MEDICARE SUPPLEMENT INSURANCE
A solid long-term solution to your Medicare Decision
- A variety of plan options to fit your budge and your medical needs
- Several A and B rated companies to choose from
- Innovative plan options with unique features
- Low cost high deductible plans
- Assistance with finding the right RX plan (Part D) for the meds you take
- Early enrollment and household discounts on most plans
WHO ARE THEY BEST SUITED FOR?
- Those who want the most flexibility in choosing their Doctors, Specialists, and Hospitals
- Those who want access to Specialists without referrals
- Those who travel frequently
- Snowbirds who have residences in more than one state
PRO’S
- You can keep original Medicare A&B
- Open to any provider who contracts with Medicare
- Referrals to specialists is NOT required
- Some plans cover excess charges for Non-Medicare providers
- You are covered anywhere in the United States
- Some plans include Foreign Travel
- Fewer requirements for prior approval for medical services.
CON’S
- There is a monthly premium – but you can pick a plan that fits your budget
- You will have to purchase a separate RX plan
MEDICARE ADVANTAGE PLANS
Offered by Private insurance companies to replace traditional Medicare.
WHO ARE THE BEST SUITED FOR?
- People under 65 who have Medicare A and B due to disability
- People who are eligible for AHCCCS and are on Medicare A&B (Dual plan eligibility)
- Individuals who can’t afford, or don’t want to pay for Medicare Supplement Insurance
- Individuals who want a plan that includes the RX coverage
- Individuals who don’t plan to spend extended time outside their service area
- Several company options to choose from
- Many plan designs
- Many include RX coverage and extra benefits not typically covered by Medicare (Dental/vision/hearing etc.)
- People with VA benefits
PRO’s
- Many include your RX coverage
- Many are $0 premium or low premium
- Some plans offer extra benefits not generally included with Original Medicare
- Most include your RX coverage
- Many are $0 monthly premiums or low premium
- Most plans offer extra benefits beyond original medicar
- Predictable co-payments and out of pocket spending limits included with all plan
- Some maximum spending limits as low as $2400 a year
CON’s
- All are network based plans with HMO and PPO network options
- Some HMO plans still require a referral to specialists
- Most don’t include any coverage outside the U.S.
- Plan features, copayments and additional benefits may change year to year
- Doctors may drop off the network
- Maximum annual spending limits can be as high as $6700, and higher if you elect to go out of network on a PPO plan.
- Frequent criticism about the Prior Authorization requirements of these plans which may cause a delay or denial of certain medical services.
WHEN DO I START LOOKING and WHEN CAN I ENROLL?
If you are new to Medicare:
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Make an appointment about a year before you turn 65 or before your retire, so we can review options and plan for costs and establish timing for your Medicare plan enrollment.
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Up to 6 months before or after your 65th birthday or your Part B effective date for a Medicare supplement plan
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Three months before and 3 months after your 65th birth month or your Part B date to enroll in a Medicare Advantage plan
Other eligibility periods:
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Annual enrollment each year (10/15-12/7) you can change or drop your Medicare Advantage plan.
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During annual DIS-enrollment each year (1/1-3/31) you can drop your Medicare Advantage plan and apply for a Medicare supplement plan
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ou may apply for a different Medicare supplement plan any time of the year (you may be subject to health underwriting).
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When you move to Arizona and lose your coverage from another state/county.
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Within your first 12 months on an Advantage plan (your trial right period) you may request a change to a Medicare supplement
Contact us for your FREE QUOTE today!
Kim Kraft Insurance
kimkraftinsurance@cox.net
Phoenix: (520) 401-0402
Tucson: (520) 240-8059
