. LAKE COUNTY SCHOOLS. Group Medicare Supplement. (Age 65+) Or under 65 and on Medicare due to Disability VALERY INSURANCE

Transcription

1 . LAKE COUNTY SCHOOLS Group Medicare Supplement (Age 65+) Or under 65 and on Medicare due to Disability VALERY INSURANCE 2113 Gulf Blvd., Indian Rocks Beach, FL Phone (727) Fax (727) Toll-Free (800) SV0318P08 1

2 VALERY INSURANCE AGENCY School Boards & Municipalities Now Holding Educational Classes on Medicare Health Insurance Options for Employees, Retirees & Spouses School Boards Clay County SB Collier County SB DeSoto Coui1ty SB Flagler Cmmty SB Gilchrist County SB Lake Com1ty SB Levy County SB Madison County SB Nassau County SB Okeechobee County SB Sumte1 County SB Taylor County SB Volusia County SB Walmlla County SB Cities Bradenton Bushnell Dunedin Fort Meyers Indian Rocks Beach Naples Palm Beach Gardens Town of Redington Shores Sheriffs Broward County Sheriff Collier County Sheriff Flagler County Sheriff Hernando County Sheriff Martin County Sheriff Pasco County Sheriff County Govennnents Broward County Broward Supervisor of Elections Charlotte County Charlotte County Clerk of Courts Charlotte Com1ty Tax Collector Citrus County Collie1 County Collier County Clerli. of Courts Collier County Property Appraiser Collier County Supenisor of Elections Collier County Tax Collector Collier County Transit (CAT) DeSoto County Flagler Com1ty Hardee County Hamilton County Hernando County Lee County Clerk of Courts Levy County Madison County Martin County Property Appraiser Pabu Beach County Palm Beach Com1ty Clerli. of Courts Pabn Beach County P1 operty Appraiser Pabn Beach Comity Tax Collector Pahn Tran Pasco County W almlla County 20'h Judicial Circuit Courts Colleges College of Central Florida Embry-Riddle Aeronautical Lal\.e-Sumter State College North Florida Community College Tallahassee Community College 2

3 MEDICARE 2018 Medicare Starts on the 1st of Month PART A = Hospital: $1340.Deductible: Each Admission Co-pay: $335 per day PARTB - Doctor: $183 Deductible: Calendar Year 20% Co-pay Excess Charge == 15% Single Filer Income.Joint Filer Income Part B Monthly Premium Up to $85,000 $85,001 - $107,000 $107,001 - $160,000 $160,001 - $214,000 More than $214,000 Up to $170,000 $170,001 - $214,000 $214,001-$320,000 $320,001 - $428,000 More than $428,000 $ $ $ $ $

4 (Part C) Medicare Advantage vs (Medigap) Traditional Medicare Supplement Limited choice of Doctors & Hospitals May need a referral Doctors may drop out of plan without notice You pay: Deductibles Co-pays Out Of Pocket Costs Part B Premium (Depending on plan) Takes over Medicare (Claims paid by Insurance Company, not Original Medicare) Annual plan (Carrier may make benefit changes or not renew plan) Limited opportunity to change plans Use ALL Doctors and ALL Hospitals in the U.S. that accept Original Medicare Plan pays: Deductibles Co-Pays Out Of Pocket Costs (Amount depends on plan selected) Original Medicare pays Lifetime plan Change plans at any time 4

