Medicare Supplement Comparison Guide 2018 TriangleWeb · SHIIP Medicare Supplement Comparison Guide...
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MEDICARE SUPPLEMENT COMPARISON GUIDE NORTH CAROLINA DEPARTMENT OF INSURANCE SENIORS’ HEALTH INSURANCE INFORMATION PROGRAM 1-855-408-1212 • www.ncshiip.com
Transcript of Medicare Supplement Comparison Guide 2018 TriangleWeb · SHIIP Medicare Supplement Comparison Guide...
MEDICARE SUPPLEMENT COMPARISON GUIDE
NORTH CAROLINA DEPARTMENT OF INSURANCESENIORS’ HEALTH INSURANCE INFORMATION PROGRAM
1-855-408-1212 • www.ncshiip.com
Introduction ............................................................................................................................................................................................................1
Medicare Part A Chart ............................................................................................................................................................................................2
Medicare Part B Chart ............................................................................................................................................................................................3
Tips for Purchasing Medicare Supplement Insurance ....................................................................................................................................4
Innovative Plan Benefits .......................................................................................................................................................................................4
Laws Concerning Medicare Supplement Insurance ........................................................................................................................................5
Medicare Advantage and Medicare Prescription Drug Plans ........................................................................................................................6
Guarantee Issue Laws from the Balanced Budget Act of 1997 ......................................................................................................................7
Options for Disabled People Younger than 65 and Medicare Eligible .........................................................................................................8
Creditable Coverage for Medicare Supplements .............................................................................................................................................9
2018 Standardized Medicare Supplement Plans Chart ............................................................................................................................... 10
2018 Standardized Medicare Supplement Plan Benefits Explained ......................................................................................................... 11
Licensed Medicare Supplement Insurance Companies ............................................................................................................................... 16
A Note to the Consumer ..................................................................................................................................................................................... 19
Medicare Supplement Companies and the Plans They Offer ..................................................................................................................... 20
Medicare Supplement 2010 Standardized SELECT Plans ............................................................................................................................ 30
Glossary ................................................................................................................................................................................................................. 31
Medicare Premium Supplement Comparison Database on the Web ....................................................................................................... 33
TABLE OF CONTENTS
SHIIP Medicare Supplement Comparison Guide • 2018 Page 1
Medicare Supplement Premium Comparison Databasewww.ncshiip.com
Monthly, quarterly, semi-annual and annual premium rates for Medicare Supplement plans offered by companies licensed in North Carolina are available on the Web site.
THIS GUIDE REFLECTS THE MOST RECENTLY FILED PLANS AS OF THE DATE OF THIS PRINTING AND ARE SUBJECT TO CHANGE. CHECK THE SHIIP WEB SITE FOR THE MOST CURRENT INFORMATION.
INTRODUCTION
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MEDICARE PART A (HOSPITAL INSURANCE) ‒ COVERED SERVICES PER BENEFIT PERIOD 2018
Services Benefit Medicare Pays (1) You Pay (1)$1,340 $1,340
$335 $335
$670 $670
POST-HOSPITAL SKILLED NURSING FACILITY CARE
$167.50 $167.50
HOME HEALTH CARE
HOSPICE CARE
BLOOD
1
2
3
4
$0 $422$232
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MEDICARE PART B (MEDICAL INSURANCE) ‒ COVERED SERVICES PER CALENDAR YEAR
The monthly Part B premium for 2018 is $134. $85,000$170,000
2018Services Benefit Medicare Pays You Pay (5)
MEDICAL EXPENSE $183 (6)
(7)
CLINICAL LABORATORY SERVICES
PREVENTIVE BENEFITS
HOME HEALTH CARE
$183 (6)
OUTPATIENT HOSPITAL TREATMENT$183
$183 (6)
BLOOD$183
$183 (6)
(8)
56 $183
78
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yourself
Do notdo not pay with cash
TIPS FOR PURCHASING MEDICARE SUPPLEMENT INSURANCE
INNOVATIVE PLAN BENEFITS
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LAWS CONCERNING MEDICARE SUPPLEMENT INSURANCE
FREE-LOOK PERIOD
GUARANTEED RENEWABLE
OUTLINE OF COVERAGE
NAIC/CMS BUYER’S GUIDE
2018 Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare
SUSPENSION OF SUPPLEMENT WHILE ON MEDICAID
SALES OF DUPLICATE OR MULTIPLE POLICIES FORBIDDEN
OPEN ENROLLMENT PERIOD ‒ AGED 65 AND OLDER
OPEN ENROLLMENT PERIOD ‒ MEDICARE-ELIGIBLE DUE TO DISABILITY (YOUNGER THAN 65)
IMPORTANT NOTE: You will have another open enrollment period upon turning age 65 that will allow you to purchase any Medicare Supplement plan being offered in North Carolina regardless of your health condition.
