Thank you for your advice Stephanie. I recently switched from G to N, and acquired more confidence in doing so, after watching your videos. In my plan N, I would have to pay copays for 21 yearly office visits, before I broke even with the expenses of Plan G. I'm willing to bet I won't reach that number, and maybe no where near it. Other than that issue, would be the copay for the Emergency Room, unless admitted to the hospital. I'll take my chances on that rare event also, and if I can I will use an Urgent Care Facility instead, which would not have a copay with Plan N.
Your videos are awesome! They have been so informative and helpful to me! You are very concise, straight forward, calm and even talk at a 'normal' speed for us older folks! I have an HRA, so I have to buy through them. However, I will definitely recommend your videos to my friends! Thanks again!🙂
As a sales person, these are helpful videos for me to learn these plans. I just started with Medicare in June and there is a lot of information to learn.
After educating myself by watching many of your videos I opted to choose an N plan. The initial cost was around $35 a month less than a G plan and I will happily pay the $20 co-pays or the $50 emergency room co-pay. I am expecting the price increases on the N plan to be less than what people will be paying on the G. All in all I will be saving $400 a month from what I was paying in the open market. To top it off the company I am purchasing my end plan from will pay my gym membership which will save me an additional $30 a month. Thanks for all your great videos.
Thanks for another great educational video. I recently switched from G to N, and acquired more confidence in doing so, after watching your videos. In my plan N.I'm willing to bet I won't reach that number, and maybe no where near it. Other than that issue, would be the copay for the Emergency Room, unless admitted to the hospital. I'll take my chances on that rare event also, and if I can I will use an Urgent Care Facility instead, which would not have a copay with Plan N. Abt Insurance Agency
I have plan N and find it works best for me. I do buy dental and eye insurance but the cost are small enough for me to afford. I tried an advantage plan I was not happy and went back to N. I appreciate you for explaining this to us. I am not selling anything but I use UHC.😊
I watch this video and it help me to decide that this is what I would go with U and your staff were Great to work with thanks I will recommend you .your the Best
I was on an Advantage plan on my initial enrollment and after only 3 months I realized I didn't like the restrictions and confinement of having to be in-network. So I just switched over to the N plan ($159 mthly), which will start in Jan while I'm still on my initial enrollment. I don't go to the doctor much so I don't mind a co-pay.
You are truly the most targeted and professional video presentations!! I was just thinking if N could be a value versus G. WAIT!!! Fear and Uncertainty is my entire motivation!!! You bad girl!!! hehehe. aren't these two things the basis of all insurance? I fear medical bankruptcy or losing all my assets bc of an appendicitis when I am 77. My beloved friend went to the hospital 3 times: each time was Hundreds of thousands in costs!! He is just a regular guy: Gall Bladder, fell inquired his head and a non-heart attack heart procedure. Any one of those would have wiped him out even though he is a successful businessman!!
FYI. Plan N has 100% in pt hospital coverage. The up to $20 co pay relates to out pt doctor office visits. The ER co pay of $50 would have been waived in all of these situations. No bankruptcy with plan N. Excellent coverage. Thinking you are not understanding the policy. LOL. In pt hospital coverage same as G. 👍👍👍 Just curious. Friend have any health insurance?? Straight Medicare, supplement, Medicare advantage?? Wipe out? Why?? No wipe out with Medicare and supplement whether F, G, N , FHD or GHD. LOL.
Thanks for another great educational video. I switched to Plan N from Plan G and saved $35 a month. Underwriting is not difficult to pass unless you have a serious illness. People are often confused over the "UP TO $20 copay." The $20 is a cap not a flat rate. It only applies to CPT codes for "office visits or evaluation and management visits." Since 99% of doctors accept Medicare Assignment, Medicare pays 80% and you are responsible for 20%. If your office visit has a CPT code for evaluation and management and the Medicare approved amount is under $100 the 20% is your copay. Example, you go to your doctor for some illness. Your doctor bills Medicare for $250 but the Medicare approved amount is $80. Your copay is $80 X .20 = $16.00. So if the Medicare approved amount for an office visit is over $100 your copay is capped at $20. Plan N pays the difference. So in the example Plan N means you pay the $16 to save money off a Plan G premium. Since Plan G would have paid that $16 for you at the cost of increased monlthy premiums. IF you go to the doctor many times a month then Plan N may not save you any money. You need to evaluate this. NOTE: Online, telephone, or telehealth services DO NOT constitute "office visits" for purposes of determining whether a Plan N subscriber is subject to the Part B coinsurance or copayment of up to $20. There is an official CMS document on Plan N copays. Search for "Revised Questions and Answers Regarding Implementation of Medicare Supplement Plan N Copayment, Deductible and Coinsurance" to find it. The document is dated April 22, 2010.
@@Lysander-Spooner Thanks for the reply! Would you know about blood work & medical testing & copays? Do they fall under the "up to $20 copay", too, as long as it is preformed by a Medicare covered facility like colonoscopies, mammograms, CT scan, venous ultrasound, i & d, coronary scan, sleep apnea test, routine blood work? No one talks about actual medical tests just office visits.
INSURANCE is designed to mitigate future significant RISK. These folks saying they need to save $300/yr by going with N because "they arent going to the dr. that much" or "only 10% of doctors bill eccess charges" are very shortsighted looking into the future when costs could EASILY increase significantly and LOTS of drs make "excess charges". And when you are in the hospital for ANYTHING do you really start inquiring about which dr charges more or less? Of course not. $300/yr is less than a DOLLAR a day.......its called "peace of mind".
Can you please do a video on how many people are each plan? For example, 10% of all Medicare patients are on Plan F, 40% are on Plan G, 30 % are on Plan N, etc......I'd like to see s graph at where most enrollees are...
in this video, we consider the hypothetical of Excess Charges from being unconscious and rushed to care. Surely there is an appeal process or the like? Or simply negotiate it like anything else. Medical bills in collections typically settle out at 10% (though I try for less!! - 5%? Too much!! haha) I'm in CA- It appears as long as I can stay conscious, the savings of the N plan, compared to G, might work for me.
One of the most important aspects of Plan G that will negatively impact premiums is the guarantee issue. More people with serious health problems can go into G, driving the cost of premiums up as insurance companies try to protect their profit margins. Guarantee issue is not available in Plan N so premium increases are more reasonable and predictable.
I’m presently on Plan F and have been researching other plans to possibly change to during the upcoming open enrollment period. Thanks for your explanation of Plan N. That would be my best choice I think.
We are happy with Plan G for several reasons and think the carrier you choose is probably just as important as future predictions about MACRA and GI. If we do see the inordinate increases, then we may change. If we are too sick to qualify by then, we will probably be very happy to have Plan G and no copays. But some of the hype by other YT brokers could just possibly be a tactic to sell more policies. Just my opinion.
I completely agree. That’s why I make a point to say that you shouldn’t base your decision on fear, just facts. Rates will go up on both G and N, and the insurance company you choose is very important!
I am so glad to have discovered your video in You Tube. All your presentations are so clear and easy to understand. Thank you so much. Since the enrollment period will start again soon, will you be presenting some videos regarding the medical supplemental insurance plans? I am on plan N now, if I want to switch to Plan G for 2022, do I need to go through medical underwriting? Thanks again for the informative and educational videos . I will certainly keep watching your upcoming video, if any and will also introduce to my friends.
