Med Supp Plan K & L
- Thread starter liorselamb
- Start date
- 15,319
So it's better to have 50% coverage of the 20% share of cost with an out of pocket limit of $4,940 instead of $2,180? So if someone is hospitalized I'm sure they will like paying more than twice the out of pocket with another $300 in premium?
I strongly suggest taking Econ 101.
Rick
So it's better to have 50% coverage of the 20% share of cost with an out of pocket limit of $4,940 instead of $2,180? So if someone is hospitalized I'm sure they will like paying more than twice the out of pocket with another $300 in premium?
I strongly suggest taking Econ 101.
Rick
It's going to take me lot longer to spend my OOP, since the carrier is picking up 50% of the tab...
In a bad year - you win. Most years, I'll win.
- 15,319
Maybe you win if there is very little premium difference. Remember that the carrier is picking up 50% of 20%.
Of course, if you're buying insurance to save $10 on an office visit rather than $2,500 on a catastrophe then you're correct.
Rick
"What is best" at any given time is situational.
Take a 82f today. On MAPD and moving out of area. Once settled she will have knee replacement. Take a known loss like that and the GI opportunity it makes a medigap look appealing.
With prices like:
$252 plan F.
$249 plan C.
$147 plan L
It is hard to not see the possibility of taking a plan L with its 75% payment schedule as better than MAPD and more cost effective than plan C/F at such higher premiums. She will most likely move back to MAPD in the middle of the year using SPAP as a SEP.
Take a 82f today. On MAPD and moving out of area. Once settled she will have knee replacement. Take a known loss like that and the GI opportunity it makes a medigap look appealing.
With prices like:
$252 plan F.
$249 plan C.
$147 plan L
It is hard to not see the possibility of taking a plan L with its 75% payment schedule as better than MAPD and more cost effective than plan C/F at such higher premiums. She will most likely move back to MAPD in the middle of the year using SPAP as a SEP.
- 2,452
She can't take L if she's GI though, and with upcoming knee surgery she couldn't go underwritten so c or f would be her only option above....
Actually, she CAN get Plan L on a GI basis. When losing MA due to a move out of the service area, Plans A, B, C, F, K or L can be purchased on a GI basis.
Check out Page 22 of Choosing a Medigap Policy. You know, the booklet you're supposed to give to everyone you sell a Med Supp. Might do you some good to read it.
- 1,745
Underwriting, losing MAPD network specialist, can't afford higher cost plan within UHC, or wants cost similar to MAPD with no network restrictions & likes possible choice of other plan within UHC by phone: Plan K FTW in a couple situations so far. Specialized situations, given the better MOOP on HDF, if able to pass underwriting. Have done a couple.
Just had someone looking longingly at "L", until I pointed out "N". Also underwriting considerations, no HDF available.
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- 29,511
How's CIGNA(ARLIC) priced in your area Bob? I haven't written them in a while(just didn't like the feel), but they're fairly competitive here. They pay full comp on GI and though age 84.
