#humana medicare supplement plans

[floraflorenzi]

Humana Medicare Supplement Plans The Ultimate Safety Net for Your Healthcare Needs

Humana Medicare Supplement Plans, also known as Medigap, are designed to help cover the healthcare costs that Original Medicare (Part A and Part B) does not fully cover. These plans offer a range of options that provide additional financial protection, including coverage for copayments, coinsurance, and deductibles. Humana, one of the leading providers of Medicare Supplement Plans, offers several plan options tailored to meet different needs and budgets.Humana Medicare Supplement Plans are especially beneficial for those who frequently visit doctors, specialists, or hospitals, as they help minimize out-of-pocket expenses.

Why Choose Humana Medicare Supplement Plans for Your Healthcare Coverage?

Humana Medicare Supplement Plans offer a robust solution for individuals seeking to supplement their Original Medicare coverage. With rising healthcare costs, many Medicare beneficiaries find themselves facing significant out-of-pocket expenses, including copayments, coinsurance, and deductibles. Humana Medicare Supplement Plans are designed to alleviate these financial burdens by providing additional coverage that fills the gaps left by Original Medicare. Humana is a trusted provider in the Medicare space, known for its customer service, comprehensive plan options, and flexibility in choosing healthcare providers. Whether you're a frequent healthcare user or simply seeking peace of mind, Humana Medicare Supplement Plans can provide the financial security you need to manage your healthcare expenses effectively.

Key Benefits of Humana Medicare Supplement Plans You Should Know

Humana Medicare Supplement Plans are packed with benefits that make them a top choice for Medicare beneficiaries. One of the primary advantages is the ability to choose any doctor or hospital that accepts Medicare, giving you the freedom to access care without network restrictions. Additionally, Humana Medicare Supplement Plans offer standardized coverage across different plan options, ensuring that you can find a plan that meets your specific needs and budget. Whether you need basic coverage or more comprehensive protection, Humana's variety of plans provides options that can help minimize your out-of-pocket costs. Moreover, these plans are portable, so you're covered no matter where you travel within the United States.

Comparing Different Humana Medicare Supplement Plans

Choosing the right Humana Medicare Supplement Plan requires careful consideration of your healthcare needs and financial situation. Humana offers several plan options, each with its own set of benefits and coverage levels. For example, Plan F offers the most comprehensive coverage, including all copayments, coinsurance, and deductibles, making it a popular choice for those who want maximum coverage. On the other hand, Plan G provides nearly identical coverage but requires you to pay the Medicare Part B deductible. For those looking for more affordable options, Plans K and L offer lower premiums with higher out-of-pocket costs, making them suitable for those who prefer to pay less upfront. By comparing these plans, you can find the one that best fits your needs and budget.

Understanding the Cost Structure of Humana Medicare Supplement Plans

The cost of Humana Medicare Supplement Plans can vary based on several factors, including the plan you choose, your age, and where you live. Generally, these plans have monthly premiums that you pay in addition to your Medicare Part B premium. The cost structure of Humana Medicare Supplement Plans is designed to offer predictability and control over your healthcare expenses. While some plans have higher premiums but lower out-of-pocket costs, others offer lower premiums with higher potential costs when you use healthcare services. Understanding this balance is crucial to selecting the right plan. Additionally, Humana's commitment to transparency ensures that you know exactly what you're paying for and what benefits you receive, making it easier to budget for your healthcare needs.

How Humana Medicare Supplement Plans Enhance Your Original Medicare Coverage?

Original Medicare provides essential healthcare coverage, but it doesn't cover everything. That's where Humana Medicare Supplement Plans come in. These plans are designed to work alongside your Original Medicare, filling in the gaps left by Medicare Parts A and B. For example, while Medicare may cover a significant portion of a hospital stay, you might still be responsible for copayments and coinsurance. Humana Medicare Supplement Plans can cover these additional costs, reducing your out-of-pocket expenses. This enhanced coverage is particularly valuable for those who anticipate needing frequent medical care or who want to avoid unexpected medical bills. With a Humana Medicare Supplement Plan, you can have peace of mind knowing that you're better protected against high healthcare costs.

Choosing the Right Humana Medicare Supplement Plan for Your Needs

Selecting the right Humana Medicare Supplement Plan involves assessing your healthcare needs, financial situation, and personal preferences. If you value comprehensive coverage and are willing to pay a higher premium for peace of mind, Plan F or G might be the best fit for you. These plans offer extensive coverage, including most out-of-pocket costs associated with Medicare-covered services. However, if you're looking for a more budget-friendly option and are comfortable with higher out-of-pocket costs when you need care, Plans K or L might be more suitable. Additionally, consider whether you frequently travel or split your time between different states, as Humana Medicare Supplement Plans offer nationwide coverage. By carefully evaluating these factors, you can choose the plan that best meets your needs.

The Flexibility of Humana Medicare Supplement Plans Coverage Options Explained

One of the standout features of Humana Medicare Supplement Plans is their flexibility. Unlike Medicare Advantage Plans, which often have network restrictions, Humana Medicare Supplement Plans allow you to see any doctor or visit any hospital that accepts Medicare. This flexibility ensures that you can access the care you need when and where you need it, without worrying about being out-of-network. Furthermore, Humana offers a variety of plan options, each designed to meet different coverage needs and budgets. Whether you prefer a plan with comprehensive coverage or one with lower premiums and higher out-of-pocket costs, Humana has a plan that can accommodate your preferences. This flexibility makes Humana Medicare Supplement Plans an attractive option for those who want control over their healthcare choices.

Conclusion

One of the key advantages of Humana Medicare Supplement Plans is the freedom to choose any doctor or hospital that accepts Medicare patients, without the need for referrals. Additionally, these plans are portable, meaning you are covered anywhere in the United States. This is particularly valuable for those who travel or split their time between different states.Overall, Humana Medicare Supplement Plans provide a reliable and comprehensive solution for those looking to enhance their Medicare coverage and reduce out-of-pocket healthcare expenses, ensuring peace of mind and financial security.

[medicaresharks]

Understanding Your Options: Humana Medicare Supplement Plans Explained

Introduction

As you navigate the complexities of Medicare, one crucial decision you'll need to make is whether to enroll in a Medicare Supplement plan. These plans, also known as Medigap, can provide valuable coverage to fill the gaps in traditional Medicare. Humana, a leading healthcare provider, offers a range of Medicare Supplement plans that can help you manage your healthcare costs and ensure you have access to the care you need. In this comprehensive guide, we'll explore the details of Humana's Medicare Supplement plans, including the coverage, costs, and benefits, to help you make an informed decision.

Understanding Medicare Supplement Plans

Medicare Supplement plans, or Medigap, are designed to work alongside your Original Medicare (Part A and Part B) coverage. These plans are offered by private insurance companies, like Humana, and are intended to cover some of the out-of-pocket costs that you would otherwise be responsible for under traditional Medicare, such as deductibles, copayments, and coinsurance.a Medicare Supplement Plans Humana offers a range of Medicare Supplement plans, each with its own unique features and benefits. These plans are identified by letters, such as Plan A, Plan G, and Plan N, and each plan provides a different level of coverage.

Costs and Pricing

The costs associated with Humana's Medicare Supplement plans can include the monthly premium, which can vary based on factors such as your age, location, and the specific plan you choose. Additionally, some plans may have deductibles or copayments for certain services.

It's important to carefully compare the costs and benefits of different Humana humana Medicare Supplement plans to find the one that best fits your budget and healthcare needs. Some plans may have higher premiums but offer more comprehensive coverage, while others may have lower premiums but require you to pay more out-of-pocket for certain services.

