Medicare Supplement Plan N - changes?

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  • čas přidán 28. 06. 2024
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Komentáře • 207

  • @mrswilbert
    @mrswilbert Před 6 měsíci +30

    Too many plans. Absolutely ludicrous!

    • @judiashley5818
      @judiashley5818 Před 4 měsíci +3

      It is so depressing needing all these plans and still working and paying into it. No dental and vision either

    • @DickNasty480
      @DickNasty480 Před 3 měsíci

      @@judiashley5818 If you have a MEd Sup and your ophthalmologist accepts Medicare- you can get your eyes checked using your Med Sup. If you have not met the deductible you will have a co - pay. If you have met the deductible you will not have met the deductible . They will not pay for glasses or contact lenses bu you can at least you an exam.

    • @kbenefits
      @kbenefits Před 3 měsíci

      No, there's only 1 plan. Plan G. After you do the math, it's Plan G. pay a $240 Part B deductible and your done. Super easy, super great insurance. Do the math. After you look at G, and do the math, it's clearly Plan G. Plan G vs Plan N. about a $40 dollar per month premium difference. So 2 visits a month, you should be in Plan G, More than 2 visits, you should be in Plan G. and then there's the EXCESS CHARGES which is balance billing. You should be in Plan G. You are going to pay more in Plan N 99% of the time. Enroll in Plan G, set and forget.

  • @albertwells8503
    @albertwells8503 Před měsícem +6

    I signed up for Medicare starting on March 1st. My agent steered me towards plan N, telling me there would be no co-pays for telemedicine or urgent care, and that was very unlikely to change. Now, 3 months later, I’m told they changed anyway. What’s next? Copays for therapy? Probably!

  • @timcarm
    @timcarm Před 6 měsíci +9

    I recently became an Abt client and I am so glad I did. Your videos were very helpful and your staff is so competent. I wanted to switch from Medicare Advantage back to Medicare+supplemental and the insurance companies’ sales people I spoke with didn’t seem to have a clue how to answer what I thought were some very basic questions about underwriting. Your staff answered them quickly and the answers made perfect sense. I wish I had signed on with you yrs ago.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +2

      I love hearing this and I’m so delighted you are working with us!

  • @Retiredmco
    @Retiredmco Před 7 měsíci +8

    Great job Stephanie about plan N. You're the 1st on CZcams to address this. And I do subscribe to you and 9 or 10 other independent agents here.

  • @rs4425
    @rs4425 Před 6 měsíci +5

    Thank you for explaining the changes in Plan N. Also, thanks to the audio dept for the microphone. Much better.

  • @MrMarkar1959
    @MrMarkar1959 Před 5 měsíci +2

    Thank You for these Very Informative videos. I joined AARP 'cause it's suppose to help with Medicare Supplement Plans,,if i'm a Member. And Ohio might have diff coverage than Indiana,,15 miles away. crazy

  • @kennethreynolds8
    @kennethreynolds8 Před dnem +1

    Thanks for the info I appreciate it and I'm leaning Plan N now because of your video.

  • @jhors7777
    @jhors7777 Před 6 měsíci +1

    Thank you Stephanie for another of your helpful videos.

  • @paulstein916
    @paulstein916 Před 6 měsíci +10

    I have plan N and had an audio only follow-up phone call with my doctor in September. It was billed as telehealth; Medicare paid 80% and my supplement plan N paid the remaining 20% balance.

    • @sct4040
      @sct4040 Před 2 měsíci

      Medicare paid only about $35 for telemedicine. It’s a sad amount for a doctor. Then my AARP Supplement Plan N paid 0.31 cents. I was insulted for her. Then the doctor’s office billed me $19+ change.

    • @BlessedBeMyDay
      @BlessedBeMyDay Před 2 měsíci

      @@sct4040 um your co- pay .

    • @micheleyoungblood
      @micheleyoungblood Před měsícem

      ​@@sct4040the total eligible charge seems to have been $43.75. Medicare paid 80% or $35. Then you pay up to $20 or 20%. You should have paid $8.75 plus the tax in the entire eligible charge if your state allows tax on medical.
      I don't understand your breakdown

  • @barrytimm5497
    @barrytimm5497 Před 7 měsíci +4

    Thank you for all your videos! You come across as incredibly trustworthy medicare professional, and offering up very useful information for those of us approaching Medicare (can't wait for April1, 2024!), and on top of it all, you have a wonderful demeanor and, if I may so so without sounding creepy, happen to be a lovely looking lady! (Sorry, I had to say it! My happily married wife agrees! 🙂)
    I will be calling your office in early January, to ensure I follow the appropriate process for Medicare selection and startup on April 1, and to ensure I do the correct thing with removing myself from ACA plan (while wife needs to continue on an ACA plan, unfortunately!)
    Thanks again, for all you do!

