Medicare Supplement Plan N - changes?

Поделиться
HTML-код
  • Опубликовано: 2 авг 2024
  • ✅Our site: AbtInsuranceAgency.com (Secure), or call 888-465-9728 🔔 Subscribe for more free information: / @abtinsuranceagency Free Medicare Quotes: Https://www.abtinsuranceagency.com
    :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
    Plan G vs Plan N (Excess charges explained): • Medicare Plan G vs Pla...
    CMS Medical billing and coding: www.cms.gov/newsroom/fact-she...
    practolytics.com/blog/updated...
    ✅ Best Medicare Supplement Plans in 2024: • The Best Medicare Supp...
    ✅ How to enroll in Medicare: • Medicare Sign Up | How...
    ✅ Medicare Advantage Plans Explained: • What is Medicare Advan...
    ✅ How does Stephanie get paid?: • How Do Medicare Broker...
    ✅ How to shop for Medicare Advantage Plans: • How to find the right ...
    ✅ Enrolling in Medicare when you retire - Past age 65: • Working Past Age 65, H...
    Please call my office for free, unbiased assistance. We would love the opportunity to help you if we can! #medicare #medicaresupplement #medicareadvantage #medigap #turning65

Комментарии • 216

  • @albertwells8503
    @albertwells8503 2 месяца назад +6

    I signed up for Medicare starting on March 1st. My agent steered me towards plan N, telling me there would be no co-pays for telemedicine or urgent care, and that was very unlikely to change. Now, 3 months later, I’m told they changed anyway. What’s next? Copays for therapy? Probably!

  • @timcarm
    @timcarm 7 месяцев назад +10

    I recently became an Abt client and I am so glad I did. Your videos were very helpful and your staff is so competent. I wanted to switch from Medicare Advantage back to Medicare+supplemental and the insurance companies’ sales people I spoke with didn’t seem to have a clue how to answer what I thought were some very basic questions about underwriting. Your staff answered them quickly and the answers made perfect sense. I wish I had signed on with you yrs ago.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  7 месяцев назад +2

      I love hearing this and I’m so delighted you are working with us!

  • @Retiredmco
    @Retiredmco 8 месяцев назад +8

    Great job Stephanie about plan N. You're the 1st on RUclips to address this. And I do subscribe to you and 9 or 10 other independent agents here.

  • @rs4425
    @rs4425 8 месяцев назад +5

    Thank you for explaining the changes in Plan N. Also, thanks to the audio dept for the microphone. Much better.

  • @MrMarkar1959
    @MrMarkar1959 6 месяцев назад +2

    Thank You for these Very Informative videos. I joined AARP 'cause it's suppose to help with Medicare Supplement Plans,,if i'm a Member. And Ohio might have diff coverage than Indiana,,15 miles away. crazy

  • @paulstein916
    @paulstein916 8 месяцев назад +10

    I have plan N and had an audio only follow-up phone call with my doctor in September. It was billed as telehealth; Medicare paid 80% and my supplement plan N paid the remaining 20% balance.

    • @sct4040
      @sct4040 3 месяца назад

      Medicare paid only about $35 for telemedicine. It’s a sad amount for a doctor. Then my AARP Supplement Plan N paid 0.31 cents. I was insulted for her. Then the doctor’s office billed me $19+ change.

    • @BlessedBeMyDay
      @BlessedBeMyDay 3 месяца назад

      @@sct4040 um your co- pay .

    • @micheleyoungblood
      @micheleyoungblood 2 месяца назад

      ​@@sct4040the total eligible charge seems to have been $43.75. Medicare paid 80% or $35. Then you pay up to $20 or 20%. You should have paid $8.75 plus the tax in the entire eligible charge if your state allows tax on medical.
      I don't understand your breakdown

  • @jhors7777
    @jhors7777 7 месяцев назад +1

    Thank you Stephanie for another of your helpful videos.

  • @denisewheeler3373
    @denisewheeler3373 8 месяцев назад +6

    Thank you for your clear explanation on the changes coming on plan N. Your videos were my go to in trying to navigate and understand Medicare when preparing to retire. Helping as well in making my choice.

  • @barrytimm5497
    @barrytimm5497 8 месяцев назад +4

    Thank you for all your videos! You come across as incredibly trustworthy medicare professional, and offering up very useful information for those of us approaching Medicare (can't wait for April1, 2024!), and on top of it all, you have a wonderful demeanor and, if I may so so without sounding creepy, happen to be a lovely looking lady! (Sorry, I had to say it! My happily married wife agrees! 🙂)
    I will be calling your office in early January, to ensure I follow the appropriate process for Medicare selection and startup on April 1, and to ensure I do the correct thing with removing myself from ACA plan (while wife needs to continue on an ACA plan, unfortunately!)
    Thanks again, for all you do!

  • @tamaj152
    @tamaj152 6 месяцев назад +1

    As always, this video is infirmative and makes the Medicare supplement info as clear as it can be, given that it is a very confusing topic!

  • @mrswilbert
    @mrswilbert 8 месяцев назад +32

    Too many plans. Absolutely ludicrous!

