It is a good idea starting learning about Medicare about six months before the 65th birthday. Taking the time to sit down with a professional in our office and understand your options now will help you prepare to plan the costs associated with Medicare. This article is designed to help you learn how Medicare works, when to enroll in the original Medicare and how to choose your insurance options.
The Original Medicare has two parts: A and B.
Many of us who live and work in USA most of our lives are entitled for free Part A coverage. The Part B is optional and we pay for it.
The answer about when do I enroll in Part B depends on your or your spouse’s employment situation If you are retired and not covered on a spouse’s employer coverage, you typically will want to enroll in Medicare during your “IEP” or initial enrollment period.
Medicare is a health insurance program administered by the federal government for people age 65 and over, as well as those with certain disabilities and end-stage renal disease.
There are four parts to the Medicare program (see picture above).
Part A: Hospital insurance, which covers your care when you are admitted to the hospital or skilled nursing facility. Most people pay no premium for Part A.
Part B: The medical insurance portion, covers your doctor visits, tests, and outpatient services. Most people pay a monthly premium for Part B.
Part C: This is the Medicare Advantage Program.
Enroll in Original Medicare (Parts A and B) and a Part D prescription drug plan. Many people combine Original Medicare with a Medicare Supplement Plan, or Medigap to help with the out-of-pocket costs of original Medicare.
Keeping Original Medicare and adding a Medicare Supplement offers more flexibility in terms of which doctors you may visit. Your supplement policy may be used anywhere Original Medicare is accepted. It is a plus if you travel or if you prefer to take charge of your medical conditions. With a Medicare Supplement Plan F or Plan G, you can “virtually” eliminate any out-of-pocket costs for your health care, as long as Medicare pays the claim. For many people, the knowledge that you will have very little in terms of out of pocket expenses is quite attractive.
Combines all your Medicare benefits into one plan. Most Medicare Advantage plans include Part D coverage for prescription drugs.
Many Medicare Advantage Plans are HMO’s, which means you must get your care from within the plan’s network. Your choice of doctors, hospitals, and pharmacies may be limited.
On the other hand, your monthly premiums are generally lower for Medicare Advantage plans. There are two common types of networks: HMO and PPO.
With HMO’s, you are required to receive care within a network of providers.
With HMO plans there are no out-of-network benefits except in emergencies. If you choose a Medicare PPO plan, you may still be able to use any doctor you like, although you may be subject to co-insurance rates. Most Medicare Advantage plans offer extra benefits not included in Original Medicare, such as limited routine dental and vision care.
It is a good idea starting learning about Medicare about six months before the 65th birthday. Taking the time to sit down with a professional in our office and understand your options now will help you prepare to plan the costs associated with Medicare. This article is designed to help you learn how Medicare works, when to enroll in the original Medicare and how to choose your insurance options.
The Original Medicare has two parts: A and B.
Many of us who live and work in USA most of our lives are entitled for free Part A coverage. The Part B is optional and we pay for it.
The answer about when do I enroll in Part B depends on your or your spouse’s employment situation If you are retired and not covered on a spouse’s employer coverage, you typically will want to enroll in Medicare during your “IEP” or initial enrollment period.
Medicare is a health insurance program administered by the federal government for people age 65 and over, as well as those with certain disabilities and end-stage renal disease.
There are four parts to the Medicare program (see picture above).
Part A: Hospital insurance, which covers your care when you are admitted to the hospital or skilled nursing facility. Most people pay no premium for Part A.
Part B: The medical insurance portion, covers your doctor visits, tests, and outpatient services. Most people pay a monthly premium for Part B.
Part C: This is the Medicare Advantage Program.
Enroll in Original Medicare (Parts A and B) and a Part D prescription drug plan. Many people combine Original Medicare with a Medicare Supplement Plan, or Medigap to help with the out-of-pocket costs of original Medicare.
Keeping Original Medicare and adding a Medicare Supplement offers more flexibility in terms of which doctors you may visit. Your supplement policy may be used anywhere Original Medicare is accepted. It is a plus if you travel or if you prefer to take charge of your medical conditions. With a Medicare Supplement Plan F or Plan G, you can “virtually” eliminate any out-of-pocket costs for your health care, as long as Medicare pays the claim. For many people, the knowledge that you will have very little in terms of out of pocket expenses is quite attractive.
Combines all your Medicare benefits into one plan. Most Medicare Advantage plans include Part D coverage for prescription drugs.
Many Medicare Advantage Plans are HMO’s, which means you must get your care from within the plan’s network. Your choice of doctors, hospitals, and pharmacies may be limited.
On the other hand, your monthly premiums are generally lower for Medicare Advantage plans. There are two common types of networks: HMO and PPO.
With HMO’s, you are required to receive care within a network of providers.
With HMO plans there are no out-of-network benefits except in emergencies. If you choose a Medicare PPO plan, you may still be able to use any doctor you like, although you may be subject to co-insurance rates. Most Medicare Advantage plans offer extra benefits not included in Original Medicare, such as limited routine dental and vision care.