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A Consumer's Guide To...

 

Medicare Supplement Insurance

(premium comparison chart)

 

People

 

A Publication of The Maine Bureau of Insurance

 

 

Last updated: September 2014

 

 

Paul R. LePage
Governor
State Seal Eric A. Cioppa
Superintendent

 

 

 

MEDICARE SUPPLEMENT INSURANCE

Medicare supplement insurance covers some of the expenses not paid by Medicare. These policies are currently available from about a dozen insurers in Maine.

Medicare Advantage plans and Medicare Part D are not Medicare supplement coverage. Medicare Advantage plans are offered by companies that contract with Medicare to provide you with all of your Medicare Part A and Part B benefits. For more information on these plans or information on what Medicare does and does not pay, please read the federal booklet Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare. The booklet is available for free from the Maine Bureau of Insurance or your nearest Social Security Administration Office. A more detailed source of information about Medicare is "Medicare & You" available from the Social Security Administration or on-line at: www.medicare.gov.


2010 MEDICARE SUPPLEMENT PLANS

Currently, insurers are able to sell 10 standard plans that are required to be identified by letter. The plans are labeled: A, B, C, D, F, G, K, L, M, and N plans. (Plan F also has an option called High Deductible Plan F. See page 5 for details regarding benefits under the high deductible plan.) The current plans are referred to as “2010 plans” and are similar to the original standardized Medicare supplement plans now referred to as “1990 plans.” Some differences include the addition of a Hospice benefit to the core benefits in the 2010 plans and discontinuation of Preventative and At-Home-Recovery benefits. If you have a 1990 plan, you may switch to a 2010 plan with the same letter as your current coverage.

Plan A is the one plan that must be offered by all insurers. In addition to Plan A, an insurer must also sell either Plan C or Plan F. Insurers may sell any or all of the other plans. Policy benefits are the same for all plans with the same letter, so price and service will be important to think about when you buy a policy. To compare the rates offered by carriers selling Medicare supplement policies in Maine please see the comparison chart below.

Medicare supplement policies are renewable each year, as long as you pay the premium; however, the premium may go up each year.

All Medicare supplement policies sold in Maine must have a 30-day Free Look period. This means that if for any reason you are not happy with the policy you bought, you can return it to the agent or the insurance company and all money paid will be returned to you. The policy will be treated like it was never issued.

 

IF YOU ARE TURNING AGE 65 or  ENTITLED TO MEDICARE DUE TO A DISABILITY

Open Enrollment Period
Your six month Medicare supplement open enrollment period begins the month you first enroll in Medicare Part B. (For many beneficiaries, but not all, this occurs at age 65.) After this time, your option to buy a Medicare supplement policy may be limited. If you are 65 and still working, you should check with Medicare and Social Security about whether to sign up for Medicare Part B.

If you apply for a Medicare supplement policy during your six month open enrollment period, any insurer you apply to must insure you and must give you the plan you choose. Insurers may ask you medical questions during this period, but you cannot be refused coverage during your open enrollment, even if you have a medical condition.

Disabled Medicare beneficiaries who enroll in Medicare Part B before age 65 have a Medicare supplement open enrollment period at that time and an additional six-month Medicare supplement open enrollment period when they turn age 65.

APPLYING FOR A POLICY OTHER THAN IN THE OPEN ENROLLMENT PERIOD

Guaranteed Issue Right:

If you are buying a Medicare supplement policy and you are not in your open enrollment period, some policies may still be available to you during some of the guaranteed issue periods described below.

  1. Each insurer must designate a one-month guaranteed issue period each year when any applicant will be accepted in Plan A. (The insurer decides which month. See the "Guaranteed Inssue" chart below.) Insurers are not required to offer other Medicare supplement plans during this period.
  2. Medicare supplement insurers must offer you a policy if you lose coverage under one of the following types of health plans and you apply for a Medicare supplement policy in Maine within 90 days:
    • an Individual health insurance plan (not including fixed indemnity or short term coverage)
    • an employee welfare benefit plan (group health coverage through your employer)
    • MaineCare (includes QMB but does not include benefits that only provide Medicare Part B premium assistance — please refer to Bureau of Insurance Bulletin 385 for additional guidance.)
  3. In Maine, you generally have the right to change Medicare supplement plans as long as you change to a plan with the same benefits, or a plan with lesser benefits from the same or a different insurer, and you have never had a gap in coverage that supplements Medicare of more than 90 days.

