Welcome to Medigap Provider's
Medicare Supplement Plans Texas
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Studies show that as much as 75% of Medicare Supplement policy holders are likely paying more than they need to - sometimes as much as $1500-2000 per year more than necessary. Please don't let this happen to you and let us help!
Our goal is simple: To provide you, the client, with the most worry free and efficient way to find a Medicare Supplement plan that fits your exact needs and affordability.
We do the shopping for you- Since we are an independent insurance agency we represent almost all insurance companies in the Medicare Supplement market, this ensure's we can find the lowest Medicare Supplement Quotes available. Come speak with us and get the lowest rates on Medicare Supplement Insurance Plans. Let us educate you and do all the shopping for you with a peace of mind! Our professional team will help you find the lowest Medigap Quotes and offer complete assistance with Medigap Enrollment. We are the Medigap Experts!
Are you turning 65 and need a Medigap Plan?
There are 4 steps to buying a medicare supplement:
STEP 1: Decide which benefits you want, and then decide which of the Medigap Plans A through N meet your needs. Our agency guides you in the correct direction.
STEP 2: Find out which insurance companies sell Medigap policies in your state. Our agency shows you a comparison and the rates of each company.
STEP 3: Call the insurance companies that sell the Medigap policies you’re interested in and compare costs. Our agency already did this for you.
STEP 4: Buy the Medigap policy. Our agency makes it easy and simple for this to happen.
Step 5: Receive the policy information and have a peace of mind!
Why would I want to switch to a different Medigap policy?
Some reasons for switching may include the following:
- You’re paying for benefits you don’t need.
- You need more benefits than you needed before.
- Your current Medigap policy has the right benefits, but you want to change your insurance company.
- Your current Medigap policy has the right benefits, but you want to find a policy that is less expensive.
What is the difference between Medicare Advantage and Medigap?
A Medigap Policy is a Medicare Supplement insurance plan. A Medicare Advantage plan is a Medicare Part C plan. They are two different coverage's.
What is a Medicare Advantage plan?
A Medicare Advantage plan is a Medicare insurance plan that replaces and in most cases enhances Medicare Part A and Medicare Part B. It combines the benefits of both parts and in most cases adds a few extra benefits. Prescription drug coverage may be included in a Medicare Advantage Plan. In some cases there is extended hospitalization. Medicare Part C or a Medicare Advantage Plan requires the individual to pay a monthly premium. Medicare Advantage is normally for the healthier clients that have no health issues and very rarely go to the hospital. Alot of clients don't think about the a few years down the road and realize that they will have to go to the doctors more. In most cases a Medicare Advantage plan has a network of Doctors/Hospitals as well where a standard Medicare Supplement plan does not.
What is a Medigap plan?
A Medigap Plan is also known as Medicare Supplemental Insurance. The Medigap Plan is not designed to replace any Parts of Medicare. The Medigap Plan is designed to cover expenses in whole or in part where Medicare leaves off. The benefit of a Medigap Plan is that it will help offset the out of pocket expenses that Medicare does not cover. In some cases there may be an overlap in some of the benefits of a Medicare Advantage Plan and a Medigap Plan.
Please let us see exactly what your personal situation is and we will guide you in the direction we feel fit. Please see below chart comparison.
What is Medigap (Medicare Supplement) Insurance?
A Medigap (also called “Medicare Supplement Insurance”) policy is private health insurance that is designed to supplement Original Medicare. This means it helps pay some of the health care costs (“gaps”) that Original Medicare doesn't cover (like copayments, coinsurance, and deductibles). If you are in Original Medicare and you have a Medigap policy, Medicare will pay its share of the Medicare-approved amounts for covered health care costs. Then your Medigap policy pays its share. (Note: Medicare doesn't pay any of the costs for you to get a Medigap policy.)
Also, a Medigap policy is different than a Medicare Advantage Plan (like an HMO or PPO) because those plans are ways to get Medicare benefits, while a Medigap policy only supplements your Medicare benefits. Every Medigap policy must follow Federal and state laws designed to protect you and the policy must be clearly identified as “Medicare Supplement Insurance.” Medigap insurance companies in most states can only sell you a “standardized” Medigap policy identified by letters A through N.
Each standardized Medigap policy must offer the same basic benefits, no matter which insurance company sells it. Cost is usually the only difference between Medigap policies with the same letter sold by different insurance companies. In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized in a different way.
Are you New to Medicare?
When you're just getting on Medicare you have a lot of rights & privileges that make it fairly easy for you to ensure you get the best deal on your Medicare supplement. You are in a guaranteed issue situation which allows you to go with whatever plan and with whatever insurance company is going to give you the best deal.
You will first have to make a fundamental decision on how to receive your Medicare benefits. You can get them through Original Medicare or you can choose one of the privatized Medicare Advantage plans.
Original Medicare allows you to see a greater number of doctors and medical facilities and is pretty black and white about what they will cover and what they won't for Medicare supplements.
