Answers to Common Medicare Questions

I have answers to your most common Medicare questions. Here are just a few examples of questions asked by people just like you who are turning 65.

  • How do I know which Medicare plan is right for me?
  • When should I enroll in Medicare?
  • Should I have the same plan as my spouse?
  • How much does Medicare cost?
  • Does Medicare cover (fill in the blank)?

Many of your questions can be answered by copying this into your Google search bar – site:http://www.georgia-medicareplans.com

Answers to Common Medicare Questions

 

Answers to Common Medicare Questions

Below are links that correspond to the questions shown above.

  • https://www.georgia-medicareplans.com/ufaqs/find-right-medicare-plan/
  • https://www.georgia-medicareplans.com/enroll-in-medicare-at-age-65/
  • https://www.georgia-medicareplans.com/medicare-traps-and-mistakes/
  • https://www.georgia-medicareplans.com/ufaqs/how-much-do-medicare-premiums-cost/
  • https://www.georgia-medicareplans.com/does-medicare-cover-my-cancer-treatment/

You have Medicare Questions.

I have answers.

Give Bob Vineyard a call. I would love to help. (404) 252-5859

 

Medicare Open Enrollment 2019

Medicare 2019 Open Enrollment starts on October 15th and ends on December the 7th. Who is affected? How do you decide what to keep and what to change? Where can you get answers to your questions?Medicare Open Enrollment 2018

Don’t get distracted by the hype.

During this open enrollment many will want to offer advice but how do you know their opinions are useful? Can you really get solid, unbiased advice or are you at the mercy of scoundrels?

Let’s set the record straight and give you some guidelines about what you need to know and how to sort out good advice from bad.

Five Medicare Open Enrollment Tips You MUST Know

Medicare Open Enrollment 2019 – A Journey with a Purpose

Let’s start with the basics of Medicare 2019 open enrollment. One area that creates more confusion than anything else is changing Medicare supplement plans.

You can change your Medigap plan any time of the year. The annual enrollment period does not include Medicare supplement plans. Only Medicare Advantage and Part D drug plans are included in open enrollment.

There is generally only one time when you can buy a Medigap plan without answering health questions. For most folks that is when they turn 65 and enroll in Medicare for the first time. Once you have been enrolled in Medicare Part B for 6 months you can change plans as long as you pass through underwriting.

If you have questions about your ability to change plans, give us a call. In less than 5 minutes you can learn if you are healthy enough to be approved or not. We will also be glad to quote Medicare supplement rates over the phone and email you a Medigap rate report like this one.

If you can change your supplement plan at any time of the year, what do I need to know about Medicare Open Enrollment 2018?

Medicare open enrollment allows you to change your Part D prescription drug plan, or your Medicare Advantage plan. Neither require medical underwriting with one exception. If you are currently in renal failure you cannot change Advantage plans.

At Georgia Medicare Plans our focus is strictly on finding the best Medigap coverage that fits your needs and budget. We also offer detailed advice on Part D and will guide you through the enrollment process.

We do not offer Medicare Advantage plans but we will refer you to an associate if you are convinced Advantage plans are right for you.

 

Medicare Drug Plans are Confusing

The most difficult part of my work is helping clients find the right drug plan that delivers the best value. Let’s look at how I handled a review for a new client.

Bill currently takes two different medications to control his cholesterol, Ezetimibe and Xarelto. While was covered under a group health insurance plan his Xarelto copay was $0. That goes away once he is covered by Part D.

Bill likes to take charge of things and his own review of drug plans led him to believe his best option was a plan with a monthly premium of $55.

I felt he could do better.

Both of these drugs are expensive. Ezetimibe has a retail price of $300 for a 30 day supply; Xarelto is $400.

2019 update – Ezetimibe is currently $12 with a GoodRx discount. 

 

Avoiding the Donut Hole

My analisys indicates he will enter the donut hole by the 4th month and his out of pocket drug costs will exceed $350 per month.

My suggestion was to drop Ezetimibe from his drug plan evaluation and purchase outside of Part D using GoodRx. His copay would be about the same as his drug plan but by removing the drug from the formulary calculation he is able to delay entering the donut hole to month 7 vs. the 4th month.

Can he avoid the donut hole completely?

As it turns out he can.

He can buy Ezetimibe through Blue Sky and lower his costs even more than using GoodRx. Before he enters the donut hole his Xarelto copay is $46. Once in the donut hole his copay more than triples. Copay’s for all drugs, not just the expensive ones, increases while in the donut hole. He can avoid the donut hole completely by purchasing his meds (except Ezetimibe) through the drug plan and then buying Xarelto from Blue Sky right before entering the donut hole.

Combining these suggestions he can choose a drug plan with a $22 monthly premium vs the $55 plan he would have picked on his own. Bill saves over $500 in prescription drug costs.

