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Medicare Advantage plans, also known as Medicare Part C, were established by the Balanced Budget Act of 1997 and officially began in 1999. These plans are offered by private insurance companies approved by Medicare and provide an alternative way for beneficiaries to receive their Medicare benefits. Medicare Advantage plans typically include additional coverage beyond original Medicare, such as prescription drug coverage and dental services.

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6mo ago

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Is secure horizons medicare advantage a good plan for a senior citizen to buy?

Secure Horizons Medicare is a good plan, but it is not as good as Medicare supplements. With the Medicare supplement plan, you can see any doctor that you like, the plan has a larger premium which typically increases 8% every year, and benefits are standardized and constant. With Medicare advantage plans, you are restricted to some extent on the doctors you can see, the benefits change every year; sometimes they are better and sometimes they are worse. Also, the premiums are lower.


Does each medicare advantage plan have the right to hold the part b deductible in the same plan year?

Medicare Advantage Plans (MAP) DO NOT hold the Part B Deductions! Medicare holds the Part B Deductions; this is the payment that everyone who has Medicare Part B have to pay. One of the qualifications to be able to obtain a MAP is to continuously pay the Part B Deduction, either from Social Security or Bank accounts.


Name an insurance company that will insure a 75 year old?

Are you on Medicare? If so, you can look into a Medicare Supplement or a Medicare Advantage Plan with BlueCross BlueShield of your state of residence.


What is a Medicare replacement?

Medicare Part C(also called Medicare Advantage)· Part C is a replacement to Part A and B(& possibly Part D) sold by United Healthcare, Blue Cross and others. Details of coverage vary by company but are similar to Medicare A and B. · If you have Part C, you generally do not need a Medigap policy because these plans usually pay for the gaps.· You can join a Medicare Advantage plan during the 3 months before you turn 65 until 3 months after you turn 65. You can change plans or join an Advantage plan between October 15th and December 7th of each year with a January 1 effective date.


What year did seniors have to start paying for medicare?

Medicare started in 1965. It has always had premiums, co-payments and deductibles.


any health plans for 93 year old female in santa rosa ca. Not medicare plans?

Here are a list of insurance consultants you can call. http://www.aging.ca.gov/programs/hicap_contacts.asp since your not looking for another medicare answer, it might be best to talk to a specialist for this. Good luck.


If one has a Medicare Advantage plan with New York Medicaid just added, how can the provider collect on the Medicaid portion when it is tied to an inactive Medicare Adv plan, not the current one?

When dealing with a Medicare Advantage (Medicare Adv) plan that has New York Medicaid recently added, and the Medicaid portion is linked to an inactive Medicare Adv plan, there are several steps to consider: Dual-eligible Special Needs Plans (D-SNPs): These are Medicare Advantage Plans specifically designed for individuals enrolled in Medicare and Medicaid. D-SNPs typically require using in-network providers for Medicare services, and these providers should also accept Medicaid. Cost-sharing varies among plans, and some may offer zero cost-sharing for enrollees. D-SNP enrolment is voluntary, and it’s essential to verify that Medicaid covers Medicare cost-sharing, such as deductibles and copayments. Medicaid Advantage Plus (MAP) Plans: For individuals with long-term care needs, MAP plans provide a “wrap-around” partial Medicaid benefit to enhance coordination between Medicare and Medicaid services. If you’re eligible, you can enroll by following these steps: Call 1-800-MEDICARE (633-4227) and enroll in the MAP plan’s Medicare product. You may be instructed to call the MAP insurer directly for further enrollment. Contact New York Medicaid Choice (the state’s managed care enrollment program) at 888-401-6582 to complete the Medicaid portion of enrollment into the MAP plan. Original Medicare + Medicaid: Some individuals may prefer Original Medicare coverage because it provides greater flexibility in choosing providers. In this case, you can combine Original Medicare with a Medicare Part D plan and fee-for-service (FFS) Medicaid. Additionally, consider a Medicaid managed long-term care (MLTC) plan if you have long-term care needs. Remember that each situation is unique, so it’s advisable to consult with a knowledgeable professional or contact your local Medicaid office for personalized guidance.


When did the 401 k plans start what year?

1978


Can health insurance be purchased any time of the year?

Individual plans can be purchased anytime. Most group plans have open enrollment periods, or are available for enrollment after your probationary period (90 days). Medicare has specific enrollement periods each year.


Does Medicare pay for physical examinations?

Yes. Thanks to health reform, Medicare beneficiaries now get a one-time "Welcome to Medicare" physical exam during the first year after they enrolled in Medicare Part B, and then, after a year enrolled in Medicare Part B, they get a yearly wellness exam. Beneficiaries also receive a decent list of free tests with NO copay and more tests WITH a copay. The details are in the Medicare Resource Center link below.


Who has the best and cheapest medicare supplement coverage?

