Medicare Misconceptions

 1. Medicare works like private health insurance

With Medicare, you can’t be rejected for coverage because you’re too sick, and you won’t face higher premiums if you’re ill. That gives Medicare a big consumer advantage over many private individual health plans that are currently allowed to deny coverage or charge higher premiums based on health status.

But if you’re a high earner, you’ll pay a premium surcharge for Medicare Part B,
which covers doctors’ visits and outpatient services, and Part D, which covers prescription drug costs.

2. Medicare provides free or cheap health care

Under the new health-care law, as of this year beneficiaries can get annual wellness check-ups at no charge.
For the first time, they also are eligible for free recommended preventive screenings, such as colonoscopies and mammograms.

Medicare Part A, which covers hospital stays and services, is premium-free for most people. But that’s where the freebies end.

Traditional Medicare involves a matrix of premiums, copay's, coinsurance and deductibles.
For instance, you’ll have to meet a deductible — $1,132 for 2011 — before Part A coverage kicks in for hospital stays of up to 60 days.

For beneficiaries new to Medicare this year, the average premium for Medicare Part B is $115.40 a month.
But if you earn more than $85,000 if you’re single, or $170,000 for a married couple filing jointly, you’ll pay more.

And starting this year, high earners with Part D prescription-drug plans will face a surcharge.

This surcharge can range from $12 to $69.10 per month, depending on income.

Most Medicare beneficiaries purchase a Medigap supplemental insurance plan to help cover their out-of-pocket costs.

The new Plan N does have surcharges but can save you 20-30% on your monthly premium.
To find out your rate call (877)337-4168 ask for AARP and Mutual of Omaha rates for your area.

 3. Medicare covers everything

Traditional Medicare doesn’t cover routine dental care, eyeglasses, hearing aids or custodial long-term care. It generally won’t cover health care you receive while traveling outside the U.S.

To get extra coverage for things such as vision care, one option is to instead go with a Medicare Advantage plan, which is run by a private insurer. (With cuts in federal subsidies coming in 2012, insurers have cut the number of Advantage plans they offer.)

These plans are required to provide the same coverage as Medicare Part A and Part B, but the cost-sharing is different.

Medicare Advantage plans can offer additional benefits, but they typically come with more restrictive doctor and hospital networks.

Keep in mind, If you’re healthy it might be the lowest cost,
but you might end up paying a lot more if you’ve got some chronic-care needs.
This is because Advantage plans have "Out of Pocket maximums."
These can be much greater than you monthly premium on Supplement plans.
For example "Supplement plan F" has no charges for can as long as they are billable coverage's from your
Medicare A or B. Do not that Supplement do NOT cover non Medicare covered expenses.

4. You can sign up for Medicare at any time

You decision about when to sign up for Medicare often depends on the size of a person’s employer.
Are you still working as well as whether a person is getting health insurance through “active employment.”
This means do you have Cobra or retiree health benefits?

For older people who are still working and getting employer coverage, and for their dependent spouses, it may make sense to delay signing up for Medicare to avoid paying premiums on coverage they don’t yet need.
If your employer has 20 or more workers, then Medicare typically is the secondary payer and you
can wait to sign up for Part B without incurring a penalty, she says.

But incorrectly putting it off can cost you 10% of the Part B premium for every 12 months you delay enrollment.
What’s more, you may face a waiting period, during which you will be uninsured.

A job loss often triggers confusion. Take an older spouse who has been counting on his
younger wife’s employer health-insurance plan for his primary coverage.
If his wife is laid off, he needs to sign up for Part B coverage right away to avoid a penalty.
That’s because Cobra coverage isn’t considered active employment.
If the wife goes on Cobra, which extends employer group coverage to the departing worker for up to 18 months,
her husband will have a special enrollment period of eight months in which he can sign up for
Medicare Part B without incurring a penalty.

As soon as regular employer insurance ends, “the person with Medicare who had been relying
upon employer coverage needs to rely on Medicare and enroll in Medicare B.”


If you’re unsure when you should sign up for Medicare, ask your human-resources department or
call the Social Security Administration.
You also can contact a Healthy Florida Seniors Consultant.
(877)337-4168 or Email question
Click here.
Their services are free and they will gladly teach you how Medicare can work for you.

Also you can call Medicare (1-800-Medicare) or the Medicare Rights Center hotline (1-800-333- 4114).

Click or Call for in Home Appointment                         We gladly search for your Doctors and Hospitals          Quote and comapre AARP medicare supplement and Advantage plans, also Mutual of Omaha supplementApply for; AARP supplement or Advantage plans, Mutual Of Omaha, John Hancock Medicare Insurances for Florida and Georgia.


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