Medicare is often described as complicated because of the different programs and plan types offered by organizations. The available plans include offers by private firms in line with established guidelines and programs and Medicare plans called Part C plans. I’m going to just give you the basics here. If you want more detailed information you can checkout my other Medicare-focused articles or if you live in Central and Southern Indiana, we can meet up or talk on the phone.
Breaking it Down
You basically have 3 options when it comes to Medicare:
Option 1 – Original Medicare services
It consists of parts A, B & D. Part A of Medicare is part of original Medicare which comes at no cost for persons that paid for it during their working years or the working years of their spouse. It covers hospital stays and other inpatient services and has a deductible of around $1,400 a year. Once the deductible is met in some cases you’ll pay a 20% co-insurance, in other cases you won’t. Part B is the part of Medicare that covers outpatient services. If you or a spouse had income under $174,000 in 2018, you’ll pay $144.60 a month for your Part B coverage. It has a deductible of almost $200 a year and then co-insurance of 20%. Part D is the Medicare drug plan. There is no one Medicare drug plan, only standards that Medicare sets. The idea is to find the plan that has the lowest overall cost when you factor in drug cost and monthly plan premium cost. I or another reputable Medicare agent can help you determine the best overall Part D plan for your needs.
Option 2 – Original Medicare with a supplement, is keeping your original Part A and B Medicare coverage in place. However, you pick a Medicare supplement (aka Medigap) plan to help pay the out of pocket cost. There are several different Medgap plan letters, Plan N, Plan F, Plan G, etc. The idea is that by having a uniform system of Medigap plans consumers can shop around easier. Once you know the plan type you want, you just need to find a reputable carrier that is offering that plan type in your area at a good price. Because a Plan G is a Plan G is a Plan G. It doesn’t matter who you get that Plan G from, it covers the same medical benefits.
Option 3 – Part C (aka Advantage) is kind of like saying thanks but no thanks Medicare, I choose Aetna, or United, or whoever, to administer my Medicare coverage. Now you play by that carrier’s rules. At a minimum, they have to cover what Original Medicare covers, but many have different ways of doing this. Many plans do not have deductibles, but instead of copays. Copays are set dollar amounts for various services. So for instance, a primary doctor’s visit might be $5, a lab might be $10, an outpatient surgery could be $200, and so on. Often part D drug coverage is included in these plans, so you won’t have separate drug coverage. Depending on the competition in the area, oftentimes these plans will add on extras like dental, vision, credits for OTC items, and gym membership. In some cases, these plans may not cost you any additional money beyond your Part B premium as well.
That’s the basics of your Medicare options. If you want additional more detailed information you can checkout my articles below or contact me via text/voice directly at 317-514-8696.