The Popular Medicare F and J Supplemental Plans

The Popular Medicare F and J Supplemental Plans

The Medicare F supplement plan F and plan J are two of the most requested plans by the elderly. The main reason is that these two plans meet most of the gaps that Medicare does not guarantee. Many additional insurers offer Plan F, but with the introduction of Medicare Part D prescription drug insurance, Plan J may be harder to find. There are only a few selected companies that offer Plan J.

Coverage of the Medigap Plan J:

In general, plan J is more expensive than the other additional plans available. However, it offers the most complete insurance for the elderly in Medicare plan. The beneficiaries choose Plan J because they ensure the 8 gaps, which include:

Basic benefits:

  • Long-term care insurance
  • Part A deductible
  • Deductible part B
  • Excess of part B (100%)
  • Emergency trips abroad.
  • Rest at home

Preventive care not covered by the Medicare program:

Medicare does not ensure any annual verification, as would be the case with a regular group or individual health coverage. Medigap Plan J is the only name in the plan that pays checks. It is different from most other plans, as it also offers insurance for recovery at home, such as the home visit of a physiotherapist. Retirees seeking total insurance generally choose plan J.

Insurance of the Medicare supplement plan:

This provides the most complete coverage of all available plans. It covers Part B insurance, co insurance, excessive part B costs, Part B coinsurance, emergency travel insurance, co insurance for special care, and co insurance for hospice care. But will this insurance be necessary for your lifestyle as a senior citizen? Once again, 2020 Best Medicare Supplement Plans is a simple recommendation from an agent who is not specialized in finding the best medical solution for their clients. Such agents may not understand what exactly each plan offers. With a fixed income, many elderly people cannot obtain better medical services with the most prominent plan. Plan F is generally a little cheaper than Plan J. It only secures 6 of the 8 loopholes in Medicare. It does not offer benefits for “Domestic Recovery” and “Preventive care not insured by Medicare”. Older people who have a limited budget, but want almost complete insurance, choose the designation of plan F.

Other additional plans:

Of course, there are many other additional plans to choose from, including plans A, B, C, D, G, E, K and L. These plans are less expensive than the more complete ones, but offer benefits for the most common complaints. In addition, several insurers offer Medigap plans with high franchises. (Additional insurance with high franchises does not cover coverage until the consumer has complied with the franchise). However, J and F plans are still the most popular among the elderly who want complete insurance. Supplement quote for health care in Ohio, Missouri, Georgia, Illinois, and Indiana:In some situations, you can get in touch with agents that act in the investment and insurance sector for more than a decade. There are some agents that own and manage independent insurance companies that operate in Illinois, Georgia,   Ohio, Indiana, and Missouri.

Three Words with Four Letters That No One Dares to Utter

Three Words with Four Letters That No One Dares to Utter

“It is a good thing that now we live longer and the bad news is that now we live longer,” according to Michael Aun, author, entrepreneur and motivational speaker recognized by the state. You did everything right. You lived within your means and saved diligently. Through all the highs and lows of the market, you have maintained a very diversified portfolio, have maintained the observed cost of investment and used different strategies to lower taxes on your profits. For this reason, you have saved up a good amount of funds to finance your retirement and provide a sound legacy for your kids.

Unfortunately, you could lose everything if you do not take the right steps to protect your assets. I am not speaking about the possibility of continuous volatility of the market or recession that generally dominates the news and the opinion of everyone. I’m talking about the three four-letter words that almost nobody dares to comment on. Long-term care that includes the cost of a stay in nursing home, assisted living or home nursing.

Why should it be a problem?

According to the Department of Health and Welfare of the United States, 70% of people over 65 need home care at some time in their lives. Of those who need care, more than 75% of them need more than a year. The current life expectancy after 65 years is 17.9 years, which means that their chances of obtaining help from chronic diseases are greater than 10 or 20 years ago.The cost of care is not cheap. The average cost of care according to the American Long Term Insurance Association is US $ 73,000 per year. The cost of home care can be significantly lower or higher, depending on what services are needed and how often the patient needs to be cared for.