Thanks for watching! I’ll have some 2022 videos out soon 🙂 In most states you will need to pass through medical underwriting to switch from Plan N to Plan G, and you can do it year -round. Call us, we’d be happy to help. 888-465-9728
Re: Excess Charges. Although a doctor that doesn't accept assignment for a service can charge "15% more" than the Medicare "approved amount", isn't it the case that the Medicare "approved amount" when not accepting assignment is only 95% of the "approved amount" for a doctor that _does_ accept assignment for that service -- to some extent effectively reducing the "excess charge" that the patient must pay to 9.25% of what a participating provider could have charged Medicare for. Re: Copays on N. Isn't the copay the _minimum_ of $20 or 20% of the Medicare approved amount (i.e., the part not paid by Medicare even without a supplemental plan)? While at "chargemaster rates", it would be pretty rare for the $20 not to be the result, given that Medicare fee schedules are typically well below "chargemaster rates", the lower 20% limit may apply sometimes.
Could you do a video for people eligible for Medicare via being on SSDI (starting after the two year waiting period)? As I understand it, situation can be complicated as far as availability & cost of Medigap plans.
Why does it costs so much in California???? What's going on with Anthem that they are not authorizing standard procedures and are being looked at Like CIGNA was. CIGNA and eventually sanctioned by closed by the federal government.. How do Southern Californian's save money. I can't afford $500 extra a month. Currently have Medi-Medi. Need a different secondary.
The trouble is that way too often a referral is to a medical provider that does bill excess charges. My example was, I was referred to a cardiologist …I checked him out and knew he would not bill excessive charges….but, the heart monitor I got was monitored by an organization I knew nothing about. The bill was for $1500 just from them. I cannot see how I could have checked them out a head of time….and even if I could, would I say to the cardiologist “no, you have to change where you get this service from”.
The cardiologist office should point this out ahead of time or give you company options. My dad just had a 10 day heart monitor and it was given to us in the office. He has plan F so an excess charge or copay wasn't even an issue. But that is the beauty of plan G - you can't get F anymore- no worries, no hassles!
That's very interesting. I guess the thing to do is get a phone number for the monitoring company and get something in writing from them if they say you won't be billed. Thank you for posting this .
Hi. Writing from Orange County, CA, and I do not use tobacco products. Just wanted to point out that this week I was quoted $116 for Plan G, $130 for Plan G Extra, and $143 for Plan N, all for a 1/1/22 start date. How does this even make sense? It doesn't line up with your vid, or even several others I've watched. All quoted from Blue Shield, California. I believe these prices include a $25 new to Medicare discount, so next year it would be $141 for the same policy. Plan N doesn't appear to have a "New to Medicare" first year discount.
That is one example of how CA is different. I do have a video that reviews CA Medigap policies specifically, be sure to check that out! Plan G is eligible for a $25/month welcome to Medicare discount with Blue Shield CA while Plan N is not, which makes the pricing seem off.
Great information! My question about Plan N (and applies to other options as well) is: when Plan N (after deductible, copayments, etc) covers hospitalization expenses "for up to a year", does that mean 365 days total lifetime or up to 365 days per calendar year? Thanks!
INSURANCE is designed to mitigate future significant RISK. These folks saying they need to save $300/yr by going with N because "they arent going to the dr. that much" or "only 10% of doctors bill eccess charges" are very shortsighted looking into the future when costs could EASILY increase significantly and LOTS of drs make "excess charges". And when you are in the hospital for ANYTHING do you really start inquiring about which dr charges more or less? Of course not. $300/yr is less than a DOLLAR a day.......its called "peace of mind".
I know AEP is for advantage plans. My question is, during AEP, is there less health questions on medigap policies? Or are they underwritten the exact same way they would be any other time of the year except their one time guaranteed issue frame?
Great question. Medigap plans are medically underwritten year-round (whenever you are more than 6 months from your Part B effective date), and the health questions are the same whether it is the fall AEP or not. AEP is not related to Medicare Supplements.
Thank you for your clear teachings. Once you mentioned a plan D penalty of 1% it reminded me of the 10% penalty, for each 12 months without Plan B. Are there similar penalties for plans N & G? Because of your previous videos, I getting B & D, but want to wait on N...if there’s no penalty.
No Medigap penalty, but you could be denied coverage due to medical underwriting if you don’t apply when you are initially new to Medicare or new to Medicare Part B.
The B and D with these penalties are parts of medicare (Part B and Part D rather than Plan B and Plan D!) As Abt says, the issue with Medigap is simply that you can be medically denied coverage if you don't apply in the usual time window
I’m turning 65 and thanks for your explanation about Plan N which is perfect for my current health condition. My question is can I switch to plan G later as I may see a doctor more in a year? Thanks.
Any thoughts about Plan G HD vs Plan N future pricing? Common opinion is that Plan G pricing could outpace Plan N, since the insured shares more of the cost in Plan N, and the pool of Plan G insured could be cost more overall. Plan G HD also shares more of the cost with the insured too, so will this keep Plan G HD cheaper in the long-term vs Plan N? I know this is anyone's guess, just asking.
NY is an expensive Medigap state due to guaranteed issue laws that are state specific. In NY excess charges are not completely illegal, but are limited to a smaller percentage.
I have plan N and every time I ask if a doctor accepts Medicare assignment I am told yes. Then I always get balanced billed for excess charges. Every single doctor I have ever been to!!
Wow, that seems like a lot! I would double check the claims to be sure, and also check Medicare.gov to see if they are listed as a Medicare participating provider.
Thanks a lot for your sincere advice and awareness about Medicare and medigap plans. I hear your vedios and even forward to my friends. My question today is ,can I have an yearly physical done with Medicare and medigap plan N? I became Medicare eligible only from June 2021. I live in Philadelphia
Thank you once again for the information I live in Oklahoma and I had quite a few things in the last year and a half I have plan N ,. I had a problem with nosebleeds I had colonoscopy and other things and A dermatologist visit and every single doctor and every single nurse practitioner that saw me which combined total was probably about 20 visits, 20 times I had 20 bills for the office visits between $12.00and $20.00 Every single doctor and nurse practitioner charged me that I saw in the last year and a half for an office visit charge me for a copay is that normal? Thanks for getting back to me
Thank you for explaining plan N. We have been seeing many doctors and chiropractors who now requires your payment up front and will give you a receipt to submit in yourself. It that legal and how would plan N reimburse you from that type of thing?
That’s a tricky one, it depends on the agreement you’ve worked out with the doctor and how they bull Medicare. Essentially if they don’t bull Medicare and make you pay up front, then you would have to file a claim with Medicare, and then Medicare and your Medigap plan would reimburse you. This seems very rare.
