Health Insurance Blog

Blue Cross Blue Shield Medicare Supplemental Insurance is a very valuable type of coverage for those on Medicare.  According to their website, medicare does not cover all health care costs so having additional coverage can save you a lot of money.

Medicare coverage generally consists of Part A, which takes care of hospital and nursing facility care coverage, and Part B, which covers physician costs and other health care expenses.  Even with both of these coverages senior have to pay for other costs out of their own pocket.  Some of these include deductibles, copays, and coinsurance.  If someone doesn’t have Medicare supplement insurance, costs can be as high as $53,000 according to BCBS.  That is often beyond affordable for many seniors living off of social security.

Private insurance companies, such as BCBS medicare supplements, offer extra protection to fill in the gaps for medical expenses.  With health care reform still up for debate it’s hard to tell what will happen to seniors who are currently covered by Medicare and supplemental insurance.  It’s extra important that seniors have affordable health care, because not only do they need it more, but many are on fixed incomes, so a large increase in costs could be devastating.

The AARP recently announced they are supporting the idea of a government run health care system according to the article “Why Has the AARP Sold Out Its Members on Healthcare” by Al Ritter for the Baltimore Conservative Examiner.  This is interesting because the AARP is a self declared non-partisan group.

In 2008 AARP made about $653 million in royalties from insurance companies that sold products referred by AARP.  This is huge considering membership fees only brought in about $249 million that same year.  Seniors have two main choices for Medicare supplement insurance plans, Medicare Advantage and Medigap.  Medigap supplemental insuranceis endorsed by the AARP and they receive royalties from the company.  With Medicare Advantage health plans at risk with the new health care proposal, the hope is that more people will purchase Medigap and therefore AARP will make more money.

Section 1161 of the House bill cuts payments to the government run Medicare Advantage health plan which is used by about 20% of senior citizens.  It may cause them to lose some of their benefits such as health, vision and dental coverage and this is why they may be forced to purchase AARP Medicare Supplements.

According to the article “Two Medicare Programs Are Leaving Amarillo” found on connectamarillo.com, Secure Horizons and Physicians Health Choice are leaving the city. 

Members who were part of these plans and wish to remain on Medicare still have options.  The Area Agency on Aging is offering help to these citizens.  They are offering advice and guidance free of charge to those who need help.  Lisa Hancock is a volunteer for the Agency and told Pronews 7 that they try to help find a plan that will cover prescription costs because Medicare often does not. 

Open enrollement for prescription drug and health plans through Medicare goes through the end of December.  If you need assistance you should contact your local Area Agency on Aging.

According to the article “Overhaul of Health Care Bad for Seniors” by John Fanning on summitdaily.com, many senior citizens are losing their health insurance coverage in 2010 as many insurers have reduced medicare supplement plans or have increased premiums drastically. 

Many seniors are currently struggling to get by and paying for health insurance is just another worry on their plate.  If the current health care bill passes in Congress, advantage plans may be dismantled and seniors will need to find a prescription drug plan for MedicareD.  This can add an additional $25-$50 to the cost of their health care.  With many senior citizens living off of only social security this can be disastrous, especially since there is no SS increase for 2010. 

Over 12 million Medicare benficiaries are enrolled in Medicare Advantage Plans which represents 23% of the total Medicare population.  Many use Medicare supplement insurance as well.  Medicare pays about 11% more for a beneficiary to have a Medicare Advantage plan than for original Medicare on average. 

In the recent US News and World Report annual health plan rankings report, two health plans offered by Highmark ranked as being among the best health plans in the nation.

• SecurityBlue, HighMark’s Medicare Advantage HMO ranked #32 among Medicare Health Plans
• Among Commercial HMOs, Keystone Blue (offered by Highmark subsidiary Keystone Health Plan West) ranked 47th

Both of the above health plans were rated as excellent.

More information about:  Pennsylvania Health Insurance, Medicare Advantage Plans, HighMark BlueShield

Blue Cross Blue Shield of Texas gives some great information on Medicare Supplements on their website.  Having Texas health insurance or Medicare often isn’t enough to cover you in the case of medical treatment.

