Medicare Doctor Fix

The National Association of Health Underwriters recently published an article discussing the SGR (sustainable growth rate) which was a flawed formula that has caused Congress to scramble over the past few years for a Medicare Doctor Fix.   The SGR was created in part of the Balanced Budge Act of 1997 to control the rate of physician’s pay in Medicare.

The cut to doctors pay started as a small percentage decrease which is now over 30% if the cuts were allowed to happen.  Many think that  politicians and lobbyists enjoy having this issue so they can raise money from a plethora of physician groups.  It seems like Congress could get together regarding this Medicare doctor fix and create a solid 25 year solution instead of having an “emergency meeting” every year.

Medicare Doctor Fix

As mentioned above Congress gets together each year to come up with a fix but no long term solutions have been set in to place. Each year that this issue arises doctors tend to discuss pulling out of the Medicare market.  Some do just because they do not want to have to handle all the red tape that comes along with Medicare claims and the low reimbursement rates.

We have heard doctors say they get paid 30% less for Medicare patients and have to do more work with the filing of claims.  Then if something is entered wrong there is a chance of getting audited or having Uncle Sam bring down the hammer.

Why is the Medicare Doctor Fix a big topic?

Currently there are over 10,000 people a day turning 65 and that means over 3 million a year that are reaching Medicare eligibility (not including disability or end-stage renal disease beneficiaries).  The elderly need doctors!  Congress will have to figure something out in the years to come before they quit accepting new and possibly existing Medicare patients.

Medicare Insurance Finders has published this “Medicare Doctor Fix” article to help explain the importance of Congress to step up to the plate and figure out a long term solution to the SGR formula.

Medicare Doctor Fix

Medicare Coverage in a nutshell.

Medicare Supplement Insurance Plans

Medicare Supplement Insurance Plans area available in all 50 states through Medicare Insurance Finders.  We provide online rates with over 25 insurance companies in less than 2 minutes.  Our website is one of the only online sites that actually provides you with supplemental insurance quotes online.

Medicare Supplement Insurance plans help supplement Original Medicare.  This means that they pick up the deductibles and coinsurance that you are probably accustomed to paying.  There are 10 standardized plans as you can see in the chart below, but Plans F, G, and N make up probably 75% of the enrollments.

Medicare Supplement Insurance Plans

Medicare Supplement Insurance Outline of Coverage

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Medicare Supplement Plans 2014

With all the healthcare reform information circling we are getting questions about 2014 Medicare Supplement Plans.  The “Medicare Supplement Plans 2014” will be no different than the plans that have been setup since 2010.

In 2010, the Medicare Modernization Act changed the basic plan designs while adding a few plans and taking away some plans.  However, 2014 Medicare Supplement Plans will carry the same plan design and we believe the rates should stay very close to where they are now as well.  Continue reading