If you buy a lower benefit Medicare supplement plan, you may not be able to enroll in the higher benefit plan you want later on. See the chart on the next page to determine which plans you can change to in the future. The X shows the plans that are available to you. For example, a person who currently has plan C can change to plans A, B, D, and high deductible plan F. For example, once you buy Plans K or L, you may only be able to switch to another Plan K, L or High Deductible F due to the level of benefits that are covered.

If you have Medicare supplement coverage issued before January 1, 1992, you can either 1) replace the policy that you have with any plan offered by the same insurer or 2) switch to another insurer as long as you change to a plan with the same benefits or a plan with lesser benefits and you have never had a gap in coverage that supplements Medicare of 90 days. Under these circumstances, the insurer can’t refuse to give you the coverage. For more information about Medicare supplement coverage, you may call the Bureau of Insurance toll free (in state) at (800) 300-5000.

 

Medicare Advantage:

You cannot purchase a Medicare supplement plan if you are enrolled in Medicare Advantage. Federal law only allows Medicare Advantage enrollees to drop their coverage at certain times. When you dis-enroll from Medicare Advantage, you remain enrolled in Medicare Parts A and B, so your coverage automatically reverts to original Medicare — you do not need to re-enroll. For information about how to switch to original Medicare, you can call Medicare at 1-800-MEDICARE. If you are enrolled in a Medicare Advantage plan you may have a right un-der Maine law to enroll in a Medicare supplement plan if you switch back to original Medicare, but only under certain limited circumstances. If you enroll in Medicare Advantage during your six month open enrollment period, beginning when you first enroll in Medicare Part B, and then switch to original Medicare Part A and Part B within three years, you have the right to buy any Medicare supplement plan of your choice as long as you buy it within 90 days after your Medicare Advantage coverage ends. Otherwise, it is generally up to the insurer whether or not to issue a policy, which means you may need to qualify based on health status. (If you enrolled in a Medicare Advantage plan mid-year, you will need to switch back to original Medicare sooner than three years because federal law only allows you to go back to original Medicare at certain times.) This is intended to provide you with a one time trial period to determine if a Medicare Advantage plan meets your needs. Maine law extends the Medicare Advantage "trial period" from one year to three years, so you may not have the same rights if you move to another state. You may also be entitled to guaranteed issue of a Medicare supplement policy if your Medicare Advantage plan is involuntarily terminated (i.e., not at the your request). If you are enrolled in a Medicare supplement plan and you terminate that enrollment in order to enroll in a Medicare Advantage plan for the first time, and you then return to original Medicare Part A and Part B within 3 years, you have the right to buy an equivalent or less comprehensive Medicare supplement plan as long as you are still a Maine resident and apply for the new Medicare supplement plan within 90 days. For specific guidance on guaranteed issue eligibility, please see Maine Insurance Rule Chapter 275, §12 or contact the Bureau of Insurance.

 

Use the chart below if you currently have a Medicare supplement policy but are thinking about changing to another plan.

The “X” in the chart below shows the plans that are available to you if you are considering changing the Medicare supplement plan that you currently have. For example, a person who currently has plan C can change to plans A, B, D, K, L, M, N, and high deductible plan F (those boxes marked with an “X”).

The 1990 and 2010 Standardized Medicare supplement plans of the same letter are considered comparable for purposes of switching coverage.

* These plans are no longer available to purchase. However, you can keep your current policy for as long as you pay the premium.

