Traditional Medicare Supplements Archive

I’m Losing My Employer Retirement Plan, What Do I Need NOW? What Should I Do?

QUESTION:  I am losing my Retirement Plan from my company I worked at for many years.  They are telling me that I can only choose between plans they are giving me at this insurance enrollment number.  If I use another enrollment method or get different plans from what they are offering they won’t pay for it anymore.  Can they do this?  What do I really need to be concerned about getting on Medicare?

ANSWER:  Yes, Virginia, there really is a Santa Claus!  I’m sorry for being sarcastic, but it is amazing to me that companies out there are trying to confuse people getting on Medicare.  YOU STILL HAVE CHOICES JUST LIKE EVERY OTHER AMERICAN CITIZEN WHEN THEY ARE FIRST GETTING ON MEDICARE!! What your company is really saying is…..we have made a deal with these “certain” insurance companies that if you “enroll” with them AND take out the plans “we want you to take out”  WE WILL HELP YOU PAY FOR IT.

Most people when they retire go on Medicare with no financial help.  Usually if you have retired from a company, you can afford the $100 a month, give or take a little, for premium on a MedicareSupplement/Medigap plan, which is most certainly the best coverage and what you should be offered. If you are desperate and cannot afford this premium, THEN and only THEN should you take up the offer from your employer and join a Medicare Advantage Plan.  This is INFERIOR COVERAGE AND HAS NO NETWORK OF DOCTORS OR HOSPITALS THAT WILL ACCEPT THESE PLANS. Also, they are not going to be available after 2011 anyway.  So, my “educated guess” (yes, I’m being sarcastic again)  is that since the insurance company gets paid at least twice the commission for selling you Medicare Advantage Plans, they want to get these sold as long as they can, and they make some kind of “deal” with your employer.

After 2011, you will be right back in the same spot of choosing another kind of health plan.  Please read more about Medicare Advantage Plans under the “category section” on the left side of the homepage of the blog.

What you need to do is to call a local agent that you trust, or contact us and get a comparison of Premiums on a Medicare Supplement/Medigap plan and also a comparison based on your drugs, of a Stand Alone Part D for drugs plan.  That is ALL you NEED.

Now some of you are also used to having dental and vision coverage under your retirement program.  There are no insurance plans for people on Medicare for dental and vision.  The Medicare Advantage Plans have these little teaser benefits, but nothing like you used to have and should not be a deciding factor in chosing to use a Medicare Advantage Plan.  Believe me, if there were any kind of decent vision and dental plan out there for Medicare beneficiaries, I would have found it.  There are plans you can join, BUT THE PREMIUM IS NOT WORTH THE BENEFITS, OR YOU ARE WASTING YOUR MONEY. There are plenty of salespeople out there that will sell you dental and vision plans all day long.  So just think about that…..

When picking out a Part D plan, the only thing you need to worry about is saving the most on your co-pay and premium for the first $2,830 worth of drugs you buy.  After that, you don’t need to use your drug plan at all….you NEED TO SHOP AROUND AND BUY YOUR DRUGS AT THE PLACE YOU CAN FIND THE BEST PRICE NOT USING YOUR DRUG CARD.   ALSO, BEGIN THE YEAR BY NOT BUYING YOUR GENERICS ON YOUR DRUG CARD. If you read my other blogs about “drug savings tips” you will understand how this will keep you OUT of the DREADED DONUT HOLE LONGER EACH YEAR!   The only people who should buy all their drugs on their drug plan are those that will hit the donut hole and reach the other side to the 95% coverage!!  Get past that donut hole ASAP and begin getting your 95% coverage.

So, please find yourself a comparison of Medicare Supplement/Medigap plans and a Part D Plan, based on your prescriptions and enroll on those 2 things.  You will be glad you did!!!!

Go to www.MyPartDusa.com and enter in your drugs and tell us what situation you are dealing with in the comments.  We will honestly help you understand and get the best coverage!!!

THOUGHT FOR THE DAY:  Life isn’t about waiting for the storm to pass, but learning to dance in the rain.

Please write to me, Karyn Blake, here at My Part D USA’s blog at kblake@MyPartDusa.org. Or you can email this article to a friend.

Published by mypartdusa on November 17, 2009 in Drug Plan Enrollment, Drug Savings Tips, Medicare Advantage Plans, SENIORS WATCH OUT FOR SCAMS, Traditional Medicare Supplements.