Enrollment and Eligibility

To enroll in a Humana Medicare Supplement plan, you must be enrolled in both Medicare Part A and Part B. The best time to enroll is during your Medicare Supplement Open Enrollment Period, which begins the first day of the month in which you are both 65 or older and enrolled in Medicare Part B.

During this six-month period, you have the right to buy any Medigap policy sold in your state, and the insurance company cannot use medical underwriting to deny you coverage or charge you more due to your health status. After this initial enrollment period, you may still be able to enroll in a Humana Medicare Supplement plan, but the insurance company may use medical underwriting to determine your eligibility and premium.

Navigating the Humana Medicare Supplement Enrollment Process Enrolling in a Humana Medicare Supplement plan can be a straightforward process, but it's essential to understand the steps involved. Start by reviewing the available plans and their respective coverage and costs. Once you've identified the plan that best fits your needs, you can enroll either online, over the phone, or through a licensed insurance agent.

It's important to provide accurate and up-to-date information during the enrollment process, as this will ensure your coverage is properly set up and you receive the benefits you're entitled to.

Maximizing Your Humana Medicare Supplement Benefits

To get the most out of your Humana Medicare Supplement plan, it's essential to understand how to navigate the various coverage options and benefits. This may include:

Utilizing your plan's coverage for deductibles, copayments, and coinsurance

Knowing which services are covered and any limitations or exclusions

Understanding how to access your plan's network of healthcare providers

Reviewing your plan's coverage for international travel, if applicable

Additionally, it's recommended to review your plan's coverage regularly and discuss any changes in your healthcare needs with your provider. This can help you identify any potential coverage gaps or cost-saving opportunities.

Conclusion

Humana's Medicare Supplement plans offer a comprehensive solution for managing your healthcare costs and ensuring access to the care you need. By understanding the coverage, costs, and benefits of these plans, you can make an informed decision that aligns with your healthcare needs and budget.

Remember, the choice of a Medicare Supplement plan is a personal one, and it's essential to thoroughly research and compare the available options to find the best fit for your individual circumstances. By taking the time to explore Humana's Medicare Supplement offerings, you can take an important step towards maintaining your health and well-being throughout your retirement years.

[snapthistiger]

exercise 10202023

bike ride to the gym

3 x 10 lat pull

3 x 10 overhead press

3 x 5 dips

30 minutes on the step mill

3 x 10 seated press

3 x 10 tricep extenstion

bike ride home

the gym workers received Hershey kisses

top left = this morning i picked up the senior citizen food box and brought to my Mom. she sorts through the box and takes out a few things and the rest goes to the little free pantries in town

bottom = fountain in the park

fog this morning / beautiful clear weather this afternoon

making phone calls to try to straighten out my Mom's medicare supplement plan. some of it feels like i'm going in a circle. i've talked to Humana, Cigna and Medicare today. hopefully making progress.

hope you have a peaceful afternoon and evening..

[kp777]

By Jake Johnson

Common Dreams

Oct. 4, 2023

"Medicare Advantage is just another example of the endless greed of the insurance industry poisoning American healthcare," says a new report from Physicians for a National Health Program.

A report published Wednesday estimates that privately run, government-funded Medicare Advantage plans are overcharging U.S. taxpayers by up to $140 billion per year, a sum that could be used to completely eliminate Medicare Part B premiums or fully fund Medicare's prescription drug program.

Physicians for a National Health Program (PNHP), an advocacy group that supports transitioning to a single-payer health insurance system, found that Medicare Advantage (MA) overbills the federal government by at least $88 billion per year, based on 2022 spending.

That lower-end estimate accounts for common MA practices such as upcoding, whereby diagnoses are piled onto a patient's risk assessment to make them appear sicker than they actually are, resulting in a larger payment from the federal government.

But when accounting for induced utilization—"the idea that people with supplemental coverage are likely to use more health care because their insurance pays for more of their cost"—PNHP estimated that the annual overbilling total could be as high as $140 billion.

"This is unconscionable, unsustainable, and in our current healthcare system, unremarkable," says the new report. "Medicare Advantage is just another example of the endless greed of the insurance industry poisoning American healthcare, siphoning money from vulnerable patients while delaying and denying necessary and often lifesaving treatment."

Even if the more conservative figure is accurate, PNHP noted, the excess funding that MA plans are receiving each year would be more than enough to expand traditional Medicare to cover dental, hearing, and vision. Traditional Medicare does not currently cover those benefits, which often leads patients to seek out supplemental coverage—or switch to an MA plan.

The Congressional Budget Office has estimated that adding dental, vision, and hearing to Medicare and Medicaid would cost just under $84 billion in the most costly year of the expansion.

"While there is obvious reason to fix these issues in MA and to expand traditional Medicare for the sake of all beneficiaries," the new report states, "the deep structural problems with our healthcare system will only be fixed when we achieve improved Medicare for All."

Bolstered by taxpayer subsidies, Medicare Advantage has seen explosive growth since its creation in 2003 even as it has come under fire for fraud, denying necessary care, and other abuses. Today, nearly 32 million people are enrolled in MA plans—more than half of all eligible Medicare beneficiaries.

Earlier this year, the Biden administration took steps to crack down on MA overbilling, prompting howls of protest and a furious lobbying campaign by the industry's major players, including UnitedHealth Group and Humana. Relenting to industry pressure, the Biden administration ultimately agreed to phase in its rule changes over a three-year period.

Leading MA providers have also faced backlash from lawmakers for handing their top executives massive pay packages while cutting corners on patient care and fighting reforms aimed at rooting out overbilling.

As PNHP's new report explains, MA plans are paid by the federal government as if "their enrollees have the same health needs and require the same levels of spending as their traditional Medicare counterparts," even though people who enroll in MA plans tend to be healthier—and thus have less expensive medical needs.

"There are several factors that potentially contribute to this phenomenon," PNHP's report notes. "Patients who are sicker and thus have more complicated care needs may be turned off by limited networks, the use of prior authorizations, and other care denial strategies in MA plans. By contrast, healthier patients may feel less concerned about restrictions on care and more attracted to common features of MA plans like $0 premiums and additional benefits (e.g. dental and vision coverage, gym memberships, etc.). Insurers can also use strategies such as targeted advertising to reach the patients most favorable to their profit margins."

A KFF investigation published last month found that television ads for Medicare Advantage "comprised more than 85% of all airings for the open enrollment period for 2023."

"TV ads for Medicare Advantage often showed images of a government-issued Medicare card or urged viewers to call a 'Medicare' hotline other than the official 1-800-Medicare hotline," KFF noted, a practice that has previously drawn scrutiny from the U.S. Senate and federal regulators.

PNHP's report comes days after Cigna, a major MA provider, agreed to pay $172 million to settle allegations that it submitted false patient diagnosis data to the federal government in an attempt to receive a larger payment.

Dr. Ed Weisbart, PNHP's national board secretary, toldThe Lever on Wednesday that such overpayments are "going directly into the profit lines of the Medicare Advantage companies without any additional health value."

"If seniors understood that the $165 coming out of their monthly Social Security checks was going essentially dollar for dollar into profiteering of Medicare Advantage, they would and should be angry about that," said Weisbart. "We think that we pay premiums to fund Medicare. The only reason we have to do that is because we're letting Medicare Advantage take that money from us."

[darkmaga-retard]

Wendell Potter

Aug 08, 2024

Over the past few days, both CVS/Aetna and Humana admitted to Wall Street that their Medicare Advantage plans are not nearly as profitable as those insurers had predicted a year ago. As a consequence, hundreds of thousands – and probably millions – of seniors and disabled people enrolled in Aetna’s and Humana’s plans may soon wish they had never heard of Medicare Advantage.

