Super informative videos, THANKS! Am I allowed to transfer my Medigap plan G to your agency? I’d like the to use your vast knowledge and experience in the future? I am beyond the six month trial period for signing up. Also, I have a congenital heart valve problem that may?? be a problem with health questions if I were to switch providers of my plan G. But, I would be happy to stay with my current provider, UnitedHealth, AARP, AND switch to BabyBoomers. (I wish I knew about you more than a year ago. Shoulda, woulda, coulda.)
Hi Mark, we are so happy to hear you want to make the switch to Boomer Benefits. Give us a call at 817-249-8600 and you can talk with an agent to figure out if you would be able to pass underwriting.
This is a sales presentation, by an insurance agency, designed to get you to buy insurance through them. OTOH, I don't begrudge a salesperson trying to sell her product; that's her job. OTOH, a salesperson's interests are not identical to yours. After ploughing through a dozen Medicare sales presentations, I finally heard a talk by a union benefits manager who used to be an assistant insurance commissioner and consumer advocate in New Jersey. After listening to him, I decided on Plan F, because I'm risk adverse. I didn't want to risk getting enormous co-payments and deductibles. I also didn't want to risk enrolling in a plan that didn't let me choose the doctor I wanted. He said that all Plan Fs had the same services, so pick the cheapest one, which then was UnitedHealthcare (through AARP). He also mentioned that we would all be better off with a single payer health care system like they have in Canada or England, which cost about half as much as ours, with about the same outcomes. (Would you rather pay $10,000 a year in insurance payments or $5,000 a year in taxes?) Unfortunately the insurance industry (like AARP) has paid too much money to politicians (like Biden) to make that easy. (Not impossible.) I was hoping Bernie Sanders would be elected president in 2016 or 2020, so I could get my dental work and hearing aid. That was not to be. As economist Robert Reich told his students, "I'm 75. It's not my problem. It's your problem." Kids, over to you.
I have read about and watched a lot of videos concerning Medicare. This video is the the best BY FAR of any I have viewed. I did not encounter the audio problems described by some. Regarding choices, I’m squared away on Medigap vs. Advantage. The difference between them is predictable monthly premium costs (Medigap) vs unpredictable, but capped, out of pocket costs (Advantage) . If one develops chronic health problems, then Advantage costs will be higher for sure. We have terrific (but pricy) PPO coverage under my employer’s retiree healthcare, but must transition to Medicare at age 65 (I retired 18 months prior to turning 65). My wife is nine months older than me so she is first to make the transition. We have chosen to go the Medigap route since it is most like what we have now and will cost less if chronic health problems develop in the future. I’m posting this just as a frame of reference for others viewing this video.
WOW , What a thorough explanation. Had I listened to all this from the get go I would have saved myself a lot of grief and stress with all the conflicting info out there. Thank you. Excellent !
If you're ready to sign up for Medicare, you should really watch their videos. Most straightforward and concise videos I've ever encountered on any subject. 10 Stars! **********
Thank you, very good. The monthly supplement costs are getting high, but after your video, may still be best for me. Especially if i ever wanted to get back to the gap plan that cold be a problem
My current Advantage plan provider has sent me the cancellation letter and they advised me that Medicare is allowing me 30 days to change my mind and return to the Advantage plan I've had. I've forwarded the letter to the supplemental health provider so now I'm watching the calendar until, and if it issues. Thank you for responding to my question I greatly appreciate your time. 👍🏾
I first took Medicare advantage, I had huge co-pays 350.00 for everything. I couldn't afford to go to the rest of my post-surgery appointments until I was able to pay off all the excess payments. Then changed to a supplemental plan. It costs a bit more monthly but at least I don't have to come up with 350.00 for vivits, blood work etc.
very helpful, thank you. Just basically turned 64 (July) so I'm trying to plan ahead. I was look for the link to the guide..... looking for Medicare with a medigap.......thanks again
Hi Mike - We are so sorry to see that we missed your comment! We receive many comments throughout the day, so sometimes comments do get lost in the thread. Here is the link to our Medicare Advantage vs Medigap guide: boomerbenefits.com/medicare-advantage-vs-medigap-guide/
Which is best depends a lot on the state you live in and what you foresee your upcoming needs to be. I was going to go Advantage and found none covered by drugs as well by far and a D plan so I kept Supplement instead and saves a lot of money total based on all the premiums and expected cost of six months routine visits and tests at doctors and prescriptions.
This is a wonderful overview. HOWEVER, New York State residents need not worry about later enrollment in a supplement plan so log as they have been insured during the previous 6 months .
Danielle, great video! I’ll admit I didn’t learn anything, though. But the reason I didn’t was, I spoke with Bill Warren at Boomer Benefits yesterday, and he walked through all of this with me. My wife and I were so confused, and thought this was so complex that we needed expert help. They say an expert is someone who can take a complex subject and explain it simply so that a non-expert can understand, and Bill did exactly that. BTW, we are signed up for our coverage, now! Thanks to you, Bill, and Boomer Benefits for making this all work for us.
Jim, thank you for this awesome feedback! We're thrilled to hear Bill was able to walk you and your wife through the options and explained the benefits in simple terms. Thank you for trusting our team to help with both of your Medicare transitions. :)
Danielle - You really do a great job on the videos. Just an FYI. I called your 800 number last year and no one returned my call. I did what I needed to do, but was disappointed in not getting a return call.
I LOVE original Medicare Parts A & B and my AARP United Healthcare (UHC) medical supplement Plan K. As a Type 1 diabetic (since age 9 years) on insulin, I LOVE that Medicare Part B and AARP UHC pay for insulin, insulin pump supplies, a continuous glucose monitoring system (CGMS) and its supplies. Yes, I have a Part D Rx plan; however, it costs a LOT more to use the Part D Rx plan for insulin than original Medical Part B and AARP UHC, and years ago when I first went on Medicare, I was told to use Part D Rx plan for "all medications" by a SHINE volunteer who had NO CLUE what she was talking about. Yes, I pay about for these 3 policies; however, with insulin at $322 a bottle without any insurance, I'm delighted to pay for coverage. I use a bottle of insulin every 9-10 days. NO ONE should sign up for an Advantage plan. It is a total rip off! I don't have co-pays. I don't pay to see a doctor at the time I visit the doctor's office, I wait until Medicare pays and then wait to see what AARP UHC pays, then I pay my very small percentage by mail, if anything is due at all. I select my own doctors, rarely need a referral and I treat with only the best. I am not handicapped by an Advantage plan's doctor list. I live in a rural area where Gov. "Death Sentence" closed our small health clinic just before Covid-19 hit so I drive more than 30 min. to see a medical doctor in a neighboring town. Also, on Advantage plans, you see a doctor and then you are transferred to a Physicians Assistant (PA). I'm sure they are not all bad; however, I've been disenchanted with ALL the PAs I've seen and TRULY, my diabetic alert dog has more education than a PA (may differ by state). Give me a MD and an ARNP team any day! Thanks for this video and the info on Medicare versus Advantage plans: DO NOT opt into an Advantage plan regardless of price, gym membership or whatever BS is included. You get what you pay for and if you pay -0-, don't expect too much at all. Keep your original Medicare Parts A and B!
Thank you Paula Dempsey. I am sorry that you are have the heavy burden of being Diabetic and have to buy the ridiculously expensive diabetic supplies. I am trying to understand the complex Medicare plans, i.e. Medicare Advantage vs Medigap and your words spoke volumes. I was wondering why Medicare Advantage is heavily advertised vs Medigap advertising. An independent agent we talked to said 50% of people are on Medicare Advantage - not saying that's the right thing to do, but it does appear that when something sounds too good to be true, it usually is. Thank you so much for your time in sharing. liz
I live in California and am covered with a Medigap plan I purchased through Boomer Benefits. Very happy with my plan. I do have a friend who lives in New Jersey who is fast approaching age 65. If she also chooses a Medigap plan (not Advantage) could she switch plans after one year -- without medical underwriting -- if she elects to change to a different Medigap plan? Thanks for all your helpful videos. They were a huge help during my transition into Medicare!
Wow - thanks so much. This is a really helpful video. We have been looking on line at lots of sites to grasp the ideas of the differences between Medicare Advantage and Medigap plans, and you summed this up very clearly. Do you have a video on options for those joining Medicare under 65 due to disability?
Hi David - We are happy you have found our videos helpful! You can find our video, Medicare for People Under 65 | What You Should Know, here: th-cam.com/video/4XRGw0yAZgc/w-d-xo.html
In Humboldt County (CA) you can only use Medigap, there are no Advantage plans. I don't know why, that's just the way it is. They used to have it here but cancelled the Advantage plans the year we moved here.
Great information! What about eye exams/contacts/glasses? I believe I need added plan. I live in NJ and am strongly leaning toward the Medigap G + D + dental . Thanks ahead!
