Utah Medicare Advantage Plans may leave gaps in coverage

Now that Medicare Annual Election Period is over,often times people feel like even with how good these Utah Medicare Advantage plans have gotten, there are still opportunities to face significant out of pocket expenses. The biggest culprits are typically any type of hospital or skilled nursing stay. More often than not daily hospital co-pays range from $150 or more (from 7 days up to 18) and skilled nursing stays start as low as $50 per day, and increase depending on the length of stay. There are ways to help offset these costs for a reasonable fee.What I am referring to are indemnity plans. These plans can be designed to pay a lump sum upon entrance into the hospital, or a daily amount for every day you are there. Most also have skilled nursing and ambulance riders to help offset those costs as well. Often times for less than $1 per day, this coverage can help fill some of the gaps left open by the Utah Medicare plans. As always, if I can help, call me.


James “Jimmy” Hobson
Senior Services of Utah
www.utahseniorservices.com
801.979.6365

 

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Medicare Part B cost changes for Utah residents

Hello again,

This might be of some interest to you. The following is from CMS (Center for Medicare and Medicaid Services)

Medicare Part B premiums for 2012 lower than projected

Affordable Care Act helps keep Medicare affordable

The U.S. Department of Health and Human Services (HHS) announced that Medicare Part B premiums in 2012 will be lower than previously projected and the Part B deductible will decrease by $22. While the Medicare Trustees predicted monthly premiums would be $106.60, premiums will instead be $99.90. Earlier this year, HHS announced that average Medicare Advantage premiums would decrease by four percent and premiums paid for Medicare’s prescription drug plans would remain virtually unchanged.
Thanks to the Affordable Care Act, people with Medicare also receive free preventive services and a 50 percent discount on covered prescription drugs when they enter the prescription drug “donut hole.” This year, 1.8 million people with Medicare have received cheaper prescription drugs, while nearly 20.5 million Medicare beneficiaries have received a free Annual Wellness Visit or other free preventive services like cancer screenings.
“The Affordable Care Act is helping to keep Medicare strong and affordable,” said HHS Secretary Kathleen Sebelius. “People with Medicare are seeing higher quality benefits, better health care choices, and lower costs. Health reform is also strengthening the Medicare Hospital Insurance Trust Fund and cracking down on Medicare fraud.”
Medicare Part B covers physicians’ services, outpatient hospital services, certain home health services, durable medical equipment, and other items. In 2012, the “standard” Medicare Part B premium will be $99.90. This is a $15.50 decrease over the standard 2011 premium of $115.40 paid by new enrollees and higher income Medicare beneficiaries and by Medicaid on behalf of low-income enrollees.
The majority of people with Medicare have paid $96.40 per month for Part B since 2008, due to a law that freezes Part B premiums in years where beneficiaries do not receive cost-of-living (COLA) increases in their Social Security checks. In 2012, these people with Medicare will pay the standard Part B premium of $99.90, amounting to a monthly change of $3.50 for most people with Medicare. This increase will be offset for almost all seniors and people with disabilities by the additional income they will receive thanks to the Social Security cost-of-living adjustment (COLA). For example, the average COLA for retired workers will be about $43 a month, which is substantially greater than the $3.50 premium increase for affected beneficiaries. Additionally, the Medicare Part B deductible will be $140, a decrease of $22 from 2011.
“Thanks in part to the Affordable Care Act, people with Medicare are going to have more money in their pockets next year,” said Centers for Medicare & Medicaid Services (CMS) Administrator Donald Berwick, M.D. “With new tools provided by the Affordable Care Act, we are improving how we pay providers, helping patients get the care they need, and spending our health care dollars more wisely.”
Today, CMS also announced modest increases in Medicare Part A monthly premiums as well as the deductible under Part A. Monthly premiums for Medicare Part A, which pays for inpatient hospitals, skilled nursing facilities, and some home health care, are paid by just the 1 percent of beneficiaries who do not otherwise qualify for Medicare. Medicare Part A monthly premiums will be $451 for 2012, an increase of $1 from 2011. The Part A deductible paid by beneficiaries when admitted as a hospital inpatient will be $1,156 in 2012, an increase of $24 from this year’s $1,132 deductible. These changes are well below increases in previous years and general inflation.

Should you have any questions about this, or anything related to your Utah Medicare coverage, do not hesitate to contact me.

Jimmy Hobson
Senior Services of Utah
jimmy@utahseniorservices.com
www.utahseniorservices.com
801.979.6365 local
888.772.4678 toll free

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Tips for Utah Boomers turning 65 in 2011

From U.S News

7 tips for baby boomers turning 65 in 2011

The oldest baby boomers have begun to turn 65 this year. High on their agenda should be signing up for Medicare. Boomers also have important Social Security and career choices to make. Here are seven tips for making retirement decisions at age 65:

[See what will happen when The Baby Boomers Turn 65.]

Sign up for Medicare on time. You can first sign up for Medicare during a seven-month window beginning three months before the month you turn 65. Sign up during the months leading up to your 65th birthday if you want your coverage to begin the month you turn 65. (If your birthday is on the first day of the month, your coverage can start as early as the first day of the prior month.) If you don’t sign up for Medicare Part B during this initial enrollment period, your premiums may increase by 10 percent for each 12-month period that you delay enrollment. If you are still working and covered by a group health insurance plan at work, sign up within eight months of leaving the insurance plan to avoid the penalty.