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Medicare Shopping for 2010 – What You Need to Know Now!

EVERYONE ON A MEDICARE PART D DRUG PLAN NEEDS TO GET A DRUG PLAN COMPARISON OF ALL THE PART D PLANS BEGINNING NOVEMBER 15.  YOU CAN CHANGE YOUR DRUG PLAN FOR 2010 UNTIL DECEMBER 31. THE EARLIER YOU GET YOUR COMPARISON AND MAKE YOUR DECISION THE QUICKER YOU WILL HAVE IN HAND YOUR NEW PART D DRUG CARDS WHICH GO INTO EFFECT JANUARY 1ST, 2010.

WE WILL HAVE THOSE COMPARISONS LIVE ONLINE FOR YOU TO SEE FOR YOURSELF ON NOVEMBER 15 – DEC. 31.  YOU WILL NEED TO LIST THE MEDICATIONS YOU TAKE AND MAKE SURE YOU USE THE GENERIC NAME IF YOU TAKE A GENERIC TO GET AN ACCURATE COMPARISON.

AS YOU KNOW, ALL THE DRUG PLANS  CHANGE THE DRUGS THEY COVER AND THE CO-PAY AMOUNTS THEY CHARGE YOU EACH YEAR DURING THE ANNUAL ELECTION PERIOD OF NOV. 15 THRU DEC. 31ST.  IF YOU FAIL TO GET A NEW COMPARISON, YOU MAY BE VERY, VERY UPSET AT THE PRICES YOU ARE CHARGED AND THEN IT WILL BE TOO LATE TO CHANGE!

IF YOU ARE LOSING YOUR DOCTOR AND HOSPITAL COVERAGE OR TURNING 65, PLEASE TELL US IN THE COMMENTS SECTION AS WE WILL NEED TO TALK WITH YOU TO EXPLAIN YOUR OPTIONS & PROVIDE YOU WITH A COMPARISON OF MEDICARE SUPPLEMENTS.

IF YOU ONLY NEED A DRUG PLAN COMPARISON, ALL THAT INFORMATION IS LISTED FOR YOU ONLINE AS IT IS HUMANLY IMPOSSIBLE  TO TALK TO EACH PERSON ABOUT DRUG PLANS.

THERE ARE OVER 50 DRUG PLANS  TO CHOOSE FROM IN EACH STATE ALL WITH DIFFERENT PRICES AND DRUGS THEY COVER.  WE DO THESE DRUG PLAN COMPARISONS WITH EACH OF YOUR DRUGS AND CO-PAYS LISTED SO THAT YOU CAN CLEARLY SEE WHICH DRUG PLAN WILL SAVE YOU THE MOST MONEY.  THIS IS A FREE SERVICE!!

MANY OF YOU WILL BE LOSING YOUR EMPLOYER COVERAGE OR LOSING YOUR MEDICARE ADVANTAGE PLAN.  WE CAN HELP YOU REPLACE THIS COVERAGE AND GIVE YOU COMPARISONS OF PRICES FOR DOCTOR AND HOSPITAL COVERAGE.  THERE IS NO NEED TO PAY MORE THAN YOU NEED TO PAY!

Please write to me, Karyn Blake, here at My Part D USA’s blog at kblake@MyPartDusa.org. Or you can email this article to a friend.

Published by mypartdusa on October 21, 2009 in Drug Plan Enrollment, Traditional Medicare Supplements.

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TURNING 65 – NEW TO MEDICARE

EVERYONE KNOWS HOW CONFUSING MEDICARE CAN SEEM WHEN YOU ARE TURNING 65 OR NEW TO MEDICARE. All the different companies send you, or should I say bombard you, with their advertisements and information.  Everyone is overwhelmed, not just you!!

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If you read the comments from other people that we have helped in the TESTIMONIALS, (right hand side of blog) you can see that for yourself. kanye west heartless mp3

I was honored to be on CNN 3 times last November during the Annual Election Period talking about how some of  the GENERAL MOTORS RETIREES had come to us for help during their transition from group coverage to Medicare coverage.  I was also honored to write a blog for one of the largest groups of GM Retirees www.OverTheHillCarPeople.com They needed information about what they could expect after they had lost their group coverage.

