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Saturday, February 16, 2013

How can Medicare options in California be any more complicated?

By Donald Volk


I'll in no way forget the time my Mother asked me to help her in picking out her Medicare plan. In actuality how hard could it be? Well, take your scariest visit to the Dentist and multiply it by 50.

How the federal government can be responsible for something that needs to be so trouble-free and make it remarkably difficult is genuinely dumbfounding. After years of training and skill in the workplace I believed I had experienced it all, obviously not.

It all began with the onslaught of junk mail that began arriving approximately 6 months before she actually turned 65. Correspondence from Secure Horizons, postcards from Care More, small gifts from Anthem Blue Cross and brochures from SCAN. Initially it was sort of exciting but it got old rather quickly.

Then the unceasing barrage of calls from each insurance carrier in the state of California. You would believe somebody had just come into a sizeable amount of cash! After that the assortment of thoughts from uncles who all alleged that this Medicare plan or that Supplement was the only choice that makes sense. The guy at the post office even seemed to deem that he alone knew what the only worthwhile Medicare plan in California is?

I was crazy enough to think that we could contact the government to find help. Let me save you some time, that is not an option. I don't even want to tell you the incredible number of salespeople we met with. Interestingly, they all held something unique! So following a large amount of frustration and an unintended meeting we accomplished our aim. The subsequent information is a brief outline of what we found out.

Original Medicare is made up of Part A and B. Part A addresses hospital and B handles physician's visits. Given that Medicare only covers up to 80% it will be your responsibility to work out how to take care of the other 20%. keep in mind, there are co pays, deductibles and co insurance. There are a number of insurance plans you can make a choice from to address this. You sign up for one of these plans 3 months earlier than you become 65, then it will become effective the first day of the month you were born.

Then there will be Part D which just isn't offered by Medicare, but as an alternative through private insurance agencies. Part D is thought to be optional. The trouble is that if you won't enroll in one, you will get a late enrollment penalty. For each month that you don't have a Part D drug plan you will pick up a 1% penalty, 72 months = 72%.

Quite simply it comes down to two chief possibilities, let's discuss the 1st. You can obtain a Medicare supplement and also get a Part D. These will each have a per month premium. The advantage to this selection is self-determination. You can choose to go to any health care professional in the US that takes Medicare. You have no co-pays or co-insurance. This is definitely the costlier way to go and the charge will most likely increase yearly.

The other preference is to pick out one of the Advantage plans in California. These plans are also branded as Part C. They contain benefits for Parts A, B and D of Medicare together. These plans vary by county. Several plans have no month-to-month premium. Particular plans include specific co pays and others have almost none. They're generally HMO's so you must only see medical doctors in the plan's network.

Every year during AEP you have the opportunity to switch your coverage. This period is between October 15th to December 7th. Medicare Supplemental policies are a little bit different. These are guaranteed issue as soon as you first get on Medicare. Following that you may or may not have the ability to get one.

At the high point of our frustration we happened to speak with our neighbors relative. She was just in from Sacramento. She seemed to own an inordinate comprehension of not just the Medicare program but the various plans. We were stunned. It took her roughly 5 minutes to make clear what had taken us six months to realize.

She had the good fortune of contacting an impartial Licensed Healthcare Specialist. These individuals work with each insurer in the state. They only work with Medicare coverage. And since they work with so many insurance companies they do not care who you go with as long as you have picked the best decision for your individual situation. They are more like educators than salespeople.

The best part? They do not charge a dime for their opinion. They're just paid directly by the supplement insurance companies. The cost to somebody is just the same as if they went directly to the insurer. I simply wish I would have identified formerly that people like this were a phone call away.

Our endeavor finally turned out just fine. I am now sure that the next occasion someone inquires of me I know exactly what to tell them.




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