Medi Gap Plan F is only going away for those not eligible on 1.2020
try Plan G
Medi-gap Plans C and F
Medi-gap Plans C and F will no longer be available to newly eligible Medicare beneficiaries beginning in January 2020.This is because CMS-Medicare decided they want those on Medicare to have more at stake when using benefits, so the Part B Deductible is no longer covered. Those who have previously purchase or were able to purchase Plan F, Innovative F, High F or F Extra, prior to January 1, 2020 can keep (Grandfathered) or enroll in the older plans!
For new enrollees, Plan G has same comprehensive benefits as Medicare Supplement Plan F, but Plan G does not cover the Part B deductible amount. Medicare now requires new people to pay the Part B deductible. Blue Shield Email dated 9.20.2017 * Choosing a Medi Gap Policy # 02110 * CA Health Advocates * AAFP.org * CMS.gov * CMS FAQ’s * AHCA of 2017 §102 would add $422,000,000 for 2017 * Small practices to be exempt? Modern Health Care 6.20.2017
Here’s rules on changing from F to G for lower premiums.
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA),
(H.R. 2, Pub.L. 114–10)
commonly called the Permanent Doc Fix,
establishes a new way to pay doctors who treat Medicare patients, revising the Balanced Budget Act of 1997. The reform is the largest in scale on the American health care system since the Affordable Care Act in 2010. It fixes the way Medicare doctors are reimbursed, fills in a funding gap and extends a popular children’s insurance program, CHIP.
There MACRA related regulations also address incentives for use of health IT by physicians. Wikipedia
- 2023 Official Medicare Guide to choosing a Medi Gap Policy # 02110
- Anthem Blue Cross Information & Enrollment
- United Health Care
- Blue Shield – Medi-Gap Information & Enrollment
- Your Rights to Enroll without Health Questions
Medi Gap pays the medical expenses that Original Medicare Part A (Hospital) and Part B (Doctor) doesn't. Check out the chart on this page to see what Medicare Pays, what you pay and what a Medi Gap plan pays.
- If you have a Medigap policy and get care, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then, your Medi-gap policy will pay its share. You’re responsible for any costs that are left. Medicare.Gov *
Original Medicare, Medicare Advantage nor Medi Gap pay for long term care either in a nursing home or at home care. Get more information on Long Term Care here. Even if you think you can't afford any extra premiums, there's a lot of valuable information to help with planning.
“Plan F Extra FAQ’s
- Blue Shield Extra F has vision and dental.
- What does it NOT have that Anthem Blue Cross F has
- There must be difference in premiums or something?
- Take a look at the chart above. The Federal Government sets the standards for what the 10 Medi Gap plans cover. See publication 02110 – Choosing a Medi Gap Policy for more detail.
- Thus, F Extra has to have everything that F has.
- You can get instant premium quotes & comparisons by clicking here.
- If you want to stay with Blue Cross Medi Gap they will probably have a plan G Extra in March.
- The point of Blue Shield Extra, is that they are having a special promotion and offering it to anyone who has a Medi Gap plan NOW, with any company.
- Normally, one must wait till their birthday to change to an equal or lesser plan. In 2020 Innovative and Extra doesn’t count as better.
- So, you could wait till your birthday and stay with Blue Cross.
- Underwriting Holiday for Medicare Supplement Plans
- We’re kicking off the holiday season with a holiday of our own. We’re happy to announce that for a limited time, current Medicare Supplement members from other carriers and from Blue Shield of California can enroll in Blue Shield’s Medicare Supplement Plan F Extra and Plan G Extra without underwriting approval.
- Why plan F cost more than F extra please?
- Click here to get Medi Gap Quotes.
- For 2020 F won’t be sold to new customers at all, right? See our page on that… F extra was low priced to have a “fire sale.” To get as many people into F before sales were mandated to be closed by the Federal Government.
