Connecticut Medicare Supplement Plans (Medigap)
Basically, you can pay less for first dollar coverage. Knowing how Medicare works in your state can save you money; the information below will explain how Medicare works by itself and why having Medigap is important.
Medicare Supplement Plans in Connecticut
Let’s say Chad has Original Medicare and nothing to help him cover the 20% of his medical bills. Many people don’t realize the real expense of Medicare; Chad is one of these people.
One day Chad is walking home from the park and has a stroke; the ambulance transports him to the hospital where he receives inpatient care.
After the stroke, Chad will need to see a specialist and receive rehabilitation care. His Medical expenses have already taken a dip into his retirement savings.
The Part B deductible needs to be paid because of the ambulance transport, the deductible cost $185 for the year. Then Chad will pay 20% of the remaining costs from the ambulance.
Next Chad is responsible for $1,364 Part A inpatient hospital deductible. Then, 20% of the remaining inpatient expenses.
Throw in the rehab and regular specialist care; Chad’s medical costs could easily become overwhelming. Now, if Chad has Medigap Plan C, he pays nothing out of pocket for this whole scenario.
Would you rather be Chad with Medigap or without Medigap? Don’t wait until you need insurance to buy, that’s when you might not qualify.
Medicare Eligibility in Connecticut for the Disabled Under 65
Beneficiaries under 65 in Medicare have access to Medigap plans at the same premium as those over 65. Insurance carriers must offer at least one policy to disabled beneficiaries.
Since the state of Connecticut has community rated policies, the premiums are the same for everyone.
Medicare Advantage Plans in Connecticut
These plans generally have lower monthly premiums; however, the restrictions within the policies outweigh the benefits. Restrictions include treatment with only in-network physicians, coverage limitations and cancellation restrictions.
Part C Plans seem more affordable; yet, it tends to have higher out of pocket costs. Let’s say Chad has MA coverage when his stroke experience occurs.
Well, with an MA policy the Ambulance would cost a $250 copayment. Then the hospital would be $525 EACH DAY for days 1 through 3. That’s a total of over $1800 out of pocket for a three-day hospital stay.
Then, Chad would pay $45 for specialists visits and 20% of the cost for most Durable Medical Equipment supplies. The MA option can be a great option for beneficiaries that can’t afford Medigap.
However, Medigap offers more complete coverage and provides you with little to no out of pocket expenses.
Connecticut Medicare Prescription Drug Plans
Most prescriptions plans can be purchased at an affordable premium, such as $15. However, the lowest monthly premium isn’t always the lowest overall cost.
If Chad enrolls in the $15 a month policy only to pay $110 a month out of pocket on his medication, the plan is costing him $125. Now, if Chad talks to an agent he’ll discover the $45 plan that requires $20 out of pocket for the same medication.
So, Chad pays more each month in premiums to pay less out of pocket.
Medicare Savings Programs in Connecticut
The Connecticut State Health Insurance Assistance Program “CHOICES” can provide you with information about health insurance.
The Best Medigap Plans in Connecticut
The only difference between the plans will be the premium. The more coverage, the higher the premium.
Just because a plan has a high or low premium doesn’t mean it’s the best for you. Consulting a broker can make it easier for you to understand which policy will offer you the most value.
Coverage remains the same for plans with identical letters. So, a person in Hartford with Plan K has the same coverage as someone in Stamford with Plan K.
Requirements for a Medigap Plan in Connecticut
To enroll in Medigap you must have Medicare Part B. Without this coverage you can’t enroll.
In Connecticut, beneficiaries can enroll in Medigap coverage without underwriting. There is never medical underwriting, so apply in Medigap anytime and approval is guaranteed.
This is great for those that work past age 65 and don’t want to worry about answering health questions later on. Beneficiaries can enroll in Connecticut Medicare at any time.
How to Apply for Medigap Coverage in Connecticut
Applying for coverage is as easy as calling the phone number above. Beneficiaries that enroll in coverage before an issue arises will have the coverage they need when things go sour.
Insurance companies don’t pay yesterdays claims. Get coverage today so you don’t have to worry tomorrow. Compare rates online with the online rate form.
Our brokers represent the top carriers in the nation, we’re familiar with which companies that increase rates and which companies have the best ratings.
Then, once your application is complete, our Client Care Team will assist you with any question, plan change, or claim you need help with. We’re here for you long after the application is complete.