The Medigap Plan That’s Right for You

The Medigap Plan That’s Right for You

Medicare is a program by the government designed to provide medical assistance to people over 65 years of age. The main challenge for Medicare and its supplementary insurance plans is that it is difficult to understand what each plan insures and what the beneficiary needs. It is clear that Medicare elements A and B are only the basic needs of most old people. For this reason, you can purchase 2020 Medicare supplement plans here to fill the gaps in your Medicare insurance plans. Having an understanding of what each plan provides and taking a decision whether the premium is reasonable for the beneficiary is usually a difficult task for beneficiaries. It is imperative that when beneficiaries reach the age of 65, they examine and analyze their needs with the various supplementary insurance plans.

First of all, it is important to see what is guaranteed by the Medicare Part A and B plans. This is what the government provides free to qualified people. Part A of Medicare is the part of the insurance plan that covers the costs of hospital care for nurses, hospitals, and home health care. Medicare Part B members pay a small premium each month that provides two basic benefits; Services required from the medical point of view and prevention services. Medicare Part B includes the supplies and services needed to treat and diagnose diseases through the use of recognized techniques. Preventive services include flu shots, vaccines, or tests to detect the disease at an early stage and at a relatively lower cost to manage.

Medicare supplemental insurances generally provide Medigap because it is Medicare insurance that helps fill in the gaps left by Medicare Parts A and B. If the participant does not want to buy options to fill the gaps in Medicare insurance, another option offered by the government; Medicare Part C or the Medicare Advantage Plan. As with any insurance plan, the health insurance plan has advantages and disadvantages. With Plan C, beneficiaries can only obtain assistance through providers willing to participate in this type of insurance plan. For some participants, this means they have to travel long distances to get help from suppliers who work with their plan. The specialist can only be seen by a recommendation; this is one of the rules that are described. If suddenly a supplier is no longer a participant in the Advantage plan, there will be no more insurance coverage and must be provided by an on-demand provider.

As with Medicare Part A and B with extra supplements, there are many Advantage programs to choose from; HMO, PFFS, SNP, and PPO. It is essential that participants examine all options and aspects before subscribing to any of the public insurance plans to make sure that the insurance provided meets the needs of the beneficiary. Medicare rules are often hard to understand, but can be explained by a professional. Fortunately, many Medicare supplemental insurance professionals monitor what services are needed and desired and will adopt a plan designed specifically for each beneficiary.

The Medicare Supplemental Plan Will Help You Save Money

The Medicare Supplemental Plan Will Help You Save Money

When purchasing Medicare supplemental insurance, many beneficiaries of Medicare and agents view the Medicare F supplemental plan as the “Master of Medicare supplemental Plans”. Before taking a closer look at the concept of supplemental health insurance policies, let us take a moment to fully understand some of the basic information about insurance products offered by government-approved private insurance companies. Medicare is a government-run health program that is responsible for providing health insurance to people 65 years of age and older, and some people with disabilities and under 65 years of age. In itself, Medicare does not offer adequate health insurance protection to its beneficiaries. There are many insurance gaps in which a beneficiary would be responsible for direct payments. A Medicare supplement is a health insurance plan designed to help you complete the areas in which Medicare does not insure. That’s why it’s also known as the Medigap Insurance Plan. The top three factors to consider are medical history, financial status, and personal opinions about medical care.

History of health:

“A Medicare supplemental plan is perfect for people of all health conditions who currently have a health problem that will require frequent visits to your specialist, doctor or hospital or anyone with a family history of health problems.” The reason is that if you select a Medicare Advantage plan and you have a bad health condition (the fact is that you will never know what will be your state of health in the future), the regular trips you make to find the Medicare services will add up to all the benefits you have to pay. In general, you get a maximum cost of between $ 4,000 and $ 6,000 per year with a Medicare advantage plan. Generally speaking, a supplement is a predictable cost plan.

Financial condition:

Clients need to be sure they can afford the cost of a Medicare supplement. For a standard F plan, the cost of the F plan usually starts at $95 and goes upwards. The monthly premium for an extra plan varies depending on the age, the region in which you live, the insurance company selected, the registration guidelines and whether you smoke or not. You must also join a Medicare drug plan (the average cost is about $ 40 to $ 70 per month and continue to pay the Medicare Part B premium). The cost of the plan will increase over time. You must buy one now if you can purchase an additional plan, preferably when you qualify for Medicare and you do not have any other health insurance. When you qualify for a public health insurance plan for the first time, you will not complete the underwriting process and your acceptance will be guaranteed and the cost will be lower.