Your
Current Plan

Replacing Plan

A

B

C

D

F

F with High
Deductible

G

K

L

M

N

A

X

 

 

 

 

X

 

 

 

 

 

B

X

X

 

 

 

X

 

 

 

 

 

C

X

X

X

X

 

X

 

X

X

X

X

D

X

X

 

X

 

X

 

X

X

X

X

E*

X

X

 

X

 

X

 

X

X

X

X

F

X

X

X

X

X

X

X

X

X

X

X

F with a High
Deductible

 

 

 

 

 

X

 

 

 

 

 

G

X

X

 

X

 

X

X

X

X

X

X

H*

X

X

X

X

 

X

 

X

X

X

X

I*

X

X

X

X

X

X

X

X

X

X

X

J*

X

X

X

X

X

X

X

X

X

X

X

K

 

 

 

 

 

X

 

X

 

 

 

L

 

 

 

 

 

X

 

X

X

 

 

M

X

 

 

 

 

X

 

X

 

X

 

N

X

 

 

 

 

X

 

X

X

 

X

* These plans are no longer available to purchase; however, you can keep your current policy for as long as you pay the premium.

 

EXPLANATION OF CORE BENEFITS INCLUDED IN ALL PLANS

Plan A - Basic Core Benefits

The following are the basic benefits for Plan A. These benefits are also included in Plans B through N.

  • Medicare Part A co-insurance for the 61st through the 90th day in the hospital
    ($304 a day in 2014);
  • Medicare Part A co-insurance for any hospital confinement beyond the 90th day, up to an additional 60 days during the policyholder’s lifetime ($608 a day in 2014);
  • After using all the Medicare hospital inpatient coverage, including the lifetime reserve days, all Medicare-eligible hospital charges will be covered up to 365 additional days during the policyholder’s lifetime;
  • The reasonable cost of the first three pints of blood each year under Medicare Part A and Part B;
  • The 20% co-insurance amount under Medicare Part B (doctor and other medical bills) after the policyholder pays the Medicare Part B deductible which is $147 in 2014. For outpatient mental health services, you pay the 35% co-insurance amount after the deductible is paid.
  • Hospice coverage for Medicare copayment/coinsurance when there is a doctor’s certification of terminal illness.

 

Additional Benefits Found in Plans B through N

The following list describes the additional benefits that may be included in plans B through N.
The "Additional Coverage Options" below shows which benefits are included in each plan. 

  • Medicare Part A Deductible: Payment for all of the Medicare Part A inpatient hospital deductible. (The Medicare Part A deductible is $1,216 in 2014.)

  • Skilled Nursing Facility Care: Coverage up to the co-insurance amount from the 21st day through the 100th day in a Medicare benefit period for post-hospital skilled nursing facility care ($152 a day in 2014).

  • Medicare Part B Deductible: Coverage for all of the Medicare Part B deductible ($147 in 2014). Medicare Part B covers doctor and other medical bills.

  • One Hundred Percent of the Medicare Part B Excess Charges: Coverage for all of the difference between the actual Medicare Part B charge as billed and the Medicare-approved Part B charge not to exceed any charge limit set by the Medicare program or state law.

  • Medically Necessary Emergency Care in a Foreign Country: Coverage for 80% of the billed charges for Medicare-eligible expenses for medically necessary emergency care received in a foreign country. Care must have started during the first 60 days in a row of each trip outside the United States. This benefit has a $250 calendar year deductible and a lifetime maximum benefit paid of $50,000.

  • High Deductible Plan "F" (see "Companies offering High Deductibel Plan F" Chart below)
    Plan F also has an option called High Deductible Plan F offered by several companies. This high deductible plan offers the same benefits as the regular Plan F but the benefits do not start until after you pay a calendar year deductible of $2,140 (this deductible can go up every year). Some of the expenses you will have to pay to satisfy this high deductible include the Medicare deductibles for Parts A and B, but does not include the Plan F. Foreign Travel Emergency deductible. The Foreign Travel Emergency deductible must be paid regardless of whether you have met the $2,140 high deductible and the Foreign Travel Emergency deductible cannot be applied toward the $2,140 high deductible.

 

MEDICARE PART D PRESCRIPTION DRUG COVERAGE

Prescription drug coverage is available through Medicare Part D. Medicare supplement policies with drug coverage are no longer sold.

