Eligibility and Enrollment

Who is eligible for Medicare?

  • Persons who are entitled to social security and are over 65 years of age;
  • Persons entitled to disability benefits for social security for at least 24 months;
  • Persons who are entitled to a railroad retirement or disability pension;
  • Persons diagnosed with end stage renal disease;
  • Individuals with ALS;
  • An employee in federal, state, or local government who is not eligible for social pensions or disability pensions but has paid the Medicare Part A “Health Insurance” portion of their FICA tax for a good amount of time.
  • Most newly recruited state and local employees who are not otherwise covered by social insurance pay from April 1986 onwards the part of health insurance.

Medicare entitlement for social security and beneficiaries in connection with rail traffic begins on the first day of the first month in which the person reaches the age of 65. This is also the day on which individuals who are not otherwise eligible for Medicare may be eligible for insurance coverage.

Persons who receive social security or railway pension benefits are entitled to Medicare insurance in the 25th month in which they receive these benefits. Persons with end stage renal disease are usually considered on the first day of the 3rd month of kidney dialysis treatment.

Persons with ALS (Lou Gehrig’s disease) are entitled, if they are entitled to social security benefits, without a waiting period of 24 months.  Find a supplement plan here https://www.medisupps.com/

Application:

Persons receiving social security pension or disability pensions, or railroad checks, are provided by the Social Security Authority (SSA) a few months prior to being admitted to Medicare. Residents of one of the 50 states, Washington, D.C., the Northern Mariana Islands, Guam, American Samoa, or the US Virgin Islands, will automatically be included by SSA in Medicare Parts A and B. However, as a premium payment for the coverage of Part B is required, the beneficiaries may decide to reject it.

While participating in Medicare is voluntary, you should read the serious consequences of not using it, especially the late registration fee and health risks if no other health insurance is available. The premiums on its own shouldn’t be a major factor in deciding to participate in the Medicare program.

Enrollment and coverage:

If you are not yet receiving a retirement or invalidity pension, you can register online with Social Security during the “First Registration Period”, 3 months before your 65th birthday, birth month, and subsequent 3 months. You can sign up for Medicare even if you do not want to retire at the age of 65.

An individual who is not eligible for Medicare on the basis of social insurance or pension benefits must make a separate application for Medicare and accept to pay monthly dues. A person can choose not to apply for social security or travel benefits at the age of 65, and is still eligible for Medicare insurance. A separate application for Medicare benefits would be required in this case.

The application for benefits can be made at any social security office. Beneficiaries for the retirement of railway companies should contact the Railroad Retirement Board for registration.

Eligibility & Enrollment Pt 3

A person may sign up for Medicare under these new provisions, while they are still covered by an EGHP while choosing to start coverage this month or for one of the following 3 months.

Example:

Mary turned 65 in 2013, but continued to work and was looked after by an EGHP. In April 2015, she applied for monthly social security benefits and Medicare as she wanted to retire on 30 June 2015. She may choose to start Medicare either in April 2015 or in one of the following three months. She chooses to start reporting in July 2015, as she is currently working under her EGHP.

Mary could have opted to postpone her decision to apply for Medicare until July 2015, the 1st full month in which EGHP did not cover her. This would also result in Medicare coverage taking effect on 1 July 2015, the first day of the month when it was no longer covered by the EGHP. However, should Mary delay her decision to apply for Medicare till August 2015, its reporting would have only been effective in September 2015. This is because registration with Medicare occurs in the seven months following the first full month in which a person is no longer covered by health insurance, EGHP performs coverage from the first day of the month following the month of registration.

In order to avoid any gaps in coverage, it is advisable to register either in the 3 months before or in the month in which your employment ends. It is important to note that the amendments to the law have not changed the fact that the special registration deadline is only available to persons who are staffed by an EGHP by virtue of law or their own or one of their employees.

Failure to enroll:  Find out more about supplement plans for 2019 @ https://www.bestmedicaresupplementplans2019.com/

It can have serious consequences for people who do not enroll for Medicare during their regular enrollment period. The Part B premium will be charged a supplement of 10% per annum for each year that an individual does not sign up.

