Tuesday, February 25, 2014

Have Medicare? Keep it. The MarketPlace Exchange Plans are for those who don't. Confused? Just give me a call.

MedicareRights.org
 
Dear Marci,
I have a Medicare Advantage plan, but I’ve heard that I can buy a health
insurance plan with better coverage in the Marketplace. Should I drop
my Medicare Advantage plan and buy a health insurance plan in the
Marketplace?
– Luiz (Norwalk, CA)
 
Dear Luiz,
No. If you have Medicare, you should not buy health insurance plans
through the Health Insurance Marketplace.This is true, whether you get
your Medicare benefits through Original Medicare, the traditional Medicare
program directly administered by the federal government, or through a
Medicare Advantage plan, which is Medicare coverage offered through
a private insurance company.
Health Insurance Marketplaces, also known as Health Insurance Exchanges,
were created under the Affordable Care Act (sometimes called “Obamacare”)
as a way for people who are uninsured or underinsured to compare and
purchase health insurance plans. Keep in mind that Marketplaces may have
different names, depending on which state you live in. For example, the
California Marketplace is called Covered California, while the New York
Marketplace is called the New York State of Health.
Again, the important thing to know is that people who have Medicare should
not drop their Medicare coverage and sign up for a Marketplace plan. If you
have Medicare, your Medicare benefits will not change as a result of the Market-
places. In addition, insurance agents and brokers are not allowed to sell you
Marketplace health insurance plans if they know you have Medicare.
Another thing to keep in mind is that the Marketplace is not a way for you to
get Medicare coverage. You cannot get Medicare coverage, such as
Original Medicare or Medicare Advantage plans, in the Marketplace.
Medigap plans, also known as supplemental insurance plans that helps pay
Original Medicare costs, will not be sold through the Marketplace. Similarly,
 Medicare prescription drug plans, also known as Medicare Part D plans, will
not be sold through the Marketplace.
Lastly, keep in mind that there are some consequences that may occur if you
drop your Medicare coverage and somehow mistakenly sign up for a health
insurance plan in the Marketplace. If you drop your Medicare coverage, you
 will most likely have to pay a premium penalty if you enroll in Medicare again
in the future. In addition, you will likely have to wait until a specific
enrollment period to sign up for Medicare and may therefore, experience gaps
 in health coverage.
Remember, it’s best to speak to a Social Security Administration agent anytime
you decide to drop your Medicare coverage. You can contact Social Security by
calling 800-772-1213 or by going to your local Social Security office. Be sure to
record the time and date of your conversation, who you spoke to and the outcome
of your conversation.
For information about your Medicare benefits, contact 800-MEDICARE or go
online and visit www.medicare.gov. Click here for more information on Medicare
and the Marketplaces.
-Marci