Your personal choice:

When you give priority to your freedom of choice, the 2020 Medicare supplement appears at top. It is important that you have the opportunity to consult any hospital or doctor you have selected for any medical procedure.

What Is The Premium To Pay For Late Enrollment?

What Is The Premium To Pay For Late Enrollment?

Regarding part B of Medicare, which is not always automatic, every year you do not sign up for Part B after receiving the entitlement, 10% will be added to the monthly premium if you eventually do so. Now, the reason is to deter senior citizens from postponing their enrollment day until they fall sick. The fine to be paid for Part D will be determined by multiplying the number of whole months during which a beneficiary qualifies for insurance but did not register, by 1% of the national award price. In addition, you may be fined if you have spent 63 days or more without Medicare drug coverage plan or other appropriate coverage (for example, from a former employer).

What is the period with no Medicare insurance?

Now, a loop hole in Medicare insurance (often referred to as the “non-insurance gap”) talks about how the Medicare drug benefits represent all costs of the drug after adding the drugs at a certain cost, but only 5% which is nominal expenses after the cost for catastrophe. However, recipients will receive a 50% rebate from the manufacturer for insured branded drugs, even if the total price of the catastrophic limit and 14% for generic drugs will be taken into account. According to the Patient Care Act of 2010, the system will close slowly before being withdrawn permanently by 2020.

Medicare Preventive Care Insurance

Due to the growing appreciation of preventive medicine, Medicare offers coverage for many aspects of prevention, including:

  • An annual cardiovascular examination.
  • An annual physical exam including a welcome visit to Medicare in the first 12 months.
  • Two fasting blood glucose studies (e.g. diabetes studies).
  • Annual mammography for women above 40 years old. For women with Medicare coverage and aged 35 to 39, the plan also provides for a basic mammogram.
  • Screening colonoscopy for all eligible individuals, usually once every 10 years or, if the risk is high, once every 2 years. Recipients over 50 years of age can perform every 4 years, a flexible sigmoidoscopy and every 12 months, a fecal occult blood test.

See the Medicare Advantage Plan

While Medigap provides insurance for a particular set of costs or benefits that are not insured by Medicare, Medicare Advantage plans takes a broader approach. All plans provides the same benefits, including additional services such as visual and dental presentations, annual reviews, wellness programs, hearing exercises, and more. Many Advantage plans are also prescription drugs. A Medicare Advantage plan may also offer additional services such as dentistry, vision and / or health and wellness programs. And many benefit plans also include the Medicare drug benefit. When a person adheres to a public health plan, Medicare pays a fixed monthly amount of assistance to companies offering these plans. These companies must comply with the strict rules established by the Medicare program. However, each Medicare Advantage plan can charge separate external expenses and separate rules can also be set for how subscribers can receive their service.

What are the additional facts of Medicare Supplement plans?

What are the additional facts of 2019 Medicare Supplement plans?


The policies of Medigap normally do not cover the following health supplies and services:

  • Hearing aids
  • Prescription drugs
  • Care taken in a nursing home as long-term
  • Eyeglasses
  • Dental or vision routine care
  • Private-duty nursing


Medicare Supplement plans additional facts

The facts of Medicare supplement plans include Part A and B Medigap plans. it is also a must that each Medigap policy clearly identifies as Medicare Supplement insurance.


Medicare supplement plans cover only one person and so in case of married couple, it is accounted separately. Both husband and wife must buy separate policies. Generally, you can use Medicare Supplement Plans bought from any provider. However, some Medigap plan types are referred to as Medicare Select plan that allow you to choose hospitals and doctors that are in the provider networks.


The fact cannot be denied that Medicare supplement plans of all types may not be available in the state you live. This may vary as per the location and plan based on the premium costs, though the benefits may be the same as per the standard.


Medicare supplement plans, in general are assured renewable unless you pay your premium regularly.  Planning to get Medicare supplement plan, it is also referred to as Medigap. You may be aware that the insurance can pay only from some Part A and B costs of Original Medicare, but the eligibility is based on the plan and its coverage. There may be situations and times that you are Medigap eligible.