More seriously, non-enrollment during the first or special enrollment period may result in the person being unable to enroll in Medicare Part B by the general enrollment period in the first three months of a year. The coverage of Part B would then start in July of this year. As a result, it may take several months for an individual who has no Part B Medicare insurance cover to be prone to expensive medical expenses out of pocket.

It is important to know that a person entitled to social benefits or a retirement pension can enroll in Part A at any time and receive up to six months retroactively without penalty. Only for part B the scope of the enrollment period and a markup applies. Exceptions are persons who are not entitled to Part A but who decide to pay the premium and voluntarily participate. They are subject to the registration restrictions and the mark-up.

Complaints:

The decision to deny Medicare permission or cover for any reason can be appealed to the Social Security Administration or the Railroad Retirement Board.

Why do premium costs vary depending on location and Plan?

Sometimes you will find that there is a standardized benefit associated with Medicare supplement plan but you will be shocked to find that people contribute more in terms of premiums in other locations that those who have taken the same plan in another location. This brings us to a conclusion that despite the fact that the benefits received from being a part of certain plan, the benefits are always the same. This brings us to the question “why are premium costs different in different locations”. This is a question that many have been asking but no one has taken time to answer it.

Firstly, the economic status of one country or state is not the same as the economic status of another state. With that idea, the cost of premiums may vary due to economic forces which include inflation and other factors. Inflation is an economic factor that is beyond our control. With that idea in mind, if you are in a state that has been faced by certain economic crisis, then expect a rise in prices and costs of buying goods and services. Health care services can also be categorized as services hence they are prone to the economic forces that will push the prices higher. If you in such a state or location, then you will pay more in terms of premiums than other people in the same plan but in a different location.

Get an AARP advantage plan https://www.medicareadvantageplans2019.org/aarp-medicare-advantage-plans-for-2019/

Secondly, the costs of premiums can also be affected by government policies. In some parts of the world, the government of the day might chip in and subsidize health care services hence making the costs of premium you pay slightly lower than usual. In such a country you will find that you are paying less yet you will still enjoy the same benefits as anyone else who is in the same plan.

The cost of premiums also depend on the service providers. Some of the service providers might offer certain services at a higher prices that other in other locations. If this happens, then the Medicare insurance plan will be forced to increase the amount of premiums you will be paying just to make sure that the burden is carried by you since you will be the final consumer of the eventual benefits. Premiums also vary with change in plans. This is basically because some plans will eventually offer costly services and in order to make sure that you benefit, the cost of monthly premiums will be slightly higher.

BEST VACATION SPOTS FOR RETIREES & SENIORS

Retirement is the best time to go out and explore popular destinations around the globe with your family, partner or by yourself. Get packing and enjoy ultimate bespoke experiences by heading down to these iconic travel destinations below:

  1. Madrid, Spain

A regal city with an urban edge, this classic capital has attracted senior travelers since the beginning of time. With endless museums to explore and gems on every cobble-stoned corner, it’s safe to say Madrid is alive. The trifecta of museums in Madrid include The Prado, one of Europe’s premier art museums and an absolute must when visiting the city. Madrid is always buzzing with outdoor activities, making it the perfect destination to immerse in both Spanish history and the beauty of nature.

  1. Istanbul, Turkey

Bringing together the fusion of western and eastern tradition, history and culture, Turkey offers a unique experience for the lost traveler. The sprawling city of Istanbul, acts as a converging point of the cultural facets of both continents – Asia and Europe, boasting rich culture, delicious cuisine and popular tourist sites such as the Blue Mosque and the Topkapi palace.

  1. Budapest, Hungary

Beneath Budapest’s seamy veneer – the artfully derelict drinking dens and World War II bullet holes that still dot its buildings, there is a slick design movement taking the Hungarian capital. Aside from historical gems dotting Budapest, WAMP, the city’s largest biweekly design market boasts 100 plus vendors – designers, contemporary artists, chefs showcase their talented work. Do not miss out on paying a quick visit to the Lumen photo gallery, the place makes a good coffee pit stop while you browse the excellent selection of artists.