Why wouldn't it be legal? The office is giving you the paperwork to mail in with a full description of the date, codes, etc. ......Offices are getting tired of waiting to get paid. This is a major problem in any office that deals with ANY kind of insurance. Some times it takes 2-3-4 months to get paid & several calls to see what happened to the payment. Any insurance a patient has is an agreement between the patient & the insurance company. Patients forget that. Practioners are the middle man. Yet, Practioners get caught up in the insurance companies games of dragging their feet & making mistakes or losing claims. Kudos to these Practioners who refuse to get involved with the insurance companies games. I deal with insurance every day and see the nonsense insurance companies play to stall paying the practioner.
@@RG-hf4et Well maybe because some people cannot afford to pay the entire cost up font and wait for reimbursement. Then they are being denied care from a federal guaranteed program (not private insurance) that they paid into for years. You must be one of those Republicans that don't give a crap about low income people.
Thinking about getting an N plan but I’m a little concerned about this company’s population size, annual rate increases and the lack of a track record for the insurance company that I am interested in. The premium is starting at a reasonable $88/month but I’m concerned about big increases over the next several years. Is this a “Teaser” rate to get people to sign up with them??? It has only started dealing with Medicare for about one year. It has an excellent A++ rating, and solid backing but no history to examine. In your estimation what are the most important factors to consider when deciding on a particular insurance company? Your thoughts please.
I know what carrier you are referring to and we have some industry information that you may want to consider before making this purchase. Please contact my office at 888-465-9728, we would be happy to advise.
There is not a consumer site like this no, but an informed agent can help provide this information. Feel free to reach out to us anytime - (888) 465-9728
This Supplement plan is for Part A/B, I get that. But what about Medicare Part D? Is there a supplement plan for that, or is Part D complete? We are completely new to Medicare and confused by all the options. Thanks.
How do I see if I can get plan G or N I live in Michigan in Shiawassee cty. Antrim Twsp. I am 71 I had Plan F at first but dropped because of price increases thru AARP United Insurance. Can you help me?
People commonly get confused by the discussion of "guaranteed issue rights", and rightfully so, it's a bit of a tricky concept. When you turn 65, or first enroll in Part B, you can get ANY Medigap plan (including Plan N, because you are within your Medigap Open Enrollment Window. No medical underwriting. Guaranteed Issue Rights only apply to certain people who are experiencing certain life events....most people will never have to worry about this. But for those who do, Plan N is not a "Guaranteed Issue" option. Please call us directly if you have other questions! 888-465-9728.
Stephanie, your videos are very informative andI have some questions pertaining to medicare and VA Healthcare. I am a veteran and receive my care through the VA. I know I have to sign up for Part A (next month) and I have been advised to sign up for Part B in the event that things change at the government level and VA Healthcare gets cut back. My vision care is handled through the VA and my basic healthcare is received there too. I do not receive dental or hearing care as I am in Group 8, non combat status. Would you recommend Part G over N for me or N over G? I know there is a High Deductible N that would save me money but it has a $2700 yearly deductible. I only see my primary care doctor twice a year and I see one specialist. They are $15 and $50 respectively and my prescriptions are through the VA also. So I will not need Part D as I get a better deal now. So, my question is, would I benefit from taking the High Deductible G or the regular G or N? Your help would be greatly appreciated as I am kind of lost in the maze. Thank you.
Is Plan N the best plan for someone who is generally healthy? Up until now (almost age 65) I've had no major medical issues and use no medications. Also, regarding Part D for someone who isn't currently on any drugs, do you suggest simply picking the least expensive Part D choice available?
Plan N is a great choice for many, especially those with few office visits annually. And yes, if you take no meds then I recommend the lowest cost Part D plan. You can change your drug plan annually as your needs change. Let me know if you have any other questions! 888-465-9728
If I have Plan N - What happens if someone sees a doctor who doesn’t participate/accept Medicare and also therefore, doesn’t accept Medicare assignment? If that doctor charges $500 for an office visit, would I be responsible for the entire $500 or 15% of what Medicare “allows/assignment” (ie, $75)? Thank you and thank you for informative, well-explained videos?
Thank you so much for your prompt and informative reply! Much appreciated. I do have more questions about Plan N - is the $20 co pay likely to increase each year? If so, is there a cap on the amount of increase? And finally - if I have Plan N starting in 2022 and then the $20 co pay increases to $30 in 2023, because I got Plan N in 2022 when the co pay was only $20, would I have to pay a $30 co pay or a $20 copay (being “grandfathered in”)? Again, many thanks! You do an amazing job with all your videos!
@@papabear2515 the $20 copay on Plan N was standardized in 2010 and hasn’t changed. Medigap plans are guaranteed renewable for life, so if the Plan N benefits ever changed you would theoretically be grandfathered into the benefits that are established at the time you enrolled in the Plan. I hope this helps!
Do I need to get all my letter plans right away, like "D", or can I wait? Also, if I get the N plan, can I then switch or drop it at annual enrollment? Thanks!
When you Initially apply for Medicare, you are applying for Parts A and B. You have up to 6 months after your Part B effective date to add a Medigap plan without medical underwriting and you have three months after your 65th birth month to add a part D plan without penalty (unless you qualify for a special enrollment period). As for Plan N, there is only one “open enrollment” period for Medigap plans and that is the period of up to 6 months after your Part B effective date. After that window closes, you can change your Plan N at any time during the year, but it will be subject to medical underwriting. I hope this helps!
With Plan G being guaranteed issue, does that mean you can start off electing Plan N and if you find yourself becoming unhealthy and frequently going to doctors (with $20 copays), switch over at a later date to a Plan G WITHOUT underwriting? (If so, I can't see why anyone wouldn't start with Plan N if you can always make the switchover later to Plan G).
Great question. The answer is NO. Plan G is only guaranteed issue if you fall into certain very specific life events, like losing employer group coverage past age 65.
@@AbtInsuranceAgency I thought that was too good to be true (and perhaps not so great if everyone switched over to G only after their expenses started to get out of hand). I look forward to getting quotes/info from you for plans in my area (I filled out request on your site). Thanks for the extremely informative videos.
I was recently diagnosed for breast cancer, early stage, had mastectomy, no chemo nor radiation required, on oral estrogen blocker one pill a day for five years. Will I be disqualified for Plan N because of this "pre-existing" condition?
If you are no longer new to Part B and this surgery was in the last 2 years, then likely yes. However it depends on your state, as certain states have different rules.
Yes, you can change your plan at anytime, but it most cases it will be subject to medical underwriting. You will have to answer health questions to qualify medically to make the change. I hope this helps!
It’s my understanding that most doctors do not charge excess. Medicare has two contract doctors can choose from. The excess contract only nets them about 5% over the standard contract. Ultimately, it’s not worth losing customers over 5%.
@@newbirth35 I have read 96% accept assignment, which would be more like 1 in 20. Do you have a source for this data? Would also be curious if they are located mostly in certain states.
If you are referring to AARP/United Healthcare Medigap plans, then the wellness benefit is going to be "Renew Active" which includes a gym membership. Typically to switch to the Plan N without the wellness benefit, you will have to pass through underwriting. We would be happy to help explain the pros and cons! (888) 465-9728
Does this new plan G cover sleep test in a facility and supplies. I have plan F that plan seems to cover everything but you don’t mention that plan. Can you tell me why.
