Talk of The Villages Florida

Talk of The Villages Florida (https://www.talkofthevillages.com/forums/)
-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Medicare Insurance Opinion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/medicare-insurance-opinion-154912/)

CentralNYer 05-30-2015 11:54 AM

Medicare Insurance Opinion
 
Any observations/opinions out there regarding "United American" Medicare Supplements plans ???? Plan F and/or Plan F with High Deductible specifically.:blahblahblah:

champion6 05-30-2015 01:58 PM

As far as I know, the terms of every Plan F are identical. Find the company that has the lowest premium.

I'm not sure if every Plan F with High Deductible is identical.

jojo 05-30-2015 05:38 PM

Plan N, which is similar to Plan F was recommended to us if you have no chronic or major health problems.

Miles42 07-17-2015 10:35 AM

I have a plan F no deductables and recently had rates raised to 419 a month from 2576.56 that is a huge increase with a BS explanation of increasing HC cost.

KayakerNC 07-17-2015 11:40 AM

Quote:

Originally Posted by Miles42 (Post 1088207)
I have a plan F no deductables and recently had rates raised to 419 a month from 2576.56 that is a huge increase with a BS explanation of increasing HC cost.

Wouldn't that be a lower rate?

gerryann 07-17-2015 11:58 AM

Quote:

Originally Posted by KayakerNC (Post 1088228)
Wouldn't that be a lower rate?

Re-read the post

CFrance 07-17-2015 12:01 PM

Quote:

Originally Posted by Miles42 (Post 1088207)
I have a plan F no deductables and recently had rates raised to 419 a month from 2576.56 that is a huge increase with a BS explanation of increasing HC cost.

Switch plans. My husband's Medigap plan F (Mutual of Omaha) went up every six months based on ageing, while mine went up very little. He switched to United Healthcare, and no problems with that BS since then.

CFrance 07-17-2015 12:04 PM

Quote:

Originally Posted by gerryann (Post 1088235)
Re-read the post

Re-read the post too! His post said his rate went from $419 to $2576+ change.

It was just a little joke on kayaker's part.

Chi-Town 07-17-2015 12:11 PM

Quote:

Originally Posted by Miles42 (Post 1088207)
I have a plan F no deductables and recently had rates raised to 419 a month from 2576.56 that is a huge increase with a BS explanation of increasing HC cost.

What did it go up from? If it's just for you $410 sounds high.

gerryann 07-17-2015 01:29 PM

Quote:

Originally Posted by CFrance (Post 1088241)
Re-read the post too! His post said his rate went from $419 to $2576+ change.

It was just a little joke on kayaker's part.

Guess I misunderstood.

gerrysherman 07-27-2015 10:01 AM

There's no such thing as a "United American" Medicare Plan F . . . . . there's only "Medicare Plan F". All plans are designed and regulated by the federal government - companies cannot offer anything else; so Plan F would be the same exact plan regardless of which company you choose as a provider. Also, the costs should be almost identical since there is a federally mandated loss ratio imposed on all insurance companies offering Medicare Supplements. In other words, pick the company based upon what you think of the agent and the company, not what you think of the plan - because Plan F is Plan F regardless of what company is the actual provider.

Having said that, the only plan you should consider is Plan F. It covers all the regular gaps plus covers extra charges when you have to go to a doctor that does not accept Medicare assignment. "Assignment" means that the doctor has an agreement with Medicare to accept whatever percentage of the actual bill they approve - so if the doctor bills $1,000 and Medicare approves $400 (a typical situation, by the way), Medicare will pay 80% of $400 and your med sup will pay 20% of $400 . . . . but a doctor who does not accept "assignment" from Medicare can then bill you directly for the remaining $600 that Medicare did not approve. Most doctor's do accept assignment but not all, especially the better specialists, so it's worth the difference in premium to cover this huge possible gap. Also, Plan F covers you for up to $50,000 for sickness or injury suffered while out of the United States (Medicare will not pay benefits for outside of the US medical events). So if you travel, it's an important feature of Plan F.

Only a few companies offer the high deductible Plan F. I don't think the premium savings are worth the much higher deductible but, of course, that depends upon your budget.

gerrysherman 07-27-2015 10:01 AM

There's no such thing as a "United American" Medicare Plan F . . . . . there's only "Medicare Plan F". All plans are designed and regulated by the federal government - companies cannot offer anything else; so Plan F would be the same exact plan regardless of which company you choose as a provider. Also, the costs should be almost identical since there is a federally mandated loss ratio imposed on all insurance companies offering Medicare Supplements. In other words, pick the company based upon what you think of the agent and the company, not what you think of the plan - because Plan F is Plan F regardless of what company is the actual provider.

Having said that, the only plan you should consider is Plan F. It covers all the regular gaps plus covers extra charges when you have to go to a doctor that does not accept Medicare assignment. "Assignment" means that the doctor has an agreement with Medicare to accept whatever percentage of the actual bill they approve - so if the doctor bills $1,000 and Medicare approves $400 (a typical situation, by the way), Medicare will pay 80% of $400 and your med sup will pay 20% of $400 . . . . but a doctor who does not accept "assignment" from Medicare can then bill you directly for the remaining $600 that Medicare did not approve. Most doctor's do accept assignment but not all, especially the better specialists, so it's worth the difference in premium to cover this huge possible gap. Also, Plan F covers you for up to $50,000 for sickness or injury suffered while out of the United States (Medicare will not pay benefits for outside of the US medical events). So if you travel, it's an important feature of Plan F.

Only a few companies offer the high deductible Plan F. I don't think the premium savings are worth the much higher deductible but, of course, that depends upon your budget.

Snowshoes 08-01-2015 06:18 PM

My husband has Plan F with US Healthcare with no problems whatsoever. I am also getting ready to sign up. Plan to go into US Healthcare office downtown SS with questions.

llaran 08-01-2015 06:39 PM

if you are talking about a Medigap plan , they are regulated by the government and all plans... i.e. ,A,B,C,D,E,F, etc are the same; as someone else has said. the monthly fee can be different depending on the company.

KayakerNC 08-01-2015 07:38 PM

Quote:

Originally Posted by llaran (Post 1094476)
if you are talking about a Medigap plan , they are regulated by the government and all plans... i.e. ,A,B,C,D,E,F, etc are the same; as someone else has said. the monthly fee can be different depending on the company.

They may be all the same, but....I would still go to the billing/insurance person at my primary physician and check on which plan works best with them. Prompt payments and no history of lots of denials are what I would look for in plan.


All times are GMT -5. The time now is 08:59 AM.

Powered by vBulletin® Version 3.8.11
Copyright ©2000 - 2025, vBulletin Solutions Inc.
Search Engine Optimisation provided by DragonByte SEO v2.0.32 (Pro) - vBulletin Mods & Addons Copyright © 2025 DragonByte Technologies Ltd.