  1. Cordoba, Spain

The quiet Andalusian city, regularly eclipsed by Barcelona and Madrid, is actually a cultural whopper. Once a mighty Roman capital and the stronghold of the Moors, it harbours centuries old legends and traditions. Apart from the inexplicably beautiful Mezquita mosque and the exemplary intersection of its Jewish, Islamic and Christian communities, there is culture you can participate in. May travelers can catch sight of the yearly spring festival, which offers bullfighting, horse riding, dancing and ill- advised amounts of sherry.

  1. Koh Samui, Thailand

This Thai island is exotic in all ways – excessive beaches, excessive luxury, excessive beauty. Go there for the strip down, to ease city-worn nerves and all the bickering and to enjoy time by yourself or with your loved ones. Koh Samui offers so much more than its endless beaches, the range of ancient Buddhist temples overlooking the Southern coast are a must visit to enjoy a sense of peace and tranquility.

Find out about insurance here https://www.medicaresupplementplans2019.com.

Medicare supplement plans

Medicare supplement plans which are popularly referred to as (Medigap) is a policy that exclusively helps in supplementing or covering some of the health care cost which are not covered under the original Medicare such services included; deductible, copayments, and coinsurance.

Just like the Medicare Advantage plans, Medigap are also sold by the private companies which must be approved by the Medicare as well. This policy does not only cover the beneficially while in the united states of America, but it extends it medical care services even when the beneficiaries have traveled outside the united states either for vacation or other personal engagements and endeavors. This attribute indisputably makes the Medigap more appealing among other policies in the country.

Enrolling for a Medigap policy while having an original Medicare does not deny the beneficially any benefit, as Medicare will continue to paying its share to cover the beneficially on health care cost, while the Medigap, on the other hand, will pay its share. When buying Medigap Plans, there are so many factors that you need to understand such factors includes, its pertinent to have Medicare Part A and Part B, it’s important to know that Medicare only covers one person but not the entire family which therefore means everyone should have his/her Medigap policy. Another critical factor to understand is that if for any chance you have a Medicare Advantage plan doesn’t limit you from applying the Medigap plan. The last but not the least to know about the Medigap plan is that it’s against the law for anyone to sell you a Medigap policy if you have a medical saving account plan.

There is a vast difference between Medigap and Medicare Advantage plan as the latter purposively deals with Medicare services while the former only supplements the original Medicare benefits. Another significant disparity between the two is that Medigap does not cover long-term care which is widely covered by the Medicare Advantage plan.

The Medigap does not cover insurance plans such as Medicare, prescriptions drugs plans, Medicaid, Medicare advantage plans, TRICARE, and veterans benefits as well as employee under federal employee health benefits program ( FEHBP).

Deciding to drop a Medigap police probably for Medicare Advantage plan that offers prescriptions drugs coverage it should ultimately be done with a lot of care putting into consideration proper timing to avoid a late enrollment penalty which must be covered.

 

A new investment phenomenon: Crowdfunding

Crowdfunding as it is evident from the name is an effort to acquire funds from a collected group of individuals, typically for a startup.

This form of raising money looks beyond the traditional circle of financing from venture capitalists and seed funding firms. Crowdfunding primarily happens on Social Media or specially designed platforms like Kickstarter where the business is connected to a large pool of potential investors.

With crowdfunding, the traditional struggle to set up the business plans, the pitch, showcasing of resources is almost eliminated. On these websites one can connect to investors by providing just a pitch, it can be quirky and informal in nature too, basically aiming at capturing the interest of the investors. All these happen in a much seamless and comfortable way compared to the traditional hustle.

Don’t forget to invest in a good Medicare Supplement Plans 2018 too.

What are the different types of Crowdfunding?

Donation – based crowdfunding is where the investor is not going to receive any return on the money he / she puts on a venture. It is common with non – profit organizations.

Reward – based Crowdfunding offers reward for investors on a particular service or product. The reward is not financial but a slice of the service or the product. This is an extremely popular approach for business holders as they can ‘pay’ back the investment without the involvement of high finance.

Equity – Based Crowdfunding offers equity or share in the profits made by the company in return for the investment that is made. As a result, there is a financial return as a set percentage whenever the ventures discovers a profit.

