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 Return Of The Magnificent Seven dvdrip - $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!!

