Nebraska residents under 65 can qualify for supplemental Medicare programs.
Though designed primarily for the elderly, Medicare is also available to those under 65 who have been on Social Security disability (SSDI) for two years. Like seniors, those under 65 should consider supplemental insurance to help fill the gaps left by original Medicare (parts A and B). Insurance providers in Nebraska offer several supplemental options for those under 65.
Original Medicare
Original Medicare is made up of two parts. Part A covers hospitalization, skilled nursing care, hospice care and some home health care. Though Part A usually doesn't require the payment of any monthly premium, users who are hospitalized must pay a substantial co-pay ($1,000 or more). Part B covers doctor visits, outpatient care and durable medical equipment. There is a separate premium for Part B, which is normally deducted from your social security. Part B has an annual deductible ($100 or more) and co-pays of 20% or more. These costs can add up quickly, which is why most Medicare recipients get supplemental coverage.
Medicare Supplements
Medicare supplements are regulated by the federal government, so that each plan has the same benefits no matter which company you purchase it from. Nebraska insurance companies are not required to offer a plan to Medicare beneficiaries who are under 65. Those that do (Liberty National, Sterling Life and United American) offer coverage at a higher premium than for someone over 65 and also require the insured to answer health questions.
Medicare Part D
Medicare Part D is Medicare's prescription coverage. Like Medicare supplement plans, Part D is offered through private companies, and there is a monthly premium. There is a penalty for not enrolling in Part D as soon as you're eligible, so it's critical to have a Part D plan. If you purchase a supplement, you will need a standalone Part D plan. If you get a Medicare Advantage plan, your Part D coverage should be included. Numerous companies offer Part D coverage in Nebraska; for information on these plans go to Medicare.gov or call the Nebraska Senior Health Insurance Information Program.
Medicare Advantage
Medicare Advantage plans work with Medicare. They are offered through private companies and become your primary coverage, though you still have all your rights as a Medicare beneficiary. These plans are usually Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs), which means you need to choose your medical provider from a network. There are also Private Fee-for-Service plans. These plans do not have a network; individual providers decide whether they will accept the terms of the plan. Several companies offer Medicare Advantage plans in Nebraska, including Advantra/Coventry, Humana, AARP, United Healthcare, Today's Options, SecureHorizons, SecurityChoice and Sterling Life Insurance.
Tags: Medicare Advantage, those under, Advantage plans, companies offer, Medicare Advantage plans