Medicare Supplement coverage eligibility


Medicare supplement policies harmonize with the Traditional Medicare coverage, but one thing is a must that you must get enrolled in Part A and B, to be considered eligible for this policy type.


You must stay enrolled in the Traditional Medicare as it offers the coverage for your medical and hospital expenses. Medicare supplement plans do not provide health coverage as stand-alone, but these plans do help with out-of-pocket costs that the Traditional Medicare fails to cover.


If you are under the ages of 65 and yet have Medicare due to your disability as the reason or because you suffer with amyotrophic lateral sclerosis or end-stage renal disease, the Medicare supplement coverage eligibility depends on the state you live and its policies. The fact stays that not all the states offer to less than 65 years people the Medicare supplement plans benefits. Bear in mind that Medigap does not include the benefits of prescription drugs.


Which Medicare Advantageal Insurance Is Best To Get?

If you approach 65, you are entitled to Medicare, but that does not mean that you are safely protected should something happens to you. Many people make that mistake and they pay the price in the long run. Although Medicare is definitely an advantage, you will probably need to have Medicare Advantageal Insurance to add to it.

Medicare will take care of almost all of your basic health needs, although not only does it have the likelihood of maximizing or overtaking at any given time, this can potentially leave “donut holes” of policy that is not covered. That’s why you might want to set up a Medicare Advantageal Insurance Plan when you turn 65.

This type of plan works exactly as your traditional health insurance would have, except that all of your healthcare costs are first delivered to the government. Medicare decides what to do and then hands it over to your Medicare Advantageal Insurance and hopefully cover the rest. If you do not have this type of coverage, you can end up paying what Medicare will not cover. This type of plan assures you of the extra cost of your normal visits to the doctor, but it can also insure you should you be locked up in the hospital or undergo intensive surgery. This is not like long-term care insurance because there is a limit to how long each hospital stay will be taken  care of.

Buying this type of insurance is likely to be the most complicated thing first of all because the company you receive is likely to choose the health care companies that you can go for. In other words, if you have a doctor or even a clinic that you want to have access to then you need to make sure they approve your insurance plan.

Hence, if you are looking for Medicare Advantageal Insurance, it is a wise idea to speak with your family doctor if you have one to determine which insurance they accept. That’s why you do not have to switch healthcare professionals, which most people do not enjoy doing when they’re 65 years old. Get an advantage plan for 2019

There are many ways that you can buy Medicare Advantageal Insurance and if you had health insurance before you turn 65, you may want to continue only with the same agency without having to change them.

On the other hand, if you did not have an insurance policy, you may need to look at some of the more well-known health insurances or talk to your doctor about what he would probably do. There are also a few very valuable resources on the internet that can help you in your selection of which agency is ideal for you and for your particular medical needs.

Just like choosing auto insurance, you can make changes to your insurance plan like maximizing your deductible so that you can reduce your monthly premium should you hope to get the best policy for the least amount of premium.

What you must know about registering for Medicare when you turn 65

Many people believe that signing up for Medicare when you are 65 years old is uncomplicated and straightforward. However, depending on the circumstances, this is not the case. For instance, if you continue to work, after you turn 65 or if you have health insurance with their spouse, this could complicate the situation.

Here are some things to keep in mind when approaching the age of 65 and you are wondering about Medicare enrollment process.

