Where are there Medicare insurance agents in my area?
Are there any independent Medicare advisors near me?
Medicare/Medigap is a complex subject. While we have tried to briefly answer the most common Medicare questions below, you may be wondering is there a Medicare agent or Medicare advisor near me to help me fully explore my options.
Key Options LLC is proud to be the premiere Medicare advisor and insurance agent in Greencastle, PA. We look forward to working with you and helping you sort through the various Medicare Supplement Plans, as well as other supplemental health insurances to determine which makes the most sense for you.
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What are the 4 types of Medicare?
The 4 types of Medicare are Medicare Part A, Medicare Part B, Medicare Part C and Medicare Part D.
NONE of them cover all of your medical costs.
Part A covers certain inpatient hospital charges. Part B covers many outpatient medical fees such as doctor office visits, lab work, diagnostic tests and some other medical expenses like ambulance and medical equipment. Part C (Medicare Advantage) provides a different way for you to receive Medicare benefits by choosing and paying for a Medicare Advantage plan offered by a private insurance company, instead of the government. Part D (Medicare Prescription plans that you purchase from a private insurance company) covers some prescription drug costs.
The coverage offered by Part C and Part D plans varies widely and NONE of these plans cover all costs.
It may be in your best interest to purchase a Medicare Supplement. Trying to understand, compare and couple the numerous available Medicare supplement plans can be overwhelming.
It’s best to consult an independent Medicare advisor to understand which of the plans will provide you with the best medical coverage at the least cost.
Call us TODAY for more information.
What is a Medicare Supplement Plan?
Original Medicare (Part A & Part B) pays for most, but not all, of your medical expenses, requiring you to pay the difference (or “gap”) out of pocket. The gap has no limit and could be in excess of 20% of your medical bills.
Medicare Supplement Plans, also called Medigap policies, are private medical insurance plans designed to help pay the gap. They’re offered by private insurance companies.
All Medigap policies are standardized and must follow federal and state laws. Insurance companies can sell only a standardized policy identified by Plan letters A through D, F, G, and K through N. All Plans offer exactly the same basic benefits. However, different insurance companies charge different premiums for the same exact policy. They also have different projections for future premium rate increases. It is best to understand your options for budgeting purposes.
With such a large number of plans available, including their varying costs, benefits and limits; it’s a daunting process trying to decide which plan provides you with the best benefits at the least cost in your individual situation.
Therefore, it is recommended that you contact an independent Medicare advisor for assistance. We would be happy to explain which plans are best suited for your individual needs.
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What is Medigap? What is a Medigap Plan?
Medigap, or a Medigap Plan, is another term for Medicare Supplement insurance.
Original Medicare (Part A & Part B) pays for most of your medical costs, but what it doesn’t pay is the “gap” that must be paid by you. This is the Medigap.
Medigap Plans pay a portion of the “gap”. The number of Medigap plans, and their benefits and limitations, is staggering and difficult to understand.
You are strongly advised to seek the help of an independent Medicare advisor or Medicare agent to help you find the best Medigap Plan for your situation.
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What is Medicare Advantage?
Medicare Advantage gives you the option to replace Original Medicare Part A and Part B medical benefits with medical insurance offered by a private insurance company, instead of the government.
Medicare Advantage Plans are also known as Medicare Part C plans.
If you select a Medicare Advantage plan it will cover most services offered by Original Medicare.
Most Medicare Advantage plans include some coverage for prescription drugs.
The most common Medicare Advantage Plans include (a) Health Maintenance Organizations Plans (HMO), (b) Preferred Provider Organization Plans (PPO), (c) Private Fee-for-Service Plans (PFFS), and (d) Special Needs Plans (SNP’s). Additional, lesser known plans are also available.
How does Medicare Advantage (Medicare Part C) work?
Choosing Medicare Part C is the selection of a Medicare Advantage Plan. This means you are agreeing to leave Original Medicare that pays 80% of your Part A (hospitalization) and Part B (Medical). What the government pays to Medicare on your behalf for Part A and Part B goes to the Medicare Advantage insurance carrier plus any premium that you may incur as well. Some plans have a $0 premium.
For 2020 - Part A is $458 per month and Part B is $144.60 per month.
Is it better to have Medicare Advantage or Medigap?
While a Medicare Advantage plan might have a limit on your out-of-pocket costs to safeguard you from receiving large medical bills, regular Medicare (Parts A & B) coupled with a Medigap plan might provide more options in your choice of caregivers.
An independent Medicare advisor or Medicare agent can help you determine the best plan, or combination of plans, that ensure you get maximum benefits at the lowest cost.
Which Medicare Supplement Plan is best?
Since there is a wide selection of Medicare Supplement Plans, and your medical needs are unique to you, seven things must be considered to make the best choice.
Cost of the plan, its deductibles and copays, as well as any limits on what you pay out-of-pocket must be considered.
The coverage of the plan and how it suites your unique needs must be carefully considered, in addition to any other private coverage you may have. Will you need prescription coverage? Maybe you could benefit from hearing, vision or dental coverage. Would you benefit from other additional medical insurances?
Acceptance of the plan you choose by your doctors and hospital must also be considered. Not all plans are accepted by all caregivers.
Will you be able to continue getting the quality of care you’re accustomed to?
Finally, if you travel, will your plan provide coverage away from home?
These are only some of the numerous and confusing considerations involved in choosing the best Medicare plan.
Isn’t it in your best interest to get unbiased advice from an independent Medicare agent?
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Are Medicare Supplement Plans worth it?
Relying only on Original Medicare(Part A & Part B) without any supplemental coverage could result in your having to pay out-of-pocket costs for substantial deductibles and 20% or more of any HUGE outpatient costs – the Medigap.
There is NO question that Medicare supplement plans could save you money.
What drugs are covered by Medicare Part D?
While all Medicare Part D plans are required by the government to cover almost all drugs in six categories (antidepressants, anticonvulsants, antipsychotics, immunosupprressants, anticancer and antiretrovirals), each Medicare Prescription Plan publishes a formulary, or list of the drugs they cover.
It’s your responsibility to ensure your Part D Plan covers those drugs you may need.
Why go it alone??
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