Tale of 2 Scanners – Rich Man, Poor Man – GA Medicare Expert

Does it really matter WHERE you get your medical treatment? Will you pay more if you go to the "wrong" medical provider?

GA Medicare expert Bob Vineyard reviews Georgia Medicare plans, news and options. Review our videos. Bob will help you find the RIGHT plan that fits YOUR needs and budget. Call (404)252.5859 or email [email protected]

There is nothing wrong with buying a Medicare plan online as long as you are prepared for a LOT of phone calls from agents wanting to sell you something you don't need, don't want and can't afford.

If you are turning 65 and enrolling in Medicare, this may be your only chance to purchase a GA Medicare supplement plan. Full report with Medicare supplement rates for ALL Georgia Medigap carriers. Anthem GA Medigap rates include Silver Sneakers

You don't have to receive Social Security to enroll in Medicare insurance. CMS is the agency that oversees Medicare.

How to enroll in Medicare? You may sign up for Medicare 3 months before your 65th birthday, the month you turn 65, and 3 months following your 65th birthday. You may enroll online (highly recommended), by mail or by visiting a Social Security office.

How can you limit the amount you pay for health care? Will your out of pocket expenses be in the hundreds or thousands of dollars?

What are the pitfalls of a managed care plan, especially if it has a high deductible?

Can you really afford to get sick?
Did you know that some doctors and hospitals do not accept ANY Medicare Advantage plans? What happens if your claim is DENIED?

Medigap and Advantage plans cover the same things, but what you pay out of pocket for your care, and where you receive your care, is very different.

Original Medicare does not have networks. You can use any doctor or hospital anywhere in the US. Another plus is the ABN form which is only used with Original Medicare.

Advantage plans are managed care plans. Some are PPO, some are HMO. In 2018 about half the plans are HMO with the balance being PPO. How are Medicare Advantage plans like a store credit card?

If you receive non-emergency out of network care under a PPO you may have higher copay’s and deductibles. Your max OOP may also be higher. Some plans do not cap out of network charges.

Non-emergency out of network care charges may be denied if you have an HMO.

In 2019 most Advantage plans issued in Georgia limit your out of pocket for approved in network health care expenses to $6700.

The American Cancer Society tells us that more than half the 1.4 million new cancer diagnoses occur in people age 65 and older. Roughly 20% of retiree deaths are a result of cancer. Medicare pays for almost half of the $74 billion spent on cancer treatment. The elderly account for 70% of cancer deaths each year.

Medicare Advantage and Cancer Treatment

Some cancer centers, such as Mayo Clinic, Sloan Kettering and MD Anderson may not participate in certain Medicare Advantage plans.

Not all cancer responds to chemotherapy, but 80% of cancers are treated with chemo. Those treatments occur in an outpatient setting and are covered under Medicare Part B.

Chemotherapy drugs administered in a doctor's office or clinic normally fall under Part B. Medication from a retail pharmacy or by mail fall under your PDP.

This is why most of us chose a Medicare supplement plan in 2019. Bob Vineyard, independent Medicare insurance broker in Georgia, can explain your Georgia Medicare insurance options and will allow you to decide.

We represent several carriers including Aetna, Anthem Blue Cross, Humana and more.

According to the Mayo clinic, "new cancer treatments are routinely priced at over $100,000 per year of treatment."

You may not know it, but the Mayo Clinic does not participate in any Medicare Advantage plans.

M D Anderson is another cancer treatment facility that does not accept Medicare Advantage plans.

A study from the Medicare Rights discovered the number one reason for disenrolling from a Medicare Advantage plan was “provider access problems”. Number 4 on the list was “cost sharing too high”.

You may never receive a cancer diagnosis. I hope you don’t. But one thing I can tell you with certainty is this. Original Medicare and a supplement plan provides assurance the funds will be there to pay for almost all of your care.

A good Medicare agent will help you navigate the Medicare maze. He or she will take the time to explain how Medicare works. They will ask questions to find out what YOU want and expect from your coverage.

Bob Vineyard has over 40 years experience in the health insurance field. All your questions will be answered. People love to buy but they hate to be sold.

You have questions. We have answers. Georgia Medicare Plans

#GeorgiaMedicarePlans #GAMedicareExpert #GAMedicareVideos

Tale of 2 Scanners – Rich Man, Poor Man – GA Medicare Expert

6 thoughts on “Tale of 2 Scanners – Rich Man, Poor Man – GA Medicare Expert

  1. That’s a good tip Bob. Unfortuneately, most people don’t find out about stuff like this until AFTER it’s too late. That’s good info.

    • MrKnowsitAlli69 thanks for the kind words. Doc and other providers are not “schooled” about insurance matters. I do what I can to inform clients

  2. That’s terrible. The health care professionals should be required to know about this so they can warn the patient ahead of time!!! Thanks for the information Mr. Vineyard.

  3. ok, im 62 and disabled since 2014 and collect disability and have medicaid…..i just turned 62, have signed up for social security. i got a letter that i will no longer have medicaid as of august 2019. is it possible for me to have medicare and all the parts until i get 65? thank you im in georgia.

    • Hi FRP9999. Thanks for visiting my YouTube Channel.

      If you have been on SSDI (Social Security Disability Income) for 2 years you should automatically qualify for Medicare. Medicare Part A is usually available without a premium. Medicare Part B has a current premium of $135/month.

      You might qualify for some form of Extra Help.

      I am guessing you don’t want to disclose a lot of personal information in a public venue.

      If you want to discuss in more detail contact me by email [email protected]

      take care

      #GeorgiaMedicarePlans #MedicareExpert #Turning65

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