Aetna president Brian Kane probably wishes he had never heard of Medicare Advantage, either. The poor guy got canned in a very public way yesterday, presumably for overseeing the payment of too many Medicare Advantage claims during his short tenure at Aetna. His boss, CVS CEO Karen Lynch, said during the company’s second-quarter earnings call with investors and Wall Street financial analysts that Kane, who joined the company just last September, was leaving Aetna “immediately.”

As sorry as I am for Kane, I am much more concerned about the health and well-being of the 4.3 million people enrolled in CVS’s MA plans and the 6.2 million in Humana’s plans. Sadly, most will find they’re trapped in a circle of hell created by the insurance industry, unable to stay in their current Medicare Advantage plan but also unable to return to traditional Medicare because of what for them will be unaffordable Medicare supplemental policies (most of which are sold by the same big insurers that sell MA plans). Seniors have six months from the date they’re eligible for Medicare to buy a supplemental (Medigap) policy to cover out-of-pocket expenses. If they’ve been enrolled in an MA plan longer than six months, they’ll have to go through medical underwriting. That means that if they’re being treated for much of anything or, God forbid, have a “preexisting condition,” they’ll have to pay an arm and a leg for Medigap policy.

[legacy-protection]

More Than 500,000 Americans Set to Lose Their Medicare Advantage Plans

Over 500,000 Americans are set to lose their Medicare Advantage plans as major insurer Humana exits 13 markets. This impacts around 10% of Humana's Medicare Advantage members.

Humana is leaving these unprofitable markets. While this will result in plan losses for some, the company says the exits are positive, as the remaining plans will be priced to contribute positively.

Many insurers have been leaving Medicare Advantage markets after the Centers for Medicare & Medicaid Services lowered benchmark rates, reducing insurer profits. Humana and other companies also anticipate higher utilization of supplemental benefits in 2025, leading to further plan changes and benefit reductions.

Experts advise that with significant cuts looming, Medicare Advantage enrollees should reevaluate their options, including potentially transitioning to traditional Medicare with supplemental coverage.

Source: Newsweek: https://www.newsweek.com/more-500000-americans-set-lose-their-medicare-advantage-plans-1952164 #medicare #MedicareAdvantage #medicaresupplement #medicareforall #MedicareGuidance #insurance_solutions #insurancecoverage #insurancelife #insuranceagent #solutionsforyourlegacy #legacy #legacyprotection #LegacyBuilding #legacysolutions #Evonika #evonika♥️ღ♥️ #DrErikaSeaborn

[sihasah]

Humana Medigap Plan F: Comprehensive Coverage for Medicare Beneficiaries

Medicare is a vital healthcare program for millions of Americans aged 65 and older, as well as certain younger individuals with disabilities. While Medicare Parts A and B provide essential coverage for hospital and medical expenses, they don't cover everything. This is where Medigap plans, also known as Medicare Supplement Insurance, come into play. Medigap plans help fill the "gaps" in Original Medicare coverage, such as deductibles, copayments, and coinsurance. https://sihasah.com/humana-medigap-plan-f-comprehensive-coverage-for-medicare-beneficiaries/

[medicarealerts]

Individual & Family Health Insurance Plans In California

Medicare Supplement Plans in San Diego County, California

Medicare Supplement Plans, also known as Medigap, are essential for filling the gaps left by Original Medicare. In San Diego County, these plans can provide peace of mind and financial security by covering additional costs such as copayments, coinsurance, and deductibles. Whether you are new to Medicare or looking to switch plans, understanding your options in San Diego is crucial. 😊

Why Choose Medicare Supplement Plans?

Medicare Supplement Plans offer several benefits

Comprehensive Coverage: Medigap plans cover out-of-pocket expenses not covered by Original Medicare.

Freedom to Choose Providers: With Medigap, you can visit any doctor or hospital that accepts Medicare.

Guaranteed Renewability: Your Medigap policy is guaranteed renewable, even if you have health problems.

Top Medigap Providers in San Diego

When selecting a Medigap provider, it is essential to consider their reputation, customer service, and plan options. Here are some of the top providers in San Diego:

Aetna

Cigna

Humana

Blue Shield of California

UnitedHealthcare

These providers are known for their excellent customer service and comprehensive plan options. 🌟

Choosing the Right Plan

When choosing a Medicare Supplement Plan, consider the following factors:

Your Health Needs: Evaluate your current health status and any anticipated medical needs.

Budget: Compare premiums and out-of-pocket costs to find a plan that fits your budget.

Coverage: Ensure the plan covers the services and treatments you need.

Term Life Insurance in San Diego

In addition to Medigap plans, consider securing your financial future with Term Life Insurance. Top-rated companies in San Diego offer a variety of plans to meet your needs:

New York Life

Prudential

MetLife

Term Life Insurance provides coverage for a specific period, offering financial protection for your loved ones in case of unforeseen events. 💼

For more information and updates, follow us on our social media platforms:

Pinterest

Minds

X

Quora

Blogspot

Medium

Stay informed and make the best choices for your health and financial future! 🌟

[canadacscc]

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Where To Get Health Insurance In Idaho | Chris Antrim Insurance

Get To Know More Where You Can Buy Health Insurance With Idaho Health Insurance Companies | And What Coverage Available For Your Needs & Budget

Idaho is a state located in the western United States. It has an area of 1,852 square miles and a population of 2 million people. The capital city is Boise.

There are many different types of insurance companies that provide health care services to residents of this state. Some of these include:

Blue Cross/Blue Shield, Aetna, Humana, Kaiser Permanente, Health Net, Cigna, United Healthcare, Anthem, and more.

Idaho Department Of Insurance

Idaho's Department of Insurance regulates all health insurers doing business within its borders. This department also enforces laws regarding unfair trade practices by health insurers.

In addition, it works with other states' departments of insurance on issues affecting multiple states. Your Health Idaho provides consumers with information about their rights as well as how to file complaints against any insurer found guilty of violating consumer protection law. If you have questions or concerns about your current policy, contact them at 800-332-4453.

Your Health Idaho

The Affordable Care Act is an act of Congress that was signed into law by President Barack Obama in 2010. It requires most individuals and businesses, including those who are self-employed or work as small business owners, to have health insurance starting January 1, 2014. Blue Cross of Idaho provides health insurance, dental insurance, and Medicare advantage coverage to the residents of Idaho.

Blue Cross is a leading provider of individual and group health plans in the United States. We offer products for individuals, families, small businesses, large employers, Medicare Advantage members, Medicaid eligible beneficiaries, state government agencies, labor unions, self-funded and Medicare advantage coverage to the residents residents of of Idaho.

Idaho Health Insurance Options

Accident & critical illness insurance Idaho dental and vision plans. Dental care is important to everyone’s overall well being. It helps keep teeth healthy and strong so they last a lifetime. And it also keeps us smiling! Vision coverage provides protection against loss of sight due to accidents or diseases that affect our eyes.

Health Savings Accounts. A Health Savings Account, or HSA, is a type of savings account that is used only for healthcare costs. People who have a high-deductible health insurance plan (HDHP) can get it. The money in an HSA can be used to pay for out-of-pocket medical costs like deductibles, copays, medications, and other costs that are not covered by insurance. One of the best things about an HSA is that it can save you money on taxes. Contributions to an HSA are tax-deductible. This means that the more you put into the account, the less of your income you have to pay taxes on. Also, the money in an HSA grows tax-free, and you can take it out tax-free for qualified medical costs.

