Employee Benefits
Unveiling the Key Differences between Level Funded and Self Funded Plans
Discover the differences between level-funded and self-funded employee health insurance
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If you enrolled in Medicare on your 65th birthday and haven’t looked at your coverage since—you are not alone. Most individuals enroll during their Initial Enrollment Period and never think about changing plans.
The truth is, you may be spending more money than necessary.
Maybe you are no longer taking the same dosages or even medications you were prescribed back in 2010. Or perhaps a few new medications have been added to your list.
Each year, you should receive a complimentary drug analysis to make sure you enrolled in the most cost- effective prescription drug plan, also known as Part D.
You may have enrolled in the most comprehensive plan available because it was affordable at the time, however, premiums increase with age and now that you’ve been enrolled a few years it may be more cost-effective to make the switch. You could save thousands of dollars each year by switching plans.
If your current health status has changed or you simply find yourself calling the doctor more, it’s time re-evaluate your coverage.
Medicare Advantage plans operate on state specific networks (like an HMO). If you move, you may need to purchase a new Medicare Advantage plan.
If you are enrolled in a Medicare Supplement plan, check to see if you have the Standard or Select network. The Standard networks gives you access ALL hospitals, nationwide.
Not sure what your current benefits include? Have your plan looked at more closely by a Licensed Medicare Consultant.
Home Health Services include part-time skilled nursing care, physical therapy and occupational therapy. Medicare does not pay for 24-hour at home care. Private insurance carriers that offer Medicare Advantage plans are limited on what they can approve.
If you are in need of any home care services, Medicare Supplement plans have more coverage options.
Medicare does not cover hearing aids or exams for fitting hearing aids. Purchasing hearing aids on your own could cost thousands of dollars.
Some Medicare Advantage Plans offer extra benefits that Original Medicare doesn’t cover – such as vision, hearing, or dental.
For individuals enrolled in Medicare Supplement plans, you may need to purchase a standalone hearing benefit. Check your plan summary for details. We are here to help you go over your current coverage and explore alternative options.
Home Health Services include part-time skilled nursing care, physical therapy and occupational therapy
Medicare does not pay for 24-hour at home care. Private insurance carriers that offer Medicare Advantage plans are limited on what they can approve.
If you are in need of any home care services, Medicare Supplement plans have more coverage options.
If you are over the age of 70 and enrolled in Medicare Supplement Plan F, you could be missing out on thousands of dollars in savings. Changing to a High Deductible Plan G now will save you hundreds of dollars even if you reach your deductible.
We are here to help you go over your current coverage and explore alternative options.
Discover the differences between level-funded and self-funded employee health insurance
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IXSolutions brings over 30 years of combined experience to the market as Employee Benefits Consultants. We’ve been bringing creative solutions and alternatives to the market since the inception of the Affordable Care Act.
Today, we work with companies, individuals, and Medicare eligible individuals to provide solutions to the complex insurance industry. We are a trusted partner to thousands of clients, brokers, and associations across the country.