As always we recommend a MEDICARE SUPPLEMENT/MEDIGAP PLAN COMBINED WITH A STAND ALONE PART D DRUG PLAN , instead of a Medicare Advantage Plan.  You can read more about the differences and why we do this by going to the categories section (left hand side of this blog) and clicking on those topics.  With a Medigap Plan you can go to any doctor or hospital of your choice and not be worried about networks.   Medicare Advantage Plans don’t even have a network of choices that you can be assured will take your coverage.  Please use this BLOG to educate yourself on the different types of coverage BEFORE you sign up.

AS ALWAYS, OUR SENIOR CONSULTANTS ARE HERE TO HELP EXPLAIN THESE ISSUES AND ANSWER YOUR QUESTIONS MORE CLEARLY.

YOU CAN EMAIL US OR CALL US TOLL FREE. 666 the beast dvd download doom 866-752-1795 BE SURE TO TELL US YOU ARE TURNING 65 OR LOSING YOUR COVERAGE.

While you are visiting this BLOG, please scroll on down and read my DRUG SAVINGS NEWSLETTER and also the TOP TEN LIST OF THINGS WRONG WITH MEDICARE.  This will revial more insight into the program and give you more information to ask questions.  Have you ever felt like you didn’t know enough about a topic to know what questions to ask?? We understand how you feel and when we talk to you can shed enough light that you will come up with the questions you need to know to make the BEST DECISIONS ABOUT YOUR MEDICARE COVERAGE.

Please write to me, Karyn Blake, here at My Part D USA’s blog at kblake@MyPartDusa.org. Or you can email this article to a friend.

Published by mypartdusa on May 20, 2009 in Traditional Medicare Supplements.

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How can I get OFF of this Medicare Advantage Plan?

At My Part D USA we are getting hundreds of letters each day from people who want to get back on a Medicare Supplement/Medigap plan instead of the Medicare Advantage Plan they joined. 

Many of you are not getting your drugs covered under the Advantage Plan’s drug plan or your doctor or hospital do not accept the terms of payment from the Advantage Plan.

All you need to do is call our toll free number: 866-752-1795 or fill out the worksheet you can click to on this blog.  One of our consultants will be happy to explain what steps you need to take to get back on Original Medicare combined with a Medicare Supplement and a stand alone drug plan that will cover your medications.

Please write to me, Karyn Blake, here at My Part D USA’s blog at kblake@MyPartDusa.org. Or you can email this article to a friend.

Published by mypartdusa on March 28, 2009 in Traditional Medicare Supplements.

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GM RETIREES – DO YOU KNOW WHAT MEDIGAP/MEDICARE SUPPLEMENT PLAN WOULD BE THE BEST CHOICE FOR YOU? WELL, READ THIS!

QUESTION: I am losing my group health coverage with General Motors, 1-1-2009, that I have had since I retired. Now I must find a Medicare Supplement and make sure my benefits are as good as what I had. How do I compare these plans, it is so confusing?

ANSWER: We have been contacted by MANY General Motors retirees about this very subject. Keep in mind you will only have 63 days to get your Medicare Supplement with no underwriting on a guarenteed issue basis. EVERY STATE & SUPPLEMENT COMPANY HAS DIFFERENT PRICES FOR EACH PLAN. PLEASE REMEMBER THAT THE BENEFITS ARE ALL THE SAME ON EACH PLAN NO MATTER WHAT STATE OR COMPANY YOU CHOOSE. THAT IS WHY YOU NEED A COMPARISON OF MEDIGAP PLANS SO YOU CAN FIND THE BEST PRICE IN THE STATE YOU LIVE IN, FROM THE DIFFERENT CARRIERS. Let me run down the best Medicare Supplement plans and what they do and do not cover for you.

Plan J - This is the Cadillac of Medicare Supplement Plans. Some people like to pay for all the bells and whisles even though they may possibly not need them, just to have that extra luxury. Plan J has everything all the other plans have plus the following:

Prevenative Care - This is an extra $120.00 per year for prevenative care such as a physical. However, if you have any health issues your doctor will do all the bloodwork anyway and you will end up getting the equivalent service.

Home Heath Care - This is $40 per day up to $1,600.00 of unskilled care per year, such as bathing, household chores. If you need this type of care you are probably getting skilled care as well and this is covered under other less expensive plans. You can’t get much for $40 a day these days.