Dental Care Plans. Dental insurance plans are designed to help individuals and families pay for dental care expenses. These plans work similarly to health insurance plans, in that you pay a monthly premium in exchange for coverage of certain dental care services. Dental insurance plans typically cover a range of preventive and diagnostic services, such as regular checkups, cleanings, and X-rays. They may also cover basic and major restorative services, such as f illings, root canals, and crowns.

Medicare Plans. The Medicare program is a federal government sponsored plan designed to provide healthcare coverage to people over 65 years old who are eligible for Social Security retirement benefits. It also provides supplemental protection against catastrophic events such as hospitalization and nursing home care. The Medicare Advantage Plan option allows individuals to choose their own private health insurer instead of being assigned one through the traditional fee-for-service system. In addition, MAPs allow seniors to receive additional benefits like prescription drug discounts, free preventive screening.

Affordable Care Act (ACA) .  The federal law known as "Obamacare" is also sometimes referred to as ACA. It requires most Americans to get some form of health care coverage. The law was signed into effect on March 23rd 2010.

Individual Health Plans. These plans provide access to affordable healthcare through private insurers. You choose which plan best fits your needs and budget.

Short-term Coverage. If you are looking for a plan that is less than one year long, we have several choices to meet your needs. These include the following:

A. Individual Health Insurance Plans - IHIPs provide an alternative option for individuals who want more flexibility with their medical care but do not qualify for Medicaid or CHIPS benefits. The maximum length of time allowed under this program is 12 months.

B. Health Maintenance Organizations - With an HMO, you must choose a primary care physician and receive all medical care through that provider or a specialist within the HMO network.

Individual Special Enrollment Period: What Select Health Members Need to Know

If you are a member of Select Health for less than 12 months or have not been covered by an employer-sponsored plan within the last 60 days, then you may be eligible for Individual Special Enrollment. ISE allows individuals who meet certain eligibility requirements to enroll with us during open enrollment periods without having to wait until their next renewal period begins.

If you qualify for this benefit, we will contact you directly about your options. You can also find more information on how to apply here. With a plan powered by the most trusted name in health insurance, you'll have coverage tailored to your health. Your budget. Your life.

Healthy Living

Get healthy with our tips and tools for eating well, staying fit, managing stress, getting more sleep, and living happier.

Wellness Plans

Find out how we can help make sure you get all of the care you need at an affordable price.

Insurance Options

Learn about different types of insurance options available through HealthPartners including: PPO/HMO, POS, HSA, FSA, COBRA, and more!

Group Plans

Find out how group benefits can help make sure everyone has access to quality care at an affordable price.

Retiree Plans

Get answers on questions like: What is my retirement benefit? How do I qualify for retiree medical? And what are my options when it comes time to change providers?

Health Savings Accounts

If you’re eligible for one of these accounts, they may be right for you! Learn more here .

Medicare Plans

Find out more about what's covered under Medicare Advantage Plans offered through Regence BlueCross BlueShield of Idaho.

Regence Health Plan for Employer Groups

Learn more about group benefits available with Regence Blue Cross Blue Shield of Oregon. Group rates are based on enrollment size and may vary depending upon medical necessity criteria. Contact us today at 800-842-5200 to learn more.

*Offered only in certain markets. See provider for details.

Blue Cross of Idaho provides health insurance, dental insurance, and Medicare advantage coverage to the residents of Idaho.

INDIVIDUAL & FAMILY: Find plans that bring peace of mind to you and your family Discover the benefits you want with the affordable coverage you need.

MEDICAID & MEDICARE: Explore the right plan to cover your healthcare needs. Get quality care and attention that works for your employees and business needs. Contact Customer Service!

Idaho Health Insurance: 2022 Coverage Guide

If you live in Idaho and are shopping for an individual or family plan this year, do it right by comparing prices with Chris Antrim Insurance . There are a few steps you should take before you choose a plan, and we'll guide you through the process. Do remember that you may only enroll in a health plan during the open enrollment, which runs through August 15, 2021 and starts back up in November. Unless you are eligible for the Special Enrollment Period due to a qualifying event, you must enroll within these time frames.

When choosing a health insurance plan, there are several key considerations to keep in mind:

Coverage: What services and treatments are covered by the plan? Are there any exclusions or limitations?

Cost: What is the monthly premium for the plan? What is the deductible? Are there any coinsurance or copayment requirements?

Provider network: Does the plan have a network of preferred providers? Are you able to see providers outside of the network?

Prescription coverage: Does the plan cover prescription drugs? Are there any limitations or requirements for prescription coverage?

Customer service: What is the quality of customer service offered by the insurance company?

When Is Open Enrollment in Idaho?

November 1, 2021 - December 15, 2021. How to Get Health Insurance in Idaho Figuring out what ballpark your healthcare costs will fall into is a good place to start. You can estimate what your needs will be based on the previous year. Having this information will help you decide which type of coverage is right for you, and which level tier suits will be most economical. The biggest mistake people make is looking at the monthly cost alone.

What about the deductible? Or the copays and prescription drug costs? One thing you can do to ensure that you're paying the lowest price is to compare health insurance companies health insurance quotes . After you submit a form with Chris Antrim Insurance , you'll get several health insurance rates and an agent to help answer your questions about the plans you're considering.

What Types of Health Insurance Are Available in Idaho?

Health insurance is an important investment in your overall health and wellbeing. It can provide coverage for medical expenses, including doctor visits, hospital stays, prescription drugs, and more. However, with so many different health insurance options available, it can be difficult to know where to start.

HMOs, EPOs, PPOs and POS plans are most commonly purchased in Idaho. Most people buy silver tier coverage, which covers 70% of costs. However, you can buy a lower tier bronze plan, which covers 60% or a gold plan which covers 80% of all costs. A higher tier plan will cost more each month, but it'll cover more medical visits and procedures.

Does Health Insurance Cover Pre-existing Conditions?

A pre-existing condition is a health problem that existed before you applied for health insurance coverage. Some common examples of pre-existing conditions include diabetes, cancer, heart disease, and asthma. If you have a pre-existing condition, you may be wondering if health insurance will cover your medical expenses related to that condition. In this article, we'll explore the answer to that question.

The short answer is yes, health insurance does cover pre-existing conditions. However, there are some important things to keep in mind. Prior to the Affordable Care Act (ACA) in 2010, health insurance companies could deny coverage to individuals with pre-existing conditions or charge them significantly higher premiums. This meant that many people with pre-existing conditions were unable to access affordable health insurance.

Compare Health Insurance Plans in Idaho Do I Qualify for a Special Enrollment Period?

Common reasons people qualify for a special enrollment period:

Lost or quit a job. You may have also changed jobs but weren't offered health insurance or you may have started your own business.

Turned 26. If you were on your parents' health insurance plan but turned 26 it's time to buy your own plan.

Moved out of a coverage area. You may have had a health plan that was only valid in one state but you moved to another. Some health plans only cover certain regions of a state. When you become ineligible, you can buy a new plan.

Cobra coverage deadline. If you reached the end of your Cobra extension, you can buy a new health plan.

Divorce. If you were married but divorced your spouse and lost coverage, you can buy a new health plan.

Marriage. If you recently married, you can add your spouse to your plan (or vice versa) or start a new one altogether.

Birth or adoption of a child. You have a year to buy health insurance for that child, any time of the year.

Death of spouse or partner. If you shared health insurance with a spouse or partner but that person passed away, you can buy a new plan.

Spouse or partner loses coverage. If you shared health coverage with a spouse or partner who loses coverage for any qualifying reason, you are eligible to buy an individual plan or buy coverage with that spouse/partner again.