    • @judiashley5818
      @judiashley5818 5 месяцев назад +3

      It is so depressing needing all these plans and still working and paying into it. No dental and vision either

    • @DickNasty480
      @DickNasty480 5 месяцев назад

      @@judiashley5818 If you have a MEd Sup and your ophthalmologist accepts Medicare- you can get your eyes checked using your Med Sup. If you have not met the deductible you will have a co - pay. If you have met the deductible you will not have met the deductible . They will not pay for glasses or contact lenses bu you can at least you an exam.

    • @kbenefits
      @kbenefits 4 месяца назад

      No, there's only 1 plan. Plan G. After you do the math, it's Plan G. pay a $240 Part B deductible and your done. Super easy, super great insurance. Do the math. After you look at G, and do the math, it's clearly Plan G. Plan G vs Plan N. about a $40 dollar per month premium difference. So 2 visits a month, you should be in Plan G, More than 2 visits, you should be in Plan G. and then there's the EXCESS CHARGES which is balance billing. You should be in Plan G. You are going to pay more in Plan N 99% of the time. Enroll in Plan G, set and forget.

  • @laurakl724
    @laurakl724 5 месяцев назад +1

    Hi there! Very well explained! We definitely will be calling you & your staff soon! Thank you for all that you do!!

  • @dmech5135
    @dmech5135 7 дней назад

    Great approach in explaining these topics in just a few minutes. Thank you for your help.

  • @conureron3792
    @conureron3792 8 месяцев назад +1

    Thanks for the updates

  • @20greeneyes20
    @20greeneyes20 7 месяцев назад +1

    Thanks so much You are very clear explaining a very confusing system.
    Its ridiculous trying to navigate the poorly planned medical system for the retired. It is nothing to look forward to. But with your assistance its so much easier and clearer. Bless you ! ♥️

  • @dave2059
    @dave2059 8 месяцев назад +9

    Beautiful, concise and clear explanation. After watching a lot of your videos, it seems to be a no brainer that the only decision to make once you decide to go on Medicare is Plan N or Plan G. I'm 64 very healthy and still working so I have insurance through my employer. My insurance is not good but there are two reasons I'm going to keep it beyond the date that I am eligible for Medicare.
    One - I am very healthy and don't need to go to the doctor often and that makes my current insurance much cheaper than Part B and N or G. Two - because my insurance isn't very good, I'm eligible to contribute to an HSA. That is something that I will lose when I go on Medicare (actually six months before I go on Medicare). For now, though, I can put away $5,000 a year in triple tax advantaged money into my HSA. Not being able to put away $5,000 a year into an HSA is a massive loss when you start Medicare. And it's not something I want to give up until I have to.

    • @retired8484
      @retired8484 8 месяцев назад

      Plan GHD

    • @ssa8479
      @ssa8479 8 месяцев назад

      Right on, Dave! I'm also 64, in good health, have okay health insurance through my employer. And an HSA plan. Planning to work till 70 (I like my job!) and possibly a couple of years past that, and keep putting away the HSA money. Not planning to take Social Security till 70, no point in delaying after that. I think once you take SS you have to take Medicare Part A at least, but have to make sure of that. Part B and Plan N when I finally decide to retire.

    • @christinedaley5580
      @christinedaley5580 7 месяцев назад

      @@ssa8479
      Part A automatic at age 65 I believe if entitled of course which I am sure you are. 🙋‍♀️🙋‍♀️

    • @ssa8479
      @ssa8479 7 месяцев назад

      @@christinedaley5580 I’m entitled to sign up next year, but it’s not automatic unless you’re already getting Social Security.
      If not taking SS, you can sign up any time after 65. SS increases 8% a year till age 70, so might as well start taking it at 70. It won’t increase after that.
      Even if you start SS, you can continue on employer’s health insurance and not sign up for Medicare Part B or even Part A if you plan to keep contributing to your HSA. You can’t sign up for any part Medicare and still contribute to tax-free HSA.
      Since income goes up with SS and pay, max out 401k and HSA, plus catch up contributions to reduce income as much as possible.
      Then when you’re ready to retire, plan ahead and sign up for Medicare and Medigap (plus Part D and dental/vision). No underwriting required if you have had employer insurance till then. Medigap companies can’t turn you down.

    • @napoleonmdusa8877
      @napoleonmdusa8877 7 месяцев назад +5

      @@ssa8479 From what I remember reading, if one delays starting Medicare past age 65, a penalty of 10% per year delayed (i.e. 50% penalty by age 70) will be added to the Medicare premium (plus yearly increases) when they finally start Medicare at age 70. I really don't like this Medicare penalty thing when those of us who want to delay Medicare due to still working or being very healthy and not needing it, get penalized for it.

  • @kennethreynolds8
    @kennethreynolds8 Месяц назад +1

    Thanks for the info I appreciate it and I'm leaning Plan N now because of your video.

  • @maaloufgeorge2926
    @maaloufgeorge2926 8 месяцев назад +2

    Job well done, keep up the good work.Thanks for doing what you do.