Plan G covers everything that Medicare parts A and B covers. Plan G is almost identical to Plan F, in that it covers everything Plan F covers except for the Part B deductible. Plan F is no longer available to newly eligible Medicare beneficiaries as of 1/1/2020.
Hi Stephanie. I'm 64 yrs and 4 months of age. No health issues at all. Very healthy man. I want to retire early. Maybe age 65 and 6 months. My bday is July 3rd 1957. I'm so confused by it all. Plan N seems like a good option for me as a healthy person. What do I need to do to start Medicare and add a medigap plan?
Just to add a few things. If you are already receiving Social Security then you are automatically enrolled in Medicare. Otherwise need to enroll in Medicare three months prior to turning 65 or three months after that. If you go past that period you will pay an extra premium for your part B premium for life. So don’t get in that situation. Plan N is good in my opinion if you are healthy and go to doctor minimally throughout the year. But up to $20 co pay for visits. Premiums are generally lower like she mentioned. Give her a call if you have not already. She will guide you in the right direction. I have used Stephanie in the past and she is very knowledgeable about all this.
N G F YOu taught me G was for copays for visits don't get N and F and sign up period work i am retiring at 66 and 4mo. How do find what SS says that day is so thats 12/24/21 how do tell sign up periods? how ccould this get any more complicated. i a still working
The price difference between Plan N and Plan G can be more or less than that amount, and for people who rarely go to the doctor the savings on a Plan N can be significant.
I have plan N and regular Medicare and my agent said I can't do G because we signed up 3 months before 2020 is that correct ? Is there a date issue here ?
That is the Part B premium, which you pay monthly, in 2021 ($148.50). The deductible, which is the amount you pay 1st in medical bills before your coverage kicks in, is $203 for 2021. I hope this helps!
Once you are more than 6 months past your Part B effective date, you have to pass through medical underwriting to switch from G to N. But you can apply (with underwriting) at ANY time of the year.
I wonder what percentage of Doctors in this country take Medicare---seems that many doctors in my area do not like or accept Medicare. They prefer Medicare part C plans
@@AbtInsuranceAgency But how many accept Medicare Advantage? I get the impression md's like & PREFER traditional Medicare over Medicare Advantage.... Med.Advantage is more work for them - written referrals for everything !!
Plan N. If I go into the hospital and they assign me a Dr and the Dr is not acceptable payment in full. If the Dr in turn charges me for additional charges am I responsible for them? I really can’t prevent who they send in to look at me. Additionally plan N can a hospital charge me additional fees and would I be responsible?
Excess charges apply to part B covered services only, not Part A (inpatient hospital services). And theoretically yes, any doctor or provider could bill you excess charges if they are not a Medicare Participating Provider who accepts Medicare Assignment, even if you haven’t had the chance to check that first. I hope this helps!
While technical fiduciary laws vary at the state level, a fiduciary responsibility is to act in the best interest of a client, putting their needs and financial best interest above our own, and acting in good faith and with ethical responsibility to our clients. So yes, we take this responsibility seriously and always put our clients financial best interest at the forefront of what we do.
Stephanie, thank you for the information regarding plan N. I love watching your videos. So informative!
Thank you for your advice Stephanie. I recently switched from G to N, and acquired more confidence in doing so, after watching your videos. In my plan N, I would have to pay copays for 21 yearly office visits, before I broke even with the expenses of Plan G. I'm willing to bet I won't reach that number, and maybe no where near it. Other than that issue, would be the copay for the Emergency Room, unless admitted to the hospital. I'll take my chances on that rare event also, and if I can I will use an Urgent Care Facility instead, which would not have a copay with Plan N.
Your videos are awesome! They have been so informative and helpful to me! You are very concise, straight forward, calm and even talk at a 'normal' speed for us older folks! I have an HRA, so I have to buy through them. However, I will definitely recommend your videos to my friends! Thanks again!🙂
As a sales person, these are helpful videos for me to learn these plans. I just started with Medicare in June and there is a lot of information to learn.
Thank you for the great info, Stephanie.
Your presentation is impressive and your performance is flawless.
After educating myself by watching many of your videos I opted to choose an N plan. The initial cost was around $35 a month less than a G plan and I will happily pay the $20 co-pays or the $50 emergency room co-pay. I am expecting the price increases on the N plan to be less than what people will be paying on the G. All in all I will be saving $400 a month from what I was paying in the open market. To top it off the company I am purchasing my end plan from will pay my gym membership which will save me an additional $30 a month. Thanks for all your great videos.
Thanks for another great educational video. I recently switched from G to N, and acquired more confidence in doing so, after watching your videos. In my plan N.I'm willing to bet I won't reach that number, and maybe no where near it. Other than that issue, would be the copay for the Emergency Room, unless admitted to the hospital. I'll take my chances on that rare event also, and if I can I will use an Urgent Care Facility instead, which would not have a copay with Plan N.
Abt Insurance Agency
Stephanie, Your videos are very informative and have helped me greatly. Thanks for posting all this information. BTW..you have a pretty smile !
I have plan N and find it works best for me. I do buy dental and eye insurance but the cost are small enough for me to afford. I tried an advantage plan I was not happy and went back to N. I appreciate you for explaining this to us. I am not selling anything but I use UHC.😊
You are so thorough and easy to follow. --- rare on YT.
I am thrilled with my new '22 plan N. I go to the Dr as seldom as possible.
I watch this video and it help me to decide that this is what I would go with U and your staff were Great to work with thanks I will recommend you .your the Best
Thank you Ron!
Very clear explanation and good honest advice. Thanks
I was on an Advantage plan on my initial enrollment and after only 3 months I realized I didn't like the restrictions and confinement of having to be in-network. So I just switched over to the N plan ($159 mthly), which will start in Jan while I'm still on my initial enrollment. I don't go to the doctor much so I don't mind a co-pay.
Thank you for your videos. They are always the best!
Wow, thank you for that compliment!
You are truly the most targeted and professional video presentations!! I was just thinking if N could be a value versus G. WAIT!!! Fear and Uncertainty is my entire motivation!!! You bad girl!!! hehehe. aren't these two things the basis of all insurance? I fear medical bankruptcy or losing all my assets bc of an appendicitis when I am 77. My beloved friend went to the hospital 3 times: each time was Hundreds of thousands in costs!! He is just a regular guy: Gall Bladder, fell inquired his head and a non-heart attack heart procedure. Any one of those would have wiped him out even though he is a successful businessman!!
FYI. Plan N has 100% in pt hospital coverage. The up to $20 co pay relates to out pt doctor office visits. The ER co pay of $50 would have been waived in all of these situations. No bankruptcy with plan N. Excellent coverage. Thinking you are not understanding the policy. LOL. In pt hospital coverage same as G. 👍👍👍
Just curious. Friend have any health insurance?? Straight Medicare, supplement, Medicare advantage?? Wipe out? Why?? No wipe out with Medicare and supplement whether F, G, N , FHD or GHD. LOL.
Thanks again, Stephanie!
Thanks for another great educational video. I switched to Plan N from Plan G and saved $35 a month. Underwriting is not difficult to pass unless you have a serious illness.