  • @laurakl724
    @laurakl724 Před 4 měsíci +1

    Hi there! Very well explained! We definitely will be calling you & your staff soon! Thank you for all that you do!!

  • @tamaj152
    @tamaj152 Před 5 měsíci +1

    As always, this video is infirmative and makes the Medicare supplement info as clear as it can be, given that it is a very confusing topic!

  • @denisewheeler3373
    @denisewheeler3373 Před 7 měsíci +6

    Thank you for your clear explanation on the changes coming on plan N. Your videos were my go to in trying to navigate and understand Medicare when preparing to retire. Helping as well in making my choice.

  • @20greeneyes20
    @20greeneyes20 Před 6 měsíci +1

    Thanks so much You are very clear explaining a very confusing system.
    Its ridiculous trying to navigate the poorly planned medical system for the retired. It is nothing to look forward to. But with your assistance its so much easier and clearer. Bless you ! ♥️

  • @maaloufgeorge2926
    @maaloufgeorge2926 Před 7 měsíci +2

    Job well done, keep up the good work.Thanks for doing what you do.

  • @conureron3792
    @conureron3792 Před 6 měsíci +1

    Thanks for the updates

  • @rollofffrank2008
    @rollofffrank2008 Před 5 měsíci +2

    After checking out some ABT insurance videos, I decided to look into their services for myself. I reached out to Stephanie, and she quickly connected me with Tiana Brown, a friendly agent who made the whole process in New Jersey a breeze. Tiana asked about my prescriptions, set me up with coverage at no charge, and when I picked up my meds recently, the bill was $0. The folks at ABT are courteous, professional, and it seems they can assist you no matter which state you're in. Big thanks to Stephanie for the help!

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 5 měsíci

      Wow thank you so much for taking the time to leave this comment! We are so delighted to be helping you. 😊

  • @rickiesurovich144
    @rickiesurovich144 Před 6 měsíci +1

    thanks for all the info you do, I have tri care for life

  • @dave2059
    @dave2059 Před 7 měsíci +9

    Beautiful, concise and clear explanation. After watching a lot of your videos, it seems to be a no brainer that the only decision to make once you decide to go on Medicare is Plan N or Plan G. I'm 64 very healthy and still working so I have insurance through my employer. My insurance is not good but there are two reasons I'm going to keep it beyond the date that I am eligible for Medicare.
    One - I am very healthy and don't need to go to the doctor often and that makes my current insurance much cheaper than Part B and N or G. Two - because my insurance isn't very good, I'm eligible to contribute to an HSA. That is something that I will lose when I go on Medicare (actually six months before I go on Medicare). For now, though, I can put away $5,000 a year in triple tax advantaged money into my HSA. Not being able to put away $5,000 a year into an HSA is a massive loss when you start Medicare. And it's not something I want to give up until I have to.

    • @retired8484
      @retired8484 Před 7 měsíci

      Plan GHD

    • @ssa8479
      @ssa8479 Před 7 měsíci

      Right on, Dave! I'm also 64, in good health, have okay health insurance through my employer. And an HSA plan. Planning to work till 70 (I like my job!) and possibly a couple of years past that, and keep putting away the HSA money. Not planning to take Social Security till 70, no point in delaying after that. I think once you take SS you have to take Medicare Part A at least, but have to make sure of that. Part B and Plan N when I finally decide to retire.

    • @christinedaley5580
      @christinedaley5580 Před 6 měsíci

      @@ssa8479
      Part A automatic at age 65 I believe if entitled of course which I am sure you are. 🙋‍♀️🙋‍♀️

    • @ssa8479
      @ssa8479 Před 6 měsíci

      @@christinedaley5580 I’m entitled to sign up next year, but it’s not automatic unless you’re already getting Social Security.
      If not taking SS, you can sign up any time after 65. SS increases 8% a year till age 70, so might as well start taking it at 70. It won’t increase after that.
      Even if you start SS, you can continue on employer’s health insurance and not sign up for Medicare Part B or even Part A if you plan to keep contributing to your HSA. You can’t sign up for any part Medicare and still contribute to tax-free HSA.
      Since income goes up with SS and pay, max out 401k and HSA, plus catch up contributions to reduce income as much as possible.
      Then when you’re ready to retire, plan ahead and sign up for Medicare and Medigap (plus Part D and dental/vision). No underwriting required if you have had employer insurance till then. Medigap companies can’t turn you down.

    • @napoleonmdusa8877
      @napoleonmdusa8877 Před 6 měsíci +5

      @@ssa8479 From what I remember reading, if one delays starting Medicare past age 65, a penalty of 10% per year delayed (i.e. 50% penalty by age 70) will be added to the Medicare premium (plus yearly increases) when they finally start Medicare at age 70. I really don't like this Medicare penalty thing when those of us who want to delay Medicare due to still working or being very healthy and not needing it, get penalized for it.

