What Is Original Medicare?
Run by the federal governmentAdministered by the Centers for Medicare & Medicaid Services (CMS)
Medicare is health insurance for people age 65 or older, under 65 with certain disabilities, or any age with End-stage Renal Disease (permanent kidney failure).
Medicare Part A helps pay your hospital expenses, skilled nursing facilities, and hospice care. There are deductibles & co-pays.
Part B helps cover medical expenses such as doctor visits, Emergency Room, lab work, x-rays & outpatient surgery. Part B has a deductible, then pays 80%, leaving you responsible for 20%.
What does Original Medicare Not Cover?
Part D (Prescription Drug Coverage)
Hearing Exams and Hearing Aids
Advantage Plans (MAPD/MA)
Cannot be denied coverage & premium is not based on health
Provides all Part A (Hospital Insurance) & Part B (Medical Insurance) coverage
Many provide Part D (Prescription Drug) coverage
Get one card, one bill, one Explanation of Benefits
May receive extra benefits, such as vision, hearing, dental, OTC products, transportation, meals and fitness membership
Premiums start at $0 per month
Medigap supplements Original Medicare coverage (Original Medicare is primary)
Plans are standardized & Identified by letters
Most common plans: Eligible prior to 2020-F, G & N; Eligible as of 2020-D, G & N
Part D (Prescription Drug) coverage not included
Due to health reasons, coverage can be denied or premium increased (except initial eligibility)
All plans have a monthly premium, varies by coverage
OCT 15 - DEC 7, 2020
HOW CAN WILFINGER HEALTH & LIFE HELP?
Plans change every year
Prescriptions may be covered differently or not at all
Your circumstances may change
Sound confusing? I take away the confusion, stress and hassle. Contact me & schedule an appointment. I review your needs, circumstances and financial concerns, matching you with your best fit plan.
Part D (Prescription Drug Coverage) Options
Standalone Medicare Prescription Drug Plan
Can be combined with Original Medicare
Can be combined with Original Medicare & Medigap
Included Many Medicare Advantage plans
Premiums, covered drugs & copays vary by plan