Medicare Medigap Insurers

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Topic Author
Northern Flicker
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Medicare Medigap Insurers

Post by Northern Flicker »

Has anyone had any negative experiences with United American, Washington National, or Humana as a Medigap Plan G-HD (or other Medigap plan) providers?
Topic Author
Northern Flicker
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Re: Medicare Medigap Insurers

Post by Northern Flicker »

Any positive experiences with any of those three to relate?
Pixafari
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Location: Ocala, Florida

Re: Medicare Medigap Insurers

Post by Pixafari »

I have UA Plan G HD for two years now. I am quite satisfied. I also use their savings plan (technically Reserve Fund Annuity) which automatically pays the deductibles for you to provide a seamless experience. It pays 3% interest which isn’t a bad deal since you don’t have the hassle of dealing with the deductibles. Several friends have this same plan and are also satisfied.
Tom_T
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Re: Medicare Medigap Insurers

Post by Tom_T »

Northern Flicker wrote: Thu Feb 08, 2024 11:58 pm Has anyone had any negative experiences with United American, Washington National, or Humana as a Medigap Plan G-HD (or other Medigap plan) providers?
Why are you looking at these three in particular?
ModifiedDuration
Posts: 1371
Joined: Sat Dec 05, 2015 3:33 pm

Re: Medicare Medigap Insurers

Post by ModifiedDuration »

Only positive things to say about United American Plan G-HD.

It works like it is supposed to. Also low, stable rates.
Topic Author
Northern Flicker
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Re: Medicare Medigap Insurers

Post by Northern Flicker »

Thanks, all.
bernoulli
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Re: Medicare Medigap Insurers

Post by bernoulli »

Healthcare professionals do not recommend Humana, denies legitimate claims for profit.
tj
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Re: Medicare Medigap Insurers

Post by tj »

bernoulli wrote: Sat Feb 10, 2024 9:13 pm Healthcare professionals do not recommend Humana, denies legitimate claims for profit.
That's for (Dis)Advantage plans not medigap.
Big Dog
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Re: Medicare Medigap Insurers

Post by Big Dog »

bernoulli wrote: Sat Feb 10, 2024 9:13 pm Healthcare professionals do not recommend Humana, denies legitimate claims for profit.
That maybe true for their Medicare Advantage plans, but for Medigap, doesn't Medicare itself makes the pay/no-pay decision first?
Makefile
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Re: Medicare Medigap Insurers

Post by Makefile »

Big Dog wrote: Sat Feb 10, 2024 10:45 pm
bernoulli wrote: Sat Feb 10, 2024 9:13 pm Healthcare professionals do not recommend Humana, denies legitimate claims for profit.
That maybe true for their Medicare Advantage plans, but for Medigap, doesn't Medicare itself makes the pay/no-pay decision first?
That's what I thought, that unless your state has the "Birthday Rule" allowing you to switch to an equivalent plan annually as long as you maintain continuous coverage, that Medigap is a commodity product and the main thing you are betting on when buying is which company will have the smallest premium increases over the years (e.g. attained age versus issue age) versus those that do "Deadpooling"
surfinagin
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Joined: Wed Oct 26, 2011 8:19 pm

Re: Medicare Medigap Insurers

Post by surfinagin »

2nd year on Humana G-HD-
No issues.
InMyDreams
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Re: Medicare Medigap Insurers

Post by InMyDreams »

Big Dog wrote: Sat Feb 10, 2024 10:45 pm
bernoulli wrote: Sat Feb 10, 2024 9:13 pm Healthcare professionals do not recommend Humana, denies legitimate claims for profit.
That maybe true for their Medicare Advantage plans, but for Medigap, doesn't Medicare itself makes the pay/no-pay decision first?
I agree that it makes sense to think that. My parents had a Medigap insurer that they were very happy with. Don't know what flipped the switch, but suddenly the MGap stopped paying, and started requesting a resubmission from the provider with the right codes. We actually hired a reimbursement specialist to deal with them (miracle worker, they'd just been giving me the run around). Not too surprisingly, they were bought out by another company, and things slowly improved.

It really was a big influence on my choice. I wanted a reliable insurer, that would pay as expected!
tj
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Re: Medicare Medigap Insurers

Post by tj »

InMyDreams wrote: Sun Feb 11, 2024 9:10 am
Big Dog wrote: Sat Feb 10, 2024 10:45 pm
bernoulli wrote: Sat Feb 10, 2024 9:13 pm Healthcare professionals do not recommend Humana, denies legitimate claims for profit.
That maybe true for their Medicare Advantage plans, but for Medigap, doesn't Medicare itself makes the pay/no-pay decision first?
I agree that it makes sense to think that. My parents had a Medigap insurer that they were very happy with. Don't know what flipped the switch, but suddenly the MGap stopped paying, and started requesting a resubmission from the provider with the right codes. We actually hired a reimbursement specialist to deal with them (miracle worker, they'd just been giving me the run around). Not too surprisingly, they were bought out by another company, and things slowly improved.