5 OUTLINE OF COVERAGE Benefit Plans A, 8, C, F, K, L, N, Select C, Select F Benefit Chart of Medicare Supplement Plans Sold on or After June 1, 2010 This chart shows the benefits included in each of the standard Medicare supplement plans. Every company must make Plan "A" available. Some plans may not be available in your state. Basic Benefits: Hospitalization: Part A coinsurance plus coverage for 365 additional days after Medicare benefrts end. Medical Expenses: Part B coinsurance (generally 20% of Medicare-approved expenses) or copayments for hospital outpatient services. Plans K, L, and N require insureds to pay a portion of Part B coinsurance or copayments. Blood: First three pints of blood each year. Hospice: Part A coinsurance +Medicare Select'Pians C and F contain the same benefits as standardized Medicare Supplement Plans C and F, except for restrictions on your use of hospitals. Plan Plan Plan Plan Plan Plan A 8 C+ D F*+ G.. Basic, Basic, Basic, Basic, Basic, Basic, including including including including including including 100% 100% 100% 100% 100% 100% PartS co- Part Boo- PartBco- PartS co- PartS co- PartS coinsurance insurance insurance insurance insurance insurance Skilled Skilled Skilled Sk~led nursing nursing nursing nursing facility co- facility co- facility co- facility coinsurance insurance insurance insurance Part A Part A Part A Part A Part A deductible deductible deductible deductible deductible PartB PartS deductible deducuble Part 8 Part B excess excess (100%) (100%) Foreign Foreign Foreign Foreign travel travel travel travel emergency emergency emergency emergency *Plan F also has an option called a high deductible Plan F. This high deductible plan p~s the same benefits as Plan F after one has paid a eaten ar ~ear $2200 deductible. Benefits from high deductible P an F will not begin until out-of-pocket expenses exceed $2200. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the poll~. These e~nses Include the Medicare deductlbles for art A and art B, but do not Include the plan's separate foreign travel emergency deductible. Plan Plan Plan Plan K L M. N Basic, including Hospitalization Hospitalization 100%PartB and and Basic, coinsurance, preventive preventive including except up care paid at care paid at 100% to$20 100%;other 100%;other Part 8 co-payment basic benefits basic benefits coinsurance for office visit, paid at 50% paidat75% andupto$50 copayment forer 50% Skilled 75%Skilled Skilled Skilled nursing nursing nursing nursing facility facility facility facility coinsurance coinsurance coinsurance coinsurance 50%PartA 75%PartA 50% Part A Part A deductible deductible deductible deductible Out-of Out-ofpocket limit pocket limit $5120; paid $2560; paid at 100% at 100% after limit reached after limit reached Foreign travel emergency Foreign travel emergency 5

6 Sample Rates FOR THE M.OST POPULAR PLANS Zips 321, 327, 347 (Carriers accept payment through FRS) Age Plan *Carrier 1 *Carrier 2 Plans at age 65 F $ 185/195 $ 199 N $ 133/141 $ 144 Plans at F $200/212 $212 N $ 143/153 $ 154 Plans at F $223/236 $238 N $ 160/170 $ 174 Plans at F $242/257 $264 N $ 174/185 $ F $265/281 $276 N $ 190/203 $206 * Non-Smoker YOUR FLORIDA INSURANCE SUBSIDY ( $5.00 x # of years = SUBSIDY) How it is paid to you determines if it will be tax free. Use your Health Insurance Subsidy to help pay your Premium CALL VALERY AGENCY FOR DETAILS

7 MEDICARE PART ''D'' Rx MEDICARE HAS APPROVED 10 COMPANIES TO OFFER 21 DIFFERENT PARTDPLANS IN FLORIDA 2018 VERSION Deductible Phase $0 to $405 Deductible Co-Pay Phase Drug Account $3,750 Varying Co-Pays Depends on Plan Formulary Coverage Gap "Donut Hole" $5,000 Pay 35% (Brands) Pay 44%, (Generics) Catastrophic Phase YOU PAY ONLY 5 /o or $3.35 For Generics $8.35 Brands Annual Enrollment Period = October 15th- December 7th (effective date of January 1st of the following year) 2018 Part D Income-Based Surcharge Single Filer I nco me.joint Filer I nco me 2018 Surcharge Up to $85,000 $85,000-$107,000 $107,000- $133,500 $133,500 - $160,000 More than $160,000 Up to $170,000 $170,000- $214,000 $214,000- $267,000 $267,000 - $320,000 More than $320,000 $ 0.00 $13.00 $33.60 $54.20 $

8 SAMPLE MONTIIL Y U.S. GOVERNMENT: MEDICARE A MEDICAREB $ 0.00 $ * (Parts A & Bare both required after Retirement regardless of which Insurance product you choose) + INSURANCE CARRIERS: MEDICARE SUPPLEMENT (PLAN F) PARTDRx $ $ $ Why Valery Insurance Agency: We educate you on: Enrollment Timelines and Processes Insuring a Spouse. Guaranteed Issue products available to Retiree and Spouse Foreign Travel. We pride ourselves on offering unsurpassed Customer Service. Call us at *This amount can vary based on start date and/or income. 8