PRIVATE MEDICARE


Why Purchase a Medicare Supplemental Insurance Plan (MediGap)?

People under the age of 65 may have difficulty purchasing a medical supplemental insurance plan. The Law states that it is a right duly given to elders age 65 and above only after they have enrolled in Medicare Part A and Medicare Part B.


Aside from this, they should also pay the monthly premium rate for Medicare Part B on top of what you will need to pay for your Medigap Insurance Policy. Realizing all of these different types of payment, it makes you wonder why many are still interested in purchasing a Medicare Supplemental Insurance Plan. Are the Medicare benefits still not enough to cover the medical expenses of the elders?


Medicare Supplemental Insurance Plans, also called as Medigap or PRIVATE MEDICARE, are individual insurance policies purchased by elders who believe they need more assistance with their medical needs. The Medicare assistance offered by the government is sufficient for majority of the elders in the US, but there are still quite a few individuals who will need more financial assistance on this matter. The only option left for them to grab hold onto is these Medigap Insurance Policies.


Medigap Insurance Policies are classified into 12 distinct categories. This is regulated by law and cannot be altered in any way by the insurance company. The most they can do is to convince you to purchase the plan coverage that will place the company at lesser risk of paying more rather than earning more from you. You should be cautious of these techniques because you may end up tricked by some insurance agents because of their flowery words and convincing speeches.


Choose a Medigap Insurance Policy if and only if you have calculated your potential insurance cost to be more than what the Medicare will be providing you. Otherwise, you will not need any of these supplemental insurance plans because the government will have your medical expenses all covered-up.


Medicare.gov - National Health Insurance

Medicare is a social insurance program administered by the US government, providing national health insurance coverage to people 65 and over, or individuals who meet other special criteria. Medicare BLOG


US Medicare Gov operates similar to a single payer healthcare system. The most important difference is that its coverage only extends to 80% of any given medical cost. The remaining 20% of cost must be paid either via a private company supplemental health insurance, or via the patient's own personal funds. Private health insurance usually require a monthly premium to be paid.



Explain The Difference Between Medicaid and Medicare Gov


Medicaid and Medicare sound similar. They are really two very different government programs. The biggest differences is Medicaid is a state governed program while Medicare is a federal program. Some other differences are:


Medicaid is for low income:


   * Women who are pregnant

   * Children under 19 years of age

   * Individuals 65 and over

   * Individuals are blind

   * Individuals who are disabled

   * Individuals who need nursing home care


Application for Medicaid is accepted at the individual State's Medicaid agency.


Medicare is for individuals:


   * 65 and over

   * of any age who have kidney failure or long term kidney disease

   * who are permanently disabled and cannot work


Medicare is applied for at your local Social Security office (SSO).



Some individuals qualify for both Medicaid and Medicare. Medicaid can sometimes be used to help pay for Medicare premiums. People who qualify for both programs are called 'dual eligible'.


Who Is Eligible For Medicare.gov Coverage?


As a rule, all persons 65 years or older qualify for Medicare coverage. If they have been a resident of the US for at least 5 years. All people with disabilities in the US are also entitled to Medicare.



What is Covered Under Medicare?


Basically, Medicare has four parts. Part A covers hospital stays and expenses. Part B is general medical insurance coverage.  Part D is coverage of prescription drugs. Part C, also called Medicare Advantage Plan - is just another way to receive parts A, B and D.


Medicare Part D offers prescription drug plans (PDP) through private insurance companies. There is 10 national plans offered, including AARP Part D Coverage, and some regional plans. The estimated cost for the premium will vary with the plan but the current estimate for the average PDP is approximately $37 per month. The premium cost is expected to increase annually.


   1.  Humana Insurance

   2.  United Insurance

   3.  Blue Cross/Unicare

   4.  Aetna Medicare

   5.  Coventry AdvantraRx

   6.  CIGNA Medicare Rx

   7.  SilverScript Insurance

   8.  WellCare Coverage

   9.  Sterling Life

   10. EnvisionRx Plus

   11. United American

   12. HealthSpring

   13. Health Net



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