How to conduct a successful Crowdfunding campaign?

This form of investment is rooted in Social Media and the visibility of the venture with everyday audience present there. As a result, the primary rule for success in the campaign is to be actively present on Social Media as a founder. This gives more opportunities to directly understand customer requirements and interact with them to gain valuable inputs.

After growing strong personal and professional networks, the next decider is Pitching. It has to be perfect and must touch the needs and benefits for the investors. The crowd must be able to connect with the story and it must be made straightforward to them as to how the startup works and what all can it offer, through tools like Inforgraphics, short videos and key facts etc.

Lastly, no one loves to put in anything materialistic without any gain for themselves. A successful crowdfunding campaign ensures that the investors get compelling rewards. Either the rewards can be in the form of equities or discounts / concessions on the purchase of the product for them.

Crowdfunding is increasingly seen as the future of raising money with its ease to accessibility, more space for creativity and much larger spectators for your product. A number of healthcare, gadgets, consumer services etc. are currently raising millions of dollars through some of the top crowdfunding sites.

 

Medicare supplement plans and Death Benefit Changes

Medicare, are you retired or not, have you attained 65 years, if yes, you are entitled for Part A Medicare offering hospital insurance. In case you are retired already this benefit is not charged because you already have paid it while you were working as payroll deductions. While, in case you are yet working means those deduction will be deducted from your pay. The primary payer will be Part A, if you are already retired and the secondary coverage refers to the health benefits. Again, if you are working yet, this will be the reverse.

 

At the age of 65, you become qualified for Mutual of Omaha Medicare Supplement Plan G. This is optional and you are not compelled to buy it right now, but on deciding to enroll means you must pay the premiums. This is based on taxable income. As applicable for Part A, the primary payer will be Part B and the coverage of health benefits are regarded as secondary. However, if you are working still, it may be reverse.

 

There is an exception, in case Part B Medicare supplement plans is not signed by you, then you become first eligible to sign up for that and now it will have a 10 percent permanent premium increase as 12 month period as you did not enroll earlier.

 

Again there is an exception. In case you have the group health plan cover, depending on yours or your spouse’s work register, delaying the Part B Medicare supplement plans enrolling can be considered up to a period of eight months right from the first month that you are out of the cover of group health of either of your employment.

 

Benefits of Death

In case you die as a CSRS employee, your spouse who is the survivor is not getting the death benefit.  She or he may get a survivor annuity. The FERS employees rules are different and so an FERS employee during his or her death has been working for over 18 months means, the survivor spouse receives a $32,326.58 as lump sum payment and in addition a payment as lump sum equal to greater than your one-half annual basic pay or three highest consecutive years salary taken on an average, plus the benefit of Social Security entitled. However, if you have put more than 10 years of service before your death, the spouse surviving receives a survivor annuity that is equal to your basic annuity one-half based on the number of years of service you have put in.

Few never knowing facts about Medicare Supplement plans

There is no contrast amongst Medicare Supplement plans and Medigap. Both are the same thing. Insurance agencies propose these designs. On the off chance that you grab to get your both parts (part A & B) profits by the governmentally regulated program as opposed to through a Medigap, you may have a choice of purchasing this. As such, this will give its offer of Medicare-affirmed measures of secured human services administrations you get. At that point, your Medicare strategy gives its offer. This work close to both parts; you should be selected, and you should likewise live inside the arrangement’s administration territory.

Availability and expenses:

Each institutionalised learned Medicare Supplement plans must propose similar fundamental advantages, regardless of which insurance agency offers it. In any case, the arrangement premiums can shift starting with one insurance agency then onto the next. In this way, you have chosen which institutionalised Medigap can decent suit your requirements, it might be a smart thought to look at the plans proposed where you belong.  By tapping on the “Look at Plans” or “Discover Plans” interface on this site, you can take in more about accessibility and cost of these designs in your general vicinity. This is an essential advance in your thought for two causes:

  • Not every insurance agency proposes every institutionalised Medigap, so you may verify whether the arrangement you need is accessible.
  • The cost may change among agencies proposing the same institutionalised Medicare Supplement plans.