The cost of care increased an average of 6% per year a few years ago. At that rate, the average cost of care in twelve years will be double that of today, which would be US $ 146 thousand per year. Assuming that the cost of care continues to increase in the same proportion for another 12 years, in 24 years, the cost of care will be US $ 292,000 per year.Medicare covers only the cost of the first 20 days of qualified care that follows at least three days after hospitalization. Medicare and its 2020 Medicare Supplement Plans can pay for another 80 days of treatment, but only if a health professional says that you need proper care and again after a three-day inpatient stay so sign up

  • So, what should or can he do now?
  • Would you like your child or spouse to take care of you? If so, how will it affect their lives?
  • What you are going to do about it depends on what you want to do if you need some kind of long-term care.
  • What assets would be liquidated?
  • If you prefer to have professional care, how would you pay for your services?
  • How much more taxes would have to be paid?You will have to answer all these questions before an action plan can be drawn up, so that you are not forced to make difficult decisions under duress.

What Does Medicare Cover?

What Does Medicare Cover?

Medicare is a health insurance fund offered by the federal government to cover the cost of medical care for the elderly in the United States (aged 65 years or older). For people under 65, people with permanent disabilities and kidney failure who need dialysis, etc. can also sign up for Medicare. Medicare coverage mainly depends on the part of Medicare you enroll in. Three months before your 65th birthday, you will receive a Medicare card proving that you have Medicare health insurance. When you become 65 years old, you will automatically receive Medicare.

However, you must register for Medicare during the open enrollment period from November 15 through December 31. Enrollment in Medicare gives direct access to Medicare Part A (hospital insurance), which is free, which means no premiums must be paid. Anyone who is entitled to Part A will automatically be entitled to Part B (health insurance). However, if you have already received social security, Medicare Part B may not be necessary but it is when you get 2020 Medicare Supplement Plans at
. You can cancel your enrollment by following the instructions on the Medicare card.

Medicare coverage has four categories. If someone has one or a combination of them, you will get the following coverage for each of the parties.Since part A is known as hospital insurance, it covers all hospital costs. These include palliative care and the time interval in palliative care, blood transfusion (without three pints a year), home care without supervision of an adult, long-term hospital care up to 60 days of hospitalization, coverage decreases after 60 days, the cover stops after 150 days.

It also includes bariatric surgery for obesity, costs incurred by the recipient when visiting non-medical health care facilities that work for religious purposes, qualified but not private care facilities, non-hospital and VCR hospital room services, services social, medical equipment and other supplies, chemotherapy, anesthesia, transportation, prescribed medications, regular meals, laboratory tests, etc.Next is part B or health insurance. If you decide to keep this part, you will have coverage for medical expenses and many things that Part A can not cover. 80% of the medical bill is covered by part B and the remaining 20% ​​is borne by the beneficiary. The 20% is the co-insurance or the co-payment that the beneficiary pays and, of course, there are also franchises.

Medical expenses covered by Part B are medical / medical services, medical and surgical services, glaucoma exams, ambulance services, mental illnesses, prosthetics, bone density measurement, radiation therapy, breast cancer and other cancer tests, cardiovascular. It also includes mammograms, emergency treatment, radiology and pathology. Part B requires people to pay prizes, unlike Part A. The remaining 20% ​​that the beneficiary has to pay can be very inaccessible at times. Therefore, there is an option known as Medigap. Medigap plans are Medicare supplementation plans provided by private insurance companies.They help pay for the costs that Medicare does not pay. There are 12 complementary plans that offer different types of coverage and also have different prizes.

The Federal Medicare Insurance Benefits

The Medicare plan is one of the health insurance programs of the federal government for the seniors and disabled. It is administered by the Centers for Medicare Services (CMS).  The following will give you some important facts about the Medicare program. But still, it is good to seek the help of a Medicare insurance counsel for proper assistance. Under the law, the program provides benefits for the following persons:

  • Those who have reached age 65 and are entitled to receive social security or railroad retirement benefits
  • Disabled individuals of any age who have received social security or railroad disability benefits for at least two years

Other people may be eligible and participate in the program. They include:

People eligible for social security benefits that have an end-stage renal disease and require kidney dialysis treatment

Medicare pays or reimburses qualifying health care providers for specific medical services. There are two separate programs:

  1. Medicare Part A – Also known as the Hospital Insurance Program, it provides beneficiaries with coverage for mostly hospital-related claims, such as:
  • People over age 65 who are not eligible for either social security or railroad retirement benefits that purchase monthly Medicare insurance coverage
  • Inpatient hospital care
  • Limited post-hospital skilled nursing facility
  • Home health care
  • Hospice care
  1. Medicare Part B – Also known as the Supplementary Medical Insurance Program, it centers on medical costs other than hospitalization, such as:
  • Physician and surgical services
  • Diagnostic tests
  • Home health care
  • Physical, speech and occupational therapy
  • Medical supplies
  • Durable medical equipment
  • Ambulance services
  • Some preventive care services

Getting part B coverage is optional but each program requires a different deductible and co-payment amounts.  The program also offers new plans for eligible members under the Medicare Plus Choice Program. Under this, any individual who is entitled to benefits under Part A and enrolled under Part B can choose from several types of health insurance plans. These include the following:

  • Coordinated Care Plans such as health maintenance organizations (HMOs), preferred provider organizations (PPO), and provider-sponsored organizations (PSO)
  • Private Fee-for-Service Plans
  • Medical Savings Accounts (MSAs)

Aside from that, there are other plans available for people under the federal program.

