No, Medigap Plans K and L do not cover Part B excess charges! But, if you visit a doctor that accepts Medicare Assignment, you won't pay excess charges.
@@kim.in.nature. Yes, you will want to ask them if they accept Medicare Assignment. If they do accept Medicare Assignment, you will not be charged Part B excess charges.
@@kim.in.nature. Kind of hard to ask if you are unconscious after an auto accident, though. Many times when we end up in a hospital we don't have the opportunity to discuss finances.
The Moop for both K & L are much higher than the High Deductible G plan that covers everything G plan covers. I believe it's premium is a lower premium also. I appreciate you speaking about other plans. It is really tiring listening to only G & N at nauseum online. Please do HD G plan next and compare it to these two plans and advantage plans which also has high MOOP's
The commission is too low for most Medigap agents to discuss plan G high deductible. Even though it offers the best value in many areas after doing the math.
Hi Michele, we're happy to hear you enjoyed the video! We will be creating a video over High Deductible Plan G soon. Be sure to subscribe so you can be notified! :)
I agree also. However, my local agent is adamant in stating that an Advantage Plan is a much better deal (0 Premium, 0 co-pays, dental, vision, etc) than HD G. I am in good health. so I went ahead and switched to a HD G on my own last year. At $30/month, I am saving $100/month over the standard Plan G, and did not receive a rate increase on my anniversary. My wife has several medical issues, so she did not switch--However, after going through her Medigap claims for the past two years, she would still save about $500/year with the HD G. It seems so obvious to me that a HD G is a better deal to me, that I feel that I must be missing something--but I can't imagine what it would be...Just using rough numbers, my maximum out of pocket for the deductible and premiums is about $3100--much lower than the MOOP (that my agent did not mention...) of an Advantage Plan--and there are no network restrictions. It also seems as though the dental and vision coverage of an Advantage Plan are minimal.... Nevertheless, my agent's remarks has us "frozen" as to whether my wife should get the HD G--She says that after running the numbers, she has never come across a case where an Advantage Plan was not a better deal.
Medigap will be cheaper for most, especially if you regularly use services! We explored this topic in depth and ended up on PlanG “ high deductible “ $46 per month premium in FL. The word “deductible” is misleading, as it is usually a copay, not a deductible like for commercial plans. The only exception would be the inpatient deductible which it doesn’t cover. Otherwise you have to pay 20% of some charges after Medicare pays 80%. We are saving about $1400 per year compared to regular Plan G. The deductible is about $2400. This means that we would need to incur about $7000 in Part B charges per year to start losing or cost advantage over regular plan G. Assuming no inpatient stay. We are in healthcare, so we know that for most people health care comes in spurts. In other words most years you see a doc 2-3 times and get some labs. Every few years you have a larger event. So we are playing the odds to save $1000, for 4 out of 5 years, and the spend $2000 one year. We can always switch to Advantage, or better yet probably to regular plan G if someone gets more consistently ill. I watched my older parents pay a lot of copays with Advantage while constantly on the phone with them arguing about treatment and payments!
You mention changing plans (non Advantage) ... I am under the impression that once you pick a plan it's with you for life, unless you can pass medical underwriting, which seems nearly impossible at our age. Thank you for time.
@@randolphh8005 Thank you for your help. I was looking at HDG premiums on the private companies websites for Fl, and they are very expensive. I'm talking $500+ per month. How did you find one so low? Is this where an Agent makes a difference?