  • @youngtimer964
    @youngtimer964 Před 7 měsíci +1

    Good to know. Thanks Stephanie

  • @florettabush9219
    @florettabush9219 Před 4 měsíci +3

    If there is a 20 co-pay for diagnostic visits, with Plan Ni I assume I'd pay a co-pay for procedures like MRI's, CAT Scans, etc. Is that correct?

  • @michaelmccafferty7341
    @michaelmccafferty7341 Před 7 měsíci +4

    Too much wiggle room for charges today, which will be exploited further in the future with coding changes. I will get plan G.

  • @BlessedBeMyDay
    @BlessedBeMyDay Před 2 měsíci

    Its very understandable these services are changing coding. They are working in or out of office. Times have changed since covid. I order food for pickup and I know they still are a business so i expect the food prices be higher than in store.

  • @ruthwhite5213
    @ruthwhite5213 Před 6 měsíci +3

    Thanks for this explanation, as I have been unable to contact anyone about my current coverage. My question: I am satisfied with plan N, but am unclear as to why premiums continue to increase when I have made no changes in my coverage.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      This video helps explain! czcams.com/video/Fcn0IRohB1Y/video.htmlsi=l4lGvMyLAcDF4vJe

  • @danacarbone9405
    @danacarbone9405 Před 7 měsíci +1

    Thank you

  • @harveyh3696
    @harveyh3696 Před 5 měsíci +3

    I'm wondering if you have a Plan G and it change it to a Plan N in the future without going through underwriting?

  • @dandydoc8386
    @dandydoc8386 Před 7 měsíci +8

    Medicare keeps reducing payments to doctors each year. Should we not expect an increase in providers who will have excess charges?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 7 měsíci +4

      Great question - there is still a large incentive, if doctors decide to take Medicare patients, to accept Medicare Assignment. An alternative is to not take/not bill Medicare at all.

  • @paul5896
    @paul5896 Před 6 měsíci +2

    Excellent presentation and information provided. I did have radiation treatments provided recently twice a week and they did charge co-payments for each treatment. Is that standard and allowable? Thank you so much!

  • @pennynewman7192
    @pennynewman7192 Před 5 měsíci +1

    Thanks for all the information
    I’m wondering what typical costs would be for add on Vision and Dental coverage since the supplement don’t include them
    Thank you

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 5 měsíci +1

      It depends but plans typically start at around $30-$50/month for dental and vision!

    • @pennynewman7192
      @pennynewman7192 Před 5 měsíci

      @@AbtInsuranceAgency thank you

  • @starridernh
    @starridernh Před 6 měsíci +2

    Well done, Please add information on what year you describing the changes. Google and CZcams searches can find things that are years out of date.
    😊

  • @kim.in.nature.
    @kim.in.nature. Před 2 měsíci

    In my area, Houston, plan N is now more expensive than plan G

  • @dennislaplant95
    @dennislaplant95 Před 6 měsíci +1

    Thanks for explaining this issue so clearly and thoroughly. You mention that PT is coded differently and is not subject to a copay. However, what would prevent PT (and other medical professionals) from deciding to use different codes that would be subject to a copay. Couldn't they somehow justify that they also Diagnose & Treat illnesses during an office visit?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      It is very possible!

    • @christinedaley5580
      @christinedaley5580 Před 6 měsíci +3

      I just had a little PT for like a tendonitis in my arm. I paid a $20 co pay to the ortho doc for my visit and but no copay when I went to their PT dept 2 weeks later and that was with plan N. Plan N great coverage and in south Florida much cheaper than G. I think I spent $180 in co pays for the year. G premium was $800 more for the year. No brainer. Saved $620. 👍👍👍

    • @dennislaplant95
      @dennislaplant95 Před 6 měsíci +2

      @@christinedaley5580
      Yep. For me in SW Florida, N is $660/yr cheaper than G. That would be 33 office visit copays.

    • @christinedaley5580
      @christinedaley5580 Před 6 měsíci +1

      @@dennislaplant95
      Absolutely. N the much better choice and going forward a more stable premium predicted over G. 🙋‍♀️🙋‍♀️🙋‍♀️
      Especially in high priced states and fairly healthy individuals. 👍👍👍

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      @@christinedaley5580 amazing!

  • @user-lp5oz8lg8r
    @user-lp5oz8lg8r Před 5 měsíci

    I was hopeful you would address guaranteed issue rights for plan N if you leave it for MA then use your trial right to go back. Can you go back to N if company still offers it?