Schedule your free physical. Beginning this year, Medicare provides a one-time free physical exam within the first 12 months you have Part B coverage by a doctor who agrees to be paid directly by Medicare. The visit may include a review of your health, vision and blood pressurescreenings, education and counseling about preventive care services covered by Medicare, and referrals for treatment you may need. Other preventative services you may be able to get at no out-of-pocket cost include cardiovascular and breast cancer screenings, bone mass measurements, and flu shots.

Delay Social Security until next year. While Medicare eligibility for 1946-born baby boomers begins this year, they still will not qualify for the full amount of Social Security benefits they are entitled to. Boomers will have to wait another year, until age 66, if they do not want their entitlement checks to be reduced. Retirees who claim Social Security this year when they turn age 65 will get about 93.3 percent of their full monthly benefit, because they will be getting payments for an additional 12 months. Social Security payouts further increase for each year boomers delay claiming up until age 70.

[See 10 Ways Baby Boomers Will Reinvent Retirement.]

Develop a retirement spending strategy. Before you plunge into retirement, develop a plan for how you will spend down your assets. Recognize that you will need to pay income tax on withdrawals from traditional 401(k)s and IRAs and withdrawals from those accounts become required after age 70½. Retirees who don’t withdraw the correct amount will face a 50 percent tax penalty on the required withdrawal amount. Also, consider adding some inflation-fighting investments to your portfolio, such as Treasury Inflation-Protected Securities (TIPS), or some exposure to the stock market, commodities, or real estate. “You are probably better off trying to work a little bit longer, recover some of the losses in your retirement plan, and let the market do a little bit of the work,” says Robert Baxter, CEO of Dryden Mutual Insurance Company in Dryden, N.Y., and a 1946-born baby boomer who will turn 65 in August 2011. “If you think about retirement at 65, you may end up living 20 or 25 more years and could outlive your income.”

Keep your job skills sharp. Baby boomers who haven’t saved enough to retire may need to spend several more years in the workforce. Make sure you stay on top of training and computer skills and continue to pursue new projects and opportunities at work. You don’t want to get pushed out of the workforce before you are a ready to retire. Also consider offering to mentor younger employees and pass along your skills to upcoming workers within your organization. “We have all of this great experience and knowledge in a lot of different industries and everyone is going to retire and we’re not passing it on to anyone,” says Andrew Seybold, a 1946-born baby boomer in Santa Barbara, Calif., who runs his own mobile wireless industry consulting business. “I think we owe it to people following us to try to pass some of that information on to them.”

Negotiate a new work schedule. Instead of retiring completely, many baby boomers are interested in working a more flexible and less demanding schedule. When asked about the life changes they have planned for the next few years, more than half (55 percent) of employed baby boomers turning 65 this year say they are interested in cutting back on their work hours, according to a recent survey of 801 adults born in 1946. And about 15 percent of the retired baby boomers plan to go back to work. “People are going to use the guise of retirement to get a break, rest up, and essentially get ready for a new phase of life,” says Marc Freedman, founder and CEO of Civic Ventures and author of the upcoming book The Big Shift: Navigating the New Stage between Midlife and Old Age. “Retirement is becoming a transition, rather than a destination. True retirement is going to get deferred to much later in life.”

[See 10 Key Retirement Ages to Plan For.]

Plan your new life. Develop a plan for the activities you would like to try next. Baby boomers turning 65 this year say their top priorities for the next few years are maintaining their physical health (84 percent) and spending time with family (81 percent), AARP found. Other popular planned retirement activities include interests and hobbies (76 percent), doing things you have always wanted to do (74 percent), and travel (61 percent). Although you may need a rest after decades in the workforce, eventually you will want to channel your energies and abilities into a new project.

Since retiring in 1998, Doug Stanard, former CEO of bowling alley chain AMF Bowling, stays busy visiting his grandchildren and running a hobby farm in Columbia, S.C., where he hunts and has a pond stocked with fish. “Most people who stay active don’t see themselves as growing old,” says Stanard, who will turn 65 in November 2011. “It’s only when you get out of the shower and you look in the mirror that you see yourself as 65.”

If we can help you wade through the process that includes picking a Medicare plan, let us know.

Senior Services of Utah

www.utahseniorservices.com

801.979.6365

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Medicare AEP ends Dec 7th

Well here we are again at the end of Medicare Annual Election Period. Lots of folks think that their options to change or adjust their coverage are expired, and in some cases they are, but there are still options. I will try to give a few examples.

If you enrolled into a new Medicare Advantage Plan, or decided to stay on your old one, you still may go back to original medicare from Jan 1st to Feb 14th. This time period (known as the Medicare Annual disenrollment period) allows you to go back to original Medicare and then get a Medicare Supplement plan as well as a stand alone PDP or prescription drug plan. You may have to go through underwriting, so make sure you talk to an expert to make sure you don’t get left without coverage.
Folks on a low income subsidy or Medicaid also have the ability to change their coverage at any time. Now we don’t always recommend this, but it is an option.
For those of you on a Medigap or medicare supplement, you can change year round. As long as you can medically qualify, you can change plans as often as you like.
We at www.utahseniorservices.com pride ourselves on knowing all your Utah options and being able to give you the guidance you need to make the right decision. Feel free to contact us.
801.979.6365
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