Hi Barbara - Medicare does not cover routine vision services, so neither will a Medigap Plan G. You would want to purchase a standalone vision plan for those additional benefits. We offer a few different dental, vision and hearing benefits here at Boomer Benefits. Please feel free giving us a call at 817-249-8600 if interested and if you would like to shop Plan G and Part D plans among 30+ carriers.
Hi, Very good video, my question is, im 64 will be 65 next march, I had Blood cancer 9 years ago and go for checkups twice year, I take atorvastatin, would I be better off with a blue cross and blue shield advantage or shop for a f or g supplement plan with a drug plan.?
We're happy to hear you like our video. We usually recommend Medicare Supplements to people with a history of serious conditions. This is because if you have any continuing health issue from that disease, and have the possibility of it returning, a Medicare Supplement would usually be more cost-effective. But, ultimately, we will help you with whichever plan you feel most comfortable with. You can call us at 817-249-8600 to compare plans and speak with a licensed Medicare expert who can compare 30+ carriers.
Great info, what happens when you have lifetime medical from you union, how does that work with medigap? Yes there are still unions out there that offer lifetime medical thank god.
Your videos are very useful and provide lots of information. I have received lots of help with your video, please continue to share this kind of information. Thank you.
We're happy to hear you have found our videos to be helpful! Don't forget to hit subscribe, as we upload a new video every other week. You're very welcome, Lucille :)
One question always lurking in my mind. What types of and how intrusive are the “questions” for a switch to a medigap plan either going in on initial signup and/or on trying to convert from an Advantage Plan?
Hi Matthew - Here is one of our articles that discuss the Medigap underwriting questions: boomerbenefits.com/medigap-underwriting/ You can always give us a call at 817-249-8600 if you are considering switching plans! We can discuss the underwriting questions and see if there is a carrier we represent that would accept your application.
So we are stuck with the same type of Medigap plan (F,G, etc) without health questions only once when we initially enroll in a supplement? And, if we pick Type G from Company X and then stay with G but go to Company Y, do we have to go thru underwriting? Thanks in advance for your answers.
Yes. Anytime you change Medigap plans whether it's with the same company or a new company, you likely will have to answer health questions. Some states have extra open enrollment periods for their residents though.
I am 69 yrs old in fairly good help with no major problems. I’m still confused about the differences between gap and advantage plans. I like the choice freedoms and coverage while traveling . Maybe if you twist my arm and explain in better detail for a dummies I might sign on with your company. Thanks!
Hi Frans Van, Medigap plans do give you the freedom to choose your doctors and travel throughout the United States. Basically, Medigap plans, while you have a higher premium, you have less back end spending as you use your plan. Medicare Advantage plans have a lower premium (sometimes even $0) but almost every time you use your plan, you will see a bill. A Medicare Advantage plan would be good for someone who is extremely healthy and isn't worried about ever getting sick in the future. Medicare Advantage plans also have a network you must use to get the fullest coverage, whereas Medigap plans do not. The important thing to remember is that you only get one guaranteed chance to enroll in a Medigap plan. After you 6 month open enrollment window, you will have to answer health questions to enroll in a Medigap plan and could be turned down for pre-existing conditions. Here are additional links to help you out: boomerbenefits.com/medicare-advantage-vs-medicare-supplement/ th-cam.com/video/mL1Kr9quZrk/w-d-xo.html th-cam.com/video/b2Nv0pBeZlE/w-d-xo.html
As a professional musician with arthritis, I am concerned about losing access to Enbrel when I go on Medicare. Enbrel has a copay card that helps with the monthly expense, but it's only available to people with commercial insurance. I've called them twice, but they won't be specific about which plans would be acceptable. I'd be interested in knowing the answer, as well as any other thoughts you may have about getting a super-expensive drug ($6,000/month) on Medicare. The best supplemental drug plan in my state only covers 75%. Thanks so much!
Great channel. I appreciate all that you do for us boomers. I turned 64 in May this year and have green collecting Social Security since I was 62. I'm a Navy veteran and have been using the VA for many years, even while I had commercial insurance. I get 2 blood work ups and 2 physicals annually and all my meds come from them. I see their specialists (cardiologist, vision care, podiatrist) as I need. My question is how does this affect my Medicare and do I need an Advantage or Medigap plan. I understand that I will be automatically enrolled in Medicare when I turn 65 since I already collect S.S.
VA coverage isn't creditable for Part A and Part B. Therefore, not having Medicare would mean you gaining a late penalty that you would pay if you ever decided to enroll in the future. Having both VA and Medicare coverage means you also have access to civilian doctors when/if you ever need them. VA drug coverage is creditable for Part D, so you wouldn't need Medicare Part D coverage. The only reason you would need a Medicare Advantage or Medigap plan is if you decided to keep Part A and Part B and use civilian doctors - other than that, they would not be necessary. boomerbenefits.com/veterans-medicare-va-benefits/
I'm currently in a Blue Cross Blue Shield PPO employer provided plan. The Medicare Advantage plan seems to be very much like my current PPO. I like that type of plan so I would probably like the Advantage plan and since Blue Cross offers Medicare it should be an easy transition in a year and a half.
If you know for a fact a Medicare Advantage plan is the right type of plan you for, you should compare all plans in your area, not just BCBS. You'll want to make sure the built in Part D plan cover all or most of your drugs and is the most cost-effective option for you as well as review the costs for coverage between each plan. We represent 30+ carriers and help our clients also review which of their doctors accept which plans as well as review the Part D coverage for their medications they take.
Yes, the high deductible Plan G covers your Part A deductible after you've met the plans deductible. High deductible Plan G is just like regular Plan G, except with a larger deductible. The regular Plan G covers all Part A and Part B cost-sharing expenses, except the Part B deductible. So under regular plan G in 2020, your deductible is $198, whereas your deductible under HDG is $2340.
Just turning 65 in December. I have mid-stage COPD. Not a smoker. I was looking at a PPO through Humana, but with COPD, would I need to get the gap kind instead? We are on a very tight budget.
It just depends on which is more cost-effective and which premium you can afford. If you call us, a licensed agent in your state can help you compare plans based on your zip code and premiums. They can help you decide which is more cost-effective while actually looking at the plans offered in your area.
First, yes, it is an informative video and I am glad I found it! Second, a question: I have heard that if I have an Advantage plan that is limited to the local area, and I move out of state to an area not covered by that plan, I can again choose a supplemental/medigap plan without health questions - is this true? Third, a minor but annoying thing about the video is that there are brief periods when the audio is annoying loud all of a sudden - this is in between segments; but fortunately it is brief each time.
Hi Bill - When you move, you can enroll in a new Medicare Advantage plan in your new zip code or choose to return to Original Medicare and apply for a Medigap policy. Moving out of your Medicare Advantage plan’s service area opens up a Guaranteed Issue window for Medigap plans, meaning you could apply for a Medigap plan without having to answer health questions. Check out our TH-cam video, Can I Move with My Medicare Plan? | Moving with Medicare
Seeing as there are over 3500 Medicare Advantage plans and they all vary by zip code, no. Also, the built-in Part D plans vary by each plan. If you call us, we can compare the Medicare Advantage plans that are available in your area to find which would be more cost-effective for your doctors and drugs.
What happens if I decide to move to another state? Will I have to wait until a particular re enrollment date in my Advantage plan to change to a plan in my new state? And thus go wirhout accessible health care for part of that year?
Hi Jill - When moving with Medicare Advantage plan to another state, you can enroll in a new Medicare Advantage plan in your new zip code or choose to return to Original Medicare and apply for a Medigap policy. Moving out of your Medicare Advantage plan’s service area opens up a Guaranteed Issue window for Medigap plans, meaning you could apply for a Medigap plan without having to answer health questions. Here is more information: boomerbenefits.com/what-to-do-when-moving-to-another-state-with-medicare/
@11:52 you mention a free guide to Medicare Advantage vs Medicare supplements for takeaway reading. Sorry, I don't see that link in the notes following the video. Am I just not seeing it? Thanks.
I am widowed, one year now & had to get a plan quickly. I chose an Advantage Plan but I really did not know what I was doing. It seems fine as I have no major health problems but it is an HMO. No problems yet but I am 66 & living on survivor benefits. I guess I need to contact the person who convinced me to choose. I have been diagnosed with major depressive disorder. No duh. My favorite physician does not take Medicare & my few specialists are on my plan. My deductible went down but some things went up. It's been a rough year so I am having difficulty deciding. I guess I will figure it out. Really appreciate your input. 🤔👍
We suggest contacting us at 817-249-8600 or 855-732-9055 to discuss your options. We can compare other Medicare Advantage plans for you and even Medigap plans.
You'd have to wait until the Annual Election Period to enroll in a new Medicare Advantage plan, but yes, it would be easy as Medicare Advantage plans don't have underwriting.