  • @MarioSanchez-po2gv
    @MarioSanchez-po2gv Před 19 dny

    You didn't talk about part B excess charges. What if I needed a surgery, what kind of excess charges should I expect

  • @ItsMe-rr9nh
    @ItsMe-rr9nh Před měsícem

    Hello, I was thought to believe that it would take an act of Congress to change the terms of plan N or any plan? Now it’s happening anyway!

  • @timnelson252
    @timnelson252 Před 7 měsíci +2

    Your contact information at the beginning of the video is really small when I watch the video on a TV. You might want to make it a bit larger so people can see it and connect with you.

  • @jeffb.2469
    @jeffb.2469 Před 7 měsíci +1

    Thanks for the update on Plan N.
    What happens when an Insurance company goes belly up? Does another carrier have to pick you up at the same premium, same coverage and without underwriting?

    • @MaryBethMcCoy
      @MaryBethMcCoy Před 6 měsíci +3

      If your insurance company goes belly up, you get a special enrollment period of time where you can select another plan. To avoid underwriting, you would need to get a Plan G, which is now the guaranteed issue plan. If you wanted another Plan N, you would need to qualify through underwriting in most states.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +3

      If the insurance company completely goes under and can no longer offer coverage to you then you have a guaranteed issue right to purchase a new Medigap without medical underwriting. This is highly unlikely though.

    • @christinedaley5580
      @christinedaley5580 Před 6 měsíci

      What is the co pay now for urgent care? $20 or $50. Thank you.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      @@christinedaley5580 our clients have been seeing a $20 copay for urgent care.

    • @christinedaley5580
      @christinedaley5580 Před 6 měsíci

      @@AbtInsuranceAgency
      Okay. Thank you. That’s what I thought but wanted to be sure. So telehealth and UC $20 co pay since Covid hit. Thanks again. 🙋‍♀️🙋‍♀️🙋‍♀️

  • @kenpope5798
    @kenpope5798 Před 7 měsíci

    Do the coding changes in plan N and the copayments or coinsurance allow one to change from an N to a G without underwriting? Also, on either plan N or G in general you need underwriting to change from one to another, but do you also need underwriting to change the supplemental company so another words if you were on G and you applied for end and it went through underwriting and you were declined for medical reasons. Does that mean that on the plan G you are stuck with that particular company forever

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 7 měsíci +2

      Great questions! Yes, underwriting is required to switch from N to G, G to N etc...or from one company to another unless you have a state specific rule: czcams.com/video/8WDjN32RjlY/video.htmlsi=sOof_HsG1yhwAfEK
      Coding practice changes do not grant you a guaranteed issue right to change away from Plan N.

  • @MrAxman53
    @MrAxman53 Před 6 měsíci +1

    Have any of your clients filed a successful appeal for the $50 copay at an urgent care facility?

  • @pamburton6382
    @pamburton6382 Před 6 měsíci +3

    I went to my urgent care for a sprained wrist and showed them my Medicare card and my supplemental insurance card but they still charges me $75 that day and also sent me an additional bill for another 25$ a couple weeks later. I have plan N. I was new to Medicare so I didn’t question it. Do you think I was ripped off? Love to know what you think.

    • @MaryBethMcCoy
      @MaryBethMcCoy Před 6 měsíci +3

      Have you met the annual deductible for 2023? You have to pay that first. Check your EOB or your bill. It would show you if the $75 was applied to your deductible.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +2

      Had you already satisfied your Part B deductible of $226/year in 2023?

    • @WhiteRosez007
      @WhiteRosez007 Před 6 měsíci +1

      You do need to meet your deductible first. So let's just pretend you are short $10.00 on meeting your deductible... When all said and done, you might only have to pay $10 copay. That's why they say up to $20.00. It seems maybe you didn't met that deductible yet. Best wishes.

  • @WhiteRosez007
    @WhiteRosez007 Před 6 měsíci +1

    A friend has a the same Medigap Plan N as me but through a different insurer. Her policy says $0 Urgent Care co-pay. Mine doesn't even mention it. I called my insurer just to see why Urgent Care wasn't mentioned, told where on the CMS site I found the info, and they were wishy-washy....saying it depends on how they code it. Errr... I called again and this time they said I shouldn't worry about it and Urgent Care coding is different. I probably wouldn't get billed. This is so wierd. I mentioned previously, about the COVID-19 pandemic changes that CMS decided on. It ends 12/31/2024...who knows if all that was really was included as part of the changes to all plans along with telehealth as office visits. Right now I am satisfied why Plan N but I could easily go to G if I needed to. Wait and see.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +2

      Are you sure you both have Plan N?

