Switching from Medicare advantage plan

Joining new plan

Medicare Advantage plan is the plan that covers more than the original Medicare. There are many benefits of the Medicare advantage plan and some rules and eligibility of enrollment is also to be considered. Life is not consistent and in the same way sticking to a single plan is also not sure. There are chances that you will wish to switch from one plan to another. You can switch to other plan when you already have the Medicare advantage plan and there are some steps to be followed for that.

If you want to switch to a new Medicare advantage plan, it is very simple to do. You just need to join the plan in one of your enrollment periods time. If you do so then you will be automatically removed from the old plan when the coverage f the new plan begins. So you don’t need to do much to switch to another plan.

If you want to switch to original Medicare then you need to contact the current plan provider and ask for the details and procedure to follow. The Medicare prescription coverage is already included in the Medicare advantage plan but if you have any other plan then you need to consider the drug coverage. You can also have a Medicare supplement insurance policy. You can switch from a plan to another in certain periods of the year only. You cannot switch at any time. Be sure to compare the Medicare advantage 2016 plans in your area to see which fits your needs the best.

Important points to be considered

You should talk to your union or employer before joining the Medicare advantage plan. In some of the mediocre advantage plan it is possible that you will lose your employer and union coverage. In case you lose the coverage of your own self then you will lose the coverage of your partner or any other dependent. In some cases you will be able to use the employer or union coverage with your Medicare advantage plan. In case you drop your employer or union coverage then you will not be able to get that coverage back. So you need to take care when you are switching from a plan to another and also when you are planning to drop the plan.

At some times it is also possible that at the end of the year the plan decide to leave the Medicare program. If this happens then you will be returned to the original Medicare. If you join other Medicare advantage plan then you will face no problem else you will get back to the original Medicare.

Costs of Medicare Supplement plans

Premiums of Medicare supplement

The original Medicare offers a wide range of benefits in terms of coverage of the certain hospitals and medical costs. It does not cover all the services and other things that the beneficiaries may need. Thus for this purpose, Medicare supplement plans are available. The Medicare supplement plans fill the gap of the coverage which is not covered by the original Medicare. Almost very next person is enrolled in some of the Medicare Supplement plan.

The cost with the Medicare supplement plans are to be paid in addition to the Part A which has deductible of 1260 dollars and coinsurance Part B is also to be paid. The Medicare supplement plans are offered by the private companies and thus the costs are different for every plan and location. In case if Medicare, it is run by government and thus the costs does not differ and remains same for all.

The out of pocket cost differ but the plan coverage and the benefits are standardized in the Medicare supplement plans. There are different lettered plans in supplement plans. The Medicare Supplement plans have 3 types of premium rating system. Community rated is when the person is charged with the same premium every month irrespective of the age. Issue age rated is when the person is charged the monthly premium based on the age. Attained age rated is when the premium is as per current age and it increases with the increase in age.

Who can enroll in supplement plans?

Enrolling in the Medicare Supplement plan is possible anytime but the best time is during the Medicare supplement open enrollment period. The benefit of enrolling in this period is that the medical examination of the person is not needed. A person is eligible for this scheme when he reaches the age of 65 and is enrolled in Medicare Part B.

There are some companies that offer special discounts for women, married people and non smokers. The companies also provide benefits to those who pay the premium yearly and through the electronic funds transfer. Some of the companies offer the deductible options for some of the Medicare Supplement plans which results into low premiums and high pocket costs. These costs are before the beginning of plan coverage. The Supplement plans are provided by the private companies and so the cost varies at location and as per plans. Thus it is advisable to compare all the plans and select the right option as per the needs.

Hospital insurance – Medicare Part A

Medicare is the health insurance that is been used by the people after their retirement. There are 4 parts in Medicare; Part A, Part B, Part C and Part D. Part A of Medicare cover the hospital insurance. It covers the inpatient stays in hospital and it also includes the room, food and test costs. Medicare Part A covers the maximum stay as the hospital inpatient stay or the series of stays to 90 days. For the first 60 days the payment will be done by Medicare except one co-payment and from 61 to 90 days it will require a co-payment of 322 dollar per day.

Medicare part A

Medicare Advantage plans 2017There is beneficiary known as lifetime reserve days which is after 90 days and can be used by some people. The lifetime beneficiary needs the co-payment of 64 dollar per day. In the entire lifetime the beneficiary can be used only for 60 days. Some reforms have taken place in the terms of co-payments done. The co-payment for 61 to 90 days has been changed to 302 dollar soon and the beneficiary with no payment from Medicare can be taken. So, the government is trying to make the changes that benefit the public most. Many people choose a Medicare advantage plan in lieu of Regular Part A Medicare. To learn more visit www.2017medicareadvantageplans.org.

Some services can be taken as the inpatient one which gets reimbursed under the Part A of Medicare and some services can be taken as outpatient one which will not get reimbursed under Part A. The service which will be reimbursed and which will not be reimbursed is decided earlier and they are the midnight rule. In 2013 the centers of Medicare declared the rule of eligibility for the inpatient services which became effective from October 2013.

If there is a situation when a physician admits a Medicare beneficiary as inpatient for more than 2 days with the explanation that the patient needs hospital care then the Medicare Part A will be appropriate. But if it is declared that the hospital care is less than two midnights then the Medicare part A payment will not be appropriate. The time which the patient spends in the hospital before getting admitted as inpatient is considered as the outpatient time. The hospital can consider the pre-inpatient time when it is determined that the patient’s care will take more than two midnights. There are many other considerations in the coverage of Medicare Part A. The benefits are good for those who have reached their retirement.