Medicare Supplement Plans in New Mexico
Having this coverage eliminates the risk of outrageous medical expenses.
Medicare Supplement Plans in New Mexico
Let’s say Michael has Traditional Medicare and a Part D policy. Well, Michael thinks he’s covered because he doesn’t understand that the difference between $20 and 20% is huge.
Michael goes to the Emergency Room because he suffered a minor stroke. At the ER he’s admitted and routine tests are completed. Michael is going to need routine doctor visits and further care.
The Part A deductible must be paid for admission to the hospital, that deductible is $1,364. Also, Michael needs to pay 20% of any remaining expenses.
Now, if Michael breaks his leg next month, he’ll pay the Part A deductible AGAIN next month.
When Michael goes to his doctor for routine care outside of the hospital, he’ll pay the Part B deductible. Part B deductible is $185 annually. After the Part B deductible, Michael will pay 20% of the remaining expenses and future expenses for outpatient care.
Now, we helped Michael enroll in Medicare Supplement Plan N. Michael didn’t need to pay the hospital $1,364 deductible OR 20% of the hospital expenses. Also, he only pays $20 to see his doctors, NOT 20%!
Be like Michael and protect yourself by enrolling in a New Mexico Medicare Supplement plan today!
New Mexico Medicare Options Explained
Medicare eligibility happens for most at age 65; many seniors are automatically enrolled in Part A if already receiving Social Security. Part B has a monthly premium and depending on income, could be higher or lower than the standard $185 amount.
Having prescription drug coverage as soon as Part B is effective will eliminate your risk for the Part D late enrollment penalty. Even if you don’t take medications, enrolling in a plan is beneficial.
Some people choose Medicare Advantage (MA) Part C coverage; these policies can have drug coverage included as well as other routine ancillary benefits. In certain areas, these plans cost as low as $0 a month. However, should some major medical issue arise, the medical expenses could easily drain a savings account.
Many seniors choose Medicare Supplement coverage because the premium payment ensures great coverage when medical needs arise. See, Michael didn’t need to pay 20% of the test done in the hospital; well, with some MA policies, you still pay the 20%. This is because they only have to cover as good as Medicare.
Medigap fills the gaps in Medicare, giving you more comprehensive coverage.
Eligibility for Medigap Plan in New Mexico
The general rule is that the first day of the month you turn 65, Part B begins. So, if you’re birthday is April 5th, then Part B likely goes into effect on April 1st. This means from April 1st until September 30th, you can select a Medicare Supplement plan without facing medical underwriting.
This 6-month window is known as the Medicare Supplement Open Enrollment Period (OEP). During this phase you have Guaranteed Issue privileges; this allows you to enroll in any Medicare Supplement plan and get the best premium regardless of health.
If a beneficiaries employer group plan substantially reduces benefits, they qualify for GI rights to purchase a Medigap policy. Documentation is usually a requirement.
New Mexico Supplemental Medicare for those under 65 and disabled
Medigap insurance companies to offer at least one Medicare Supplement to those under 65; however, Medicare Supplement plans tend to be higher for those on disability because of the claims risks.
Most beneficiaries under 65 find Medicare Advantage plans to be more suitable for the wallet.
However, upon turning 65 any disabled beneficiary can enroll in Medicare Supplement coverage without medical underwriting. This means a lower rate and better coverage the first day of the month you turn 65 years old!
Best New Mexico Medicare Supplement Plans
The most popular Medicare Supplement plans are Medicare Supplement Plan N, Plan G as well as Plan F. These are also the most commonly selected plans in the nation.
The coverage for Plan F in Albuquerque is the same coverage as Plan F in Rio Rancho. Most people select this coverage because it’s more comprehensive; however, plan F is being eliminated in 2020.
To better understand which plan will work best with your wallet and healthcare needs, contact an agent.
Enrolling in New Mexico Medicare Supplement Plans
Enrollment into a New Mexico Medicare Supplement plan is a piece of cake; you can enroll over the phone with a licensed agent by calling the number above.
The best part about choosing a broker to help you find a plan; they care more about your needs than making a commission with one company. This is because our agents represent the top Medigap carriers; so, finding quality coverage is easier because they aren’t relying on coverage from one company.
New Mexico Medicare Supplement Plans Premiums
The majority of New Mexico Medicare Supplement Plans are attained-age rated which means that the premium increases as you become older. Premiums vary between people; depending on the time of enrollment, age, gender, smoker status, as well as location.
To obtain the most accurate Medigap quote in your area, contact a licensed insurance agent today!
Medicare Advantage Plans in New Mexico
Advantage plans change coverage and prices from county to county. There are limitations and restrictions in place that vary from plan to plan. The government isn’t standardizing Medicare Advantage plans.
When you enroll in Medicare Advantage coverage, you must follow plan specific rules. Medicare Part A and Part B no longer cover the claims, you rely on the insurance company to approve needed services and supplies.
While these policies have lower premiums, the out of pocket expenses can be unbearable when health conditions worsen with age. You can compare these policies by visiting the CMS website.
Once you turn 65, enrolling in a Medigap plan is the best way to protect yourself from draining your retirement savings on a visit to the hospital.
Medicare Prescription Drug Coverage
Enrolling in Part D with an effective date the same as Part B is highly recommended. When you do this, you avoid the Part D late enrollment penalty.
For those taking prescriptions, Part D has a formulary (list of covered drugs), double-check to ensure all your medications will be covered by the plan. Don’t enroll in policy just because of a low premium.
Sometimes, you save more by paying a higher premium and lower out-of-pocket costs. Talk with an agent about the most suitable policy that covers the medications you take.
Learn More About Medicare Coverage
Enrolling in a policy through one of our brokers makes you eligible for future assistance with any issue, provided by our client care team.
When you want to re-evaluate your coverage, file a claim or an appeal, contact our client care team and get the care you deserve.
To obtain a quote contact an agent at the number above! Be like Michael and get the coverage you need and deserve.
Don’t have time to call? Fill out an online rate form today!