    • @WhiteRosez007
      @WhiteRosez007 Před 6 měsíci

      Yes I have Mutual Omaha Plan N and and she has United Health Care Plan N(AARP) in Oklahoma. She pays more on her premium than I do. I am 65 and so is she. She wants to switch to Mutual of Omaha which she still can because we are new...but now she's like....well let's see because of the new Birthday Rule. But she has still more time to switch without underwriting. I don't. I suggested to her just go to plan G and switch down later. By the way you can even go online to the UHC and actually see the Urgent Care for Oklahoma is $0.00 co-pay. One more point.... nothing to do with Plan N...We found out last month that in September Oklahoma how has the Birthday Rule due to increases in PlanF premiums that people can't get out of. anyway Stephanie thanks for all you do. 🥰@@AbtInsuranceAgency

    • @WhiteRosez007
      @WhiteRosez007 Před měsícem

      I did Stephanie. I left it. I went to
      G by Aetna for this year.

  • @photoggg1
    @photoggg1 Před 6 měsíci +2

    Is there a copay or coinsurance for PT and OT? We've been paying each time for years.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      And you have Plan N?
      Typically there is not a copay, but that is interesting if you have been paying one with Plan N. I wonder how they are coding your visits.

  • @amiehill8104
    @amiehill8104 Před 4 měsíci

    If you have physical therapy appts while on Plan N, do you have to pay a copay each time you go? Is Counselling available with Medicare plan N and well check ups ?

    • @mimi1o8
      @mimi1o8 Před 4 měsíci

      Another agent on CZcams, has said that, you don’t pay physical therapy on plan N

  • @Squddle
    @Squddle Před 6 měsíci +3

    Can the dollar amount of each co-pay go up over time, or will they each be capped at $20 for life?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      Unless the Medigap Plans get re-standardized and there are big changes on the government level there, the copay is capped at $20 for office visits.

  • @Squddle
    @Squddle Před 5 měsíci +1

    I had another question about the co-pay for the plan N. Does a person that has an office visit need to pay the copay AND the part B deductible if their bill is high, or, just the part B deductible? Seems that if a person had to pay both, then it would maybe be better with a different plan?

  • @alexdavid24425
    @alexdavid24425 Před 6 měsíci

    How much plan G and N premium cost in Oregon?

  • @peterlarsen3021
    @peterlarsen3021 Před 16 dny +1

    Talk about excess charges---please

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 10 dny

      czcams.com/video/7i5H8aCCmGw/video.htmlsi=2z-dTHmj4sqlMzwi check it out!

  • @rogipaul
    @rogipaul Před měsícem

    which states don't allow excess charges.
    if PA does not allow excess charges and I live in PA, but I want to go to Mayo clinic in Minnesota (which allows excess charges) will they be allowed to charge me excess charges.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před měsícem

      Yes, they would - whether or not you may be billed excess charges depends upon the state in which you are receiving are.

  • @michaelrust7614
    @michaelrust7614 Před 7 měsíci +4

    Have you ever produced a video comparison between High G and Plan N? Do the savings in the N still hold up against a High G?

  • @raafatbasha
    @raafatbasha Před 6 měsíci +1

    If you are on a plan N and at some point in time you want to switch to a plan G are be able to do that without medical underwriting??

  • @perugino25
    @perugino25 Před 4 měsíci

    if I do not have access to the doctor's office, he is no longer my doctor. And BTW, nowadays, who sees the patients are Nurse Practitioners or Dr. Assistants whatever that means. I wonder if our premiums will be lower as well since the system lower our health provider's expertise.

  • @bonniekent4721
    @bonniekent4721 Před 6 měsíci

    Would urgent care be coded fir a $20 copay like primary drnir a $50 copay like emergency room?

  • @jamesmiller2332
    @jamesmiller2332 Před 2 měsíci

    My plan n is 253.00 per month. Outrageous!

  • @msjinabina
    @msjinabina Před 3 měsíci

    Do these addtl plans only offered with a and b. Can you purchase n or g if you Medicare C advantage?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 3 měsíci

      You cannot have an Advantage Plan and a Medicare Supplement/Medigap plan at the same time.

  • @RonMac08
    @RonMac08 Před 7 měsíci +2

    The hospital just charged me the $1600 copay. They know I have Plan N, but I don't think they charged my Plan N insurance company. I had a copay for my annual welfare check, were they wrong?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 7 měsíci +4

      They were wrong, and you shouldn’t owe that. Sometimes for Part A hospital services the hospital needs to submit a claim directly to your Medicare insurance company for payment.

    • @photoggg1
      @photoggg1 Před 6 měsíci +5

      I've gotten **many incorrect bills where they haven't submitted to my supplement plan. Feels like they go 'oops' when you catch them, but as a business strategy, they make a lot of money on the ones that are paid by busy or overwhelmed patients who can't keep track.