  1. If you already receive social security pensions, you will automatically receive a Medicare card by mail 3 months before your 65th birthday. They will enroll you in Medicare Part A and Medicare Part B. If you do not want the Part B, follow the instructions and return back the card to Social Security.
  2. When you are 65 years old and if you are still working, you will not be automatically enrolled in Medicare. If you want Medicare, you must contact the Social Security Administration to sign up.
  3. You have a 7 month period register for Medicare, beginning 3 months before your birthday and 3 months after your birthday.
  4. If you’re still working and your company has more than 20 people in its workforce, you might not need Medicare B straight away. Contact the representative your HR department for more information.
  5. You need to enroll in the Medicare Part B If you stop working and have a retirement plan from your employer.
  6. Medicare A and B do not cover 100% of all services. Typically, you will need a Medicare Advantage plan or a Medicare supplement plan to cover some of the costs that are not covered by Medicare. Advantage Plans and Supplemental Plans are private insurance plans.
  7. Medicare Advantage Plans are also referred to as Medicare Part C. You may choose and enroll in a Medicare Advantage Plan if you qualify for Medicare. You may join during the 7-month window period that begins 3 months before your birth month and 3 months after your birth month.
  8. You are also eligible to sign up with a Medicare supplement plan at the time of your Medicare membership. You have a 6-month period to sign up for a supplementary plan, starting on the month of your 65th birthday and / or if you qualify for Medicare Part B.
  9. You should not have a Medicare Advantage Plan and a Medicare Supplemental Plan at the same time. You have to choose one over the other.
  10. Medicare Part D is the plan for prescription drugs. You will not be automatically enrolled in a Medicare Part D plan. You will need to sign up with either a Medicare Advantage Planor a separate plan that offers only the Medicare Part D.

From the foregoing, you can see that there is a lot to consider as you get closer to the age of eligibility for Medicare. For more information contact the Department of Aging in your county.

Eligibility Factors for Humana Medicare Advantage Plan

Eligibility Factors for Humana Medicare Advantage Plan for 2019

Whenever you’re going to get a Medicare Advantage plan you have to clear an eligibility verification process. This process is important to clear for being eligible for any Medicare advantage plan. The insurance company will go through some steps for checking your eligibility. They will suggest you the plan according to your requirement only when you are eligible for the policy. In this article, we discuss the eligibility factors for adapting the Medicare advantage plan.

Check your Enrollment:

For being eligible for the medical advantage plan you have to enroll in both the part A and part B of the original Medicare. This enrollment helps you to clear the eligibility verification for adopting you are desire advantage plan.

Age Eligibility:

The Medicare advantage plan is allotted to the persons that are under the age of 65 or have any disability. When you are having the Medicare advantage plan that includes original Medicare due to the age and disability then you will be eligible for the Medicare advantage plan.

The most eligible age is when you are completed your age of 65 years. Some companies are offering the plans under the age of 65 with no disability but this is quite opposite to the rules of insurance policy.

Coverage Area:

Some plans require you to live in a specific coverage area of the plan. If you are adapting such a plan then you have to stay in the coverage area for being eligible for that plan.

Current Plan:

When you are enrolled in the Medicare Advantage plan instead of the original Medicare then you are not eligible for having a Medicare advantage plan. The way of getting a advantage plan in this condition is by dropping off your Medicare advantage plan.

Income Resources:

They will check you are basic income sources for getting knowledge of how much payments you can do yourself. This is also for getting information if you are able to fill the premium of the policy. This income checking will describe you are a financial situation for the company and they will suggest you a good plan according to your income eligibility.


In this way after completing the inquiry of all the eligibility areas you can get your desired Medicare advantage plan easily. The eligibility criteria are an important part to observe when you are planning for purchasing a Medicare advantage plan. Check on your behalf if you are eligible in all the above areas then place the request for getting the advantage plan for your healthcare.



In building trust with your Supplement lead, you must apprise him of the urgent need to protect the considerable assets he has built over his lifetime. Educate him so his accumulated wealth over three or four decades does not dissipate on needless expenses such as 20 percent co-pays as required by Medicare. Do not try to convince your Medicare Supplement lead, or get frustrated. Remember, many of these seniors may be better educated than you, and they all definitely have more real world experience. So lead your Medicare Supplement lead to realize that Medicare has tremendous shortcomings and he really needs a plan that takes care of things like co-pays should he become gravely ill.

Many seniors enroll for a Medicare Supplement Plans 2019 at  Then you know that after supplemental insurance is taken care of, educate your Medicare Supplement lead on the benefits of Long Term Care Insurance. As of 2010, over fifteen million American seniors need long term care at a cost that is close to $80,000 per year. Close to 50 percent of the senior population suffers from debilitating diseases such as injuries from accidents, severe arthritis, paralysis from stroke, Spinal Cord injury, Cerebral Palsy, Alzheimer’s, Multiple Sclerosis and Parkinson’s. These seniors require long term care, which is quite expensive. You should share these facts with your Medicare Supplement lead and ask him if he realistically would like to spend $80,000 yearly, and whether he has the resources to sustain this care for ten to twenty years or more. If not, your Medicare Supplement lead should seriously consider getting long term care insurance. For example, it is not uncommon to hear stories from seniors who bought their house for say $50,000 thirty years ago, and have seen their property escalate to $500,000 or even over a million.

