Welcome to my YouTube Medicare insurance Channel! Watch our videos! Turning 65? Enrolling in Medicare? What is Part B? Shopping rates? Best Medicare supplement plans for 2018.
Through the magic of the internet, you can see and hear my message to you. Santa Claus can be everywhere but I can’t, so this video and my Georgia Medicare channel will have to suffice.
Any Medicare-related questions can be phoned in or emailed.
We do not recommend any dental insurance plans
If you are turning 65 and enrolling in Medicare, this may be your only chance to purchase a Medigap plan. Here is your guide to understanding Medicare.
You don't have to be receiving Social Security to enroll in Medicare insurance. CMS is the agency that oversees Medicare.
What is Medicare? Senior healthcare insurance is commonly used to describe the Medicare program.
How to sign up for Medicare? You may enroll in 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.
Original Medicare has 4 parts.
Medicare Part A covers hospital inpatient charges and has a per admission deductible
Medicare Part B is for outpatient health care treatment. Doctor visits, labs, X-rays, MRI, CT scan (CAT scan), ambulance, ER, outpatient clinics, etc. Essentially any Medicare approved health care received outside the hospital setting. Treatment considered medically necessary under Medicare guidelines. Medicare Part B has a calendar year deductible. Once satisfied, Medicare pays 80% of the approved charge, you are responsible for the remaining 20%.
Most seniors worry about hospital stays, but your major expenses will more than likely fall under Medicare Part B outpatient expenses. Original Medicare stand alone has no cap on your out of pocket expenses.
You pay until you run out of money, get well or die.
Medicare Part C is now referred to as Medicare Advantage. More on that later.
Medicare Part D covers outpatient prescription drugs. Some Advantage plans have drug coverage built into the plan.
Both Medigap and Advantage plans cover the same types of medical treatment, but what you pay out of pocket for your care, and where you receive your care, is very different.
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.
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 2018 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.
Some cancer centers, such as Mayo Clinic and MD Anderson do not participate in 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 2018. 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."
If you want a better idea of what to expect, be sure to view my whiteboard video. (Link below)
Feedback always welcome.
I look forward to hearing from you.
Whiteboard video – GA Medicare Plans Made Easy
Call (404) 252-5859 to speak with Bob Vineyard, independent Medicare insurance broker.
Visit my secure website at Georgia Medicare Plans –
For an online resource center or to apply for Medicare visit
To learn about the history of Medigap visit:
For more information on Georgia Medicare plans visit: dental insurance
Bob Vineyard – Georgia Medicare Plans.
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