  • @donhgr
    @donhgr Před měsícem

    What happens if your insurance provider says they are doing away with N or leaving Medicare ? Like G are you guaranteed enrollment somewhere else without qualifying?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před měsícem

      Yes, you would have a guaranteed issue right to purchase a Medigap plan with a different company.

  • @billbeeb1803
    @billbeeb1803 Před 4 měsíci +1

    I was wondering, once you've met your deductible and Medicare gets a bill and pays their 80%, does Medicare bill your Medigap policy for the rest or does my Doctors office do it. I just want to be sure because I am going to Quest labs for a PSA test and I sign in on the kiosk. When I put my insurance info in, do I just put in my Medicare info.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 4 měsíci +2

      Typically there is an “automatic crossover “ and Medicare bills the Medigap company

    • @billbeeb1803
      @billbeeb1803 Před 4 měsíci +1

      @@AbtInsuranceAgency Thank you very much

  • @richchannel-1311
    @richchannel-1311 Před 5 měsíci

    Does Medicare consider family plans such as me and my wife like corporate plans do, if not, then it seems we would be paying double.

  • @Nancy-xb6wh
    @Nancy-xb6wh Před 20 hodinami

    Medicare should be the only plan we have after we work all our lives and retire. No extra supplement plans for dental, vision we have to pay for.

  • @user-hy4zv8cn6r
    @user-hy4zv8cn6r Před měsícem +1

    I understand that plan n has a much lower deductible than g and you have to pay the co-pays. And I know people say the copays don't add up to the extra you pay in premium for plan g but I think what people forget is that you're not always going to be as healthy as you are this moment. If you get an illness and you start needing x-rays and blood work and Mri's and Ct scans etc i think the copays are going to fire out way the extra premium that G would have cost you. And you have to realize too that if you get an illness like cancer that's not necessarily over in 1 year so you may have to keep doing that for a number of years.

  • @tueches1822
    @tueches1822 Před 7 měsíci +2

    can you go over Plan D? it's soooo confusing!

  • @richardnowacki2869
    @richardnowacki2869 Před 7 měsíci +3

    So does plan charge a $50 or $20 for urgent care now?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 7 měsíci +5

      Based on the coding information I liked in the video notes, it's the $20 office visit copay.

    • @Claudebonegt
      @Claudebonegt Před 7 měsíci

      I highly recommend Abt. I am happy I found them on CZcams!@@richardnowacki2869

  • @vi9753
    @vi9753 Před 5 měsíci +1

    My question is will Plan N cover all doctor and ER copayments once the Part B deductible is met?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 4 měsíci +1

      Once you meet the Part B deductible you still have a $50 copay for ER visits on Plan N. Unless you are admitted to the hospital in which case the copay is waived.

    • @vi9753
      @vi9753 Před 4 měsíci

      Does the up to $20 doctor visits count toward the Part B deductible?

  • @glennthorstensen5119
    @glennthorstensen5119 Před měsícem

    I will be turning 65 next year, and time flies I am looking Medicare so I am ready. Why does Medicare with a Supplement plan, cost 1/2 the price and give you more comprehensive coverage with no deductibles ( currently $9250) than the ACA Bronze plans?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před měsícem

      The amount you pay for your ACA plan is based on your income. Medicare Supplement plans are not based on income.

  • @donbrown9258
    @donbrown9258 Před 6 měsíci

    I don’t know if you covered this, but is an Urgent Care visit a $20 or $50 dollar copay?

  • @blondy650
    @blondy650 Před 3 měsíci

    Love my plan N

  • @mariettagreene5524
    @mariettagreene5524 Před 6 měsíci +1

    Will my plan N premium go up next year on my monthly payment?

  • @GrantHendrick
    @GrantHendrick Před 2 měsíci

    Why does the link for the cms refer to the previous president?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 2 měsíci +1

      It wad released in 2020.

    • @GrantHendrick
      @GrantHendrick Před 2 měsíci

      @@AbtInsuranceAgency Thank you. I missed seeing the release date. Does this mean the current website version will be updated and corrected?

  • @thomaschadwick4699
    @thomaschadwick4699 Před 7 měsíci +2

    Amazing that CMS can not update the information you just reported on.

    • @WhiteRosez007
      @WhiteRosez007 Před 6 měsíci

      I agree. However...they did make changes during the pandemic regarding telehealth. It may become a permanent way of office visits for all plans not just for those in rural areas. You can do a search and find CMS documents related to those changes on telehealth and other health care options. I am not by any means an insurance agent or adivisor. But I like to research information. It's just CMS should be more informative in my opinion.

  • @kathyfocht3718
    @kathyfocht3718 Před 6 měsíci +1

    What about your part b co pay and gap that you will never reach. Unless terminal. So you're still paying for everything.

  • @dgs8011
    @dgs8011 Před 6 měsíci +1

    How long before I turn 65 should I contact an agent to explore my Medicare supplement options?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      6 months is a great time frame!