Medicare Advantage plans typically have a more restrictive physicians and medical facilities network and, although they have outlines of coverage, it has been proven that they will sometimes make decisions on medical bills based on whether they feel a particular treatment was necessary. Medicare Advantage can also include some "bells & whistles" including your Part D drug plan and sometimes dental, vision, or even gym memberships.
So you may want to look at Medicare supplements at being easier to use in that you have a much wider choice of doctors and medical facilities and typically are not surprised by Medicare's claim decisions. You can look at Medicare Advantage plans at being lower cost plans that can provide additional benefits above and beyond what Original Medicare will provide but that have a smaller doctor's network that is frequently changing and that may surprise you with medical claims denials due to the insurance company's decision that a particular procedure or treatment was deemed unnecessary.
If you decide to stick with Original Medicare you will still need to get a Medicare supplement policy and a Part D drug plan. This is where we step in and help!
Medicare supplements are standardized with plan letter designations from A-L. However, typically only 3-4 of these plans will make most sense for most people. For instance, plan F is currently the most popular plan on the market. This is probably because plan F covers all of the deductible, coinsurance, co-pay, and excess charge gaps in Medicare. The great thing about the standardization of these plans is that once you decide which plan you want to go with you can then price shop pretty comfortably. The standardization of these Medicare supplement plans includes:
- Benefits - a plan letter F from one Medicare supplement insurance company will work identically to a plan F from any other Medicare supplement insurance company in regards to what it will cover.
- Claims processing - claims will be processed electronically from all companies. This is mandatory per Medicare. So, you don't have to worry if it's easier to work with one company's coverage versus another.
- Claims decisions - the Medicare supplement insurance companies cannot make decisions on claims. Medicare makes the decision on whether a claim. So, unlike under 65 health insurance coverage you don't have to worry about how one company handles claims versus another.
- Doctor's Network - any doctor that takes Medicare will take any company's Medicare supplement insurance. So, you don't have to worry about whether one Medicare supplement insurance company allows you to see more doctors or would be better received by doctor's than another.
So, once you figure out all of the above information it's time to shop. You can take a couple of different approaches here. You can do all the research yourself on which companies offer which plans and then call each company and get their pricing. If you're analytical and have some time on your hands you can look at this as a challenge. You can also apply directly with a lot of these insurance companies and never have to talk with an agent. What's the downside to this? There really is only a couple of areas that might hurt you if you decide not to work with an agent:
1.There may have been a company or a few you didn't contact that had better rates for the plan you decided to go with. We work with all the major providers and can let you know within a 5-10 minutes conversation which companies will offer the best deals. Also, if you are not in a guaranteed issue situation, we can help you understand which company would be best for your medical history to try to avoid a decline for coverage.
2.If your rate increases we can help you re-evaluate your coverage to determine if another company might provide a better rate. This can help you save hundreds or thousands of dollars over your lifetime.
Do you have a Medicare Supplement but your
shopping for a better rate?
We have found that many Medicare supplement insurance agents will sell a Medicare supplement to a client and not check back with them annually to re-evaluate options. Over the years the client forgets who their Medicare supplement agent was and they start researching other plans after their rates go up. (This is where we step in)
We can help you look at other Medicare supplement insurance companies that can provide the same plan you currently have and help you find the best rate available to you. We will most likely have to answer the medical questions and qualify for coverage. We can help you understand which companies would be most likely to cover you based on any medical conditions and we can find you the right plan.
Occasionally we run across situations in which the Medicare recipient is in the best plan available to them. This is mainly because the client has a health condition that would exclude them from switching to another company, or at least another company that would offer a lower price with the same benefits.
When we switch our clients plans this is normally what occurs:
1.They're going to pay less for their plan
2.They're going to pay it to another Medicare supplement insurance company
3.They will have a different Medicare supplement insurance company's logo on their card
Other than the above they:
- Can continue to see the same doctors
- Claims will continue to be paid electronically
- Medicare will still make the claims decisions - not the Medicare supplement insurance company
Switching to another company is a pretty easy process and the application typically only takes about 15 minutes to complete and we can do most of it for you over the phone.
There's really nothing to lose by switching if you can save some money and get the exact same benefits you had before!
Do you want off of Medicare Advantage and back to original
Medicare & a Medigap (Medicare Supplement) policy?
We can most likely do this for you, there are some things that come into play when we do this though.
We need to know:
- How long you have been on the plan?- Is your Medicare Advantage Plan not coming back into the market/county the following year?- What kind of health issues or medication are you taking?
And we may have a couple more questions, please let the experts help you LEARN, COMPARE
& SAVE- TODAY!!
Are you on Medicare A & B Only for More than 6 Months and
now want a Medigap (Medicare Supplement) policy?
