0 comments on “Annual Enrollment Period (AEP) – It’s just around the corner”

Annual Enrollment Period (AEP) – It’s just around the corner

Today all the Medicare Advantage and Prescription companies have released their 2020 plan benefits. For most the easiest way to review the changes to their current plan will be via their Annual Notice of Change (ANOC) letter. This letter was mailed out to all current members and should have arrived by 9/30/19. If you don’t have this letter or have misplaced it, you may contact your carrier to resend it or for many you will be able to access it electronically as many Insurers make them available in their websites.

The ANOC letter contains the plan benefit details for the following year. It’s an easy way of comparing your current plan with the changes coming up for 2020. Consult your agent to make sure that you understand the changes.

It’s important to do a medication cost comparison as the ANOC letters don’t give you a year by year comparison on what you can expect to pay. But it’s possible to compare your medication costs. Contact your agent to help you. There are drug price comparison tools on most Insurer websites, in addition Medicare.gov has their own. Note that it’s important that you provide the correct medication name (brand vs generic), how many you take a day, how often they are refilled (e.g., 30, 60, 90 a month, or every 3 months) and what pharmacy you go to refill them. All these details can change the cost projections significantly. 

For some Medicare beneficiaries their Insurer letters will notify them that their current plan will no longer be available for the following year. This is no cause for alarm, as there is plenty of time to review the options available. Some carriers will offer an alternative plan if they remove your plan from the market, the alternative option may come in a separate letter. But no matter what plan is selected, switching will require action on the part of the beneficiary. Talk to your agent to make sure that you select the plan that meets your needs.

Starting October 15th plan changes for AEP could be submitted to the Insurers, those changes will be effective January 1st 2020. For most the last day to submit applications for plan changes is December 7th.

Depending on your current needs other benefits may be more important. Think about what you may need for the following year. Perhaps you have a treatment or procedure coming up and you want to know what out of pocket costs you can expect.

Things you should compare:
  1. Premium
  2. Maximum out of Pocket
  3. Co-Pays
  4. Co-Insurance
  5. Network – HMO vs PPO
  6. Referrals for HMO’s – do I need a referral to see a specialist?
  7. Dental, Vision, Fitness, Hearing
  8. Over the Counter (OTC)
  9. Prescriptions – Are my medications still covered and what are the estimated cost projections?
  10. Star Ratings

If you like your current plan and you want to renew it with the changes you don’t have to take any action, the plan renews automatically.

Making a plan selection is very important and personal so let’s take our time to review the options, let’s ask questions and find the plan the fits your needs.

0 comments on “Medicare Advantage and PDP – Annual Enrollment Period – Coming Soon!”

Medicare Advantage and PDP – Annual Enrollment Period – Coming Soon!

Medicare n You

That’s right! Another Annual Enrollment Period (AEP) is right around the corner. On October 1st all Medicare Advantage and Prescription Drug Plan companies will release their 2019 plan benefits. If you already have one of these plans you’ll soon get the Annual Notice of Change where the insurers will highlight the changes to your plan for 2019.

The AEP begins on 10/15 and will end on 12/07. The last enrollment you submit during this time frame is the plan that you will be enrolled in during 2019.

Once it’s AEP – “What should I do?”

It’s that time where you’ll want to do the following:

  1. Review the changes to your current Medicare Advantage or Prescription Drug plan.
    1. Has the Premium Changed?
    2. How have the following benefits changed:
      1. Co-pays, Maximum Out of Pocket, Dental, Vision, Hearing, Deductibles, Transportation, Over the Counter, Drug Costs & Formulary
    3. Is my plan still being offered for 2019 or will I need to change to another one?
    4. Will my Doctors still be in-network?
    5. Will my medications still be covered?
  2. If you have a Supplement evaluate your monthly premium costs and ask yourself if it’s time to make a change. Will a Medicare Advantage lower my out of pocket costs?
  3. Compare new plan options in the market.
    1. Is there a plan that offers you more of the benefits that you need?
      1. Dental
      2. Vision
      3. Lower Co-pays
      4. Transportation
      5. Hearing Aids
      6. Lower monthly Premium
      7. Part B premium Pay Back/Refund
  4. Evaluate whether you can benefit from assistance of a Health Insurance Agent. They can help you evaluate the options for 2019, make your research a lot easier.