We are not licensed in NY or MA. We have an agent we refer NY and MA residents to. If you'd like their information, you can private message us on Facebook and we'd be happy to supply you with it.
Can one switch from Medigap to Advantage plan after a few years? I understand that reenrollment in medigap would require answering questions and underwriters agreeing to it.
Yes, you can switch from a Medigap plan to a Medicare Advantage plan during an available election period. For example, you can enroll in a Medicare Advantage plan during the Annual Election Period, that runs from October 15 - December 7. You are correct. Once you disenroll from a Medigap plan outside your Medigap Open Enrollment, you will likely have to answer health questions when you apply for a new Medigap plan. Learn more: boomerbenefits.com/medicare-annual-election-period-2020-6-things-you-can-do-and-1-thing-you-cant/
Medicare + Medicaid can actually be substantial coverage, so you may not need anything else. However, you certainly could enroll in a Medicare Advantage plan if you'd like extra benefits, such as dental. Medigap plans come with higher premiums, so you may not be able to afford a Medigap plan if on Medicaid. th-cam.com/video/QlfTTU5RwcE/w-d-xo.html
I currently have a medigap plan here in Massachusetts. I am very happy with it. If I move to Florida, will I have to answer medical questions to get a medigap plan there? Both my wife and I have exhisting medical issues.
You should be able to keep your Medigap plan as Medigap plans travel with you. If for any reason you wanted to enroll in a new plan in your new area, yes, you'd likely have to answer health questions when doing so.
I'm leaning toward Medigap, but have a concern. When i get an annual physical (which i understand is not covered by Medicare/Medigap) how do i avoid paying the "rack" rate versus a discounted rate that I would pay if it was covered by some type of insurance?
Although Medicare doesn't cover the full, in-depth physicals you're used to prior to starting Medicare, it does cover it's own version of an annual check up. If you get this once a year, Medicare will pay it in full if you see a doctor who accepts Medicare assignment. If you want a more in-depth physical, your doctor would need to be able to code it as medically necessary. If successful in proving its medical necessity, then Medicare will approve it. www.medicare.gov/coverage/yearly-wellness-visits
I currently work in IL but plan on moving to NC in the next year. My husband and I are both signed up for A but are covered under my employer plan so haven't signed up for B or any Medigap or MA plan. I will have to sign up for B before leaving IL so do I have any options for when we move to NC and are the plans different between the 2 states? Thanks - your vidoes have been very helpful!
There are no options when it comes to Part B. What you get through the government is what you get. Part B is Part B. You will have 6 months from your Part B effective date to enroll in a Medigap plan without underwriting. If you get a Medigap plan in IL and then move to NC and you're still within this 6 month window, you can change plans without underwriting if you find a better rate. You could also just keep your IL plan if that rate is better than any rates you find in NC (we can compare both states). Or you could just wait until your move to enroll (if you'll be in your 6 month window still by that time). Medicare Advantage plans are a different story - If you get an MA plan in IL, you will have to change plans when you move.
Hi. I am turning 65 this year. Lets say I sign up with a supplement plan G in the 6 month window. Can I change to a different supplement company without answering health questions the following year? If the answer is no, if I am turned down, do I have the option of sticking with the current company in which I am receiving the plan G? Thanks!
Hi David - If you apply for a Medigap plan outside your 6-month Medigap Open Enrollment, in most states, you will likely have to answer health questions. You would want to keep your current Medigap plan until you heard back from the new carrier you are applying for. If you were to be approved for your new Medigap plan with the new carrier, you will then dis-enroll from your current plan. If you are denied, you will still have your current plan as long as you continue to pay your premium. Learn more: boomerbenefits.com/medicare-supplement-open-enrollment/
Hi, With medigap can you see 2 or 3 different doctors for same medical issue - ie, for second and third opinion? And will they bill you for that or you can go and have as many doctor visits as you wish? Thanks.
A Medigap plan pays whenever Medicare pays. Medicare covers anything deemed as medically-necessary. So, if you visit 3 different doctors and they code your service as medically-necessary, then Medicare and your Medigap plan should cover your services after your have met your deductibles.
I am currently healthy and will turn 65 in November. I am signing up for a no $0 premium Medicare Advantage Plan. Will I be able to change to a Medicare Supplement Plan in January under my six month open enrollment window?
Bill, we are so sorry that we are just now seeing your comment. We receive many comments, so sometimes they get lost in the thread. We hope you understand. If you haven't already received your answer, we would be happy to assist. If you are within the first 6 months of your Medigap Open Enrollment, you can change from a Medicare Advantage to a Medigap plan, but you will need an available Special Election Period to get a Part D plan. Now, if you are outside your Medigap Open Enrollment, and you had enrolled in a Medicare Advantage plan right out of the gate when turning 65, you will have 12 months to dis-enroll from your Medicare Advantage plan. When you do, you can purchase a Medigap plan and the insurance company cannot turn you down. Here is more information: boomerbenefits.com/medicare-supplement-guaranteed-issue/
i SIGNED UP FOR THE MEDICARE ADVANTAGE PLAN LAST YEAR AND DID NOT WANT TO CONTINUE BUT MY QUESTION IS WOULD IT AUTOMATICALLY SIGN ME UP THE FOLLOWING YEAR?
When shopping Medicare Advantage plans, it's best to go through a broker so they can compare several carriers and plans at once for you. For example, when we help people change Medicare Advantage plans, we compare several plans to find the most cost-effective plan that accepts most or all of your doctors plus covers all or most of your drugs.
The government/ssa does not supply Medigap, Part D, or Medicare Advantage plans. Therefore, you must enroll in these plans through an insurance company. Contact a broker, like us, who represents several carriers to make sure you find the most cost-effective rates. We represent 30+ carriers.
@@BoomerBenefits What happens if one enrolls in a Medicare plan, i.e. Medicare Advantage or Medigap and the insurance company you chose does not win their Medicare contract for the year and you have to choose another insurance company, will you have to go through underwriting with the new insurance company? Thanks liz
This is excellent. it’s in total contrast of the garbage one reads in the main stream media. And for that matter on the Internet. seemingly Medicare advantage plans have a lot of enemies in the fifth estate. But you treated fairly. I’m a 76 year old internist Who has chosen a Medicare advantage plan for its cost benefit. To me it’s essentially like an HMO and most of the new Medicare enrollees are familiar with HMOs.( As an aside, we make decent money from Medicare advantage plans. We make usually 130 to 160% of traditional Medicare.) Our plan was probably exceptionally well run. We were able to make a decent income and could still refer patients out to nationally recognize centers of excellence for unusual problems. We sent one lady to the Cleveland clinic to have a special device woven in New Zealand and intravascular placed to stent an aortic aneurysm. And it cost the patient nothing! Thanks again for your excellent presentation.
Hi, I turn 65 on Oct 24. When can I go ahead and buy my supplement. I know that my coverage won't start until Oct 1st but can I go ahead and buy the supplement now or do I have to wait?
Hi John, some carriers do allow you to apply for a Medigap plan 6 months before your effective date, but it will vary with each carrier. You can submit an application, but you are correct that it won't start until October 1st. If you'd like, you can give us a call at 817-249-8600 and we can get the application process started for you.
I don't get it. You mentioned that unlike Supplement plans, Advantage plans are through a private insurance company. But, Supplement Plans, F, G, N, etc, are also through private insurance companies, aren't they? What am I missing here?
Do medical plans pick up things that are not medically necessary or expenses you mentioned in a previous video like anesthesiologist in a colonopsopy. I here that with Medicare and medigap people are paying 0 out of pocket. Is that true.
Medigap plans only cover costs for Medicare-approved services. SO if Medicare denies it, so will your Medigap plan. Medicare Advantage plans cover you as well as Original medicare but may include additional benefits.
Here on our social media team, we do not have access to the plan quoting tool that our agents have access to. To find out quotes in your area for a specific plan, we will need to connect you with one of our agents. Please feel free giving us a call at 817-249-8600.
Yes you can. You can apply to change Medigap plans at anytime throughout the year. However, you may have to answer health questions to do so. We go over the carriers health questions with the client prior to applying to see if we feel they have a good chance of being approved.
Luis Abiera we would not cancel your Plan F until you get approved for Plan G. This is how we ensure that you don’t have any chance of being without coverage
Please explain backend costs. If I get cancer, what is difference between medigap vs. Advantage plan has $124/mo premium and $5,000 cap in expenses in-network and 10,000 out of network?
Tony, Medigap plans give you predictable healthcare costs for the year. For example, if you are enrolled in Medigap Plan G, you are only responsible for the Part B deductible, which is $203 in 2021. After you pay the Part B deductible, you will not have any other out-of-pocket costs for Medicare-approved services for the year. Now, every Medicare Advantage plan is different, so we cannot tell you exactly what your premium or cost-sharing amount would be since this varies by zip code and carrier. If you give our team a call at 817-249-8600 we can compare Medigap vs Medicare Advantage plans for you in your area and help you decide which is the most cost-effective option for you at this time.
