how much money Medicare will cost and exactly what is included within the insurance plan.  Medicare can be broken down into two main parts coverage types; Medicare Part A and B with supplemental added on or Medicare Advantage. 
Medicare Part A and B is offered to individuals sixty-five and older that meet the requirements associated with the government offered health insurance plan.  It is also available to people you qualify that under sixty-five.  The eligibility requirements associated with Medicare are quite in depth themselves so much that there are internet sites devoted to that subject entirely.
Part A of Medicare is a completely free insurance plan.  Part A offers recipients coverage for hospital visits; in-patient hospital services, skilled nursing homes if required after a hospital stay, hospice and blood transfusions after the first three pints.  However Part B is requires a monthly premium to be paid out of pocket from the individual.  Coverage from Part B offers coverage for miscellaneous medical coverage such as; medical expenses, laboratory services, outpatient service and preventative health exams.
With Medicare Part A and B recipients are able to purchase supplemental insurance that helps fill in the gaps of what is not covered.  Medicare supplemental insurance plans A, B, C, D, F, G, K, L, M and N offer benefits ranging from hospitalization co-pays to deductibles.  All services not covered by Medicare all the recipients’ responsibility unless a Medigap plan has been purchased through an independent insurance company.  Medigap is the term used for the insurance that is purchase to cover the gaps left by Medicare. 
For many this territory is uncharted and confusing.  Terms are used interchangeably which can only add to the confusion.  It is best to get a handle on the terms and there meanings.  For instance a premium is the amount that an individual pays for their coverage.  It will be the amount paid for Medicare Part B plus the additional for the Medigap supplemental insurance policies.  Depending on the coverage that is chosen the premium will vary for each individual.  Deductibles are the amount that is paid out of an individual’s pocket before any covered medical expenses are paid for by Medicare. Co-pays, copayments, are a fixed dollar amount that is paid for medical visits. Finally coinsurance which is the amount that is required to be paid by an individual after Medicare has paid their agreed upon portion.
Medicare Advantage Plans are offered to individuals that are eligible and have Medicare Plan A and B and that live in an area that offers the advantage plan.  When enrolled in Medicare Advantage Plan recipients are still a part of the government supplied Medicare insurance  however are not eligible to purchase extra supplemental insurance such as the Medigap policies talked about earlier.  Medicare Advantage is in the simplest term a program in which Medicare offers contracts to certain area hospitals and doctors for approved amounts.  In turn individuals enrolled in this insurance plan must attend to the facilities of these medical professionals.
Medicare Advantage plan does offer greater coverage for individuals than original Medicare however not available in all areas and not right for everyone.  Individual participants are limited in their choice of doctors and hospitals.  If it is imperative that certain doctors and hospitals are seen than it is up to the individual to make sure they accept Medicare Advantage before signing up for the plan. 
It is important for individuals to seek out the Medicare supplements or advantage plans that are best for their situations.  No one can predict their medical future however, using the past as a basis will help guide individuals to the right choice.  Medicare supplemental insurance is all set in stone by the federal government the cost to individuals however is not.  All supplemental policies are sold through private insurance companies.  Companies such as Senior Health Direct offer services in which clients can review different plan options available in the area and the premiums charged by multiple insurance companies.  This is helpful in the search to find the right coverage at the right price without having to meet with multiple private insurance companies.

Important Information Surrounding Medicare Plans and Coverage

Aging happens to everyone.  It is the one truth that is consistent in life.  Along with aging come certain advantages and disadvantages.  However it is looked upon retirement happens around the age of sixty-five.  Some find retirement as nearing the end while others take on the view that their second lives are starting.  With turning sixty-five, in the United States a “gift” is stowed upon requirement meeting individuals in the name of Medicare.
Medicare is a health insurance program established by the US government to assist in payment of proper health care and expenses related to their health.  Not only does it provide health care assistance to those over sixty-five but also those who find themselves retiring early because of a qualifying disability and health condition.  Medicare insurance covers a portion of care while Medicare Supplemental Insurance can be purchased on an individual basis to cover the remaining portions. 
Medicare Supplemental Insurance is not necessary for all individuals.  Medigap as it is often referred to covers gaps within the Medicare policy.  Some individual already carry a secondary insurance that will fill in the voids of Medicare.  This might include people who have extra coverage through an employer or if retired a former employer.  If you opt instead of Medicare to receive Medicare Advantage supplemental insurance is not an option.  This is confusing.  To help clients understand Medicare and the coverage that exists under the plans it is advisable to look into Medicare supplemental insurance comparison charts. 
Many insurance companies offer to explain the different Medigap policies but it is best to find assistance from a company that looks into each situation and explores the options and costs associated through many different insurance agencies.  The coverage is completely regulated by the government so the plans consist of the same coverage the differences will come in service and cost from different insurance agencies.  A company such as Senior Health Direct which is web based can offer assistance and free information on Medicare and Medigap Supplemental Insurance Plans.  Another source of information that can be easily accessed through Internet is the Medicare government’s site.
The basic break down of Medicare coverage comes down to two parts; Medicare Part A and Medicare Part B.  Part A is often referred to as hospital coverage and Part B is known as medical coverage.  Both of these are provided within the umbrella of Medicare.  The basic coverage states that eighty percent of approved medical costs, doctors and supplies, are covered by Medicare Part A.  Part B provides a specific amount fixed dependent upon the lab service, outpatient treatment and preventatives.  Neither of these base Medicare plans offers prescription coverage. 
Medicare Part D is a piece ofMedicare Supplemental Insurance that can be purchased at an extra expense.  This can be purchase through independent insurance firms.  This is not the only service Medicare does not cover.  It is imperative to look into the different options available within the supplemental programs.  Some of the things that might be needed that are not covered are; long-term care, only medical necessary nursing homes are covered, private duty nurses, dental, health care outside the United States, cosmetic surgery, routine foot care and eye care are all covered under supplemental plans and not traditional Medicare.