Medicare Part A is automatically assigned at age 65, is usually free to the eligible individual (see Part A costs), and provides hospital coverage after a deductible for up to 60 days, and for a per day copay thereafter.
Medicare Part B provides generally 80% coverage for medically necessary doctor’s visits, preventive care, and outpatient services. To determine your Part B premium, see: Medicare Costs. If you have medical coverage through an employer with less than 20 employees, you must elect Part B when eligible as Medicare will be the primary payor (see: Coordination of Benefits).
Medicare Part C “Advantage” Plans are private plans offered by CMS approved insurance companies that coordinate coverage with Parts A and B to provide coverage for copays (some plans also include prescription drug coverage). Advantage plans must be renewed every January as rates and benefits change; if you are enrolled in an Advantage plan you can change your plan/insurer each year during the Annual Election Period (AEP) which is 10/15-12/7.
Medicare Supplement (“Medigap”) Plans are private plans offered by CMS approved insurance companies that pay for the deductibles and coinsurance not covered by Medicare Parts A and B. These are standardized policies which offer the same basic benefits regardless of the insurer or state. Supplemental plans can be elected instead of Part C Advantage plans to pay for the gaps in coverage A and B don’t provide (see Choosing a Medigap Policy). Benefits do not change each year with Supplemental plans. Plan F is the best plan available as it covers medical at 100%, no referrals, no network (providers nationwide must accept Medicare). Plan G is the same as F with the exception of the Part B deductible ($183 in 2017). If Supplemental coverage is elected, we recommend adding a Prescription Drug Plan (PDP).
Medicare Part D provides prescription drug coverage through private insurers CMS approves in each state. Each year between October 15 and December 7th (the AEP) you can change your Part D Prescription Drug Plan (PDP) for the following year. It is important to reevaluate your PDP each year to ensure you have the best card for your needs, as your Rxs can change, drug formularies change, and new cards are introduced into the market. Contact us for personalized PDP quotes, or go to www.medicare.gov to find a PDP to fit your needs.
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- 2019 Medicare Flyer
- Apply for Medicare Part B
- Choosing a Medigap Policy
- Medicare & You 2019
- Medicare Costs (Parts A, B, D)
- Medicare and Group Health Insurance
- Medicare Coordination of Benefits
- Medicare Coordination of Coverage
- Medicare Costs-at-a-Glance
- Medicare Part D Plan Benefits
- Medicare Part D Standard Benefit 2019
- Medicare Preventive Services
- Medicare Provider Search
- Medicare Supplement (‘MediGap’)
- Medicare Supplier Search
- Medicare Top FAQs
- Using Medicare.gov to compare PDPs
- Using Medicare.gov to compare, select and apply for your PDP
- What Medicare Covers
- Who Pays First