I am currently with your organization, but starting to realize maybe the cost may be higher in 2021. Who can I contact at Boomer's to get more information on my existing medigap plan?
It seems to me that the best overall health vs potential cost over the long term would favor the Medigap plan, since we may have fewer health issues as of now, but that could change rapidly, or not so rapidly. It seems that in anticipation of future health issues, and the possibility of increased costs to transfer into a Medigap plan later. it might be worthwhile to start with it. When would u advise someone who chose an advantage plan because of relatively good health and lower costs, to transition to medigap where the coverage is better but premiums higher?
A simple question: husband turns 65 in May 2021, does he have to apply for regular Medicare A and B along with D and THEN pick an Advantage plan, of that is what he ultimately wants?
If he wants a Medicare Advantage plan, he likely won't need a Part D plan as Medicare Advantage plans generally include a Part D plan. He will apply for a Medicare Advantage plan during the same enrollment period that he applies for Part A and Part B. You can figure out your Initial Enrollment Period here: boomerbenefits.com/medicare-enrollment-calculator/
My perception is one disadvantage of Medicare Advantage is you need to be in the network except for emergencies. So for example, we summer in Alaska and winter in Virginia and a medigap plan would cover us year round, while the Medicare Advantage would be limited to one state?
PPO Medicare Advantage plans allow you to go outside of the network for non-emergencies, but you will pay more for out-of-network services than in-network services. Learn more here: boomerbenefits.com/medicare-advantage/medicare-advantage-types/
Hi, if I decide to start taking SS at age 62 do I have to choose a health plan at that time, if so how do I choose, if not will I be able to choose at 65 when I become eligible for medicare
Hi Catherine - The Medicare age is 65 years old. So, no, you will not be able to get Medicare until then. In the mean time, we recommend looking into marketplace plans for insurance. If you receive Social Security at least 4 months before your 65th birthday, you will be automatically enrolled in Medicare Part A and Part B a month or two before your birth month. Whenever you get close to your 65th birthday month, give us a call at 817-249-8600 and we would be happy to help find you the most cost-effective Medicare plan in your area. :) Here is more information: www.healthcare.gov/medicare/changing-from-marketplace-to-medicare/ boomerbenefits.com/new-to-medicare/apply-for-medicare/ boomerbenefits.com/medicare-advantage-vs-medicare-supplement/
Hi, Super info and thank you. I am 65, From Mass and have not yet signed up. Is medicare or medigap ON TOP for your health insurance meaning I would carry medi AND health insurance? I presently have Mass Health. Thank for the time to reply!
Hi there - You would still need to enroll in Medicare if you have Medicaid as Medicare will be primary. If you have full Medicaid, you would not necessarily need a Medigap plan. People with lowest incomes can qualify as QMB, which means Qualified Medicare Beneficiary. The QMB program provides the highest level of coverage at almost no out-of-pocket cost. Therefore, a Medigap plan would not be needed. If you wanted to enroll in a Medicare Advantage plan, you should specifically seek out Medicare Special Needs Plans for people with dual eligibility. Learn more here: boomerbenefits.com/difference-medicare-medicaid/ boomerbenefits.com/medicare-medicaid-and-extra-help-for-part-d/
My friend has been on Advantage since the age of 67. He’s now 82, and has high blood pressure, AFIB, and Prostate Cancer, which we just found out. You said it may be difficult to change to a Medigap, but you didn’t say impossible. Is it still possible and would it likely cost an arm and a leg?
It just depends. He will likely have to go through underwriting, and given his conditions, likely won't pass. However, we won't know until we try. We also won't know the quotes until we have a sales agent run quotes for him. He can call us at 817-249-8600 if he'd like our help.
Hi Jill - If you continue to have insurance past 65 from an employer that has 20 or more employees and you or your spouse actively works for that employer, then you can delay all of Medicare until you retire without having to pay the penalty. However, Part A is $0/month for most people, so you can go ahead and enroll in Part A to have extra hospital stay coverage (unless you plan to contribute to an H.S.A. account). Here are some resources that will help you: boomerbenefits.com/new-to-medicare/medicare-and-employer-coverage/ th-cam.com/video/pc52QedOIMY/w-d-xo.html th-cam.com/video/BmCmLUkw7HI/w-d-xo.html
@@BoomerBenefits That may be something new...but I have had Unted Health AARP sponsored medicare advantage for two years now (leaving it this year...United, btw is terrible), and DID NOT have to join or have anything to do with AARP. Its just a marketing ploy.
Medicare cannot pay for any care that you receive at a VA facility. You only can use your VA insurance at the VA, and your Medicare Advantage plan at a civilian doctor/hospital.
Hi ,hope your doing good, please make a video on United health care original and its plan,how we differentiate original uhc and its ppo,hmo plan.thanks
Hi Muhammad, Medicare Advantage plans vary from carrier and zip code. If you would like to discuss United HealthCare in your area and the difference between the plans, please give our team a call at 817-249-8600. There is no charge for our help!
@@MuhammadSaleem-gx8hk Check out our video, What is a Medicare Advantage plan, where we explain how Advantage plans work. th-cam.com/video/x39h9vINk04/w-d-xo.html
A Medicare SELECT policy is a Medigap policy that limits your coverage to a network of doctors and hospitals. SELECT plans negotiate rates with a network of providers. These providers charge less for the services they provide to members. boomerbenefits.com/faq/what-is-a-medicare-select-policy
Super informative videos, THANKS! Am I allowed to transfer my Medigap plan G to your agency? I’d like the to use your vast knowledge and experience in the future? I am beyond the six month trial period for signing up. Also, I have a congenital heart valve problem that may?? be a problem with health questions if I were to switch providers of my plan G. But, I would be happy to stay with my current provider, UnitedHealth, AARP, AND switch to BabyBoomers. (I wish I knew about you more than a year ago. Shoulda, woulda, coulda.)
Hi Mark, we are so happy to hear you want to make the switch to Boomer Benefits. Give us a call at 817-249-8600 and you can talk with an agent to figure out if you would be able to pass underwriting.
This is a sales presentation, by an insurance agency, designed to get you to buy insurance through them.
OTOH, I don't begrudge a salesperson trying to sell her product; that's her job. OTOH, a salesperson's interests are not identical to yours.
After ploughing through a dozen Medicare sales presentations, I finally heard a talk by a union benefits manager who used to be an assistant insurance commissioner and consumer advocate in New Jersey.
After listening to him, I decided on Plan F, because I'm risk adverse. I didn't want to risk getting enormous co-payments and deductibles. I also didn't want to risk enrolling in a plan that didn't let me choose the doctor I wanted. He said that all Plan Fs had the same services, so pick the cheapest one, which then was UnitedHealthcare (through AARP).
He also mentioned that we would all be better off with a single payer health care system like they have in Canada or England, which cost about half as much as ours, with about the same outcomes. (Would you rather pay $10,000 a year in insurance payments or $5,000 a year in taxes?) Unfortunately the insurance industry (like AARP) has paid too much money to politicians (like Biden) to make that easy. (Not impossible.)
I was hoping Bernie Sanders would be elected president in 2016 or 2020, so I could get my dental work and hearing aid. That was not to be.
As economist Robert Reich told his students, "I'm 75. It's not my problem. It's your problem."
Kids, over to you.
@@norman_5623 Norman maybe you should move to Canada.
@@norman_5623 Terrible advice to got.
@@norman_5623 Plan F is no longer available for those new to Medicare.
I have read about and watched a lot of videos concerning Medicare. This video is the the best BY FAR of any I have viewed. I did not encounter the audio problems described by some. Regarding choices, I’m squared away on Medigap vs. Advantage. The difference between them is predictable monthly premium costs (Medigap) vs unpredictable, but capped, out of pocket costs (Advantage) . If one develops chronic health problems, then Advantage costs will be higher for sure. We have terrific (but pricy) PPO coverage under my employer’s retiree healthcare, but must transition to Medicare at age 65 (I retired 18 months prior to turning 65). My wife is nine months older than me so she is first to make the transition. We have chosen to go the Medigap route since it is most like what we have now and will cost less if chronic health problems develop in the future. I’m posting this just as a frame of reference for others viewing this video.
We are so happy to hear that! Feel free to reach out to us if you'd like help with your Medicare plan shopping.
WOW , What a thorough explanation. Had I listened to all this from the get go I would have saved myself a lot of grief and stress with all the conflicting info out there. Thank you. Excellent !
Very informative. You cut through all of the BS that most sites throw at their audience and explain the options in a non-biased format. Thank you.
