Monday, December 3, 2012

Medicare Plans For 2011 - You Only Have Three Choices


When you consider Medicare Plans for 2011 from a top-level view, you really have only three options. Understanding the types of Medicare plans available will enable you to compare 2011 Medicare plans on an individual and side-by-side basis to determine which is the best plan for you in 2011. The first option is the one that you have every year; that is, original Medicare. The other options consist of Medigap, otherwise known as a Medicare supplement and lastly, a Medicare Advantage plan.

The first thing to consider is if you should stay with original Medicare and purchase a Part D plan. There is no rule that says you have to purchase a supplemental policy or enroll in a Medicare Advantage plan. Some people choose to stay with original Medicare. The vast majority of these people do so because they have supplemental insurance from a former employer. If you are offered health insurance from your former employer, that coverage will to one degree or another pay after your original Medicare pays.

If you fall into this group, you should at least look at your other options to ensure that you are receiving the best benefits. In some cases, insurance from your former employer may cost more than a Medicare supplement policy and afford less benefit. If you are paying a premium for your employer group supplemental policy, you should explore the costs of a Medicare supplement.

A small group of people choose original Medicare even though they do not have coverage from a former employer. Many of these people do so because they are not aware of their options. When becoming eligible for Medicare you should evaluate all your options.

Choosing original Medicare by itself or an employer group policy without drug benefits will require that you purchase Part D insurance. You are not actually required to purchase Part D, but the late enrollment penalties give you a good incentive to do so.

If your budget allows, you may consider purchasing a supplemental policy in 2011. Medicare supplement policies are referred to as Medigap because they fill the cost-sharing gaps to one degree or another, depending on the individual policy. You must have original Medicare Parts A and B to purchase a Medicare supplement. Plans are standardized and benefits will not vary from one company to the next. Price will vary from one insurance company to the next, as may your perception of the customer service. Some companies have more rate stability than others and these factors should be considered.

Nationally, Medicare supplement Plan F is the most comprehensive and very popular. Another supplement that was introduced June 2010 is Medicare supplement Plan N, which is proving to be wildly popular due to its lower cost. Medicare supplement plans do not include Part D coverage and it must be purchased separately.

Even if you have typically been enrolled in a Medicare Advantage plan, you owe it to yourself to consider a Medicare supplement if you are comparing Medicare plans for 2011. Some 2011 Advantage plans have premiums approaching those of Medicare supplement policies, often with less benefits.

When considering Medicare plans for 2011, your bound to be inundated with marketing materials touting the benefits of Advantage plans. As far as Medicare plans for 2011 go, Medicare Advantage plans generate the most questions and often confusion. Medicare Advantage plans are annual plans that can change yearly or even not renew for the following year.

An Advantage plan is not a Medicare supplement. But rather, you receive your Medicare benefits from a private insurance company that is approved and contracted with CMS (Centers For Medicare and Medicaid). The benefits of an Advantage plan include:

Often little or no monthly premium. Fixed cost sharing, including co-pays, coinsurance and deductibles. Part D is often included. Plans have benefits beyond original Medicare, like dental and vision.

The down-side of an Advantage plan is the uncertainty of an annual plan and often the network restrictions that are part of HMO or PPO plans. You are also subject to restrictive enrollment periods. Plans are offered on a County-by-County basis and what may be available in one County may not be in the next. Premiums also vary based the plan and locations offered. If you are comparing Medicare plans for 2011, you should take a look at these plans to determine if they would be a good fit for you.

Once you have looked at your options from a top level view, you can get down to the business of comparing Medicare plans for 2011. Most insurance companies have all relevant information online to save you time and the trouble of meeting with countless agents.

For Seniors, Why Should You Enroll In Medicare Part D?   Mortgage PMT Protection   The Finer Points of Medicare Eligibility   What Benefits Does Your Local Medicare Supplement Company Offer?   



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