NewRetirement Retirement News Digest : Choosing a Policy to Cover What Medicare Doesn’t
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Choosing a Policy to Cover What Medicare Doesn’t

The New York Times, October 14th, 2009

PEOPLE over 65 should buy a Medigap policy, consumer advocates say, but picking a Medigap plan can be difficult, and at least one important health care bill heading for a vote in the Senate could make it even harder.

The plans, which are sold by private insurers, are supposed to help fill the considerable gaps that deductibles and co-payments leave, the difference between what Medicare enrollees receive from the government and what they owe doctors and hospitals. Medigap offerings come in a dozen different varieties, labeled Plans A to L.

Choosing a plan is particularly tricky for consumers because monthly premiums for identical coverage can vary by hundreds of dollars from one company to another. Rates also vary by area of the country and age of the enrollee, and in many cases by gender. Still, the advantages of the coverage, for everyone who can afford it, make the hard work of shopping around a good investment.

Why buy a Medigap policy when you turn 65 and become Medicare-eligible, even if you don’t expect to need it for years? A reason, of course, is that people cannot anticipate what might befall them. Consumer advocates also point out that under some state laws, those who delay end up paying higher monthly rates or being rejected for health reasons.

Adding complexity to the calculation is the possibility that Congress may cut back on the current 100 percent coverage of medical bills for people who wait to buy their first Medigap policy. The Senate Finance Committee, looking ahead to 2015, is calling for new co-pays for doctors’ visits under Medigap. If the provision is adopted, new purchasers might be charged $5 for a visit to a primary care doctor and $15 or $20 for a specialist, committee aides say. The change is intended to discourage medically unjustified visits.

Darlene Mastro, who had retired early, said she “couldn’t wait” to be 65 and eligible for Medicare. But when she telephoned the local offices of several companies to ask about Medigap insurance, she was disappointed by the response.

Read more of this article.

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Published Wednesday, November 04, 2009 2:18 AM by jberman
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