Tag Archives: Original Medicare

What Are Medicare HMO Plans?

Medicare itself is not an HMO or PPO or any other type of network. Original Medicare which is now how Medicare is typically referred to is either accepted or not by a doctor. By accepting Medicare the doctor is agreeing to accept what Medicare pays for a certain procedure/visit. The doctor also can agree to accept Medicare Assignment or not which is a whole different topic.

What Are Medicare HMO Plans?

Medicare HMO plans are going to be Medicare Advantage Plans or Medicare Part C plans. These plans are completely different than Original Medicare. When you join a Medicare HMO plan you do have to be aware of the network of physicians and facilities that the HMO plan is contracted with. If you see a provider outside of the HMO network, the HMO insurance will not pay the bill. With Medicare HMO plans you must remain in the network at all times with the exception of emergency and urgent care when traveling. Medicare HMO plans also require a referral in most cases to see a specialist. There are a few exceptions to this rule, but not many. Finally, these plans also usually require authorizations for most procedures and expensive name brand drugs. On the positive side, you will find that you will typically save money on premium and co-pays when you are in a Medicare HMO plan which is why many Medicare beneficiaries find them so attractive.

Is a Medicare HMO Plan Right For You

Everyone has different needs and wants when it comes to health coverage. The first thing you must look at is how attached you are to your doctor. If you have a primary care doctor that you will absolutely not leave then you have to make sure that doctor is in the HMO’s network. If you see several specialist the same thing applies. Also, consider how willing you are to deal with the HMO requiring the referral and the authorizations. Take into consideration that most specialist are going to require the referral even if the insurance does not.

And finally, consider the cost. Many times the HMO is going to be considerably cheaper for the more expensive procedures. Hospital stays, MRI’s, and outpatient surgery are some typical areas where you can save substantially with an HMO. Also, know that not all HMO’s are created equally. Some HMO’s offer better networks than others as well as making faster payments to the doctors. Some examples of companies offering HMO’s are Humana, United Healthcare, Wellcare, and Healthspring.

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Medicare Supplemental Plans – Some Reasons Why You Need It

Most seniors that are just becoming recipients of Original Medicare do not realize the importance of supplemental Medicare plans for 2012. Even for those in perfect health, you never know the need for extensive surgery, or the need for a visit to the emergency room plus some lab work might leave you in tons of debt. As can be predicted, for those with an exiting medical problem like arthritis, cancer, diabetes, or high blood levels, not having a medicare supplement plan will end up costing your way more then any premium that you would have paid.

Medigap Insurance and Your Health Risks

Irrespective of how you choose to perceive things, a long life will cost your body. This consists of developing a much higher risk of tumors, cancer, stroke, and a ton of other major medical problems. Medicare only handles about 80 percent of a seniors total health care bill and for some even more, covering those costs can be impossible if one doesn’t have the ideal amount of supplemental coverage. In fact, for those seniors that are already suffering from a pre-existing condition, or have some sort of medical problem that runs in the family, getting a Medicare plan is the right choice if if you may not need it right away as it will give you financial security.

Protecting Your Financial Assets with a Medicare Supplement Plan

Most senior citizens know the benefits that come along with becoming a recipient of Original Medicare, but so many just do not bother with shopping for medicare supplemental plans. For a minute think about a scenario in which you have just retired, and have now got Medicare opposed to the insurance coverage that was provided by your employer. You must remember a time having surgery and only having to pay off your yearly deductible. However, with just Medicare insurance, you will have to shell out much more. For just a couple of x-rays and some minor surgery after a fall, you can end up paying over $3,000 for the entire bill.

Should you have not satisfied your annual Part B deductible, you will have to pay about $907.00 for a visit to the hospital. As you can imagine, for those who get diagnosed with a major medical problem like cancer or diabetes, chances are that you are going to accumulate thousands of dollars in medicals bills over a couple of weeks. Your life savings can disappear over night if you don’t have much in savings, you can purchase medicare supplemental insurance to avoid such catastrophes.

Nowadays, seniors still look forward to getting Original Medicare as it is still an okay safety net for those rough times. Although it does cover the health care needs for many seniors, that 20 percent which the recipient is expected to cover does add up fast and can get real hard to cover. If those deductibles and co-pays worry you, then you you have an obligation to yourself to get a Medigap insurance plan in order to preserve your finances and future along with being able to choose which doctors you want to see and having control of the quality of your coverage.

Shopping for insurance to medicare supplemental plans can be difficult as their are so many different companies and medicare plans to choose from. With the expert advice and online quote engine at mostmedicare.com you can easily know and understand all your options. It is essential to do research on everything and compare insurers in your area to see which one offers the most competitive rates on the Medigap insurance that you want.