If you're ready to sign up for Medicare, you should really watch their videos. Most straightforward and concise videos I've ever encountered on any subject. 10 Stars! **********
We appreciate those kind words, Mel! Thank you!
Wonderful breakdown, thanks. I live in Utah and am so very confused
Thank you, very good. The monthly supplement costs are getting high, but after your video, may still be best for me. Especially if i ever wanted to get back to the gap plan that cold be a problem
Thank you so much for a really good break down of the system that we can understand.
We're happy you enjoyed it! Thanks for the comment.
She is very good explaining the difference between Medicare Advantage and Medicare Gap...
My current Advantage plan provider has sent me the cancellation letter and they advised me that Medicare is allowing me 30 days to change my mind and return to the Advantage plan I've had. I've forwarded the letter to the supplemental health provider so now I'm watching the calendar until, and if it issues. Thank you for responding to my question I greatly appreciate your time. 👍🏾
Thanks for preparing this- very helpful!
I first took Medicare advantage, I had huge co-pays 350.00 for everything. I couldn't afford to go to the rest of my post-surgery appointments until I was able to pay off all the excess payments. Then changed to a supplemental plan. It costs a bit more monthly but at least I don't have to come up with 350.00 for vivits, blood work etc.
Good presentation - nicely done.
very helpful, thank you. Just basically turned 64 (July) so I'm trying to plan ahead. I was look for the link to the guide..... looking for Medicare with a medigap.......thanks again
Hi Mike - We are so sorry to see that we missed your comment! We receive many comments throughout the day, so sometimes comments do get lost in the thread.
Here is the link to our Medicare Advantage vs Medigap guide: boomerbenefits.com/medicare-advantage-vs-medigap-guide/
A really good presentation. You cleared up a lot of confusion for me. Thank you.
We're happy to help!
Thank you for explaining that to me!!!! I was totally confused until I saw 👀 this video!!!! Thank you so much 🙏!!!!!
We're always happy to help! :)
Which is best depends a lot on the state you live in and what you foresee your upcoming needs to be. I was going to go Advantage and found none covered by drugs as well by far and a D plan so I kept Supplement instead and saves a lot of money total based on all the premiums and expected cost of six months routine visits and tests at doctors and prescriptions.
This is a wonderful overview.
HOWEVER, New York State residents need not worry about later enrollment in a supplement plan so log as they have been insured during the previous 6 months .
Excellent video. Thanks!
Danielle, great video! I’ll admit I didn’t learn anything, though. But the reason I didn’t was, I spoke with Bill Warren at Boomer Benefits yesterday, and he walked through all of this with me. My wife and I were so confused, and thought this was so complex that we needed expert help. They say an expert is someone who can take a complex subject and explain it simply so that a non-expert can understand, and Bill did exactly that. BTW, we are signed up for our coverage, now! Thanks to you, Bill, and Boomer Benefits for making this all work for us.
Jim, thank you for this awesome feedback! We're thrilled to hear Bill was able to walk you and your wife through the options and explained the benefits in simple terms. Thank you for trusting our team to help with both of your Medicare transitions. :)
Danielle - You really do a great job on the videos. Just an FYI. I called your 800 number last year and no one returned my call. I did what I needed to do, but was disappointed in not getting a return call.
I LOVE original Medicare Parts A & B and my AARP United Healthcare (UHC) medical supplement Plan K. As a Type 1 diabetic (since age 9 years) on insulin, I LOVE that Medicare Part B and AARP UHC pay for insulin, insulin pump supplies, a continuous glucose monitoring system (CGMS) and its supplies. Yes, I have a Part D Rx plan; however, it costs a LOT more to use the Part D Rx plan for insulin than original Medical Part B and AARP UHC, and years ago when I first went on Medicare, I was told to use Part D Rx plan for "all medications" by a SHINE volunteer who had NO CLUE what she was talking about. Yes, I pay about for these 3 policies; however, with insulin at $322 a bottle without any insurance, I'm delighted to pay for coverage. I use a bottle of insulin every 9-10 days. NO ONE should sign up for an Advantage plan. It is a total rip off! I don't have co-pays. I don't pay to see a doctor at the time I visit the doctor's office, I wait until Medicare pays and then wait to see what AARP UHC pays, then I pay my very small percentage by mail, if anything is due at all. I select my own doctors, rarely need a referral and I treat with only the best. I am not handicapped by an Advantage plan's doctor list. I live in a rural area where Gov. "Death Sentence" closed our small health clinic just before Covid-19 hit so I drive more than 30 min. to see a medical doctor in a neighboring town. Also, on Advantage plans, you see a doctor and then you are transferred to a Physicians Assistant (PA). I'm sure they are not all bad; however, I've been disenchanted with ALL the PAs I've seen and TRULY, my diabetic alert dog has more education than a PA (may differ by state). Give me a MD and an ARNP team any day! Thanks for this video and the info on Medicare versus Advantage plans: DO NOT opt into an Advantage plan regardless of price, gym membership or whatever BS is included. You get what you pay for and if you pay -0-, don't expect too much at all. Keep your original Medicare Parts A and B!
Thank you Paula Dempsey. I am sorry that you are have the heavy burden of being Diabetic and have to buy the ridiculously expensive diabetic supplies.
I am trying to understand the complex Medicare plans, i.e. Medicare Advantage vs Medigap and your words spoke volumes. I was wondering why Medicare Advantage is heavily advertised vs Medigap advertising. An independent agent we talked to said 50% of people are on Medicare Advantage - not saying that's the right thing to do, but it does appear that when something sounds too good to be true, it usually is. Thank you so much for your time in sharing. liz
Very helpful video information. Thank you again.
We are always happy to help! :)
Excellent comparison video, Thank You.
I live in California and am covered with a Medigap plan I purchased through Boomer Benefits. Very happy with my plan. I do have a friend who lives in New Jersey who is fast approaching age 65. If she also chooses a Medigap plan (not Advantage) could she switch plans after one year -- without medical underwriting -- if she elects to change to a different Medigap plan? Thanks for all your helpful videos. They were a huge help during my transition into Medicare!
If she is outside of her one-time 6 month open enrollment period for Medigap and applies for a new plan, she'll have to answer health questions.
Wow - thanks so much. This is a really helpful video. We have been looking on line at lots of sites to grasp the ideas of the differences between Medicare Advantage and Medigap plans, and you summed this up very clearly. Do you have a video on options for those joining Medicare under 65 due to disability?
Hi David - We are happy you have found our videos helpful! You can find our video, Medicare for People Under 65 | What You Should Know, here: th-cam.com/video/4XRGw0yAZgc/w-d-xo.html
In Humboldt County (CA) you can only use Medigap, there are no Advantage plans. I don't know why, that's just the way it is. They used to have it here but cancelled the Advantage plans the year we moved here.
Thanks. I'm completely new to choosing ANY Health Insurance.
We can always help! Give our team a call at 817-249-8600 :)
Thank you.
My question is does the Part B when having a cost get deducted from the supplemental plan cost?
Yep.... this is what I do daily..... I'm a benefit advisor for Medicare insurance.....this video is on point...... really informative!
Great information! What about eye exams/contacts/glasses? I believe I need added plan. I live in NJ and am strongly leaning toward the Medigap G + D + dental . Thanks ahead!
Hi Barbara - Medicare does not cover routine vision services, so neither will a Medigap Plan G. You would want to purchase a standalone vision plan for those additional benefits. We offer a few different dental, vision and hearing benefits here at Boomer Benefits. Please feel free giving us a call at 817-249-8600 if interested and if you would like to shop Plan G and Part D plans among 30+ carriers.
Hi, Very good video, my question is, im 64 will be 65 next march, I had Blood cancer 9 years ago and go for checkups twice year, I take atorvastatin, would I be better off with a blue cross and blue shield advantage or shop for a f or g supplement plan with a drug plan.?
We're happy to hear you like our video. We usually recommend Medicare Supplements to people with a history of serious conditions. This is because if you have any continuing health issue from that disease, and have the possibility of it returning, a Medicare Supplement would usually be more cost-effective. But, ultimately, we will help you with whichever plan you feel most comfortable with. You can call us at 817-249-8600 to compare plans and speak with a licensed Medicare expert who can compare 30+ carriers.
Thank you!
Great info, what happens when you have lifetime medical from you union, how does that work with medigap? Yes there are still unions out there that offer lifetime medical thank god.
Your videos are very useful and provide lots of information. I have received lots of help with your video, please continue to share this kind of information. Thank you.
We're happy to hear you have found our videos to be helpful! Don't forget to hit subscribe, as we upload a new video every other week. You're very welcome, Lucille :)
One question always lurking in my mind. What types of and how intrusive are the “questions” for a switch to a medigap plan either going in on initial signup and/or on trying to convert from an Advantage Plan?
