Medicare Supplement Plans - State Rules

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Medicare Specialist - Abt Insurance Agency

Medicare Specialist - Abt Insurance Agency

8 ай бұрын

✅Our site: AbtInsuranceAgency.com (Secure), or call 888-465-9728 🔔 Subscribe for more free information: / @abtinsuranceagency Free Medicare Quotes: Https://www.abtinsuranceagency.com
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Пікірлер: 79
@jimjudge344
@jimjudge344 8 ай бұрын
How are these rules applied when you move to a different state. For example, we live in NH and both have plan G, what if we moved to ME?
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
Once you are living in that state, the state rules apply.
@glen8584
@glen8584 5 ай бұрын
@@AbtInsuranceAgency So if you move you may have a gap period with no insurance?
@WhiteRosez007
@WhiteRosez007 6 ай бұрын
I found out this month, Oklahoma adopted the Birthday Rule with a 60 day window in September for 2024. It's a "step down"plan to lesser Plan benefits or lower price with in the same Plan letter without medical underwriting. I decided to go back to Plan G from N because of the exact same thing you said Stephanie. I did have to go through medical underwriting this year. I just passed my 180 days limit after turning 65 in November. Fortunately I passed underwriting this month instead of having to wait 7 more months until my birthday. Giving up Plan N was tough. Liked Plan D but was higher with only 3 insurers available. I did watch your video on Plan D... just not cost effective. Thanks for all your hard work.😉
@AbtInsuranceAgency
@AbtInsuranceAgency 6 ай бұрын
Thanks for all this great feedback!
@slomo4672
@slomo4672 Ай бұрын
3:13 18 states' specific rules start here 3:37 NY CT VT enroll anytime no underwriting 3:58 MA 2-month enrollment window annually no underwriting 4:12 ME WA having medigap already, change anytime no underwriting 5:00 CA etc 11 states: birthday rule 6:03 MO anniversary rule
@steves3688
@steves3688 8 ай бұрын
Thank you... That answered my question from your last video.
@kathys53
@kathys53 8 ай бұрын
Very enlightening. Thank you.
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
You're very welcome ☺️
@geraldinefields1730
@geraldinefields1730 8 ай бұрын
Thank you.
@deinstaller
@deinstaller 8 ай бұрын
Very helpful - thank you!
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
Glad it was helpful!
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
Medicare Supplement Plan rules can vary by states - some of these "Birthday rules" are brand new!
@anitamartins4102
@anitamartins4102 8 ай бұрын
I understand both Medicare Advantage and Original Medicare is 80% coverage. I understand only original Medicare allows a Medigap policy. I understand those perks and prescription plans with Medicare Advantage are not really free. Do the math.
@maryshkamiceli8388
@maryshkamiceli8388 Ай бұрын
​@@anitamartins4102 I think MA insurers recoup the "fee" expenses (losses) by tacking on those losses with the annual out of pocket amounts. Is that correct?
@drsonnysell4471
@drsonnysell4471 7 ай бұрын
Thanks Ma'am
@lhivewire
@lhivewire 7 ай бұрын
Can you make a video about why Minnesota and Wisconsin are different than other states and what’s different? Where they are better or worse than the typical plan G?
@richardnordt7218
@richardnordt7218 8 ай бұрын
Always love these as refresher classes. Even though we go through this annually always good to stay fresh. Thank you Stephanie!!! 😊😊
@databug88
@databug88 5 ай бұрын
Hi Stephanie, Your videos are fantastic I have learned a lot thanks. I have been on medicare advantage plan for 2 years since turning 65 from what i know now i would like to switch to a medicare suplement plan. I am in NY and from your videos i understand there is no medical underwriting required so my question is can switch a supplement plan now in NY and not have to wait for fall enrollment period? If so i would like to contact your office to switch to a supplement plan..
@beekind6267
@beekind6267 8 ай бұрын
Thank you, thank you so much! 😊
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
You are so welcome!
@beekind6267
@beekind6267 8 ай бұрын
@@AbtInsuranceAgency this info is so vital and you make is so understandable. I'm so grateful!
@rogermartel2259
@rogermartel2259 8 ай бұрын
Is it possible to switch from an advantage plan to a supplement in Ct?
