Iowa Medicare Insurance Plans

Medicare Supplement Insurance (Medigap) Policies

The state flag of Iowa | Iowa Medicare Insurance Plans

Medicare is a federally sponsored health insurance program available to those over the age of 65, as well as to individuals who have certain disabilities. At the state level, however, there exist specific organizations that help beneficiaries better understand the Medicare process, and Medicare recipients may even qualify to receive state subsidies, depending on their circumstances. Consider the following information if you are interested in obtaining Medicare coverage in the state of Iowa.

 MEDICARE SUPPLEMENT INSURANCE (MEDIGAP) POLICIES

In the state of Iowa, insurers are not required to sell Medicare Supplement Insurance policies to people who are under the age of 65, according to CMS.

Mini-COBRA Policies (Small Group)

If you work for an employer that has over 20 full-time employees, then federal COBRA law applies. If you work for an employer that has under 20 full-time employees, Iowa does provide a law for continuation of coverage for 9 months.

Iowa Medicare Savings Program

There are four Medicare Savings Programs offered to residents in the state of Iowa.

*The following data is from 2016 and is based on federal amounts.  These amounts may increase in 2017.  If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.*

  • *Qualified Medicare Beneficiaries (QMBs): Available for individuals with a monthly income under $1,010 and couples with a monthly income under $1,355, it pays all premiums for Medicare Part B and all copays and deductibles for Medicare Parts A and B.
  • *Specified Low-Income Medicare Beneficiaries (SLMBs): Available for individuals with income over $1,208 per month but under $1,622 or couples with monthly income over $1,328 but under $1,793, this program pays premiums for Medicare Part B.
  • *Qualified Individuals (QIs): For individuals with income under $1,357 per month or couples with a monthly income under $1,823 the state pays premiums for Medicare Part B.
  • *Qualified Disabled and Working Individuals (QDWIs): For individuals with monthly income under $4,045 (or couples with combined income under $5,425 a month), the state will cover premiums for Medicare Part A.
  • *Data from medicare.gov

    According to ssa.gov, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.

Senior Health Insurance Information Program (SHIIP)

The Senior Health Insurance Information Program (SHIIP) of Iowa can help you understand your Medicare benefits and related health care coverage. Iowa SHIIP provides confidential and personal Medicare beneficiary counseling in Iowa.

Iowa SHIIP provides education, counseling, and information concerning:

  • Medicare (Parts A and B)
  • Medicare Advantage Plans (Part C)
  • Medicare Prescription Drug Plans (Medicare Part D)
  • Medicare Supplement Insurance (Medigap)
  • Prescription assistance programs
  • Long-term care and payment options
  • Health care rights and protections
  • Low-income assistance programs

Iowa SHIIP engages in advocacy for Medicare beneficiaries to address claim questions and disputes. Iowa SHIIP has hundreds of trained and certified volunteers to assist statewide, funded by a grant through the Centers for Medicare and Medicaid Services (CMS).

(Extra Help) for Prescription Drugs

In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple) and up to $13,640 in resources ($27,250 for a married couple).

 

As an Iowa resident, consider consulting with one of the trained MedicareSolutions.com licensed sales agents for personal help specific to your area. A licensed sales agent can work with you to compare plans and help you narrow down to the one that offers the Medicare insurance benefits that best meets your needs.