Here at Ask Gabe, Inc. we are already hard at work at evaluating ALL the plans for 2019. We will be happy to help you identify the plan the can best fits your needs. Call or Email and we can discuss how we can help you during the Annual Enrollment Period and beyond.

We work hard to help our clients every year in choosing the plan that minimizes their healthcare expenses all the while getting the most value. We are also available to help them throughout the year with any issues or concerns. So if you want an agent that cares about your needs and is available to help you when you need it, give us a call.

0 comments on “Last day of Winter Salsa Class”

Last day of Winter Salsa Class

On April 12th we completed our Winter Salsa Class at the North Cobb Senior Center. We had such a blast we are going to continue the fun for the Spring of 2018, another 8 week Salsa choreography.

We are already three classes in our new routine, with more partner steps.

Ask Gabe, Inc is proud to volunteer for these classes. We not only work hard for our Medicare clients but also for our Medicare Dancers!

Ask Gabe, Inc where Medicare and you makes sense.

Check out the video below of our Salsa routine!

0 comments on “Medicare Educational Meetings – A must see!”

Medicare Educational Meetings – A must see!

Since I started helping seniors with health insurance, I knew there was a need for educational seminars in my community. I’ve been working hard to contribute by scheduling educational meetings in Cobb, Douglas and Fulton county centers. The attendance at each of the events has been excellent. Two weeks ago we had 25 attend with just a couple of days notice!

The point of a Medicare educational event is to understand the different parts of Medicare, see when you are eligible and acquire general information about the Medicare products available. I also like to share information about the State programs that help lower income seniors save money on medications, part B premium and healthcare costs. There are two great programs available, one is the Medicare Savings Program and the other is called Extra Help.

If you are interested in having a Medicare Educational meeting at your center or place of employment please let us know and we’ll add it to the calendar.

There are no fee nor are products promoted at educational events.

 

0 comments on “Mission 5K – Complete!”

Mission 5K – Complete!

Ask Gabe, Inc. proudly completed the Atlanta Mission 5K Race to End Homelessness this morning! I’m no runner so being able to complete this in 26 minutes and 52 seconds feels pretty good. In all honesty it feels good to volunteer even if I had walked.

The efforts of all involved resulted in $308,000 donations towards helping Atlanta homeless sleep indoors.

Here are a few snapshots of the event.

0 comments on “Should I enroll into Medicare A & B if I continue to work?”

Should I enroll into Medicare A & B if I continue to work?

Working Past 65This is a very common question and the answer will depend on several factors. While the topic can be overwhelming there is no need to over stress.

Factors that can affect the answer include:

 

  • Employer Size
  • Disability
  • Cobra
  • Veteran Benefits
  • End Stage Renal Disease (ESRD)

First you’ll want to understand how your employer group coverage will be affected once you are eligible for Medicare. Your group coverage through your employer could be affected even if you don’t sign up for Medicare when you turn 65, so pay close attention.

Coordination of Benefits

The first big thing about Medicare we need to cover, in relation to our topic, is coordination of benefits. According to Medicare.gov coordination of benefits ‘is a way to figure out who pays first when two or more health insurance plans are responsible for paying the same medical bill’. While it’s logical to think that this only applies when you have two insurances, the truth is that its not. Some group insurances could deny paying a bill just because they know you are eligible for Medicare.

The reason for this is because Medicare has set rules on who pays a bill first. An ample list of scenarios can be found on a document called “Who pays First” created by the Center for Medicare and Medicaid Services (CMS). It’s available on Medicare.gov.