Is Health Insurance Required in Idaho?

No, unlike California, Massachusetts, New Jersey, Vermont, Rhode Island, and DC, Idaho does not impose a tax penalty for uninsured individuals. However, the majority of folks in Idaho have private insurance. Buying health insurance is necessary to avoid medical bankruptcy.

How Much Is Health Insurance in Idaho?

Health insurance is an important investment in your overall health and wellbeing, but it can also be a significant expense. If you live in Idaho and are looking for health insurance coverage for 2023, you may be wondering what the costs will be. In this article, we'll explore the cost of health insurance in Idaho for 2023 and what factors can impact those costs.

According to the Idaho Department of Insurance, premiums for individual health insurance plans in Idaho are expected to increase by an average of 3.3% for 2023 . This is a lower rate of increase compared to previous years, which is good news for Idaho residents looking for affordable coverage.

Thank Your For Visiting Our Website.

Originally published here: https://www.goidahoinsurance.com/companies-that-sells-health-insurance

[sueheaven]

Supplemental Health Insurance Market Unidentified Segments – The Biggest Opportunity Of 2023

Advance Market Analytics released a new market study on Global Supplemental Health Insurance Market Research report which presents a complete assessment of the Market and contains a future trend, current growth factors, attentive opinions, facts, and industry validated market data. The research study provides estimates for Global Supplemental Health Insurance Forecast till 2027*.

Supplemental health insurance is additional insurance that can cover some out-of-pocket expenses such as copayments, coinsurance, and deductibles that primary health insurance plans don’t pay. It is a type of health insurance policy sold by private insurance companies to complement Medicare policies. This insurance covers common gaps in medicare's standard insurance plans.  The factors such as the High Benefits of Supplemental Health Insurance and Increased Promotional Activities by Insurance Companies are driving the global supplemental health insurance market.

Key Players included in the Research Coverage of Supplemental Health Insurance Market are:

Aetna Inc. (United States)

Anthem, Inc. (United States)

Bankers Fidelity Life Insurance Company (United States)

Bupa (United Kingdom)

Chubb Limited (United States)

Cigna (United States)

DKV Luxembourg SA (Luxembourg)

Everest Re Group, Ltd. (Bermuda)

Humana Inc. (United States)

ManhattanLife (United States)

MetLife, Inc. (United States)

Mutual of Omaha (United States)

Nationwide Mutual Insurance Company (United States)

State Farm (United States)

Transamerica Corporation (United States)

United American Insurance Company (United States)

United HealthCare Service LLC (United States) What's Trending in Market: Increased Awareness among People about Health Insurance

Challenges: Less Awareness in Developing Countries

Opportunities: Growing Demand from End-users

Growth in the Insurance Sector

Increased Penetration of the Internet

Market Growth Drivers: High Benefits of Supplemental Health Insurance

Increased Promotional Activities by Insurance Companies

The Global Supplemental Health Insurance Market segments and Market Data Break Down by Type (Critical Illness Insurance, Dental insurance, Vision Insurance Plans, Accident Insurance, Cancer Policies, Hospital Insurance, Disability Insurance, Long-Term Care Insurance, Others), Distribution Channel (Agency, Brokers, Bancassurance, Digital & Direct Channels), Age Group (Minors, Adults, Senior Citizens) To comprehend Global Supplemental Health Insurance market dynamics in the world mainly, the worldwide Supplemental Health Insurance market is analyzed across major global regions. AMA also provides customized specific regional and country-level reports for the following areas. • North America: United States, Canada, and Mexico. • South & Central America: Argentina, Chile, Colombia and Brazil. • Middle East & Africa: Saudi Arabia, United Arab Emirates, Israel, Turkey, Egypt and South Africa. • Europe: United Kingdom, France, Italy, Germany, Spain, Belgium, Netherlands and Russia. • Asia-Pacific: India, China, Japan, South Korea, Indonesia, Malaysia, Singapore, and Australia. Presented By

AMA Research & Media LLP

[rpnewspaperblog]

Humana to exit Employer Group Commercial Medical Products business over next 18 to 24 months

Humana Inc. HUM, +0.04% said Thursday it has decided to exit the Employer Group Commercial Medical Products business, which includes fully insured, self-funded and Federal Employee Health Benefit medical plans and rewards programs. “The company remains committed to the long-term growth of its core Insurance lines of business, including Medicare Advantage, Group Medicare, Medicare Supplement,…

[medicaresharks]

Navigating Humana Medicare Supplement Plans: What You Need to Know

Introduction to Medicare Supplement Plans

Medicare Supplement plans, also known as Medigap plans, are private health insurance policies designed to fill the gaps in Original Medicare coverage (Part A and Part B). These plans are standardized across different insurance companies and offer various benefits to help Medicare beneficiaries manage out-of-pocket costs associated with healthcare services.

Understanding Humana Medicare Supplement Plans

Purpose and Benefits of Medigap Plans:

Medigap plans are designed to cover expenses such as copayments, coinsurance, and deductibles that are not fully paid by Medicare Part A and Part B.

Benefits are standardized across plan types labeled A through N, ensuring consistency in coverage options regardless of the insurance provider.

Coverage Options:

Each Medigap plan type offers a different combination of basic benefits, although Plans A and B are considered more basic and Plans C through N offer more comprehensive coverage.

Specific benefits may include coverage for Medicare Part A and Part B coinsurance, skilled nursing facility care coinsurance, and foreign travel emergency care.

Benefits of Humana Medicare Supplement Plans

Financial Predictability:

Medigap plans provide beneficiaries with predictable out-of-pocket costs, making it easier to budget for healthcare expenses.

Coverage for Medicare deductibles and coinsurance ensures that beneficiaries are not faced with unexpected medical bills.

Freedom to Choose Providers:

Unlike some Medicare Advantage plans, Medigap plans allow beneficiaries to choose any healthcare provider who accepts Medicare patients.

There are no network restrictions, providing flexibility in accessing specialized care and maintaining relationships with preferred doctors.

Coverage for Medicare Part B Excess Charges:

Some Medigap plans, such as Plan G, cover Medicare Part B excess charges that may occur when doctors charge more than the Medicare-approved amount.

Eligibility and Enrollment

Initial Enrollment Period (IEP):

The best time to enroll in a Medigap plan is during the six-month period that begins when a beneficiary turns 65 and is enrolled in Medicare Part B.

During this period, insurance companies are required to offer coverage without medical underwriting, meaning they cannot deny coverage or charge higher premiums due to pre-existing conditions.

Guaranteed Issue Rights:

Beneficiaries may qualify for a Guaranteed Issue Right (also known as Medigap protections) outside of their IEP, allowing them to enroll in a Medigap plan without medical underwriting.

Qualifying events include losing employer-sponsored coverage, moving out of a Medicare Advantage plan's service area, or other specific circumstances.

Choosing the Right Humana Medicare Supplement Plan

Assessing Healthcare Needs:

Evaluate current healthcare needs, including anticipated medical services, prescription medications, and frequency of doctor visits.

Consider potential future needs, such as planned surgeries or ongoing treatments, to ensure selected coverage meets long-term healthcare requirements.

Comparing Plan Options:

Use resources provided by Humana or consult with licensed insurance agents to compare Medigap plans available in your area.

Review plan details, including coverage benefits, premiums, and additional perks offered by the insurer, to determine which plan best fits your needs and budget.

Cost Considerations:

Compare monthly premiums for different Medigap plans, recognizing that higher premiums may provide more comprehensive coverage but may not always be necessary based on individual healthcare needs.

