Medicare time!
#61
Forum Regular
Joined: Jul 2018
Location: California
Posts: 254
Re: Medicare time!
Yes it is. A Medicare Supplement Plan only applies when one is on traditional Medicare, not an MA plan.
The supplement plan covers most of the out of pocket expenses that Medicare has. As an example, it usually covers the inpatient hospital co-insurance charges (usually at 100%)
It's more commonly know as a Medigap policy in certain parts of the US, but it's actual name is a Part F plan. Medicare Advantage Plans are Part C plans.
The supplement plan covers most of the out of pocket expenses that Medicare has. As an example, it usually covers the inpatient hospital co-insurance charges (usually at 100%)
It's more commonly know as a Medigap policy in certain parts of the US, but it's actual name is a Part F plan. Medicare Advantage Plans are Part C plans.
#62
Lost in BE Cyberspace
Joined: Jan 2006
Location: San Francisco
Posts: 12,865
Re: Medicare time!
Medigap plans C and F are no longer available for new Medicare enrollees in 2020 and beyond. Those who first enrolled before 2020 can continue to enroll in a plan C or F policy. Those policies are the only Medigap plans that pay the part B deductible of $185. Yes, Medicare is a confusing mess as are the differing ways you can transition from other insurance. And, judging by the amount of marketing crap that has come through my mailbox the last few months, Advantage plans are a huge profit maker for insurance companies.
Last edited by Giantaxe; Sep 4th 2020 at 2:20 am.
#63
Re: Medicare time!
Medigap plans C and F are no longer available for new Medicare enrollees in 2020 and beyond.
You will still be able to get Medigap plans, but they will not be allowed to cover as much as before. The Part B deductible will now still be paid by the enrollee ($198 a year at present) but will still cover the Part A deductible and co-insurance which are by far the big ticket items for Medicare patient.
These new plans will be Part G's, just to confuse matters even further.
#64
Lost in BE Cyberspace
Joined: Jan 2006
Location: San Francisco
Posts: 12,865
Re: Medicare time!
Correct. Although that it's a little simplistic.
You will still be able to get Medigap plans, but they will not be allowed to cover as much as before. The Part B deductible will now still be paid by the enrollee ($198 a year at present) but will still cover the Part A deductible and co-insurance which are by far the big ticket items for Medicare patient.
These new plans will be Part G's, just to confuse matters even further.
You will still be able to get Medigap plans, but they will not be allowed to cover as much as before. The Part B deductible will now still be paid by the enrollee ($198 a year at present) but will still cover the Part A deductible and co-insurance which are by far the big ticket items for Medicare patient.
These new plans will be Part G's, just to confuse matters even further.
#67
Re: Medicare time!
So with only 4 months remaining to research Medicare options for next year, I am intrigued by the Part F and the new Part G parts. I think the new Part G should be better than the older Parts A, B and so on, but one has to pay close attention to the fine print. My doctor sent me for an X-ray to the "old hospital" here, but I later discovered that this facility is not "in network" and received a big bill.
#68
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Joined: Jun 2015
Location: Near Lynchburg Tennessee, home of Jack Daniels
Posts: 1,381
Re: Medicare time!
So with only 4 months remaining to research Medicare options for next year, I am intrigued by the Part F and the new Part G parts. I think the new Part G should be better than the older Parts A, B and so on, but one has to pay close attention to the fine print. My doctor sent me for an X-ray to the "old hospital" here, but I later discovered that this facility is not "in network" and received a big bill.
#69
Re: Medicare time!
#70
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Location: Near Lynchburg Tennessee, home of Jack Daniels
Posts: 1,381
Re: Medicare time!
#71
Re: Medicare time!
I don't support the 'advantage' plans or the insurance companies that administer them, but in fairness, the idea of paying a lump sum is to stop them from doing procedures that are medically unnecessary and then billing for it. If all costs were simply 'passed through', I can see much more fraud. I'm going to hazard a guess here that this was the system before the lump-sum reimbursement was put in place.
#72
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Joined: Jun 2015
Location: Near Lynchburg Tennessee, home of Jack Daniels
Posts: 1,381
Re: Medicare time!
I don't support the 'advantage' plans or the insurance companies that administer them, but in fairness, the idea of paying a lump sum is to stop them from doing procedures that are medically unnecessary and then billing for it. If all costs were simply 'passed through', I can see much more fraud. I'm going to hazard a guess here that this was the system before the lump-sum reimbursement was put in place.
#73
Re: Medicare time!
Before Advantage plans it was pure Medicare and I am sure some over treating for profit. However the articles I have seen puts the costs to Medicare about 15% more for each person on advantage plans than those on traditional Medicare. Do you have any information to dispute or confirm? I really only know from what little I have read.
I'm still a few years away from decision time. I got quite into it when my g/f was making her choices, but I quickly forgot after that - this is not the type of information I can retain to any depth.
#74
Lost in BE Cyberspace
Joined: Jan 2006
Location: San Francisco
Posts: 12,865
Re: Medicare time!
This is no different from any health insurance that has "in network" and "out of network" providers. Not that I am defending that, but nevertheless there is nothing conceptually unique about Advantage plans.
#75
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Location: Near Lynchburg Tennessee, home of Jack Daniels
Posts: 1,381
Re: Medicare time!