@@kim.in.nature. varies by county, but at age 65 my wife is $46 per month with United American. Check with an agent. I’m sure $500 is not correct for an initial enrollment period
That's very true! With the High Deductible Plan G, you would pay the Part A nad Part B deductibles and then the 20% coinsurance for Part B services until the high deductible is met. So, this can mean small copays depending on the service. Once that deductible is met, you'll be covered for the remainder of the year. :)
I'm on a Medicare Advantage plan that one of your people found for me a couple of years ago. It's a PPO so I have some choices for out-of-network care but it's quite confusing. I thought about switching to traditional Medicare during Open Enrollment but it seemed like the only way to get decent coverage was to add a Medigap plan, and those all cost extra. You didn't mention that here, maybe because it varies (I think) and maybe there's another video about that, but I wanted to because I got an email about this video so I haven't seen many of the others. The (unfortunate) fact is, some of us can't really afford even the basic premium; to add in another one just to have better coverage is out of the question. Basically, we're stuck with Medicare Advantage. I think your people found the best plan for me and I'm grateful for the service you provide. I just wish someone would come up with a better way to keep people healthy than insurance. It just doesn't work.
We hear you! You're correct that Medigap premiums vary from person to person. So, we would need to gather some information from you in order to provide you with an accurate Medigap quote. We recommend contacting your local Medicaid office to see if you qualify for any benefits. We're happy to hear you have worked with our team here at Boomer Benefits! If you would ever like us to shop the plans in your area and see if we carry a more cost-effective plan for you, just give us a call directly at 817-249-8600!
I heard that Florida is one of the states with the highest premiums across the board. Did you find this to be true Al? I am in Lakeland and thinking about moving to another state, but north Florida is my 1st choice.
I have seen videos of people who don’t do the supplements at all. I wish I could find them now. My AARP G plan will be $3000. A year . I can’t afford that but these people put fear of big medical bills in my nightmares.
Can you PLS do a video comparing K, L and HI G. Between the diff in premium and diff in Moop...it's a tough decision. Thankyou. I hope I'm notified if you do this.
Hi Beth, a video over High Deductible Plan G is in the works! If you subscribe to our RU-vid channel, you will be notified whenever we upload a new video. Now, the cost of any Medigap plan depends on multiple factors, such as your age, gender, zip code, tobacco use, and insurance carrier. In order for us to provide you with accurate quotes, we will need to gather information from you first! If you would like for our team to compare High Deductible Plan G, Plan K, and Plan L in your area and explain the differences and premiums, just give us a call at 817-249-8600. Our Medicare help won't cost you a dime! :)
@Boomer Benefits - Medicare Expert I understand all the factors u mentioned. I have been speaking with Samamtha Davies. I am waiting for open enrollment to end to get back in touch because I know it is a hectic time and I have until July. Even a general video would work. But r u able to tell me the premiums for NJ 07034 female nonsmoker and male nonsmoker for perhaps the best ins carrier with lowest premium with decent ratings and increase history? Thankyou very much
@@bethhoffer4768 We're happy to hear you are in touch with Samantha. You are in great hands! :) Unfortuently, here on our social media team we do not have access to the plan quoting tool and plan information like our agents. So, you would have to connect with Samantha for a quote. Thanks Beth!
@@bethhoffer4768 also the main difference is that with HI Plan G, you will pay all of your share of deductible and coinsurance costs (after Medicare pays it's share first) up until you hit the HI Plan G deductible. With K and L, the Medigap plan at least contributes part of your share, so if I had to choose, would probably choose K or L. Hope that helps in the meantime!
How do you determine what the copay for doctors office visits is going to be (the fine print says up to $20, but how to tell if it's less)? And, is their a cap on how much you can spend in a year on office visits???
Hi there - it is up to the coding for the medical service you are having done. Your doctor would have to file a prior auth with Medicare before your services to find out. There is not a cap on how much you will spend in copays with Plan N.
Why does the Medicare supplement form of most carrier require Medicaid information ? I receive Medicare savings program. The state Medicaid helps pay my part B premium, and I will pay the Medicare supplement myself. Will my application get rejected or have a discount because of this? thank you
Why on Earth would you pay for ANY Medicare Supplement Plan if you are receiving Medicaid?! Not good advice! Medicaid and Medicare work together, with Medicaid basically operating as a supplement.
it really depends on how much you are willing to spend on your Medical care! Some Medicare Advantage Plans can be $10,000 out of pocket for the year, while your Medicare Supplement plan is $150 a month. You can speak with one of our agents to get more information @ 817-249-8600.