  • @rollofffrank2008
    @rollofffrank2008 6 месяцев назад +2

    After checking out some ABT insurance videos, I decided to look into their services for myself. I reached out to Stephanie, and she quickly connected me with Tiana Brown, a friendly agent who made the whole process in New Jersey a breeze. Tiana asked about my prescriptions, set me up with coverage at no charge, and when I picked up my meds recently, the bill was $0. The folks at ABT are courteous, professional, and it seems they can assist you no matter which state you're in. Big thanks to Stephanie for the help!

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  6 месяцев назад

      Wow thank you so much for taking the time to leave this comment! We are so delighted to be helping you. 😊

  • @rickiesurovich144
    @rickiesurovich144 7 месяцев назад +1

    thanks for all the info you do, I have tri care for life

  • @youngtimer964
    @youngtimer964 8 месяцев назад +1

    Good to know. Thanks Stephanie

  • @ruthwhite5213
    @ruthwhite5213 8 месяцев назад +3

    Thanks for this explanation, as I have been unable to contact anyone about my current coverage. My question: I am satisfied with plan N, but am unclear as to why premiums continue to increase when I have made no changes in my coverage.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +1

      This video helps explain! ruclips.net/video/Fcn0IRohB1Y/видео.htmlsi=l4lGvMyLAcDF4vJe

  • @danacarbone9405
    @danacarbone9405 8 месяцев назад +1

    Thank you

  • @WigsGlam
    @WigsGlam 20 дней назад

    Thank you!

  • @michaelmccafferty7341
    @michaelmccafferty7341 8 месяцев назад +4

    Too much wiggle room for charges today, which will be exploited further in the future with coding changes. I will get plan G.

  • @BlessedBeMyDay
    @BlessedBeMyDay 3 месяца назад

    Its very understandable these services are changing coding. They are working in or out of office. Times have changed since covid. I order food for pickup and I know they still are a business so i expect the food prices be higher than in store.

  • @dandydoc8386
    @dandydoc8386 8 месяцев назад +8

    Medicare keeps reducing payments to doctors each year. Should we not expect an increase in providers who will have excess charges?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +4

      Great question - there is still a large incentive, if doctors decide to take Medicare patients, to accept Medicare Assignment. An alternative is to not take/not bill Medicare at all.

  • @paul5896
    @paul5896 8 месяцев назад +2

    Excellent presentation and information provided. I did have radiation treatments provided recently twice a week and they did charge co-payments for each treatment. Is that standard and allowable? Thank you so much!

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +1

      Wow, surprising but not unheard of. Great feedback!

  • @pennynewman7192
    @pennynewman7192 6 месяцев назад +1

    Thanks for all the information
    I’m wondering what typical costs would be for add on Vision and Dental coverage since the supplement don’t include them
    Thank you

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  6 месяцев назад +1

      It depends but plans typically start at around $30-$50/month for dental and vision!

    • @pennynewman7192
      @pennynewman7192 6 месяцев назад

      @@AbtInsuranceAgency thank you

  • @kim.in.nature.
    @kim.in.nature. 3 месяца назад

    In my area, Houston, plan N is now more expensive than plan G

  • @dennislaplant95
    @dennislaplant95 8 месяцев назад +1

    Thanks for explaining this issue so clearly and thoroughly. You mention that PT is coded differently and is not subject to a copay. However, what would prevent PT (and other medical professionals) from deciding to use different codes that would be subject to a copay. Couldn't they somehow justify that they also Diagnose & Treat illnesses during an office visit?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +1

      It is very possible!

    • @christinedaley5580
      @christinedaley5580 7 месяцев назад +3

      I just had a little PT for like a tendonitis in my arm. I paid a $20 co pay to the ortho doc for my visit and but no copay when I went to their PT dept 2 weeks later and that was with plan N. Plan N great coverage and in south Florida much cheaper than G. I think I spent $180 in co pays for the year. G premium was $800 more for the year. No brainer. Saved $620. 👍👍👍

    • @dennislaplant95
      @dennislaplant95 7 месяцев назад +2

      @@christinedaley5580
      Yep. For me in SW Florida, N is $660/yr cheaper than G. That would be 33 office visit copays.

    • @christinedaley5580
      @christinedaley5580 7 месяцев назад +1

      @@dennislaplant95
      Absolutely. N the much better choice and going forward a more stable premium predicted over G. 🙋‍♀️🙋‍♀️🙋‍♀️
      Especially in high priced states and fairly healthy individuals. 👍👍👍

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  7 месяцев назад +1

      @@christinedaley5580 amazing!

  • @ItsMe-rr9nh
    @ItsMe-rr9nh 2 месяца назад

    Hello, I was thought to believe that it would take an act of Congress to change the terms of plan N or any plan? Now it’s happening anyway!