@RhondasView
@RhondasView 7 ай бұрын
I don’t have a primary doctor, I have plan G and recently had endoscopy for an issue that I’d been hospitalized for a few days. This was a follow up endoscopy, so I decided to ask for a colonoscopy since it was end of year and hadn’t had one In 16 years. I’m 66. My Medicare and plan G should cover this totally even if a primary doctor didn’t request it, right?
@billbeeb1803
@billbeeb1803 8 ай бұрын
Love your videos. Very informative. I live in California and I was wondering. If I got a Medigap policy through a broker and I want to change my policy on my birthday, do I have to use the same broker or can I change to a different broker?
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
You can change! Call us 😁 888-465-9728
@PRS9091
@PRS9091 3 ай бұрын
Curious that you mentioned that states with the birthday or anniversary rules have higher rates. Seems like it should encourage competitive rates given that consumers have the power to switch companies without having to pass underwriting.
@hillcountry-59
@hillcountry-59 7 ай бұрын
Quick question i will be turning 65 and need to enroll in a medicare supplement insurance plan and also part D , when i am ready will i be able to come to your place of business for the appointment to enroll or does your office just do business over the phone? Thanks
@anitamartins4102
@anitamartins4102 8 ай бұрын
I understand both Medicare Advantage and Original Medicare is 80% coverage. I understand only original Medicare allows a Medigap policy. I understand those perks and prescription plans with Medicare Advantage are not really free. Do the math.
@karlgranlund6796
@karlgranlund6796 6 ай бұрын
Hello. Thank you for the great info! If I choose Plan N in Oregon when I first enroll in Part B in July 2024, will I have to go through underwriting? And, if I am on Plan G or N in Oregon for 2-4 years and then I move to Washington State, will I have to go through medical underwriting to maintain the same Plan? thank you!
@AbtInsuranceAgency
@AbtInsuranceAgency 6 ай бұрын
There is NO medical underwriting for Medigap plans when you are turning 65/new to Medicare Part B! And your plan stays with you, even when you move. You never have to change it.
@kevinlee3297
@kevinlee3297 8 ай бұрын
Could you compare the new Advantage Blue Cross Flex vs Medigap Supplement G pros and cons in Texas? I’m 70+, I currently have Supplement G. Should I switch to Blue Cross Flex?
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
Call or email us for a review! 888-465-9728 or stephanie@abtinsuranceagency.com
@glennthorstensen5119
@glennthorstensen5119 Ай бұрын
I will be turning 65 next year, but I will be automatically enrolled in Medicare in less than a year because I am currently taking SS. I am looking at a Supplement Plan and I have seen videos on these plans closing. How would I know my plan is closing?
@user-zi4pz6eh5j
@user-zi4pz6eh5j 8 ай бұрын
My wife and I are currently living in TX and have had plan G coverage since Feb 2022. We are planning to move to MI in 2024. What do we need to do once we have moved?
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
You can keep your same exact plan G! You can also change plans if you’d like, pending underwriting. You will need to change your Part D rx plan within 60 days of your move.
@NoMoreTears64
@NoMoreTears64 2 ай бұрын
How do I find out the going rates for the supplements in my State? Im several months away from having to choose but I want to get some idea if Traditional Medicare and supplements is even going to be an option for me along with these rental increases.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 ай бұрын
Call or email us! 888-465-9728
@uutube243
@uutube243 8 ай бұрын
Your actually granted 2 free supplement pass’s if eligible for Medicare under age 65 if eligible due to being Social security disability and then once again at age 65.
@anitamartins4102
@anitamartins4102 8 ай бұрын
I understand both Medicare Advantage and Original Medicare is 80% coverage. I understand only original Medicare allows a Medigap policy. I understand those perks and prescription plans with Medicare Advantage are not really free. Do the math.
@philshock3805
@philshock3805 7 ай бұрын
Thanks so much for these helpful videos! What are your thoughts on supplemental plans from former employers? Are these treated the same as the traditional supplemental plans? I'm in OK and I'll be retiring soon from a large organization. They offer a group plan for retirees from BCBS - BlueSecure. The Plan 5 option says "(Plan G Equiv)". Does that mean it's essentially a Plan G? Any downsides or restrictions not associated with traditional plans? Could I utilize Oklahoma's new birthday rule and change it down the road without underwriting? The cost isn't bad but I must also take their Rx plan which does seem expensive. However my pension from the company provides a $100 insurance subsidy if I use this plan - really not sure which way to go. Any thoughts would be appreciated. Thanks!