PRE-EXISTING CONDITION WAITING PERIOD
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MEDICARE ADVANTAGE and MEDICARE PRESCRIPTION DRUG PLANS
Medicare Advantage
2018 Medicare & You Handbook
Medicare Prescription Drug Coverage
2018 Medicare & You Handbook
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GUARANTEE ISSUE LAWS FROM THE BALANCED BUDGET ACT OF 1997
Guaranteed Coverage for Certain Medicare Advantage Enrollees
Newly Eligible Medicare Beneficiaries
when they first become eligible
Medicare Supplement Policyholders
63-Day Guarantee Issue Period for Medicare Supplement Plans A, B, C, F, K and L
APPLICANTS MUST ENROLL WITHIN 63 DAYS OF TERMINATION OF THEIR PREVIOUS PLAN.
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OPTIONS FOR DISABLED PEOPLE YOUNGER THAN 65 AND MEDICARE ELIGIBLE
Open Enrollment
Medicare Advantage
PLEASE NOTE: It is important to remember that people with Medicare due to disability have a second six-month open enrollment period at age 65 just like anyone becoming eligible for Medicare for the first time. This means that at age 65 all Medicare Supplement plans sold in NC are available to anyone on Medicare who is covered under Medicare Part B.
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CREDITABLE COVERAGE FOR MEDICARE SUPPLEMENTS
You have a guaranteed issue right (which means an insurance
situations:
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Plan A Plan B Plan C Plan D Plan F* Plan G Plan K Plan L Plan M Plan N
Part A Deductible for 2018 is $1,340Part B Deductible for 2018 is $183
Basic Benefits
$335$670
2018 STANDARDIZED MEDICARE SUPPLEMENT PLANS CHART
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STANDARDIZED MEDICARE SUPPLEMENT PLAN BENEFITS EXPLAINED
BASIC BENEFITS ‒ AS FOUND IN PLAN A
ADDITIONAL BENEFITS
PLAN B
PLAN A
BASIC BENEFITS
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PLAN C
BASIC BENEFITS ‒ AS FOUND IN PLAN A
ADDITIONAL BENEFITS
PLAN D
BASIC BENEFITS ‒ AS FOUND IN PLAN A
ADDITIONAL BENEFITS
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PLAN F
BASIC BENEFITS ‒ AS FOUND IN PLAN A
ADDITIONAL BENEFITS
BASIC BENEFITS ‒ AS FOUND IN PLAN A
ADDITIONAL BENEFITS
PLAN G
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MEDICARE SUPPLEMENT PLANS K and L
PLAN K
PLAN L
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PLAN M
BASIC BENEFITS ‒ AS FOUND IN PLAN A - EXCEPT UP TO $20 COPAY FOR OFFICE VISITS AND UP TO $50 COPAY FOR ER VISITS
ADDITIONAL BENEFITS
PLAN N
BASIC BENEFITS ‒ AS FOUND IN PLAN A
ADDITIONAL BENEFITS
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LICENSED MEDICARE SUPPLEMENT INSURANCE COMPANIES
Aetna Health & Life Insurance Company
Aetna Life Insurance Company
American National Life Insurance Company of Texas
American Republic Corp Insurance Company
American Republic Insurance Company
American Retirement Life Insurance Company
Americo Financial Life and Annuity Insurance Company
Assured Life Association
Bankers Fidelity Life Insurance Company
Blue Cross Blue Shield of North Carolina
Central States Indemnity Companyof Omaha
Cigna Health and Life Insurance Company
Colonial Penn Life Insurance Company
Combined Insurance Company of America
Companion Life Insurance Company
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Constitution Life Insurance Company
Continental Life Insurance Company of Brentwood, Tennessee
Coventry Health and Life Insurance Co.
