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5 Medicare add-on scams to watch out for



My agency has long focused on working with senior citizens as they approach the Medicare age, primarily by offering Ohio Medicare supplements. We are known for our informative, advisory approach. We explain what plans are available and help people choose the one that suits them best. We are also well versed in explaining how all pieces of Medicare fit together. So overall, we are a pretty good resource.

But we really must not talk to everyone who reaches the Medicare age. And when these people call or take a look because they have problems or questions, we hear some heartbreaking stories. When “Mr. I'm an outside salesman who does not give a shit about you. "Taking in and registering a Medicare-qualified person for their 'super-duper' plan, we get to pick up the pieces. We take phone calls from the Medicare-eligible people wondering why their plan is not working here or why Mr. Salesman is not returning And the worst is when we can not help ̵

1; especially when guaranteed enrollment periods have passed and / or they are stuck paying for something they can not use.

So my goal here is to give people facts. can try to convince you that these things do not matter, but they are WRONG. These are written down, hard facts. Insurance "gospel" if you will. So take this to heart. And share with those you love so they can avoid Here are the 5 most common Ohio Medicare Supplement scams you need to look at.

Medicare Supplement Scam # 1

My Super Duper Medicare Supplement Plan G is better than the other company's Plan G.

-addition plans were originally standardized in 1992, with further further standardization later. At the time of writing, the following plans are available in Ohio: A, B, D, G, K, L, M and N (plans C and F are ONLY available to those who have reached Medicare eligibility before 2020).

By law, plan benefits must be the same from company to company. So plan G with one company is EXACTLY the same plan with another company.

What CAN differ? Administrative tasks such as premiums, premium payment method, claims and processing of already existing conditions. But what CANNOT be different is the plan benefits. That's the law. So, if a salesperson tells you to, tell them to fly a kite.

Medicare Supplement Scam # 2

The open registration period for Medicare Supplement is not a big deal – if you are missing it, do not worry about it.

UGHHHHH…. Yes, it's a big deal and here's why: you're guaranteed a Medicare supplement within 6 months of signing up for Medicare Part B. What happens if you have a major medical condition such as cancer, stroke or heart attack? Does not matter – a company can not reject you if you apply during the six-month period.

But what if you sign up after your guaranteed enrollment period? Then a company can say "NO" to your application, which means no coverage. I would consider it a big deal, right? And if the seller says it's not, show them the door.

Medicare Supplement Scam # 3

If you want to change plan in the future, you can jump from Medicare Supplement to Medicare Supplement without any problems.

Like scam # 2, it's a big deal. When your guaranteed enrollment period is over, you will be subject to medical questions about the application.

So if you decide that you do not care about Company X or think that their premiums are too high and want to switch to Company Y, you will need to fill out an application and answer medical questions.

Company Y will review the application and either say Yes or No. If you have already canceled the extension with Company X? You're probably lucky. And would probably need to fill out a new application again.

Medicare Supplement Scam # 4

Medicare Advantage plans are the best option compared to traditional Medicare + a Medicare Supplement.

It depends. Medicare Advantage plans were introduced many years ago and actually take the place of original Medicare. They are similar to health insurance for 65 years in that you can have deductibles, co-pays, drug protection, etc. Premiums for Advantage plans are usually smaller because the plan requires you to see a doctor within a certain supplier network to get coverage.

In smaller areas, benefit plans may not be a good option. Why? Because the supplier network is also smaller. But agents who sell Advantage plans can make big money on every sale as opposed to making a small percentage of a Medicare supplement. And if the agent never needs to see the person again, where's the incentive to do what's right?

I can not stress this enough – if a salesperson suggests an Advantage plan – check the vendor network first. If your local hospital and doctor are not on the network, it may not be right for you. And if a salesperson says otherwise, go to the door and say "Thank you, but no thank you."

But you say …… “the prize is $ 0! How can I not do this? "My answer is, 'What if you have to pay for your doctor's visit or hospital stay completely out of your own pocket? Do you think the $ 0 prize was actually a bargain?

If you are in a metropolitan area, a benefit plan may make sense. But do your homework first and see if the doctors and hospitals you visit are covered. If it then looks good, check out the rest of the plan benefits.

Medicare Supplement Scam # 5

If you use the original Medicare and inadvertently lose your group, retirement or union health coverage, you have plenty of time to choose a Medicare supplement and are guaranteed to receive it.

NOPE.

This type of situation is extremely time sensitive. You have at least 63 calendar days after the last of these three dates:

  1. The date coverage ends.
  2. Date of the message you are told to cancel coverage (if you receive one).
  3. Date of a denial of claim, if this is the only way you know your coverage ceased. You fill in the application and pay the premium and you will receive it.

    You are missing the 63 days and you are no longer entitled to a guaranteed issue.

    The lesson here is that many insurance agents who sell Medicare-related insurance products resort to slippery selling tricks to sell their products. These 5 are the most common we come across. If you want to work with a trusted Ohio Medicare Supplement insurance agent who listens to your situation and only recommends what works for you, call us at (937) 592-4871 or fill out the form below!


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