It really was a big influence on my choice. I wanted a reliable insurer, that would pay as expected!
Which Medigap insurer gave your parents frustrations?
InMyDreams
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Re: Medicare Medigap Insurers

Post by InMyDreams »

tj wrote: Sun Feb 11, 2024 9:14 am
InMyDreams wrote: Sun Feb 11, 2024 9:10 am
Big Dog wrote: Sat Feb 10, 2024 10:45 pm
bernoulli wrote: Sat Feb 10, 2024 9:13 pm Healthcare professionals do not recommend Humana, denies legitimate claims for profit.
That maybe true for their Medicare Advantage plans, but for Medigap, doesn't Medicare itself makes the pay/no-pay decision first?
I agree that it makes sense to think that. My parents had a Medigap insurer that they were very happy with. Don't know what flipped the switch, but suddenly the MGap stopped paying, and started requesting a resubmission from the provider with the right codes. We actually hired a reimbursement specialist to deal with them (miracle worker, they'd just been giving me the run around). Not too surprisingly, they were bought out by another company, and things slowly improved.

It really was a big influence on my choice. I wanted a reliable insurer, that would pay as expected!
Which Medigap insurer gave your parents frustrations?
The one that was bought out doesn't offer plans any longer. I think even the one that took over is getting out of the business.
kd2008
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Joined: Sun Feb 15, 2009 5:19 pm

Re: Medicare Medigap Insurers

Post by kd2008 »

Pixafari wrote: Sat Feb 10, 2024 6:48 am I have UA Plan G HD for two years now. I am quite satisfied. I also use their savings plan (technically Reserve Fund Annuity) which automatically pays the deductibles for you to provide a seamless experience. It pays 3% interest which isn’t a bad deal since you don’t have the hassle of dealing with the deductibles. Several friends have this same plan and are also satisfied.
Could you please share your experience using the reserve fund annuity? I see it as a valuable automation especially as one ages. Do they issue a 1099 for the interest earned? Is it easy to designate a beneficiary for the unused funds upon death?

We have well funded HSAs - we hope to annually withdraw the incurred expenses for Plan G-HD. Wondering if reserve fund annuity adds value in that case.
ModifiedDuration
Posts: 1371
Joined: Sat Dec 05, 2015 3:33 pm

Re: Medicare Medigap Insurers

Post by ModifiedDuration »

kd2008 wrote: Sun Feb 11, 2024 11:36 am
Pixafari wrote: Sat Feb 10, 2024 6:48 am I have UA Plan G HD for two years now. I am quite satisfied. I also use their savings plan (technically Reserve Fund Annuity) which automatically pays the deductibles for you to provide a seamless experience. It pays 3% interest which isn’t a bad deal since you don’t have the hassle of dealing with the deductibles. Several friends have this same plan and are also satisfied.
Could you please share your experience using the reserve fund annuity? I see it as a valuable automation especially as one ages. Do they issue a 1099 for the interest earned? Is it easy to designate a beneficiary for the unused funds upon death?

We have well funded HSAs - we hope to annually withdraw the incurred expenses for Plan G-HD. Wondering if reserve fund annuity adds value in that case.
Here is a flyer on the Reserve Fund Annuity. Unfortunately, it is over 10 years old, but maybe the information on the general thrust of the program may be useful:

https://whyaim.com/wp-content/uploads/2 ... ochure.pdf
Topic Author
Northern Flicker
Posts: 15131
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Re: Medicare Medigap Insurers

Post by Northern Flicker »

This Reserve Annuity flyer is current.
kd2008
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Re: Medicare Medigap Insurers

Post by kd2008 »

Northern Flicker wrote: Sun Feb 11, 2024 12:36 pm This Reserve Annuity flyer is current.
Thank you
Topic Author
Northern Flicker
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Joined: Fri Apr 10, 2015 12:29 am

Re: Medicare Medigap Insurers

Post by Northern Flicker »

I doubt that amounts paid by the Reserve Annuity are eligible for HSA reimbursement, but if one has an HSA, it appears one can still make an initial deposit to the reserve fund to let it grow tax-deferred and then start using it once the HSA is depleted.
kd2008
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Joined: Sun Feb 15, 2009 5:19 pm

Re: Medicare Medigap Insurers

Post by kd2008 »

Northern Flicker wrote: Sun Feb 11, 2024 1:18 pm I doubt that amounts paid by the Reserve Annuity are eligible for HSA reimbursement, but if one has an HSA, it appears one can still make an initial deposit to the reserve fund to let it grow tax-deferred and then start using it once the HSA is depleted.
Yes, they are eligible for reimbursement from HSA. Reserve Annuity withdrawals are considered payments to the providers. You reimburse yourself for those payment amounts from your HSA.

Payment doesn't have to go directly to the provider from your HSA.
Topic Author
Northern Flicker
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Joined: Fri Apr 10, 2015 12:29 am

Re: Medicare Medigap Insurers

Post by Northern Flicker »

Payment doesn't have to go directly from an HSA to a provider for HSA expenses, but there needs to be a record of the patient being billed for the deductible amount. Presumably the insurer generates an EOB showing those amounts being paid by the insured in this case?
kd2008
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Joined: Sun Feb 15, 2009 5:19 pm

Re: Medicare Medigap Insurers

Post by kd2008 »

Northern Flicker wrote: Sun Feb 11, 2024 3:42 pm Payment doesn't have to go directly from an HSA to a provider for HSA expenses, but there needs to be a record of the patient being billed for the deductible amount. Presumably the insurer generates an EOB showing those amounts being paid by the insured in this case?
Yes, that's correct. Payment received from the reserve Annuity is payment received from the insured. Hence, it is reimbursable from an HSA.
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