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Medicare Supplement Plans – M & N

29 August 2009 4 Comments

On June 1, 2010 the Medicare Modernization Act will be offering two new Medicare Supplement plans nationwide, and will be eliminating four plans.  There are currently twelve standardized Medicare Supplement plans available, plans A thru L.  Medicare Supplement plans must abide by all Federal and State laws that are designed to protect consumers.  However, because these plans are sold through private insurers, prices for the same plan may very from insurer to insurer.

  • Plan M, will use ‘cost-sharing as a method to keep monthly premiums lower.  Meaning, for a lower premium, the insurer will split the Part A deductible ($1,132 in 2011) with the insurance company 50/50.  The insured pays half and the insurance company will pay the other half.  Plan M will not cover any of the Part B ($162) deductible.  The monthly premiums are about 15% less than Plan F.
  • Plan N, will be similar to plan D although Plan N will have a $20 copay for doctor office visits, and a $50 copay for emergency room visits.  It is expected the copays will go into effect after the Part B deductible ($162) is met.  The monthly premium is around 30% less than a plan F.
  • New Rates 

Medicare Supplement Rates

Anthem Blue Cross

Gerber Life

Blue Shield

Mutual of Omaha

Family Life

Freedom Blue PPO

Forethought

Health Net

Sentinel Security

Medicare supplement plans being eliminated, are Plans E, H, I and J.  These plans will no longer be offered for new coverage after June 1, 2010, current policy holders of these plans will not be effected.  You can keep these plans as long as you like.  Although you should consider moving to one of the new “Modernized” plans with effective dates of June 1, 2010 and after.  Because the new rates will ultimately be more competitive than the “Frozen” plans; E, H, I and J.Other Medicare changes effective 6/1/2010:

  • Hospice coverage will be added to all plans.
  • Companies offering Plan A must also offer plans C and F.
  • Preventive Care and At Home Recovery Not covered by Medicare will be removed from all plans that included them.  Medicare has decided these benefits, which are not used frequently, will not be continued after June 1, 2010.
  • New Plan G has been created, which is similar to the current Plan G, except that the 80% ‘Medicare Part B Excess’ benefit is being replaced with 100% Medicare Part B Excess benefit.

All changes are to the Standardized Medicare Supplement plan with an effective date of June 1, 2010.  All current and new subscribers should review their current and newly available plans to make sure the Plan they choose fits their unique needs.

Applying is easy: Simply print and mail the completed application along with a copy of your Medicare card (Red, White & Blue card), along with a check for the first months premium make payable to the appropriate company.  Please call with any questions.

Need help or have Questions?

John Conner
Health & Medicare
10425 Saddle Creek Drive
Sacramento CA 95829
www.JohnConner.com
john@johnconner.com
800-700-1246 – office
800-995-9913 – fax
916-240-6422 – cell

 

Anthem Blue Cross  -  Aetna  -  Blue Shield  -  Health Net  -  Gerber  -  Mutual of Omaha  – Family Life

4 Comments »

  • Mike Tran said:

    Hi John,
    I have quick question about Plan N’s medigap policies. Do I have to pay a twenty copay for the doctor visit after a hundred sixty-five deductible?
    Thank you,
    Mike Tran

  • john (author) said:

    Hi Mike, Plan N covers the Part B 20%, so you would be responsible for the $162 annual deductible, then the $20 copays for doctor visits.

    Mike let me know if you have any questions.

    Thanks .. John Coner

  • george Heacox said:

    About Plan N not covering Part B Excess Charges: would N still be a reasonable option to F if one were expecting (but not knowing) that some sort of expensive treatment might be needed in 2012? I’m concerned with the possibility that experienced surgeons might not take assignment.

  • john (author) said:

    Hi George, Plan N works pretty well if a person is reasonably healthy. The $20 office visit copay’s can add up. In regards to Excess charges, remember these charges are for ‘outpatient’ only, and if the services is performed by a doctor who does not accept Medicare’s assignment (fee schedule) you may get an additional charge of 10% of the approved Medicare fee schedule.

    Please call anytime if you have more questions.

    Thanks .. John Conner

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