Choosing Your Medicare Plan

Author

AIS Medicare & More

Posted on

Apr 08, 2021

Book/Edition

Colorado - Southern Colorado

Share This
I often hear comments from Medicare beneficiaries about how they considered themselves to be reasonably intelligent people until they started trying to figure out Medicare. Dont worry. That is a normal feeling. Medicare can be confusing.
The first step is to choose the type of Medicare plan that fits you. There are two types of Medicare plans. You need to know the difference between Medicare Supplement and Medicare Advantage. They are not the same in fact, they work very differently. Once you understand how each option works then you can move on to figuring out what plan suits you.
It is important to have someone on your side when choosing a Medicare plan. You need to answer a few questions to make sure you are choosing a plan that meets your individual needs. Do your doctors participate in the plan? What insurance is accepted by your preferred hospitals? Do you travel out of the area frequently? Do you want an HMO, PPO or Medigap? Do you prefer to pay for medical expenses as they occur or in predictable payments? Will you incur penalties? How do the private plans compare to employer or state plans? Once youve decided which route works best for you, then you can move on to actually choosing the plan.
Choosing a Medicare plan can seem confusing, but an experienced Medicare broker can make it as easy as having a conversation over a cup of coffee. They know what questions to ask, the plan details and how healthcare in your area works, which makes sorting through plan options easier.
Take the guess work out of Medicare by working with a local, face to face Medicare broker that represents both types of Medicare plans and multiple insurance carriers. They will get you the information you need to make the right decision. They know the questions to ask, the deadlines you need to meet and what coverage is required. They can help you adapt your coverage every year to meet your changing healthcare needs and provide support for the life of your policy.
Editors Note: This article was submitted by Jolynn Allen, Agency Principal, AIS Medicare & More. She may be reached at 719-404-3202 or by email at info@aismedicareandmore.com

Other Articles You May Like

Veterans Benefits for Assisted Living Care

Did you know there are financial assistance programs available to veterans who need assisted living care? Our veterans made numerous sacrifices to uphold the freedom we enjoy today while their families kept the home fires burning. They are entitled to many benefits in appreciation for all they endured for America.Veterans benefits for senior living are available for qualifying veterans and their surviving spouses, as long as the veteran served at least 90 days of active duty, including at least one day during a wartime period, and received an honorable or general discharge.Veterans Aid and Attendance for assisted living careOffered through the Department of Veterans Affairs, Aid and Attendance is a monthly pension benefit that can help cover the costs of assisted living care. It is available for wartime veterans and their spouses who have limited income and require the regular attendance of a caregiver.Aid and Attendance is designed for individuals who need assistance from another person to complete everyday activities such as bathing, dressing and assistance with other daily activities. A veterans need for this benefit does not need to be the result of their military service.Funds received from Aid and Attendance benefits can offer a monthly benefit to help pay for assisted living and long-term care for a qualifying veteran and their spouse. The actual monthly benefit is determined by the veterans assets, income and medical expenses and conditions.Contact your local county Veterans Services office with questions on how to apply by visiting www.benefits.va.gov/vso.MedicareMedicare will pay for short-term care at nursing and rehabilitation facilities for seniors who need these services after an illness or injury that requires hospitalization. Medicare does not cover the cost for assisted living, home care or other senior living services.Long-Term Care BenefitsThe Veterans Administration provides both short- and long-term care in skilled nursing settings for veterans who cannot care for themselves. This benefit does not cover assisted living or home care.Housebound BenefitsVeterans confined to their homes and requiring assisted living care may be best suited to receive Housebound benefits. This program provides an increased monthly pension amount for those confined to their home due to a permanent disability.Applying for BenefitsThe Veterans Administration has regional offices that provide Veteran Service Organization representatives who may be able to answer simple questions about assisted living benefits, as well as provide free, basic advice on the application process.Many veterans seeking advice on applying for assisted living benefits hire a qualified attorney accredited by the VA or an accredited claims agent, who has passed a written exam about VA laws and procedures.The application process for assisted living benefits is often very lengthy. It is important to be thorough when completing the application and have all required documentation gathered and ready to submit.There are additional financial options to pay for assisted living care for individuals who do not qualify for veterans benefit. Click to find out more about financial options for senior living.Country Meadows offers affordable assisted living or personal care on its nine campuses in Pennsylvania and one in Frederick, Maryland. Our friendly co-workers are always available to help! Contact us today for more information.

