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Diabetes and Medicare Advantage

Differences between Original Medicare vs. Medicare Advantage

If I have diabetes, should I choose Original Medicare or Medicare Advantage?

The answer to this question depends on how important individualized care is to you.

Medicare Advantage plans are typically bundled, all-in-one plans that are made as a ‘one size fits all’, with a prescription drug plan included.

However, Original Medicare is set up for you to choose a supplement plan along with a prescription drug plan tailored to your individual needs.

The American Journal of Managed Care published a study pertaining to the difference in treatment of diabetes between Original Medicare and Medicare Advantage.

In the study, they concluded that in order to achieve savings, Medicare Advantage enrollees are more likely to be treated with cheaper medications, such as Metformin and Sulfonylureas, rather than receive costly, newer medications, compared to Original Medicare. This means Original Medicare affords you the opportunity to have the drugs that might best suit you.

In this video, we review the study and explain some of the differences between Original Medicare and Medicare Advantage. We also discuss why this decision is so important if you or someone you know has diabetes and are searching for the best plan.

If you would like help finding the best Medicare plan for you, please reach out. Our help is 100% FREE to you.

Medigap Hospital Discount Card Confusion

Yes, this is a pet peeve of mine – any time you can avoid confusion with senior clients, you should. Anything that introduces uncertainty and confusion in the mind of a brand new client is bad for business. It is therefore my goal to let you know what some insurance companies are sending to your clients with their policies and how you should get in front of it and answer the calls about it. –

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Go from Medicare Advantage to Medicare Supplement

North Carolina Medicare Plans

Seniors in North Carolina are facing more challenges with regard to Medicare Advantage plans.

Many are finding that Medicare Supplement (Medigap) is a far better way to go than the ever-shifting sands of Medicare Advantage, as shown in a recent story by the Charlotte Observer, which showed that over 57,000 North Carolina seniors are losing their Medicare Advantage plans in 2015.

Seniors on Medicare Supplement plans are guaranteed renewable, with the same benefits they signed for, for life. The benefits on Medigap plans cannot be changed, and this means stability.

Seniors who are 75, 80, 85 years old should not have to compare nuances of changing co-payments, doctor networks, and new requirements that are constantly changing on Medicare Advantage plans each time the one-year contract expire.

Seniors looking for a second opinion on their Medicare plans should call the Senior Savings Network at 1-800-729-9590.

Here is the article from the Charlotte Observer:
Turmoil in Medicare Advantage hits NC seniors hard.

What is Medigap?

Medicare supplement insurance policies are called Medigap policies.

Original Medicare pays for many, but not all, health care services and supplies. A Medicare supplement policy, sold by private companies, can help pay some of the health care costs that original Medicare doesn’t cover, such as co-payments, co-insurance, and deductibles.

Some Medigap policies also offer coverage for services that original Medicare does not cover, like medical care when you travel outside the U.S.

Every Medigap policy must follow Federal and State laws designed to protect you, and it must be clearly identified as “Medicare Supplement Insurance.” Companies can sell you only a “standardized” policy, identified in most states by the letters A-N. All policies offer the same basic benefits, but some offer additional benefits, so you can choose which one meets your needs.

Note: Plans E, H, I, and J are no longer available for purchase, but if you already have one of those policies, you can keep it. Contact your insurance company for more information.

You have to pay the premiums for a Medigap Policy. Different insurance companies may charge different premiums for the same exact policy! That’s why it’s imperative that you seek the assistance of a reputable private insurance agency such as Senior Savings Network for all your Medicare supplement information and rates.

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