MIAMI, FL -- 10/19/09 --
Mike Seltzer, Humana Florida Medicare and
Medicaid Products CEO, provides important tips for selecting a Medicare
plan:
When selecting a Medicare plan, you have a wide variety of choices, so
you'll want to select the plan that best suits your needs.
Use this time before the enrollment period begins to think about your
healthcare needs and what's important to you. Here are five simple steps to
selecting the best Medicare plan for you.
Step One: Review your medical spending
Give yourself a "health care audit." Review your records and receipts to
see how much you spent on health care. Don't forget to include charges from
physicians, hospitals and pharmacies. Many insurance companies provide
annual summaries that track your spending for you. You can also ask your
doctor's office or pharmacy for information.
Step Two: Identify future health care needs
While you don't have a crystal ball, you can estimate what health care
services you might need. Think about whether you have a condition that
requires ongoing care, whether you need to stay on your current medications
or if you need annual screenings. Then use online resources such as the
Family Health Budget (www.familyhealthbudget.com) to estimate your actual
costs.
Step Three: Think about what you need from your Medicare plan
Now think about other things, including cost, benefits, networks and
convenience. Here are some things to consider:
-- Cost -- How much will you pay for premiums, deductibles and
copayments? Plans with lower premiums may have higher out-of-pocket
expenses (the amount you pay when receiving care, such as copayments,
deductibles and coinsurance). The inverse is also true: if you are paying a
higher monthly premium, your out-of-pocket costs may be less.
-- Benefits -- Does the plan include prescription drug coverage? Does it
include additional benefits, such as a gym membership?
-- Doctor and hospital choice -- Do the doctors, hospitals, pharmacies
and other providers you use accept the plan? An HMO requires you to see
doctors in its network, whereas a PPO provides you with more flexibility,
but potentially higher out-of-pocket costs.
Step Four: Explore your options
There are many resources that can help you understand all the plan options
available:
-- State Health Insurance Assistance Program -- All states have a State
Health Insurance Assistance Program (SHIP) that gives free local health
insurance counseling. For contact information for your state, go to the
Medicare Web site. Click the button marked "Do you want to find a specific
organization?" and "Find Helpful Contacts and Web Sites." On the next page,
select "SHIP -- State Health Insurance Assistance Program" from the drop-
down menu and enter your state.
-- Medicare -- www.Medicare.gov enables you to find and compare Medicare
prescription drug plans and health plans in your area. You can also call 1-
800-MEDICARE (1-800-633-4227).
-- AHIP -- www.healthdecisions.org/guide, a resource from the health
insurance industry trade group America's Health Insurance Plans, offers an
easy-to-use, interactive online publication.
Once you understand the options available to you, you can visit the Web
sites of the specific health plans and compare. Use tools like those
available at: http://espanol.humana.com/enes/ and at
www.humana-medicare.com/humana-medicare-drug-plan/medicare-rx.asp to
compare plans, calculate prescription costs and learn about value-added
wellness programs.
Step Five: Find out if you qualify for extra help
If you have limited resources, you may qualify for help paying for your
Medicare health coverage. To find out if you qualify, contact your local
Medicaid office or call the Social Security Administration at
1-800-772-1213. If you use a TTY, call 1-800-325-0778.
No matter which Medicare health plan you have chosen previously, you can
switch to a different plan between Nov. 15 and Dec. 31. If you are
satisfied with your existing coverage, you don't have to do anything. You
will be automatically re-enrolled for the same plan.
Use this time to make sound choices and get a full understanding of your
options. After all, this is an important decision that you are committing
to for an entire year. At the end of the day, few things are as important
as your health and health care.
Important Dates:
October 1, 2009 - benefit and premium information is available for all 2010
Medicare plans, including prescription drug plans.
November 15-December 31, 2009 - Enrollment period for 2010 Medicare plans.
About Humana
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's
largest publicly traded health and supplemental benefits companies, with
approximately 10.3 million medical members and 6.8 million specialty
members. Humana is a full-service benefits solutions company, offering a
wide array of health and supplementary benefit plans for employer groups,
government programs and individuals.
Over its 48-year history, Humana has consistently seized opportunities to
meet changing customer needs. Today, the company is a leader in consumer
engagement, providing guidance that leads to lower costs and a better
health plan experience throughout its diversified customer portfolio.
The A, B, C and Ds of Medicare
Medicare has the following four parts:
-- Hospital insurance (Part A) that helps pay for inpatient care in a
hospital or skilled nursing facility (following a hospital stay), some home
health care and hospice care.
-- Medical insurance (Part B) that helps pay for doctors' services and
many other medical services and supplies that are not covered by hospital
insurance.
-- Medicare Advantage (Part C) that allows people with Medicare Parts A
and B to choose their health care services through a private company, such
as Humana.
-- Prescription drug coverage (Part D) that helps pay for medications.
Most people are automatically enrolled in Parts A and B when they turn 65
years old. If you are interested in Part C, you'll need to contact an
offering company, like Humana. For details on Part D, visit
www.Medicare.gov.
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FOR MORE INFORMATION, CONTACT:
Mitch Lubitz
Humana Corporate Communications
813-287-6180
Email Contact