Medicare Health Insurance
Understanding Medicare Health Insurance
Medicare is a federal health insurance program primarily for individuals age 65 and older. Coverage is divided into different parts, each serving a specific purpose.
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Medicare Part A - Hospital insurance
Medicare Part A helps cover inpatient care when you are admitted to a hospital or skilled facility.
Hospital stays
Skilled nursing facility care
Hospice care
Limited home health services
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Medicare Part B- Medical insurance
Medicare Part B helps cover medically necessary services and preventive care.
Doctor visits
Outpatient services
Preventive care and screenings
Durable medical equipment
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Medicare Part C (Medicare Advantage)- All-in-one coverage through private plans
Medicare Advantage plans are offered by private insurance companies and combine Parts A and B, often with additional benefits.
Hospital and medical services
Often includes prescription drug coverage
May include vision, dental, or hearing benefits
Care through a provider network
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Medicare Part D- Prescription drug coverage
Medicare Part D helps cover the cost of prescription medications.
Prescription drugs
Pharmacy access
Medication formularies that vary by plan
Steps every Medicare beneficiary should take
Know your enrollment periods
Medicare has set enrollment periods. Missing these can result in penalties or coverage gaps, so it's crucial to know when to enroll or change your plan.
Review your doctors and prescriptions
Provider networks and prescription coverage may change. Verify that your doctors are still in-network and your medications are covered.
Understand your costs
Premiums, deductibles, copays, and out-of-pocket limits vary by plan. Reviewing these costs helps avoid unexpected expenses and ensures your coverage fits your budget.
Review your plan and ask questions yearly
Medicare plans can change yearly. An annual review and questions help ensure your coverage meets your needs.
Why an annual review matters
It's crucial to conduct a plan review EVERY year, as plans, providers, and prescriptions can change during each open enrollment period. An annual review helps ensure that:
Your doctors are still in network
Your prescriptions remain covered
Your costs are still competitive
Your plan continues to match your healthcare needs
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Whether you prefer one-on-one consultations in person, virtual sessions, or participation in one of our educational events, we've got you covered!
Guidance you can trust
We’re here to help you feel informed, confident, and supported in your Medicare decisions.
REQUIRED MEDICARE DISCLAIMER:
We do not offer every plan available in your area. Currently,we represent nine organizations which offer 105 products in your area.
Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