Excess Charges - Plan J will cover 100% of any charges over the limit that Medicare allows for your illness that your doctor bills you. This means that if Medicare allows your Doctor to charge you $3,000 to blast away your Kidney Stones, but the Doctor charges you $3,450, this Plan J will pay for it anyway. LEGALLY, YOUR DOCTOR CAN ONLY CHARGE YOU 15% OVER WHAT MEDICARE WILL PAY.

Part B Deductible - There is a $135.00 yearly deductible on a Medicare Supplement. Plan J covers this for you, however, you may be paying more in premium for this $135 than it is worth.

Plan F - Plan F is the Oldsmobile of Medicare Supplements. It covers everything plan J covers except the following:

Home Heath Care - $1,600.00 per year

Preventative Care - $120 per year

Plan G - Plan G is the Chevrolet of Medicare Supplements. It is the most cost effective plan if paying the premium is an issue for you, yet it still has good coverage. Plan G has everything including Home Heath Care except:

Prevenative Care - $120 per year

100% Excess Charge Coverage - This plan does pay for 80% of excess charges. Which will be more than sufficient in most cases. This means that if Medicare allows the Doctor to charge $2,000 to remove your Gallbladder, and the Doctor charges you $2,300 this Plan G would cover it all but $60.

Part B Deductible Coverage - Keep in mind that if you want your plan to pay for the $135 a year deductible you may be paying more in premium than it is worth.

Plan C - is the same as the F plan, but it does not cover ANY EXCESS CHARGES.

PLEASE UNDERSTAND THAT A MEDIGAP PLAN – SELECT WILL LIMIT YOUR CHOICES OF HOSPITALS. IF IT HAS THE WORD SELECT IN THE NAME, YOU MAY NOT WANT IT.

As you can see, there are many things to consider. It all comes down to how much premium you want to pay for coverage you may not need. Some people want it all and don’t mind paying a higher premium per month to get it. All Medicare Supplements pay the 20% of all your doctor and hospital bills that Medicare does not cover with their 80%. You can decide if you want all the extras, or maybe you don’t mind rolling up your own windows or not having heated leather seats. It is up to you!!

At My Part D USA we can consult with you and help you choose the plan that would be best for you based on YOUR NEEDS and DESIRES. We can also help you get your Supplement, no matter what Plan you choose at the lowest prices.

MEDICARE ADVANTAGE PLANS should be avoided, unless you cannot pay the monthly premium on Original Medicare combined with a Medicare Supplement/Medigap Plan.

ONE THING TO REMEMBER ON ADVANTAGE PLANS IS DOCTORS SOMETIMES CHARGE THE EXTRA 15% THAT THEY CAN LEGALLY CHARGE PEOPLE ON MEDICARE OVER THE MEDICARE FIXED ALLOWANCE FOR AN ILLNESS. MEDICARE ADVANTAGE PLAN DO NOT PAY ANY OF THESE EXCESS CHARGES!!!! THAT IS WHY PEOPLE HAVE MORE OUT OF POCKET COSTS WITH ADVANTAGE PLANS AND DO NOT GET THE COVERAGE THEY THOUGHT THEY WOULD BE GETTING, PLUS THEY STILL HAVE ALL THE CO-PAYS AND DEDUCTIBLES. NOW WHY WOULD ANYONE WANT THIS??? THAT COMBINED WITH THE FACT THAT YOUR DOCTOR AND HOSPITALS WILL NOT BE CONTRACTED TO TAKE AN ADVANTAGE PLAN’S TERMS OF PAYMENT FROM ONE VISIT TO THE NEXT, IT IS NOT WISE THAT ANYONE WOULD JOIN AN ADVANTAGE PLAN UNLESS THEY COULD NOT AFFORD A MEDIGAP PLAN OR THEY WERE DISABLED AND COULD NOT GET ANY OTHER KIND OF COVERAGE.That is what we recommend and we are standing by this. Keep in mind that you will be approached by many Medicare Advantage Plan salespersons, telling you that their plan is better than Original Medicare, BUT they do not compare against Original Medicare with a Traditional Medicare Supplement. There are many co-pays and hoops to jump through.

THAT IS WHY I CALL THE MEDICARE ADVANTAGE PLANS THE FORD PINTO OF MEDICARE COVERAGE – - IT JUST MIGHT BLOW UP ON YOU!!

You have worked hard and deserve the BEST COVERAGE!

