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News From The Health Insurance Store

question

I got a Medicare Advantage HMO when I turned 65 last September. I didn't realize until I read your column last week that I couldn't go on a Supplement down the road because the preexisting condition I have. I am very upset that wasn't explained to me when I originally applied. Is there anything I can do?

answer

Yes. There is. But time is of the essence. Because you have had your Advantage Plan for less than 12 months, you can, one time, go back to a Supplement without answering medical questions. Per Federal Regulation, Supplement companies have to accept you regardless of current or past health issues if you have had an Advantage Plan for less than a year
and it was your first time on one of these HMO's or PPO's.

Read more ...

question

The following came up in an ongoing email conversation between myself and a gentleman who was inquiring about moving from his PPO Advantage plan, with a premium of $80 per month, to a true Medicare Supplement and Part D prescription plan at a cost of $150. After giving him a quote for a male his age, 75, Richard asked me...

Why would I want to change to a Supplement if it's almost double what I am paying now?

answer

My first response was, "I understand it's more expensive. And the best insurance in the world isn't worth a nickel if you can't afford it."

I went on to explain when taking into consideration what he may pay for medical services, in addition to Advantage Plan HMO or PPO premiums, a Supplement could be a much better value. Let's take a look.

Read more ...

The following came up in an ongoing email conversation between myself and a gentleman who was inquiring about moving from his PPO Advantage plan,with a premium of $80 per month, to a true Medicare Supplement and Part D prescription plan at a cost of $150.

question

After giving him a quote for a male his age, 75, Richard asked me "Why would I want to change to a Supplement if it's almost double what I am paying now?"

answer

My first response was, "I understand it's more expensive. And the best insurance in the world isn't worth a nickel if you can't afford it." I went on to explain when taking into consideration what he may pay for medical services, in addition to Advantage Plan HMO or PPO premiums, a Supplement could be a much better value. Let's take a look. In his plan, Richard has an inpatient hospital co-pay of 2501 day, up to six days. So, if he were to have one six-day or longer hospitalization, his responsibility would be $1,500.

Read more ...

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Erie County Area

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Erie, PA 16501
Phone: 814-920-5275
Fax: 814-920-5276

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Connellsville, PA. 15425
Phone: 724-603-3403
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We proudly serve the health insurance and Medicare needs of the following Pennsylvania areas:  Connellsville, Uniontown, Greensburg, Mt. Pleasant, Scottdale, Irwin, N. Huntingdon, Murrysville, Monroeville, Plum, Lower Burrell, New Kensington, Pittsburgh, Plum, Oakmont, Penn Hills, Forest Hills, Wilkinsburg, East Liberty, Lawrenceville, Bloomfield, Natrona Heights, Leechburg, Washington, Morgantown WV, Latrobe, Monnessen, Jeanette, Erie, Edinboro, Northeast, Girard, Fairview, Union City, Harborcreek, Corey, Meadville, Waterford,  Ligonier, Kittaning, Somerset, Waynesburg, Fayette County, Westmoreland County, Armstrong County, Butler County, Somerset County, Erie County, Crawford County, Venango County, Allegheny Valley, Pennsylvania

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