Medicare Supplement Plan N - changes?

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  • Опубліковано 26 січ 2025

КОМЕНТАРІ • 264

  • @MagdaleneM-f3q
    @MagdaleneM-f3q 2 місяці тому +99

    I’m on Social Security and Medicare. The thing that happens is yes we got a three point whatever percent increase last year but my Medicare part B payment also went up by $60 a month more than my cola so I actually took a $60 a month cut. I literally made best decisions when i started working with an advisor..

    • @BaffySchenck
      @BaffySchenck 2 місяці тому

      I hear you; it's tough when COLA increases barely keep up with rising costs, and with Medicare premiums possibly going up again, it could feel even tighter this year. Having an advisor on your side is a great call-they can help you navigate these changes and make the most of what you’re getting. Here’s hoping for some better adjustments soon!!

    • @TianaManeO
      @TianaManeO 2 місяці тому

      Totally agree. A good financial adviser is a game-changer. My portfolio is balanced for all market conditions, and it has returned 120% since early last year. My adviser and I are now working toward hitting a seven-figure goal, which could take another year._

    • @PajinakStanovska
      @PajinakStanovska 2 місяці тому

      That sounds interesting! Could you share the details of your adviser? I'm urgently in need of one.

    • @TianaManeO
      @TianaManeO 2 місяці тому

      My CFA Julianne Iwersen Niemann, a renowned figure in her line of work. I recommend researching her credentials further. She has many years of experience and is a valuable resource for anyone looking to navigate the financial market.

    • @PajinakStanovska
      @PajinakStanovska 2 місяці тому

      I just looked her up, and her credentials are impressive! I've already reached out and scheduled a call for some guidance. Thank you!

  • @timcarm
    @timcarm Рік тому +11

    I recently became an Abt client and I am so glad I did. Your videos were very helpful and your staff is so competent. I wanted to switch from Medicare Advantage back to Medicare+supplemental and the insurance companies’ sales people I spoke with didn’t seem to have a clue how to answer what I thought were some very basic questions about underwriting. Your staff answered them quickly and the answers made perfect sense. I wish I had signed on with you yrs ago.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +3

      I love hearing this and I’m so delighted you are working with us!

  • @Retiredmco
    @Retiredmco Рік тому +8

    Great job Stephanie about plan N. You're the 1st on UA-cam to address this. And I do subscribe to you and 9 or 10 other independent agents here.

  • @paulstein916
    @paulstein916 Рік тому +12

    I have plan N and had an audio only follow-up phone call with my doctor in September. It was billed as telehealth; Medicare paid 80% and my supplement plan N paid the remaining 20% balance.

    • @sct4040
      @sct4040 9 місяців тому +1

      Medicare paid only about $35 for telemedicine. It’s a sad amount for a doctor. Then my AARP Supplement Plan N paid 0.31 cents. I was insulted for her. Then the doctor’s office billed me $19+ change.

    • @BlessedBeMyDay
      @BlessedBeMyDay 9 місяців тому

      @@sct4040 um your co- pay .

    • @micheleyoungblood
      @micheleyoungblood 8 місяців тому

      ​@@sct4040the total eligible charge seems to have been $43.75. Medicare paid 80% or $35. Then you pay up to $20 or 20%. You should have paid $8.75 plus the tax in the entire eligible charge if your state allows tax on medical.
      I don't understand your breakdown

  • @retiredandroaming
    @retiredandroaming Рік тому +4

    Thank you for all your videos! You come across as incredibly trustworthy medicare professional, and offering up very useful information for those of us approaching Medicare (can't wait for April1, 2024!), and on top of it all, you have a wonderful demeanor and, if I may so so without sounding creepy, happen to be a lovely looking lady! (Sorry, I had to say it! My happily married wife agrees! 🙂)
    I will be calling your office in early January, to ensure I follow the appropriate process for Medicare selection and startup on April 1, and to ensure I do the correct thing with removing myself from ACA plan (while wife needs to continue on an ACA plan, unfortunately!)
    Thanks again, for all you do!

  • @drw1974
    @drw1974 Рік тому +6

    Thank you for your clear explanation on the changes coming on plan N. Your videos were my go to in trying to navigate and understand Medicare when preparing to retire. Helping as well in making my choice.

  • @dave2059
    @dave2059 Рік тому +9

    Beautiful, concise and clear explanation. After watching a lot of your videos, it seems to be a no brainer that the only decision to make once you decide to go on Medicare is Plan N or Plan G. I'm 64 very healthy and still working so I have insurance through my employer. My insurance is not good but there are two reasons I'm going to keep it beyond the date that I am eligible for Medicare.
    One - I am very healthy and don't need to go to the doctor often and that makes my current insurance much cheaper than Part B and N or G. Two - because my insurance isn't very good, I'm eligible to contribute to an HSA. That is something that I will lose when I go on Medicare (actually six months before I go on Medicare). For now, though, I can put away $5,000 a year in triple tax advantaged money into my HSA. Not being able to put away $5,000 a year into an HSA is a massive loss when you start Medicare. And it's not something I want to give up until I have to.

    • @retired8484
      @retired8484 Рік тому

      Plan GHD

    • @ssa8479
      @ssa8479 Рік тому

      Right on, Dave! I'm also 64, in good health, have okay health insurance through my employer. And an HSA plan. Planning to work till 70 (I like my job!) and possibly a couple of years past that, and keep putting away the HSA money. Not planning to take Social Security till 70, no point in delaying after that. I think once you take SS you have to take Medicare Part A at least, but have to make sure of that. Part B and Plan N when I finally decide to retire.

