More and more regularly lately, retirees are finding themselves in the middle of heaps of debt due to unprotected gaps in Medicare Parts A and B. It’s unfortunately not much of a rarity anymore. Anywhere you go, it is almost impossible for seniors to have a truly comprehensive plan offered at a price that is affordable on what’s more likely than not a fixed income. Fortunately, this is where gap insurance comes in and can help save the day, and some headaches.
Senior Medicare in Mesa: Facts and Figures
- There are 80,415 senior citizens living in Mesa right now
- There 10 hospitals in the Mesa area where seniors can get emergency and/or in-patient care
- 39% of Arizona seniors have a Medicare Advantage plan
- 19% of seniors have a Medicare Supplement (Medigap) plan
- Which leaves 42% of seniors potentially uninsured or underinsured against costly Medicare coverage gaps!
Many seniors are afflicted with particular types of disease as they reach a certain age. Unfortunately, these tend to be the variety which are lingering and persistent, requiring care from diagnosis to end of life. Many can worsen over the passage of time, making medical costs skyrocket as the years pass. There is substantial evidence to suggest that seniors will likely suffer more than just one of these ailments at a time, too. That means costs doubling and tripling in a blink. Here are the more prevalent chronic diseases in Mesa.
|Disease||Prevalence (in Mesa)|
|High Blood Pressure||30%|
|Coronary Heart Disease||7%|
Healthcare Costs in Mesa, AZ
Of course, all of us are concerned with getting the proper care and the cost of that care. Prescriptions, monitors, patient care while in the hospital, outpatient, general visits, all of these add to the entire cost. Seniors are living longer, but at times that can become just more time to pay more bills, since medical costs continue to rise annually. Considering those two factors, it’s understandable how costs can quickly become unmanageable for even those who have saved ahead of time. It is vital to be informed about today’s health care options for seniors, in order to protect your life and health into your golden years.
|Disease||Prevalence (in Mesa)||Annual Cost of Treatment|
|High Blood Pressure||30%||$359|
|Coronary Heart Disease||7%||$7,581|
Medicare Advantage Savings in Mesa, AZ
The federal government has approved Medicare Advantage as a form of private health insurance. It is open to senior citizens who are eligible to be on Medicare, even if they are not currently enrolled in a Medicare plan. Instead of the government paying for your medical bills directly, they send their contribution towards your Medicare Advantage premium, and you only owe the difference. In many cases, this ends up being zero. These plans, by law, have to cover at least Medicare Parts A and B, and more cover additional in the form of vision or dental.
Seniors in general say they feel the coverage is better under the Medicare Advantage plans than under Traditional Medicare. It is the nature of chronic diseases to require on-going management, whether for sustained treatment or simply to stave off symptoms and improve quality of life. Over time, conditions worsen and costs continue to increase, leaving patients worse off than ever. Medicare Advantage plans can be far more comprehensive than the coverage offered by Medicare alone, even with options like Part D.
A cost effective drug plan is only part of what can be added to Medicare Advantage plans. Doctor appointments, equipment of the medical or pharmaceutical variety, and an economical prescription system, are all options for different Medicare Advantage plans. Even more give the choice to incorporate dental or vision benefits into their packages, as an extra boon. The federal government which would be providing Medicare then instead redirects the funds to the Medicare Advantage plan of your choice. That means you could receive even more coverage for no additional cost! However, copays and coinsurance will still always be the responsibility of the policy holder. And with any insurance policy, there will be some expenses that just aren’t covered
Medicare Supplement (Medigap) Savings in Mesa, AZ
Medigap policies can help to save so much money because they work differently than other policies, particularly when it comes to Medicare Part A. The most difficult conditions – like kidney failure or coronary heart disease – can cost upwards of thousands of dollars, even potentially reaching six figures. And that’s just for hospital stays and inpatient treatments, not including continuing care outside of the hospital setting. If you have to stay in the hospital for a prolonged period of time, or have a procedure like a blood transfusion, those aren’t covered either under Medicare Part A. That is why you need supplemental coverage like Medigap to fill in those holes in coverage and protect against costly additional medical expenses.
Right now, there are four plans designed to cover the gaps in Part A of Traditional Medicare. These plans are: Plans A, D, K, and L. Other plans cover gap in Part A as well as gaps in Part B, which will be discussed below. If you don’t think you will have extended Medicare Part B costs and are largely concerned with Part A, then you will be able to save even more, as plans which cover only Part A gaps are available at a lower premium. This could save a considerable amount as well over time.
However, if you anticipate needing help with the gaps in Part A and Part B, there are Medigap plans B, C, D, F, G, M, and N. These cover differing aspects of traditional Medicare parts A and B. As always with any insurance, more coverage results in more premium. Still, it is important to note that this isn’t necessarily a bad thing. More coverage also means less out of pocket expenses, so paying a higher premium could actually save money in the long run. Plan F is only available for a limited time, as it will be retiring in 2021.
Medicare Part B has its own gaps as well. Part A handles hospitals and inpatient procedures; Part B is supposed to cover most of everything outside of that. This includes outpatient operations, check-ups from doctors, even some small pieces of medical equipment. However, the co-pays, coinsurance, and yearly premiums for Medicare Part B can be incredibly costly over time, so much so that it can become unmanageable quite quickly. Fortunately, there are many Medigap plans which account for this and are designed to help reduce Medicare Part B expenses so patients don’t get bogged down financially.
Medicare Advantage has coverage options for prescriptions, dental, and vision, for additional premiums. However, Medicare Supplement Insurance does not. Original Medicare offers Part D for these coverages, which can be purchased with or without any other Original Medicare parts. A Google search for Mesa plus the terms “dental” or “vision” and “insurance” can yield several alternative options as well, many of which are quite cost-saving.
For seniors living in Mesa, just like you, purchasing the most affordable Medicare Supplement Insurance is absolutely necessary. Not only does it protect any retirement savings, it also grants peace of mind. Sad as it is, medical costs are continually on the rise, and they do not show signs of decreasing any time soon. It’s beyond your control, but one thing that is in your hands is how well you cover yourself with a comprehensive insurance plan. We want to help you find that supplemental Medicare gap coverage plan today.
|Medigap Plan||Minimum Monthly Premium||Maximum Monthly Premium||Average Estimated Monthly Premium (Part B Premium Included)|
|Plan F (high deductible)||$27||$100||$199|