  • @starridernh
    @starridernh 8 месяцев назад +2

    Well done, Please add information on what year you describing the changes. Google and RUclips searches can find things that are years out of date.
    😊

  • @WhiteRosez007
    @WhiteRosez007 8 месяцев назад +1

    A friend has a the same Medigap Plan N as me but through a different insurer. Her policy says $0 Urgent Care co-pay. Mine doesn't even mention it. I called my insurer just to see why Urgent Care wasn't mentioned, told where on the CMS site I found the info, and they were wishy-washy....saying it depends on how they code it. Errr... I called again and this time they said I shouldn't worry about it and Urgent Care coding is different. I probably wouldn't get billed. This is so wierd. I mentioned previously, about the COVID-19 pandemic changes that CMS decided on. It ends 12/31/2024...who knows if all that was really was included as part of the changes to all plans along with telehealth as office visits. Right now I am satisfied why Plan N but I could easily go to G if I needed to. Wait and see.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +2

      Are you sure you both have Plan N?

    • @WhiteRosez007
      @WhiteRosez007 7 месяцев назад

      Yes I have Mutual Omaha Plan N and and she has United Health Care Plan N(AARP) in Oklahoma. She pays more on her premium than I do. I am 65 and so is she. She wants to switch to Mutual of Omaha which she still can because we are new...but now she's like....well let's see because of the new Birthday Rule. But she has still more time to switch without underwriting. I don't. I suggested to her just go to plan G and switch down later. By the way you can even go online to the UHC and actually see the Urgent Care for Oklahoma is $0.00 co-pay. One more point.... nothing to do with Plan N...We found out last month that in September Oklahoma how has the Birthday Rule due to increases in PlanF premiums that people can't get out of. anyway Stephanie thanks for all you do. 🥰@@AbtInsuranceAgency

    • @WhiteRosez007
      @WhiteRosez007 2 месяца назад

      I did Stephanie. I left it. I went to
      G by Aetna for this year.

  • @jeffb.2469
    @jeffb.2469 8 месяцев назад +1

    Thanks for the update on Plan N.
    What happens when an Insurance company goes belly up? Does another carrier have to pick you up at the same premium, same coverage and without underwriting?

    • @MaryBethMcCoy
      @MaryBethMcCoy 8 месяцев назад +3

      If your insurance company goes belly up, you get a special enrollment period of time where you can select another plan. To avoid underwriting, you would need to get a Plan G, which is now the guaranteed issue plan. If you wanted another Plan N, you would need to qualify through underwriting in most states.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +3

      If the insurance company completely goes under and can no longer offer coverage to you then you have a guaranteed issue right to purchase a new Medigap without medical underwriting. This is highly unlikely though.

    • @christinedaley5580
      @christinedaley5580 7 месяцев назад

      What is the co pay now for urgent care? $20 or $50. Thank you.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  7 месяцев назад +1

      @@christinedaley5580 our clients have been seeing a $20 copay for urgent care.

    • @christinedaley5580
      @christinedaley5580 7 месяцев назад

      @@AbtInsuranceAgency
      Okay. Thank you. That’s what I thought but wanted to be sure. So telehealth and UC $20 co pay since Covid hit. Thanks again. 🙋‍♀️🙋‍♀️🙋‍♀️

  • @pamburton6382
    @pamburton6382 8 месяцев назад +3

    I went to my urgent care for a sprained wrist and showed them my Medicare card and my supplemental insurance card but they still charges me $75 that day and also sent me an additional bill for another 25$ a couple weeks later. I have plan N. I was new to Medicare so I didn’t question it. Do you think I was ripped off? Love to know what you think.

    • @MaryBethMcCoy
      @MaryBethMcCoy 8 месяцев назад +3

      Have you met the annual deductible for 2023? You have to pay that first. Check your EOB or your bill. It would show you if the $75 was applied to your deductible.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +2

      Had you already satisfied your Part B deductible of $226/year in 2023?

    • @WhiteRosez007
      @WhiteRosez007 8 месяцев назад +1

      You do need to meet your deductible first. So let's just pretend you are short $10.00 on meeting your deductible... When all said and done, you might only have to pay $10 copay. That's why they say up to $20.00. It seems maybe you didn't met that deductible yet. Best wishes.

  • @timnelson252
    @timnelson252 8 месяцев назад +2

    Your contact information at the beginning of the video is really small when I watch the video on a TV. You might want to make it a bit larger so people can see it and connect with you.

  • @MrAxman53
    @MrAxman53 7 месяцев назад +1

    Have any of your clients filed a successful appeal for the $50 copay at an urgent care facility?

  • @MarioSanchez-po2gv
    @MarioSanchez-po2gv Месяц назад

    You didn't talk about part B excess charges. What if I needed a surgery, what kind of excess charges should I expect

  • @jamesmiller2332
    @jamesmiller2332 3 месяца назад

    My plan n is 253.00 per month. Outrageous!

  • @kenpope5798
    @kenpope5798 8 месяцев назад

    Do the coding changes in plan N and the copayments or coinsurance allow one to change from an N to a G without underwriting? Also, on either plan N or G in general you need underwriting to change from one to another, but do you also need underwriting to change the supplemental company so another words if you were on G and you applied for end and it went through underwriting and you were declined for medical reasons. Does that mean that on the plan G you are stuck with that particular company forever

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +2

      Great questions! Yes, underwriting is required to switch from N to G, G to N etc...or from one company to another unless you have a state specific rule: ruclips.net/video/8WDjN32RjlY/видео.htmlsi=sOof_HsG1yhwAfEK
      Coding practice changes do not grant you a guaranteed issue right to change away from Plan N.