- See also Social Determinants of Health below
- I am new to Blue Shield Plan F Extra & am unable to locate information regarding optometrists and benefits under the plan.
- Where is the information listed?
- You can find optometrists by using Blue Shield’s provider finder. See above for video instructions. Or calling Member Services at (800) 248-2341
- You can get details from the Summary of Benefits evidence of coverage
How about appointing us as your broker, no extra charge, Blue Shield pays us, so that we can get compensated for helping you?
- I just turned 85. My premium for Hi-F changed in October to $133 from $126.
- Do you have any info on significant premium jumps for my continuing on Hi-F?
- Do you have any guess on whether Hi-F will continue to be available to me?
- In my experience with Hi-F there have been two years where I received a rebate in excess of $100
- So I hope I can stay with Hi-F.
- The October 2019 edition of Cal Broker Magazine has that, pages 8 & 9. The magazine states that the Insurance Companies are still mandated to offer the coverage in the future for those who reached 65 by 12.31.2019 or qualified through SSDI.
- See the rate chart above, dated 10.2018. It shows the premium changing by age from $126 to $133. The advantage here for you is that at 85 there are no more increases due to age.
- I was recently told at a Blue Shield Agent meeting that F & Hi F would be offered – continued – grandfathered in the future for those that have it. Hi F won’t be available to new people, but you can keep it.
- If the group of those you have high f and f have too many claims, than instead of rebates, there could be rate increases. It’s a function of Medical Loss Ratio. Info on 2017 Rebates
- Would you please clarify the changes I got on my Hi F plan for 2020? Attached
- What is the premium change?
- What is the deductible change?
- Here’s Medicare.Gov on the cost sharing changes for 2020
- Does that “beg” the question, I paid so much into Medicare, why do they keep raising the costs?
- Here’s the latest rate sheet we have dated 4.2019
- If you look at the rate chart above, age 65 – $61, 67 – $64 and 69 – $71. Does your premium match that? We haven’t seen an update in the broker portal for your premium, nor been advised of any premium changes. We will post when we do.
- Part B Doctor visits deductible increases from $185 to $198
Part A Hospital from $1,364 to $1,408
- The deductible where Hi F starts paying goes from $2,300 to $2,340. Sure it’s a High Deducible when so many people want FREE everything, but look at the rate chart and you’re saving $1,200 or more per year. At higher ages around $3,500/year. More than you would get on claims!
- Any downside to all these extra benefits?
- It’s not one of the 10 standardized plans. Birthday Rule Guaranteed Issue? Rate Changes and switching?
- Do I have to actually buy plan F now to be grandfathered in
- or if I’m 65 now but I have a group plan
- when I no longer am working will I still be able to buy plan f?
- MACRA prohibits the sale of Medigap Plans C and F beginning in 2020, but only to newly eligible Medicare beneficiaries. Only people who become 65 in 2020 or later, or anyone who becomes eligible for Medicare in 2020 or later because of disability or ESRD, can’t buy it. An individual who becomes eligible for Medicare before 2020, continues to work and delays enrollment in Part B, may buy Medigap Plan C or F if they leave that employment and enroll in Part B in 2020 or later. CA Health Care Advocates *
- Individual & Family Health & Dental Direct ***
- Medi Gap, Part D Rx & Medicare Advantage 2023
- Employer Small Group
- No extra charge for Broker Support
- Steve Video @ Blue Shield of CA Headquarters
Resources & Links
NAIC – National Assoc of Insurance Commissioners – Guidance for MACRA * FAQ’s *
Section 401 of MACRA – Sec. 1882. [42 U.S.C. 1395ss] (z) prohibits the sale of Medigap policies that cover Part B deductibles to “newly eligible” Medicare beneficiaries defined as those individuals who:
(a) have attained age 65 on or after January 1, 2020; or
(b) first become eligible for Medicare due to age, disability or end-stage renal disease, on or after January 1, 2020. NAIC * SSA.gov *