Hi, I am Matthew Claassen with MedigapSeminars.org
in this video we're gonna go over all you need to know about Medicare for Snowbirds, for RV'ers,
as well as for people who are on Medicare and expecting to move to a different state.
MedigapSeminars.org; An Independent Insurance Broker Specializing in Medicare.
Are you a Snowbird; a person who has homes in more than one state and tends to move south to a warmer climate in the winter?
Or perhaps you're in RV'er in a motor home and like to travel all over the country.
Or you're simply a person on Medicare and expect to move. You want to know how that's going to impact your Medicare what decisions
you have to make. If so, then you should have questions about how being a Snowbird or an RV'er or moving impacts your Medicare.
What kind of decisions you need to make and what your Medicare rights are. That is what we will discuss in this video,
and we are going to approach it sort of a frequently asked questions (FAQ) format.
We handle Medicare questions and we handle Medicare for people literally coast-to-coast, from California to Virginian,
and from Michigan to Miami. We are based in South Florida and because of that
we tend to get a lot of questions from Florida Snowbirds or people moving down south, and it has become an area of expertise.
The first question we tend to get, a fairly simple one; "what is the right Medicare plan for a person who's in multiple states during the year?"
The answer to that question isn't so much what is the right plan as it is what is the wrong plan.
When you sign up for Medicare, once you've enrolled, you get a red white and blue card that shows you have Medicare ...
Medicare Part A and Medicare Part B. That is called "Original Medicare".
That original Medicare, along with any supplement that you get with that, is good in every state.
You can go to any doctor, any medical facility as long as they accept Medicare, anywhere in the country.
You don't need to have a Physician give you permission to see a specialist. You have complete control over your Medicare.
The other route you can take is enrolling in a Medicare Advantage plan.
Medicare Advantage plans are typically HMO's and PPO's. There are some other types, but most are HMO's and PPO's.
That's local coverage! That tends to be just you county, or just the counties surrounding your area year. If you've chosen an HMO,
then you have no coverage, outside of emergency services,
outside of your network. None whatsoever. You've lost your right to have insurance outside of your network.
If you have a PPO, then you will have coverage outside of your network, but it will be at a higher cost.
With the PPO you can see a doctor either in network, or out of network.
In network, which tends to be your local area,
you will have copays and deductibles and a maximum annual out of pocket expense of no more than $6700 a year (for 2017).
If you go out of network it's gonna cost you more. It will cost you higher copays or higher deductibles,
and your maximum annual out-of-pocket can be as high as $10,000 per year.
There are regional PPO's that can offer some extended in-network coverage out-of-state, but that's beyond the scope of this particular video.
The bottom line is that if you are a Snowbird or you're in RV'er, you want to avoid the Medicare Advantage plans. They don't typically
satisfy your needs because you have multiple states with which you might want to have health insurance coverage.
They will come back and say; but we have emergency services outside of our network anywhere in the country.
Very true, but you have to read the fine print on an emergency service.
Often times an emergency service is defined as simply stabilizing you until your life is no longer threatened.
A perfect example is someone's
traveling out of state and gets in an automobile accident and is in traction with almost everything broken.
Emergency service is making sure that you're alive and stable. After that you have to get yourself back to your service area for coverage.
You have to get back in-network.
Otherwise it is out-of-network coverage and that can be very, very expensive.
If you're a Snowbird or RV'er you would want to avoid Medicare Advantage plans. If however
you find that the Medicare supplements are simply too expensive for you, or the average Medicare supplement,
then you might want to consider something called Medicare Supplement Plan F - high deductible.
Or, as will be introduced in 2020, the Plan G- high deductible. These are not as high of coverage as you would get with the
Plan F or Plan G or Plan N or any of the other more popular supplements,
but you still have the freedom to go to any doctor in any state and any medical facility that accepts Medicare.
Your cost is typically under $100 a month and, depending on where you live, it could actually be as low as $50.00 a month or even lower,
I should say. So, you can check on that. We actually have an entire video on Medicare Plan F - high deductible.
You might want to look at it if you're in that situation.
But I would only suggest it if your finances really dictate that decision.
