The most Cost Effective Insurance Companies in Florida: A Look at Medicare Supplements and Medicare Advantage Plans in 2012
Posted by Adam Patterson
It is 2012 and there is much to consider when joining the Medicare system. Did you know the average American puts anywhere from 30,000-50,000 in tax dollars into Medicare before they even become apart of it? That is quite a bit of money to everyday people like you and me, so it is beneficial to know what you are receiving in return for your hard earned money. All of that money that you paid in to the Medicare system buys you PART A-- Hospital Benefit.
Every month, unless you are on some form of state assistance and every state is different when it comes to determining the levels required to meet the assistance range;everyone will have deducted from your Social Security Check 99.60 NOTE This is the BASE LINE rate for PART B--Doctor Coverage and chances are if you make more money than the average consumer than you could pay more. Click HERE to see the payment schedule for higher income earners.
PART A & PART B does not cover a person in the hospital or in the doctors office for 100% or else I would not be writing this article. No, Part A and B can leave behind some unsightly bills for the not so uncommon occurrences, I.E. Hip, knee & joint replacements, a few days stay in the hospital, out patient surgery. All these listed examples happen to millions everyday and it is important to know what gaps Medicare leaves behind for the beneficiary to pay.
As it stands right now in 2012 If a person goes into the Hospital they are responsible for the PART A Deductible before any coverage is allotted to that individual. The deductible is $1161 After the deductible is met than a person is covered for 80% of any charge that accrues while residing within the confinements of that hospital. There is limit to the 20% you could pay if you just have Medicare and no insurance to back it up. To make things worse, the deductible re sets its self every 60 days! So this means that if you go into a hospital the clock starts ticking. Even if you leave the same day the clock is still running.
After 60 days from that day you visited the hospital the deductible re sets itself. So technically you could hit it 6 times a year if you were unlucky enough.
Here is a list of the what Part A covers a person for: For each benefit period you pay:
- A total of $1,156 for a hospital stay of 1-60 days.
- $289 per day for days 61-90 of a hospital stay.
- $566 per day for days 91 and beyond of a hospital stay (Lifetime Reserve Days).
- For beneficiaries in skilled nursing facilities, the daily co-insurance for days 21 through 100 in a benefit period will be $144.50 in 2012, compared to $141.50 in 2011
Part B also has a deductible attached to it before it will cover a person. In 2012 it is $140 and it re sets itself once every year. Like Part A after the deductible has been paid a person is covered for 80%. Just like the gas the fuels my car, medical expenses are getting higher and higher as time goes on and lets face it 20% of any medical bill is a nightmare to most households.
A person has two roads to walk down in 2012 in terms of options they have to covering the deductibles and the 20% left behind.
You can go out and "buy" a Medicare Supplement or you can go out and "sign up" for a Medicare Advantage Plan. Note: Some Medicare Advantage Plans have premiums and some do not.
When a person goes out and buys a Medicare Supplement they retain all their rights and options as a Medicare Beneficiary to the extent they can see any doctor and any hospital that accepts Medicare in the United States without referral. In as sense the Medicare Supplement shadows the Medicare Part A & Part B. There are some Medicare Supplements that will pay all of what Medicare leaves behind I.E. Plan F (FULL LIST AND COMPARISON OF ALL PLANS) and other plans that are less in cost that leave more for a person to pay I.E. Plan N. No matter which plan you choose, just know that you are allowed to see any doctor and hospital that accepts payment from Medicare and to date 99.99% of them do. It does not matter what company holds your insurance policy because Medicare is your primary beneficiary. Currently in the Sunshine State there are 3 main providers that come up as the most affordable if you are shopping for this type of insurance.Gerber Life insurance company, United American & United Health Care,not necessarily in that order. If you live in Pasco county as opposed to Palm Beach County the list of the most affordable provider will rearrange. If you are looking to see who will save you the most money click on our RATE PAGE and get a Free Quote.
Remember Medicare Supplements cover hospital and doctor bills not the every day Rx you may be taking. For that ladies and gentlemen we have PART D--Rx Coverage. There are currently 30-33 Rx plans for a person to choose from to cover the Rx side of the Medical realm. Call 800 218 7935 and give your Rx list to a Medicare expert to see which Rx plan will work best for the Rx YOU take.
Part C is that other "road" that one can travel down to help out with the gaps that original Medicare leaves behind. If you "sign up" for a Medicare advantage Plan you are responsible for what the plan says you are. So if the plan says you pay 10$ for a doctor visit, then it does not matter what the doctor says the visit costs, you will pay what your contract says what you are responsible for. You have to be careful who and what you sign your name to. Some Medicare Advantage Plans I.E. HMO’s say that if you leave the network (the doctors and hospital that”accept” the plan) then you will pay 100% of that bill. Under a PPO if you leave the network you are subject to higher co pays and coinsurances to where you could end up paying 10,000 a year. So do Medicare Advantage Plans save many consumers money? Yes, but you have to be careful if you are unhealthy and really use your insurance often then a Medicare Advantage Plan could end up costing you more than you bargained for. The two most popular companies that we run into time and time again in Florida and many other states are United Health Care and Humana. They offer HMO, PPO and POS plans. Have questions about a Medicare Advantage plan or want to hear more? Call 800 218 7935 any time day or night and a live Medicare Expert will give you a free education about anything you want to know about the Medicare Advantage System.
So there you have it; a brief break down of the Medicare System and good list of providers servicing the great residents of Florida. Want to know more about something you read here today or somewhere else? Call 800 218 7935 any time day or night to get all your Medicare Insurance needs handled.
Thank you reading.
Related Links
100% Free Medicare Supplement Quote & ApplicationSocialSecurity.gov
Medicare.gov
Medicare and you handbook (PDF)
Medicare Supplement Forum
Medicare Supplements Made Easy
Medicare Supplement Videos