1. A Review of Medicare Plan Choices Medicare is a
government-run healthcare program that offers seniors and most
receiving Social Security Disability Insurance (SSDI) the chance to
receive quality healthcare without a large cost to recipients.
2. The Parts of Medicare
Medicare Part A Hospital Insurance
Medicare Part B Medical Insurance
Medicare Part C Medicare Advantage
Medicare Part D Prescription Drug Plans
Also available - Medigap Supplemental Insurance
3. Medicare Part A Overview
Medicare Part A covers inpatient hospital care, as well as
convalescence stays in a skilled nursing facility, for up to 100
days per instance. The first 20 days of a stay in a skilled nursing
facility are paid in full. The remaining 80 days require a co-pay,
which is $133.50 per day in 2009. There is also a deductible of
$1,068 in 2009 before Medicare will pay for Part A services. Part A
does not cover unskilled care, such as help with bathing, dressing,
cooking, cleaning, and eating.
Most people who get Medicare Part A will not pay a premium
since most have paid Medicare taxes while working. If you havent
worked enough to qualify for Medicare Part A, you still may be able
to buy it. Also, many states have a program in place to provide
help getting coverage.
4. Medicare Part B Overview
Medicare Part B covers many services and products not included
in Part A. This includes doctor's visits, laboratory tests,
vaccinations, and other medical services not administered in a
hospital, such as physical or occupational therapy. The plan also
covers equipment such as walkers, canes, artificial limbs, and
sometimes even eyeglasses. Prescription medications aren't included
unless they are given during a doctor's visit.
Medicare Part B isn't free. Most pay a monthly premium of
$96.40 in 2009. Payment is typically taken directly out of a
monthly Social Security, Railroad Retirement, or Civil Service
Retirement payment. There is also an annual deductible, which is
$135 for 2009. After the deductible is met, Medicare will pay 80%
of the healthcare costs.
5. Medicare Part C Overview
Medicare Part C is also known as Medicare Advantage. This type
of Medicare is provided by private companies and can include HMOs,
PPOs, private fee for service plans (PFFS), and Medicare special
needs plans (SNPs). Medicare Advantage is entirely voluntary and
some plans include Medicare Part D prescription drug coverage.
Many Medicare Advantage plans are available, so its important
to review them carefully to make sure youre getting the right
coverage.
Medicare Advantage can offer recipients lower co-pays and extra
benefits that traditional Medicare Part A and Part B does not
offer. But, recipients may be required to use only certain doctors
and may pay a monthly premium.
6. Medicare Part D Overview
Medicare Part D is also known as prescription drug coverage
and, like Medicare Advantage, is provided by private companies.
Like Medicare Advantage, there can be many plans in a given area
and the right one for you will depend on the medications you take
on a regular basis.
Recipients pay a monthly premium which varies depending on
location and other factors. There may also be an annual deductible,
which cant be any higher than $295 a year in 2009. Plans vary and
can include either a co-pay (a flat rate) or co-insurance (a
percentage of the cost of the drug). Most plans stop paying once
the recipient's medications reach a certain level, typically around
$2,700 and benefits don't start back up until the annual cost
exceeds $4,350.
7. Medigap
Medigap is supplemental insurance available to people with
Medicare Part A and B and sometimes Part D. It is entirely
voluntary and designed to cover any healthcare costs or gaps not
covered by Medicare Part A and B, including co-pays and
co-insurance.
These plans are offered by private insurance companies and come
with a monthly premium. The cost can depend on the type of plan,
your age, your location and the insurance company. There are 12
different plan types, named A through L in 2009.
Medicare recipients need to sign up for Medigap within the
first six months of signing up for Medicare once they reach the age
of 65. Be aware though: if the initial enrollment period is missed,
coverage is not guaranteed and may cost more.
8. Choosing the Right Plan
With so many different Medicare plans, it's no wonder people
eligible for Medicare are confused. Instead of struggling to find
the best Medicare plan, consider turning to Allsup and the Allsup
Medicare Advisor . This unique program helps people entitled to
Medicare determine which plan is the right one for them.
9. Allsup Medicare Advisor
Allsup's Medicare experts can help. They will help you assess
your healthcare and financial needs to make sure you get the right
coverage at the right price. Theyll review your medications,
healthcare requirements, preferred doctors, and your finances.
After that, they'll make sure you understand the Medicare options
available and give you a detailed report outlining which plans best
meet your needs. Once you've decided on a plan, they can help you
complete the required enrollment forms and make sure all your
questions are answered.
10. Why Allsup?
Allsup isn't an insurance company or a Medicare plan provider.
The company is a nationwide provider of Social Security disability,
Medicare, and workers' compensation services for individuals,
employers, and insurance carriers.
Allsup has around 600 employees who work tirelessly to support
seniors and people with disabilities to ensure they are as
financially secure and healthy as possible.
The company celebrated its 25 th anniversary in 2009 and has
helped more than 120,000 people receive the SSDI benefits they're
entitled to.