Tag Archives: ACA

Part B Penalty Waiver for ACA Medicare Eligibles

In February, I blogged about the confusion many seniors encounter regarding the decision to move to Medicare if they are on an Individual health plan under the Affordable Care Act (Obamacare).  I noted that even though they can keep their ACA plan, it is rarely beneficial to do so.

The other issue noted was that people on an ACA plan  that are also eligible for Medicare, must elect Part B.  If they do not do so, they will be subject to the Part B penalty.  Very recently, Medicare has announced they will allow people who were impacted by this situation to apply for a waiver.  The deadline is September 30th to get this in.

If you want to read more about this issue, you can see a related article at the following link:  http://khn.org/news/feds-to-waive-penalties-for-some-who-signed-up-late-for-medicare/

Based in the Richmond, Va area, David Higgs of Choices In Medicare specializes in helping seniors transition to Medicare.  He can be reached at email:  David@ChoicesInMedicare.com or go to website:  www.ChoicesInMedicare.com

Medicare Eligible Seniors Who Also Have an ACA Plan Should Consider Their Options.

Seniors who either already have Medicare or who will soon become eligible for Medicare and also have an ACA Health Plan (aka “Obamacare Plan”),  should carefully consider their coverages.  This creates a lot of confusion for seniors in this situation as there is no single source to confirm what they should do.  In general, having both will duplicate coverage and be more expensive than just having a Medicare Supplement or Advantage Plan.  A recent article that describes some of the issues is linked below.

http://khn.org/news/officials-warn-some-older-marketplace-customers-to-switch-to-medicare/

Feel free to contact me if you have any questions or need assistance with selecting a Medicare Plan.  I don’t charge any fees nor increase your cost.

Based in the Richmond, Va area, David Higgs of Choices In Medicare specializes in helping seniors transition to Medicare.  He can be reached at email:  David@ChoicesInMedicare.com or go to website:  www.ChoicesInMedicare.com

Private Exchanges and Choices In Medicare

Many Retirees and other Medicare eligible beneficiaries will be directed to a Private Exchange to select their health plan benefits.  Typically, large employers and some large Benefits firms are getting into the Private Exchange arena.  The latest entrant is the financial services firm, Fidelity, who has announced this as a strategy.  A Private Exchange is similar to the Affordable Care Act Marketplace Exchange which was designed for people under 65.    An Exchange is merely a website that lists a person’s options and allows enrollment.  By itself, an Exchange is OK but there are some things anyone contemplating their options via an Exchange should be aware of.  I have reviewed some of the Exchanges and found a few common issues:

  1. The Exchange is going to be limited to a few plans from a few carriers. This means that there may be other options which could be lower cost that won’t be available.
  2. The people staffing the inbound phone lines are sometimes not experienced, independent Benefits professionals. Their knowledge can be limited to the training received for that call center role.
  3. Some of the information on the Exchange is either out dated and/or inaccurate.
  4. In many cases where the beneficiary is an employee, the employer contribution will only apply if the employee obtains their benefits through the Exchange. This could mean an employee must limit themselves to the Exchange options even though there may be better options available.
  5. The Exchange experience is not very personable. You are dealing with someone you don’t know in an unknown location.

So what is the alternative?  People like me usually allow you to avoid these pitfalls.  As an independent agent, I represent most or all of certain types of available plans.  For example, I represent all of the Medicare Advantage plans in Central Virginia and 7 of the largest, national Medicare Supplement companies.  In most cases, I can meet face-to-face and establish a better environment when making such important decisions and, at no cost to the client.

If you have questions about your Choices In Medicare, contact me at David@ChoicesInMedicare.com or visit our website:  www.ChoicesInMedicare.com