Tosha's Medicare & You

Latest Posts

How To Choose Among The Greatest Medicare Advantage Plans

When you start to get close to the age of 65, you may be unhappy with your growing years, but there are some good medical benefits waiting for you. You have been working your entire life in order to get both Social Security and Medicare and today is the right time to start reaping the rewards

Get Free online quote

The whole Medicare program was redeveloped several years back and it seems that there are still lots of people who are totally overwhelmed by how it works. For instance, there are Part A, B, C, and D, and several individuals become very confounded that they fail to take advantage of what the government is offering. So, if you have Medicare plan, then you should by now what Medicare Advantage Plans can offer you.

These are programs that you can get rather than basic Medicare and there are advantages and disadvantages. For example, with Medicare, you will end up stuck with your medical expenses, but with Medicare Advantage Plans, you should have much of that covered. Meanwhile, when you select an Advantage plan, you may be limited to the doctors and medical centers that you could see. Apart from a prescription plan, they sometimes have dental and vision, which depends on the program being offered to you. It is important to keep in mind that even though these are partly funded by the government’s Medicare plan.

Those who are not really choosy regarding the doctor that they visit as well as who likewise want the comfort that having a prescription and health care in the exact same plan with Medicare Advantage Plans. These are usually a lot easier to handle in terms of documentation and the overall cost to the customer is much less than it is with a supplemental plan. Then again, you could still be out of pocket for a few expenses, so this is certainly not a free ride throughout your life.

One mistake that most seniors make is overestimating the value of their Medicare plan. While it may seem to cover a lot of your medical care when you are in good shape, if you ever get ill or wounded, you may end up with a very undesirable surprise in the form of huge expenses in the mailbox. What is more intense is that you may be denied medical care because you don’t have enough money to pay for it, but with Medicare Advantage Plans, that is something that will surely never happen.

Some Things to Consider

When you at last qualify for Medicare benefits you can inhale a murmur of help. Unique Medicare the way things are presently is seemingly the best medical coverage plan accessible. Allowed there are a few holes in the coverage. There are deductibles and co-insurances and co-pays that you will be dependable to pay. Fortunately, these holes are exceptionally all around characterized and extremely easy to cover with any of the 10 institutionalized Medicare Supplement Plans 2018 right now accessible.


You at long last have an opportunity to set yourself up in a circumstance where you can absolutely anticipate your medicinal expenses for the year. No curve balls, no doctor’s visit expenses. However this time for a great deal of people is loaded with pressure. Heaps and heaps of mail, several messages and telephone calls. This from specialists and intermediaries searching for your business.


At that point you have the general population you really know. Your brother by marriage who resigned a year ago revealing to you what he did and why you ought to do a similar thing. Your neighbor who can’t disclose to you enough how glad she is with her Medicare Advantage Plan.


Most importantly this is your open enlistment period and you just get one! One open enlistment period in all your years. You have exceptionally uncommon rights amid this time. You have what are called Guaranteed Issue Rights. This implies amid this time you can not be denied coverage for any plan that you pick. It doesn’t make a difference what your past restorative history is. You don’t need to answer any wellbeing questions whatsoever. Simply pick the plan that is appropriate for you and apply. These rights last until a half year after your 65th birthday celebration or your Part B successful date. Regardless of whether you are in extraordinary heath now, we realize that tragically may not generally be valid. It is disastrous to not get the certainties, settle on a decision that you lament and after that not have the capacity to rectify the circumstance since you can’t qualify wellbeing insightful.


So if you don’t mind locate an Independent Broker. One who represents considerable authority in Medicare. It ought to be their one core interest. Make the inquiries to decide whether they have your best advantages on a fundamental level. To the best of your capacity ensure that the data that they are giving is a la mode and exact. Try not to acknowledge an incomplete comprehension of your options. A skillful specialist will ensure that you appreciate the decisions and the effect every choice will have on your wallet and your social insurance. As it were request the administration that you merit.


Kindly don’t simply toss your hands up and say it’s excessively, excessively confusing. Try not to do what your closest companion, neighbor or your brother by marriage did. Your circumstances are one of a kind to you. Look for the assistance you require from an authorized proficient. It is dreadfully critical. Trust me the choices that you make amid your Medicare Open Enrollment Period will have enduring effect.

Medicare death benefits, what are they, know it here

Losing a family member cripples the financial situation and especially when the deceased was the breadwinner of the family. The death benefits of Medicare supplement plans pay the deceased a lump sum as he has paid for Medicare taxes for over ten years and has attained 65 years or more.



  • Medicare supplement plans death benefits are applicable to people over 65 years.
  • The death benefits of Medicare do not cover in full the funeral expenses, but of course some costs are covered.
  • Social security and Medicare death benefits are not similar.
  • Visiting the local office of Medicare is mandatory to apply for death benefits of Medicare.
  • The Social Security Administration pays to the surviving children or the spouses the funds on meeting the plans eligibility criteria.

 Find out more information at

Difference of a deceased Medicare and Social Security Benefits

People generalize Medicare death and Social Security benefits believing it to be the same, but there are differences.


Retirees having worked for 10 years and more have certainly paid the Social Security taxes earning  their Social Security benefits, while the benefits of the Medicare supplement plans apply to the retirees only having acquired 65 years of age and more.