When you come off your retirement plan you only have 63 days from the end of your group plan to get a Medicare Supplement with NO UNDERWRITING. This is the only time you will have NO HEALTH QUESTIONS ASKED AND A GUARANTEED ENROLLMENT ON THE PLAN OF YOUR CHOICE!

PLEASE CALL US TOLL FREE AS WE WOULD BE HONORED TO ASSIST YOU IN GETTING YOUR MEDIGAP AND PART D DRUG PLAN FOR 2009!!

Please write to me, Karyn Blake, here at My Part D USA’s blog at kblake@MyPartDusa.org. Or you can email this article to a friend.

Published by mypartdusa on November 2, 2008 in Traditional Medicare Supplements.

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GM Retirees: Q & A About Medicare Supplements and Medicare Advantage Plans

QUESTION: I have always had a Group Health and Drug Policy through my retirement plan with my employer.  I have been told that when I join a Medicare Plan I will need to re-enroll and re-evaluate my Medicare Plan each year as I did with my group health.  Is this true?

ANSWER: No sir, this is not true in most cases.  If you join a Medicare Supplement plan, as I have advised the people who are losing retirement group health benefits, you will not need to ever re-enroll or re-evaluate your Medicare Supplement.  Medicare Supplement benefits never change.  They are regulated by the Centers for Medicare.  They all contain the exact same benefits, no matter if you get a AARP, Bankers Life, Mutual of Omaha, BC/BS etc…They all are the same benefits.  A plan F is a plan F or a plan J is a plan J no matter where you get it or what carrier you choose to enroll with.  The only difference is the price you will pay in your monthly premiums.  So you should MAKE SURE YOU GET A COMPARISON OF SUPPLEMENT PRICES FROM DIFFERENT CARRIERS AND ENROLL WITH AN A-RATED COMPANY. There are some Medicare Supplement carriers out there that are B-Rated.  Please do not consider these companies.  The only exception of re-evaluating your Medicare Supplement Policy would be to get a lower premium.  That is why you should GET a good rate up front!!!

YOU CAN NEVER BE CANCELLED FOR HEALTH REASONS ON YOUR MEDICARE SUPPLEMENT POLICY.  YOU ARE GUARANTEED COVERAGE FOR LIFE WITH NO RE-ENROLLMENT TO WORRY ABOUT EACH YEAR!  THE ONLY WAY TO LOSE YOUR POLICY IS FOR NON-PAYMENT OR YOU WISH TO CANCEL YOUR POLICY!

I can understand why you would be confused since you had to re-evaluate your group policy each year.  The group health companies change their benefits and prices each year, so you should have had the opportunity to re-evaluate them each year and make changes.

If you choose to join a MEDICARE ADVANTAGE PLAN, going against all my best advice, these can and do change.  You can jump from one MAPD to the next.  They may be hoping that you do, because each year they would get a brand spanking new commission every time you changed.  If a Medicare Advantage Plan is not making money in a certain area, they can decide to cancel coverage there.  I have seen that many times.  They do have lower premium rates than Medicare Supplements, but folks, remember that you get what you pay for, especially in this case.

The only part of your Medicare coverage you will need to look into each year is your Part D drug plan.  These plans DO CHANGE EVERY YEAR. You will need to get a comparison each year to make sure the plan you are on still covers every one of your prescriptions and at the lowest co-pays and premiums.  Don’t let this upset you, because we have them online every year and you can get this in 5 minutes or you can go to Medicare.gov and get one there as well.

QUESTION: I have been told that a Medicare Advantage Plan does not ask any health questions, but a Medicare Supplement does ask health questions.  Why is this and wouldn’t it be easier to get a Medicare Advantage plan since they do not ask questions?

ANSWER: The only questions Medicare Advantage Plans ask about is end stage renal disease, they do not take people with kidney failure.  That is why these plans are good for people on disability or for people who can absolutely NOT afford the premium on a Medicare Supplement Policy.  It is a risky plan.  There are just too many variables involved, such as your doctor can accept a Medicare Advantage Plan at one appointment and refuse it at your next appointment.  They have no set network of doctors or hospitals that quarantee you THEY WILL accept their terms of payment.  You see, Medicare does not pay your doctors and hospitals on a Medicare Advantage Plan.  The actual Insurance Company does it.  That is why many doctors and hospitals will not take the risk of NOT GETTING PAID BY THE MEDICARE ADVANTAGE PLAN.  SO, LADIES AND GENTELMAN, I ASK YOU…….WHY WOULD YOU TAKE THAT RISK?????