Hi Matthew - Here is one of our articles that discuss the Medigap underwriting questions: boomerbenefits.com/medigap-underwriting/
You can always give us a call at 817-249-8600 if you are considering switching plans! We can discuss the underwriting questions and see if there is a carrier we represent that would accept your application.
What are the dates for the 6 month window you can get a medigap plan, im on original Medicare?
So we are stuck with the same type of Medigap plan (F,G, etc) without health questions only once when we initially enroll in a supplement? And, if we pick Type G from Company X and then stay with G but go to Company Y, do we have to go thru underwriting? Thanks in advance for your answers.
Yes. Anytime you change Medigap plans whether it's with the same company or a new company, you likely will have to answer health questions. Some states have extra open enrollment periods for their residents though.
Does the premium for medigap change from agency to agency depending on their services?
No. Agencies can't charge you a different premium than what the carrier sets for you.
I am 69 yrs old in fairly good help with no major problems. I’m still confused about the differences between gap and advantage plans. I like the choice freedoms and coverage while traveling . Maybe if you twist my arm and explain in better detail for a dummies I might sign on with your company. Thanks!
Hi Frans Van, Medigap plans do give you the freedom to choose your doctors and travel throughout the United States. Basically, Medigap plans, while you have a higher premium, you have less back end spending as you use your plan. Medicare Advantage plans have a lower premium (sometimes even $0) but almost every time you use your plan, you will see a bill. A Medicare Advantage plan would be good for someone who is extremely healthy and isn't worried about ever getting sick in the future. Medicare Advantage plans also have a network you must use to get the fullest coverage, whereas Medigap plans do not.
The important thing to remember is that you only get one guaranteed chance to enroll in a Medigap plan. After you 6 month open enrollment window, you will have to answer health questions to enroll in a Medigap plan and could be turned down for pre-existing conditions.
Here are additional links to help you out:
boomerbenefits.com/medicare-advantage-vs-medicare-supplement/
th-cam.com/video/mL1Kr9quZrk/w-d-xo.html
th-cam.com/video/b2Nv0pBeZlE/w-d-xo.html
As a professional musician with arthritis, I am concerned about losing access to Enbrel when I go on Medicare. Enbrel has a copay card that helps with the monthly expense, but it's only available to people with commercial insurance. I've called them twice, but they won't be specific about which plans would be acceptable. I'd be interested in knowing the answer, as well as any other thoughts you may have about getting a super-expensive drug ($6,000/month) on Medicare. The best supplemental drug plan in my state only covers 75%. Thanks so much!
Great channel. I appreciate all that you do for us boomers. I turned 64 in May this year and have green collecting Social Security since I was 62. I'm a Navy veteran and have been using the VA for many years, even while I had commercial insurance. I get 2 blood work ups and 2 physicals annually and all my meds come from them. I see their specialists (cardiologist, vision care, podiatrist) as I need. My question is how does this affect my Medicare and do I need an Advantage or Medigap plan. I understand that I will be automatically enrolled in Medicare when I turn 65 since I already collect S.S.
VA coverage isn't creditable for Part A and Part B. Therefore, not having Medicare would mean you gaining a late penalty that you would pay if you ever decided to enroll in the future. Having both VA and Medicare coverage means you also have access to civilian doctors when/if you ever need them. VA drug coverage is creditable for Part D, so you wouldn't need Medicare Part D coverage. The only reason you would need a Medicare Advantage or Medigap plan is if you decided to keep Part A and Part B and use civilian doctors - other than that, they would not be necessary. boomerbenefits.com/veterans-medicare-va-benefits/
@@BoomerBenefits thank you that is the answer i have been looking for
@@billman6364 We're happy to help!
I totally relate. I am an AF veteran having trouble deciding which plan.
I'm currently in a Blue Cross Blue Shield PPO employer provided plan. The Medicare Advantage plan seems to be very much like my current PPO. I like that type of plan so I would probably like the Advantage plan and since Blue Cross offers Medicare it should be an easy transition in a year and a half.
If you know for a fact a Medicare Advantage plan is the right type of plan you for, you should compare all plans in your area, not just BCBS. You'll want to make sure the built in Part D plan cover all or most of your drugs and is the most cost-effective option for you as well as review the costs for coverage between each plan. We represent 30+ carriers and help our clients also review which of their doctors accept which plans as well as review the Part D coverage for their medications they take.
Does the high deductible Plan G cover the deductible on Part A? or does the Part A deductible go toward the high deductible $2340?
Yes, the high deductible Plan G covers your Part A deductible after you've met the plans deductible. High deductible Plan G is just like regular Plan G, except with a larger deductible. The regular Plan G covers all Part A and Part B cost-sharing expenses, except the Part B deductible. So under regular plan G in 2020, your deductible is $198, whereas your deductible under HDG is $2340.
What do you think about AARP United Healthcare plan N?
Me gym membership is most important!!! I think in need a 2nd masters degree to understand this or maybe a chart 😁
Just turning 65 in December. I have mid-stage COPD. Not a smoker. I was looking at a PPO through Humana, but with COPD, would I need to get the gap kind instead? We are on a very tight budget.
It just depends on which is more cost-effective and which premium you can afford. If you call us, a licensed agent in your state can help you compare plans based on your zip code and premiums. They can help you decide which is more cost-effective while actually looking at the plans offered in your area.
First, yes, it is an informative video and I am glad I found it! Second, a question: I have heard that if I have an Advantage plan that is limited to the local area, and I move out of state to an area not covered by that plan, I can again choose a supplemental/medigap plan without health questions - is this true? Third, a minor but annoying thing about the video is that there are brief periods when the audio is annoying loud all of a sudden - this is in between segments; but fortunately it is brief each time.
Hi Bill - When you move, you can enroll in a new Medicare Advantage plan in your new zip code or choose to return to Original Medicare and apply for a Medigap policy. Moving out of your Medicare Advantage plan’s service area opens up a Guaranteed Issue window for Medigap plans, meaning you could apply for a Medigap plan without having to answer health questions.
Check out our TH-cam video, Can I Move with My Medicare Plan? | Moving with Medicare
Do you have a booklet on providers of Medicare advantage. And a list of drug s I can check on.
Seeing as there are over 3500 Medicare Advantage plans and they all vary by zip code, no. Also, the built-in Part D plans vary by each plan. If you call us, we can compare the Medicare Advantage plans that are available in your area to find which would be more cost-effective for your doctors and drugs.
Wow! This makes my decision super easy - Medigap for sure.
Both of my parents went with Plan G and pleased so far
@@jordankapur6735 yes i picked plan g
What happens if I decide to move to another state? Will I have to wait until a particular re enrollment date in my Advantage plan to change to a plan in my new state? And thus go wirhout accessible health care for part of that year?
Hi Jill - When moving with Medicare Advantage plan to another state, you can enroll in a new Medicare Advantage plan in your new zip code or choose to return to Original Medicare and apply for a Medigap policy. Moving out of your Medicare Advantage plan’s service area opens up a Guaranteed Issue window for Medigap plans, meaning you could apply for a Medigap plan without having to answer health questions.
Here is more information: boomerbenefits.com/what-to-do-when-moving-to-another-state-with-medicare/
@11:52 you mention a free guide to Medicare Advantage vs Medicare supplements for takeaway reading. Sorry, I don't see that link in the notes following the video. Am I just not seeing it? Thanks.
Our apologies. Here is the link to where you can find the guide: boomerbenefits.com/medicare-advantage-vs-medicare-supplement/
I am widowed, one year now & had to get a plan quickly. I chose an Advantage Plan but I really did not know what I was doing. It seems fine as I have no major health problems but it is an HMO. No problems yet but I am 66 & living on survivor benefits. I guess I need to contact the person who convinced me to choose. I have been diagnosed with major depressive disorder. No duh. My favorite physician does not take Medicare & my few specialists are on my plan. My deductible went down but some things went up. It's been a rough year so I am having difficulty deciding. I guess I will figure it out. Really appreciate your input. 🤔👍
We suggest contacting us at 817-249-8600 or 855-732-9055 to discuss your options. We can compare other Medicare Advantage plans for you and even Medigap plans.
thank you for your indepth and informative video. I will definitely be contacting you soon.
Great! We look forward to speaking with you :)
I usually spend 5-6 months in in Medico each year. Can i purchase from one or the other, coverage for this?
Medigap and Medicare Advantage plans would only ever cover medical emergencies in Mexico.
Would I be able to switch from Medigap to an Advantage plan easily after the 6 month period if I wanted?
You'd have to wait until the Annual Election Period to enroll in a new Medicare Advantage plan, but yes, it would be easy as Medicare Advantage plans don't have underwriting.
Really great breakdown of the plans. Thank you for posting!
Can you share a link to your NY state medical providers?