    • @christinedaley5580
      @christinedaley5580 Рік тому

      @@ssa8479
      Part A automatic at age 65 I believe if entitled of course which I am sure you are. 🙋‍♀️🙋‍♀️

    • @ssa8479
      @ssa8479 Рік тому

      @@christinedaley5580 I’m entitled to sign up next year, but it’s not automatic unless you’re already getting Social Security.
      If not taking SS, you can sign up any time after 65. SS increases 8% a year till age 70, so might as well start taking it at 70. It won’t increase after that.
      Even if you start SS, you can continue on employer’s health insurance and not sign up for Medicare Part B or even Part A if you plan to keep contributing to your HSA. You can’t sign up for any part Medicare and still contribute to tax-free HSA.
      Since income goes up with SS and pay, max out 401k and HSA, plus catch up contributions to reduce income as much as possible.
      Then when you’re ready to retire, plan ahead and sign up for Medicare and Medigap (plus Part D and dental/vision). No underwriting required if you have had employer insurance till then. Medigap companies can’t turn you down.

    • @napoleonmdusa8877
      @napoleonmdusa8877 Рік тому +5

      @@ssa8479 From what I remember reading, if one delays starting Medicare past age 65, a penalty of 10% per year delayed (i.e. 50% penalty by age 70) will be added to the Medicare premium (plus yearly increases) when they finally start Medicare at age 70. I really don't like this Medicare penalty thing when those of us who want to delay Medicare due to still working or being very healthy and not needing it, get penalized for it.

  • @rs4425
    @rs4425 Рік тому +5

    Thank you for explaining the changes in Plan N. Also, thanks to the audio dept for the microphone. Much better.

  • @albertwells8503
    @albertwells8503 8 місяців тому +7

    I signed up for Medicare starting on March 1st. My agent steered me towards plan N, telling me there would be no co-pays for telemedicine or urgent care, and that was very unlikely to change. Now, 3 months later, I’m told they changed anyway. What’s next? Copays for therapy? Probably!

  • @mrswilbert
    @mrswilbert Рік тому +36

    Too many plans. Absolutely ludicrous!

    • @judiashley5818
      @judiashley5818 11 місяців тому +6

      It is so depressing needing all these plans and still working and paying into it. No dental and vision either

    • @DickNasty480
      @DickNasty480 10 місяців тому

      @@judiashley5818 If you have a MEd Sup and your ophthalmologist accepts Medicare- you can get your eyes checked using your Med Sup. If you have not met the deductible you will have a co - pay. If you have met the deductible you will not have met the deductible . They will not pay for glasses or contact lenses bu you can at least you an exam.

    • @kbenefits
      @kbenefits 10 місяців тому

      No, there's only 1 plan. Plan G. After you do the math, it's Plan G. pay a $240 Part B deductible and your done. Super easy, super great insurance. Do the math. After you look at G, and do the math, it's clearly Plan G. Plan G vs Plan N. about a $40 dollar per month premium difference. So 2 visits a month, you should be in Plan G, More than 2 visits, you should be in Plan G. and then there's the EXCESS CHARGES which is balance billing. You should be in Plan G. You are going to pay more in Plan N 99% of the time. Enroll in Plan G, set and forget.

    • @bloozedaddy
      @bloozedaddy 3 місяці тому +1

      Take a look at the tax tables sometime. Your government in action.

  • @ruthwhite5213
    @ruthwhite5213 Рік тому +6

    Thanks for this explanation, as I have been unable to contact anyone about my current coverage. My question: I am satisfied with plan N, but am unclear as to why premiums continue to increase when I have made no changes in my coverage.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      This video helps explain! ua-cam.com/video/Fcn0IRohB1Y/v-deo.htmlsi=l4lGvMyLAcDF4vJe

  • @MrMarkar1959
    @MrMarkar1959 Рік тому +2

    Thank You for these Very Informative videos. I joined AARP 'cause it's suppose to help with Medicare Supplement Plans,,if i'm a Member. And Ohio might have diff coverage than Indiana,,15 miles away. crazy

  • @20greeneyes20
    @20greeneyes20 Рік тому +1

    Thanks so much You are very clear explaining a very confusing system.
    Its ridiculous trying to navigate the poorly planned medical system for the retired. It is nothing to look forward to. But with your assistance its so much easier and clearer. Bless you ! ♥️

  • @tamaj152
    @tamaj152 Рік тому +1

    As always, this video is infirmative and makes the Medicare supplement info as clear as it can be, given that it is a very confusing topic!

  • @aceopinions
    @aceopinions 2 місяці тому

    Thanks for this great information Stephanie on Plan N. I live in NJ and have a broker to speak to regarding plan N. Not sure what the premiums are, but my current plan G premiums have shot up this year and while I am able to afford the increased premiums, the economics do not make sense considering how little is paid out in comparison to the premiums. On average, about how much less are the plan N premiums? Thanks again, Tom

  • @laurakl724
    @laurakl724 11 місяців тому +1

    Hi there! Very well explained! We definitely will be calling you & your staff soon! Thank you for all that you do!!

