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Speaking of Seniors- Medicare client learning hard way about insurance economics

Written by Chronicle Staff. Posted in Community News & People in the News, Featured

Published on October 01, 2019 with No Comments

On Sept. 23, the daughter of one of our clients phoned us.  The daughter reported that our client had cried because she got a medical bill.  She did not understand why she got a medical bill.  The daughter faxed the bill to me to check.

Senior citizens sometimes don’t remember everything that was explained to them. All that I had to do in this case was check the bill with her insurance company to confirm what I suspected caused our client to get the bill.

Some seniors on Medicare forget what their insurance agent told them.  I wrote the following letter to our client to remind her what kind of policy she had selected to get.  Following is part of that letter.

You sent a medical bill to our Merrillville office.  You wanted to know if you should pay the bill.  The short answer is “YES”.

You bought a Standard Plan G Medicare supplement insurance policy.  No matter which insurance company you use, all Standard Plan G policies pay exactly the same.  The rules are set by the federal government.

All Standard Plan G policies DO NOT PAY THE MEDICARE PART B ANNUAL DEDUCTIBLE. This year, that is $185.  The federal government sets the amount of this deductible.  Insurance companies have nothing to do with it.

You could have bought a policy that pays the Medicare Part B annual deductible. But such a policy would have been more expensive for you.  If you told your insurance agent that you wanted a very good policy with the lowest premiums possible, it would be natural for the agent to recommend a Plan G.

With this Plan G policy, after you pay the first $185 of Medicare approved Part B claims, then Medicare and your Medicare supplement insurance company will pay 100 percent of Medicare-approved Part B claims FOR THE REST OF THE YEAR!

This bill is part of the first $185 of Medicare Part B claims that have been filed with Medicare this year.  Under federal Medicare rules, this bill is your responsibility and you should pay it.

If you have more questions about this policy, please contact the agent whom you consulted.  Thank you for allowing us to help you with your insurance needs.

All opinions, suggestions and conclusions are those of the author and do not reflect the views of The Chronicle. Woodrow Wilcox is the senior medical bill case worker at Senior Care Insurance Services in Merrillville, Indiana. He wrote the book SOLVING MEDICARE PROBLEM$ (www.SolvingMedicareProblems.com).

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