Medicare Health Plans
Medicare Health Plans For You
Medicare Health Plans
“Medicare covers care that is medically necessary.”
Medicare Health Insurance Explained
Medicare can provide coverage for a broad range of medical & prescription services. This includes pharmacy discounts, doctor/specialist visits, preventive visits, outpatient services, lab testing, emergency services, and medical equipment. It also includes coverage for major surgeries, treatment for cancer, hospital stays, skilled nursing and so much more.
Medicare covers care that is medically necessary.
Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) will pay 80% of your hospital & medical. You can join a separate Medicare drug plan to get Medicare drug coverage (Part D) that is designed to reduce expenses on monthly prescriptions. When using Original Medicare, you are able to go to any doctor or hospital within the U.S. that accepts Medicare. In order to help cover your out-of-pocket costs associated with Original Medicare (like your 20% coinsurance), you are able to shop and buy supplemental coverage (see Medigap section) which requires underwriting except for an individual’s initial enrollment.
Want to see if you are eligible?
What is Medicare Initial Enrollment?
Initial Enrollment mainly occurs only once for people who are turning 65 and lasts seven months (3 months prior to your birth month, your birth month, 3 months after your birth month). Once this time frame has passed you are required to answer health questions for underwritten plans in most states. People who happen to be on Medicare under age 65 will get a rare second initial enrollment for when they turn 65.
What to Watch Out For
Medicare Part B Explained
Medicare Part B has a monthly premium that needs to be paid in order to keep it current. It also has a deductible that you are required to pay without a supplement. Luckily there are many supplement options out their that are designed to help save financial costs in the long run (See Medigap section). Keep in mind that Medicare Part B will cover only 80% of the cost of your outpatient care.
How do Medigaps Work?
Medigaps, also known as Medicare Supplements, are designed to provide you cost effective coverage within the Medicare system. They help cover the 20% you are responsible for when using your Original Medicare benefits. They also may help with covering for your Part B Deductible and provide a copay option for doctor/specialist visits.
Want to see if you are eligible?
Medicare Explained
How do Medicare Advantage Plans Work?
A Medicare Advantage is a completely different way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare. If you join a Medicare Advantage Plan, you’ll still have Medicare but you’ll get most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare.
Want to see if you are eligible?