  • @RonMac08
    @RonMac08 8 месяцев назад +2

    The hospital just charged me the $1600 copay. They know I have Plan N, but I don't think they charged my Plan N insurance company. I had a copay for my annual welfare check, were they wrong?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +4

      They were wrong, and you shouldn’t owe that. Sometimes for Part A hospital services the hospital needs to submit a claim directly to your Medicare insurance company for payment.

    • @photoggg1
      @photoggg1 8 месяцев назад +5

      I've gotten **many incorrect bills where they haven't submitted to my supplement plan. Feels like they go 'oops' when you catch them, but as a business strategy, they make a lot of money on the ones that are paid by busy or overwhelmed patients who can't keep track.

  • @photoggg1
    @photoggg1 8 месяцев назад +2

    Is there a copay or coinsurance for PT and OT? We've been paying each time for years.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +1

      And you have Plan N?
      Typically there is not a copay, but that is interesting if you have been paying one with Plan N. I wonder how they are coding your visits.

  • @perugino25
    @perugino25 5 месяцев назад

    if I do not have access to the doctor's office, he is no longer my doctor. And BTW, nowadays, who sees the patients are Nurse Practitioners or Dr. Assistants whatever that means. I wonder if our premiums will be lower as well since the system lower our health provider's expertise.

  • @florettabush9219
    @florettabush9219 5 месяцев назад +3

    If there is a 20 co-pay for diagnostic visits, with Plan Ni I assume I'd pay a co-pay for procedures like MRI's, CAT Scans, etc. Is that correct?

    • @lyndayoung8761
      @lyndayoung8761 2 дня назад

      @@florettabush9219 NO that's incorrect. You pay for medical OFFICE visits not diagnostic treatment

  • @Squddle
    @Squddle 6 месяцев назад +1

    I had another question about the co-pay for the plan N. Does a person that has an office visit need to pay the copay AND the part B deductible if their bill is high, or, just the part B deductible? Seems that if a person had to pay both, then it would maybe be better with a different plan?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  6 месяцев назад

      You meet the deductible first. Then the copays start.

  • @amiehill8104
    @amiehill8104 5 месяцев назад

    If you have physical therapy appts while on Plan N, do you have to pay a copay each time you go? Is Counselling available with Medicare plan N and well check ups ?

    • @mimi1o8
      @mimi1o8 5 месяцев назад

      Another agent on RUclips, has said that, you don’t pay physical therapy on plan N

  • @Squddle
    @Squddle 8 месяцев назад +3

    Can the dollar amount of each co-pay go up over time, or will they each be capped at $20 for life?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  7 месяцев назад +1

      Unless the Medigap Plans get re-standardized and there are big changes on the government level there, the copay is capped at $20 for office visits.

  • @raafatbasha
    @raafatbasha 7 месяцев назад +1

    If you are on a plan N and at some point in time you want to switch to a plan G are be able to do that without medical underwriting??

  • @senizmcmullen484
    @senizmcmullen484 25 дней назад

    Is the loss ratios of the individual plans (G vs N) isolated from each other? In other words, would any losses of the G could be compensated by N premiums?

  • @user-lp5oz8lg8r
    @user-lp5oz8lg8r 6 месяцев назад

    I was hopeful you would address guaranteed issue rights for plan N if you leave it for MA then use your trial right to go back. Can you go back to N if company still offers it?

    • @lyndayoung8761
      @lyndayoung8761 2 дня назад

      @@user-lp5oz8lg8r Yes you go back to the same carrier with same plan before 12 months lapse

  • @glennthorstensen5119
    @glennthorstensen5119 2 месяца назад

    I will be turning 65 next year, and time flies I am looking Medicare so I am ready. Why does Medicare with a Supplement plan, cost 1/2 the price and give you more comprehensive coverage with no deductibles ( currently $9250) than the ACA Bronze plans?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  2 месяца назад

      The amount you pay for your ACA plan is based on your income. Medicare Supplement plans are not based on income.

  • @rogipaul
    @rogipaul 2 месяца назад

    which states don't allow excess charges.
    if PA does not allow excess charges and I live in PA, but I want to go to Mayo clinic in Minnesota (which allows excess charges) will they be allowed to charge me excess charges.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  2 месяца назад

      Yes, they would - whether or not you may be billed excess charges depends upon the state in which you are receiving are.

  • @alexdavid24425
    @alexdavid24425 7 месяцев назад

    How much plan G and N premium cost in Oregon?

  • @thomaschadwick4699
    @thomaschadwick4699 8 месяцев назад +2

    Amazing that CMS can not update the information you just reported on.

    • @WhiteRosez007
      @WhiteRosez007 8 месяцев назад

      I agree. However...they did make changes during the pandemic regarding telehealth. It may become a permanent way of office visits for all plans not just for those in rural areas. You can do a search and find CMS documents related to those changes on telehealth and other health care options. I am not by any means an insurance agent or adivisor. But I like to research information. It's just CMS should be more informative in my opinion.

