Gold Coast Insurance Brokerage is the premier brokerage service of the Medicare supplement insurance plan, and we are committed to providing the best service to our Medicare supplemental insurance policy holders.
We offer the Medicare supplemental insurance, also known as Medigap insurance, both for healthy individuals and for those with pre- existing health conditions. Medicare supplements are offered in twelve standardized plans.
Our job is to present to the client the insurer that has the lowest price in each of the fifty states. That is our job and we do that job well. As well, we are pleased to be participating in the market. The Medicare Advantage policy is a low cost alternative to a Medicare supplement and is especially advantageous for those less than 65 years old.
The Private Fee For Service (PFFS) is a type of Advantage plan that allows Medicare recipient to visit any doctor, any hospital, anywhere. Therefore, many Medicare recipients are well served by the lower cost Private Fee For Service plan.
In addition, most Medicare supplemental insurance companies that we represent include the benefit of a prescription discount card with their policies. Medicare recipients in the eligibility period may prefer a If you are a Medicare recipient or will be soon, please contact us.
Our promise to you is that we will present to you the Medicare supplement insurance company that offers the lowest rates in your area. We do business in all 50 states and the District of Columbia.
There are twelve standard Medicare supplement insurance plans that help pay some of your costs in the original Medicare plan and for some care it doesn't cover. (If you are in a Medicare HMO or Advantage plan you don't need a Medicare supplement insurance plan.)
Each one of the standard Medicare Supplement insurance plans, labeled A through L, offers a different set of benefits, fills different "gaps" in Medicare coverage, and varies in price. Some insurance companies offer a "high deductible option" on Medicare supplement insurance Plans F, J, K and L.
All Medicare supplement insurance Plans must cover certain basic benefits. (Plans K and L are recent additions and very few supplemental Medicare insurers are offering those plans). Our advantage happens to be our medicare.
Basic BenefitsCovered by Medicare Supplement Insurance Plans A-J
Medicare Part A Hospital Deductible•
$1,024 in 2008 for each benefit period for hospital servicesCovered by Medicare Supplement Insurance Plans B-J
Skilled Nursing Home Costs•
Your cost ($128 in 2008) for days 21-100 in a skilled nursing homeCovered by Medicare Supplement Insurance Plans D-J
Medicare Part B Deductible•
Yearly deductible for doctor services ($135 in 2008)Covered by Medicare Supplement Insurance Plans C, F, J
Medicare Part B Excess Charges•
The difference between your doctor's charge and the Medicare approved amount, if your doctor does not accept assignment.Covered by Medicare Supplement Insurance PlansMedicare Supplement F (100%), G (80%), I (100%), J (%100)
Foreign Travel Emergency•
80% of the cost of emergency care outside the U.S. • Up to $50,000 in your lifetime • You pay a yearly deductible of $250 Covered by Medicare Supplemental Insurance Plans C-J
At-Home Recovery•
Help for activities of daily living, such as bathing and dressing, if you are already receiving skilled home care covered by Medicare.•
Help for up to eight weeks after you no longer need skilled care • Will pay up to $40 per visit, seven visits per week, to a total of $1,900 per year Covered by Medicare Supplement Insurance Plans D, G, I, J
Preventive Care• Up to $120 per year for preventive services ordered by your doctorCovered by Medicare Supplement Insurance Plans E, J
Prescription Drugs (Basic)•
50% of prescription drug costs up to $1,250 each year after a yearly deductible of $250. (for plans sold before 2005). Covered by Medicare Supplemental Insurance Plans H, I
Prescription Drugs (Extended Coverage)•
50% of prescription drug costs up to $3,000 each year after a yearly deductible of $250. (for plans sold before 2005). Covered by Medicare Supplement Insurance Plan J
If you choose the "high deductible option" on and J, you will first have to pay a $1,900 deductible in 2008 before the plan pays anything.
This amount can go up every year. High deductible option policies often cost less, but if you get sick, your costs will be higher.
In addition to the A-L standard , Medicare SELECT is a type of Medicare supplemental plan that can cost less than standard Medicare insurance plans. However, you can only go to certain doctors and hospitals for your care.
Check with your state insurance department to find out if Medicare SELECT plans are available in your state.Plans K and L provide for different cost-sharing for items and services than Plans A through J. Once you reach the annual limit ($4,440 for Plans K and $2,220 for Plan L), the plans pays 100% of the Medicare co-payments, coinsurance, and deductibles for the rest of the calendar year.
The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called "Excess Charges." You will be responsible for paying excess charges. the out-of-pocket annual limit will increase each year for inflation.
Thursday, July 10, 2008
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2 comments:
I'd read your blog, very uselful and informative. Thank you for sharing. Medical insurance coverage
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