For anyone who lives in Idaho age 65 and older, you can start receiving health care benefits from the federal government through Idaho Medicare plans. The benefits you are eligible for fall under Part A and Part B of Medicare. These benefits include hospital stays and most hospital services, in addition to outpatient care. There are many more services too, and they are outlined in the table below.
Medicare Plans in Idaho
There are some base costs associated with receiving Medicare benefits. Depending on your history of employment, you may have to pay for both Parts A and B, or only Part B. Those who have a lengthy work history (10 years/40 quarters) will only have to pay for Part B. However, those who have worked less than 10 years in their lifetime will also be required to pay a premium in order to have access to Part A benefits.
|Medicare Part A (Hospital Coverage)
||Medicare Part B (Medical Insurance)
|Medicare Part C (Medicare Advantage)
||Medicare Part D (Drug Coverage)
The Scope of Idaho Medicare Insurance Programs
In Idaho, there are 242,889 retirement-age citizens currently enrolled in Medicare. Of those, one-third (33%) are getting Medicare Benefits through a Medicare Advantage policy. There is also another group of beneficiaries – 22% of the nearly quarter million number mentioned above – who supplement Traditional Medicare with one of ten available Medigap policies. The remaining 45% may be relying on Medicare alone to cover their health costs, or they may be receiving some other sort of benefits (such as through an employer).
All qualified seniors who are currently enrolled in Medicare should be looking into a supplemental insurance policy. If you are not yet enrolled, or if you are unsure, click the link above and learn how to get yourself enrolled today.
Should You Supplement Your Medicare if You Live in Idaho?
Costs will inevitably vary by state, but this is only one of many, many factors which will influence your decision to supplement your Traditional Medicare benefits. Your age is another factor; the older you are, the more coverage you will need to protect yourself from expensive and/or unexpected medical bills. The table below illustrates only some of the costs you might be stuck paying if you don’t protect yourself from the gaps in Medicare coverage:
|Medicare Part A Costs in 2022||Medicare Part B Costs in 2022|
You have several options when it comes to supplementing your Original Medicare package. It can be hard to pick the right supplement, especially if you are on a tight budget. The two simplest and most affordable options are Medicare Advantage and Medigap. We’ll discuss each option, and give you plenty of information to help you decide.
Medigap Policies for Idaho Residents
As mentioned earlier, Medigap supplement policies are designed to protect you from the coverage gaps associated with Medicare Parts A & B. There are 10 government-approved policies to choose from. They are listed alphabetically for simplicity’s sake: A, B, C, D, F, G, K, L, M, and N. There also used to be a Plan E, H, I, and J. In order to reform and enhance the Medicare system, however, they were eliminated back in 2010.
Federal laws demand that Medigap policy providers offer the exact same benefits in each plan, and in every state. This means that Medigap Plan A in Idaho is the exact same policy as a Medigap Plan A in Iowa or Alaska. They will differ in price, however, as well as in which companies are able to provide them to you. The table below can tell you more:
Medicare Advantage in Idaho
Medicare Part C, Medicare Advantage, and Medicare Replacement are all essentially the same thing, regardless of the name you call them by (but most prefer the term Medicare Advantage). As you may imagine, signing up for a Medicare Advantage policy will, essentially, replace your traditional Medicare benefits. There are some small benefits to this. Government laws ensure that your Advantage policy will provide “equal or greater” benefits than Traditional Medicare alone. And you only have to deal with one (private) company through Medicare Advantage, which helps keep things simple.
While the benefits provided through Medicare Advantage may cost the same or less compared to Original Medicare, keep in mind that most of their HMO and PPO networks are fairly restricted. Therefore, switching to Medicare Part C may require you to switch doctors as well. And you’ll be dealing with a private health insurance company instead of the government, which may or may not be a benefit depending on your personal experience with either entity.
HMO (Health Maintenance Organization) and PPO (Preferred Provider Organization) networks are carefully selected groups of doctors and medical facilities which must be utilized if you want your Medicare Advantage provider to pay out claims.