  • @richchannel-1311
    @richchannel-1311 6 месяцев назад

    Does Medicare consider family plans such as me and my wife like corporate plans do, if not, then it seems we would be paying double.

  • @tueches1822
    @tueches1822 8 месяцев назад +2

    can you go over Plan D? it's soooo confusing!

  • @michaelrust7614
    @michaelrust7614 8 месяцев назад +4

    Have you ever produced a video comparison between High G and Plan N? Do the savings in the N still hold up against a High G?

  • @harveyh3696
    @harveyh3696 6 месяцев назад +3

    I'm wondering if you have a Plan G and it change it to a Plan N in the future without going through underwriting?

    • @lyndayoung8761
      @lyndayoung8761 2 дня назад

      @@harveyh3696 You don't have that "guaranteed right" but the carrier might write a policy. They have the right to "underwrite" and would most likely envoke that right to know their level of risk insuring you. Don't depend on it.

    • @harveyh3696
      @harveyh3696 2 дня назад

      @@lyndayoung8761 Thank you for the reply. I did find the answer to my query and signed up for Plan N.

  • @msjinabina
    @msjinabina 4 месяца назад

    Do these addtl plans only offered with a and b. Can you purchase n or g if you Medicare C advantage?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  4 месяца назад

      You cannot have an Advantage Plan and a Medicare Supplement/Medigap plan at the same time.

  • @billbeeb1803
    @billbeeb1803 6 месяцев назад +1

    I was wondering, once you've met your deductible and Medicare gets a bill and pays their 80%, does Medicare bill your Medigap policy for the rest or does my Doctors office do it. I just want to be sure because I am going to Quest labs for a PSA test and I sign in on the kiosk. When I put my insurance info in, do I just put in my Medicare info.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  5 месяцев назад +2

      Typically there is an “automatic crossover “ and Medicare bills the Medigap company

    • @billbeeb1803
      @billbeeb1803 5 месяцев назад +1

      @@AbtInsuranceAgency Thank you very much

  • @blondy650
    @blondy650 4 месяца назад

    Love my plan N

  • @vi9753
    @vi9753 6 месяцев назад +1

    My question is will Plan N cover all doctor and ER copayments once the Part B deductible is met?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  6 месяцев назад +1

      Once you meet the Part B deductible you still have a $50 copay for ER visits on Plan N. Unless you are admitted to the hospital in which case the copay is waived.

    • @vi9753
      @vi9753 6 месяцев назад

      Does the up to $20 doctor visits count toward the Part B deductible?

  • @bonniekent4721
    @bonniekent4721 8 месяцев назад

    Would urgent care be coded fir a $20 copay like primary drnir a $50 copay like emergency room?

  • @richardnowacki2869
    @richardnowacki2869 8 месяцев назад +3

    So does plan charge a $50 or $20 for urgent care now?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +5

      Based on the coding information I liked in the video notes, it's the $20 office visit copay.

    • @Claudebonegt
      @Claudebonegt 8 месяцев назад

      I highly recommend Abt. I am happy I found them on RUclips!@@richardnowacki2869

  • @donhgr
    @donhgr 3 месяца назад

    What happens if your insurance provider says they are doing away with N or leaving Medicare ? Like G are you guaranteed enrollment somewhere else without qualifying?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  2 месяца назад

      Yes, you would have a guaranteed issue right to purchase a Medigap plan with a different company.

  • @user-hy4zv8cn6r
    @user-hy4zv8cn6r 2 месяца назад +1

    I understand that plan n has a much lower deductible than g and you have to pay the co-pays. And I know people say the copays don't add up to the extra you pay in premium for plan g but I think what people forget is that you're not always going to be as healthy as you are this moment. If you get an illness and you start needing x-rays and blood work and Mri's and Ct scans etc i think the copays are going to fire out way the extra premium that G would have cost you. And you have to realize too that if you get an illness like cancer that's not necessarily over in 1 year so you may have to keep doing that for a number of years.

  • @donbrown9258
    @donbrown9258 7 месяцев назад

    I don’t know if you covered this, but is an Urgent Care visit a $20 or $50 dollar copay?

  • @davidhammond8098
    @davidhammond8098 8 месяцев назад +1

    I've taken SS so I have Part A. I'm 67 and still working. Can I start Medicare at any time?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +1

      If you have creditable employer insurance then yes!

    • @napoleonmdusa8877
      @napoleonmdusa8877 7 месяцев назад

      @@AbtInsuranceAgency What characteristics for employer insurance make it considered "creditable" for Medicare?

    • @tenabarnes3269
      @tenabarnes3269 2 месяца назад

      Company must have 20 or more employees to be considered credible coverage for Medicare purposes, if not you pay a penalty that lasts the entire time you use Medicare.

  • @kathyfocht3718
    @kathyfocht3718 8 месяцев назад +1

    What about your part b co pay and gap that you will never reach. Unless terminal. So you're still paying for everything.