  • @rollofffrank2008
    @rollofffrank2008 Рік тому +2

    After checking out some ABT insurance videos, I decided to look into their services for myself. I reached out to Stephanie, and she quickly connected me with Tiana Brown, a friendly agent who made the whole process in New Jersey a breeze. Tiana asked about my prescriptions, set me up with coverage at no charge, and when I picked up my meds recently, the bill was $0. The folks at ABT are courteous, professional, and it seems they can assist you no matter which state you're in. Big thanks to Stephanie for the help!

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому

      Wow thank you so much for taking the time to leave this comment! We are so delighted to be helping you. 😊

  • @dmech5135
    @dmech5135 6 місяців тому +1

    Great approach in explaining these topics in just a few minutes. Thank you for your help.

  • @SoniaIsaacs-l3h
    @SoniaIsaacs-l3h 5 місяців тому +1

    I have just been approved to start Medicare coverage on October 1, 2024 (65th birthday on Nov 1). I am leaning towards Plan N but would like to know if I want to switch to Plan G in the future, will it require medical clearance and what is the risk of denial? Thanks

  • @rodbutler4054
    @rodbutler4054 2 місяці тому +2

    One note to remember is that all Medicare advisors receive a commission from the insurance company they select with you and the advantage plans pay them the most.

  • @florettabush9219
    @florettabush9219 11 місяців тому +3

    If there is a 20 co-pay for diagnostic visits, with Plan Ni I assume I'd pay a co-pay for procedures like MRI's, CAT Scans, etc. Is that correct?

    • @lyndayoung8761
      @lyndayoung8761 5 місяців тому +1

      @@florettabush9219 NO that's incorrect. You pay for medical OFFICE visits not diagnostic treatment

  • @senizmcmullen484
    @senizmcmullen484 6 місяців тому +1

    Is the loss ratios of the individual plans (G vs N) isolated from each other? In other words, would any losses of the G could be compensated by N premiums?

  • @KeithSigman
    @KeithSigman 5 місяців тому +2

    Thank you for your very helpful videos. You state your service is of no cost to your clients. How do you make your revenue?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  5 місяців тому

      @@KeithSigman this video explains! ua-cam.com/video/DBwUb_QfaB0/v-deo.htmlsi=UE_pGWmEFvM5MEYR

  • @pamburton6382
    @pamburton6382 Рік тому +4

    I went to my urgent care for a sprained wrist and showed them my Medicare card and my supplemental insurance card but they still charges me $75 that day and also sent me an additional bill for another 25$ a couple weeks later. I have plan N. I was new to Medicare so I didn’t question it. Do you think I was ripped off? Love to know what you think.

    • @MaryBethMcCoy
      @MaryBethMcCoy Рік тому +3

      Have you met the annual deductible for 2023? You have to pay that first. Check your EOB or your bill. It would show you if the $75 was applied to your deductible.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +3

      Had you already satisfied your Part B deductible of $226/year in 2023?

    • @WhiteRosez007
      @WhiteRosez007 Рік тому +1

      You do need to meet your deductible first. So let's just pretend you are short $10.00 on meeting your deductible... When all said and done, you might only have to pay $10 copay. That's why they say up to $20.00. It seems maybe you didn't met that deductible yet. Best wishes.

  • @jhors7777
    @jhors7777 Рік тому +1

    Thank you Stephanie for another of your helpful videos.

  • @paul5896
    @paul5896 Рік тому +2

    Excellent presentation and information provided. I did have radiation treatments provided recently twice a week and they did charge co-payments for each treatment. Is that standard and allowable? Thank you so much!

  • @maaloufgeorge2926
    @maaloufgeorge2926 Рік тому +2

    Job well done, keep up the good work.Thanks for doing what you do.

  • @pennynewman7192
    @pennynewman7192 Рік тому +1

    Thanks for all the information
    I’m wondering what typical costs would be for add on Vision and Dental coverage since the supplement don’t include them
    Thank you

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      It depends but plans typically start at around $30-$50/month for dental and vision!

    • @pennynewman7192
      @pennynewman7192 Рік тому

      @@AbtInsuranceAgency thank you

  • @WhiteRosez007
    @WhiteRosez007 Рік тому +1

    A friend has a the same Medigap Plan N as me but through a different insurer. Her policy says $0 Urgent Care co-pay. Mine doesn't even mention it. I called my insurer just to see why Urgent Care wasn't mentioned, told where on the CMS site I found the info, and they were wishy-washy....saying it depends on how they code it. Errr... I called again and this time they said I shouldn't worry about it and Urgent Care coding is different. I probably wouldn't get billed. This is so wierd. I mentioned previously, about the COVID-19 pandemic changes that CMS decided on. It ends 12/31/2024...who knows if all that was really was included as part of the changes to all plans along with telehealth as office visits. Right now I am satisfied why Plan N but I could easily go to G if I needed to. Wait and see.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +2

      Are you sure you both have Plan N?

    • @WhiteRosez007
      @WhiteRosez007 Рік тому

      Yes I have Mutual Omaha Plan N and and she has United Health Care Plan N(AARP) in Oklahoma. She pays more on her premium than I do. I am 65 and so is she. She wants to switch to Mutual of Omaha which she still can because we are new...but now she's like....well let's see because of the new Birthday Rule. But she has still more time to switch without underwriting. I don't. I suggested to her just go to plan G and switch down later. By the way you can even go online to the UHC and actually see the Urgent Care for Oklahoma is $0.00 co-pay. One more point.... nothing to do with Plan N...We found out last month that in September Oklahoma how has the Birthday Rule due to increases in PlanF premiums that people can't get out of. anyway Stephanie thanks for all you do. 🥰@@AbtInsuranceAgency

    • @WhiteRosez007
      @WhiteRosez007 8 місяців тому

      I did Stephanie. I left it. I went to
      G by Aetna for this year.