Unfortunately you may have to go through medical underwriting at this point to qualify for a Medigap Policy. The best ways to make sure of this is to contact us or fill out the quote form and let us do the due diligence and find out for you. Even though this is rare it does happen sometimes.
Is your Medicare Advantage plan dropping you?
If your Medicare Advantage plan drops out of your specific geographic area, you can join any other Medicare Advantage plan operating where you live (if it's accepting any new enrollees) from October 1 to December 31 (changes year to year). Or you can rejoin traditional Medicare Part A and Medicare Part B instead. If you do return to traditional Medicare, you're also guaranteed the right to buy a Medigap supplemental insurance policy for a short period of time. Please act now so you make sure you don't miss out on this.
When is the best time to buy a Medigap
(Medicare Supplement) policy?
The best time to buy a Medigap policy is during your Medigap open enrollment period. This period lasts for 6 months and begins on the first day of the month in which you are both 65 or older and enrolled in Medicare Part B. Some states have additional open enrollment periods including those for people under 65. During this period, an insurance company can’t use medical underwriting. This means the insurance company can’t do any of the following:
- Refuse to sell you any Medigap policy it sells
- Make you wait for coverage to start
IMPORTANT: You can send in your application for a Medigap policy before your Medigap open enrollment period starts. This may be important if you currently have coverage that will end when you turn 65. This will allow you to have continuous coverage.
What do I need to know if I want to buy a Medigap
(Medicare Supplement) policy?
- You must have Medicare Part A and Part B to buy a Medigap policy.
- Plans E, H, I, and J will no longer be for sale after May 31, 2010.
- Effective June 1, 2010, there will be two new Medigap Plans offered€”Plans M and N. In addition, benefits for Plans A, B, C, D, F, and G will change.
- You pay the private insurance company a monthly premium for your Medigap policy in addition to the monthly Part B premium that you pay to Medicare.
- A Medigap policy only covers one person. If you and your spouse both want Medigap coverage, you each will have to buy separate Medigap policies.
- You can buy a Medigap policy from any insurance company that’s licensed in your state to sell one.
- If you want to drop your Medigap policy, contact your insurance company to cancel the policy.
- Any standardized Medigap policy is guaranteed renewable even if you have health problems. This means the insurance company can’t cancel your Medigap policy as long as you pay the premium.
- Although some Medigap policies sold in the past cover prescription drugs, Medigap policies sold after January 1, 2006, aren’t allowed to include prescription drug coverage.
- If you want prescription drug coverage, you can join a Medicare Prescription Drug Plan (Part D) offered by private companies approved by Medicare.
Would you be interested in saving an additional
10-35% on Medigap?
You can do this by something called Medicare Select. Medicare SELECT is a type of Medigap policy sold in most states that requires you to use a local hospitals and, in some cases, doctors within its network to be eligible for full insurance benefits (except in an emergency). Medicare Select can be any of the standardized Medigap Plans A through N. Medicare Select plans generally cost less and take less frequent rate increases than other Medigap plans. However, if you don’t use a Medicare Select hospital or doctor for non-emergency services, you’ll have to pay some or all of what Medicare doesn’t pay. Medicare will pay its share of approved charges no matter which hospital or doctor you choose. Please let us tell you more about this plan and how it may be able to save you more money.
Do we offer Part D (Prescription Drugs) to our clients?
Yes we do! And not only will be research the cheapest and best medicare supplement rate we will also to the searching for your prescription drug plan as well.
What is Medicare?
Medicare is health insurance for people 65 or older, under 65 with certain disabilities, and any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant). Original Medicare covers many health care services and supplies, but there are many costs (“gaps”) it doesn’t cover.
The different parts of Medicare help cover specific services if you meet certain conditions. Medicare has the following parts:
Medicare Part A (Hospital Insurance)
- Helps cover inpatient care in hospitals
- Helps cover skilled nursing facility, hospice, and home health care
Medicare Part B (Medical Insurance)
- Helps cover doctors’ services and outpatient care
- Helps cover some preventive services to help maintain your health and to keep certain illnesses from getting worse
Medicare Part C (Medicare Advantage Plans) (like an HMO or PPO)
- A health coverage option run by private companies approved by and under contract with Medicare
- Includes Part A, Part B, and usually other coverage like prescription drugs
Medicare Part D (Medicare Prescription Drug Coverage)
- A prescription drug option run by private insurance companies approved by and under contract with Medicare
- Helps cover the cost of prescription drugs
- May help lower your prescription drug costs and help protect against higher costs in the future
What Medigap (Medicare Supplement) policies don’t cover?
Medigap policies don’t cover long-term care (like care in a nursing home), vision or dental care, hearing aids, eyeglasses, and private-duty nursing.
This website and all the information contained in it are for general informational purposes only. Nothing contained herein is representative of any specific insurance company or policy. Requests made on this site are for the services of a licensed agent to assist in locating the best product for the client. Not connected with or endorsed by the United States Government or the federal Medicare Program.
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