  • @lyndayoung8761
    @lyndayoung8761 6 дней назад

    I'm interested in a video on the new Part D changes the Inflation Reduction Act brings for 2025, namely the $2000 max OOP and if Medicare will consider some employer plans Not Creditable if their's is Over $2000 cost to employee? Should workers over 65 enroll in Part D or will employer drop them from their health coverage if they do? Or if they keep employer coverage that is no longer Creditable, will they face a penalty for enrolling late in D? Not sure the ramifications of these unintended consequences?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  6 дней назад

      @@lyndayoung8761 I touch upon exactly this in my most recent video!

  • @peterlarsen3021
    @peterlarsen3021 Месяц назад +1

    Talk about excess charges---please

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Месяц назад

      ruclips.net/video/7i5H8aCCmGw/видео.htmlsi=2z-dTHmj4sqlMzwi check it out!

  • @NoMoreTears64
    @NoMoreTears64 3 месяца назад

    Whats the best savings plan for someone who ABSOLUTELY refuses to go to a doctor unless it is critical?

    • @tenabarnes3269
      @tenabarnes3269 2 месяца назад +1

      @nomretears I’ve been looking and I believe it is high deductible plan G. The deductible is capped at 2700 per year and that’s it, besides the 240 part B deductible. The cost in my area is 41 dollars a month but in NewYork is 60 dollars.

  • @dgs8011
    @dgs8011 7 месяцев назад +1

    How long before I turn 65 should I contact an agent to explore my Medicare supplement options?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  7 месяцев назад +1

      6 months is a great time frame!

    • @dgs8011
      @dgs8011 7 месяцев назад

      @@AbtInsuranceAgency Many thanks. Love your videos. I've learned so much. I'll be contacting you all next summer.

  • @mariettagreene5524
    @mariettagreene5524 8 месяцев назад +1

    Will my plan N premium go up next year on my monthly payment?

  • @lisakisner9820
    @lisakisner9820 6 месяцев назад

    Hi I'm was disabled during covid and started getting ssdi this year. I want to be on Medicare org. BUT FINDING GAP INSURANCE EXPENSES HIGH. HELP PLEASE

  • @BandieRemis
    @BandieRemis 2 месяца назад

    Does Plan N cover annual physical exams since Medicare itself doesn't?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  2 месяца назад

      No, Plan N generally only covers what Medicare covers.

  • @-moses-6898
    @-moses-6898 Месяц назад

    So with plan n- even after we meet the 240.00 deductible - we still have to pay the 20.00 co pay? I thought medigap paid that 20.00. - as long as I have met the yearly deductible ? ?.

  • @GrantHendrick
    @GrantHendrick 3 месяца назад

    Why does the link for the cms refer to the previous president?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  3 месяца назад +1

      It wad released in 2020.

    • @GrantHendrick
      @GrantHendrick 3 месяца назад

      @@AbtInsuranceAgency Thank you. I missed seeing the release date. Does this mean the current website version will be updated and corrected?

  • @ezeddie9747
    @ezeddie9747 5 месяцев назад

    My understanding with the plan N. Is that if insurance company goes out of business. You have to take a health and wellness test to have another carrier to get plan N. And that's not with plan G

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  5 месяцев назад

      That’s not true - if you have a Plan N and your insurance company goes completely under and can no longer service their books of business (incredibly unlikely) then you have a guaranteed issue right to purchase a Plan G with another insurance company.

    • @ezeddie9747
      @ezeddie9747 5 месяцев назад

      @@AbtInsuranceAgency so what is the birthday rule then

  • @arturorivera6387
    @arturorivera6387 8 месяцев назад

    Question on N, do the post surgery physical therapy sessions cost $20 a visit😂?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +2

      It depends on how they are coded! Usually physical therapy sessions do not have a copay.

  • @kevinjohnson-qc6cs
    @kevinjohnson-qc6cs 7 месяцев назад

    How can i join your agency

  • @bonniekent4721
    @bonniekent4721 8 месяцев назад

    Would urgent care be coded for $20 like a doctor copay or $50 like emergency room?:

    • @MaryBethMcCoy
      @MaryBethMcCoy 8 месяцев назад +1

      Urgent care is charged like a doctor’s office visit, so $20 is the copay.

    • @bonniekent4721
      @bonniekent4721 8 месяцев назад

      @@MaryBethMcCoy thank you so much for your fast reply

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +1

      $20 like an office visit.

    • @bonniekent4721
      @bonniekent4721 8 месяцев назад

      @@AbtInsuranceAgency thank you so much for answering my question I am still leaning towards plan N and will contact your office in 2024 which is when I will be turning 65

  • @Nancy-xb6wh
    @Nancy-xb6wh Месяц назад

    Medicare should be the only plan we have after we work all our lives and retire. No extra supplement plans for dental, vision we have to pay for.

  • @user-lp8qp2un9v
    @user-lp8qp2un9v 4 месяца назад

    If im not happy in one medgap plan can i change to another

  • @monabellem
    @monabellem 8 месяцев назад

    This plan N is only for those 65 and older and never for those under 65 with a disability, correct? But Plan G can be purchased by those under 65?
    Also, are Plans G and N as supplemental plans considered equivalent to Medicare Advantage plans ( I understand advantage plans bundle parts A and B and plans G and N are separate).