  • @thelakeman5207
    @thelakeman5207 4 місяці тому +1

    I'm on plan N supplement. I would LOVE to pay $20 for an office visit. Just got my bill for a check up in May 2024 at $135.00. Called about it and they said deductible was not met. Funny, every year deductible is not met until some time in December. How convenient! Seems like I'm paying a lot more than I should.

  • @lous2003
    @lous2003 3 місяці тому

    I’ve seen conflicting information about paying copays when a person sees a specialist. What is your experience?

  • @photoggg1
    @photoggg1 Рік тому +2

    Is there a copay or coinsurance for PT and OT? We've been paying each time for years.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      And you have Plan N?
      Typically there is not a copay, but that is interesting if you have been paying one with Plan N. I wonder how they are coding your visits.

  • @amiehill8104
    @amiehill8104 11 місяців тому +1

    If you have physical therapy appts while on Plan N, do you have to pay a copay each time you go? Is Counselling available with Medicare plan N and well check ups ?

    • @mimi1o8
      @mimi1o8 11 місяців тому

      Another agent on UA-cam, has said that, you don’t pay physical therapy on plan N

    • @SpynCycle57
      @SpynCycle57 2 місяці тому

      Physical Therapy visits aren't subject to copays. No copays with Physical Therapy.

  • @KenNickels
    @KenNickels 5 місяців тому +1

    So a follow up visit would not be diagnostic or evaluate, so it would not be coded for co-pay, yes?

  • @kennethreynolds8
    @kennethreynolds8 7 місяців тому +1

    Thanks for the info I appreciate it and I'm leaning Plan N now because of your video.

  • @harveyh3696
    @harveyh3696 Рік тому +3

    I'm wondering if you have a Plan G and it change it to a Plan N in the future without going through underwriting?

    • @lyndayoung8761
      @lyndayoung8761 5 місяців тому

      @@harveyh3696 You don't have that "guaranteed right" but the carrier might write a policy. They have the right to "underwrite" and would most likely envoke that right to know their level of risk insuring you. Don't depend on it.

    • @harveyh3696
      @harveyh3696 5 місяців тому

      @@lyndayoung8761 Thank you for the reply. I did find the answer to my query and signed up for Plan N.

  • @dennislaplant95
    @dennislaplant95 Рік тому +1

    Thanks for explaining this issue so clearly and thoroughly. You mention that PT is coded differently and is not subject to a copay. However, what would prevent PT (and other medical professionals) from deciding to use different codes that would be subject to a copay. Couldn't they somehow justify that they also Diagnose & Treat illnesses during an office visit?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      It is very possible!

    • @christinedaley5580
      @christinedaley5580 Рік тому +3

      I just had a little PT for like a tendonitis in my arm. I paid a $20 co pay to the ortho doc for my visit and but no copay when I went to their PT dept 2 weeks later and that was with plan N. Plan N great coverage and in south Florida much cheaper than G. I think I spent $180 in co pays for the year. G premium was $800 more for the year. No brainer. Saved $620. 👍👍👍

    • @dennislaplant95
      @dennislaplant95 Рік тому +2

      @@christinedaley5580
      Yep. For me in SW Florida, N is $660/yr cheaper than G. That would be 33 office visit copays.

    • @christinedaley5580
      @christinedaley5580 Рік тому +1

      @@dennislaplant95
      Absolutely. N the much better choice and going forward a more stable premium predicted over G. 🙋‍♀️🙋‍♀️🙋‍♀️
      Especially in high priced states and fairly healthy individuals. 👍👍👍

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      @@christinedaley5580 amazing!

  • @Believe_the_Bible
    @Believe_the_Bible 4 місяці тому +1

    Thank you for your very informative videos. Question: if I went with they plan G high deductible and go to an office visit that is normally $300 but the Medicare accepted amount is $220, would I be paying the $220?
    Also if I go to a dermatologist for regular checkups every 4 months b/c of previous skin cancer, is that part of the deductible that I would pay, or does Medicare cover that 100% under the plan G high deductible? Thank you in advance

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  3 місяці тому

      Under Plan G high deductible you pay the Medicare cost share amount - your Medicare deductibles and coinsurance- until you get to $2,800.

    • @Believe_the_Bible
      @Believe_the_Bible 3 місяці тому

      @@AbtInsuranceAgency Thank you for your response. So if I go to a Dr. I will pay the co-insurance for that visit and not the whole cost of the visit? And that co-insurance is part of the $2800?

    • @SpynCycle57
      @SpynCycle57 2 місяці тому +1

      @@Believe_the_Bible For your example. After you pay the first $240 for year 2024, Medicare pays 80% of $220, which would be $176, and you pay 20%, which would be $44. The $44 counts against the $2,800 annual deductible.
      For each dermatologist visit, Medicare pays 80% and you pay 20%, until you meet the $2,800 deductible.

    • @Believe_the_Bible
      @Believe_the_Bible 2 місяці тому

      @@SpynCycle57 You are wonderful. Thank you. Finally someone who knows. Thank you.

  • @Squddle
    @Squddle Рік тому +3

    Can the dollar amount of each co-pay go up over time, or will they each be capped at $20 for life?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +2

      Unless the Medigap Plans get re-standardized and there are big changes on the government level there, the copay is capped at $20 for office visits.