  1. Medigap Plans

The Medicare Supplemental plans (“Medigap”) plans provide coverage for:

  • Medicare deductible and co-payment amounts
  • Some health services not covered by Medicare

Medicare Exclusions

However, there are certain services not covered by the Medicare program. These include the following:

  • Custodial nursing home care
  • Most outpatient prescription drugs
  • Routine physical examinations
  • Routine eye examinations and eyeglasses
  • Routine dental services

The social security administration allows individuals to have legal representation when pursuing their claims and benefits. In fact, getting the services of a Medicare insurance attorney with a deep sense of professionalism can improve your chances of obtaining the claims that you deserved.

Information about Medicare assignment service and insurance plans

Most doctors, hospitals, skilled nursing facilities and home care groups accept Medicare insurance coverage. But, always make sure that you check with them prior to availing service. In case of assignments, the attending doctor or health care supplier is required by law to reimburse the Medicare approved amount for the entire services covered. Note that in such instances, both the participating bodies offering coverage must have had signed a prior agreement in advance to insure Medicare service for assignment.

Medicare assignment service

If your insurance service provider accepts the assignment, then you will not have to pay these extra charges. They will charge you only the deductible and copayment costs so that after their contribution to the amount you can place a claim directly with the health insurance provider. The attending service provider chosen by you cannot charge you for a claim submission if it has been already pre-agreed by Medicare and you in advance.

However, if your service provider isn’t a participating group that hasn’t signed up for any agreement with Medicare to process such a plan, they can still accept assignment for certain individual services. But, you have to bear some additional charges for amounts in excess of the upper Medicare approved limit also known as Excess Charges. There is also the limiting charge in which you will have to pay just 15 percent above the pre-defined amount to the service provider. This is the amount that non-participating services are paid by Medicare. They are also paid 95 percent of the fee allotted amount. The limiting charge is applicable only for Medicare approved service coverage. This does not extend to medical supplies.

The attending medical care specialist doctor or group has to file a claim to Medicare in order to supplement the services that they provide to you. Usually, the current service group has to request for your claim, but if they don’t then you should ask them to call up Medicare’s helpline number and the rest of the proceedings can be initiated thereafter. Using Form 1490S, you can also submit your own Medicare claim to obtain a reimbursement.

Supplement Insurance Plans

These are the Federal Government standardized insurance plans that come under the category of A-N. No matter which insurance company’s coverage policy you choose to avail, there are some basic Medigap policies that must be applicable for the insured to obtain. The same letter is provided to you by all insurance policy groups, but the only differentiating factor is the cost associated with each of the coverages. Using Plan A you can pay off the bills of the hospital under Medicare scheme and physician coinsurance. Beyond Medicare you will be able to avail the first three blood pints, and a whole year of hospitalization.

Plans B to N provide more benefits such as excess charges, Medicare deductibles, foreign travel and also limited preventive care. Make sure that you do not buy an additional Mutual of Omaha medicare supplement plan G as there will be only one supplement plan unless you want to change any of your earlier policies.

Is jumping from one Medicare Advantage Plan to Another Legal?

This is one of the crucial but disturbing question that has been lingering in the minds of many interested parties. At some point after taking an original Medicare and eventually enrolling in a Medicare plan of your choice, you will by chance realize that that could not be the right plan that would cover your needs to the later. The other thing that will drive you towards thinking of changing from one Medicare advantage plan to another is when you realize that your health condition has gradually changed. This are two instance when you will certainly realize the need to change from one plan to the other.  Get a quote for 2019 plans at

The first thing that one has to understand is the policies governing the overall Medicare original plan does allow one to shift from one plan to another. With that the answer as to whether it is legal to jump from one plan to the other. The only thing that you need to do is that you need to be careful to enroll within the Open Enrollment Period. The open enrollment period is within the Medicare advantage policy. As much as the legality of jumping from one plan to another is guaranteed, you need to be aware of the fact that switching from a plan to another will mean that you will forgo the other benefits you have been accruing from the previous plan.

advantage plans 2019

The new plan will take effect as soon as you switch from the previous plan to the current plan. The current plan will also take effect as soon and as possible meaning that you will get to enjoy health care benefits on immediate basis. In some case, there will be delays in those cases when there are critical concerns with your shift from one to another. The concerns might arise from mistakes or lack of proper application. This will bar you from being moved from one plan to the other. With that idea in mind, it is actually possible and legal to switch and start enjoying the benefits immediately after the shift from one plan to the other.

