Showing posts with label PCP. Show all posts
Showing posts with label PCP. Show all posts

Monday, March 11, 2019

Dear Politician: Just What Is “Medicare For All”?

By Marc Manor

As we prepare ourselves for the onslaught of political rhetoric associated with the 2020 presidential and Congressional campaigns, we have all heard the term “Medicare for All” as a means to fix our healthcare system.  I must admit, the more I hear the talk about Medicare for All, the more questions I have.  As an insurance agent who works to place Medicare beneficiaries into appropriate coverage, I can tell you that most people I talk to do not really understand our current Medicare system when they become eligible.  Based on much of what I have heard from politicians, it seems to me they also don’t understand Medicare.
Courtesy of pexels.com

I should disclose, I do have some personal interest in how Medicare for All would come to be.  Obviously, if commercial insurance companies were cut out your proposed system, me and thousands (if not millions) of people would have to find a new livelihood.  Having said that, I would support any functional system of healthcare over what we have now for people not eligible for Medicare.

Monday, February 11, 2019

Employee Group Plans vs. Medicare; When to Cut the Cord.

by Marc Manor

If you are coming up on age 65 and you are still working and are using an employee group health insurance plan you may be asking yourself if you should dump the employer plan to take advantage of your Medicare benefits.  If you thought that, you are not alone.  This situation comes up frequently and as an agent, I can only really answer by making a recommendation that you seek assistance from your company benefits advisor.

Seeking assistance from your benefits advisor is really the only answer because they should be the most knowledgeable about the group plan benefits.  Human Resource professionals earn their living managing employee benefit plans.  So, as you ask yourself the question of whether to part ways with your employee group plan to join Medicare, you need to go to HR.  You may be fortunate and get the HR professional that provides you with all the information you need to make an informed decision; or you may just be handed a form and be left on your own to make the decision.
Courtesy of pexels.com

Either way, you need to know the questions to ask just in case you aren’t presented with enough information to make a determination best suited for your situation.  Here are some tips:

Monday, September 10, 2018

Medicare Myth Busters: Medicare Supplement (Medigap) and PPO Plans

By Marc Manor


Welcome to a series we call “Medicare Myth Busters”!  So much of what I hear about Medicare comes from word-of-mouth.  We know from our childhood, the game “telephone” can drastically transform an original message to something completely different.  Because I hear Medicare beneficiaries talk, I would like to help separate some fact from fiction on some of the most common Medicare misconceptions that I hear. We will insert the "Medicare Myth Busters" into the regular blog on occasion as we continue to advocate for our Medicare beneficiaries.  The first myth buster in the series is:
Courtesy Pixabay
“My Medicare Supplement Plan F is a PPO (Preferred Provider Organization) so I can go to any doctor that accepts Medicare and I don’t need referrals.”

Tuesday, September 4, 2018

Setting the Course for Your Medicare Voyage

By Marc Manor

You’ve already had that milestone birthday and reached the big six-O; you survived mid-life crisis and now you can access your IRA without being penalized!  So, before you ponder that next milestone birthday at age 70; let’s talk about that big 65th!  Sixty-Five is really something to be excited about because that is when you will likely become eligible for Medicare. 
Photo by Pineapple Supply Co. from Pexels

Now you have reached the age of eligibility and you can look forward to the Medicare benefits you have been working toward all these years with your hard-earned tax dollars!  You are enrolled in Medicare Part A and B, and you have received that nice red, white, and blue card and are all set to go, right?  Not so fast!  Low and behold there is a fork in the proverbial Medicare road!  Do you stay on Original Medicare or Medicare Advantage (otherwise known as Part C)?

Monday, August 13, 2018

HMO Is Not a Four-Letter Word

 By Marc Manor

In the course of talking to people about Healthcare or Medicare Plans, I sometimes hear the words “no-way!” when the subject of HMOs or Health Maintenance Organizations come up.  In certain circumstances, after hearing why this immediate response was given, I totally understand.  Other times, I think these negative opinions are derived from “urban legends” or based on “what happened to my friend’s friend.”  Anyone could have a bad experience for any number of reasons on any type healthcare plan.  A healthcare plan is not necessarily bad just because it’s an HMO.  It may not be the right fit for some people; however, there are some things you should know before you just write-off a plan just because it is an HMO. 

Healthcare is a Team Game

 By Marc Manor Healthcare is a team game that includes everyone from the client/patient, to the provider, their staffs, coders, insurance co...