People are often confused over the "UP TO $20 copay." The $20 is a cap not a flat rate. It only applies to CPT codes for "office visits or evaluation and management visits." Since 99% of doctors accept Medicare Assignment, Medicare pays 80% and you are responsible for 20%. If your office visit has a CPT code for evaluation and management and the Medicare approved amount is under $100 the 20% is your copay. Example, you go to your doctor for some illness. Your doctor bills Medicare for $250 but the Medicare approved amount is $80. Your copay is $80 X .20 = $16.00. So if the Medicare approved amount for an office visit is over $100 your copay is capped at $20. Plan N pays the difference. So in the example Plan N means you pay the $16 to save money off a Plan G premium. Since Plan G would have paid that $16 for you at the cost of increased monlthy premiums. IF you go to the doctor many times a month then Plan N may not save you any money. You need to evaluate this.
NOTE: Online, telephone, or telehealth services DO NOT constitute "office visits" for purposes of determining whether a Plan N subscriber is subject to the Part B coinsurance or copayment of up to $20.
There is an official CMS document on Plan N copays. Search for "Revised Questions and Answers Regarding Implementation of Medicare Supplement Plan N Copayment, Deductible and Coinsurance" to find it. The document is dated April 22, 2010.
Strain talk backed by truth, wisdom and knowledge. The truth and proof is in the pudding.
Thank you for this information. Much appreciated.
So the copay will be billed to you, correct? You don't pay your copay up front it sounds like?
@@RG-hf4et Correct. You need to get the EOB from Medicare to see what the approved charges are. Then the doctor will bill.
@@Lysander-Spooner Thanks for the reply! Would you know about blood work & medical testing & copays? Do they fall under the "up to $20 copay", too, as long as it is preformed by a Medicare covered facility like colonoscopies, mammograms, CT scan, venous ultrasound, i & d, coronary scan, sleep apnea test, routine blood work? No one talks about actual medical tests just office visits.
Clear and concise👍👍
Excellent video Stephanie!!
You are the only person to make sense of medicare
Well, that is quite the compliment. Thank you! 🙂
INSURANCE is designed to mitigate future significant RISK. These folks saying they need to save $300/yr by going with N because "they arent going to the dr. that much" or "only 10% of doctors bill eccess charges" are very shortsighted looking into the future when costs could EASILY increase significantly and LOTS of drs make "excess charges". And when you are in the hospital for ANYTHING do you really start inquiring about which dr charges more or less? Of course not. $300/yr is less than a DOLLAR a day.......its called "peace of mind".
Thank you for your videos. Your explanations are very easy to understand!
Can you please do a video on how many people are each plan? For example, 10% of all Medicare patients are on Plan F, 40% are on Plan G, 30 % are on Plan N, etc......I'd like to see s graph at where most enrollees are...
in this video, we consider the hypothetical of Excess Charges from being unconscious and rushed to care. Surely there is an appeal process or the like? Or simply negotiate it like anything else. Medical bills in collections typically settle out at 10% (though I try for less!! - 5%? Too much!! haha) I'm in CA- It appears as long as I can stay conscious, the savings of the N plan, compared to G, might work for me.
Plan N works for me. Good info. (microphone turned on at 3:50:)
Well done. Thank you.
Nice job 👍🏻
I heard that in the State of Nevada, one already on Medicare could make a change but only in your birthday month.
Yes in NV you now have a birthday rule to make a change to a same or lesser benefit Medigap plan every year around your birth month.
Love Your Presentations! I need to review my Humana Plan The monthly premiums are getting higher when I only use for a annual Test and a 6 month visit
Mike, thanks for watching! Feel free to call us any times, we’d be happy to help. 888-465-9728
Thank you for your such an informative video!
Thank you for watching!
@@AbtInsuranceAgency i want to work with you directly. I like your planes so i want to helpout these peoples
One of the most important aspects of Plan G that will negatively impact premiums is the guarantee issue. More people with serious health problems can go into G, driving the cost of premiums up as insurance companies try to protect their profit margins. Guarantee issue is not available in Plan N so premium increases are more reasonable and predictable.
I've had plan G for five years with no rate increases
@@ppumpkin3282 which company you use?
N is guarantee issue during initial enrollment
All are during that period @@cisco1dog
Ok, I need all of your constructive criticism and input - leave it in the comments below! 😊
I’m presently on Plan F and have been researching other plans to possibly change to during the upcoming open enrollment period. Thanks for your explanation of Plan N. That would be my best choice I think.
Hello there Stephanie, great job breaking down plan N!! Question when will you do just as complete of a breakdown on plan HDG? THANKS 😊👍
@@Retiredmco I cover HDG and HDF in this video: czcams.com/video/dG3vFQECIvg/video.html but let me know if you have other specific questions!
@@pegpowell2486 so glad you found it helpful. Please feel free to call us, we would love the opportunity to assist. 888-465-9728 ☺️
@@AbtInsuranceAgency Thanks 😊!! I'll look forward to watching 👀it!!
We are happy with Plan G for several reasons and think the carrier you choose is probably just as important as future predictions about MACRA and GI. If we do see the inordinate increases, then we may change. If we are too sick to qualify by then, we will probably be very happy to have Plan G and no copays. But some of the hype by other YT brokers could just possibly be a tactic to sell more policies. Just my opinion.
I completely agree. That’s why I make a point to say that you shouldn’t base your decision on fear, just facts. Rates will go up on both G and N, and the insurance company you choose is very important!
What are the medical qualification list of question asked when switch plans
Thank you needs in April 22
I am so glad to have discovered your video in You Tube. All your presentations are so clear and easy to understand. Thank you so much. Since the enrollment period will start again soon, will you be presenting some videos regarding the medical supplemental insurance plans? I am on plan N now, if I want to switch to Plan G for 2022, do I need to go through medical underwriting? Thanks again for the informative and educational videos . I will certainly keep watching your upcoming video, if any and will also introduce to my friends.
Thanks for watching! I’ll have some 2022 videos out soon 🙂
In most states you will need to pass through medical underwriting to switch from Plan N to Plan G, and you can do it year -round.
Call us, we’d be happy to help. 888-465-9728
What kind of dental coverage ? Which plan is best for dental coverage for implants and crowns ❤️ and ✝️🛐 s
great info..but please know it's 'excess' charges not 'access' charges for clarification
Re: Excess Charges. Although a doctor that doesn't accept assignment for a service can charge "15% more" than the Medicare "approved amount", isn't it the case that the Medicare "approved amount" when not accepting assignment is only 95% of the "approved amount" for a doctor that _does_ accept assignment for that service -- to some extent effectively reducing the "excess charge" that the patient must pay to 9.25% of what a participating provider could have charged Medicare for.
Re: Copays on N. Isn't the copay the _minimum_ of $20 or 20% of the Medicare approved amount (i.e., the part not paid by Medicare even without a supplemental plan)? While at "chargemaster rates", it would be pretty rare for the $20 not to be the result, given that Medicare fee schedules are typically well below "chargemaster rates", the lower 20% limit may apply sometimes.
Could you do a video for people eligible for Medicare via being on SSDI (starting after the two year waiting period)? As I understand it, situation can be complicated as far as availability & cost of Medigap plans.
