We understand that Oregon Medicare health insurance can be a confusing subject if you are not familiar with it. We take the time to explain it to you, answer all your questions, make sure you are satisfied, and are always just a phone call away. Call Lorraine Mason has worked with Medicare health insurance in Oregon for 12 years and can help with all your questions.
What is Medicare Health Insurance?
Medicare was established in 1965 and is a U.S. Government Administered Health insurance Program for:
- People age 65 and older
- People under age 65 with certain disabilities
- People of all ages with kidney failure requiring dialysis or a transplant
Medicare Has 4 Parts
When to Apply for Medicare Health Insurance in Oregon
Most people become eligible the month they turn 65. But there are many other situations where Oregonians are eligable. The easiest way to apply is directly from the social security website at www.socialsecurity.gov but you can also go into your local social security office. If you are in the Portland area there is a local office in Beaverton and one in Portland Oregon.
Generally, Each year from October 7 to December 15 you will be able to change your plan if you are on an Advantage Plan. There are a few other special enrollment periods during the year please call to see if you are eligible.
Medigap Plans VS Advantage Plans
There are many insurance companies representing each type of insurance. There are advantages and disadvantages to each type of plan. So you must decide what type of plan is right for you. FG Insurance represents top rated companies and is happy to help you with the confusion.
These are excellent plans and you do not have to worry about choosing any network of doctors. The nice thing about Medigap Plans is that once you choose your plan in Oregon, all insurance companies must offer exactly the same coverage. We feel the Medigap plan F and is the best plan options available.
If you are on a MEDIGAP plan. As of January 2013 you will be able to change plans on your birthday from on Medigap plan to another like Medigap plan with out going thru underwriting. So this will allow you to shop your plan the month of your birthday.
With a Medigap plan F you will have little to no medical expenses. The bad part of these plans is that less and less doctors are now accepting Medicare. You must find your own Prescription Drug Plan and these plans do not pay for Glasses, Hearing Aids, Dental and have a limited Alternative Care benefit. Generally Medicare does not pay for Alternative care at all with the exception of a very small bit of Chiropractic benefit
Medicare Advantage Plans
There are many of these plans on the market and you need to find a plan that is available in the area you live in. Most of these plans use a PPO network and you must make sure your doctor is an in network doctor. Advantage plans work similar to health insurance, you have a co-pay at the doctor and usually a co-pay for hospitalization, surgeries and other procedures.
There is a yearly limit to your out of pocket expenses and it varies widely. The real advantage to these plans is that many of them offer Alternative care, Vision Care and many offer some Dental. Usually your Prescription drug plan is part of your monthly premium.
Prescription Drug Plans
With your Advantage Plan you will generally just take the prescription plan that goes with the plan you are on. With a Medigap plan you will have to choose your own plan. FG Insurance represents several carriers, but quite frankly this is not usually best for you. If you go to www.medicare.gov click on the prescription link you will be able to find the least expensive plan for the medications you are currently taking and apply right on line.
Medicare is for people age 65 and older or under 65 and disabled.
The Senior Health Insurance Benefits Assistance (SHIBA) program provides free counseling to people with Medicare and those who assist them. Call our toll-free SHIBA Helpline at 1-800-722-4134 to receive one-on-one counseling and assistance from state office staff or trained SHIBA volunteers in your area. We can help you select a Medicare prescription drug plan, compare Medicare Advantage Plans, compare Medicare Supplement Plans, and help you apply for Medicare Savings Programs, including Extra Help with Medicare Prescription Drug coverage. We also can help you review your Medical bills, and file appeals or complaints.
http://www.oregon.gov/DCBS/SHIBA/docs/2012_guide.pdf this is a link to the SHIBA book.