Medicare Options, What’s Covered, and Which One?
Supplement & advantage Medicare basics, and which route to take is the right one for you. This page covers options, what is the basics for Medicare Part A and B and what the questions you should ask yourself before we meet to get a better idea for your needs.
Medicare options to consider
Navigating through the maze of Medicare can be frustrating and a cumbersome experience. There are really 2 main options people have that are eligible for Medicare. Of these options, based on the individual’s current situation will help determine the best route to take.
The 2 basic options for Medicare supplemental coverage are traditional Medicare supplement plans “Medigap” policies or Medicare Advantage plans, both will keep the cost of original Medicare down of cost sharing by maximum out of pocket or paying most of the Medicare eligible costs. Medicare supplement plans pay most or all of the costs left behind by Medicare. Medicare Advantage plans are network cost sharing plans with maximum out of pocket.
Medicare – What’s Covered
- Hospital Care
- Skilled Nursing Facility Care
- Hospice Care
- Home Health Services
Medicare Part B covers:
- Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
- Preventive Services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best.
What Plan is the right one?
This is where most people have a hard time figuring out what to do. Some make the mistake and ask a friend or get on the same plan as a spouse without taking the following into consideration:
- What are my healthcare needs?
- What prescriptions am I taking?
- Do I want to keep my doctors?
- Do I expect to travel?
- What is my overall health?
Taking these questions into consideration while in the ONLY “First Time” Open Enrollment period you have is MOST important! This can be the difference of THOUSANDS of dollars out of YOUR pocket annually!