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Treating clients as if they were our own family members
United States Fire Insurance Company, a subsidiary of Crum & Forster, delivers plenty of benefits that the U.S. government’s Medicare program is not able to provide. While it’s true that the current federal healthcare system already covers the basics, it is lacking in terms of providing the key essentials for the senior population. The reason why Medicare Supplement (Medigap) programs were created is to meet such needs; that is, to fill the healthcare “gaps” that the government cannot give to its older citizens.
Crum & Forster’s history dates to 1822 and it has since grown to have $22 billion in revenues and assets, with diversified offerings covering specialty and standard commercial insurance products. These include the United States Fire Insurance Company, Crum & Forster Insurance Company, The North River Insurance Company, First Mercury Insurance Company, and several others.
United States Fire Insurance, which underwrites Crum & Forster’s Medicare Supplement Insurance plans, is headquartered in Morristown, New Jersey, and has an A. M. Best company rating of A (Excellent). It licensed to operate in all 50 states, plus DC, Puerto Rico, and Virgin Islands.
In May 2020, the company announced that it has selected Senior Market Sales as its exclusive marketing partner for its roster of Medicare Supplement offerings. U.S. Fire Insurance carriers a complete range of Medigap products, including Plan L, which allows customers to select any healthcare provider in the U.S. while still maintaining low out-of-pocket costs and premium fees.
A Medicare Supplement plan is an insurance policy that aims to provide the healthcare products and services that the Original Medicare plan does not. Also known as Medigap, it is sold by private agencies and functions as an add-on to your existing Medicare policy. It can help cover the expenses not included in the federal government’s program, including coinsurance, copayments, and deductibles. That said, having Medicare Part A (hospital insurance) and Part B (medical insurance) is required in order to qualify for any Medigap plan.
Medigap policies include the following benefits:
Medicare Part A coinsurance and hospital fees (up to an extra 365 days after Medicare benefits are exhausted)
Medicare Part B coinsurance or copayment
Blood (first 3 pints)
Part A hospice care coinsurance or copayment
Part A deductible
Part B deductible ($198 in 2020)*
Part B excess charges
Skilled nursing facility care coinsurance
Foreign travel emergency (up to plan limits)
*Beginning January 1, 2020, new Medigap plans sold will no longer cover the Part B deductible. However, those who are already on Medicare may keep or purchase plans such as Plan F which cover this deductible.
There are 10 types of Medigap plans, 11 when including high deductible Plan G, varying in levels of coverage and premium pricing. The most basic policy is A, which includes Part A coinsurance and hospital costs, Part B copayment or coinsurance, the first three pints of blood, and Part A hospice care coinsurance or copayment. The most expensive policy is Plan F, which includes all of possible benefits out of a Medicare Supplement policy.
Note that premium fees per policy are not the same across the country and depend on which insurance company is offering them. However, the benefits are standardized everywhere. An insurer may decide to offer just some of the plans or all 11 based on the demand for its area of coverage.
U.S. Fire offers almost all policies, but it is especially popular for its competitive Plan G, Plan L, and Plan N premium fees. Plan L offers to cover up to 75% of the medical expenses that Original Medicare does not shoulder (until the maximum out-of-pocket amount is reached), after which it will take care of 100% of the remaining gap.
While most insurance policies require a medical background check prior to approval, there are certain instances wherein the provider must sell you a policy even if you have health issues. In order to enjoy the guarantee of purchasing the Medigap plan of your choosing, you must meet either of the following:
Purchase during your Open Enrollment Period (OEP) – This is the 6-month, one-time-only period during which you can buy any policy you want that’s available in your area. You cannot be denied or charged more due to past or current health conditions. Your OEP begins on the first day of the month that you turn 65 years old.
Have a guaranteed issue right – Also known as Medigap Protections, this covers specific situations wherein the insurance provider cannot reject your application or charge your more for any pre-existing condition. You can enjoy the benefits of guaranteed issues rights if:
You have a Medicare Advantage plan and this plan is about to stop providing services to your area or is leaving Medicare
You are enrolled in Original Medicare and are part of a group plan courtesy of your employer and this is ending
You have Original Medicare and a Medicare Select plan and you are moving out of its service area
You are letting go of a Medicare Advantage plan or drop a Medigap policy because your provider either did not follow the rules or gave misleading information
You can certainly purchase a Medigap plan at any other time. However, the provider will have the right to deny your application or charge you higher than the standard premium fees.
Decide which benefits you want and then decide which among the Medigap plans available best suits your needs, 2. See which insurance providers are available in your location and which are offering the policy that you are looking for, 3. Call our Medicare experts to discuss and compare the costs and additional benefits (if any), and 4. Proceed to enroll in the plan that you want.
If you want to know more about U.S. Fire Insurance Company or need assistance in selecting the right Medigap plan for you, our team of expert Medicare Supplement advisors can answer your most pressing questions and guide you through the entire decision-making process. Our lines are open for your questions and we welcome the conversation. Do not hesitate to get in touch with us at 1-800-354-1078.