Factor in potential out-of-pocket costs, such as deductibles and coinsurance, to assess the overall affordability of each plan option.

Tips for Maximizing Benefits

Annual Review:

Regularly review your Medigap coverage during the Annual Enrollment Period (AEP) to ensure it continues to meet your healthcare needs.

Consider changes in health status or medication requirements that may necessitate adjustments to your coverage.

Understanding Plan Changes:

Stay informed about any changes to your Medigap plan's benefits, premiums, or provider networks that may affect your coverage and costs.

Utilize resources provided by Humana or Medicare to stay updated on plan updates and regulatory changes.

Utilizing Additional Benefits:

Take advantage of additional benefits offered by Humana, such as wellness programs, telehealth services, or prescription drug discounts, to enhance your overall healthcare experience.

Conclusion

Navigating Humana Medicare Supplement plans involves understanding the standardized benefits, coverage options, and enrollment considerations associated with Medigap policies. By evaluating individual healthcare needs, comparing plan options, and considering financial factors, beneficiaries can make informed decisions to optimize their Medicare coverage. Humana offers a range of Medigap plans designed to supplement Original Medicare and provide additional financial protection against out-of-pocket healthcare expenses. Regular review and proactive management of Medigap coverage ensure beneficiaries continue to receive comprehensive healthcare benefits that align with their evolving healthcare needs and preferences.

[snapthistiger]

exercise 10252023

bike ride to the gym

8 x 10 incline sit ups

5 x 10 pec machine

3 x 10 lat raise

30 minutes on the step mill

3 x 10 cable row

3 x 10 cable press

bike ride to Kroger, then home

the gym workers received Hershey kisses

more phone calls to my Mom's insurance. according to Humana, i have successfully disenrolled my Mom in her Medicare advantage plan with an end date of 12/31/2023. i called Medicare.gov folks and they told me my Mom's Medicare supplement plan is already crossed over and should take over on the 1st of January. will coordinate with my sister to select a part D plan for my Mom

met with the glass replacement guys at my Mom's house after lunch. they measured the broken window and will provide an estimate soon.

called home health service to confirm that they are doing blood draw for my Mom tomorrow in preparation for her doctor appointment on November 1

top left = flowers at my Mom's

bottom = Peanut yawning on the couch

working on Microsoft Cybersecurity course

weather continues very warm. 88F / feels like 95F

hope you have a peaceful afternoon and evening..

[kp777]

By Brandon Novick

Common Dreams Opinion

March 17, 2024

While the for-profit plans of Medicare Advantage are a convenient solution for insurance companies, the neither address the causes of high prices nor poor health outcomes.

This year, the majority of Americans eligible for Medicare coverage chose to enroll in private Medicare Advantage (MA) plans rather than Traditional Medicare. Insurance companies that run these MA plans spend significant sums of money to blanket seniors with marketing that highlights the supposed advantages of MA like low upfront costs, supplemental coverage, and other unique perks like subsidizing gym memberships. However, the ads leave seniors in the dark on the downsides of MA like heavily restricted networks that damage one’s choice of provider along with dangerous delays and denials of necessary care. At the same time, both the Biden Administration and many members of Congress from both parties have voiced support for the further privatization of Medicare through growing Medicare Advantage.

It's vital that we debunk several pervasive myths about MA that proponents and insurance giant owners push in their effort to continue privatizing Medicare at the expense of patients.

Myth #1: Medicare Advantage Is Medicare

The inclusion of the term Medicare in Medicare Advantage — otherwise known as Medicare Part C — is incredibly misleading, as the program is de facto government-subsidized private insurance.

Traditional Medicare is public insurance, where tax revenues are directly used to cover healthcare for seniors and some disabled people. It employs a fee-for-service (FFS) payment model, where the Centers for Medicare and Medicaid Services (CMS) directly pays for each covered service by a healthcare provider.

In contrast, MA consists of thousands of different plans mostly provided by health insurance giants like UnitedHealthcare and Humana. Seven large insurance companies accounted for 84% of MA plan enrollment in 2023. Rather than directly covering care as needed, the federal government pays lump sum Medicare dollars, known as capitated payments, to these private insurers for each patient. MA plans make money by spending as little as possible on patient care in order to keep as much of the leftover taxpayer money as possible.

In other words, MA is private insurance supported by government subsidies, and it is a form of managed care by health insurance companies. MA is not a government-managed public health insurance program like Traditional Medicare.

Myth #2: Medicare Advantage Saves Money

Medicare Advantage has never saved taxpayers money as a substitute for Traditional Medicare. In fact, according to the Medicare Payment Advisory Commission (MedPAC), taxpayers have spent more on financing MA than they would have if everyone was covered under Traditional Medicare.

In fact, Congress and CMS have been working to try to stop MA companies from gaming the system to steal taxpayer money. A 2023 study by the Physicians for a National Health Program (PNHP) estimates that CMS overpaid MA plans between $88-$140 billion in 2022 alone through various practices like pretending patients were sicker than they were along with targeting healthier, less costly seniors to enroll in their plans. Overpayments have also caused all Medicare beneficiaries to pay billions in higher Medicare Part B premiums.

Through taking taxpayer subsidies, MA has been significantly more profitable for insurance companies than the private plans offered to the rest of Americans. In 2021, MA companies had a gross profit margin of $1,730 per enrollee, which is more than double their profit margin on the individual market ($745). In 2023, Humana ended its entire commercial insurance business in order to entirely focus on government-funded programs like MA.

Some who claim MA saves money point to how MA spending is growing at a slower rate than Traditional Medicare. However, their point assumes that people enrolled in MA and Traditional Medicare share the same characteristics, which is false. MA targets and enrolls people who are healthier, less likely to use medical services, and, thus, less expensive to cover than those in Traditional Medicare.

Myth #3: Medicare Advantage Is Necessary To Save Beneficiaries Out-of-Pocket Spending

One of the primary appeals of Medicare Advantage is the idea that it saves beneficiaries money. However, this is highly dependent on how much care someone needs. The extent to which MA does save money for patients is not a natural result of its supposed superiority; it is due to intentional political sabotage and decision making.

Patients in both MA and Traditional Medicare have to pay a monthly premium for Medicare Part B ($174.40 in 2024). Then, Traditional Medicare covers 80% of costs for outpatient services. Beneficiaries are responsible for paying the remaining 20%, with no limit on out-of-pocket (OOP) payments. However, Traditional Medicare fully covers inpatient services such as hospitalization after a patient meets a deductible ($1,632 in 2024). For prescription drug coverage, Traditional Medicare beneficiaries pay a monthly premium for a Medicare Part D plan run by a private insurer ($40 average in 2023).

Traditional Medicare beneficiaries can purchase a supplemental Medigap insurance plan to cover most OOP spending (average monthly premium of $139 in 2023), which a plurality (41%) did in 2021. Eighty-nine percent of people in Traditional Medicare had some form of supplemental coverage in 2023, such as through Medicaid (19%) or their employer/union (31%).

In MA, premiums, coinsurance rates, and deductibles vary across the thousands of different plans. However, the average monthly premium is very low ($18.50 estimate for 2024), and many plans have $0 premiums. Additionally, CMS mandates that MA plans have an OOP spending limit. The average limit for in-network services was $4,835 in 2023; when accounting for both in- and out-of-network services, the average limit was $8,659. Ninety-seven percent of MA beneficiaries are in plans that incorporate drug coverage, and the average premium is $10 per month (73% of enrollees had no premiums for drug coverage).

