Wednesday, May 15, 2013

Monthly Income Insurance Plans

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Medigap Plan F - All about Medicare Supplement Insurance Plan F










For more information on Medigap Plan F visit:
http://www.medicaremall.com/

Remember Medicare has PARTS and Medigap has PLANS. As of  June 1, 2010 there are 10 Medigap Plans, standardized by the government and distributed to you, the consumer, through Medicare Supplement Insurance Companies.

Within these 10 plans, the most comprehensive Medigap Plan is Plan F.

Plan F covers:
-basic benefits
-Part B coinsurance
-skilled nursing
-Part A deductible
-Part B deductible
-Part B Excess
-Preventative Care
-Foreign Travel Emergency


With Medicare Part A, any length of stay between 1 and 60 days will cost you a 1,156 dollar deductible. What most people don't know is that this deductible is only good for 1 benefit period which consists of 60 days. So say you check into the hospital in January and pay the Medicare Part A deductible. If later in the year, you find yourself in need of a trip to the hospital again, you must again pay that $1,156 if it's been more than 60 days since your last visit.

Hypothetically, this situation could occur many times a year, so you could end up paying big money.
Plan F covers this deductible even if you incur it multiple times through-out the year.


The plan is designed to cover high risk gaps that are not covered by original Medicare.
What do we mean by high risk gaps?

If you are to EXCEED 60 days in the hospital Original Medicare pays all but $289 per day. If you're in the hospital for 90 days, you could pay up to $8,670 on top of your original Medicare Part A deductible
Exceed 90 and you're looking at $578{s} per day up to a total of $34,680

Medigap Plan F will cover this plus up to 365 days after Original Medicare coverage ends.

Here's another misconception:

Now, one of the biggest chunks of your senior health care bill is paying for doctor charges and medical supplies. Through Medicare Part B, Medicare pays for 80% of these expenses, but what most people don't realize is that Medicare only pays 80% of what the government deems reasonable. Medicare Supplement Plan F, on the other hand, pays the entire billed amount including that other 20%.

These are just a few examples to help you better understand Medigap Plan F, for more tips and advice visit our website at http://www.medicaremall.com/


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Seeing a Doctor in Hospital: nib Health Insurance Explained










http://www.nib.com.au nib Health Insurance: Seeing a Doctor in Hospital in Australia

Seeing a doctor or a specialist inside a hospital works a little differently to seeing one out of hospital.

Medicare Benefit Schedule (MBS):
There are list of procedures as part of the Medicare Benefit Schedule for services and procedures performed inside a hospital. This is the recommended retail price (Schedule Fee) set by the Government, and Medicare pays for 100% of the cost of these items.

Using your Private Health Insurance:
When you see a doctor or a specialist inside a public or a private hospital you may choose to use your private health insurance. If so, the cost of seeing a doctor or a specialist may vary.

If you go to a public hospital, your health fund could pay 25% of the Schedule Fee and Medicare will pay the rest.

If you go to a private hospital doctors and specialists can charge more than the Schedule Fee and this means you could have to pay some additional costs yourself, called out-of-pocket expenses. You should check with your doctor or specialist as well as your health fund before you have any procedure inside a hospital.

Medical Gap Program
Your health fund may have a way to help you reduce your out-of-pocket expenses. It's called a Medical Gap Program . This is when your health fund and your doctor or specialist agree on the cost for certain procedures. If your doctor chooses to charge above the Schedule Fee and participate with your health fund in a Medical Gap Program your health fund will pay all or part of the out-of-pocket expenses.

Check with your doctor and your health fund to see if they have an agreement in place. If they don't, you may have out-of-pocket expenses for your procedure or treatment.

For more information visit nib.com.au


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