PRE-EXISTING CONDITIONS

Some policies will not cover pre-existing medical conditions for the first six months the policy is in effect. A pre-existing medical condition is a condition for which you received medical advice and for which treatment was recommended by or received from a physician six months before the policy is issued. Even if you buy a Medicare supplement policy during your open enrollment period, the policy may still not pay for pre-existing conditions for up to six months. The premium comparison chart has a column which indicates which policies exclude pre-existing conditions and the length of time they are excluded.

In general, If you had prior health insurance coverage for at least six months and purchase a Medicare supplement policy without a 90 day gap in coverage, you cannot be made to satisfy a new pre-existing condition exclusion for similar benefits. In some situations in which coverage is issued on a guaranteed issue basis you may be protected from pre-existing condition exclusions even if you had prior coverage for less than six months.

COST

The premium comparison chart shows annual premiums at the time this brochure was printed. Semi-annual, quarterly, and monthly premiums may be available. These premiums are subject to change and should be verified with the company or producer for accuracy.

The cost for Medicare supplement policies cannot vary based on your age or gender; however, some companies charge a higher rate if you smoke. For these companies, both rates are shown in the chart. Rates may vary depending upon where you live. If you have a Medicare supplement policy and change your address, your renewal rate may change depending upon the insurer’s claims experience within that location.

Image of Check

Some companies offer discounts. Anthem Blue Cross/Blue Shield temporarily discounts a policy purchased no later than three months after either your 65th birthday or your retirement from an eligible group. The rates in this online brochure are updated as they become available.

Plans C and F
For some companies, the annual premium for Plan C exceeds that for Plan D (or Plan F exceeds the premium for Plan G) by more than the additional benefit provided. This additional benefit covered by Plan C (and Plan F) is the Medicare Part B annual deductible which is $147 in 2014. Therefore, you may want to consider buying Plan D instead of Plan C (or Plan G instead of Plan F) to save money. The company must disclose this rate difference in their outline of coverage when premiums for Plan C exceed Plans D (or Plan F exceeds Plan G). 

ADDITIONAL COVERAGE OPTIONS

In addition to the policies listed in the following pages, some insurance companies issue Medicare supplements through association groups. If you are a member of an association you may be able to purchase a group Medicare supplement through that association. Companies such as Monumental, Union Labor Life, Transamerica, and Globe Life are licensed and approved to sell group Medicare supplement policies.  

The following charts show the medical benefits that are covered by your Medicare supplement policy. If you are not sure what Medicare pays, please read the Federal booklet, Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare, which is available free from the Maine Bureau of Insurance, from your nearest Social Security Administration, or on-line at www.medicare.gov. You may be responsible for charges that are not paid by either Medicare or your Medicare supplement policy.

Medicare Supplement insurance can only be sold in ten standard plans and one high deductible plan - Plan F. The charts below show the benefits included in each plan. Every company must make Plan A available.

PLAN A PLAN B PLAN C PLAN D PLAN F PLAN G
Basic Benefits Basic Benefits Basic Benefits Basic Benefits Basic Benefits Basic Benefits
    Skilled Nursing Co-insurance Skilled Nursing Co-insurance Skilled Nursing Co-insurance Skilled Nursing Co-insurance
  Part A Deductible Part A Deductible Part A Deductible Part A Deductible Part A Deductible
    Part B Deductible   Part B Deductible  
        Part B Excess (100%) Part B Excess (100%)
    Foreign Travel Emergency Foreign Travel Emergency Foreign Travel Emergency Foreign Travel Emergency
           

PLAN K* PLAN L* PLAN M PLAN N
50% Basic Benefits except 100% Part A Co-insurance 75% Basic Benefits except 100% Part A Co-insurance Basic Benefits Basic, except up to $20 co-payment for office visit and up to $50 co-payment for ER
50% Skilled Nursing Co-insurance 75% Skilled Nursing Co-insurance Skilled Nursing Co-insurance Skilled Nursing Co-insurance
50% Part A Deductible 75% Part A Deductible 50% Part A Deductible Part A Deductible
       
       
    Foreign Travel Emergency Foreign Travel Emergency
Out-of-pocket limit $4,940; paid at 100% after limit reached Out-of-pocket limit $2,470; paid at 100% after limit reached    

*Plans K and L provide for different cost-sharing for items and services than Plans A through G. Once you reach the annual limit ($4,940 for Plan K and $2,470 for Plan L in 2014), the plan pays 100% of the Medicare co-payments, coinsurance, and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “Excess Charges.” You will be responsible for paying excess charges. The out-of-pocket annual limit will increase each year for inflation.

