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Posted 07/10/2023 in Medicare Advantage

Unlocking the Benefits of Philadelphia American Medicare Supplement: A Comprehensive Guide for Seniors


Unlocking the Benefits of Philadelphia American Medicare Supplement: A Comprehensive Guide for Seniors

Unlocking the Benefits of Philadelphia American Medicare Supplement: A Comprehensive Guide for Seniors

Are you looking for Philadelphia American Medicare Supplement and unable to find them? We'll discuss these plans and why they can be challenging to find. We'll also give you some alternatives that may work for you.


Before You Start with Philadelphia American Supplement Plans: Understanding Medicare Basics

Before you dive into the world of Philadelphia American Medicare Supplement plans, it's essential to understand some basic information about Medicare. Medicare is a federal health insurance program that provides coverage for people 65 years and older and those with specific disabilities or illnesses. Medicare has four parts: A, B, C, and D.


Part A covers inpatient hospital stays and other medical services like skilled nursing facility care. Part B covers outpatient services like doctor's visits, lab tests, preventative screenings, and more. Together these two parts make up Original Medicare - this is what most people think of when they hear "Medicare." Parts C and D are optional additions you can choose from depending on your needs.


Understanding how these different parts work together will help you determine if adding one of Philadelphia American's supplement plans would be suitable for you and which would best suit your specific situation.


Nowadays, there are tons of options available when choosing a supplemental insurance plan - but don't worry! It doesn't have to be overwhelming. By learning about the basics of Medicare before jumping into specific add-ons like Philadelphia American supplement plans, you can gain confidence in making informed decisions about your healthcare coverage going forward.

Medicare Part A in Philadelphia

Medicare Part A is a federal health insurance program that provides coverage to individuals aged 65 and older and those with specific disabilities or medical conditions. In Philadelphia, seniors can access Medicare Part A benefits through https://Medicare.gov or by contacting Social Security at 800-772-1213.

One of the key benefits of Medicare Part A in Philadelphia is hospitalization coverage. This means that if you are admitted to a hospital for an extended period of time, your medical expenses will be covered after a deductible and copay amounts. This Plan may also cover some skilled nursing care, home health care, and hospice services.

You'll likely get Part A for free because you pay into Part A while working.


Medicare Part B in Philadelphia

One of the most critical parts of Medicare for seniors is Part B. This part covers medical services and supplies necessary to keep patients healthy or monitor and treat a condition. Some examples include doctor visits, preventive services like mammograms, outpatient care, home health care, and durable medical equipment like wheelchairs or walkers.


Philadelphia residents can enroll in Medicare Part B during their initial enrollment period, typically three months before they turn 65 until three months after they turn 65. If you miss this window, there may be penalties for late enrollment unless you have another form of creditable healthcare coverage.

Additionally, it's essential to remember that while Medicare typically covers about 80% of costs under Part B, individuals are responsible for paying premiums and any deductibles or copayments associated with covered services. The premium for Part B is $164.90 per month in 2023, and you must continue paying it if you get a Medicare Advantage Plan or a Medicare Supplement Plan. High-income earners may pay more.

Some seniors opt to purchase Philadelphia American Medicare Supplement plans (Medigap plans), which cover some costs not paid by Original Medicare, including some part A & part B costs such as coinsurance fees at skilled nursing facilities and benefit amounts beyond what Original Medicare provides. We'll discuss that a little later.


Medicare Advantage vs. Medicare Supplement Plans

When it comes to Medicare, a variety of options are available to seniors. Two popular choices are Medicare Advantage (MA) and Medicare Supplement plans, also known as Medigap. The main difference is that Medicare Advantage plans replace your Original Medicare coverage while Medigap plans supplement it.


Medicare Advantage plans often come with lower premiums. Still, they may limit you in terms of which doctors and hospitals you can use. These plans typically include additional benefits like dental, vision, and prescription drug coverage. On the other hand, if you choose a Medigap plan, you can continue visiting any healthcare provider who accepts Medicare without network restrictions. However, these policies generally have higher monthly premiums than their MA counterparts.


Philadelphia American (now known as New Era Life of the Midwest) offers various Medigap policies that provide different levels of coverage depending on individual needs. Although they can be challenging to locate sometimes - especially after their merger - plenty of alternative insurance providers offer similar products fitting for people nationwide at competitive rates. By weighing both the pros and cons before deciding what policy suits an individual best when choosing between advantage vs. supplement or Philly-based vs. non-local providers — ultimately allowing them access to quality medical care favored by senior citizens across America's demographics.


Medicare Drug Plans in Philadelphia

Regarding Medicare drug plans (AKA PDP or Prescription Drug Plans) in Philadelphia, there are various options to choose from. These plans are designed to help seniors pay for their prescription drugs. They can be incredibly helpful in managing healthcare costs. However, finding the right Plan that meets your needs can be challenging.


One thing to keep in mind is that not all pharmacies accept every Medicare drug plan, so it's essential to check with your preferred pharmacy before enrolling in a plan. In addition, some plans may restrict which medications they cover or how much you'll need to pay out-of-pocket. It's also worth noting that each year, the various Medicare drug plans update their formularies (i.e., list of covered drugs), so you should review your coverage annually during open enrollment.


Despite these challenges, plenty of resources are available for seniors looking for information about Medicare drug plans in Philadelphia. Talking with a licensed insurance agent specializing in Medicare can be particularly helpful as they can provide personalized guidance based on your specific needs and budget. With research and support from trusted professionals, you'll soon unlock the many benefits of Philadelphia American Medicare Supplement or other Supplement Plans!


Frequently Asked Questions About Philadelphia American Medicare Supplement

Philadelphia American Medicare Supplement plans were a popular option for seniors who wanted the peace of mind that came with knowing they had comprehensive coverage. They have merged with New Era Life, and the company website states, "† Each of these companies has sole responsibility for the products they issue.".

New Era is rated 1.8 out of 5 stars by Investopedia, and the AM Best rates their financial strength as A-.

One of the most frequently asked questions about these plans is where to find them. Unfortunately, Philadelphia American does not offer Medicare Supplement plans in every state, making finding them challenging. However, other insurance companies offer similar programs that may be available in your area. They are offered in Philadelphia, but they are not the most affordable Plan G. They come in at $183.28 per month for a 65-year-old non-smoking male (for a September 2023 start date) in zip code 19093.


Another common question about Philadelphia American Medicare Supplement is what benefits they provide. These plans can cover many out-of-pocket expenses such as deductibles, coinsurance, and copayments that Original Medicare does not cover. They may also include additional benefits like emergency care when traveling internationally or skilled nursing facility care after a hospital stay. The specific benefits and costs vary by plan level and location, so it's important to research to find the best options for you.

Currently, the most popular Plan is "Plan G," which covers 100% of Medicare-approved services after a small deductible. The deductible is $226 in 2023.

Overall, suppose you're looking for comprehensive coverage and live in an area where Philadelphia American offers their Medicare Supplement plans. In that case, they may be an excellent choice. If not, don't worry – there are many other insurance providers out there who also offer the same coverage at competitive prices. Shopping around and comparing options before deciding on any healthcare plan is essential. With the correct information and guidance from trusted advisors or professionals like us here at [company name], you can unlock all the benefits of Philadelphia American or other top-rated insurers within reach!

Contact one of our member agents today at https://CertifiedMedicareAgents.com.


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