Find The Right Medicare Insurance
Medicare Insurance is designed to cover costs that Medicare doesn’t cover.
FREE Medicare review
Many people ask the question, “since Medicare only covers 80%, how do I pay the other 20%?” The answer to that question is what The REAL Insurance Lady helps you answer. If you or a loved one has Medicare, call the office today for a FREE Medicare review. The REAL Insurance Lady will review your current plan to determine if there is something that may be more beneficial to you.
Medicare Open Enrollment begins October 15th.
Typically, Medicare recipients can only make changes during the Annual Election Period which begins October 15th. There are exceptions. If you would like to find out if you can make a change to your existing plan, call our office. If you feel that you cannot afford the costs of Medicare and/or your medications, The REAL Insurance Lady will be happy to help you find a plan and determine your eligibility for assistance with the costs of your medications as well as the costs of Medicare Part B Premium.
The 4 parts to Medicare:
|Covers||How Do You Get it?||How Much Does it Cost?|
|Part A||Covers hospitalization, hospice and home health care; subject to||Earn it through working||If you did not earn Part A it may cost up to $407 per month|
|Part B||Covers 80% of services outside of the hospital (“Outpatient Services”) – such as doctor’s office visits||Turning 65 or receive Social Security Disability Income for 2 years||Approximately $104.90 per month|
|Part C||Medicare Advantage (insurance through a private insurance company that covers Part A, B, & D and adds extra benefits that Medicare does not cover such as dental, vision, transportation, hearing and over-the-counter medications)||Have Part A AND Part B||Many areas have plans that have $0 premium|
|Part D||Prescription Drugs||Have Part A OR Part B||Approximately $40 per month|
Medicare Advantage Plans
Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You’ll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan and not Original Medicare. Medicare Advantage Plans may offer extra coverage, like vision, hearing, dental, gym membership and/or health and wellness programs. Most include Medicare prescription drug coverage (Part D).
What’s Medicare Supplement Insurance (Medigap)?
A Medicare Supplement Insurance (Medigap) policy can help pay some of the health care costs that Original Medicare doesn’t cover, like copayments, coinsurance, and deductibles.
Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
A Medigap policy is different from a Medicare Advantage Plan. Those plans are ways to get Medicare benefits, while a Medigap policy only supplements your Original Medicare benefits.
When can I buy Medigap?
The best time to buy a Medigap policy is during your 6-month Medigap open enrollment period, because you can buy any Medigap policy sold in your state, even if you have health problems. This period automatically starts the month you’re 65 and enrolled in Medicare Part B (Medical Insurance). After this enrollment period, you may not be able to buy a Medigap policy. If you’re able to buy one, it may cost more. If you apply for Medigap coverage after your open enrollment period, there’s no guarantee that an insurance company will sell you a Medigap policy if you don’t meet the medical underwriting requirements. If you apply during your Medigap open enrollment period, you can buy any Medigap policy the company sells, even if you have health problems, for the same price as people with good health.
Frequently Asked Questions
- ObamaCare is called the Affordable Care Act.
- ObamaCare is a series of laws that standardize health insurance. Think of it like car insurance.
HMO VS PPO
|¨ Cheaper||¨ More Expensive|
|¨ Requires a referral||¨ No referral needed.|
|¨ MUST go to doctors and hospitals in the network.||¨ Can go to any doctor or hospital.|
Contact the Member Services or call our office. The number is on the back of your health insurance card.
Premium is the amount you pay EVERY month to keep your insurance.
A Co-payment is the amount you pay for covered services at the time you receive care.
Co-insurance is a percentage (%) you pay for a covered service.
Answer goes here.
Out-Of-Pocket Maximum is the most you will pay for the year. It includes all of the co-pays, co-insurance, and deductibles for medical and prescription services. If you reach it, all services are covered at 100%.
A deductible is the amount you pay before the insurance will pay. NOT all services require a deductible to be paid. For example, going to the doctor does NOT require a deductible to be paid with most plans.