Health Insurance Blog

KPS Health Insurance has offered Medicare Supplement Plans for over 30 years.  They have many choices from affordable plans to discount programs for prescription drugs in addition to the freedom to choose your own providers without getting a referral from your primary care physician.  These types of programs are very valuable for senior citizens in America, but it’s important they do their homework.

To be eligible for a KPS Health Plan Medicare Supplement Program A, E or F you must be age 65 or older, enrolled in Medicare Part A and Part B, and be a resident in the state of Washington.  They offer plan A which has a basic benefit structure which covers 20% of Medicare approved charges through Medicare Part B.

Plan E pays the Medicare Part A deductible and covers 20% of Medicare approved charges.  Then there is Plan F which is a comprehensive Medicare Supplement plan which pays both Medicare Part A and Part B deductibles in addition to 100% of the Part B excess.  Medicare supplement plan benefits do not vary from company to company, the costs do, so it’s worth your time to shop around and compare quotes.

Congress has announced a 21.2% cut in Medicare pay for physicians according to the article “Reduction in Medicare Pay Worries Physicians and Patients” by Amit Pathania on TopNews.com.  This is a concern for many and will affect both Medicare patients and doctors.

With less money allocated towards Medicare doctors, the doctors are forced to see less Medicare patients which may mean many will have to look for a different doctor.  According to one survey of neurosurgeons from 2010, about 60% of doctors are lessening their Medicare patients in their practice, and 40% will be cutting back on consultations by new Medicare patients.  Neurosurgeons have made the decision to not treat new patients.

The Congressional Budget Office states an estimate of a savings of $7.3 Billion in the deficit by pushing the Medicare pay cuts to October 1st.  It’s critical that those on Medicare and using Medicare supplement insurance understand what their doctor’s intentions are with their Medicare patients so that they have ample time to find a new, quality doctor if need be.

Akron Ohio based Summacare is going old-school by bringing back an old fashioned health care tradition and will be once again making house calls.

The Summacare House Call Program will be made available to select members of their traditional Medicare health plans in addition to members of their Medicare managed care products.

As part of the program, a geriatrician or nurse practitioner makes house calls to provide routine and preventive health care for frail patients who struggle to get to their doctor’s office.

In addition to being enrolled in one of SummaCare’s eligible products, patients also must have a diagnosis of hypertension, heart failure, chronic obstructive pulmonary disease, diabetes, bacterial pneumonia or other chronic illnesses to be eligible for the program.

More about: senior health insurance options, Ohio health insurance.

Health care reform is still a possibility according to the article “State of the Union: Renewed Hope for Health Care Reform?” by Jeffrey H. Toney on blog.nj.com.  This is at least the feel that came from President Obama’s State of the Union address to the nation on Wednesday night.

There needs to be reconciliation between the two bills “Patient Protection and Affordable Care Act” and the “Affordable Health Care for America Act” and it’s worth the effort.  President Obama pointed out in his speech that the ultimate goal continues to be to lower health insurance quotes, bring down the deficit, get more Americans insured, make Medicare for seniors stronger and stop health insurance company abuses.

President Obama urged Congress to not walk away from the idea of health care reform because they are very close and a solution is in the near future.  He continues to fight hard to keep his promises and achieve the ultimate goal to better our health care system.

Blue Cross Blue Shield of Florida offers many seminars throughout the state to the public as well as members to get out valuable information on their Medicare and Medigap programs.  Through these often times free seminars and senior expos Medicare beneficiaries can ask any questions and get clarification on the often times complicated Medicare plan.

Blue Cross Blue Shield Medicare supplemental insurance is also discussed in these seminars and interested consumers can obtain pamphlets of information in addition to asking questions to a live representative.  One of the most recent events was held at The Courtyard Fort Lauderdale to educate those interested specifically in Medicare Advantage (HMO, PPO, PFFS), medicare supplements, and Medicare Part D plans for 2010.  This event was open to the public free of charge.  Understanding your Medicare health insurance quotes can prove very beneficial as you shop around in the very competitive market.

A complete calendar of events is available on BCBSFL’s website which includes dates, times, locations and what will be covered at the seminar.  If you are a medicare beneficiary or will be soon, it’s worth your time to see if there are any available events in your area.