We are not licensed in NY or MA. We have an agent we refer NY and MA residents to. If you'd like their information, you can private message us on Facebook and we'd be happy to supply you with it.
Can one switch from Medigap to Advantage plan after a few years? I understand that reenrollment in medigap would require answering questions and underwriters agreeing to it.
Yes, you can switch from a Medigap plan to a Medicare Advantage plan during an available election period. For example, you can enroll in a Medicare Advantage plan during the Annual Election Period, that runs from October 15 - December 7.
You are correct. Once you disenroll from a Medigap plan outside your Medigap Open Enrollment, you will likely have to answer health questions when you apply for a new Medigap plan.
Learn more:
boomerbenefits.com/medicare-annual-election-period-2020-6-things-you-can-do-and-1-thing-you-cant/
I have SLMB and don't know what to get. And Does Medicare have any dental coverages? Or any medigap dental coverage?
Medicare + Medicaid can actually be substantial coverage, so you may not need anything else. However, you certainly could enroll in a Medicare Advantage plan if you'd like extra benefits, such as dental. Medigap plans come with higher premiums, so you may not be able to afford a Medigap plan if on Medicaid.
th-cam.com/video/QlfTTU5RwcE/w-d-xo.html
One thing I didn’t see covered. If I have a mediGap plan can I change it every year? If you can - can you be refused on a different plan
We actually have an entire video dedicated to that th-cam.com/video/p2hlpMKoQZU/w-d-xo.html
Great explanation (you'd have even more listeners if sound quality was better, dialogue only from left side, both Chrome & Safari)
Yes, unfortunately, that was an old issue we couldn't avoid but has since been resolved. Thank you for your comments.
are there any supplement plans that you can add to an advantage plan?
No. You can't have both a medicare Advantage plan and supplement plan - it's one or the other.
I currently have a medigap plan here in Massachusetts. I am very happy with it. If I move to Florida, will I have to answer medical questions to get a medigap plan there? Both my wife and I have exhisting medical issues.
You should be able to keep your Medigap plan as Medigap plans travel with you. If for any reason you wanted to enroll in a new plan in your new area, yes, you'd likely have to answer health questions when doing so.
Never mind... you answered my question! haha
Bad Dude Corn Pop, lol, love it
I'm leaning toward Medigap, but have a concern. When i get an annual physical (which i understand is not covered by Medicare/Medigap) how do i avoid paying the "rack" rate versus a discounted rate that I would pay if it was covered by some type of insurance?
I get 2 physicals per year and they are covered by medigap.
Although Medicare doesn't cover the full, in-depth physicals you're used to prior to starting Medicare, it does cover it's own version of an annual check up. If you get this once a year, Medicare will pay it in full if you see a doctor who accepts Medicare assignment. If you want a more in-depth physical, your doctor would need to be able to code it as medically necessary. If successful in proving its medical necessity, then Medicare will approve it. www.medicare.gov/coverage/yearly-wellness-visits
I currently work in IL but plan on moving to NC in the next year. My husband and I are both signed up for A but are covered under my employer plan so haven't signed up for B or any Medigap or MA plan. I will have to sign up for B before leaving IL so do I have any options for when we move to NC and are the plans different between the 2 states? Thanks - your vidoes have been very helpful!
There are no options when it comes to Part B. What you get through the government is what you get. Part B is Part B.
You will have 6 months from your Part B effective date to enroll in a Medigap plan without underwriting. If you get a Medigap plan in IL and then move to NC and you're still within this 6 month window, you can change plans without underwriting if you find a better rate. You could also just keep your IL plan if that rate is better than any rates you find in NC (we can compare both states). Or you could just wait until your move to enroll (if you'll be in your 6 month window still by that time).
Medicare Advantage plans are a different story - If you get an MA plan in IL, you will have to change plans when you move.
Hi. I am turning 65 this year. Lets say I sign up with a supplement plan G in the 6 month window.
Can I change to a different supplement company without answering health questions the following year?
If the answer is no, if I am turned down, do I have the option of sticking with the current company in which I am receiving the plan G?
Thanks!
Hi David - If you apply for a Medigap plan outside your 6-month Medigap Open Enrollment, in most states, you will likely have to answer health questions. You would want to keep your current Medigap plan until you heard back from the new carrier you are applying for. If you were to be approved for your new Medigap plan with the new carrier, you will then dis-enroll from your current plan. If you are denied, you will still have your current plan as long as you continue to pay your premium.
Learn more: boomerbenefits.com/medicare-supplement-open-enrollment/
Hi,
With medigap can you see 2 or 3 different doctors for same medical issue - ie, for second and third opinion? And will they bill you for that or you can go and have as many doctor visits as you wish?
Thanks.
A Medigap plan pays whenever Medicare pays. Medicare covers anything deemed as medically-necessary. So, if you visit 3 different doctors and they code your service as medically-necessary, then Medicare and your Medigap plan should cover your services after your have met your deductibles.
I am currently healthy and will turn 65 in November. I am signing up for a no $0 premium Medicare Advantage Plan. Will I be able to change to a Medicare Supplement Plan in January under my six month open enrollment window?
Bill, we are so sorry that we are just now seeing your comment. We receive many comments, so sometimes they get lost in the thread. We hope you understand. If you haven't already received your answer, we would be happy to assist.
If you are within the first 6 months of your Medigap Open Enrollment, you can change from a Medicare Advantage to a Medigap plan, but you will need an available Special Election Period to get a Part D plan.
Now, if you are outside your Medigap Open Enrollment, and you had enrolled in a Medicare Advantage plan right out of the gate when turning 65, you will have 12 months to dis-enroll from your Medicare Advantage plan. When you do, you can purchase a Medigap plan and the insurance company cannot turn you down.
Here is more information: boomerbenefits.com/medicare-supplement-guaranteed-issue/
i SIGNED UP FOR THE MEDICARE ADVANTAGE PLAN LAST YEAR AND DID NOT WANT TO CONTINUE BUT MY QUESTION IS WOULD IT AUTOMATICALLY SIGN ME UP THE FOLLOWING YEAR?
If you don't change plans or drop your plan, then yes, it will automatically continue.
You are so easy to understand, thank you
We're so happy to hear that! Thank you for your comment.
I had Medigap and went to Medicare advantage. I would like to go through enrollment process for Medigap, knowing that I may be turned down.
You can give us a call and we'd be happy to look at your options for you.
I plan on changing Medicare advantage plans. Can I do it myself online. or do I have to call the insurance company that I want to change it to
When shopping Medicare Advantage plans, it's best to go through a broker so they can compare several carriers and plans at once for you. For example, when we help people change Medicare Advantage plans, we compare several plans to find the most cost-effective plan that accepts most or all of your doctors plus covers all or most of your drugs.
Do you have to go through an insurance provider to receive medigap insurance or can you contact the government site?
The government/ssa does not supply Medigap, Part D, or Medicare Advantage plans. Therefore, you must enroll in these plans through an insurance company. Contact a broker, like us, who represents several carriers to make sure you find the most cost-effective rates. We represent 30+ carriers.
@@BoomerBenefits What happens if one enrolls in a Medicare plan, i.e. Medicare Advantage or Medigap and the insurance company you chose does not win their Medicare contract for the year and you have to choose another insurance company, will you have to go through underwriting with the new insurance company? Thanks liz
This is excellent. it’s in total contrast of the garbage one reads in the main stream media. And for that matter on the Internet. seemingly Medicare advantage plans have a lot of enemies in the fifth estate. But you treated fairly.
I’m a 76 year old internist Who has chosen a Medicare advantage plan for its cost benefit. To me it’s essentially like an HMO and most of the new Medicare enrollees are familiar with HMOs.( As an aside, we make decent money from Medicare advantage plans. We make usually 130 to 160% of traditional Medicare.) Our plan was probably exceptionally well run. We were able to make a decent income and could still refer patients out to nationally recognize centers of excellence for unusual problems. We sent one lady to the Cleveland clinic to have a special device woven in New Zealand and intravascular placed to stent an aortic aneurysm. And it cost the patient nothing!
Thanks again for your excellent presentation.
We're always here and happy to help! :)
Hi, I turn 65 on Oct 24. When can I go ahead and buy my supplement. I know that my coverage won't start until Oct 1st but can I go ahead and buy the supplement now or do I have to wait?
Hi John, some carriers do allow you to apply for a Medigap plan 6 months before your effective date, but it will vary with each carrier. You can submit an application, but you are correct that it won't start until October 1st. If you'd like, you can give us a call at 817-249-8600 and we can get the application process started for you.
I don't get it. You mentioned that unlike Supplement plans, Advantage plans are through a private insurance company. But, Supplement Plans, F, G, N, etc, are also through private insurance companies, aren't they? What am I missing here?
Are all prescription coverage's the same?
No. Each Part D plan, although structured all the same way, vary by costs, covered drugs, and more.