    • @dgs8011
      @dgs8011 Před 6 měsíci

      @@AbtInsuranceAgency Many thanks. Love your videos. I've learned so much. I'll be contacting you all next summer.

  • @lisakisner9820
    @lisakisner9820 Před 5 měsíci

    Hi I'm was disabled during covid and started getting ssdi this year. I want to be on Medicare org. BUT FINDING GAP INSURANCE EXPENSES HIGH. HELP PLEASE

  • @davidhammond8098
    @davidhammond8098 Před 7 měsíci +1

    I've taken SS so I have Part A. I'm 67 and still working. Can I start Medicare at any time?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 7 měsíci +1

      If you have creditable employer insurance then yes!

    • @napoleonmdusa8877
      @napoleonmdusa8877 Před 6 měsíci

      @@AbtInsuranceAgency What characteristics for employer insurance make it considered "creditable" for Medicare?

    • @tenabarnes3269
      @tenabarnes3269 Před měsícem

      Company must have 20 or more employees to be considered credible coverage for Medicare purposes, if not you pay a penalty that lasts the entire time you use Medicare.

  • @NoMoreTears64
    @NoMoreTears64 Před 2 měsíci

    Whats the best savings plan for someone who ABSOLUTELY refuses to go to a doctor unless it is critical?

    • @tenabarnes3269
      @tenabarnes3269 Před měsícem +1

      @nomretears I’ve been looking and I believe it is high deductible plan G. The deductible is capped at 2700 per year and that’s it, besides the 240 part B deductible. The cost in my area is 41 dollars a month but in NewYork is 60 dollars.

  • @kevinjohnson-qc6cs
    @kevinjohnson-qc6cs Před 6 měsíci

    How can i join your agency

  • @-moses-6898
    @-moses-6898 Před 21 dnem

    So with plan n- even after we meet the 240.00 deductible - we still have to pay the 20.00 co pay? I thought medigap paid that 20.00. - as long as I have met the yearly deductible ? ?.

  • @user-lp8qp2un9v
    @user-lp8qp2un9v Před 3 měsíci

    If im not happy in one medgap plan can i change to another

  • @BandieRemis
    @BandieRemis Před měsícem

    Does Plan N cover annual physical exams since Medicare itself doesn't?

  • @bonniekent4721
    @bonniekent4721 Před 6 měsíci

    Would urgent care be coded for $20 like a doctor copay or $50 like emergency room?:

    • @MaryBethMcCoy
      @MaryBethMcCoy Před 6 měsíci +1

      Urgent care is charged like a doctor’s office visit, so $20 is the copay.

    • @bonniekent4721
      @bonniekent4721 Před 6 měsíci

      @@MaryBethMcCoy thank you so much for your fast reply

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      $20 like an office visit.

    • @bonniekent4721
      @bonniekent4721 Před 6 měsíci

      @@AbtInsuranceAgency thank you so much for answering my question I am still leaning towards plan N and will contact your office in 2024 which is when I will be turning 65

  • @arturorivera6387
    @arturorivera6387 Před 6 měsíci

    Question on N, do the post surgery physical therapy sessions cost $20 a visit😂?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +2

      It depends on how they are coded! Usually physical therapy sessions do not have a copay.

  • @ezeddie9747
    @ezeddie9747 Před 4 měsíci

    My understanding with the plan N. Is that if insurance company goes out of business. You have to take a health and wellness test to have another carrier to get plan N. And that's not with plan G

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 4 měsíci

      That’s not true - if you have a Plan N and your insurance company goes completely under and can no longer service their books of business (incredibly unlikely) then you have a guaranteed issue right to purchase a Plan G with another insurance company.

    • @ezeddie9747
      @ezeddie9747 Před 4 měsíci

      @@AbtInsuranceAgency so what is the birthday rule then

  • @randyw.8781
    @randyw.8781 Před 7 měsíci

    Is urgent care 50 or 20 under N?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 7 měsíci +2

      $20 if it is coded the way I’ve outlined in the video description.

    • @Johnt3XVI
      @Johnt3XVI Před 7 měsíci

      @@AbtInsuranceAgency
      The operative word here is “if”.

  • @monabellem
    @monabellem Před 7 měsíci

    This plan N is only for those 65 and older and never for those under 65 with a disability, correct? But Plan G can be purchased by those under 65?
    Also, are Plans G and N as supplemental plans considered equivalent to Medicare Advantage plans ( I understand advantage plans bundle parts A and B and plans G and N are separate).

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 7 měsíci +2

      Plan G and N are different than Medicare Advantage- check out this video for more information-
      When you are under 65 insurance companies are not required to offer plan G or N in most states. You may be able to purchase either of them depending on where you live.

