The chances are you are currently researching Medicare and realizing that it is not a black and white process. Yes, the government stepped in and provided medical care to the U.S citizens at next to no cost, but it does not make it any easier making that initial choice to sign up for Medigap.
While Original Medicare is a federally regulated insurance program, it is not set up to lessen the bulk of out-of-pocket health care costs. Unfortunately, most of these supplemental programs do not cover copays and deductibles in full. Given that the program specifically caters to the medical needs of seniors, the gaps still leave a financial burden.
That is where the Mutual of Omaha Medigap comes in to address the “Medicare loopholes.”
A Brief Background Of The Mutual Of Omaha Medicare Supplements
The Mutual of Omaha is one of the top producers of Medicare supplements. They have offered Medicare plans since it was signed into law, and the company has been in existence for even longer – since 1909. Headquartered in Omaha, Nebraska, the companies Medigap policies are available for purchase nationwide.
United of Omaha, Omaha Insurance Company and United World Life are some of its subsidiaries. The insurers are national leaders when it comes to offering life, health, dental, and Medicare insurance.
The Mutual of Omaha Medigap plans follows federal regulations which means that their policies are the same benefits you would purchase from a different company.
What Is The Role Of The Mutual Of Omaha Medigap?
The primary purpose of the Medicare supplemental insurance is to cover costs that the Original Medicare plan excludes. It does not mean that they pay all medical expenses, but they just cater for those medical expenses within A and B that Original Medicare does not cover. Most importantly, Medigap helps to cover in full, or part costs related to deductibles and copayments.
A coinsurance model is used to pay medical claims under the Original Medicare and Medigap. However, if you choose to buy a Medicare Advantage policy, then you will not be able to use Medigap to offset the costs not covered by your Original Medicare plan.
One of the benefits of choosing a supplement policy is the freedom to keep your doctor. All hospitals and doctor’s offices that accept the Medicare assignment will also take Medigap covers.
All insurers are bound by law to offer the some Medigap plans. Each company can supply a maximum of 12 programs labeled from A to L. However, Mutual of Omaha provides Medigap plans A to N, but they do not offer the D drug cover.
The EyeMed Cover By Mutual of Omaha
While Mutual of Omaha does not offer the D prescriptions cover, some boomers may find their EyeMed Vision Care cover attractive. The cover includes a $50 eye exam, as much as 40% off on eyeglass frames, and fixed price discounts for lenses.
EyeMed Vision Care retailers including Pearle Vision, Lenscrafters, and JCPenney Optical amongst others accept the policy through your Mutual of Omaha insurance card.
Who Is Eligible For A Medigap Policy
Anyone who is eligible for Medicare or already has an Original Medicare policy can sign up for Medigap. These policies are issued by private insurers but still function within state regulations. The complication lies on whether or not to even sign up for these policies in the first place.
These supplemental plans function independently from TRICARE, Medicare Advantage, Veterans Administration (VA), or employer/union covers.
When Should You buy A Medigap Plan?
When it comes to Original Medicare, you may be aware that eligibility begins at 65 and you must enroll in the program within a six-month window. There are a few exceptions of cause where beneficiaries are signed up before reaching 65. Such situations include if you have ALS or renal disease in its final stages and if you are on social security and receiving disability benefits.
Now, you can decide to sign up for an Omaha Medigap plan during your Medicare open enrollment period. At this point, the insurer cannot reject your application, you will no have to go through underwriting, and the policy is not subject to waiting periods before coverage begins.
You are also free to apply or a Medicare supplement if your employer discontinues an employee/union group policy you are under. You can also leave a Private Fee for Service or Medicare Advantage Plan to sign up for a Medigap plan. Worth noting is that having any of the policies mentioned prohibits you from purchasing a Medigap plan past your open enrollment period.
How Should You Get A Medigap Cover?
Most likely, you got to this article by initiating an internet search on Medicare and Medigap. However, we do not recommend sending Medicare quote requests to all the company websites you will visit. It is just because you want to avoid being bombarded by emails and even calls from Medicare agents. Also, if you only asked for a quote from one site, you may still end up getting calls from several different agents.
Unfortunately, most of the Medicare quote sites that you will come across at first are out to collect your information and sell it as Medicare leads to different agents.
The bottom line is that whether you go with a Mutual of Omaha Medigap plan or the same policy from another company they will offer the same exact benefits. While there may be price differences, they are usually very negligible, and the claim payout timelines are also even.
Your decision should be based on the company you feel that you can trust most and personal preference. Also, make sure that you have read between the lines and fully understand what each policy covers and whether they meet your individual needs. The last thing you want is to have t pay for insurance you do not need or fail to have the plan you need to take care of your health needs.
Last but not least, if you are still unsure about everything, remember that you have six months to take up both Medicare and the Mutual of Omaha Medigap without any penalties.