As I have indicated in the past my wife and I went onto Part A and enrolled in Part B of Medicare this year. I started on May 1st and my wife February 1st. Just some background, the past eight years I have had a high deductible plan with Life Wise of Washington state. We had a $6000 family deductible plan and was paying about $700 per month the last year we had the plan. I had also enrolled in an HSA eight years ago as well so today the balance of my HSA account is over $50,000. As most of you know this fund can be used for co-pays for doctors visits as well as prescription drugs.
My wife and I both chose the $0 premium MA only PFFS plan available in Washington state. (My wife does take some prescription drugs so I enrolled her in Humana’s WalMart standalone PDP, as I do not take any drugs, I chose not to enroll in a PDP.) This is a Medicare look alike plan meaning I am responsible for the Part A hospital deductible and 20% of the Part B outpatient expenses, however, there is no Part B deductible, I pay 20% from the first dollar of charges.
I have used this plan three times so far, twice at the ophthalmologists and once at the dermatologists. I could not be happier with how the plan works. First of all, I am not paying for my healthcare in advance in the form of a premium. Not for a high deductible plan like I did before going onto Medicare or for a traditional Medicare supplement. I am only paying for 20% of the Medicare approved charge and that is a lot less the than the $8400 in premium I paid for Pat and I last year. If I had chosen a traditional Plan F my premium would have been around $200 per month for me and $200 for Pat or about $4800 per year.
I have my annual physical scheduled for the fist week of August with the doctor I have had the past several years. In past her office accepted Life Wise. Before going onto Medicare I called my doctors office to explain I was planning on enrolling in Humana’s MA only PFFS plan. The office manager explained they did not officially accept Humana but as I was currently a patient, the office would accept Humana’s terms and conditions and bill them directly so I could continue to keep my current doctor.
So far I could not be happier with the choices I have made. I now go to the downtown YMCA using Silver Sneakers and no longer pay $55 per month to OZ fitness. The best part is on October 15th I can look at all the options available for 2014 and make a new choice if I find a better option with no pre-existing conditions or waiting periods. The new choices today really are a win win situation for Medicare beneficiaries like me.
Earlier this week I read that our country’s spending on health care has been at historic lows for a third straight year. The conclusion was formed by comparing health spending growth rates to the overall growth of the economy, reasoning that it’s easier to keep up with the costs if the two are aligned, than if health spending surges ahead.
If Larry cannot help with the situation, he immediately contacts the person or appropriate department that can help with the producer’s situation. Larry Bishop is dependable even when he is out of the office. Also, he knows Humana and understands all the plans that would help our clients. There is a benefit to being contracted through an agency who values the agents and understands the products.
We would strongly recommend Bishop Marketing Agency and Larry Bishop.”
April, LUTCF, CSA, LTCP, CIC
Whether the change involves premiums, benefits, network, or administration, he never fails to keep everyone updated. He also makes sure everyone stays on top of their recertification requirements at the appropriate times. If you are looking for someone who is suggestive, a great problem solver, and ready to help at all times, Larry Bishop is your guy.”
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