1. Medicare Supplements; The Who, What & Why Presented by: Mary Anne Francis, RHU, LUTCF Brown & Brown of Washington

2. Medicare Supplements: What is available? 1.Original Medicare Supplements- “Medigap”- Plans A to J 2. MedAdvantage / Alternative Plans 3. Part D Drug Plans

3. Medicare Supplements: Plans A to J

4. Medicare Supplements: A to J Premiums

5. Medicare Supplement: Alternative Plans Called MedAdvantage Plans- Examples:  Pacificare Secure Horizons  Group Health HMO Plan  Regence MedAdvantage Plan

6. Med Supp Alternatives: MedAdvantage Plans Regence MedAdvantage offers-  Low Premiums  Choice of Provider Network  With or without drug coverage  Supplemental services not included in A to J Med Supplements

7. Medicare Supplements: MedAdvantage Plans Regence MedAdvantage PPO Plan - In Network:  $5 Copay for Office Visits  $100 per day Hospital Copay 3X max.  Dental Cleanings & X-rays to $500 Annual  Discounts on other services  $1,000 Annual Maximum Out-of-Pocket

8. Medicare Supplements: MedAdvantage Plans Regence MedAdvantage Out-of-Network Benefits:  $250 Annual Deductible  20% Coinsurance for Services  $100 per day Hospital Copay  $3,000 Annual Maximum Out-of-Pocket

9. Medicare Supplement: MedAdvantage Plans Premiums – 2007  MedAdvantage no Rx$ 99.00 monthly  MedAdvantage + Rx $127.00 monthly  MedAdvantage + Rx Enhanced $137.00 monthly

10. Medicare Supplements: Part D Drug Plans How they Work: How they Work:  You pay annual deductible- $0 to $265  Then copays, depending on type of RX- generic, preferred brand name, non- preferred brand name  Copays range $5 to $55 until...

11. Medicare Supplements: Part D Drug Plans  Until total cost of drugs reach $2,250  At that point plan stops paying until total drug costs exceed $3,600 for the year  This is called the “Donut Hole” or “Gap”  Plan pays 95% of drug costs after Gap for remainder of year

12. Medicare Supplements: Part D Drug Plans How do I locate Plans?  www.medicare.gov www.medicare.gov  Agents  SHIBA Volunteers  Local pharmacies will compare based on your RX  Over 70 Plans in WA offered

13. Medicare Supplements: Part D Drug Plans What needs to be considered?  Service Area of Plan  Copays  Formulary – Do they carry my drugs?  Premium Costs  Preferred/nonpreferred Pharmacy

14. Medicare Supplements: Part D Drug Plans Must I sign up?  Penalties apply later for failure to enroll  Can I change if I don’t like my Plan?  November 15 to December 31 Open Enrollment  Change effective January 1

15. Medicare Supplements: What are my resources? Local:  SHIBA Volunteers - 253-596-0918 or 1- 800-562-6900 253-596-0918 or 1- 800-562-6900  Medicare Help line 1-800-633-4227  Social Security Office 1-800-772-1213

16. Medicare Supplements: Web Based:  www.medicare.gov www.medicare.gov  Order Publications  Use Drug Finder  Get Updated information

17. Medicare Supplements: Web Continued:  www.ssa.gov Social Security Administration www.ssa.gov  www.insurance.wa.gov Insurance Commissioners office www.insurance.wa.gov

18. Medicare Supplements:  Q uestions?