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
Most people who are getting a subsidy to buy their employer/retiree plan will choose to keep that. BUT it is not the same as a Plan G in that you can’t use the birthday rule, etc. it is an employer/retiree plan which falls into a different category.
@philshock3805
@philshock3805 7 ай бұрын
@@AbtInsuranceAgency Thanks so much for the response! Have you done (or would you do), a video explaining how these employer/retiree plans are a different category? My biggest fear is getting locked into something that I regret.
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
@@philshock3805 good idea for a future video!
@jeffb.2469
@jeffb.2469 8 ай бұрын
Wife just became eligible for Medicare and is on SSDI. We declined her part B coverage as she is currently covered through my employer sponsored insurance. When I leave my job and lose healthcare coverage, she will have to go on an Advantage Plan, as individuals on SSDI are not eligible for a Supplemental plan in my state. When that time comes, can you help us choose the plan that's right for us? How soon do we have to enroll in a plan after we lose covererage?
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
Yes, we can help! You will have generally 63 days from the loss of employer coverage to choose an Advantage Plan, or up to 3 months after her Part B start date. Call us when the time comes - 888-465-9728.
@TheDealHunter
@TheDealHunter 8 ай бұрын
Is it true that Washington state allows you to move up in coverage?
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
In Washington you can change to any plan except Plan A, so yes!
@Dee--Jay
@Dee--Jay 7 ай бұрын
I have original Medicare. If I need dental and vision, is it best to get Medicare advantage or what do you recommend?
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
You can look at stand alone dental and vision options, or a Medicare Advantage plan that includes these benefits. The best option for *you* will be based on several other factors!
@LeeD1000
@LeeD1000 8 ай бұрын
I have a question that i can't find the answer. My wife is on SSDI and has Medicare A&B. She turns 65 next year. I found that her SSDI turns to SSI automatically. I can't find out what happens for her Medicare? Does she become eligible for a Medicare supplement (Plan G or N) or has she lost eligibility since she's been on the plan since she was granted SSDI?
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
Yes, she gets a new "open enrollment period" for Medicare Supplement plans when she turns 65! It generally lasts up to 65 months from the month she turns 65.
@LeeD1000
@LeeD1000 8 ай бұрын
Awesome. Thanks!@@AbtInsuranceAgency
@jeffb.2469
@jeffb.2469 8 ай бұрын
@@AbtInsuranceAgency I think that 65 months was a typo.
@sergiomcapablanca4099
@sergiomcapablanca4099 7 ай бұрын
Is switching a Medigap plan with the same insurance company allowed during open enrollment without triggering medical underwriting?
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
In most states, no.
@sergiomcapablanca4099
@sergiomcapablanca4099 7 ай бұрын
@AbtInsuranceAgency By any chance, is Florida one of those "no" states. Your reply is greatly appreciated. Thanks for your work explaining the intricacies of the Medicare Program.
@guitarhillbilly1482
@guitarhillbilly1482 7 ай бұрын
Oklahoma NOW has the Birthday Rule Effective Sept 1, 2023. BULLETIN NO. 10-2023 "Issuers offering a new (i.e., succeeding) supplement policy shall waive medical underwriting or preexisting exclusions if the new supplement policy offers the same or lesser benefits. Issuers of the current (i.e., prior) policy are required to furnish a statement of benefits or other pertinent information sufficient to permit verification of benefit determination to any new issuer upon request."
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
Yes, I included that in this video.
@kenmeyer5930
@kenmeyer5930 7 ай бұрын
@@AbtInsuranceAgency Well, this is good to know! our MofO g plans are going up a lot this time. I was thinking of N, with MofO or possibly UHC. But would have been tripped up, for one of us, by the underwriting thing probably. Here is the whole text: OAC 365:10-5-129(f) Amendments to Oklahoma Administrative Code (“OAC”) 365:10-5-129(f) create new enrollment opportunities for Medicare supplement policyholders. The regulation requires Medicare supplement issuers to provide new supplement policies with the same or lesser benefits to current Medicare supplement policyholders-regardless of current issuer-who have had no gap in coverage greater than ninety (90) days since initial enrollment. Medicare supplement issuers that provide these policyholders a sixty (60) calendar day “open enrollment” period beginning on the policyholder’s birthday each year, shall be deemed in compliance with this rule. Previously, these policyholders have had no opportunity after initial enrollment to move to any other Medicare supplement policies or issuers, trapping the policyholders in policies with rising premium costs and no opportunity to search for lower premium rates. Issuers offering a new (i.e., succeeding) supplement policy shall waive medical underwriting or preexisting exclusions if the new supplement policy offers the same or lesser benefits. Issuers of the current (i.e., prior) policy are required to furnish a statement of benefits or other pertinent information sufficient to permit verification of benefit determination to any new issuer upon request.