With a Medicare Supplement Plan you have a 63 day guaranteed enrollment with NO HEALTH QUESTIONS ASKED AND NO PRE-EXISTING EXCLUSIONS. That is why we tell you to get one NOW. After your 63 days you will go through underwriting and may get turned down for health reasons.

So to answer your question, if you take my advice and go ahead and get a Medicare Supplement now, it is JUST AS EASY to get the best coverage.

Please write to me, Karyn Blake, here at My Part D USA’s blog at kblake@MyPartDusa.org. Or you can email this article to a friend.

Published by mypartdusa on October 11, 2008 in Traditional Medicare Supplements.

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TOP 4 QUESTIONS TO ASK YOUR MEDICARE COVERAGE REPRESENTATIVE

I’d like to say “Thank YOU”,

to everyone who has written in to me the last week or so with all the kind and thoughtful words of appreciation for the BLOG.  It means so much to me that you have found the information helpful. 

My Part D USA’s main objective is to be a useful resource for helping you make good decisions regarding your Part D drug plans and health coverage during this confusing time of decision making. 

Medicare has become more confusing the last few years and I get letters everyday from people telling me how hard it is to know the best thing for them.  We are not in competition with anyone else that you may talk to about Medicare.  Our #1 goal is to equip you with he most comprehensive information we have available from our many years of service to Medicare benficiaries, and tell you things that you may not hear from other salespeople. 

I have found that you can be honest and work for the people and still make a living in this dog eat dog economy.  So many companies try to be successful doing what is best for them, instead of what is best for others.  I don’t understand that mind set.  To me it seems so much easier to just do the “right thing”. 

No matter who you choose to work with to get your drug plan and health coverage, please take the advice on the BLOG to heart.  We wish everyone involved with Medicare enrollments the very best, it is not to our advantage to downgrade anyone.  I just wanted to pose questions that you should ask and then it is up to you to evaluate what you consider best for you!!  Now you know what questions to ask and what to look for, no matter where you go or who you talk with for your enrollment needs. 

Questions to ask your healthcare rep:

1.  Can you give me a Part D Plan comparison of plans based on my individual prescriptions and show me the actual  co-pays and premiums of each plan to save the most money?  There are at least 50 plans in each state, all with different co-pays for each drug. 

2.  Do you have a comparison of Medicare Supplement prices for several companies in my State?  Remember all the benefits will be the same, don’t get sold on a company name.

3.  What is the comparison between a Medicare Advantage Plan against staying on Original Medicare combined with a Medicare Supplement and a Stand Alone Part D Plan?  Remember, if they tell you that a Medicare Advantage Plan is better than Original Medicare, that is not the comparison you need!!  If you are considering joining a Medicare Advantage Plan, remember that you may not be able to get anything else after your 63 days of open enrollment without going through underwriting and possibly getting turned down for health reasons.

4.  If you are talking to me about joining a Medicare Advantage Plan with a built in Part D drug plan, can you give me a comparison of the stand alone plans to make sure the MAPD’s plan will save me the most money and cover my drugs?, or can I get a Medicare Advantage plan and still have my choice of Part D drug plans?  Remember, if you really want a Medicare Advantage plan, even after all my warnings, you need to get one that does NOT have a built in Part D plan, so at least you can save the most on your drugs.

You need Two Different Policies:

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1.  Lowest Price Med Sup Policy

2.  Part D drug plan that covers meds at lowest prices

Again, I thank you for reading the blog.  Just let me know if you need a copy of the Walmart list for $4 generics. 

Please write to me, Karyn Blake, here at My Part D USA’s blog at kblake@MyPartDusa.org. Or you can email this article to a friend.

Published by mypartdusa on October 9, 2008 in Traditional Medicare Supplements.

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GM Retirees in Lordstown, Ohio: Recap of Top 10 List For Making the Best Choice on MEDICARE Coverage

I wanted to go over several things we discussed at the meeting in Ohio last Wednesday.  We also wanted to thank Tony Landers, Pat Moylan and Rosie Janus for inviting us to visit with you.  Also, a thank you must go to Paul Hansen, HR Director for 42 years at the Lordstown Plant, for putting us in touch with such a great group of Retirees.

The first speaker was a local pharmacist, Zen Forosty.  I was more than thrilled when I heard him talk about the very drug savings tips I have been writing about all year.  It means so much when a professional person gives such good advice and I’m sure people will have much more confidance in hearing it from him than from little ‘ole me. 