We cover that here - czcams.com/video/rse2QMrLk2o/video.html
I had supplementary, for drs it is customary to charge extra. They say they take medicare but never med assignment.
That's rare but can happen - we cover Medicare excess charges here -czcams.com/video/Ac3s-AL93TQ/video.html
Why does it costs so much in California???? What's going on with Anthem that they are not authorizing standard procedures and are being looked at Like CIGNA was. CIGNA and eventually sanctioned by closed by the federal government..
How do Southern Californian's save money. I can't afford $500 extra a month. Currently have Medi-Medi. Need a different secondary.
I have Blue Cross and Blue Shield sapphire is that plan N
The trouble is that way too often a referral is to a medical provider that does bill excess charges. My example was, I was referred to a cardiologist …I checked him out and knew he would not bill excessive charges….but, the heart monitor I got was monitored by an organization I knew nothing about. The bill was for $1500 just from them.
I cannot see how I could have checked them out a head of time….and even if I could, would I say to the cardiologist “no, you have to change where you get this service from”.
That is a very important point to consider!
Are you saying the excess charge was $1500 that you had ypto pay under plan N
The cardiologist office should point this out ahead of time or give you company options. My dad just had a 10 day heart monitor and it was given to us in the office. He has plan F so an excess charge or copay wasn't even an issue. But that is the beauty of plan G - you can't get F anymore- no worries, no hassles!
That's very interesting. I guess the thing to do is get a phone number for the monitoring company and get something in writing from them if they say you won't be billed. Thank you for posting this .
Does anyone know where the love of God goes when insurance agents turn the minutes into hours?
What is plan in in the state of MN?
Can you go over all of the plans A thru Z?
We cover most of the popular plans throughout our videos, but covering each plan A-N individually is a great idea for future videos too!
Who are your favorite Medigap companies? And what is your opinion in AARP United Health Care?
Hi. Writing from Orange County, CA, and I do not use tobacco products. Just wanted to point out that this week I was quoted $116 for Plan G, $130 for Plan G Extra, and $143 for Plan N, all for a 1/1/22 start date. How does this even make sense? It doesn't line up with your vid, or even several others I've watched. All quoted from Blue Shield, California. I believe these prices include a $25 new to Medicare discount, so next year it would be $141 for the same policy. Plan N doesn't appear to have a "New to Medicare" first year discount.
That is one example of how CA is different. I do have a video that reviews CA Medigap policies specifically, be sure to check that out! Plan G is eligible for a $25/month welcome to Medicare discount with Blue Shield CA while Plan N is not, which makes the pricing seem off.
Great information! My question about Plan N (and applies to other options as well) is: when Plan N (after deductible, copayments, etc) covers hospitalization expenses "for up to a year", does that mean 365 days total lifetime or up to 365 days per calendar year? Thanks!
Plan N covers an additional 365 hospital days after you’ve used your Medicare Part A lifetime reserve days. I hope this helps!
INSURANCE is designed to mitigate future significant RISK. These folks saying they need to save $300/yr by going with N because "they arent going to the dr. that much" or "only 10% of doctors bill eccess charges" are very shortsighted looking into the future when costs could EASILY increase significantly and LOTS of drs make "excess charges". And when you are in the hospital for ANYTHING do you really start inquiring about which dr charges more or less? Of course not. $300/yr is less than a DOLLAR a day.......its called "peace of mind".
I know AEP is for advantage plans. My question is, during AEP, is there less health questions on medigap policies? Or are they underwritten the exact same way they would be any other time of the year except their one time guaranteed issue frame?
Great question. Medigap plans are medically underwritten year-round (whenever you are more than 6 months from your Part B effective date), and the health questions are the same whether it is the fall AEP or not. AEP is not related to Medicare Supplements.
@@AbtInsuranceAgency thank you!
@@AbtInsuranceAgency for some reason I thought medigap health questions wasn’t the same during AEP
Thank you for your clear teachings.
Once you mentioned a plan D penalty of 1% it reminded me of the 10% penalty, for each 12 months without Plan B. Are there similar penalties for plans N & G? Because of your previous videos, I getting B & D, but want to wait on N...if there’s no penalty.
No Medigap penalty, but you could be denied coverage due to medical
underwriting if you don’t apply when you are initially new to Medicare or new to Medicare Part B.
The B and D with these penalties are parts of medicare (Part B and Part D rather than Plan B and Plan D!) As Abt says, the issue with Medigap is simply that you can be medically denied coverage if you don't apply in the usual time window
I’m turning 65 and thanks for your explanation about Plan N which is perfect for my current health condition.
My question is can I switch to plan G later as I may see a doctor more in a year?
Thanks.
Yes, but usually medical underwriting will apply so you may or may not be able to change depending on your health.
Any thoughts about Plan G HD vs Plan N future pricing? Common opinion is that Plan G pricing could outpace Plan N, since the insured shares more of the cost in Plan N, and the pool of Plan G insured could be cost more overall. Plan G HD also shares more of the cost with the insured too, so will this keep Plan G HD cheaper in the long-term vs Plan N? I know this is anyone's guess, just asking.
High deductible plans definitely tend to have low rate increases overall, due to paying out fewer overall claims.
Why did New York have ** regarding excess charges? Also, are New York Medigap plans the most expensive in the counry?
NY is an expensive Medigap state due to guaranteed issue laws that are state specific. In NY excess charges are not completely illegal, but are limited to a smaller percentage.
I have plan N and every time I ask if a doctor accepts Medicare assignment I am told yes. Then I always get balanced billed for excess charges. Every single doctor I have ever been to!!
Wow, that seems like a lot! I would double check the claims to be sure, and also check Medicare.gov to see if they are listed as a Medicare participating provider.
Maybe she means her Plan N copay & not "excess charges"?
Thanks a lot for your sincere advice and awareness about Medicare and medigap plans. I hear your vedios and even forward to my friends. My question today is ,can I have an yearly physical done with Medicare and medigap plan N? I became Medicare eligible only from June 2021. I live in Philadelphia
Yes, Medicare and Medigap Plan N covers an annual Medicare wellness visit each year.
@@AbtInsuranceAgency Medicare wellness check different from full physical as we know it. That’s the question.
Is there a copay on plan N for the annual Medicare wellness visit?
@@RG-hf4et no that is 100% covered by Medicare!
@@AbtInsuranceAgency Thank you!
Thank you once again for the information I live in Oklahoma and I had quite a few things in the last year and a half I have plan N ,. I had a problem with nosebleeds I had colonoscopy and other things and
A dermatologist visit and every single doctor and every single nurse practitioner that saw me which combined total was probably about 20 visits, 20 times I had 20 bills for the office visits between $12.00and $20.00
Every single doctor and nurse practitioner charged me that I saw in the last year and a half for an office visit charge me for a copay is that normal?
Thanks for getting back to me
Yes, it is normal to expect up to a $20 copay for every office visit. It all depends on how the provider is coding the visit.
Of course, it's normal. That is the whole premise of Part N - you have a copay for every visit.
Are monthly infusions covered by Plan B or Plan D? In another words, are infusions considered prescription or medical care?
Typically they are covered by Part B
Can you change plans and companies? I.E. Plan F at AARP to plan N with another MediGap company?