  • @RonMac08
    @RonMac08 Рік тому +3

    The hospital just charged me the $1600 copay. They know I have Plan N, but I don't think they charged my Plan N insurance company. I had a copay for my annual welfare check, were they wrong?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +5

      They were wrong, and you shouldn’t owe that. Sometimes for Part A hospital services the hospital needs to submit a claim directly to your Medicare insurance company for payment.

    • @photoggg1
      @photoggg1 Рік тому +6

      I've gotten **many incorrect bills where they haven't submitted to my supplement plan. Feels like they go 'oops' when you catch them, but as a business strategy, they make a lot of money on the ones that are paid by busy or overwhelmed patients who can't keep track.

  • @MarioSanchez-po2gv
    @MarioSanchez-po2gv 7 місяців тому +1

    You didn't talk about part B excess charges. What if I needed a surgery, what kind of excess charges should I expect

    • @SpynCycle57
      @SpynCycle57 2 місяці тому

      Excess charges are when the doctor or facility doesn't accept Medicare assignment. It depends upon the doctor/facility, not the type of procedure.

  • @billbeeb1803
    @billbeeb1803 11 місяців тому +1

    I was wondering, once you've met your deductible and Medicare gets a bill and pays their 80%, does Medicare bill your Medigap policy for the rest or does my Doctors office do it. I just want to be sure because I am going to Quest labs for a PSA test and I sign in on the kiosk. When I put my insurance info in, do I just put in my Medicare info.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  11 місяців тому +2

      Typically there is an “automatic crossover “ and Medicare bills the Medigap company

    • @billbeeb1803
      @billbeeb1803 11 місяців тому +1

      @@AbtInsuranceAgency Thank you very much

  • @dasandbox2555
    @dasandbox2555 2 місяці тому

    Great info to consider when planning for 2025.

  • @raafatbasha
    @raafatbasha Рік тому +1

    If you are on a plan N and at some point in time you want to switch to a plan G are be able to do that without medical underwriting??

  • @rogipaul
    @rogipaul 8 місяців тому

    which states don't allow excess charges.
    if PA does not allow excess charges and I live in PA, but I want to go to Mayo clinic in Minnesota (which allows excess charges) will they be allowed to charge me excess charges.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 місяців тому +1

      Yes, they would - whether or not you may be billed excess charges depends upon the state in which you are receiving are.

  • @Nancy-xb6wh
    @Nancy-xb6wh 7 місяців тому +1

    Medicare should be the only plan we have after we work all our lives and retire. No extra supplement plans for dental, vision we have to pay for.

  • @timnelson252
    @timnelson252 Рік тому +2

    Your contact information at the beginning of the video is really small when I watch the video on a TV. You might want to make it a bit larger so people can see it and connect with you.

  • @kim.in.nature.
    @kim.in.nature. 9 місяців тому +1

    In my area, Houston, plan N is now more expensive than plan G

  • @conureron3792
    @conureron3792 Рік тому +2

    Thanks for the updates

  • @JonathanBerman-q3z
    @JonathanBerman-q3z 18 днів тому

    I'm in the process of choosing between Plan G and Plan N. As is Plan N would make the most sense for me. But my biggest concern is that the government may change the balance billing requirements as they tinker with Medicare. For example, they may raise the excess charge limit beyond 15%. This could have a huge effect on the number of physicians who accept assignment as well as my out of pocket expenses. And I would be basically locked into Part N due to some pre-existing conditions. Any thoughts on this?

  • @MrAxman53
    @MrAxman53 Рік тому +1

    Have any of your clients filed a successful appeal for the $50 copay at an urgent care facility?

  • @sasunshine5866
    @sasunshine5866 5 місяців тому +1

    I tried to switch from plan G to plan N And found I had to go through underwriting. Because I take one medication t for reasons that have nothing to do with a disease called Parkinson’s, two different companies turn me down even after I letter from my doctor. So beware which one you get on the first place because once you get on one you may not be able to change. and 82 years old I have nothing wrong with me such as diabetes, high blood pressure, nothing, but they wouldn’t let me change which is wrong. I am currently on Plan G and I’m going to have to stay there.

  • @jeffb.2469
    @jeffb.2469 Рік тому +1

    Thanks for the update on Plan N.
    What happens when an Insurance company goes belly up? Does another carrier have to pick you up at the same premium, same coverage and without underwriting?

    • @MaryBethMcCoy
      @MaryBethMcCoy Рік тому +3

      If your insurance company goes belly up, you get a special enrollment period of time where you can select another plan. To avoid underwriting, you would need to get a Plan G, which is now the guaranteed issue plan. If you wanted another Plan N, you would need to qualify through underwriting in most states.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +3

      If the insurance company completely goes under and can no longer offer coverage to you then you have a guaranteed issue right to purchase a new Medigap without medical underwriting. This is highly unlikely though.

    • @christinedaley5580
      @christinedaley5580 Рік тому

      What is the co pay now for urgent care? $20 or $50. Thank you.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      @@christinedaley5580 our clients have been seeing a $20 copay for urgent care.

    • @christinedaley5580
      @christinedaley5580 Рік тому

      @@AbtInsuranceAgency
      Okay. Thank you. That’s what I thought but wanted to be sure. So telehealth and UC $20 co pay since Covid hit. Thanks again. 🙋‍♀️🙋‍♀️🙋‍♀️

  • @mb1234-l2d
    @mb1234-l2d 3 місяці тому

    How do i set up an appointment with you?