Do medical plans pick up things that are not medically necessary or expenses you mentioned in a previous video like anesthesiologist in a colonopsopy. I here that with Medicare and medigap people are paying 0 out of pocket. Is that true.
Medigap plans only cover costs for Medicare-approved services. SO if Medicare denies it, so will your Medigap plan. Medicare Advantage plans cover you as well as Original medicare but may include additional benefits.
I am using KIASER now. if change to medigap, seems hard to find good doctors . I live in north California bay area. any suggestion?
Here on our social media team, we do not have access to the plan quoting tool that our agents have access to. To find out quotes in your area for a specific plan, we will need to connect you with one of our agents.
Please feel free giving us a call at 817-249-8600.
Can I dis enroll on plan f and change it to plan g? Thanks
Yes you can. You can apply to change Medigap plans at anytime throughout the year. However, you may have to answer health questions to do so. We go over the carriers health questions with the client prior to applying to see if we feel they have a good chance of being approved.
Boomer Benefits what if i get disapproved on plan g, can I still go back to plan f? Thanks
Luis Abiera we would not cancel your Plan F until you get approved for Plan G. This is how we ensure that you don’t have any chance of being without coverage
@@luisabiera You would apply for your Plan G first. If you are approved, then you'd cancel your Plan F.
Please explain backend costs. If I get cancer, what is difference between medigap vs. Advantage plan has $124/mo premium and $5,000 cap in expenses in-network and 10,000 out of network?
Tony, Medigap plans give you predictable healthcare costs for the year. For example, if you are enrolled in Medigap Plan G, you are only responsible for the Part B deductible, which is $203 in 2021. After you pay the Part B deductible, you will not have any other out-of-pocket costs for Medicare-approved services for the year. Now, every Medicare Advantage plan is different, so we cannot tell you exactly what your premium or cost-sharing amount would be since this varies by zip code and carrier.
If you give our team a call at 817-249-8600 we can compare Medigap vs Medicare Advantage plans for you in your area and help you decide which is the most cost-effective option for you at this time.
I am currently with your organization, but starting to realize maybe the cost may be higher in 2021. Who can I contact at Boomer's to get more information on my existing medigap plan?
You can always call us at 817-249-8600 or 855-732-9055 if you'd like to shop your rate.
It seems to me that the best overall health vs potential cost over the long term would favor the Medigap plan, since we may have fewer health issues as of now, but that could change rapidly, or not so rapidly. It seems that in anticipation of future health issues, and the possibility of increased costs to transfer into a Medigap plan later. it might be worthwhile to start with it. When would u advise someone who chose an advantage plan because of relatively good health and lower costs, to transition to medigap where the coverage is better but premiums higher?
It depends on the person. Feel free to give us a call and we can help give you advice based on your specific situation.
A simple question: husband turns 65 in May 2021, does he have to apply for regular Medicare A and B along with D and THEN pick an Advantage plan, of that is what he ultimately wants?
If he wants a Medicare Advantage plan, he likely won't need a Part D plan as Medicare Advantage plans generally include a Part D plan. He will apply for a Medicare Advantage plan during the same enrollment period that he applies for Part A and Part B. You can figure out your Initial Enrollment Period here: boomerbenefits.com/medicare-enrollment-calculator/
My perception is one disadvantage of Medicare Advantage is you need to be in the network except for emergencies. So for example, we summer in Alaska and winter in Virginia and a medigap plan would cover us year round, while the Medicare Advantage would be limited to one state?
PPO Medicare Advantage plans allow you to go outside of the network for non-emergencies, but you will pay more for out-of-network services than in-network services.
Learn more here: boomerbenefits.com/medicare-advantage/medicare-advantage-types/
Can you switch from medigap plans to advatage plans late with no health questions?
Medicare Advantage plans never have health questions. However, you must wait until the Annual Election Period to enroll in a Medicare Advantage plan.
If I move to a different state does Medicare Select cover me at my new State?
Medicare Select plans have networks, that's what makes them different from regular Medigap plans, so you'd likely need a new plan if moving states.
Hi, if I decide to start taking SS at age 62 do I have to choose a health plan at that time, if so how do I choose, if not will I be able to choose at 65 when I become eligible for medicare
Hi Catherine - The Medicare age is 65 years old. So, no, you will not be able to get Medicare until then. In the mean time, we recommend looking into marketplace plans for insurance.
If you receive Social Security at least 4 months before your 65th birthday, you will be automatically enrolled in Medicare Part A and Part B a month or two before your birth month.
Whenever you get close to your 65th birthday month, give us a call at 817-249-8600 and we would be happy to help find you the most cost-effective Medicare plan in your area. :)
Here is more information:
www.healthcare.gov/medicare/changing-from-marketplace-to-medicare/
boomerbenefits.com/new-to-medicare/apply-for-medicare/
boomerbenefits.com/medicare-advantage-vs-medicare-supplement/
Once under advantage plan is moving to another advantage plan subject to health questions
Hi, Super info and thank you. I am 65, From Mass and have not yet signed up. Is medicare or medigap ON TOP for your health insurance meaning I would carry medi AND health insurance? I presently have Mass Health. Thank for the time to reply!
Hi there - You would still need to enroll in Medicare if you have Medicaid as Medicare will be primary. If you have full Medicaid, you would not necessarily need a Medigap plan. People with lowest incomes can qualify as QMB, which means Qualified Medicare Beneficiary. The QMB program provides the highest level of coverage at almost no out-of-pocket cost. Therefore, a Medigap plan would not be needed. If you wanted to enroll in a Medicare Advantage plan, you should specifically seek out Medicare Special Needs Plans for people with dual eligibility.
Learn more here:
boomerbenefits.com/difference-medicare-medicaid/
boomerbenefits.com/medicare-medicaid-and-extra-help-for-part-d/
My friend has been on Advantage since the age of 67. He’s now 82, and has high blood pressure, AFIB, and Prostate Cancer, which we just found out. You said it may be difficult to change to a Medigap, but you didn’t say impossible. Is it still possible and would it likely cost an arm and a leg?
It just depends. He will likely have to go through underwriting, and given his conditions, likely won't pass. However, we won't know until we try. We also won't know the quotes until we have a sales agent run quotes for him. He can call us at 817-249-8600 if he'd like our help.
If you choose a medicare advantage plan first at age 65 do you have a 1 year window to switch to a medigap plan without underwriting?
Hi there, you do! Here is more information - boomerbenefits.com/medigap-trial-rights-1-and-2/
Do you have to enroll in Medicare at age 65 ? My full retirement age is 67 and I will be working until then and have a PPO thru my employer presently.
Hi Jill - If you continue to have insurance past 65 from an employer that has 20 or more employees and you or your spouse actively works for that employer, then you can delay all of Medicare until you retire without having to pay the penalty.
However, Part A is $0/month for most people, so you can go ahead and enroll in Part A to have extra hospital stay coverage (unless you plan to contribute to an H.S.A. account).
Here are some resources that will help you:
boomerbenefits.com/new-to-medicare/medicare-and-employer-coverage/
th-cam.com/video/pc52QedOIMY/w-d-xo.html
th-cam.com/video/BmCmLUkw7HI/w-d-xo.html
Do you have to apply for AARP in order to subscribe to medial advantage?
Yes, you have to become a member of AARP in order to enroll in one of their Medigap plans, but not their Medicare Advantage plans.
@@BoomerBenefits That may be something new...but I have had Unted Health AARP sponsored medicare advantage for two years now (leaving it this year...United, btw is terrible), and DID NOT have to join or have anything to do with AARP. Its just a marketing ploy.
@@maxflyman5435 Our apologies. AARP only requires memberships for Medigap plans, not Medicare Advantage plans.
Is the VA healthcare system considered out of network on most Advantage plans?
Boomer Benefits this is important to me
Medicare cannot pay for any care that you receive at a VA facility. You only can use your VA insurance at the VA, and your Medicare Advantage plan at a civilian doctor/hospital.
Hi ,hope your doing good, please make a video on United health care original and its plan,how we differentiate original uhc and its ppo,hmo plan.thanks
Hi Muhammad, Medicare Advantage plans vary from carrier and zip code. If you would like to discuss United HealthCare in your area and the difference between the plans, please give our team a call at 817-249-8600. There is no charge for our help!
@@BoomerBenefits please explain more, still unable to understand
@@MuhammadSaleem-gx8hk Check out our video, What is a Medicare Advantage plan, where we explain how Advantage plans work. th-cam.com/video/x39h9vINk04/w-d-xo.html
What is a Select plan and is it
a good choice?
A Medicare SELECT policy is a Medigap policy that limits your coverage to a network of doctors and hospitals. SELECT plans negotiate rates with a network of providers. These providers charge less for the services they provide to members.
boomerbenefits.com/faq/what-is-a-medicare-select-policy