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How much would you pay out-of-pocket for a five day hospital stay on Medicare? The majority of people have no idea! The problem with Medicare is there is too much information. An overwhelming amount of information and not enough resources. Medicare Nation solves that problem by educating you on all things Medicare, because there are not enough resources out there! This podcast will educate you about the components of Medicare, the different categories of Medicare Plans and Medicare benefits. On other episodes I’ll interview expert guests in the health and wellness field, about diseases, Medicare issues and current changes to the Medicare program. Medicare Nation is dedicated to answering all your questions about Medicare. Expert information and insights regarding Medicare and you! Further information can be found on www.TheMedicareNation.com Don't Forget to SUBSCRIBE to the show! Give us feedback on Facebook! www.facebook.com/MedicareNation
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Now displaying: Page 1
Feb 5, 2016

 

 

Welcome Medicare Nation! I have some alerts for your today for some important changes to Medicare that are going on right now. I want you to know if you are affected, and what you need to do to make sure you have coverage. There are 2 main topics we need to discuss today:

 

  1. Dis-Enrolling from Medicare Advantage Plan
  2. Cigna Suspension

 

 

 

Jan 1- Feb 14 - the period in which you can dis-enroll from your Medicare Advantage plan - if you don’t like it.

 

  • You cannot then switch to another Medicare Advantage Plan during this period
  • You would only be able to go back to original Medicare when you disenroll
  • You would have Part A and Part B
  • This means you have deductibles and co-insurance
  • There is no network - any provider contracted with Medicare will work for you
  • Part B deductibles are either $104.90 or $121.80, depending on your situation
  • Part A deductibles are $1288 for each new occurrence during the coverage period
  • First 60 days you are covered by the deductible
  • Day 61-90 you pay co-insurance of $322/day
  • Day 91-100 you pay $644/day
  • After that you have your 60 lifetime reserve days at $644/day also
  • Part B has annual deductible of $166 for 2016
  • After the deductible you pay 20% of Medicare allowable cost for every procedure
  • You can purchase a Medicare Supplement plan for which you would pay a monthly premium

 

Need Help?

 

 

 

Cigna Suspension:

 

The States - AL, AZ, FL, GA, NC, PA, SC, TN - are affected. They cannot enroll any new people for the plan. If you had it, you can stay on it. Or you can leave. This was a sanction from CMS for failing to comply with the Medicare Standards. They found that Cigna has a long standing history of non-compliance with CMS standards. The suspension is indefinite.

 

This sanction opens a “Special Enrollment Period”. This allows you to enroll in a different Medicare Plan. 

 

Need Help?

Contact Medicare - 1-800-633-4227

Medicare Website - www.medicare.gov/contacts

support@themedicarenation.com

 

Do you have questions or feedback? I’d love to hear it!

 

email me:

support@themedicarenation.com

Thank you for listening! If you enjoyed this podcast, please subscribe and leave a 5 star rating and review in iTunes! (Click here)    

 

Find out more information about Medicare on Diane Daniel’s website!

 www.CallSamm.com

 

 

 

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