For healthy individuals without need of expensive healthcare services and products, MA saves money due to its low premiums. However, while Traditional Medicare users with a Medigap plan spend more money upfront due to higher premiums, they can save thousands of dollars for expensive care that would reach their OOP limit if they were enrolled in MA.

However, many seniors simply cannot afford purchasing a Medigap plan, so they have little choice but to enroll in MA. In 2023, 52% of MA beneficiaries earned annual incomes around $25,000. Income limitations disproportionately lead Blacks (65%) and Latinos (69%) to choose MA compared to Whites (48%), as 78% and 81% of Black and Latino MA beneficiaries earn less than 200% of the federal poverty level, respectively.

Traditional Medicare beneficiaries without any form of supplemental coverage (11% of Traditional Medicare users in 2021) most certainly have to pay more for healthcare due to Part A deductible and the lack of any OOP cap. However, the lack of an OOP cap in Traditional Medicare is entirely a result of politics and can be changed. While CMS requires MA plans to have an OOP cap, policymakers have elected not to create one for Traditional Medicare. Congress could legislate a $5,000 OOP cap for Traditional Medicare; this would cost just $39 billion annually or just 28-44% of the overpayments made to MA plans in 2022.

Considering the fact that MA has never saved taxpayer money, the history of billions of dollars in overpayments to MA plans, and the fact that Congress could cost-efficiently lower costs for those in Traditional Medicare, it is a myth that MA is necessary to save patients money.

Myth #4: Medicare Advantage Improves Health Outcomes

Through incentivizing the use of preventative care, Medicare Advantage’s capitated payment model should supposedly increase the health of its beneficiaries. However, there is not sufficient evidence to prove this. Additionally, the sickest patients opt for Traditional Medicare and low reimbursement rates decrease the willingness of healthcares providers to accept MA patients.

The Kaiser Family Foundation (KFF) reviewed existing studies and found that there is not strong evidence of widespread significant differences in health outcomes between Americans enrolled in MA versus Traditional Medicare. MA plans push patients to more preventative care visits, and they also incentivize beneficiaries to take on healthy habits like getting and using a gym membership. In contrast, Traditional Medicare is more likely to send its beneficiaries to higher-rated cancer facilities, nursing facilities, and home health agencies. Issues with data quality and differences in the populations who choose MA versus Traditional Medicare also render direct comparisons between the two programs quite weak.

Incentivized to spend as little as possible, MA plans pay healthcare providers less than Traditional Medicare. As a result, an increasing number of doctors and providers are declining to accept MA patients, further restricting MA networks and access to care. Additionally, lower payments can prevent doctors from providing the best quality care. In comparison, around 99% of non-pediatric physicians accept Traditional Medicare.

Medicare Advantage is a great option for relatively healthy beneficiaries who do not expect to need intensive care for serious illnesses and injuries. Capitated payments do incentivize MA insurance companies to save money by investing in healthy, preventative care and programs. At the same time, the model also incentivizes MA plans to avoid covering the highest quality care for the people most in need.

To restrict care that beneficiaries would otherwise receive in Traditional Medicare, MA companies delay and deny care through prior authorizations (PAs) and payment denials. In 2021, patients and their providers had to file 35 million PA requests in order to receive medical care. MA companies denied 2 million of these requests. People only bothered to appeal 11% of the time; however, those that did had a 82% success rate. In 2022, 94% of physicians surveyed by the American Medical Association reported experiencing PAs which caused delays to necessary care; 56% reported this occurring always or often. Eighty percent reported that PAs caused the abandonment of recommended treatment, and 33% reported that they caused a serious adverse event for their patients.

There are many reasons for poor health outcomes in the United State: lack of healthcare access, high costs, low income, poor diet, and lack of exercise to name a few. The strategy of giving lump sums of money — mostly to insurance giants — and incentivizing them to spend as little as possible is not supported with evidence of improved health outcomes and does not directly tackle these greater issues.

Myth #5: Medicare Advantage Offers Benefits That Traditional Medicare Simply Cannot Match

A primary selling point of MA plans is that they offer supplemental benefits — mainly coverage for dental, vision, and hearing care — that Traditional Medicare does not provide. While this is true, it is misleading because it does not reveal the quality of this coverage.

While the vast majority of MA plans offer supplemental benefit coverage, there isn’t evidence that their beneficiaries actually utilize dental, hearing, and vision services much more than people enrolled in Traditional Medicare. In fact, there is some evidence to the contrary regarding dental care. This is because MA supplemental “coverage” does not protect patients from having to spend significant sums of money out of their own pockets.

Most MA plans have high coinsurance rates along with low annual caps on how much insurance will cover. So, MA coverage predominantly doesn’t help patients with expensive dental, hearing, or vision treatments. This prevents many seniors from being able to afford care even though they technically have coverage. Ultimately, MA plans constantly advertise that they offer supplemental coverage, but they leave Americans in the dark on how little financial help they will actually receive.

Additionally, taxpayers and Traditional Medicare beneficiaries are effectively subsidizing these additional benefits. Not only has MA never saved taxpayer money, it is further depleting the Medicare Trust Fund and raising Part B premiums for all Medicare beneficiaries. These higher premiums and taxpayer overpayments allow MA companies to market supplemental benefits along with the aforementioned low premiums which attract healthier and lower-income seniors.

Instead of enriching MA companies, Traditional Medicare could provide dental, hearing, and vision benefits for less than $42 billion in 2025, which is 30-48% of the overpayments taxpayers made to MA in 2022. Unlike in MA, this coverage would not be limited to restricted provider networks.

Myth #6: Medicare Advantage Is Necessary To Lower Healthcare Spending

Healthcare spending overall and Medicare spending specifically increase every year more than inflation. The United States spends more money per capita than any other country on healthcare. The average cost of healthcare per person in other wealthy nations is roughly half as much as the United States.

To lower Medicare spending, proponents of Medicare Advantage tout the benefits of “value-based” care compared to Traditional Medicare’s FFS model. Critics claim that FFS incentivizes wasteful spending and opportunities for doctors to become rich by billing Medicare for services unnecessary to patient health.

In contrast, “value-based” care involves CMS giving lump sums of money (capitated payments) to MA companies for each patient, supposedly incentivising efficient healthcare spending on preventative care. Through spending less and, ideally, keeping patients healthier, MA companies get to keep more money.

While there are case studies of mission-driven organizations succeeding with capitated payments, this does not hold true for the large, for-profit insurance giants that dominate MA. Rather, the major MA companies’ primary goal is to maximize profit. Therefore, they typically take as much taxpayer money as feasible by gaming the system while restricting care in order to spend less and keep as much as possible.

However, the entire premise that reducing healthcare usage with a more restrictive insurance policy is the best means to lower healthcare spending is baseless. The United States does not use healthcare services more than the other countries who spend far less, and the same is true for Medicare compared to similar foreign populations.

Then why is healthcare so expensive in the United States? Prices. Healthcare prices in the United States are significantly higher than other countries. This reality is a result of factors like market consolidation (lack of competition), patents, administrative waste, and more.

Rather than combat the large hospitals, pharmaceutical companies, private equity companies, insurance giants, and other powerful private interests who control armies of lobbyists and excesses of campaign cash, MA proponents provide a simple solution: make people get less care. This is a convenient solution which happens to also further enrich and get the blessing of dominant insurers like UnitedHealth Group.

All in All, Medicare Advantage Is a Scam

Congress created Medicare Advantage with the 2003 Medicare Prescription Drug Improvement and Modernization Act (MMA). After signing the bill into law, President George W. Bush boasted how MA would lower costs, expand benefits, afford seniors more choices, and improve quality of care. However, this supposed modernization of Medicare was really a scheme to privatize, gifting billions of dollars to insurance companies while seeking to end Traditional Medicare.