Identifying Medicare Scams

Research shows that seniors are common targets of scammers. One of the most common ways that criminals try to get information is through Medicare scam calls. In fact, your Medicare number is often more valuable for criminals than your social security number or credit card numbers/banking information.The caregivers at Gentle Shepherd Home Care in Colorado Springs can help you identify these scams. We offer a variety of in-home senior care services from companionship to medical care.In this article, well explain what you need to know about common Medicare scams.Does Medicare Ever Call Recipients?There are only two reasons that Medicare will ever call you, according to the Medicare website:Health/drug plan provider may call if you are already a member or the agent who helped you join may contact youCustomer service representative may contact you if youve left a message or received a letter stating that you will receive a phone callTop 7 Medicare ScamsFraudsters are getting smart with their scams. However, if someone calls you claiming to be from Medicare with the following pitches, its a scam.Your old Medicare card is invalid- you will be getting a new cardThis is one of the most common Medicare scams. The fraudster will inform you that in order to issue a new card, they will need your social security number and/or your Medicare card number.Truth: Medicare will not call you if there is an issue with your card. They will send a letter to arrange a phone interview.Your Medicare plan is about to be canceledThe caller will claim that in order to prevent your Medicare from being canceled, you will need to verify your current Medicare number, full name, address, banking information, birthdate, and social security number. This is also a common Social Security scam.Truth: Medicare representatives have your Medicare number on file- they will never ask for it. Additionally, Medicare representatives never ask for details such as your social security number to verity your identity.You are eligible for early access to vaccinationsThe COVID-19 pandemic spawned many pandemic-related scams such as being sent at-home testing kits or special access to vaccinations. These offers require that you provide information such as your Medicare number, social security number, and other personal details. Most of these start out as text messages or robocalls. The caller will offer you special access if you pay out of pocket.Truth: Medicare will never ask for you to pay out of pocket to get special treatment.You must confirm your appointment for genetic testingIn some cases, scammers will call offering free genetic testing to screen for a variety of health conditions. When you agree, they will steal your information and will bill Medicare for the test. In some cases, you may be sent an at-home test to complete along with a request for your information.Truth: Medicare will not call or send an at-home kit to offer you testing that you have not requested.You are eligible for free medical suppliesIf a scammer is aware of a specific health condition, such as diabetes, they may offer you free medical supplies or medications. They use this offer to get your Medicare number and other personal information as well as your credit card number so that you can pay for shipping. Your information will be used to over-bill Medicare.Truth: Medicare is not likely to call you to offer free medical supplies/medications. They will never ask for you to pay for shipping or provide financial information. Never pay for anything without seeing an invoice that can be confirmed with Medicare.You overpaid and are due a refundOne of the most common scams fraudsters use is to contact you via a phone call or text offering a refund on overpayment.Truth: Medicare will not call you to verify your personal financial information before issuing a refund. If you are due for a refund, a paper check will be sent out or it will be sent to the bank account on file.Youve been pre-approved for a cheaper/better planSome scammers will try to convince you that you are eligible for a cheaper/better plan than you are currently on. These are most common during open enrollment.Truth: Medicare will not call you without sending a letter first. You should never follow up on any unsolicited calls, visits from people claiming to be Medicare reps, or brochures.What to Do if You Are ContactedScammers can be persuasive, aggressive, and even threatening. However, its important to stay calm- they wont be able to do anything if you dont give them your information.Also, keep in mind that Medicare will not cold-call you. They will contact you via postal mail first to set up a phone interview.If you or a loved one is contacted by a fraudster:Never give out personal informationHang upReport the scam to MedicareWarn loved onesIf you or a loved one is in need of in-home elderly care, contact Gentle Shepherd Home Care in Colorado Springs. We offer a variety of services from simple companionship to medical care.

6 Questions to Get Your Medicare Right

Reviewing your Medicare plan doesnt have to be complicated. These questions can help you assess your plan and make any changes you need.1.   Have your health care needs changed in the past year? For example, did you sustain an injury that requires ongoing care, or were you diagnosed with a chronic illness?2.   Are your doctors still considered in-network? If you have a Medicare Advantage plan that only covers a specific list of providers, facilities, and/or pharmacies, you'll want to have the most up-to-date network information. Covered providers can change from year to year.3.   Will your prescriptions be covered under your current drug plan? Make a list of the medications you take and check them against the formulary for your Part D or Medicare Advantage plan with prescription coverage.4.   Do you need additional benefits such as transportation, dental, hearing, or vision? These services are usually not covered under Original Medicare. If you think you'll need these additional coverages, you may want to look into a Medicare Advantage plan that offers them.5.   Will you be traveling long term next year? If you have Original Medicare, you're covered nationwide to see any provider that accepts Medicare. If you have a Medicare Advantage plan, some plans restrict your coverage to a certain geographic area.6.   Have your financial needs changed? Consider how your plan fits into your current budget, and whether you need something more affordable. In addition to the monthly premium, you'll want to consider deductibles, coinsurance, and co-payments. Theres no one-size-fits-all Medicare plan and no carrier that is right for everyone. Everyones needs and situations are unique. Thats why its essential to do your homework before enrolling in a Medicare plan even if its one recommended by your family or friends. A local, experienced agent can help you compare the plans in your area to find the one that suits you. For more information visit: aismedicareandmore.com Editors Note: This article was submitted by Jolynn Allen, of AIS Medicare & More.  She may be reached at 719-404-3202, or by email at info@aismedicareandmore.com

Local Services By This Author

AIS Medicare & More

Medicare Advantage Plans 3030 N Hancock, Colorado Springs, Colorado, 80907

AIS Medicare & More has been serving Southern Colorado seniors since 2008. We have started to spread all throughout Colorado, to broaden our reach and help more Colorado seniors. Our complimentary Medicare appointments are available in office, at your home, by phone or by computer. We believe in educating you about your Medicare options and both Medicare systems, so you can make an educated and informed decision that meets both your health insurance needs and fits your budget. Our agents are with you for life. We provide annual policy reviews, lifetime claims service, account management and prefer if you call us not the carriers. We want to know what is going on in order to better assist you with any of your needs in the future. We help you with State and Federal programs, Medicare Savings Reimbursement, Extra Help, Pharmaceutical Assistance Programs, Veterans Programs, Long Term Care Medicaid and more. By combining all of the programs available to you with your Medicare plan benefits, we can improve your overall coverage and reduce your out of pocket expenses. We are on your team! We want to ensure that you are taking advantage of all of the benefits available for you.