  • @richardnowacki2869
    @richardnowacki2869 Рік тому +3

    So does plan charge a $50 or $20 for urgent care now?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +5

      Based on the coding information I liked in the video notes, it's the $20 office visit copay.

    • @Claudebonegt
      @Claudebonegt Рік тому

      I highly recommend Abt. I am happy I found them on UA-cam!@@richardnowacki2869

  • @Squddle
    @Squddle Рік тому +1

    I had another question about the co-pay for the plan N. Does a person that has an office visit need to pay the copay AND the part B deductible if their bill is high, or, just the part B deductible? Seems that if a person had to pay both, then it would maybe be better with a different plan?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому

      You meet the deductible first. Then the copays start.

    • @SpynCycle57
      @SpynCycle57 2 місяці тому

      The office copay is either the 20% amount or $20, the LESSER OF THE TWO AMOUNTS. If the 20% amount is less than $20, you pay the 20%.

  • @dandydoc8386
    @dandydoc8386 Рік тому +8

    Medicare keeps reducing payments to doctors each year. Should we not expect an increase in providers who will have excess charges?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +4

      Great question - there is still a large incentive, if doctors decide to take Medicare patients, to accept Medicare Assignment. An alternative is to not take/not bill Medicare at all.

  • @garryretiredcableguy5292
    @garryretiredcableguy5292 3 місяці тому

    On plan n. There is a $240 deductible. Does that include the $20 dr office visit? So once I meet the $240. I no longer pay the $20 dr office co pay?

  • @msjinabina
    @msjinabina 10 місяців тому

    Do these addtl plans only offered with a and b. Can you purchase n or g if you Medicare C advantage?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  10 місяців тому

      You cannot have an Advantage Plan and a Medicare Supplement/Medigap plan at the same time.

  • @rickiesurovich144
    @rickiesurovich144 Рік тому +1

    thanks for all the info you do, I have tri care for life

  • @NoMoreTears64
    @NoMoreTears64 9 місяців тому +1

    Whats the best savings plan for someone who ABSOLUTELY refuses to go to a doctor unless it is critical?

    • @tenabarnes3269
      @tenabarnes3269 8 місяців тому +2

      @nomretears I’ve been looking and I believe it is high deductible plan G. The deductible is capped at 2700 per year and that’s it, besides the 240 part B deductible. The cost in my area is 41 dollars a month but in NewYork is 60 dollars.

  • @alexdavid24425
    @alexdavid24425 Рік тому

    How much plan G and N premium cost in Oregon?

  • @-moses-6898
    @-moses-6898 7 місяців тому +1

    So with plan n- even after we meet the 240.00 deductible - we still have to pay the 20.00 co pay? I thought medigap paid that 20.00. - as long as I have met the yearly deductible ? ?.

    • @spiritgrant7998
      @spiritgrant7998 4 місяці тому +1

      Best go with plan G. No copayments.
      As we age more and more health issues will arise. So I think its best to go with plan G.

    • @SpynCycle57
      @SpynCycle57 2 місяці тому

      Under Plan N you pay $20 max for an office visit, but not for other medical costs that are not office visits. That's why the Plan N premiums are lower than Plan G.

    • @-moses-6898
      @-moses-6898 2 місяці тому

      Ok - Thank you - yes plan n sounds wonderful ! In order to keep premium cost down !

  • @vi9753
    @vi9753 Рік тому +1

    My question is will Plan N cover all doctor and ER copayments once the Part B deductible is met?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      Once you meet the Part B deductible you still have a $50 copay for ER visits on Plan N. Unless you are admitted to the hospital in which case the copay is waived.

    • @vi9753
      @vi9753 Рік тому +1

      Does the up to $20 doctor visits count toward the Part B deductible?

  • @dgs8011
    @dgs8011 Рік тому +1

    How long before I turn 65 should I contact an agent to explore my Medicare supplement options?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      6 months is a great time frame!

    • @dgs8011
      @dgs8011 Рік тому +1

      @@AbtInsuranceAgency Many thanks. Love your videos. I've learned so much. I'll be contacting you all next summer.

  • @peterlarsen3021
    @peterlarsen3021 7 місяців тому +2

    Talk about excess charges---please

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  7 місяців тому

      ua-cam.com/video/7i5H8aCCmGw/v-deo.htmlsi=2z-dTHmj4sqlMzwi check it out!

  • @youngtimer964
    @youngtimer964 Рік тому +1

    Good to know. Thanks Stephanie

  • @BlessedBeMyDay
    @BlessedBeMyDay 9 місяців тому

    Its very understandable these services are changing coding. They are working in or out of office. Times have changed since covid. I order food for pickup and I know they still are a business so i expect the food prices be higher than in store.

  • @tueches1822
    @tueches1822 Рік тому +2

    can you go over Plan D? it's soooo confusing!

  • @GrantHendrick
    @GrantHendrick 9 місяців тому

    Why does the link for the cms refer to the previous president?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  9 місяців тому +1

      It wad released in 2020.

    • @GrantHendrick
      @GrantHendrick 9 місяців тому

      @@AbtInsuranceAgency Thank you. I missed seeing the release date. Does this mean the current website version will be updated and corrected?