CSI Life Insurance Company
Equitable Life & Casualty
Erie Family Life Insurance Company
Everest Reinsurance Company
First Health Life and HealthInsurance Company
Gerber Life Insurance Company
Globe Life and Accident Insurance Company
Government Personnel Mutual Life Insurance Company
GPM Health and Life Insurance Company
Greek Catholic Union of the USA
Guarantee Trust Life Insurance Company
Humana Insurance Company
Individual Assurance Company
Liberty Bankers Life Insurance Company
Loyal Christian Benefit Association
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Manhattan Life Insurance Company
Massachusetts Mutual LifeInsurance Company
Medico Corp Life Insurance Company
Mutual of Omaha Insurance Company
New Era Life Insurance Companyof the Midwest
Old Surety Life Insurance Company
Order of United Commercial Travelers of America
Oxford Life Insurance Company
Physicians Mutual Insurance Company
Renaissance Life and Health Insurance Company of America
Reserve National Insurance Company
SBLI USA Life Insurance Company, Inc.
Sentinel Security Life Insurance Company
Shenandoah Life Insurance Company
Standard Life and Accident Insurance Company
Standard Life and Casualty Insurance Company
State Farm Mutual Automobile Insurance Company
State Mutual Insurance Company
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Thrivent Financial for Lutherans
Transamerica Life Insurance Company
Unified Life Insurance Company
United American Insurance Company
UnitedHealthcare InsuranceCompany/AARP
United of Omaha Life Insurance Company
United World Life Insurance Company
USAA Life Insurance Company
A NOTE TO THE CONSUMER
Do not be alarmed if your Medicare Supplement policy does not appear in this book.
PUBLICATION OF THIS GUIDE IS FOR INFORMATION ONLY. Its purpose is to assist and educate people shopping for Medicare Supplement insurance policies. Inclusion of a policy or plan in this guide does not in any way constitute an endorsement of that policy, plan or insurance company by the North Carolina Department of Insurance.
Visit www.ncshiip.com and click on the Medicare Supplement Premium Comparison Database to find the most recent information for these companies.
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MEDICARE SUPPLEMENT COMPANIES AND THE PLANS THEY OFFER
COMPANY A B C D F F+ G K L M N COMMENTSAetna Health and Life Insurance Company
Aetna Life Insurance Company
American National Life Insurance Companyof Texas
American Republic Corp Insurance Company
American Republic Insurance Company
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COMPANY A B C D F F+ G K L M N COMMENTSAmerican Retirement Life Insurance Company
Americo Financial Life and Annuity Insurance Company
Assured Life Association
Bankers Fidelity Life Insurance Company
Blue Cross Blue Shield of North Carolina
Central States Indemnity Company of Omaha
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COMPANY A B C D F F+ G K L M N COMMENTSCigna Health and Life Insurance Company
Colonial Penn Life Insurance Company
Combined Insurance Company of America
Companion Life Insurance Company
Constitution Life Insurance Company Contact Company Directly for Plan Information
Continental Life Insurance Company of Brentwood, Tennessee
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COMPANY A B C D F F+ G K L M N COMMENTSCoventry Health & Life Insurance Company
Contact Company Directly for Plan Information
CSI Life Insurance Company
Equitable Life & Casualty Insurance Company
Erie Family Life Insurance Company
Everest Reinsurance Company
