Replacing plan J

[Rob Owen]

Can anyone give me a reason to replace a plan J for a 79 year old female other than a reduction of her premium of $299.5 and a commission? I think this plan is better than what we can offer now? Am I wrong? This looks like it was a Cadillac of Plans. I won’t replace it if I can’t help the client.

 

[LostDollar]

Caveat, not an agent.

Does she have a pdp?

 

[Rob Owen]

Yes she does. Thank you for answering.

 

[LostDollar]

Ok, that's the only thing I know enough about plan J to ask. If she was still relying on plan j drug coverage for some reason, she would have had some hefty penalties.

You'll have to wait for an agent to comment on the other features of J against F or G.

You CAN'T take this to the bank, but what I think I have read in the past is that the other "special" features of Plan J have either been picked up by changes in what Medicare covers or by carryover of uncovered features to plans F and G. But you need to hear from agents on that for sure.

 

[goillini52]

Ok, that's the only thing I know enough about plan J to ask. If she was still relying on plan j drug coverage for some reason, she would have had some hefty penalties.

You'll have to wait for an agent to comment on the other features of J against F or G.

You CAN'T take this to the bank, but what I think I have read in the past is that the other "special" features of Plan J have either been picked up by changes in what Medicare covers or by carryover of uncovered features to plans F and G. But you need to hear from agents on that for sure.

Plan J and Plan F each provide coverage for foreign travel emergency care as well. While Plan F allots for coverage of 80% of costs, Plan J provides 100% coverage.

Medicare Supplement Insurance Plan J coverage also provides two additional benefits that are not found in Plan F:

• At-home recovery care (up to $1600 a year)
• Preventive care (up to $120 a year)

Medicare has since expanded its coverage of at-home recovery and preventive care, making these differences no longer necessary.

Before Medicare Part D, Plan J had some prescription coverage.

 

[kstein]

How much premium can you save them, will they pass u/w, and what carrier would you move them to?

If it's a new carrier without rate stability I'd question the move personally.

 

[Newby]

Most Plan F’s had no RX cov

Ok, that's the only thing I know enough about plan J to ask. If she was still relying on plan j drug coverage for some reason, she would have had some hefty penalties.

You'll have to wait for an agent to comment on the other features of J against F or G.

You CAN'T take this to the bank, but what I think I have read in the past is that the other "special" features of Plan J have either been picked up by changes in what Medicare covers or by carryover of uncovered features to plans F and G. But you need to hear from agents on that for sure.

Most Plan J’s had no RX coverage. The ones that did capped it at $500.
The only difference in the later Plan J’s and the Plan F was that J would pay for a stop smoking series of classes.

 

[DS4]

Old Plan H & I had a yearly Rx cap of $1250, Plan J was $3000. There was also a “ drugless” Plan J once Part D began. I still have clients on these old embedded Rx plans.

 

[Rob Owen]

Thanks Kstein ,Newby, Goillini and DS4. About

Kstein, $120.00 a month less in premium. Underwriting I don’t know yet because I got stopped at the plan J. I should have went deeper with health questions. The carrier quote I received was from Humana.

Newby, Goillini and DS4 this plan is a United Healthcare from 2007. After The Part D implement.

One more question. Is she only eligible for the F or only the G?

 

[repo]

To my knowledge, she's eligible to apply for any Supplement plan offered in her state, but if she was in a guaranteed issue situation, the F would be her guaranteed plan because her 65th birthday occurred prior to 1/1/2020. If she had turned 65 after 1/1/2020, the G would be her guarantee option.