The online AARP Bulletin Today has a plethora of health care reform information for their members to sort through.  Many members are fearful of how their medicare and AARP Medicare supplements will be affected by health care reform if it passes.  The article “Lost in the Rhetoric: New Gains for Medicare Beneficiaries” by Susan Jaffe clears up some of the confusion.

The article points out that proposed legislation could offer additional benefits and more flexibility for improved Medicare.  Both the House and Senate health care bills would reduce overpayments to private insurance companies offering Medicare Advantage plans.  In the Senate bill there is a provision that guarantees that no basic Medicare benefits would be removed and that the savings are to be used to improve health care.

There are also some additional benefits being added to Medicare for free.  These include mammograms and colonoscopies, two of the most important tests for seniors.  There will also be annual medical checkups for Medicare beneficiaries free of charge.  Overall the proposed bills are trying to make Medicare and individual health insurance simpler and more affordable for Americans.  It’s still in a wait and see stage.

The article “Health Care Reform Would Help Insurers” by Gavin Magor on thestreet.com says insurance company stocks have risen in hopes that health care reform will come to a halt.  In actuality, reform could widen and increase insurers’ customer base while potentially increasing profits.

The House and Senate health care reform bills would promote some of the biggest changes in the industry in the last 40 years and provide millions of Americans with health insurance and an easier system to obtain affordable health insurance quotes.  The bills also include extensions of Medicaid and additional restrictions on insurance companies.

With reduced rates on Medicare some companies may struggle.  Humana Health Insurance is the largest Medicare Advantage provider so in order for them to remain profitable they would need to control expenditures.  It’s definitely possible as many health insurance companies have proven profits can remain during a recession by keeping costs down.

According to the article “Covering the Bases: Possible Options If You Miss Open Enrollment” by Amy Rubino on hometownglenburnie.com, there is no annual open enrollment period for Medicare Supplement Insurance medigap plans, similar to purchasing individual health insurance.

Medicare Part D and Medicare Advantage Plans have certain times you can enroll but it’s a little different for Medigap plans, which are designed to fill in the missing pieces of Original Medicare.  The article points out that the best time to think about enrolling in a Medigap plan is within the first 6 months that you are both age 65 or older and enrolled in Medicare Part B.

The reason this is the best time is because during this 6 month period the health insurance company that sells you the Medigap policy cannot refuse to sell you a plan and cannot charge you more because of pre-existing conditions.  There are also some other specific situations that would grant you guaranteed right to purchase a Medicare Supplement Insurance plan regardless of your health conditions.

State Farm health insurance has teamed up with Humana in an alliance to offer Medicare Prescription Drug Plans, also known as Medicare Part D.  Humana’s Medicare Prescription Drug Plans offers guidance on how to save money on your prescriptions.  They make it easy for you to keep track of prescription costs.  They offer a SmartSummary RxSM statement which shows what you bought and the varying costs.

It’s benefits like these that make State Farm and Humana Medicare supplement insurance plans unique.  Humana offers 3 stand alone Medicare Prescription Drug Plans to help balance your health insurance budget.  In today’s economy and so many pinching pennies, this benefit proves extremely valuable.

State Farm and Humana have joined to market Medicare Advantage plans as well.  This type of plan combines the benefit of prescription drug coverage with the Medicare health coverage in one convenient plan.  They offer additional benefits when compared to Original Medicare.

Health exchanges are included in Congress’s recent health care reform bill.  The article “Health Exchanges: What are They” on healthcentral.com defines a health exchange as a government sponsored market for buying health insurance.  It would be available to people not working for large companies and not on Medicaid, Medicare or any other public program.  Health care reform would result in approximately 30 million Americans using health exchanges to receive their health insurance.

This type of program has pros and cons.  It’s based on the philosophy of managed competition.  Only pre-approved health plans which meet government standards may compete in the health exchanges.  There is much debate over who would control these exchanges.  It can be controlled at state level or national level or a mixture of both.  There would need to be a consistent and fair way to get consumers affordable health insurance quotes.

The article “Collaborate on Health Exchanges” by Gary Lauer on USA Today’s site points out that America is so diverse, and no single approach is going to meet every consumer need.  In order for such a system to work, it will require a collaborative effort to get eligible Americans enrolled into exchanges quickly and smoothly and have significantly more people insured, which is Congress’ ultimate goal.