Health Insurance Blog

Based solely on national market share, the “top”  (i.e. largest membership base) Medicare Supplement providers in the country in 2008-2009 were as follows:

1.  United Healthcare (driven by AARP contract) 29% market share

2.  Wellpoint  8%

3.  Mutual of Omaha 6%

4.  Health Care Services Corp.  5%

5.  Conseco 4%

As you can see, the five largest carriers account for 52% market share, and the remaining 48% is captured by dozens if not hundreds of smaller companies.

When Medicare Advantage and other Medicare products are factored into the mix, like prescription drug plans (PDP), the top four companies would be AARP, Humana, Wellpoint and Universal American respectively.

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.

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.

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.

According to the Humana Big Book commercial, signing up for Humana’s medicare program can be as easy as 3 steps.  Upon viewing their website it’s really true.

Obtaining Humana insurance quotes online has always been relatively simple, but now the company is marketing strong their Medicare programs.  With more and more Medicare eligible consumers becoming internet savvy, more programs are encouraging shopping around online.  Humana claims to have a wide array of plans so you are bound to find one that will fit your needs.  On their website you can easily compare Medicare Advantage plans, compare prescription drug plans, review plan features and enroll online instantly if you choose to do so.

Now is the perfect time for marketing Medigap supplemental insurance plans because the time period for changing Medicare Advantage plans or prescription plans for ‘10 is January 1 through March 31.  This holds true unless you recently became eligible for Medicare or if you have certain special circumstances.

Nine out of ten seniors are satisfied with their medicare supplement insurance according to Blue Cross Blue Shield’s (BCBS) website.  Most Medigap policyholders feel they are getting good value for their money based upon a survey recently released by BCBS and America’s Health Insurance Plans.

The survey, which was conducted by American ViewPoint, INC, shows that approximately 88% of seniors carrying medicare supplement insurance were satisfied and 62% consider themselves very satisfied.  Even more impressive is that 87% said they would recommend their Medigap coverage to friends and family.  According to the survey, the main thing they liked about their coverage was the flexibility choosing any physician they wish and the peace of mind they find with their protection.  Medical bills and processing paperwork is simple as well for these consumers.

Shopping around for a Medigap policy can be overwhelming since there are so many companies offering these types of policies, including BCBS medicare supplements.  To ensure you are part of the majority who have positive experiences with their Medicare, it’s important to shop around to get the best rates as well as the most comprehensive benefits that suit your needs.

According to the article “Advantage Plan Cancellation: What To Do” found on TucsonCitizen.com, you have two options in the case that your Medicare Advantage Plan is cancelled.  It’s important to understand those options to the best of your ability so you aren’t left without coverage for any period of time.

The first option is to change to another Advantage Plan as quickly as possible.  The other option is to return to a Medicare Plan and get a Medicare Supplement along with it.  This is called “guaranteed issue” and it’s a great option for many.  Finding individual health insurance can be challenging for anyone, but when your Medicare Advantage Plan is cancelled, you don’t want to be left scrambling.

In order to take advantage of “guaranteed issue” a few requirements must be met.  A copy of the cancellation letter from the company canceling the Medicare Advantage Plan must be submitted along with the Medicare Supplement application.  It’s important to ensure the appropriate boxes on the application are checked to show that one would be eligible for “guaranteed issue”.

On AARP’s website they have what is called a “Doughnut Hole Calculator” which has been designed for the 2010 Plan to avoid falling into a gap for Medicare Part D coverage.  It’s a four step tool that is very useful for saving you money on your health insurance quotes.

The Doughnut Hole Calculator is easy to use.  First, gather your medications and drug plan cards and go onto AARP’s website.  Enter the name of each drug, dosage, and how often you take it.  Then you can view a chart to determine if you are going to hit the “doughnut hole” for Medicare Part D.  The calculator will give you a list of alternative drugs that are similar to the prescribed drugs but they can dramatically reduce expenses and stretch your AARP Medicare supplements coverage.  They supply a form letter you can print out and show your doctor to ensure the drugs will suit your needs.

You can learn more about avoiding a gap in your Medicare coverage on AARP’s website.  You can also read and share experiences with the Doughnut Hole Calculator to see what other people are dealing with.  There is an online community available to members which many find extremely valuable.

Geisinger Health Insurance, offers a program that will help you choose the right Medicare plan.  It’s called Geisinger Gold and it has many advantages.

With the Geisinger name behind it, Geisinger Gold offers several coverage options that suit your Medicare needs.  Plans are affordable and they provide a large network of physicians and participating hospitals to choose from.  There are 84 hospitals that are part of the Geisinger Gold throughout the service area.  Participating doctors are over 15,000.

Geisinger Gold has health plans that include Preferred Provider Organization, Private Fee-For-Service, Medical Savings accounts, traditional HMOs as well as Special Needs Plans.  You can also opt for a stand alone prescription plan available to those with Medicare Advantage or Medicare supplement plans.  Consumers who are eligible for both Medicare and Medicaid two special needs plans are offered.  It’s definitely worth looking into if you are in the market.

Blue Cross Blue Shield of Alabama has a unique website with an important goal.  It’s called BeHealthy.com and it has a lot of valuable information on health topics, health news, and medications.  It’s available to all BCBSAL members and it’s easy to register online.

BCBSAL wants its members to be as healthy as they can be so they created the Be Healthy website as a resource for all to use.  The For Your Health Wellness Program is available on the site and gives consumers the tools they need to live a healthier lifestyle.  By using the resources available on BeHealthy, you can take control of your own health.

Health brochures are available and you can also access their outstanding walking program, called WalkingWorks.  This plan offers a walking program anyone can benefit from.  The young and old will find the For Your Health Program extremely useful.

BCBSAL also has information on Blue Cross Blue Shield Medicare Supplemental Insurance on their website.