 

Medicare Drug Plans – Who is Advising You?

Where can you go for help and advice for drug plans during Medicare open enrollment 2018? Let’s run down the list.

  • You can do it on your own
  • You can call 1-800-MEDICARE
  • Ask a friend what they have
  • Choose the same plan you spouse has
  • Talk to a volunteer at Georgia Cares
  • Search online
  • Ask an insurance agent
  • Talk with your hair stylist

Obviously there are many choices but whatever route you take during Medicare open enrollment 2018 make sure you consider all of the following.

  • Start with the Medicare plan finder even if you are going to ask for advice
  • Next, record your Drug List ID number and Password Date for future reference
  • Be sure to consider lower cost generics where possible
  • Make sure you are including the lowest cost participating pharmacy’s*
  • Check generic pricing using GoodRx
  • Also check pricing at a Canadian pharmacy such as Blue Sky
  • Include star ratings in your evaluation
  • Don’t just assume the plan that worked well this year is your best choice for 2018
  • If you use an agent, make sure they are looking at ALL available plans, not just the one that compensates them
  • If you use 1-800-MEDICARE ask if they have suggestions on ways to save by purchasing drugs outside of Part D
  • Sometimes free advice is worth what you paid for it

*In 2017 Walgreen’s often has the lowest prices for medications. If your evaluations for this year did not include Walgeen’s as an option you probably never saw the lowest priced drug plans. Low price pharmacy’s change every year. Make sure you don’t make the same mistake for 2018.

 

Look for Medicare Supplement Premium Savings

At Georgia Medicare Plans we do things other agents fail to do. If an agent fails to offer you a free Medigap rate report are they showing you the best options for you or only the plans that pay them the most money?

Every prospective client receives this report for the plan(s) they are considering. Just ask. It’s that simple. We email your report  for review. Take time to study the report and form your questions. We are happy to help.

You have entered the “No Selling Zone”. Most of all, there is no pressure to buy but we do hope to earn your business. Call or email with questions, when you turn 65 or during the Medicare Open Enrollment 2019 dates.

 

#MedicareOpenEnrollment #MedicarePartD #GeorgiaMedicareSupplementRates #Turning65

Welcome to Medicare – What’s Covered?

Welcome to Medicare. What’s covered, what isn’t?  In the exam room I notice a sign. “Lab work is not covered by Medicare“. You owe $289. Do not pass go. Do not collect $200.

Welcome to Medicare physical exam? Covered. Lab work? Not covered.  Really? You turned 65 and signed up for Medicare. What happens next?

Here is a short introduction to Medicare. What’s covered, what isn’t,  and what to expect

  • Medicare’s definition of preventive care has surprises
  • Lab work may not be covered
  • Medical necessity is the rule
  • Free exams aren’t always free

Whether you have original Medicare and a supplement or you enrolled in an Advantage plan, the underlying rules of what is covered and what isn’t are the same. The difference is in how you pay for it.

You might want to view our Medicare Exam video on YouTube

Turning 65 – Welcome to Medicare 2018 – What’s Covered?

dr kildareBy the time you reach 65 and enroll in Medicare, most people have a doctor (or doctors) they like and trust. They want to continue that relationship and are not interested in picking a doctor from a list provided by an insurance company.

Georgia Medicare Plans specialize in helping you keep your doctor(s) and finding a Medicare supplement plan that fits your needs and budget. We have rates and information on more than 230 different Medigap plans and will provide a FREE REPORT on all plans based on your age, gender and zip.

You can start your research by comparing rates and benefits for roughly 30 plans by getting an INSTANT GA Medigap quote.

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I understand your confusion. Most people want information so they can understand what lies ahead. They want the time to read, make notes and ask questions.

Most of the insurance agents you will talk to are not old enough to enroll in Medicare and have not experienced it first hand. Bob Vineyard turned 65 in September, 2015 and enrolled in Medicare. In spite of 40 years in the health insurance business and over 400 Medicare clients, I am still learning things every day about how Medicare works.

Ask me anything. Others talk, we listen.

 

Welcome to Medicare Surprises

When I turned 65 and signed up for Medicare, one of the first things I did was schedule my Welcome to Medicare physical.

Because I chose original Medicare and a supplement plan, I was able to keep my doctor. My group insurance plan required me to have an annual exam and wellness interview so there should not have been any surprises with my Welcome to Medicare exam.

That was the wrong assumption.

While waiting in the exam room I saw a notice on the bulletin board.

Lab work is not covered by Medicare

Seriously? What’s that all about?

Preventive screenings are covered by Medicare in the following situations

  • Abdominal aortic aneurysm scan – Men only, if you smoked 100 cigarettes in your lifetime
  • Bone density – Mostly women, if you are estrogen deficient or have osteoporosis
  • Lab tests – Only if considered medically necessary by Medicare

What is considered medically necessary?

