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What Is Medicare

Medicare is a federal health insurance program in the United States that provides coverage for eligible individuals:

• 65yo US citizen

• Certain people under 65 who have disabilities

• People with End-Stage Renal Disease

• People with Amyotrophic Lateral Sclerosis

Medicare is broken into four parts, each covering specific aspects of healthcare:

Part A (Hospital Insurance)

• Covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care.

• Generally, there is no monthly premium for Part A if the individual or their spouse paid Medicare taxes during their working years.

Part B (Medical Insurance)

• Covers outpatient care, doctor visits, preventive services, and some home health care.

• Requires a monthly premium, based on income.

Part C (Medicare Advantage)

• Also known as Medicare Advantage Plans, these are private insurance plans that combine coverage from Medicare Parts A and B.

• Often includes additional benefits like vision, dental, and prescription drug coverage.

• Offered by private insurance companies approved by Medicare.

Medicare Part D (Prescription Drug Coverage)

• Provides prescription drug coverage through private insurance plans approved by Medicare.

• Helps cover the cost of prescription medications.

Medigap (Medicare Supplement Insurance)

• Private insurance plans that individuals can purchase to supplement original Medicare coverage (Parts A and B).

• Helps cover costs such as copayments, deductibles, and coinsurance.

• Offers additional financial security.

Find a Medigap policy that

works for you

Medicare Supplement

(Medigap) is a type of private health insurance designed to supplement Original Medicare (Part A and Part B). Private insurance companies offer the plans and come in several types labeled A through N. Each type covers a different amount of the costs that Medicare doesn’t pay, so you can pick the one that’s best for you.

Coverage of Gaps in Medicare

Medigap policies are designed to fill in the "gaps" in coverage left by Original Medicare, such as copayments, coinsurance, and deductibles.

Standardized Plans

Medigap plans are standardized by the federal government, meaning each plan with the same letter designation (e.g., Plan A, Plan B) offers the same basic benefits, regardless of the insurance company providing it.

Compatibility with Original Medicare

Medigap works alongside Original Medicare, and you must have both Part A and Part B to enroll in a Medigap plan.

Premiums

Individuals pay a monthly premium to the private insurance company for their Medigap coverage.

No Prescription Drug Coverage

Medigap plans do not include coverage for prescription drugs. Beneficiaries need to enroll in a separate Medicare Part D plan for prescription drug coverage.

GET HELP FROM A TRUSTED MEDICARE BROKER

Medicare is not a one-size-fits-all solution. Each person will have their own healthcare needs and budget. What works for your neighbor may not be the right fit for you. That’s where we come in! Call us today or submit a request for a free consultation.

Who's This Perfect For

People Age 65 and Older

Under 65 w/ Certain Disabilities

People with ESRD

People with ALS

US legal residents at least 5 yrs.

People who have received SSDI

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Medicare FAQS

Is there a premium for Medicare Part A?

Most people do not pay a premium for Part A if they or their spouse paid Medicare taxes while working. However, some individuals may have to pay a premium based on their work history.

How do I qualify for Medicare Part A?

Individuals aged 65 and older qualify for Medicare Part A if they or their spouse worked and paid Medicare taxes for at least 10 years. Certain individuals under 65 may also qualify based on specific disabilities or medical conditions.

Are there additional costs with Medicare Part B?

Yes, in addition to the premium, there may be deductibles, coinsurance, and copayments for certain services.

Can I change or drop Medicare Part B coverage?

Yes, you can make changes to your Part B coverage during certain enrollment periods. Keep in mind that dropping Part B may result in a penalty if you decide to re-enroll later.

Is there a premium for Medicare Part C?

While many Medicare Advantage plans have a monthly premium, some plans may offer $0 premiums. Costs vary, and individuals should compare plans to find the one that best fits their needs and budget.

Are there extra benefits with Medicare Part C?

Yes, many Medicare Advantage plans offer extra benefits such as vision, dental, hearing, and wellness programs. These benefits can vary between plans.