Medicare Advantage

Mutual of Omaha Medicare Supplement

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For 2018, Mutual of Omaha is offering four Medicare supplement plans, also called Medigap Plans.

Their Medigap Plans include A, F, G and N. Along with these standard options, the company has a high-deductible Plan F policy. In Kansas and Hawaii, Plan D is also available. The federal government standardizes Medigap supplemental policies in all but three states (Wisconsin, Massachusetts and Minnesota). If you buy a Plan F in Texas, it will look the same as one in California regardless of who’s selling the policy. But different companies may attach extra benefits to a standard plan in the form of add-ons, such as gym memberships or discounts on healthcare products, for additional fees.

Availability for different plans will vary based on age, sex and where you live. There’s an initial eligibility window for signing up for a Medigap policy. It starts when you turn 65 and have Medicare Part B in place, and it lasts for six months. If you don’t enroll during this time, your medical history may also affect plan availability and pricing if you decide to enroll later. This is why it is critical that anyone who has significant medical requirements enroll in a plan that is the best for their own particular needs right away.

Considering Mutual of Omaha for your Medigap needs? Here’s what you can expect in 2018.

Mutual of Omaha Medigap Plan A

Under original Medicare (Parts A and B), you’re responsible for certain copayments and coinsurance if you seek care. There’s no cap on these costs, which can add up throughout the year and affect your medical budget. Medigap policies offset these costs. If you don’t need a lot of care but still want help covering out-of-pocket costs, then Medigap Plan A might be a good choice. Coverage under Plan A includes:

  • Medicare Part A coinsurance and coverage for hospital benefits
  • Medicare Part B coinsurance or copayments
  • Coinsurance or copayments for hospice care
  • The first three pints of blood in a medical procedure

Plan A covers the coinsurance rate for Parts A and B. In 2018, the Part A coinsurance rate is $339 per day for each day that you spend in the hospital (from days 61 to 90 – the first 60 days don’t require additional fees). If you spent two weeks in a hospital being treated for pneumonia, for example, then you would be responsible for about $4,746 just for the hospital portion of your bill. That doesn’t include the Part A deductible, which Medigap Plan A doesn’t cover. Plan A does cover the coinsurance rate for Part B, though, so your bill wouldn’t be as high as it might without the coverage.

Along with the coinsurance rate for original Medicare, Medigap Plan A covers an additional 365 days of hospital care after your Medicare benefits end. This coverage would come in handy if you ended up having complications from surgery or a serious illness that required frequent hospital admissions.

Medigap policies do require a monthly copayment, so before you sign up for a plan, consider your healthcare needs and whether the extra premium would justify the savings. For many, it does. Pricing will depend on where you live, your age and sex, and whether you’re signing up during your initial eligibility window or not. Some companies, like Mutual of Omaha, offer discounts for households, since each person is required to buy his own Medigap plan.

As an example, let’s say a 65-year-old woman from Honolulu County, Hawaii, needed a Medigap policy. She lives alone and doesn’t use tobacco. According to the Mutual of Omaha price estimator, she’d pay about $105 a month for Medigap Plan A coverage. If she did have a spouse or partner, she’d save 12 percent, dropping her monthly premium to just under $93 a month.

Mutual Of Omaha Medigap Plan A Click Here To Get 2018 Pricing

Mutual of Omaha Medigap Plan D – Hawaii and Kansas only

Medigap Plan D covers more than Plan A, but Mutual of Omaha only offers Plan D in two states: Hawaii and Kansas. If you live in one of these states and choose Plan D coverage, you’ll benefit from lower out-of-pocket costs. This plan typically costs less than more comprehensive options but still includes good benefits. Medigap Plan D covers:

  • Medicare Part A coinsurance and coverage for hospital benefits
  • Medicare Part B coinsurance or copayments
  • Coinsurance or copayments for hospice care
  • The first three pints of blood in a medical procedure
  • Medicare Part A deductible
  • Coinsurance for skilled nursing facility care
  • Foreign travel emergencies up to plan limits

Those who plan to travel internationally should take advantage of Medigap policies that include this coverage. Original Medicare doesn’t cover medical care when you travel out of the country, making plans with this benefit – such as Medigap Plan D – a good addition to your medical coverage if you plan to see the world once you’ve retired.

A 65-year-old woman living in Honolulu County, Hawaii, would pay just under $185 a month for Plan D coverage. It’s around $7 a month more than Medigap Plan A in Hawaii ($178 per month), which covers less. How much you pay will depend on where you live and other factors. Mutual of Omaha offers Plan D policies in Hawaii and Kansas, but that doesn’t mean that everyone in these states has access to these plans. Plan options vary widely. You’ll also need to decide if you need extra coverage. If you don’t plan to travel internationally and don’t need added benefits, then a more basic Medigap plan may work better for your budget.

Mutual Of Omaha Medigap Plan D Click Here To Get 2018 Pricing

Mutual of Omaha Medigap Plan F

Medigap Plan F covers the most benefits of any Medigap policy, offering those who sign up for it maximum benefits in terms of supplemental coverage. And despite its relatively high monthly premium, Plan F is also a popular choice among those who buy supplemental policies. With this plan, you’ll have few, if any, out-of-pocket costs for your medical care. Medigap Plan F covers:

  • Medicare Part A coinsurance and coverage for hospital benefits
  • Medicare Part B coinsurance or copayments
  • Coinsurance or copayments for hospice care
  • The first three pints of blood in a medical procedure
  • Medicare Part A deductible
  • Coinsurance for skilled nursing facility care
  • Medicare Part B deductible
  • Foreign travel emergencies up to plan limits
  • Medicare Part B excess charges

Original Medicare’s 20 percent coinsurance rate for Part B services, which covers everything from routine trips to the doctor to surgery, doesn’t have a cap in place. That means you’ll be responsible for 20 percent of the Medicare-approved amount of your medical treatments without a limit in place to keep costs in check. All Medigap policies cover this 20 percent coinsurance rate, but only two plans – F and G – cover Part B excess charges as well.

