I was speaking with a good friend in North Carolina who has a friend in West Virginia who was recently admitted to the hospital, has some type of Medicare but can’t afford the deductibles, co-payments, medications or doctor visits because her income is below the national poverty level.
My friend was explaining that women stopped purchasing her medications and stopped seeing her doctors because she couldn’t afford her own medical care. She receives $800 a month from Social Security, has a rent of $375 per month plus utilities. Of course there is food to purchase too.
What a lot of people don’t realize is that there are Medicare programs to help subsidize the cost of your Part B premium, co-payments, medication, deductibles, etc. and this woman certainly meets the criteria for extra help.
Here’s a link for you to get more information about some of the extra help programs http://www.medicare.gov/your-medicare-costs/help-paying-costs/get-help-paying-costs.html
Please let those you know who have a difficult time paying for their Medicare costs, to check out the site and find out if they qualify for extra help. Thanks so much.
I realize this blog is about Medicare, but there are many seniors who do not have healthcare coverage and are just short a few years from enrolling into Medicare, also know as as a single payer system.
Remember, the policies you are seeing at healthcare.gov site are for individual plans in the marketplace … not group plans like you would see in a business and there is a big difference.
At first I thought the healthcare marketplace would be offering plans more like group policies you would find in businesses. No, they are all individual plans (generally very expensive even before the ACA). If you are self-employed you are considered an individual and not a small business unless you have employees.
Have you taken a look at the premiums for a policy for people between the ages of 55-64 and what the plans in your area are offering? I researched quite a number of plans in my area and found that the majority of the plans have you self-insure for $6,350 before they pay dollar one. Or, you pay a premium close to $1,000 per month. I guess you pay the $6,000+ one way or the other. Read the rest of this entry
Have you started to check out what changes, if any, your current Medicare plan(s) will have for 2014?
Just the other day, a friend went to a meeting regarding another option for Medicare health coverage for 2014. At first, a little skeptical about going. But guess what?
You guessed it. By attending the meeting she discovered that she would have a $0 co-payment on her prescriptions and that’s going to save her a lot of money each and every month. She is estimating that she will save well over $2000 per year on co-payments alone!!
Although she won’t be able to use her local YMCA for Silver Sneakers, the plan she is joining has their own gym and a trainer. So this is good too.
So what are you waiting for? Take the time and investigate other plans and options for your health care during Medicare Open Enrollment. Read the rest of this entry
Have you taken some time to review the changes in your plan(s)? Don’t get caught off-guard in 2014 and find:
- your doctors have changed
- the medication formulary has changed
- medication tier levels have changed
- co-payments have changed for Advantage and Drug plans
- premium increases for Advantage or Drug plans
- other benefits in Medicare Advantage Plans have changed
I could go on-and-on and some or all of this could happen. But it is up to you to review your current plan or at least review the Annual Notice of Changes for 2014.
Over the years I have heard many people complain about increased co-payments or doctor changes when the new year arrives. Why? because they didn’t take the time during open enrollment to find out the changes for the new year.
This doesn’t have to happen to you.
Here’s is a guest post by Ross Blair, senior vice president, eHealthMedicare.com. I hope you find it as informative as I have. Please take a moment to share with your friends and family.
Fall is a big time for the Affordable Care Act (ACA) — and if you are over 65, you might be confused about what that means for your Medicare benefits.
This year, the enrollment periods for “Obamacare” and Medicare overlap, which may have you wondering if one is related to the other. The simple answer is no. Medicare is the federal health insurance program for people 65 or older. It also helps with coverage for certain younger people with disabilities and special needs. Lately you may have heard about the state health insurance exchange created by the federal health care reform law. The exchange is designed to help people under the age of 65 who don’t have insurance today.
It is totally mind-boggling how many different blogs, statements, videos become viral about the Affordable Care Act and Seniors on Medicare. So when I hear statements that to me just don’t make sense, I really need to investigate and sort out fact from fiction.
One recent example was that the Affordable Care Act stated you could only receive palliative care only after age 76. I just shook my head in total disbelief, and still can’t understand why people believe these incorrect messages being sent. But yet, it continues to go round-and-round. If people really took the time and realized the Affordable Care Act (ACA) is for people under the age of 65 and if you are 76, you are on Medicare!
So if you hear or read someone say you can’t get Palliative care until you are 76 under the Affordable Care Act, remind them that ACA is for people under age 65 and when you are 76 you are on Medicare.
Although our Government has shut down, Medicare was able to get their website updated with the 2014 information. However, they are warning that some things might not be accurate.
But since open enrollment is really about Medicare Part D, Prescription Drug Plans (PDP) or Medicare Part C, Medicare Advantage (MA), your best bet is to go directly to the private insurance company, like United Healthcare, AARP, Humana, etc., as their sites have up-to-date information for 2014.
Since my last blog, I wrote to many people to find out HOW CMS (Centers for Medicare/Medicaid) allowed First Health Part D Value Plan to implement a 60% increase in premium for 2014. Will let you know the outcome.
Around the 1st week of October you should start seeing the new plans for 2014. And, hopefully you have received your 2014 Annual Notice of Change for your Advantage Plan or your Part D Prescription Drug plan. Make sure you read it. It has a lot of information … co-payments, change in tier levels for drugs, premium increases, formulary updates.
What a shock we got for the 2014 Part D Plan. First Health Life and Health Insurance Company increased the premium from $33 per month to $51.20 per month.
That’s a substantial increase. Plus they are now charging for the generic drugs which during 2012 and 2013 the co-payment was $0.
Well, when I signed my husband up 2 years ago, I knew it would just be a question of time before the “greed” factor would set in with them as this is not the first time they have had staggering premium increases. To me it just boils down to corporate greed. Read the rest of this entry
Reminder: Medicare Open Enrollment starts October 15 and ends December 7 for 2014.
However, there has been quite a bit of confusion for people on Medicare or those getting ready to enroll because of the media blitz on the Affordable Health Care Act (also referred to as ObamaCare).
Medicare has not changed.
Medicare is a great program but can be confusing. Why, it’s health insurance. And to make matters worse, there’s confusion about whether you are in Original Medicare or you are in a Medicare Advantage Plan. And, I’ve heard some people refer to Medicare as AARP.
Well, I got confused talking to my friend the other day on the charges from one of her doctors. I thought she was enrolled in Original Medicare Parts A and B.
We all know that Original Medicare pays 80% and you are responsible for the 20% of the allowed Medicare charge. A Medicare Advantage plan, however, has different co-pays and that depends upon the plan you are in.
My friend received a statement from her doctor’s office and was surprised that they “wrote-off” a substantial amount. And it can be shocking, but most health facilities send their invoices with substantially higher charges than what the allowed Medicare charges are. Read the rest of this entry