Compare Your Plan Options in Rutherford County.

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How Does Medicare Plan Finder Work?

3 Steps to Using Medicare Plan Finder

Medicare Plan Finder walks you through a couple quick questions to help you think through which type of plan will be best. Based on your answers, Medicare Plan Finder will consolidate your options so you can see all the available plans you may qualify for.

Step 1: Enter your zip code so we can consolidate all the plans in your area.

Step 2: Provide some basic information (no phone number or email address needed) and choose 1 of 3 options that best describes you and the plan type you would like to learn about.

Step 3: Review the plans in your area and enroll.

Yes, Medicare Plan Finder is that simple. Our team is waiting to help you with any and all questions you have about your Medicare plans. Find out today what Medicare plans you may qualify for.

What is Medicare Part A Coverage?

Medicare Part A Coverage

Medicare Part A coverage includes hospital care, skilled nursing facility care, nursing home care, hospice, and some home health services. Keep in mind that in most cases, before Medicare can provide coverage for a service, a doctor, pharmacist, or other specialist will have to prescribe the service or treatment with proof that it is medically necessary.

Medicare Part A inpatient hospital and skilled facility coverage includes semi-private rooms, meals, nurse and doctor services, and in-hospital drugs. It does not include personal items such as hospital shower supplies, private rooms, and other personal care items so be aware that you will likely have to pay full price for those items.

Medicare Part A Costs

Here’s the good news: As long as you or your spouse paid Medicare taxes while you were employed, OR if you or your spouse is eligible for retirement benefits from Social Security or the Railroad Retirement Board, you will not pay any premium for Medicare Part A. This applies to Part A ONLY; you may have other costs.

If you never paid Medicare taxes, your part A premium can reach up to $422 each month, depending on your income level. If you wait too long to enroll, your premium can increase up to 10%.

Medicare Part A Enrollment

If you’re like most people, you’ll need to enroll in Medicare Part A during your Initial Enrollment Period (from three months before your 65th birthday through three months after). If you miss your Initial Enrollment Period, you’ll be charged a penalty fee when you eventually enroll.

If you receive Social Security or Railroad retirement benefits, you will be automatically enrolled (on the month of your 65th birthday). Even though your coverage won’t be active yet, you’ll receive a red, white, and blue Medicare card about three months before your birthday.

What is Medicare Part B Coverage?

Medicare Part B Coverage

Every Medicare beneficiary will start with “Original Medicare,” which comprises of Medicare Part A and Medicare Part B. Part B is responsible for covering your doctor visits. Some people will be automatically enrolled in Part B, while others will have to enroll on their own.

Part B covers medically necessary doctor services (including wellness visits, lab tests, x=rays, emergency transportation, mental health, and some medical equipment). To get coverage for more durable medical equipment and extended hospital stays, you may need to invest in a Medicare Advantage plan.

Medicare Part B Costs

You will receive a bill each month for your Part B premium. If you receive Social Security benefits or Railroad Retirement benefits, your premium will be automatically deducted from your monthly benefit checks. In 2018, the standard Part B premium is $134, but this is subject to change every year.

Every year, your Part B coverage will begin after you hit your deductible of $183, which can be easy to do. Once you’ve paid $183, you’ll only have to pay 20% of most Medicare-approved services. Your yearly wellness visits will almost always be free.

What's Medicare Part C?

Medicare Part C is another term for Medicare Advantage. Unlike Original Medicare (Parts A and B), Medicare Advantage is offered by private insurance companies. It is still government-regulated, but the plan carriers are private. Medicare Advantage plans are combinations of Original Medicare and additional coverage like dental, vision, hearing, prescription drug coverage, and more.

All Medicare Advantage plans have provider networks. That means that based on the plan you choose, you will have a list of providers (doctors, pharmacies, hospitals, etc.) that accept your plan. In most cases, if you go to a provider who is not in your network, you will have to pay more for your care.

Medicare Part C Costs

Every month, you’ll be responsible for a premium. Some plans do have $0 premiums, but generally a low premium means a high deductible. Your deductible is the amount that you have to pay before your plan actually starts to provide coverage. After you’ve paid your deductible, you will only be responsible for about 20% of the total costs of your healthcare.

Enrolling in Medicare Advantage

If you do not enroll in Medicare Advantage when you first become eligible for Medicare (when you turn 65), you can still enroll each year during the Annual Enrollment Period (October 15 through December 7). Some people may have a special enrollment period, meaning that they can enroll at other times of the year.

What is Medicare Part D Coverage?

Medicare Part D Coverage

Medicare Part D provides prescription drug coverage to Medicare beneficiaries. Original Medicare by itself does not provide any prescription drug coverage. While you are not required to have prescription drug coverage, it is highly recommended that you enroll when you are first eligible for Medicare to get the best price and avoid any late enrollment penalty fees. You can do this by either enrolling in a separate Part D plan or Medicare Advantage.

Medicare Part D Costs

Every Part D plan will have its own formulary (list of covered drug plans). The formulary is divided into tiers based on drug costs. Generally, generic drugs are cheaper than brand-name drugs.

Like any other plan, you’ll have a Part D premium, deductible, and copayments. Unique from other parts of Medicare, Plan D has what is referred to as “The Donut Hole.” Almost every Part D beneficiary will find themselves in the donut hole. It means that once you spend a certain dollar amount, your coverage will change a little.

Medicare Part D Plan Finder

The most important aspect to consider before enrolling in a prescription drug plan is whether it covers your current medications.  A qualified benefits advisor can enter your medications, dosages, and frequency you take them into a Medicare Part D plan finder to let you know if they are covered and if they are at what cost. Make sure you ask your benefits advisor to confirm if your current medications are generic and if not whether a generic is available. A generic version of your prescription will always cost you less.

We want to be your Medicare Part D plan finder. Request a call from a licensed agent so you can find the best Part D plan for your needs.