Here is the LIST OF TOP 10 TIPS TO MAKE THE BEST DECISIONS FOR HEALTHCARE AND DRUG SAVINGS.

1.  Not all Part D plans are the same.  There are over 50 plans in each state. 

2.  A ONE-SIZE-FITS-ALL approach is very dangerous. 

3.  You must choose your drug plan based on your individual needs and the actual drug names that you use.  If you take a generic, look up the generic name.

4.  You must do a comparison of the drug plans based on the drugs you take.  You can do your own pencil work or we can help you do this during the AEP, beginning Nov. 15 – Dec. 31st.

5.  Beginning January 1, 2009, buy as many of your drugs OFF THE PART D PLAN as possible.  Over 400 drugs are listed on Wal-Marts generic drug list for $4 for a 30 day supply.  You can also go to other large retailers if you don’t like Wal-Mart.  I WILL EMAIL YOU THIS LIST IF YOU WRITE ME WITH A REQUEST.  This tip will keep you OUT of the “DREADED DONUT HOLE” longer in 2009.  Please read my other blogs with details of how to do this!

6.  When your doctor prescribes a new medication for you, as him for samples FIRST, or as a very helpful lady at the meeting told me, get a 5 or 10 day supply.  The reason for this is, you may not be able to take the new med because of the side effects or it may simply not work for you.  Every prescription you purchase goes TOWARD YOUR FALLING INTO THE “DREADED DONUT HOLE”.  So don’t get a full prescription until you know you will be taking this medication.  Please read my other blogs about drug savings tips.

7.  Make SURE YOU GET A MEDICARE SUPPLEMENT FIRST, before you choose a MEDICARE ADVANTAGE PLAN.

8.  You have what is called a 63 day Guarantee Issue Period in which to choose a Medicare Supplement with NO HEALTH QUESTIONS ASKED, and NO PRE-EXISTING CONDITIONS EXCLUDED.

9.  Remember a Plan F is a Plan F, a Plan J is a Plan J, no matter which insurance company you choose.  All these Medicare Supplement Plans are regulated by the Centers for Medicare and contain the exact SAME BENEFITS!  The only difference is the price you will pay for your premium, and folks there is no sense in paying more than you absolutely must pay to these insurance companies!

10.  If you get a MEDICARE ADVANTAGE PLAN first, you will FORFEIT your right to get a Medicare Supplement with no underwriting!  In order to have a 12 month FREE-LOOK period, you must first have had a Medicare Supplement policy before joining a Medicare Advantage Plan.  Ladies & Gentleman, some of you may think you want to try out a Medicare Advantage Plan.  That is fine and good and your right to choose whatever plan is best for you.  HOWEVER, PLEASE KNOW THAT YOU NEED TO GET A MEDICARE SUPPLEMENT FIRST, SO IF YOU DON’T LIKE THE MEDICARE ADVANTAGE PLAN, YOU STILL RETAIN YOUR RIGHT TO GET BACK ON YOUR SUPPLEMENT WITH NO UNDERWRITING.   You could be turned down for health reasons if you join a MAD first.  Don’t let this happen to you and your family.  The Medicare Advantage Plans will not and do not tell you about this VERY IMPORTANT CHOICE TO HELP YOU MAKE THE BEST DECISION.  As I said before, you may ask yourself, why WILL THEY NOT TELL US?……IT MAY BE BECAUSE THEY GET PAID MORE.  The commissions on these MA Plan’s are at least double than if they helped you get a Med Sup first. 

I have been very concerned that GM Retirees will join plans that may be harmful for them because of the aggressive marketing of the Medicare Advantage Plans.  We have tried to get in touch with as many Retirees as possible, but of course we don’t have any way to do that and just rely on them coming to the website.

It truly is a sad day in our country when this kind of marketing is allowed, just like the crash of the housing markets, the Medicare system is going to fail if it does not get more regulations to make sure our Greatest Generation such as you GM Retirees do not have to be confused about the best coverage for you and your families!!!  I could go on and on, but will get off my soap box now.   

Please write to me, Karyn Blake, here at My Part D USA’s blog at kblake@MyPartDusa.org. Or you can email this article to a friend.

Published by mypartdusa on October 5, 2008 in Traditional Medicare Supplements.

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