Medicare defines medically necessary as tests or treatment needed to diagnose or treat an illness, injury, condition, disease or symptoms that meet accepted standards of care.

Preventive lab work may not be covered by Medicare.

 

Congratulations! You are healthy. Your test is not covered!

I take no medications. For the last few years my doctor has run routine lab work to make sure my body is doing what it is supposed to. As much as it galls me to say, my Obamacare plan covered routine tests like CBC, Lipid Panel, CMP, etc. at no charge to me.not covered

These tests were not free. The labs and technicians do not volunteer their time. The costs associated with the lab tests were absorbed by the health insurance carrier and baked into the premiums.

Not so with Medicare.

Those under age 65 pay nothing.

If you are 65 and older, there is no more free lunch.

When I asked about the sign on the wall. The one that said “Lab work is not covered by Medicare” her response took me aback.

Medicare generally doesn’t cover those tests if you are healthy. But if you were sick, they would pay for them.

Sign this ABN form. If Medicare denies the claim you will have to pay the cost of your lab work. You will owe $289.

So much for my “free” Welcome to Medicare exam.

 

Medicare physical exam.

Is it covered? Is it free? How much will I have to pay?

Original Medicare is quite good in most respects. No more doctor networks. Forget about balance billing (when you use Medicare providers that accept assignment).  Huge bills for health care are a thing of the past.

So exactly what is covered, and what isn’t? Check out this free Guide to Medicare Preventive Services. And yes, it really is free. Click to download.

 

More ways to save money.

Most of the retirees we talk to are paying too much for their Medicare supplement plan. Many are facing rate increases. One large Mutual company has increased rates 10 times since 2012!

Medigap plan F will be retired in 2020. Switch now if you can. Plan G is popular with over 90% of our clients. Some have not had a rate increase in two years.

Get a free GA Medigap quote.  FREE report listing rates for all plans based on your age, gender and zip code  sent by email once we confirm your information.

 

GA Medigap quote

You need to be informed. The more you know and understand the better it will be for your bank account.

 

#MedicareLab #WelcometoMedicare

Medicare Sign Up in Georgia

How do I sign up for Medicare? How much does it cost? Should I buy Medigap? When should I buy a Georgia Medicare supplement plan?Medicare Card

Sign Up for Medicare

  • Most people will be automatically enrolled in Medicare Part A when they turn 65.
  • Your Medicare begins the first of the month in which you turn 65 . . . UNLESS your birthday falls on the first day of the month. If you turn 65 on June 1, your Medicare will begin on May 1.
  • Part A helps pay for some of  your inpatient hospital care, some skilled nursing home care, home health care and hospice.
  • Part A is available without a monthly premium for most US citizens

Medicare Part B

  • You must ELECT to enroll in Medicare Part B.
  • You can sign up for Part B by going online to the SSA/Medicare site or by calling 1-800-MEDICARE.
  • Part B pays for SOME of your doctor expenses and certain outpatient expenses not covered by hospital insurance
  • You will pay a monthly premium for Medicare Part B which will be deducted from your monthly Social Security check. The 2012 premium for Part B is $99 for most people.
  • If you are not receiving Social Security, you can ask Medicare to bill you quarterly.
  • If you do not sign up for Part B when first eligible you may be required to pay a LIFETIME penalty

Buying a Medigap Plan

  • The best time to buy a GA Medicare supplement plan is when you turn 65 and enroll in Part B
  • Review the Medicare guide CHOOSING A MEDIGAP POLICY
  • Understand your rights to buying a Medigap policy and know when you cannot be refused a policy by an insurance company.
  • Compare Medigap rates and plans online. Quote, review, compare and apply online.
  • Ask for a competitive quote, personalized to YOUR needs and budget showing plans with the LOWEST PREMIUMS IN GEORGIA
  • Note: Medigap Plan F is OVERPRICED by most carriers. Ask Georgia Medicare Plans for VALUE PRICED MEDIGAP PLANS

Finding a Prescription Drug Plan – Part D

  • Even if you do not use prescription drugs now, you should sign up for Part D
  • If you fail to sign up for Part D when first eligible you will be required to pay a LIFETIME PENALTY for late enrollment
  • You can use the Medicare Prescription Drug Formulary Finder to pick a low cost drug plan in your area
  • Call 1-800-MEDICARE with a list of your medications, dosage and how often filled
  • Finding a Part D plan is a FREE service for Medigap clients of Georgia Medicare Plans.

 

Shop and compare Medicare supplement plans.

INSTANT GA Medigap quotes.

Your information is NEVER sold!

 

#Turning65 #EnrollinMedicare #GAMedigapQuotes