IMPORTANT! READ THE EXPLANATORY INFORMATION BEFORE USING THE FOLLOWING CHARTS.
Every effort is made to provide accurate information; however, rates and information may change.

COMPANY PRE-EXISTING EXCLUSION PERIOD Effective Date Plan A Plan B Plan C1 Plan D
Anthem Blue Cross/Blue Shield 6 Months

Effective 1/1/14

Effective 1/1/15

 

Non-smoker $1,554.36
Smoker $1,740.84

Non-smoker $1,569.96
Smoker $1,758.36

 

     
Central States Indemnity None

Effective 6/1/14

Non-smoker $1,602.00
Smoker $1,779.00
     
Colonial Penn Life None

Effective 1/1/14

Effective 1/1/15

Non-smoker $2,361.36
Smoker $2,744.60

Non-smoker $2,538.42
Smoker $2,705.21

Non-smoker $2,797.18
Smoker $3,250.99

Non-smoker $3,006.96
Smoker $3,204.41

   
Combined None

Effective 5/1/14

$2,249.18      
Equitable Life & Casualty None Effective 9/15/11 Non-smoker $2,122.00
Smoker $2,526.00
     
Globe Life 6 Months Effective 2/1/13 $1,083.00 $1,708.00 $1,972.00  
GPM Life None

Effective 10/1/14

Non-smoker $2,376.67
Smoker $2,731.80
  Non-smoker $3,318.56
Smoker $3,814.44
 
HPHC Insurance Company None Effective 10/1/14 $1,452.00      
Humana 3 Months Effective 6/24/14 Non-smoker $2,074.44
Smoker $3,100.44
Non-smoker $2,257.56
Smoker $3,374.40
Non-smoker $2,627.04
Smoker $3,926.52
 
Humana Healthy Living With Dental & Vision 3 Months Effective 10/1/12 Non-smoker $2,142.36
Smoker $3,140.16
     
Loyal American 6 Months

Effective 5/29/13

Non-smoker $1,783.85
Smoker $1,962.23
     
Mutual of Omaha None Effective 6/1/14 Non-smoker  $2,400.83
Smoker $2,759.58
  Non-smoker $3,957.83
Smoker $4,549.23
Non-smoker $3,153.14
Smoker $3,624.30
State Farm None

Effective 1/1/14

Effective 1/1/15

$1,707.00

$1,878.00

 

$2,575.00

$2,833.00

 
Transamerica Life 6 Months Effective 10/1/14 Non-smoker $1,247.56
Smoker $1,372.30
Non-smoker $1,647.20
Smoker $1,811.93
Non-smoker $1,948.81
Smoker $2,143.73
Non-smoker $1,801.63
Smoker $1,981.76
United American 60 Days Effective 1/1/14 $2,018 $3,049 $3,599 $3,449
United HealthCare
(for AARP members)
3 Months Effective 4/1/14 Non-smoker $1,482.00
Smoker $1,630.20
Non-smoker $1,926.00
Smoker $2,118.60
Non-smoker $2,211.00
Smoker $2,432.04
 
United of Omaha
None Effective 6/1/14 Non-smoker $1,713.20
Smoker $1,969.20
     
USAA Life 6 Months Effective 7/1/14 Non-smoker $2,009.40
Smoker $2,205.24
     


COMPANY PRE-EXISTING EXCLUSION PERIOD   Plan F1 2 Plan G Plan K
Anthem Blue Cross/Blue Shield 6 Months