Employer Group Size

What you need to know is if your employer insurance plan is suppose to pay first or not. For most is as easy as knowing if your employer group has less than 20 employees or not.  If your employer has less than 20 employees then Medicare becomes the “primary payor”, which basically means that they are suppose to pay the bill first. Now here is the tricky part, this applies even if you haven’t signed up for Medicare yet. Wait, what?

Yes, if you are 65 and are eligible to enroll into Medicare your less-than-20-employee-small-group-employer policy will likely reject any bills that are sent to them. They’ll want those bills to be sent to Medicare first because “Who wants to pay a bill they don’t have to?”. So in this case if someone is turning 65, still working and their employer has less than 20 employees, they should sign up for Medicare A & B because Medicare is the primary payor. Now, can they still keep their small group insurance plan? Technically yes but one would be wise and factor in the costs of keeping both coverages, in some cases it might be a good idea but it all depends.

So what if my employer has more than 20 employees, should I sign up for Medicare if I’m still going to be covered by my employer health plan? The answer is probably not because you’ll be paying for two insurances that likely won’t save you money on your healthcare bills. If this applies to you, factor how much you’ll be paying for your employer coverage and what sort of cost-share it has (deductible, co-pays, coinsurance etc) when you get treatment. It’s also important to understand what Medicare covers and what it doesn’t. Does it include prescription drugs or do you have to buy it separately?

Other Factors

I did mention that there are other factors to consider, the article “Who Pays Firsts” gives more information but you are welcome to post your questions in the comments, I’ll be happy to answer them. Or if you prefer to contact us directly navigate to our contact section on top.

Here is a link of the article Who Pays First.

Who Pays First

 

0 comments on “Ask Gabe, Inc. Volunteers: Atlanta Mission 5K Race to End Homelessness”

Ask Gabe, Inc. Volunteers: Atlanta Mission 5K Race to End Homelessness

Atlanta Mission

Join us on February 17th for the Atlanta Mission 5K Race to End Homelessness. If you can’t make it but would like to donate please link the link below.

Clink Here – If you like to Donate

Address: Pemberton Place – World of Coca-Cola 126 Ivan Allen Jr Blvd NW Atlanta, GA

0 comments on “Ask Gabe & Acworth Senior Center Salsa Class Video 2”

Ask Gabe & Acworth Senior Center Salsa Class Video 2

Check out our second video of our Salsa Class at the North Cobb Acworth Senior Center.

We’ve put together a choreography that almost anyone can learn at their own pace. Stay tuned for future video add-ons as we put these steps in practice when dancing with a partner.

Now go: Practice Practice Practice!

As a reminder we are still in the Medicare Annual Enrollment Period, so make sure that you are reviewing your plan for 2018 before the deadline of December 7th!

0 comments on “iPhone 101 Training @ Austell Senior Center”

iPhone 101 Training @ Austell Senior Center

Join us Wednesday for an iPhone 101 Training at the Austell Community Senior Center 4915 Austell-Powder Springs Rd Austell, GA 30106 1PM

Sponsored by Ask Gabe, Inc. 

With all new features it could be confusing to operate these “Smart Phones”. We’ll go through some basics but then I’ll show you how to keep up with some of the new features that make having an iPhone the “Smart” way to go. 

0 comments on “Ask Gabe, Inc. Volunteers 6 week Salsa Classes!”

Ask Gabe, Inc. Volunteers 6 week Salsa Classes!

That’s right you’ve read it correctly, we are not just business, we like to have some fun too! We’ve partnered with the Acworth North Cobb Senior Center and we are offering a 6 week Salsa Class. Below it’s a video clip of the 1st class. The remaining classes are posted in the Community Section of this website. Come join us!

As always if you are in need of an agent to help you, I’m here for you. It’s the open enrollment period for Medicare Advantage and Prescription Drug plans, so take advantage of my expertise! As always my services are at no cost, nothing to lose but everything to gain!

404.990.1186

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