What Are My Medicare Plan Options?
MEDICARE
PART A
Inpatient/Hospital Coverage
Partial Coverage for Hospital and Skilled Nursing Facility, including:
- Inpatient Surgery
- Inpatient Care
- Hospice Care
- Home Health Care (Limited)
MEDICARE
PART B
Outpatient/Wellness Coverage
Partial Coverage for Professional Medical Services, including:
- Doctor Visits
- Outpatient Surgery
- Diagnostic Tests
- Outpatient Treatment
- Durable Medical Equipment
- Preventative Services
MEDICARE
PART C
Private Insurance
Provides benefits like or better than Part A & B and limits out-of-pocket expense. Services include:
- Professional Medical Services
- Inpatient Hospital
- Preventative Services
- Drug Coverage (Optional)
- Dental (Optional)
- Vision (Optional)
Must have Parts A & B to enroll
MEDICARE
PART D
Prescription
Coverage
Stand-alone Coverage for Prescribed Medication. Benefits can include:
- Copays Based On Formulary Tier of Medication
- Possible Deductible
- Several In-network Pharmacies
Must Have Part A or B to Enroll
MEDIGAP
Supplement
Insurance
A Medigap policy is a private health insurance policy that covers some of the gaps in Medicare coverage, such as deductibles and coinsurances. Medigap plans have no provider network restrictions and can be used to cover services at any doctor or facility in the U.S. that participates with Medicare billing. Some Medigap plans provide benefits that Medicare doesn’t offer, like coverage out of the country. You must be enrolled in Medicare A and B to be eligible to enroll in a Medigap plan. Medigap plans can be used with original Medicare and Part D plans but cannot be combined with a Medicare Part C plan.
Have Questions About Medicare?
When Can I Enroll in Medicare Parts C & D?
Initial
Enrollment Period
Annual
Election
Period
Open
Enrollment
Period
Special
Enrollment Periods
Contact Us
Evolution Retirement Solutions, LLC
Anthony Hinds-Fritz, CFP®, ChFC®
Syracuse, NY 13204
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