If you see a doctor who accepts assignment, then you won’t have to worry about Medicare Part B excess charges. “Accepting assignment” means that the provider has agreed to Medicare’s approved amounts for treatments and services. A standard doctor’s visit, for instance, might cost $120 according to Medicare. If your doctor accepts assignment, then she agrees to charge $120 for the visit. You’ll pay 20 percent of that fee while original Medicare pays 80 percent.

But some people see doctors who don’t accept assignment. These providers can charge up to a certain percentage above what Medicare deems acceptable for services. These charges are referred to as “excess charges,” and it’s the difference between what Medicare deems acceptable and the amount that the provider charges. In our example scenario, if your doctor didn’t accept Medicare assignment, she might charge $140 for an office visit. That difference ($20) would be passed on to you directly. You would have to pay 20 percent of the Medicare-approved amount plus the extra $20.

Medigap Plan F covers these excess charges, giving you a bit more freedom in seeing providers who don’t accept assignment. Medicare is generally accepted nationwide, but some areas may have limited options, especially if you need to see specialists who don’t accept Medicare’s fee structure. If you need a lot of care and your providers don’t accept assignment, investing in Medigap Plan F would likely save you money even with the higher premium for the coverage. And because Plan F also covers the coinsurance rate and the annual Part B deductible ($183 in 2018), it eliminates your out-of-pocket costs aside from the premium itself.

Mutual of Omaha also sells a high-deductible version of Plan F in some areas. The high-deductible version of Plan F covers all the same benefits but with a high deductible that you need to meet before benefits pay out. In 2018, the deductible is $2,240. The tradeoff for having a high deductible is that this version of Plan F often costs significantly less than its standard counterpart.

As an example, our 65-year-old woman in Hamilton County, Tennessee, would pay about $141 a month for a standard Medigap Plan F from Mutual of Omaha. The high-deductible version costs just over $46 a month, a difference of nearly $100. If you can afford the high deductible, then this version could be a better option since it covers the same benefits at a fraction of the monthly cost.

Mutual Of Omaha Medigap Plan F Click Here To Get 2018 Pricing

Mutual of Omaha Medigap Plan G

Not everyone wants or needs all the benefits that Medigap supplement plans have to offer. If you need fuller coverage but want to pay less than Plan F allows, consider Medigap Plan G. Nearly identical to Plan F, Plan G covers almost all the Medigap benefits but costs much less. If you buy Plan G from Mutual of Omaha, you’ll get coverage for:

  • Medicare Part A coinsurance and coverage for hospital benefits
  • Medicare Part B coinsurance or copayments
  • Coinsurance or copayments for hospice care
  • The first three pints of blood in a medical procedure
  • Medicare Part A deductible
  • Coinsurance for skilled nursing facility care
  • Foreign travel emergencies up to plan limits
  • Medicare Part B excess charges

Notably absent from Plan G coverage is the Part B deductible. It’s the only difference between Plans F and G. But the cost difference often makes up for the lack of coverage in this case. Mutual of Omaha offers Plan G coverage for $105 a month to our 65-year-old Tennessean woman in Hamilton County. That’s about $36 less per month than Plan F (or $432 less for the year). Considering that the Part B deductible is $183, you’d still save $249 in total by choosing Plan G instead and paying the deductible yourself. Other than the Part B deductible, coverage for these plans is the same.

Cost isn’t the only reason to consider Medigap Plan G over Plan F. Starting in 2020, Plan F will be eliminated from Medigap offerings. You can still buy Plan F policies until then, and you can keep one in place after it’s discontinued, but the monthly premium for this plan might increase substantially once it’s eliminated. Fewer people will enroll in it (and no one will be able to after 2020), making it more expensive for insurers to sell. Medigap Plan G is almost as good as Plan F, and it will still be around after 2020.

Mutual Of Omaha Medigap Plan G Click Here To Get 2018 Pricing

Mutual of Omaha Medigap Plan N

Medigap Plan N covers the exact same benefits as Medigap Plan D, but Plan N requires cost-sharing for Medicare Part B costs. And since Mutual of Omaha only offers Plan D to residents of Kansas and Hawaii, Plan N is a good alternative for those who don’t live in these states. Medigap Plan N covers:

  • Medicare Part A coinsurance and coverage for hospital benefits
  • Medicare Part B coinsurance or copayments – with a caveat
  • Coinsurance or copayments for hospice care
  • The first three pints of blood in a medical procedure
  • Medicare Part A deductible
  • Coinsurance for skilled nursing facility care
  • Foreign travel emergencies up to plan limits

The caveat for Part B coinsurance is that under Plan N, you’ll be responsible for up to $20 in copayments for visits to the doctor and up to $50 for visits to the emergency room that don’t lead to inpatient hospital admission. Other than these cost-sharing amounts, Medigap Plan N covers all Medicare-approved Part B coinsurance amounts. It does not cover Part B excess charges. Only Plans F and G cover these.

Mutual of Omaha offers Plan N coverage for about $93 a month for our 65-year-old woman living in Hamilton County, Tennessee. She would save 12 percent if she had a spouse or partner living in her household, dropping her monthly premium to around $82.

Note that Medigap Plans A, F, G and N are the most commonly sold plans from Mutual of Omaha. In some states, like Hawaii, Plan C may be available as well. On the other hand, Hawaiians don’t have access to Plan N. For complete information about which plans are available from which companies where you live, get a personalized quote.

Mutual Of Omaha Medigap Plan N Click Here To Get 2018 Pricing

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