As an agent, you should wisely choose a Medicare Supplement lead provider who supports you with additional products such as Long Term Care Insurance, Final Expense Insurance, and financial planning options such as Annuities. Also choose a provider that supports you in the field, handles the administrative load reliably, and gives you exclusive leads in the territory of your choice.

Now a day lot people around the country does not have through knowledge about these Medicare supplements. These supplements are used to fill the gap of your Medicare policy. The reason is that your original Medicare policy would not cover your entire medical expenses that you need of.


Steps to Buy Medicare Supplement Plans

The Medicare supplement polices can help to save the out of the pocket costs. If you plan to buy the Medicare Supplement plans then follow the steps mentioned below.

Are you eligible to buy the Medicare Advantage plans for 2019?

The best time when you should buy the Medicare Supplement plans is when you are in the Medicare supplement enrollment period. This is the time when you will be able to buy any of the plans in your area and you will also not be turned down because of your medical history. But be prepared as the policy has some waiting period.

After this period ends the insurance company could consider your medical history to decide whether or not to sell the medical insurance plan to you. They may turn you down or could also charge you extra in case you have any pre medical condition.

Which policy should you buy?

In most of the states you will come across 10 medical policies and these are also standardized. These cover the out of the pocket Medicare and at different percentages, but not every plan could be present in all the areas and thus you need to find it out and make a purchase accordingly.

The basic plan is the plan A and it offers 100% of Medicare and hospitalization for 365 days. The plan F is the most comprehensive of them.

Understand the Medicare supplements plans pricing

The Medicare plans that offer more coverage also charge a higher premium. The company could also be pricing the policy differently. The company could be checking the age of the applicant and others may not. Also what is your age when you buy the policy is an important factor considered by many companies. The plans could be priced such that it is based on the policyholder’s current age and then it starts to go up.

Make sure that you understand the pricing of the policy before you buy it, this will let you take an informed call.

Buy the Medigap plans

Think what the extent of coverage that you desire is. Also understand what you could expect from the pricing. Make a careful purchase because once you buy the policy you may not be able to switch the plans after the open enrolment period ends.

These steps will help you to purchase the Medigap policy. However, if you still are in a doubt then reach out to a representative who will help you with making the purchase. You could also check out the comparison websites in case of any doubt to make a purchase of the Medigap policy.

Cover the Costs That You Do Out Of Your Pocket with the Medicare Supplement Plans

The Medicare supplement plans also known as Medigap helps you to cover the costs that you do out of your pockets. These extra costs are a part of the original Mediclaim plan that you have. The original Medicare plans will be covering medical services and hospitalization but the plan will not be taking care of all the expenses and you are responsible to pay for them. These include costs like deductibles, coinsurance and copayments. On top of that some of the Medicare supplement plans offer you services that the medical plan may not be covering. This includes like cases of any emergency and in need of medical care when you are not in the country. The Medicare supplement plans cover for these costs as well.

Enroll in a Medicare advantage plans for 2019 by going to

The plans and the premiums for the same

Many private insurance companies offer the Medigap policy. The supplement plan is the same and it does not matter which insurance company you buy it form and also where you are based does not matter.

When you buy the plan it will attract a monthly premium amount. This is the amount that you pay for the coverage. When the coverage is high the premium that you will pay will be high. The premiums could also be different based on where you stay and also which plan you opt for.

The other factors that will affect the premium payments will be the time when you buy the plan and if you are doing it within the enrolment period of the medical supplement plan. Also if you have any existing health condition and on the basis of which the insurance company prices its premium affects the premium amount.

How does the Medicare supplement plans work?

The Medigap plans work together with the part A and the part A coverage that is offered by your original medical plan. These help to fill in some gaps that come with the original Medicare coverage. It depends on which medical plan that you have. But here included are some extra costs that come with the Medicare supplement coverage.

Medigap plans and deductibles

There is normally no deductible which forms part of the Medigap policy. This is the amount of money that you will be paying form your pocket before the start of the coverage. However the plan F has a standard plan and a high deductible version plan.