Social Security Administration handles the two programs functions, it implies anyone enrolled into the benefits of the Social Security receives automatic enrollment into the Medicare supplement plans program on attaining 65 years of age.


Medicare Death Benefits eligibility

The insurance companies determine the children and spouses eligibility for the death benefits of Medicare:


  • The spouse remaining alive should have attained 60 years.
  • Children must be under 18 years
  • A spouse disabled and is over 50 years.
  • A spouse surviving for a disable child of the deceased or the child is under 16 years.
  • Parents over 62 dependants on the support of the deceased.
  • Child with disability before 22 years


Documents Required

The death benefits of Medicare become applicable from the time the application becomes active and not as a worker dies. Thus, it is important to fill the Medicare supplement plans at the earliest.


The application cannot be filled online, and requires a survivor to visit the nearest Medicare office. The survivor should provide the following information to prove their eligibility during the application:


  • A certified death evident- this may be a death certificate from a funeral home.
  • USA citizenship proof or the immigrants lawful alien status
  • Birth proof as the birth certificate
  • Tax returns of previous year or W-2 forms
  • Discharge papers of the U.S. military

3 things you never knew About Medicare Supplements plans

Medicare is around for a long time, yet most people are not aware of the facts. There is no need for a person to become an expert, but it is mandatory to know that Medicare Supplements Plans are wonderful programs featuring various options and rules. It may be confusing initially, but there are few things you may not expect and it is worth knowing.


  1. Make Choices

Conventional Medicare has only one option. You may opt to choose Medicare Parts A and B so that the hospital care and doctor or hospital access to any doctor or l in the country accepts Medicare. Or you must consider a Medicare Advantage plan that can be bought from a private insurer that offers Medicare benefits.


Even if you have Medicare Parts A and B, there is a need to have Part D plan if as it covers the prescription drug. In fact, you may consider buying a Medicare supplement plans policy referred to as a Medigap plan. This will certainly help you in handling out-of-pocket costs, referred as deductibles. There are Medigap plans providing maximum out-of-pocket coverage and this means it comes with an annual limit about that you need to pay.


If you choose a Medicare Advantage plan, that covers prescription drug, you need not sign up for an individual Part D plan. If you consider buying a Medicare Advantage plan, you cannot purchase a supplemental Medigap plan.


  1. Several Parts

Medicare is not a one-stop shopping and so there is a need to signing with Medicare Advantage Plan or Medicare supplements plans. However, even for this there is a requirement for you have enrolled in Parts B and D of Medicare that covers prescription drugs and medical care, if not you end up paying later a penalty. There is a supplemental plan required to offer additional coverage or even to pay the costs that goes as out of pocket.


  1. Costs More

Having conventional Medicare plan, involves less out-of-pocket. It means if you have health issue, there is no restriction to that you need to spend as co-insurance.


Part D Medicare relates to prescription medicines and it has a catastrophic threshold. Here it means after spending out of pocket some amount, the coverage is available. Yet, you will be paying the 5% of cost on the prescription drugs amount. In case you require high-priced drugs, the cost may add up. This is where the Medicare Supplement Plans can help in bridging the cost gap.

Get a free quote here

Learn how Medicare Supplements Plans can be helpful during crucial times

Medigap standard plans bear the labels A to N and they are different health coverage levels. The Plans that new subscribers cannot avail are E, H, I and J. The premiums differ among the insurance companies. However, they cannot bring any changes in the benefits of the Medicare Supplement Plans that are regulated. This means each policy have a set of benefits, regardless of the company from where you purchase. The standard policies are different in Wisconsin, Minnesota and Massachusetts.


Planning to purchase Medicare Supplements Plans means there is the favorable period, the open enrollment period that offers six months to buy from the day of your 65th birthday. You must have Medicare Part B while you get this open enrollment or you can sign for Medicare Part B and get this Supplement insurance. In this period, you can buy Medigap policy even from outside this window and it means you may or may not get the required coverage and even if you are offered cover, check with the rates, they may be higher.


Paying monthly premium for a Medigap plan is essential, besides your premium of Medicare Part B. The Medigap policy cost is based on the plan type you buy, your age, location and insurance company. As a Medigap standardized policy can be renewable, you should remember to pay on time the premiums so that your health problems are resolved.

Compare Medigap plans here

There may be a necessity to wait to avail the coverage for a period of six months, in case you have pre-existing health conditions. This is because the Medicare Supplements Plans policy insurer can refuse the cover for pre-existing conditions. The Medigap policy, however, after six months does cover the pre-existing condition. This is an exceptional rule on buying it during the Open enrollment period, and you had creditable coverage continuously or some policy of health insurance before buying this policy for a period of six months. In that case, Medigap insurance company will have no right to withhold the pre-existing condition coverage.


Insurance companies determine their own rules and prices about eligibility, so shop around. Most Medicare supplement plans help paying for your Medicare co-payments, hospital stays co-insurance and other services.


The fact stays that less expensive plans offer less benefits and more costs go as out-of-pocket. There is advantage in buying expensive plans as it includes routine checkups coverage, at-home recovery, Medicare deductibles and lots more.