Mike



Mr. Noppe Insurance

Over 10 years representing companies that market medicare advantage plans and medigap supplements.

 
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Frequently Asked Questions
 

Mr. Noppe I am 70, still working, on my employer's health plan. My friends keep telling me about all the great benefits they get with their Medicare plans. I am considering getting Medicare Part A & B and an advantage plan. A while ago l was involved in an accident injuring my leg requiring me to wear an expensive support hose for Lymphedema for the rest of my life. Right now the plan l'm on pays 100% for those socks. Will an advantage plan do the same?

I had to make a couple of phone calls for this one. Lymphedema support hose has a retail price of $450 per pair. These socks are classified as Durable Medical Equipment. Most Medicare Advantage Plans require you to pay 20% of the cost.

There is one plan that pays the entire amount and like your employer plan, you would pay zero.



Mr. Noppe, I just received a letter that I must pay a Late Enrollment Penalty for my prescription drugs. I called the phone number on the letter and left a message but have not received a return call. What is this penalty?

The Late Enrollment Penalty (LEP) occurs whenever 63 days passes without either enrolling in a Prescription Drug Plan or having some form of creditable prescription drug coverage. The penalty amount is added to your monthly premium. You have 60 days from the date on the letter to request reconsideration and explain that you have had continuous creditable coverage since your Initial Enrollment Period.
I have heard that Medicare pays 80% and I will have to pay 20% for all my medical bills after I turn 65 and get on Medicare. Is that correct?

That is an accurate statement but there is more to it than just that. If you enroll in a Medicare Advantage Plan, which takes the place of Medicare Parts A & B, you will only have to pay the copayments required by the plan you choose. If you decide on a Medigap Supplement Plan, after paying a reasonable deductible each year, your only costs might be small copayments for visits to a doctor's office or the Emergency Room.



Mr. Noppe, my wife's wheelchair is falling apart. She needs a new one. Does Medicare cover that?

Yes, Medicare covers a new wheelchair. Her doctor must approve it. Provided that her doctor and the company that supplies the wheelchair are Medicare approved, Medicare will pay 80%. Most Medicare Advantage Plans require that she pay the other 20%. There is one advantage plan that has no copayment requirement for Durable Medical Equipment. Medigap Supplement Plans pay the 20% balance and, after the Part B $226 deductible is met, there is no other cost for the wheelchair. She may have to rent the wheelchair for a certain amount of time before it becomes hers.

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Mr. Noppe Insurance 
1255 S Main Street
Greensburg, PA 15601


1070 Wayne Ave.
Indiana, PA 15701


Phone:
800-800-1999, Ext. 65

or send me a message via the form below