@jimevans7696
@jimevans7696 7 ай бұрын
I am a Federal retiree (annuitant) with FEHB insurance. If I sign up for Medicare when I turn 65 (next Oct) and keep my FEHB coverage as secondary, and I later decide to switch to a traditional Medigap (G or N) after a number of years and give up my FEHB coverage, am I subject to underwriting in order to qualify? Some people think that the FEHB program gives a person different options when it comes to switching to a Medigap policy.
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
If you decide to voluntarily leave this coverage, then you may be eligible to purchase a Medigap plan without underwriting, it depends on your state. If your coverage was cancelled involuntarily then you can always purchase a Medigap plan without medical underwriting. I hope that helps!
@jimevans7696
@jimevans7696 7 ай бұрын
@AbtInsuranceAgency. I live in Ohio. Does the FEHB program give a person a one-time option to drop FEHB and switch to a Medigap policy without underwriting?
@Rooster_Crows
@Rooster_Crows 8 ай бұрын
I signed up to advantage Plan this last August, can I change my Plan to Medicare supplement plan later? How long do l have before I have to show proof of my health condition?
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
Were you new to Medicare in August when your Advantage Plan started?
@Rooster_Crows
@Rooster_Crows 7 ай бұрын
Yes new
@Rooster_Crows
@Rooster_Crows 7 ай бұрын
? Yes new to Medicare, can I enroll into Medicare supplement later without underwriting?
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
@@Rooster_Crows you should be able to utilize your trial right to drop your Advantage plan and get a Medigap plan without underwriting. Please call us at 888-465-9728
@Rooster_Crows
@Rooster_Crows 7 ай бұрын
I just started this advantage Plan could I stay on it until next year around August then I will decide switching because I get full retirement from SS.
@catherinekuntz8306
@catherinekuntz8306 8 ай бұрын
Can i get my supplement after i get B i have employer health insurance right now
@catherinekuntz8306
@catherinekuntz8306 8 ай бұрын
I live in Texas
@AbtInsuranceAgency
@AbtInsuranceAgency 8 ай бұрын
Yes! Call us at 888-465-9728
@gm1937
@gm1937 8 ай бұрын
FULL DISCLOSURE: Don't waste your money on supplement if your provider accepts Medicare assignment. if the provider does not accept Medicare assignment, in some states like New York the limiting charge does not allow providers to bill more than 5% over the Medicare reimbursement, with few exceptions, such as durable medical equipment. In other states the maximum is 15% which is the most the federal government allows. And Rates will be going up AGAIN in 2024 and you will just be wasting your money unless you have significant ongoing health care needs. Alternatively to save significantly on premium you can consider a high deductible supplement policy but not every carrier offers this option and they are usually non-commissionable to agents, so an agent has no incentive to bring it to your attention. Good luck!
@johnurban7333
@johnurban7333 7 ай бұрын
Getting supplemental plan when you’re healthy protects you from losing everything when you get a serious illness. Just because you’re healthy now, doesn’t mean you’re going to stay that way. I know so many healthy people that got hit with an illness and have very high medical bills they have to pay. A good supplement plan pays for everything. It all depends on the gamble you want to take. You insure for the future, not the present.
@KJ99otis
@KJ99otis 7 ай бұрын
@johnurban7333 Spot on. 🎯
@mefirst4266
@mefirst4266 7 ай бұрын
I UNSUBSCRIBE TO YOU AFTER READING A SNOTY COMMENT YOU MADE . TO SOMEONE ASKING A QUESTION. NEVER CALL ONE OF THESE KZfaq OR TV COMPANIES. GO WITH THE ONES PROVIDED BY YOU HOSPITALS OR DOCTORS. !!!!
@AbtInsuranceAgency
@AbtInsuranceAgency 7 ай бұрын
What snotty comment did I make? I love answering questions here, so I would hate to come across as rude. Doctors and hospitals cannot provide Medicare supplement insurance, but independent agents like us can.
@DeniseSmith-rp2qn
@DeniseSmith-rp2qn 3 ай бұрын
I cannot imagine her being rude.
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