The article on BCBSTX’s website outlines a summary on medicare supplements.  As more people know, Medicare is a federally run program which helps older Americans and some disabled Americans cover the costs of health care.  Unfortunately, Medicare does not cover all medical costs and this is where supplement insurance can come in very handy. 

Even with full Medicare coverage many are still responsible for other health care charges such as hospital deductibles, copayments for hospital stays over 60 days, care in a skilled nursing facility after 20 days, and a portion of doctor bills or other medical expenses.  Medicare supplements fills in the gaps between what your health care costs and what Medicare is covering.  Medicare supplement insurance, by law, is standardized into 12 plans and can get complicated.  To learn more and see if you qualify, visit BCBSTX’s website.

US News and World Report recently released their updated health plan rankings for 2009-2010.  Their rankings of Medicare Health Plans was as follows, with 2008 ranking in parenthesis.

1. Kaiser Foundation Health Plan of Colorado (8)
2. Fallon Community Health Plan (Not In Top 10)
3. Geisinger Health Plan (3)
4. Tufts Associated Health Maintenance Organization (10)
5. Capital Health Plan (7)
6. MVP Health Care (Not in Top 10)
7. Kaiser Foundation Health Plan of Northwest (Not in Top 10)
8. Kaiser Foundation Health Plan of Southern California (2)
9. Kaiser Foundation Health Plan of Northwest (Demonstration Project) (NR)
10. Capital District Health Plan (9)

In 2008, Preferred Care was the top rated Medicare Health Plan by US News.  In this years study, they failed to make the top 10.  Kaiser Foundation Health Plans fared very well in the 2009-2010 study, with 4 of their regional plans being ranked among the top 10 plans in the country, with the Colorado plan occupying the top spot.

Blue Cross Blue Shield of Michigan (BCBSM) doesn’t advertise their Medicare Supplement plans because they are such money losers for the company.  BCBSM has a dominant market position with nearly 60% market share, and the second largest Medicare Supplement membership rests with United Healthcare who maintains just under 20% of the market.

Several other health insurance carriers in Michigan are trying to take advantage of the fact that BCBSM’s is not marketing their plans aggressively by launching products of their own in Michigan in 2010.  Priority Health, Aetna, and Blue Care Network (a subsidiary of BCBSM), will all launch Medicare Supplement offerings to Michigan residents in 2010.  In addition, Health Alliance Plan began selling Medicare Supplements in 2008.

More information about Michigan health insurance.

According to the article “Humana Profit Rises 65% Despite Commercial Falloff” by The Associated Press on the NYTimes.com, Humana One posted a significant profit because of an increase in membership and premiums from Medicare Advantage. 

Humana’s quarterly revenue increased by 8% as enrollment rose 11% from last year in its Medicare Advantage.  Enrollment in its plans sold to employers dropped by 7.6% from a year ago.  This contributed to a pretax loss in their commercial segment.  Many health insurance companies are suffering as employer-sponsored health coverage plans drop because of layoffs and companies going out of business.  In October, the 3 largest publicly traded health insurers, incliding United Health Group, WellPoint and Aetna, reported 3rd quarter results which were below expectations.

Humana says it spent approximately $5 million on swine flu related costs in the 3rd quarter.  The chief financial officer said the company expected a heavier swine flu season for the 4th quarter.  Now more than ever it’s crucial to ensure you have proper health insurance coverage.  You can get Humana insurance quotes online to see if you can save some money and get insured.

Open enrollment for Medicare Advantage plans is rapidly approaching (November 15 - December 31).  We thought we’d blog about some of the top rated plans in each state according to US News and World Reports annual rankings.

In California, Kaiser Foundation Health Plan boasts the 2 top ranked plans in the state. Kaiser Foundation Health Plan of Southern California was the top rated Medicare health plan in California with an overall score of 88.1, followed by Kaiser’s plan covering Northern California (86.8).  These two plans were followed by Health Net of California (83.2), Pacificare of California (81.7) and Aetna Health of California (80.4).

None of the twenty California Medicare Plans ranked in this study received a customer assessment score of greater than three stars out of five.  However, both Kaiser plans faired very well in both treatment and prevention measures, with five stars.

More information about California health insurance.