Effective 1/1/14

Effective 1/1/15

Non-smoker $2,255.04
Smoker $2,525.04

Non-smoker $2,277.60
Smoker $2,550.96

   
Central States Indemnity None

Effective 6/1/14

Non-smoker $2,210.00
Smoker $2,454.00
   
Colonial Penn Life None

Effective 1/1/14

Effective 1/1/15

 

Non-smoker $3,051.47
Smoker $3,546.41

Non-smoker $3,280.34
Smoker $3,495.68

 

Non-smoker $2,849.87
Smoker $3,312.08

Non-smoker $3,063.57
Smoker $3,264.74

 

Non-smoker $1,084.68
Smoker $1,260.53

Non-smoker $1,166.06
Smoker $1,242.64

 

Combined None Effective 5/1/14 $3,040.28    
Equitable Life & Casualty None Effective 9/15/11 Non-smoker $3,111.60
Smoker $3,721.20
   
Globe Life 6 Months Effective 2/1/13 $1,993.00    
GPM Life None Effective 10/1/14 Non-smoker $3,398.64
Smoker $3,906.48
Non-smoker $2,603.32
Smoker $2,992.32
 
HPHC Insurance Company None Effective 1/1/14 $2,124.00    
Humana 3 Months Effective 6/24/14 Non-smoker $2,680.68
Smoker $4,006.68
  Non-smoker $1,193.40
Smoker $1,783.68
Humana Healthy Living With Dental & Vision 3 Months Effective 10/1/12 Non-smoker $2,718.77
Smoker $3,852.12
  Non-smoker $1,332.72
Smoker $1,929.96
Loyal American 6 Month Effective 5/29/13 Non-smoker $2,198.28
Smoker $2,418.10
Non-smoker $1,910.56
Smoker $2,101.62
 
Mutual of Omaha None Effective 6/1/14 Non-smoker $3,188.45
Smoker $3,664.89
Non-smoker $2,779.34
Smoker $3,194.64
 
State Farm None

Effective 1/1/14

Effective 1/1/15

$2,601.00

$2,861.00

   
Transamerica Life 6 Months Effective 10/1/14 Non-smoker$1,960.13
Smoker $2,156.18
Non-smoker$1,800.71
Smoker $1,980.84
Non-smoker$897.60
Smoker $987.36
United American 60 Days Effective 1/1/14 $3,624 $3,472 $1,612
United HealthCare (AARP) 3 Months Effective 4/1/14 Non-smoker $2,241.00
Smoker $2,465.04
  Non-smoker $804.00
Smoker $884.40
United of Omaha None Effective 6/1/14 Non-smoker $2,379.38
Smoker $2,734.92
Non-smoker $2,200.96
Smoker $2,532.33
 
USAA Life 6 Months Effective 5/1/13 Non-smoker $2,421.48
Smoker $2,666.28
   
Effective 7/1/14 Non-smoker $2,348.04
Smoker $2,586.72

1See above under Cost for an explanation regarding premium differences for Plan C and Plan F.

2 Premium cost for companies offering a high deductible Plan F are shown below.


COMPANY PRE-EXISTING EXCLUSION PERIOD   Plan L Plan M Plan N
Anthem Blue Cross/Blue Shield 6 Months

Effective 1/1/14

 

Effective 1/1/15

 

   

Non-smoker $1,556.04
Smoker $1,742.76

Non-smoker $1,571.64
Smoker $1,760.28

 

Central States Indemnity None

Effective 6/1/14

    Non-smoker $1,463.00
Smoker $1,624.00
Colonial Penn Life None

Effective 1/1/14

Effective 1/1/15

Non-smoker $1,840.89
Smoker $2,139.58

Non-smoker $1,979.00
Smoker $2,108.93

Non-smoker $2,.513.22
Smoker $2,920.88

Non-smoker $2,701.72
Smoker $2,878.99

Non-smoker $1,807.62
Smoker $2,100.86

Non-smoker $1,943.22
Smoker $2,070.64

Combined None        
Equitable Life & Casualty None Effective 9/15/11     Non-smoker $2,263.20
Smoker $2,706.00
Globe Life 6 Months Effective 2/1/13      
GPM Life None Effective 10/1/14     Non-smoker $2,206.29
Smoker $2,535.96
HPHC Insurance Company None Effective 1/1/14   $1,548.00 $1,464.00
Humana 3 Months Effective 6/24/14 Non-smoker $1,729.08
Smoker $2,584.32
   