Yes you can change at any time of the year, pending medical underwriting.
Thank you for explaining plan N. We have been seeing many doctors and chiropractors who now requires your payment up front and will give you a receipt to submit in yourself. It that legal and how would plan N reimburse you from that type of thing?
That’s a tricky one, it depends on the agreement you’ve worked out with the doctor and how they bull Medicare. Essentially if they don’t bull Medicare and make you pay up front, then you would have to file a claim with Medicare, and then Medicare and your Medigap plan would reimburse you. This seems very rare.
Why wouldn't it be legal? The office is giving you the paperwork to mail in with a full description of the date, codes, etc. ......Offices are getting tired of waiting to get paid. This is a major problem in any office that deals with ANY kind of insurance. Some times it takes 2-3-4 months to get paid & several calls to see what happened to the payment. Any insurance a patient has is an agreement between the patient & the insurance company. Patients forget that. Practioners are the middle man. Yet, Practioners get caught up in the insurance companies games of dragging their feet & making mistakes or losing claims. Kudos to these Practioners who refuse to get involved with the insurance companies games. I deal with insurance every day and see the nonsense insurance companies play to stall paying the practioner.
@@RG-hf4et Well maybe because some people cannot afford to pay the entire cost up font and wait for reimbursement. Then they are being denied care from a federal guaranteed program (not private insurance) that they paid into for years. You must be one of those Republicans that don't give a crap about low income people.
Thinking about getting an N plan but I’m a little concerned about this company’s population size, annual rate increases and the lack of a track record for the insurance company that I am interested in. The premium is starting at a reasonable $88/month but I’m concerned about big increases over the next several years. Is this a “Teaser” rate to get people to sign up with them??? It has only started dealing with Medicare for about one year. It has an excellent A++ rating, and solid backing but no history to examine. In your estimation what are the most important factors to consider when deciding on a particular insurance company? Your thoughts please.
I know what carrier you are referring to and we have some industry information that you may want to consider before making this purchase. Please contact my office at 888-465-9728, we would be happy to advise.
Is there a site where we can see the sustainability rates of insurance companies in relation to their history of raising plan prices?
There is not a consumer site like this no, but an informed agent can help provide this information. Feel free to reach out to us anytime - (888) 465-9728
@@AbtInsuranceAgency Why not a Consumer site?
@@chuckg6039 you can find some information on Medicare.gov regarding available Medigap plans and rates but unfortunately it’s not very comprehensive.
This Supplement plan is for Part A/B, I get that. But what about Medicare Part D? Is there a supplement plan for that, or is Part D complete? We are completely new to Medicare and confused by all the options. Thanks.
Medicare part D is separate from your Medicare Supplement/Medigap coverage. Feel free to call us anytime, we would be happy to assist! (888)465-9728
How do I see if I can get plan G or N I live in Michigan in Shiawassee cty. Antrim Twsp. I am 71 I had Plan F at first but dropped because of price increases thru AARP United Insurance. Can you help me?
Please call us at 888-465-9728
You stated plan N has no guaranteed issue rights. Does that include people in their initial enrollment period when turning 65?
People commonly get confused by the discussion of "guaranteed issue rights", and rightfully so, it's a bit of a tricky concept. When you turn 65, or first enroll in Part B, you can get ANY Medigap plan (including Plan N, because you are within your Medigap Open Enrollment Window. No medical underwriting.
Guaranteed Issue Rights only apply to certain people who are experiencing certain life events....most people will never have to worry about this. But for those who do, Plan N is not a "Guaranteed Issue" option. Please call us directly if you have other questions! 888-465-9728.
Stephanie, your videos are very informative andI have some questions pertaining to medicare and VA Healthcare. I am a veteran and receive my care through the VA. I know I have to sign up for Part A (next month) and I have been advised to sign up for Part B in the event that things change at the government level and VA Healthcare gets cut back. My vision care is handled through the VA and my basic healthcare is received there too. I do not receive dental or hearing care as I am in Group 8, non combat status. Would you recommend Part G over N for me or N over G? I know there is a High Deductible N that would save me money but it has a $2700 yearly deductible. I only see my primary care doctor twice a year and I see one specialist. They are $15 and $50 respectively and my prescriptions are through the VA also. So I will not need Part D as I get a better deal now. So, my question is, would I benefit from taking the High Deductible G or the regular G or N? Your help would be greatly appreciated as I am kind of lost in the maze. Thank you.
Please reach out to us directly for more information about your situation! 888-465-9728
Is Plan N the best plan for someone who is generally healthy? Up until now (almost age 65) I've had no major medical issues and use no medications.
Also, regarding Part D for someone who isn't currently on any drugs, do you suggest simply picking the least expensive Part D choice available?
Plan N is a great choice for many, especially those with few office visits annually. And yes, if you take no meds then I recommend the lowest cost Part D plan. You can change your drug plan annually as your needs change. Let me know if you have any other questions! 888-465-9728
If I have Plan N - What happens if someone sees a doctor who doesn’t participate/accept Medicare and also therefore, doesn’t accept Medicare assignment? If that doctor charges $500 for an office visit, would I be responsible for the entire $500 or 15% of what Medicare “allows/assignment” (ie, $75)? Thank you and thank you for informative, well-explained videos?
If you go to a doctor who doesn’t accept Medicare at all, you may be responsible for the full amount for that visit, or the full $500 in your example.
Thank you so much for your prompt and informative reply! Much appreciated.
I do have more questions about Plan N - is the $20 co pay likely to increase each year? If so, is there a cap on the amount of increase? And finally - if I have Plan N starting in 2022 and then the $20 co pay increases to $30 in 2023, because I got Plan N in 2022 when the co pay was only $20, would I have to pay a $30 co pay or a $20 copay (being “grandfathered in”)? Again, many thanks! You do an amazing job with all your videos!
@@papabear2515 the $20 copay on Plan N was standardized in 2010 and hasn’t changed. Medigap plans are guaranteed renewable for life, so if the Plan N benefits ever changed you would theoretically be grandfathered into the benefits that are established at the time you enrolled in the Plan. I hope this helps!
@@AbtInsuranceAgency thank you again! You are such an amazing resource!
Do I need to get all my letter plans right away, like "D", or can I wait? Also, if I get the N plan, can I then switch or drop it at annual enrollment? Thanks!
When you Initially apply for Medicare, you are applying for Parts A and B. You have up to 6 months after your Part B effective date to add a Medigap plan without medical underwriting and you have three months after your 65th birth month to add a part D plan without penalty (unless you qualify for a special enrollment period).
As for Plan N, there is only one “open enrollment” period for Medigap plans and that is the period of up to 6 months after your Part B effective date. After that window closes, you can change your Plan N at any time during the year, but it will be subject to medical underwriting.
I hope this helps!
With Plan G being guaranteed issue, does that mean you can start off electing Plan N and if you find yourself becoming unhealthy and frequently going to doctors (with $20 copays), switch over at a later date to a Plan G WITHOUT underwriting? (If so, I can't see why anyone wouldn't start with Plan N if you can always make the switchover later to Plan G).
Great question. The answer is NO. Plan G is only guaranteed issue if you fall into certain very specific life events, like losing employer group coverage past age 65.