It is also possible to remove your membership from any of the Medicare advantage plan and still enjoy the umbrella of the original Medicare. It is therefore, also, legal to for you to remove yourself from any of the Medicare plan as long as you will follow the right channels.


It is Important to know that which will be Covered and that which will not be Covered by Medicare Supplement Plan

There are conditions which have been tied to the Medicare supplement plan and with these conditions, we will end up discussing those services and benefits that may be covered or may not be covered by the Medicare Supplement plan. Those who are eyeing on becoming the beneficiaries under that Medicare supplement plan should be aware of the general elements that are covered and those that may not be covered by the Medicare supplement plan. What, therefore, do we stand from taking a Medicare supplement cover and what do we not stand benefiting from it.  Enroll at

In quest to avoid overlapping of functions, the Medicare supplement plan does not anything that has already been stated under the original Medicare policy. This is to mean that there are some of the basic benefits which can be accrued from being part of the original Medicare system. When this is said and done, it is crucial to be aware of those benefits that have been covered and can be accrued from the original Medicare plan. This is basically avoiding the overlap of benefits that have already been covered by or through the original plan.


You need also to be aware of the idea that there are some of the stand-alone Medicare prescriptions that have their own expenses and may not be entirely be covered by the Supplement plan. Such expenses may be covered only through taking a coinsurance plan. The original Medicare plan will therefore cover a section of such expenses and those that exceed will be covered through a supplementary plan. This is one of the tricky things to understand for some individuals but it is very important if you will have a thorough understanding.

Conclusively, the Medicare supplement plan will also cover all the medical expenses stated in the policy terms in respect to the location which you wish to stay in or is longing to enjoy your services. With that idea, if for instance you are stationed at New Jersey, Medicare supplement plan will cover based on the rates allocated to such a location. There are exception which the Medicare supplement plan will consider. Such exceptions include covering couples who are located in different states. However, the couples will be required to select facilities within the State that was stated in the initial policy terms.

Medicare Plans

Medicare Part A and Medicare Part B are health insurance plans that will take care of numerous medical issues someone may have. Only they do not cover everything. People will still have numerous copayments and deductibles that will be their responsibility. Medicare Part A and Medicare Part B do not cover all medical issues, such, as vision and dental checkups, prescription drugs and any foreign health care if you travel.

People with original Medicare Part A and Medicare Part B may get a Medicare supplement plan to cover all expenses or they may acquire a Medicare Advantage Plan. People have the option of making the choice of original Medicare or a Medicare Advantage Plan that incorporates original Medicare. Medicare supplement plans work with Medicare Part A and Medicare Part B and they are also known as Medigap plans. It is a consideration to really look at both plans to see what they have to offer and what medical expenses they will cover.

An Aetna Medicare supplement pays the gaps in Medicare Part A and Part B. and will help with the medical costs not covered by Medicare. You must continue to have Medicare Part A and Medicare Part B in order to have a Medicare supplement plan. You will also need to get Medicare Part D to help with your prescription drugs. That coverage is not included in a Medicare supplement plan.

Medicare pays 80% of your hospital costs and medical procedures while a Medicare supplement plan will cover the remaining 20% with copayments or deductibles. These plans may also cover medical expenses that Medicare does not take care of, like Medicare Part B excess charges or health care in a foreign country.

Medicare Advantage Plans are another option for a senior. You still have Medicare but its benefits are within the Medicare Advantage Plan. You must live in the state where you enlist the Medicare Advantage Plan you may be considering. With some exceptions, you may not have end stage renal disease. Some of the Medicare Advantage Plans will also cover your prescription drugs, vision, hearing exams and dental. The plans are all different and need to be looked at carefully to determine what will work best for your situation. Individual insurance agencies offer both Medigap plans, as well as, the Medicare Advantage Plans. Depending on where you live and what plan you want, each insurance agency will offer different costs for the premiums for the same plans.