Humana Healthy Living With Dental & Vision 3 Months Effective 10/1/12     Non-smoker $1,833.36
Smoker $2,678.28
Loyal American 6 Months Effective 5/29/13     Non-smoker $1,551.88
Smoker $1,707.07
Mutual of Omaha None Effective 6/1/14   Non-smoker $2,385.64
Smoker $2,742.12
 
State Farm None        
Transamerica Life 6 Months Effective 10/1/14 Non-smoker $1,332.43
Smoker $1,465.64
Non-smoker $1,640.67
Smoker $1,804.69
Non-smoker $1,542.75
Smoker $1,697.08
United American 60 Days Effective 1/1/14 $2,269   $2,353
United HealthCare (AARP) 3 Months Effective 4/1/14 Non-smoker $1,290.00
Smoker $1,419.00
  Non-smoker $1,491.00
Smoker $1,640.04
United of Omaha None Effective 6/1/14   Non-smoker $1,891.68
Smoker $2,174.28
 
USAA Life 6 Months Effective 7/1/14     Non-smoker $1,638.12
Smoker $1,803.36

 


Companies offering high deductible Plan F with premiums

Company   High Deductible Plan F Cost Deductible*
Colonial Penn Life  

1/1/14: Non-smoker $732.32 Smoker $851.12

1/1/15: Non-smoker $787.19 Smoker $839.01

$2,140 in 2014*

 

Globe Life   $536.00 $2,140 in 2014*
Humana   Non-smoker $894.84 Smoker $1,337.52 $2,140 in 2014*
Humana Healthy Living With Dental & Vision   Non-smoker $1,097.04 Smoker $1,577.88 $2,140 in 2014*
United American   $564.00 $2,140 in 2014*

* Note: The deductible may increase every year.

Policies with Innovative Benefits
An insurance company may offer Medicare supplement policies with innovative benefits in addition to the standardized benefits. For example: in addition to their standard Medicare supplement policies, Humana is offering new policies that are marketed with Reader's Digest that cover dental and vision benefits.

Fraternal Benefit Societies
Fraternal benefit societies differ significantly from insurance companies. They are not covered by some provisions of the Maine Insurance Code and do not include a number of consumer protections. For example, coverage sold by a fraternal is not covered by guaranty funds. In addition, fraternal benefit society insurance benefits are legally required to be assessable. This means that if the society’s claims paying ability becomes impaired, the members may be required to pay their proportional share of the deficiency. Fraternal benefit societies are subject to significantly reduced capital and surplus requirements, and are not typically rated by A.M. Best or other industry rating agencies. For further information, please contact the Bureau of Insurance.

GUARANTEED ISSUE PERIOD FOR PLAN A

The chart below shows the months each insurer will accept you into Plan A, regardless of any medical condition you may have.

We have tried to list toll-free numbers where possible; however, not all companies have 800 numbers available, and the numbers we have listed are likely to change without notice. You may want to contact a local company producer before calling the numbers listed here.

The month each insurer designates to offer Plan A is subject to change.

Company Guarantee Issue Period for Plan A Telephone Number
Anthem Blue Cross/Blue Shield All Year* 800-585-0099 (in state)
207-822-7878 (out of state)
Central States Indemnity May 866-644-3988
Colonial Penn Life All Year 800-800-2254
Combined December 800-544-5531
Equitable Life & Casualty February 800-352-5150
Globe Life December 800-801-6831
GPM Life June 866-242-7573
HPHC December 800-782-0334
tty/tdd 888-259-8276
Humana July 800-872-7294
Loyal American February 866-459-4272
Mutual of Omaha June 800-775-6000
State Farm January Contact a local State Farm producer
Transamerica Life On the consumers' birthday and ending 31 days later. 1-866-205-9120
United American December 972-529-5085
United Healthcare (AARP) May 800-245-1212
United of Omaha June 877-778-0829
USAA Life July 800-531-8000

