MEDICARE WITH OPTIONS

 Medicare Choices

 1. Original Medicare
  • Option add - Medicare Supplement
  • Option add - Part D (prescription drug plan)
 2. Medicare Advantage Plan (like HMO or PPO)
  • Option - plan includes Part D
  • Option - purchase a stand-alone Part D plan, if plan does not come with a prescription drug plan
Our Medicare Options

Medicare Supplement

Medigap plans cover the approved Medicare out-of-pocket costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles. Some plans may help pay for other approved benefits Original Medicare doesn't cover. Medigap plans don't include prescription drug benefits. You'll need to buy a separate stand-alone Medicare Part D Prescription Drug Plan to cover the costs of your medications.

Medicare Supplement coverage is available through private insurance companies, so costs and availability may differ between plans, insurance companies, and location.

Source

Medicare Advantage (Part C)

Medicare Advantage plans are an alternative to Original Medicare. If you enroll in a Medicare Advantage plan, you're still in the Medicare program. However, you'll get your Medicare benefits through your Medicare Advantage plan, instead of through the federally administered program. Another benefit of Medicare Part C is that many of these plans (MAPD) also include Medicare Part D prescription drug coverage as part of the plan coverage. If Part D is not included in your plan, you will need to buy a separate (stand-alone) Part D plan to cover your prescriptions.

Medicare Part C coverage is available through private insurance companies that are contracted by Medicare, so costs and availability may differ between Medicare plans, insurance companies, and location.

Source

Prescription Drug Coverage (Part D)

Medicare prescription drug coverage is available in two ways. If you have Original Medicare (Part A and Part B), Medicare Part D isn't automatically included. Instead, you can get this coverage by enrolling in a stand-alone Medicare Prescription Drug Plan that works alongside your Original Medicare benefits.

If you have Medicare Part C, you can get prescription drug benefits by enrolling in a Medicare Advantage plan that includes this coverage. Also known as Medicare Advantage Prescription Drug plans (MAPD), these plans give you the option to get your Medicare health and prescription drug benefits covered under a single plan.

Medicare Part D coverage is available through private insurance companies that are contracted by Medicare, so costs and availability may differ between Medicare plans, insurance companies and location.

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What does this Medicare information mean.

Original Medicare

It is a federal health insurance program referred to as Original Medicare, which includes people 65 years of age, or older, certain people with a special condition or disability who are under age 65. It pays for a large portion of the health care expense but not all of it. The portion that Medicare does not pay is what the individual must pay for out of pocket such as coinsurance, co-payments, and deductibles. The gaps in Original Medicare coverage are commonly filled by a Medicare Supplement plan. Medicare in Texas is the same as Medicare in any state; the federal government defines what the benefits are.

Medicare has four parts:
• Part A: This covers area such as inpatient hospital, inpatient skilled nursing facility, home health, and hospice services. Most people do not have to pay for Part A due their contributions over 10 years.
• Part B: provides covers outpatient and physician services. It also pays for other areas such as durable medical equipment, prosthetic devices, supplies incident to physician's services, and ambulance transportation. Most people pay monthly for Part B.
• Part C: Are Medicare Advantage plans are offered by private insurance companies that serve as an alternative to Medicare. These plans can cover medical only or medical and dental. These plans are subsidized and regulated by the Federal government.
• Part D: Prescription Drug Coverage plans are offered by private companies to provide coverage for prescription drug costs. These plans are subsidized and regulated by the Federal government.

Source

Let's get started looking at the different aspects of each

We found help in Medicare planning. 

Fill the gaps in Medicare with a great Medicare Supplement plan. 

Original Medicare

Medicare Supplement - Medicare Advantage - Prescription Drug

Please note: you can only have a Medicare Supplement plan or a Medicare Advantage plan, not both at the same time.