Louisiana 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 Louisiana.
Medicare Supplement Insurance (Medigap) Policies
Federal law doesn’t require insurance companies to sell Medigap policie to people under 65. However, Louisiana does require Medigap insurance companies to sell you a Medigap policy, even if you are under 65.
If you’re already enrolled in Medicare Part B, you’ll get a Medigap Open Enrollment Period when you turn 65. During this OEP, insurance companies can’t refuse to sell you any Medigap policy due to a disability or other health problem, or charge you a higher premium (based on health status) than they charge other people who are 65. Find more details at CMS.gov.
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, Louisiana has a law that is similar to COBRA (regulation 68). Employers with 2-19 employees can qualify for 12 months. Find more details here.
Medicare Savings Program
Louisiana offers three Medicare Savings Programs that individuals who qualify may apply for through the Louisiana Department of Health and Hospitals.
*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): For individuals with a monthly income under $1,010 or couples with a monthly income under $1,355 who are receiving Medicare Part A, the state pays all premiums, deductibles, copayments, and coinsurance for Medicare Parts A and B.
- *Specified Low-Income Medicare Beneficiaries (SLMBs): For individuals with monthly income under $1,208 or couples with monthly income under $1,622 who are receiving Medicare Parts A and B, the state pays the Medicare Part B premium.
- *Qualified Individuals (QIs): For individuals with monthly income under $1,357 or couples with monthly income under $1,823 who are receiving Medicare Parts A and B, the state pays the Medicare Part B premium.
- *Qualified Disabled and Working Individuals (QDWIs): For individuals with a monthly income under $4,045 and couples with monthly income under $5,425 who lost disability benefits due to earnings and are eligible to enroll in Medicare Part A, the state pays the Medicare Part A premium for up to 48 months.
Louisiana Senior Health Insurance Information Program (SHIIP)
The Louisiana SHIIP is a free counseling service provided to Medicare beneficiaries, their families, and caregivers to help them understand their Medicare options. Louisiana SHIIP connects you with a trained counselor in your area via phone or in person who can guide you in making an informed decision about your health care needs.
(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).
If you live in Louisiana and have questions about the benefits listed above or how to choose the health care coverage that is best for you, consult with one of our MedicareSolutions.com licensed sales agents for customized help. Our knowledgeable licensed sales agents can help you compare Louisiana Medicare insurance plans to ensure you find the Medicare insurance benefits that are right for your needs.