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +2

      Plan G and N are different than Medicare Advantage- check out this video for more information-
      When you are under 65 insurance companies are not required to offer plan G or N in most states. You may be able to purchase either of them depending on where you live.

  • @randyw.8781
    @randyw.8781 8 месяцев назад

    Is urgent care 50 or 20 under N?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +2

      $20 if it is coded the way I’ve outlined in the video description.

    • @Johnt3XVI
      @Johnt3XVI 8 месяцев назад

      @@AbtInsuranceAgency
      The operative word here is “if”.

  • @user-cb6lo8rf2x
    @user-cb6lo8rf2x 8 месяцев назад

    How much do you pay a month??

    • @roberts1159
      @roberts1159 8 месяцев назад +2

      Depends on supplement company and plan type. N or G, also your age come into play. Suggest contacting her for details.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +2

      You nailed it! 🙂 888-465-9728

    • @21550spurs
      @21550spurs 8 месяцев назад +1

      Also depends on your state

  • @donhgr
    @donhgr 3 месяца назад

    If your plan N goes away because your insurance company no longer is going to provide it my understanding is you can’t get a new N guaranteed without medically qualifying for it like you would had that happen on a G plan

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  3 месяца назад

      Plan N is not a “guaranteed issue” plan, so in this extremely I likely situation you would be eligible to buy a Plan G guaranteed issue.

  • @kbenefits
    @kbenefits 4 месяца назад

    Plan G vs Plan N. about a $40 dollar per month premium difference. So 2 visits a month, you should be in Plan G, More than 2 visits, you should be in Plan G. and then there's the EXCESS CHARGES which is balance billing. You should be in Plan G. You are going to pay more in Plan N 99% of the time. Enroll in Plan G, set and forget.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  4 месяца назад

      I respectfully disagree. Some people should be in Plan G while others will be much better off on Plan N.

  • @dmjh932
    @dmjh932 8 месяцев назад +1

    If you prefer a Supplement then only buy an "N" plan from a major insurance company. However, Medicare Advantage Plans continue to dominate the Medicare market. As of 2023 51% of all eligible seniors have an Advantage Plan. Your choice.

    • @sydneywillingham
      @sydneywillingham 8 месяцев назад +1

      When you remove those on SNP type MA plans, the amount of people in MAPDs and MS plans is nearly identical. They're also growing at the same pace. Your figures are correct, but there is additional important information to include.

    • @dmjh932
      @dmjh932 8 месяцев назад

      @@sydneywillingham I think as time passes and some minor improvements are introduced to all MA plans. The advantage plans will continue to make gains that will exceed all MS.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +1

      Well said!

    • @dmjh932
      @dmjh932 8 месяцев назад

      @@AbtInsuranceAgency My wife has had a "G" plan with Mutual for 8 years. I elected for a PPO UNH advantage plan 10 years ago. I have actually saved more than 20 thousand dollars in premiums I would have paid a insurance company for a supplement plus drug plan. In 2024 we decided to take out a MA for my wife since she's entitled to a free 12 month look with zero risk. She'll probably return to the "G" supplement later next year. We'll save more than 25 hundred dollars. She takes numerous monthly drugs. What's interesting is that the MA drug plan with UNH is 5 hundred dollars lower for annual out of pocket in 2024. But like all insurance. It always depends on a person's rick tolerance.

    • @sydneywillingham
      @sydneywillingham 8 месяцев назад

      @dmjh932 they mat for some. The reality is that people want to choose which Providers they see, where they receive their healthcare, and when they receive it. Based on that, there will always be a place for Med Supp. It may not be a huge market, but it will exist. 🙂

  • @lisaveta8565
    @lisaveta8565 8 месяцев назад +1

    We live in a small town in Midwest. Having clinic in town or need to travel 40 min to capital of the state. Our clinic charge $20 plan N for every test for doctor who read it and send report to physician 😭

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 месяцев назад +2

      Wow. Thanks for that feedback.

    • @lisaveta8565
      @lisaveta8565 8 месяцев назад +1

      @@AbtInsuranceAgencythey coded doctor’s reading and sending reports to physician or specialists as a doctor’s visits. I already told them it is fraud. The answer was ‘If you do not like our service you need to go to Capital. We are private clinic and we make our own rules” 😭😳

    • @futureaceone3971
      @futureaceone3971 8 месяцев назад

      @@lisaveta8565 You might want to consider contacting Medicare about these illegal and fraudulent charges. Physicians don't get to make their own rules when coding Medicare insurance claims. This is fraud and comes out of everyone's pockets in the form of higher premiums. Medicare wants to know about fraud.

    • @WhiteRosez007
      @WhiteRosez007 8 месяцев назад +3

      Goodness. I would contact CMS and at least inform them. Being private and taking Medicare Assignment doesn't justify that.

  • @lezgiyar5055
    @lezgiyar5055 7 месяцев назад

    Hello.
    I like to Cancel my Medicare and go back on Medical.
    It is possible?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  7 месяцев назад

      ?

    • @mimi1o8
      @mimi1o8 7 месяцев назад +1

      @@AbtInsuranceAgencyMedical, the California State insurance is low priced compared to Medicare. Would be interesting if you can answer the previous question. Thanks