As mentioned on pg. 3, each insurer must designate at least one month each year during which an individual can enroll, whether or not the individual is in their “Open Enrollment” period. (See pg. 2 for an explanation of “Open Enrollment”) Anthem’s Plan A is available all year, but if you are not enrolling during your Open Enrollment, a 20% surcharge will be applied to the standard premium for the first 12 months. After 12 months of continuous enrollment in Plan A, you can continue on the plan without a surcharge, or you can switch to another supplement plan with Anthem, at the standard rate.

 

Child with Grandparent If you are entitled to Medicare and MaineCare, it is im-portant to know your rights about Medicare supplement insurance.
Need Assistance?
Area Agencies on Aging are the central resource for elder services in your area. They can help you either directly or by referring you to the appropriate agency.
Call 1-877-353-3771 to contact the Area Agency on Aging in your area.

MEDICARE AND MAINECARE ELIGIBLE?

 
Things to consider about Medicare supplement coverage when you enroll in MaineCare: Aroostook Area Agency on Aging Aroostook County
P.O. Box 1288, One Edgemont Drive Presque Isle, ME 04769
TEL: (207) 764-3396; 1 (800) 439-1789 www.aroostookaging.org
  • MaineCare provides more comprehensive benefits than a Medicare supplement plan.
 
  • In some cases, MaineCare may prefer to have you keep your Medicare supplement plan and pay for or subsidize your in-surance premium, rather than have the Medicare supplement plan cancelled.
Eastern Area Agency on Aging Penobscot, Piscataquis, Hancock and Washington Counties
450 Essex St.
Bangor, ME 04401
TEL: (207) 941-2865; 1 (800) 432-7812 www.eaaa.org
  • If you lose your MaineCare eligibility, you have the right to enroll in any Medicare supplement plan that is offered by any Maine Medicare supplement insurance carrier, as long as you do so within 90 days of losing your MaineCare coverage.
Spectrum Generations
Knox, Lincoln, Waldo, Somerset, Sagadahoc, and Kennebec Counties, and the towns of Brunswick and Harpswell
1 Weston Court PO Box 2589
Augusta, ME 04338-2589
TEL: (207) 622-9212; 1 (800) 639-1553 www.spectrumgenerations.org
  • If you have an individual Medicare supplement plan, you may wish to “suspend” it during the time you are eligible for MaineCare. “Suspending” the plan protects your right to re-enroll even if you move to another state. Some states require that you reinstate coverage in the same Medicare supplement plan and with the same insurance company within 60 days of losing MaineCare eligibility. Non-standardized Medicare supplement plans issued prior to 1991 cannot be “suspended” and may have better benefits than standardized Medicare supplement plans. If coverage under one of these plans is cancelled you cannot re-enroll.
SeniorsPlus
Androscoggin, Franklin and Oxford Counties P.O. Box 659, 8 Falcon Way
Lewiston, ME 04243-0659
TEL: (207) 795-4010; 1 (800) 427-1241 www.seniorsplus.org
  • Before you consider whether to cancel a group medical plan (through an employer, retirement plan, or other type of group), check with the employer or retirement plan to determine whether the group will allow you to re-enroll (some don’t).
Southern Maine Area on Aging Cumberland and York Counties
136 US Route One
Scarborough, ME 04074
TEL: (207) 396-6500; 1 (800) 427-7411 www.smaaa.org
  • For personal counseling about whether or not to keep your Medicare supplement policy when you enroll in MaineCare, or for information about getting a Medicare supplement policy when you lose MaineCare, speak with a local State Health Insurance Assistance Program (SHIP) counselor by calling 1- 877-Elders1 (1-877-353-3771).
Maine Bureau of Insurance
(800) 300-5000 (in Maine) or (207) 624-8475 [TTY: Please Call Maine Relay 711]
www.maine.gov/insurance

 


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Last Updated: September 26, 2014