  • @donhgr
    @donhgr 8 місяців тому

    What happens if your insurance provider says they are doing away with N or leaving Medicare ? Like G are you guaranteed enrollment somewhere else without qualifying?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 місяців тому

      Yes, you would have a guaranteed issue right to purchase a Medigap plan with a different company.

  • @perugino25
    @perugino25 11 місяців тому

    if I do not have access to the doctor's office, he is no longer my doctor. And BTW, nowadays, who sees the patients are Nurse Practitioners or Dr. Assistants whatever that means. I wonder if our premiums will be lower as well since the system lower our health provider's expertise.

  • @kathyfocht3718
    @kathyfocht3718 Рік тому +2

    What about your part b co pay and gap that you will never reach. Unless terminal. So you're still paying for everything.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      On Plan N?

    • @SpynCycle57
      @SpynCycle57 2 місяці тому

      The Part B deductible is $240 in 2024. It doesn't take much to reach the $240 amount. After $240, Medicare pays 80%.

  • @michaelmccafferty7341
    @michaelmccafferty7341 Рік тому +4

    Too much wiggle room for charges today, which will be exploited further in the future with coding changes. I will get plan G.

  • @starridernh
    @starridernh Рік тому +3

    Well done, Please add information on what year you describing the changes. Google and UA-cam searches can find things that are years out of date.
    😊

  • @mariettagreene5524
    @mariettagreene5524 Рік тому +1

    Will my plan N premium go up next year on my monthly payment?

  • @glennthorstensen5119
    @glennthorstensen5119 8 місяців тому

    I will be turning 65 next year, and time flies I am looking Medicare so I am ready. Why does Medicare with a Supplement plan, cost 1/2 the price and give you more comprehensive coverage with no deductibles ( currently $9250) than the ACA Bronze plans?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 місяців тому

      The amount you pay for your ACA plan is based on your income. Medicare Supplement plans are not based on income.

    • @SpynCycle57
      @SpynCycle57 2 місяці тому

      The ACA plans provide all the coverage, while Medicare is still providing coverage, and the supplement plans are to cover the gaps that Medicare doesn't cover.

  • @michaelrust7614
    @michaelrust7614 Рік тому +4

    Have you ever produced a video comparison between High G and Plan N? Do the savings in the N still hold up against a High G?

  • @DeeM-w6c
    @DeeM-w6c Рік тому

    I was hopeful you would address guaranteed issue rights for plan N if you leave it for MA then use your trial right to go back. Can you go back to N if company still offers it?

    • @lyndayoung8761
      @lyndayoung8761 5 місяців тому

      @@DeeM-w6c Yes you go back to the same carrier with same plan before 12 months lapse

  • @bonniekent4721
    @bonniekent4721 Рік тому

    Would urgent care be coded fir a $20 copay like primary drnir a $50 copay like emergency room?

  • @lisakisner9820
    @lisakisner9820 Рік тому

    Hi I'm was disabled during covid and started getting ssdi this year. I want to be on Medicare org. BUT FINDING GAP INSURANCE EXPENSES HIGH. HELP PLEASE

  • @richchannel-1311
    @richchannel-1311 Рік тому

    Does Medicare consider family plans such as me and my wife like corporate plans do, if not, then it seems we would be paying double.

  • @jamesmiller2332
    @jamesmiller2332 9 місяців тому +1

    My plan n is 253.00 per month. Outrageous!

  • @kenpope5798
    @kenpope5798 Рік тому

    Do the coding changes in plan N and the copayments or coinsurance allow one to change from an N to a G without underwriting? Also, on either plan N or G in general you need underwriting to change from one to another, but do you also need underwriting to change the supplemental company so another words if you were on G and you applied for end and it went through underwriting and you were declined for medical reasons. Does that mean that on the plan G you are stuck with that particular company forever

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +2

      Great questions! Yes, underwriting is required to switch from N to G, G to N etc...or from one company to another unless you have a state specific rule: ua-cam.com/video/8WDjN32RjlY/v-deo.htmlsi=sOof_HsG1yhwAfEK
      Coding practice changes do not grant you a guaranteed issue right to change away from Plan N.

  • @davidhammond8098
    @davidhammond8098 Рік тому +1

    I've taken SS so I have Part A. I'm 67 and still working. Can I start Medicare at any time?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      If you have creditable employer insurance then yes!

    • @napoleonmdusa8877
      @napoleonmdusa8877 Рік тому

      @@AbtInsuranceAgency What characteristics for employer insurance make it considered "creditable" for Medicare?

    • @tenabarnes3269
      @tenabarnes3269 8 місяців тому +1

      Company must have 20 or more employees to be considered credible coverage for Medicare purposes, if not you pay a penalty that lasts the entire time you use Medicare.

  • @ChuckKarges
    @ChuckKarges 10 місяців тому

    If im not happy in one medgap plan can i change to another

  • @SpynCycle57
    @SpynCycle57 4 місяці тому

    What is the likelihood, in your opinion, that the copay amounts will raised in the future? All other Medicare copay and premium amounts are subject to change each year for inflation, but the $20 & $50 copays are fixed forever?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  3 місяці тому +1

      I doubt the Plan N copays would be raised anytime soon, if at all.

  • @thomaschadwick4699
    @thomaschadwick4699 Рік тому +3

    Amazing that CMS can not update the information you just reported on.