First Health Life & Health Insurance Company
Contact Company directly for plan information
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COMPANY A B C D F F+ G K L M N COMMENTSGerber Life Insurance Company
Globe Life and Accident Insurance Company
Government Personnel Mutual Life Insurance Company
GPM Health and Life Insurance Company
Greek Catholic Union of the USA
Guarantee Trust Life Insurance Company
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COMPANY A B C D F F+ G K L M N COMMENTSHumana Insurance Company
Individual Assurance Company
Liberty Bankers Life Insurance Company
Loyal Christian Benefit Association Contact Company directly for plan information
Manhattan Life Insurance Company
Massachusetts Mutual LifeInsurance Company
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COMPANY A B C D F F+ G K L M N COMMENTSMedico Corp Life Insurance Company
Mutual of Omaha Insurance Company Contact Company directly for plan information
New Era Life Insurance Companyof the Midwest
Old Surety Life Insurance Company
Order of United Commercial Travelers of America
Oxford Life Insurance Company
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COMPANY A B C D F F+ G K L M N COMMENTSPhysicians Mutual Insurance Company
Renaissance Life and Health Insurance Company of America
Reserve National Insurance Company
SBLI USA Life Insurance Company
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COMPANY A B C D F F+ G K L M N COMMENTSSentinel Security Life Insurance Company
Shenandoah Life Insurance Company Contact Company directly for plan information
Standard Life and Accident Insurance
Standard Life and Casualty Insurance Company
Contact Company directly for plan information
State Farm Mutual Automobile Insurance Company
State Mutual Insurance Company Contact Company directly for plan information
Thrivent Financial for Lutherans
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COMPANY A B C D F F+ G K L M N COMMENTSTransamerica Life Insurance Company
Unified Life Insurance Company
United American Insurance Company
UnitedHealthcare Insurance Company/AARP
United of Omaha Life Insurance Company
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MEDICARE SUPPLEMENT 2010 STANDARDIZED SELECT PLANS ‒ 2018
COMPANY A B C D F F+ G K L M N COMMENTSGerber Life Insurance Company
Sentinel Security Life Insurance Company
UnitedHealthcare Insurance Company/AARP
COMPANY A B C D F F+ G K L M N COMMENTSUnited World Life Insurance Company
USAA Life Insurance Company
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GLOSSARYACTUAL CHARGE
APPROVED CHARGES
ASSIGNMENT
ATTAINED AGE PREMIUM
COORDINATION OF BENEFITS (COB)
COPAYMENT
COSTWISE
CREDITABLE INSURANCE COVERAGE
CROSSOVER
DEDUCTIBLE
DURABLE MEDICAL EQUIPMENT MEDICARE ADMINISTRATIVE CONTRACTOR (DME MAC)
EFFECTIVE DATE
EXCLUSIONS OR EXCEPTIONS
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EXPERIENCE RATING
FREE-LOOK
GRACE PERIOD
HOSPICE
ISSUE AGE PREMIUM
LIMITING CHARGE
MEDICARE ADMINISTRATIVE CONTRACTOR (MAC)
MEDICAID
MEDICARE SAVINGS PROGRAM
NON-PARTICIPATING PHYSICIANS
PARTICIPATING PHYSICIANS
PRE-EXISTING CONDITIONS
PRE-EXISTING CONDITION WAITING PERIOD
QUALITY IMPROVEMENT ORGANIZATIONS (QIO)
UNDERWRITING
USUAL, CUSTOMARY AND REASONABLE (UCR)
SHIIP Medicare Supplement Comparison Guide • 2018 Page 33
COMPARISON DATABASE ON THE WEB
estimated
http://www.ncdoi.com/medisupp/citizen/search.asp.
NOTES:
NCDOI MSCG18 • Published April 2018
1201 MAIL SERVICE CENTER RALEIGH, NC 27699-1201
WWW.NCSHIIP.COM Toll free 855.408.1212
Tel 919.807.6900Fax 919.807.6901