In reality, MA has never saved taxpayer money. Through gaming the system of capitated payments, MA insurance companies have reaped billions in overpayments — which have also increased the amount all Medicare beneficiaries pay in Part B premiums.

Through restricting care and taxpayer subsidies, MA plans do offer a lower cost alternative to Traditional Medicare, especially for beneficiaries who cannot afford a supplemental Medigap plan. Additionally, it can offer supplemental benefit coverage unavailable under Traditional Medicare, even if the quality of such coverage is poor and provides limited financial support. However, this reality is not because of its inherent design; it is a result of the political sabotage of Traditional Medicare. Congress can cap OOP expenses and provide supplemental coverage for Traditional Medicare with the same money it overpays to MA insurance giants lining their profit margins.

The only choices MA afforded seniors has been which private plan they want to choose. The program destroys beneficiaries’ choice of doctor due to restricted networks. Additionally, there is not sufficient evidence that MA significantly improves health outcomes while health providers are increasingly dropping MA plans due to low reimbursements, further limiting the number of providers MA patients can see. At the same time, current comparisons between MA and Traditional Medicare are unfair as long as policy makers refuse to fix the cost gaps in the latter.

Within both the Medicare and entire American populations, healthcare costs are rising at the same time as health outcomes are worsening, especially in comparison to peer nations. While MA is a convenient solution for insurance companies, it neither addresses the causes of high prices nor poor health outcomes.

MA proponents consistently point to the increasing share of beneficiaries who choose MA over Traditional Medicare as evidence of success. Along with millions of dollars spent on deceptive advertising by insurance companies, this is the consequence of policymaker’s failure to update Traditional Medicare.

It’s past time Medicare beneficiaries are given a real choice. Instead of overpaying insurance giants to the tune of hundreds of billions of dollars, Congress can cap OOP expenses at $5,000 annually and provide supplemental benefits in Traditional Medicare.

[medisupplements]

Medicare supplement insurance Supplemental insurance may also help fill the gaps the place Medicare would not cowl medical bills. Researching your choices is important to decide on the best-rated Medicare supplement insurance that meets your wants. This text supplies an outline of a number of the hottest and extremely rated plans obtainable and the way they'll profit you. What is Medicare Supplement Insurance? Supplemental insurance is extra protection that may allow you to pay for medical bills that Medicare would not cowl. These might embody copays, deductibles, and different out-of-pocket prices. Medicare supplement plans in Virginia and different states sometimes are available in one in all two sorts: Medigap or Medicare Benefit plans. Medigap Plans Medigap plans are standardized by the federal government and are offered by non-public insurance coverage corporations. They supply protection for companies that Medicare doesn't cowl, equivalent to coinsurance, copayments, and deductibles. These plans supply quite a lot of protection choices, so you'll be able to choose the one which greatest meets your wants. Medicare Benefit Plans Personal corporations additionally promote Medicare Benefit plans, however, they supply extra complete protection than Medigap plans. These plans often cowl extra companies, equivalent to dental and imaginative and prescient care, listening to aids, pharmaceuticals, and so forth. They could additionally supply extra advantages, equivalent to wellness packages or gymnasium memberships. Top Rated Supplemental Insurance for Medicare Relating to this insurance for Medicare, there are lots of choices obtainable. Nonetheless, particular plans stand out from the remainder due to their price, protection, and customer support. united health United Healthcare is likely one of the largest suppliers of Medicare insurance in the nation. They provide quite a lot of plans with complete protection and aggressive charges that let you tailor your plan to your wants. The corporate additionally supplies wonderful customer support, making it an important alternative for simple and dependable insurance. human Humana is one other main supplier and provides a variety of plans to satisfy your wants. Their plans are competitively priced and supply numerous protection choices tailor-made to totally different life. In addition, they have wonderful customer support with representatives who're educated and useful in selecting the right plan for your wants. Aetna Aetna is one other main supplier that gives a variety of plans to go well with totally different budgets and protection wants. Their plans are competitively priced and supply many choices that let you customize protection to suit your lifestyle. In addition, they present wonderful customer support, making it an important choice for these searching for a dependable and reasonably priced add-on plan. the Hartford Hartford is a well-known Medicare supplement insurance coverage supplier providing competitively priced plans with complete protection and wonderful customer support. In addition, they have useful representatives who may also help you choose the most effective plan for your wants. Finally, there are lots of nice Medicare supplement insurance choices. Every plan has its advantages and options, so it's important to analyze and discover the one which most accurately fits your wants. By evaluating plans and costs, you'll be able to ensure you're getting the protection you want at a reasonably priced worth. Best way to decide the most effective certified supplemental insurance for Medicare When deciding on supplemental insurance coverage for Medicare, it's important to analyze the obtainable choices and examine them. It will be useful should you additionally think of protection ranges, premiums, copays, deductibles, and out-of-pocket maximums. An effective way to get an outline of assorted plans is to make use of on-line instruments.

protection levels Most supplemental plans supply quite a lot of protection ranges, relying on how a lot you want and may afford. The upper the extent of protection, the costlier it's prone to be. cousins Premiums are the quantity you pay for your coverage every month. Earlier you enroll, it is important to think about whether or not you'll be able to afford the premiums for a specific plan. Copays and Deductibles Copays are the quantity you pay every time you employ a service, whereas deductibles are the quantity you will need to pay earlier than your insurance coverage kicks in. Out-of-pocket maximums Out-of-pocket maximums confer with probably the most cash you'll have to pay in a given 12 months. Some plans might have decreased out-of-pocket maximums than others, so it is necessary to check the choices obtainable. Ideas for selecting supplementary insurance Supplemental insurance coverage is important to guard yourself against the excessive prices related to Medicare. Once you enroll in Medicare, you might be solely liable for a few of your out-of-pocket medical bills. Supplemental coverage may also help fill these gaps in protection and supply extra monetary safety for future wants. The top-rated supplemental insurance coverage insurance policies for Medicare depend upon a particular person's wants. Some plans present extra complete protection than others, and it's possible you'll want to think about what forms of companies are coated below every coverage earlier than making a choice. It's important to read the supplemental insurance coverage plan particulars fastidiously earlier than enrolling, as not all coverages are created equal. Medicare Benefit (MA) plans usually present extra complete protection than a stand-alone supplement plan. You might also wish to think about the price of premiums and different expenses when selecting supplemental insurance coverage, as this will have an effect on your total prices. Lastly, it is important to do your analysis on potential suppliers and search for buyer evaluations or scores from unbiased sources earlier than signing up. Discovering the best-rated Medicare supplement insurance coverage coverage may also help you get the protection and safety you want. Finally, choosing the proper Medicare supplement insurance coverage coverage is a personal determination that requires cautious consideration of your particular wants and circumstances. It's important to read the small print of any plan fastidiously earlier than committing, as this will make an enormous distinction in your out-of-pocket prices and total satisfaction together with your protection. With correct analysis and understanding, you'll find the best-rated supplemental insurance coverage coverage for Medicare and luxuriate in peace of thoughts. Final Thoughts Selecting the best-rated Medicare supplement insurance coverage may also help you cowl medical bills that Medicare would not cowl. It is necessary to analyze and examine your choices earlier than signing up for any plan. Contemplate components equivalent to protection ranges, premiums, copays, deductibles, and out-of-pocket maximums to make sure you get the most effective worth on your cash. As soon as you have chosen a plan that meets your wants, you'll be able to get pleasure from peace of thoughts figuring out you may have the additional safety you want.