@@AbtInsuranceAgency I thought that was too good to be true (and perhaps not so great if everyone switched over to G only after their expenses started to get out of hand). I look forward to getting quotes/info from you for plans in my area (I filled out request on your site). Thanks for the extremely informative videos.
I am told that IS possible if you live in one of the four states that forbid underwriting.
CT is one of them, I hope!
I'm 68 years old.
I'm completely, and extremely confused about all this.
I don't know what to do.
Please call us at 888-465-9728! 🙂
Hi, what about plan D is a good choice vs plan N? Thanks.
It depends on your area! Give us a call at 888-475-9728, we would be happy to help.
I was recently diagnosed for breast cancer, early stage, had mastectomy, no chemo nor radiation required, on oral estrogen blocker one pill a day for five years. Will I be disqualified for Plan N because of this "pre-existing" condition?
If you are no longer new to Part B and this surgery was in the last 2 years, then likely yes. However it depends on your state, as certain states have different rules.
If you sign up for say a N Plan, do you have the opportunity to change to say a G high Deductible or other Medigap?
Yes, you can change your plan at anytime, but it most cases it will be subject to medical underwriting. You will have to answer health questions to qualify medically to make the change. I hope this helps!
@@AbtInsuranceAgency thanks so much for your prompt reply!
It’s my understanding that most doctors do not charge excess. Medicare has two contract doctors can choose from. The excess contract only nets them about 5% over the standard contract. Ultimately, it’s not worth losing customers over 5%.
About 1 in 10 doctors charge excess charges.
@@newbirth35 I have read 96% accept assignment, which would be more like 1 in 20. Do you have a source for this data? Would also be curious if they are located mostly in certain states.
Most recent data suggests that at least 96% of Medicare providers accept Medicare assignment.
@@brocklanders6969 o
Is Medicare supplement plan n plus wellness worth it and can you switch from plan N plus wellness back to just plan N without underwriting
If you are referring to AARP/United Healthcare Medigap plans, then the wellness benefit is going to be "Renew Active" which includes a gym membership. Typically to switch to the Plan N without the wellness benefit, you will have to pass through underwriting. We would be happy to help explain the pros and cons! (888) 465-9728
Does this new plan G cover sleep test in a facility and supplies.
I have plan F that plan seems to cover everything but you don’t mention that plan. Can you tell me why.
Plan G covers everything that Medicare parts A and B covers. Plan G is almost identical to Plan F, in that it covers everything Plan F covers except for the Part B deductible. Plan F is no longer available to newly eligible Medicare beneficiaries as of 1/1/2020.
@@AbtInsuranceAgency
So I should stay with plan F??? It seems to cover everything.
Does Medicare supplemental plan n covered in New Jersey?
Yes! Give us a call we would be happy to help. 888-465-9728.
Hi Stephanie. I'm 64 yrs and 4 months of age. No health issues at all. Very healthy man. I want to retire early. Maybe age 65 and 6 months. My bday is July 3rd 1957. I'm so confused by it all. Plan N seems like a good option for me as a healthy person. What do I need to do to start Medicare and add a medigap plan?
Give us a call at 888-465-9728 and we would be happy to help!
Just to add a few things. If you are already receiving Social Security then you are automatically enrolled in Medicare. Otherwise need to enroll in Medicare three months prior to turning 65 or three months after that. If you go past that period you will pay an extra premium for your part B premium for life. So don’t get in that situation. Plan N is good in my opinion if you are healthy and go to doctor minimally throughout the year. But up to $20 co pay for visits. Premiums are generally lower like she mentioned. Give her a call if you have not already. She will guide you in the right direction. I have used Stephanie in the past and she is very knowledgeable about all this.
@@roberts1159 Thank you Robert!
Hi Stephanie. Are you licensed in Missouri?
Yes! We would love to help. 888-465-9728.
N G F YOu taught me G was for copays for visits don't get N and F and sign up period work i am retiring at 66 and 4mo. How do find what SS says that day is so thats 12/24/21 how do tell sign up periods? how ccould this get any more complicated. i a still working
Please feel free to call us with questions! 888-465-9738
If plan G is only 26.00 to 35.00 more then plan N , wouldn’t one co pay from plan N make plan G the better plan ?
The price difference between Plan N and Plan G can be more or less than that amount, and for people who rarely go to the doctor the savings on a Plan N can be significant.
Do I need part D with N and G?
Yes, if you want prescription coverage.
I have plan N and regular Medicare and my agent said I can't do G because we signed up 3 months before 2020 is that correct ? Is there a date issue here ?
That’s completely wrong. Please call us for a second opinion- 888-465-9728
Is Aetna plan g or n a good company. Is their customer service good. Thank you !
We would be happy to analyze the different carrier options in your area with you! Please call us at 888-465-9728
I thought the part b deductible is 148.50?
That is the Part B premium, which you pay monthly, in 2021 ($148.50). The deductible, which is the amount you pay 1st in medical bills before your coverage kicks in, is $203 for 2021. I hope this helps!
To switch from Plan G to Plan N would I need underwriting?
She answered my question.
Can I switch to G to N anytime or only open enrollment? I’m in Utah
Once you are more than 6 months past your Part B effective date, you have to pass through medical underwriting to switch from G to N. But you can apply (with underwriting) at ANY time of the year.
Anthem is the best
what dental plan do you recommend to add to Medicare?
Is it possible to switch from Plan K or L to Plan N or G ?
Yes. But medical underwriting is typically required.
I wonder what percentage of Doctors in this country take Medicare---seems that many doctors in my area do not like or accept Medicare. They prefer Medicare part C plans
Seems like the opposite where I live. Most doctors take traditional Medicare, but may only take some Advantage plans, or maybe none at all.
Over 9 out of 10 doctors accept original Medicare.
@@AbtInsuranceAgency But how many accept Medicare Advantage? I get the impression md's like & PREFER traditional Medicare over Medicare Advantage.... Med.Advantage is more work for them - written referrals for everything !!
I’m be retiring March 14, 2022 when I turn 65, I’m need your help
We would be happy to assist! Please call 888-465-9728
are you licensed in florida
Yes! We’d be happy to help. Call us at 888-465-9728
How much is the plan N?
200
Plan N. If I go into the hospital and they assign me a Dr and the Dr is not acceptable payment in full. If the Dr in turn charges me for additional charges am I responsible for them? I really can’t prevent who they send in to look at me.
Additionally plan N can a hospital charge me additional fees and would I be responsible?
Excess charges apply to part B covered services only, not Part A (inpatient hospital services). And theoretically yes, any doctor or provider could bill you excess charges if they are not a Medicare Participating Provider who accepts Medicare Assignment, even if you haven’t had the chance to check that first.
I hope this helps!
Are you and your team Fiduciaries?
While technical fiduciary laws vary at the state level, a fiduciary responsibility is to act in the best interest of a client, putting their needs and financial best interest above our own, and acting in good faith and with ethical responsibility to our clients. So yes, we take this responsibility seriously and always put our clients financial best interest at the forefront of what we do.
Mam i want to work with you directly. Is this possible ?
Please call us at 888-465-9728