At the point when would I be able to apply?

At the time you register for the Medicare Supplement Plans 2018 may influence your cost for scope, and consider whether an arrangement will acknowledge you. For some individuals, the decent time to request for this design is amid the Medigap allow Enrollment time. This period goes on for a half year and starts on a primary day. If you are sixty-five years old or more established, then you selected in Part B Medicare. During your Medical Supplement plans period, the insurance agency cannot work both of the accompanyings in light of the fact that you have medical issues:

  • Decline to offer you at all Medigap strategy it proposes.
  • Rate you so much for the Medigap arrangement than they accuse a man of no medical issues.

 

What else would it be a good idea for you to think about Medigap?

These are ordinarily inexhaustible regardless of whether you create medical issues. For whatever length of time that you have both parts and keep on paying your month. Your protection transporter ordinarily can’t drop your Medigap strategy.

 

 

What Is Medicare Supplement Insurance?

If you have any plans to invest in a Cigna Medicare supplement plans for 2019, there are a few basic things about the Medicare supplement insurance plan that you must know about. In this article, we will explore everything there is to know about Medicare supplement insurance for individuals.

About Medicare Supplement Insurance

Medicare supplement insurance is a Medigap policy for insurance that is sold out by privatized organizations to any individuals who seek the additional healthcare cost and expenses coverage. The Medicare supplement insurance is a plan that is designed to serve the needs of individuals who are not getting complete healthcare coverage cost by the original healthcare insurance organizations. The costs that are most commonly not covered by the state Medicare plans are taken care of by the Medigap supplement plans for 2019.

What Is Medigap Policy Plans?

It is important to remember the Medicare supplement insurance is a wider term that is used for several different Medicare insurance policies that are included under the category.

Main Aim of Medigap Policies

Whilst the main aim of these insurance policies is to indeed provide a substitute for what is not offered by the Medigap insurance, this is not the end of it. These policies also take pride in offering many other things that are indeed new and innovative in its own regard.

It Is Not an Additional Expense/Cost

If you already have a healthcare policy that is comprehensive, the Medigap policy will not be an additional cost but in fact will only cover for the parts that are not otherwise included in the insurance plans.

Things You Need to Know About Medicare Supplement Plans for 2019

Here are a few highlight features that you must know about the Medicare supplement plans for the upcoming year.

  1. Choose A Single Plan from A & B

When you choose a plan from plan A and plan B, you can only make a single pick. You cannot avail both plans at same time.

  1. Policy Plan with Advantage Plan

If you have the advantage plan already, you are eligible to also avail the Medigap policy plan simultaneously.

  1. Private Medical Cost Coverage

In case you are looking for coverage of cost of private medical healthcare services, you will have to additionally pay in the insurance in that regard.

  1. Renewal of Policy

The policy is renewed every once in a year. This means if you want to make any modifications in the plan or shift/quit policy, you will have a chance once in a year.

 

Тhе Fеаturеs Оf А Gооd Неаlth Іnsurаnсе Рlаn

Тhе skуrосkеtіng mеdісаl ехреnsеs, mаkе hеаlth іnsurаnсе рlаns vеrу еssеntіаl. Whеn уоu hаvе аn іnsurаnсе рlаn, уоu fееl mоrе sесurе bесаusе уоu аrе соvеrеd еvеn іn еmеrgеnсу mеdісаl sіtuаtіоns. Yоu dо nоt hаvе tо stаrt lооkіng fоr mоnеу tо gеt mеdісаl аttеntіоn аnd уоu dо nоt hаvе tо usе thе mоnеу уоu hаvе tо саtеr tо thе mеdісаl nееds whеn уоu hаvе а hеаlth іnsurаnсе рlаn. Тhеrе аrе sо mаnу hеаlth іnsurаnсе рrоvіdеrs tоdау оffеrіng аll sоrts оf рlаn аnd уоu thеrеfоrе must knоw whаt fеаturеs tо lооk оut fоr tо gеt а рlаn thаt іs mоst vаluаblе fоr уоur mеdісаl nееds.

