Our Office provides the best Personal One-on-One Service Available to all of our Medicare clients, children have directed their parents to our office for this very reason. This along with the fact that we provide all types of Medicare plans, from many of the Top Insurance Companies.
We also help to manage your Medicare Part D Prescription Drug Plan. These plans can change and vary each year. We can assist you within the Anuual Enrollment Period and run a Free Computer comparison so you make sure your Part D Plan covers your Medications.
Medigap or Medicare Supplements
A Medigap policy is health insurance sold by private insurance companies to fill the “gaps” in Original Medicare Plan coverage. Medigap policies help pay some of the health care costs that the Original Medicare Plan doesn’t cover. If you are in the Original Medicare Plan and have a Medigap policy, then Medicare and your Medigap policy will pay both their shares of covered health care costs.
Generally, when you buy a Medigap policy you must have Medicare Part A and Part B. You will have to pay the monthly Medicare Part B premium. In addition, you will have to pay a premium to the Medigap insurance company.
You and your spouse must each buy separate Medigap policies. Your Medigap policy won’t cover any health care costs for your spouse.
Medicare Advantage Plans
Medicare Health Plans (like HMOs and PPOs) often cover prescription drugs. Medicare Health Plans include:
- Medicare Advantage Plans
- Other Medicare Health Plans
Medicare Advantage Plans (like HMOs and PPOs) that include prescription drug coverage as part of the plan are health plan options that are approved by Medicare but run by private companies. They are part of the Medicare Program. If you join a Medicare Advantage Plan you are still in Medicare.
You generally get all your Medicare-covered health care through that plan.
You may get extra benefits, such as coverage for vision, hearing, dental, and/or health and wellness programs.
You usually will have to pay some other costs (such as copayments or coinsurance) for the services you get. Out-of-pocket costs in these plans are generally lower than in Original Medicare, but vary by the services you use.
You may have to see doctors that belong to the plan or go to certain hospitals to get covered services.
Medicare Advantage Plans include:
- Health Maintenance Organizations (HMO)
- Preferred Provider Organizations (PPO)
- Private Fee-For-Service (PFFS) Plans
- Medicare Medical Savings Account (MSA) Plans
- Medicare Special Needs Plans (SNP)
Medicare Prescription Drug Plans are offered by insurance companies and other private companies approved by Medicare. They add coverage to:
- Original Medicare
- Some Medicare Cost Plans
- Some Medicare Private Fee-for-Service Plans and
- Medicare Medical Savings Account Plans
Medicare Prescription Drug Plan:
- Generally, you pay less for your prescriptions.
- You will get a plan member card after you enroll. You use this card when you go to the pharmacy to get your prescriptions filled.
- You will pay the copayment, coinsurance, and/or deductible, if any
If you do not opt for prescription drug coverage when you are first eligible, you may have to pay a late enrollment penalty of 1% based upon Medicare's average cost of a prescription drug plan, for every month that you were not enrolled.
If you have limited income and resources, you may get extra help to pay for your Medicare drug plan costs by contacting your local Social Security Office to see if you qualify for Low Income Subsidy.