The "best" Medicare coverage depends on your individual medical needs. In other words the best plan for you may be a bad plan for someone else. Medicare regulates the plans offered by the companies, so no company is really better than another. As far as the "cheapest" there is competition between companies on prices, but it really depends on the county and state where your reside, and what type of plan you choose as to what your actual cost will be.A Medicare Advantage Plan basically replaces your use of Traditional Medicare. You still must pay your Medicare Part B premium that is automatically deducted from your Social Security check, that will not stop when you purchase the Medicare Advantage Plan. The following types of Medicare Advantage plans are available, but not always available depending on your county and state of residence:HMOPros can be zero or very low cost to you per month, predictable co-pays like $10.00 or $15.00 for doctor's office visits, and lower cost hosptilization than Traditional Medicare, no deductibles, and most will include your Medicare Part D Prescription Plan. Cons can be a restricted network of doctors that you must use, no maximum out of pocket limits, and some plans may resort to the old "referrals" to see a specialist.PPOPros can be low cost to you per month, predictable co-pays like $15.00 or $20.00 for doctor's office visits, you can go in or out of network, no deductibles when you stay in network, no referrals for specialist, lower cost hosptilization than Traditional Medicare, an established maximum out of pocket, and most will include your Medicare Part D Prescription Plan. Cons can be if you do go out of network you'll pay a deductible first before the cost is split by a percentage between you and the insurance company.PFFSThis is a "Private Fee For Services" Plan. First the Cons: The single most important thing to remember about PFFS is the fact that you must contact the doctor or hospital FIRST to see if they take the plan. Even before you make an appointment to see a doctor, the doctor must tell you that they do indeed accept the terms and conditions of the plan.The pros are similar to the PPO, it works basically the same. The monthly premiums are typically higher than the PPO, but less than adding a supplement.ONE_MORE_THING!">ONE MORE THING!Now, there are pros and cons when comparing the Medicare Advantage Plans to Traditional Medicare with Medigap, or a Medicare Supplement attached to it. Medigap, also called a Medicare Supplement, basically pays the portion of medical expenses that Medicare expects you to pay. Medicare is an "80/20" plan, meaning Medicare pays 80% of the bill and you pay 20% of the bill. Medigap can pay the 20% for you. Depending on which Medigap plan you choose, the plan can also pay the (2009) $1068.00 hositalization deductible for you and the $135.00 doctor's office deductible for you. Medigap plans have a monthly premium range anywhere between $80.00/month to $300.00/month, depending on your zip code.Medicare Supplement Plan F is considered "the Cadillac plan" as it covers almost everything that Medicare, itself, does not cover. This is also the most expensive Medigap plan.Medicare Supplement Plan G is often 10% lower in cost than Plan F and is exactly the same as F, except that the member must first pay their Medicare Part B deductible each year when seeing the physician for the first time. For 2011, this deductible is $162 for the year. The savings for going with Plan G are often in the $150 to $300 per year range. This means that Plan G is often the best choice for value.Medigap (Medicare Supplement) plans are all standardized, meaning that they are the same, exact, plans from company to company. The only difference is the amount of premium each company charges for the same coverages. Claims cannot be individually denied and are paid based on whether or not they were Medicare-approved claims. That is the only criteria.


Who has the best and cheapest Medicare supplement?

The "best" Medicare coverage depends on your individual medical needs. In other words the best plan for you may be a bad plan for someone else. Medicare regulates the plans offered by the companies, so no company is really better than another. As far as the "cheapest" there is competition between companies on prices, but it really depends on the county and state where your reside, and what type of plan you choose as to what your actual cost will be.A Medicare Advantage Plan basically replaces your use of Traditional Medicare. You still must pay your Medicare Part B premium that is automatically deducted from your Social Security check, that will not stop when you purchase the Medicare Advantage Plan. The following types of Medicare Advantage plans are available, but not always available depending on your county and state of residence:HMOPros can be zero or very low cost to you per month, predictable co-pays like $10.00 or $15.00 for doctor's office visits, and lower cost hosptilization than Traditional Medicare, no deductibles, and most will include your Medicare Part D Prescription Plan. Cons can be a restricted network of doctors that you must use, no maximum out of pocket limits, and some plans may resort to the old "referrals" to see a specialist.PPOPros can be low cost to you per month, predictable co-pays like $15.00 or $20.00 for doctor's office visits, you can go in or out of network, no deductibles when you stay in network, no referrals for specialist, lower cost hosptilization than Traditional Medicare, an established maximum out of pocket, and most will include your Medicare Part D Prescription Plan. Cons can be if you do go out of network you'll pay a deductible first before the cost is split by a percentage between you and the insurance company.PFFSThis is a "Private Fee For Services" Plan. First the Cons: The single most important thing to remember about PFFS is the fact that you must contact the doctor or hospital FIRST to see if they take the plan. Even before you make an appointment to see a doctor, the doctor must tell you that they do indeed accept the terms and conditions of the plan.The pros are similar to the PPO, it works basically the same. The monthly premiums are typically higher than the PPO, but less than adding a supplement.ONE_MORE_THING!">ONE MORE THING!Now, there are pros and cons when comparing the Medicare Advantage Plans to Traditional Medicare with Medigap, or a Medicare Supplement attached to it. Medigap, also called a Medicare Supplement, basically pays the portion of medical expenses that Medicare expects you to pay. Medicare is an "80/20" plan, meaning Medicare pays 80% of the bill and you pay 20% of the bill. Medigap can pay the 20% for you. Depending on which Medigap plan you choose, the plan can also pay the (2009) $1068.00 hositalization deductible for you and the $135.00 doctor's office deductible for you. Medigap plans have a monthly premium range anywhere between $80.00/month to $300.00/month, depending on your zip code.Medicare Supplement Plan F is considered "the Cadillac plan" as it covers almost everything that Medicare, itself, does not cover. This is also the most expensive Medigap plan.Medicare Supplement Plan G is often 10% lower in cost than Plan F and is exactly the same as F, except that the member must first pay their Medicare Part B deductible each year when seeing the physician for the first time. For 2011, this deductible is $162 for the year. The savings for going with Plan G are often in the $150 to $300 per year range. This means that Plan G is often the best choice for value.Medigap (Medicare Supplement) plans are all standardized, meaning that they are the same, exact, plans from company to company. The only difference is the amount of premium each company charges for the same coverages. Claims cannot be individually denied and are paid based on whether or not they were Medicare-approved claims. That is the only criteria.