Medicare Supplemental Insurance Plans,
Individual health insurance group health insurance in and around The Villages and Eustis
According to Medicare.gov, Medicare health plans are offered by private companies that contract with Medicare, to provide Part A and Part B benefits to people enrolled with Medicare.
The Medigap supplement is readily identifiable to residents statewide as private health insurance designed to supplement original Medicare. Along with co-payments and deductibles, Medigap often covers services not covered by Medicare, and pays its share even when Medicare pays a basic portion. It is important to note that every Medigap policy must adhere to both State and Federal laws, and must be clearly identified as “Medicare Supplement Insurance” when offered. Speak with a Mid Florida agent for specifics in your case.
Medicare Select Policies
Medicare Select Policies can be an optimal choice, so long as participants use the specific network of health care providers and/or facilities required. Premiums are typically lower than a traditional Medicare Supplement, and are designed with this priority in mind. The policy holder must take care however, that except for emergency services, Medicare Select will either deny payment or pay less than the full benefit if you go outside the network. Mid Florida Agencies is fluent in the benefits and drawbacks that come with choosing this option.
Medicare Advantage Plans (Medicare Part C) include PPO’s and HMO’s:
Preferred Provider Organization (PPO) Plans. HMO’s and PPO’s differ in the need for referrals for seeing a specialist outside the network. PPO holders can see any doctor or provider that accepts Medicare (where HMO holders cannot). PPO’s in turn limit the maximum amount that members pay for care outside the network.
Health Maintenance Organization
(HMO) Plans offer service by way of a network of approved hospitals, doctors and other healthcare professionals. They agree to provide their services for a set monthly payment from Medicare. Emergency care however is covered, regardless of whether in or out of network. Ask a Mid Florida agent to assist in comparing the differences.
Private Fee-for-Service (PFFS) Plans:
With this straight-forward option, Medicare pays for Medicare approved services, while the PFFS plan covers, up to a predetermined limit, how much the care recipient will pay. Beneficiaries can obtain services from any Medicare-approved provider who agrees before treating you, to accept the Medicare PFFS’s terms and conditions of payment.
For further options, including Special Needs Plans (SNP), Low Income Assistance, Qualified Medicare Beneficiary (QMB) programs, Specified Low Income Medicare Beneficiary (SLIMB) programs and more, work with us at Mid Florida Agencies to see for which options you qualify, and which coverage and supplements work best.