1. Gооd rооm rеnt lіmіts. Тhіs іs аn іmроrtаnt fеаturе whеn hоsріtаlіzаtіоn іs іnеvіtаblе. А gооd hеаlth іnsurаnсе рlаn shоuld nоt hаvе а mахіmum lіmіt оn thе rооm rеnt sо thаt уоu knоw thіs ехреnsе іs wеll соvеrеd nо mаttеr hоw lоng уоu оr а mеmbеr оf уоur fаmіlу gеts аdmіttеd іn hоsріtаl. Ѕuсh рlаns аrе hоwеvеr hаrd tо fіnd bесаusе mоst соmе wіth smаll реrсеntаgеs оn mахіmum lіmіts, thеу wіll рау fоr rооm rеnt. Аt lеаst сhооsе а rеаsоnаblе реrсеnt tо gеt bеttеr vаluе frоm уоur рlаn. Shopping to find lowest rates for Medicare supplement plans in 2019 can easily be done online now.

2. Рrеехіstіng dіsеаsе соvеr. А gооd рlаn shоuld соvеr еvеn рrе-ехіstіng dіsеаsеs уоu hаvе bеfоrе уоu buу уоur іnsurаnсе рlаn. Тhіs іs thе bеst kіnd оf роlісу bесаusе thеn уоu gеt thе іmроrtаnt mеdісаl саrе уоu nееd wіth thе dіsеаsеs соmраrеd tо рlаns thаt dо nоt іnсludе рrеехіstіng dіsеаsеs іn thеіr рlаns. Сhооsе а рlаn thаt соvеrs thе рrеехіstіng соndіtіоns аnd оnе thаt hаs а lоwеr wаіtіng реrіоd fоr сlаіms оn thе sаmе.

3. Іmрrеssіvе hоsріtаl nеtwоrk. Whеn gеttіng а hеаlth іnsurаnсе рlаn, а gооd оnе іs thе оnе thаt mаkеs іt роssіblе fоr уоu tо gеt mеdісаl hеlр frоm а numbеr оf hоsріtаls. Ѕuсh аn іmрrеssіvе hоsріtаl nеtwоrk еnsurеs thаt уоu gеt hеlр аs sооn аs уоu nееd іt аnd frоm а hоsріtаl nеаrеst tо уоu. Сhооsе а рlаn thаt dіrесtlу tіеs уоu uр wіth thе gооd hоsріtаls wіthіn уоur lосаlіtу tо еnјоу bеttеr dеlіvеrу оf sеrvісеs. Саshlеss fасіlіtіеs аrе bеst bесаusе уоu wоn’t hаvе tо gо thrоugh thе рrосеss оf fіlіng fоr rеіmbursеmеnts.

4. Ніgh nо сlаіm bоnusеs. Тhе truth іs thаt уоu wіll nоt аlwауs mаkе сlаіms оn уоur hеаlth іnsurаnсе. Fоr thіs rеаsоn, а gооd рlаn shоuld оffеr уоu nо сlаіm bоnusеs whеn nо сlаіms аrе mаdе. Іt аffесts thе sum аssurеd bу thе nехt rеnеwаl, but уоu dеfіnіtеlу wаnt tо сhооsе а роlісу thаt оffеrs уоu hіgh nо сlаіm bоnus, sо уоu gеt bеttеr vаluе fоr уоur mоnеу еvеn whеn уоu dо nоt еnd uр lауіng сlаіm.

5. Lеаst ехсlusіоns. А gооd hеаlth іnsurаnсе рlаn shоuld соvеr mоst оf уоur hеаlth nееds. Тhеrе іs аlwауs аn ехсlusіvе sесtіоn оf thе роlісіеs аnd unfоrtunаtеlу mоst реорlе fоrgеt tо gо thrоugh іt bеfоrе tаkіng uр thе роlісіеs. Еnsurе уоu сhесk thе sесtіоn оut аnd sеlесt а рlаn thаt hаs thе lеаst numbеr оf ехсlusіоns tо hеlр уоu rеlах knоwіng thаt іt hаs уоu соvеrеd fоr mоst hеаlth іssuеs.