  • @user-cb6lo8rf2x
    @user-cb6lo8rf2x Před 6 měsíci

    How much do you pay a month??

    • @roberts1159
      @roberts1159 Před 6 měsíci +2

      Depends on supplement company and plan type. N or G, also your age come into play. Suggest contacting her for details.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +2

      You nailed it! 🙂 888-465-9728

    • @21550spurs
      @21550spurs Před 6 měsíci +1

      Also depends on your state

  • @donhgr
    @donhgr Před 2 měsíci

    If your plan N goes away because your insurance company no longer is going to provide it my understanding is you can’t get a new N guaranteed without medically qualifying for it like you would had that happen on a G plan

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 2 měsíci

      Plan N is not a “guaranteed issue” plan, so in this extremely I likely situation you would be eligible to buy a Plan G guaranteed issue.

  • @kbenefits
    @kbenefits Před 3 měsíci

    Plan G vs Plan N. about a $40 dollar per month premium difference. So 2 visits a month, you should be in Plan G, More than 2 visits, you should be in Plan G. and then there's the EXCESS CHARGES which is balance billing. You should be in Plan G. You are going to pay more in Plan N 99% of the time. Enroll in Plan G, set and forget.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 3 měsíci

      I respectfully disagree. Some people should be in Plan G while others will be much better off on Plan N.

  • @dmjh932
    @dmjh932 Před 6 měsíci +1

    If you prefer a Supplement then only buy an "N" plan from a major insurance company. However, Medicare Advantage Plans continue to dominate the Medicare market. As of 2023 51% of all eligible seniors have an Advantage Plan. Your choice.

    • @sydneywillingham
      @sydneywillingham Před 6 měsíci +1

      When you remove those on SNP type MA plans, the amount of people in MAPDs and MS plans is nearly identical. They're also growing at the same pace. Your figures are correct, but there is additional important information to include.

    • @dmjh932
      @dmjh932 Před 6 měsíci

      @@sydneywillingham I think as time passes and some minor improvements are introduced to all MA plans. The advantage plans will continue to make gains that will exceed all MS.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci +1

      Well said!

    • @dmjh932
      @dmjh932 Před 6 měsíci

      @@AbtInsuranceAgency My wife has had a "G" plan with Mutual for 8 years. I elected for a PPO UNH advantage plan 10 years ago. I have actually saved more than 20 thousand dollars in premiums I would have paid a insurance company for a supplement plus drug plan. In 2024 we decided to take out a MA for my wife since she's entitled to a free 12 month look with zero risk. She'll probably return to the "G" supplement later next year. We'll save more than 25 hundred dollars. She takes numerous monthly drugs. What's interesting is that the MA drug plan with UNH is 5 hundred dollars lower for annual out of pocket in 2024. But like all insurance. It always depends on a person's rick tolerance.

    • @sydneywillingham
      @sydneywillingham Před 6 měsíci

      @dmjh932 they mat for some. The reality is that people want to choose which Providers they see, where they receive their healthcare, and when they receive it. Based on that, there will always be a place for Med Supp. It may not be a huge market, but it will exist. 🙂

  • @lisaveta8565
    @lisaveta8565 Před 7 měsíci +1

    We live in a small town in Midwest. Having clinic in town or need to travel 40 min to capital of the state. Our clinic charge $20 plan N for every test for doctor who read it and send report to physician 😭

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 7 měsíci +2

      Wow. Thanks for that feedback.

    • @lisaveta8565
      @lisaveta8565 Před 7 měsíci +1

      @@AbtInsuranceAgencythey coded doctor’s reading and sending reports to physician or specialists as a doctor’s visits. I already told them it is fraud. The answer was ‘If you do not like our service you need to go to Capital. We are private clinic and we make our own rules” 😭😳

    • @futureaceone3971
      @futureaceone3971 Před 7 měsíci

      @@lisaveta8565 You might want to consider contacting Medicare about these illegal and fraudulent charges. Physicians don't get to make their own rules when coding Medicare insurance claims. This is fraud and comes out of everyone's pockets in the form of higher premiums. Medicare wants to know about fraud.

    • @WhiteRosez007
      @WhiteRosez007 Před 6 měsíci +3

      Goodness. I would contact CMS and at least inform them. Being private and taking Medicare Assignment doesn't justify that.

  • @lezgiyar5055
    @lezgiyar5055 Před 6 měsíci

    Hello.
    I like to Cancel my Medicare and go back on Medical.
    It is possible?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Před 6 měsíci

      ?

    • @mimi1o8
      @mimi1o8 Před 6 měsíci +1

      @@AbtInsuranceAgencyMedical, the California State insurance is low priced compared to Medicare. Would be interesting if you can answer the previous question. Thanks