The next most common question we get is; Which state do I use for as resident? I spent eight months in Pennsylvania and only four
months in Florida. Does that make Pennsylvania my residence state? Or I spend six months and one and six months in the other.
Well, the answer is that on all of these contracts, on all insurance contracts it says you put your permanent address.
The definition of "permanent address"
is actually written into the Social Security law. That's where Medicare laws are written, in with Social Security.
Your "permanent address" is where you vote and pay taxes. It should also be the same address you have on record at Social Security.
It doesn't matter if you spend only two months in Florida. If Florida it is your permanent address, that's where you have to buy your
insurance policies from. This includes your prescription drug Part D, your supplement, or anything else Medicare related.
It doesn't matter how much time. It matters where you vote and where you pay your taxes.
Of course we also get then; what if I, you know, cheat a little? Well, this a contract.
On a contract you have to write down the information and sign your name. If you're untruthful on a contract, then like any other
contract, it could be voided. Insurance companies are not going to check your residence state when you sign up, apply and
get accepted. But they have written into every single one of these policies that they have the right to check if something happens.
So if you have a medical event, you're in the hospital
the insurance company is looking at hundreds of thousands of dollars in costs, they have the
right to check to make sure that everything is true on your application.
If they find it wasn't truthful, they have the right to void the contract. That is a decision that can be made, and of course it would be made when
you are an absolute worst circumstances. I look at insurance is it's, it's...
what we use to mitigate financial risks. Well if you're not truthful on the application then
you're not mitigating financial risk. You're just changing it from one scenario to another.
That's not a wise decision. The next question would be; what if you have Medicare and
you decide to move? You decide to change your permanent resident address. What happens?
Well, first off if you have a Medicare supplement, that is good in every single state. It's good every where you go.
You do not need to do anything.
If you have a Medicare supplement and there's the exact same supplement, offer by the exact same company in a different state then ...
that company has the right to raise your price if it's a higher price in that state.
You have the right to ask for a lower price if the supplement is a lower price in that state. The prices in every state are different.
If you have questions on that, contact us will be able to give you some more specific information.
But keep in mind a lot of these companies have
one subsidiary working in one state another subsidiary working in another. Those are not the same policies.
policies. If they don't have the same policy, they can't do anything with the price.
Let's say you have your prescription drug Part D plan, or you happen to have a Medicare Advantage plan. Then what will you do?
Well first off, when you're going to move, when you know you're going to move you need to
notify your prescription drug plan or your Medicare Advantage plan company.
Typically do so 30-days before the month that you're going to move. So, the month before the month you're going to move.
Call them up, tell them you're going to move out of their service area. Our new residence is going to be such and such.
They will send you a letter. In that letter they're going to say "you're moving out of our service
area so we can no longer cover you." It is called a disenrollment letter.
That's your free pass. With the disenrollment letter, once you've moved or even as you're planning to move you can then
get a new prescription drug plan or new Medicare Advantage plan for the location that you've moved to.
You don't have to wait for a annual enrollment , you don't have to wait for anything. It is a special enrollment period for you.
You simply apply to the insurance company for a new plan.
They will want to see typically the disenrollment letter. That's what gives you the right to get the new plan.
No one can deny you coverage. You will simply have a new plan with the new address for where you are now living.
One of the best sources for taking a look at and researching your Medicare rights
Not just the rights for when you're moving, but then when you can
have a special circumstance that will give you the right to purchase another plan. We prefer the "Choosing a Medigap Policy" guide.
Link Below. When you look on pages 22 and 23 of the 2016 version
could be different pages on another version when Medicare puts out the 2017 and 2018 ..
There is goin to be a table listing your rights and under what circumstances you can get different plans. Very easy to follow.
Its actually great information to have for anyone who's on Medicare just to have it as a resource.
So that's it! Those are our most frequent questions for Snowbirds, RV'er and some people are
moving from one state to another and how it impacts your Medicare.
I hope you found this information useful.
If you have, then please subscribe to our channel or also LIKE this video. When you LIKE this video...
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I am Matthew Claassen of MedigapSeminars.org
Thank you for watching!
MedigapSeminars.org Make an informed decision. An independent insurance broker specializing in Medicare.
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