    • @WhiteRosez007
      @WhiteRosez007 Рік тому

      I agree. However...they did make changes during the pandemic regarding telehealth. It may become a permanent way of office visits for all plans not just for those in rural areas. You can do a search and find CMS documents related to those changes on telehealth and other health care options. I am not by any means an insurance agent or adivisor. But I like to research information. It's just CMS should be more informative in my opinion.

  • @donbrown9258
    @donbrown9258 Рік тому

    I don’t know if you covered this, but is an Urgent Care visit a $20 or $50 dollar copay?

  • @kevinjohnson-qc6cs
    @kevinjohnson-qc6cs Рік тому

    How can i join your agency

  • @MarieEdwardB
    @MarieEdwardB 8 місяців тому +2

    I understand that plan n has a much lower deductible than g and you have to pay the co-pays. And I know people say the copays don't add up to the extra you pay in premium for plan g but I think what people forget is that you're not always going to be as healthy as you are this moment. If you get an illness and you start needing x-rays and blood work and Mri's and Ct scans etc i think the copays are going to fire out way the extra premium that G would have cost you. And you have to realize too that if you get an illness like cancer that's not necessarily over in 1 year so you may have to keep doing that for a number of years.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 місяців тому +1

      Good input!

    • @micheleyoungblood
      @micheleyoungblood 3 місяці тому

      No that's not true. Getting blood work and CT scans and MRIs or any diagnostic testing does not have any copay's. If you're talking about having more doctors visits when you get sick, then that's one thing but you didn't say doctor's visits you said all these other things and that's untrue. Then you mentioned cancer. If you have to see your doctor several times a month for an office visit then I can see having a problem with more co-pays but I don't think cancer treatment itself has any kind of copays. I think it ultimately depends on how many times you actually sit in with the doctor on what they consider an office visit

    • @SpynCycle57
      @SpynCycle57 2 місяці тому

      Plan G & Plan N have the same Part B annual deductible. The Plan N copays only apply to office visits and emergency room visits.

  • @ronniepemberton1942
    @ronniepemberton1942 5 місяців тому

    If they don't change then how can there be changes

  • @lyndayoung8761
    @lyndayoung8761 6 місяців тому

    I'm interested in a video on the new Part D changes the Inflation Reduction Act brings for 2025, namely the $2000 max OOP and if Medicare will consider some employer plans Not Creditable if their's is Over $2000 cost to employee? Should workers over 65 enroll in Part D or will employer drop them from their health coverage if they do? Or if they keep employer coverage that is no longer Creditable, will they face a penalty for enrolling late in D? Not sure the ramifications of these unintended consequences?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  6 місяців тому

      @@lyndayoung8761 I touch upon exactly this in my most recent video!

  • @BandieRemis
    @BandieRemis 8 місяців тому

    Does Plan N cover annual physical exams since Medicare itself doesn't?

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  8 місяців тому +1

      No, Plan N generally only covers what Medicare covers.

    • @SpynCycle57
      @SpynCycle57 2 місяці тому

      Medicare covers an annual wellness exam 100%.

  • @bonniekent4721
    @bonniekent4721 Рік тому

    Would urgent care be coded for $20 like a doctor copay or $50 like emergency room?:

    • @MaryBethMcCoy
      @MaryBethMcCoy Рік тому +1

      Urgent care is charged like a doctor’s office visit, so $20 is the copay.

    • @bonniekent4721
      @bonniekent4721 Рік тому

      @@MaryBethMcCoy thank you so much for your fast reply

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +1

      $20 like an office visit.

    • @bonniekent4721
      @bonniekent4721 Рік тому

      @@AbtInsuranceAgency thank you so much for answering my question I am still leaning towards plan N and will contact your office in 2024 which is when I will be turning 65

  • @NotYourChannel23
    @NotYourChannel23 3 місяці тому +1

    By the time you pay for all this, there's nothing left of your social security check. It sucks that you pay into this corrupt system all your working life and you get hardly anything in return. 🤬

  • @kbenefits
    @kbenefits 10 місяців тому +1

    Plan G vs Plan N. about a $40 dollar per month premium difference. So 2 visits a month, you should be in Plan G, More than 2 visits, you should be in Plan G. and then there's the EXCESS CHARGES which is balance billing. You should be in Plan G. You are going to pay more in Plan N 99% of the time. Enroll in Plan G, set and forget.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  10 місяців тому +2

      I respectfully disagree. Some people should be in Plan G while others will be much better off on Plan N.

  • @ezeddie9747
    @ezeddie9747 11 місяців тому

    My understanding with the plan N. Is that if insurance company goes out of business. You have to take a health and wellness test to have another carrier to get plan N. And that's not with plan G

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  11 місяців тому

      That’s not true - if you have a Plan N and your insurance company goes completely under and can no longer service their books of business (incredibly unlikely) then you have a guaranteed issue right to purchase a Plan G with another insurance company.

    • @ezeddie9747
      @ezeddie9747 11 місяців тому

      @@AbtInsuranceAgency so what is the birthday rule then

  • @danacarbone9405
    @danacarbone9405 Рік тому +1

    Thank you

  • @AliciàOruna
    @AliciàOruna Рік тому

    How much do you pay a month??

    • @roberts1159
      @roberts1159 Рік тому +2

      Depends on supplement company and plan type. N or G, also your age come into play. Suggest contacting her for details.

    • @AbtInsuranceAgency
      @AbtInsuranceAgency  Рік тому +2

      You nailed it! 🙂 888-465-9728

    • @21550spurs
      @21550spurs Рік тому +1

      Also depends on your state