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Medicare Insurance Comparison

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Medicare Insurance Comparison

Medicare is a government-run insurance program that gives Medicare-eligible people the opportunity to obtain affordable health care insurance.

Many people receive health insurance through their employers; when they’re not working due to retirement, it’s important that they be able to find ways to cover the cost of their health care.

To get quotes for your Medicare insurance, enter your ZIP into our FREE comparison tool above!

Important Enrollment Information

According to

“Medicaid is a joint federal and state program that, together with the Children’s Health Insurance Program, provides health coverage to over 72.5 million Americans, including children, pregnant women, parents, seniors and individuals with disabilities.”

You can review a comprehensive list of “mandatory eligibility groups” from (PDF).

If you meet any of these eligibility requirements, you should receive Medicare Part A without having to pay a monthly premium. You may still have to pay for Part B if you choose to go with that option.

For more information on enrollment and eligibility, please review’s “Determining Eligibility for Medicaid” section.

– Why do costs and coverage change?

Exact costs and coverage can depend on the conditions outlined in your particular plan. People age 65 and above have varying needs, and the current system allows individuals to enroll in a plan that works best for them.

You can change your Medicare Advantage Plan or join a Medicare Advantage Plan from October 15 to December 7, and you can switch from a Medicare Advantage plan to Original Medicare from January 1 to February 14.

– What is Initial Coverage Election Period?

When you first enroll in Medicare, you’ll also be able to apply for a Medicare Advantage plan and/or a Medicare prescription drug plan (Part D).

If you don’t choose to go with these options when you begin your enrollment, you can do so at a later point in time during the Open Enrollment for Medicare Advantage and Medicare prescription drug coverage. Those dates are October 15 to December 7.

To reduce the possibility of having a gap in coverage, Medicare-eligible individuals can enroll in a Medicare plan within a seven-month period surrounding the month when you turn 65. You can begin signing up for Medicare three months before the month you turn 65, and your enrollment window ends on the last day of the third month after the month you turn 65.

What are the different parts of Medicare?

A primary component of Part A is hospital care. This includes inpatient hospital care, skilled nursing facility care, and long-term care hospitals. Without coverage, these costs can be high, so it’s essential for these types of services to be paid for.

It can be important to note that the type of skilled nursing care that’s covered under Part A includes only what is medically necessary.

Custodial care, which includes assistance with daily living activities, is not covered.

Part B covers most doctor’s visits and associated services that are directly related to treating or addressing a particular health condition. The preventive care includes:

  • Cardiovascular disease screenings
  • Many types of cancer screenings
  • Bone mass measurements
  • Depression screenings
  • Diabetes screenings
  • Glaucoma tests
  • Mammograms
  • Obesity screenings and counseling
  • STI screenings and counseling
  • Flu and pneumococcal shots
  • Tobacco use cessation counseling
  • Yearly wellness visits

Medicare Advantage plans take the place of Part A and Part B coverage and are administered through private companies. You can continue reading to find out more about Medicare Advantage.

Part D covers prescription drug benefits. You can arrange to have Part D coverage whether you’re insured under Original Medicare or a Medicare Advantage plan that doesn’t cover drug costs.

How do I get Medicare coverage?

If you’d like to obtain Medicare coverage, you may be able to get everything set up online, beginning three months before the month you turn 65, which can help move things into place as you meet the age requirement. During that time, you can apply for Part A and Part B, though you can opt out of Part B if you wish.

You have a seven-month initial enrollment period to take advantage of, which includes the three months before the month you turn 65 and the three months after the month that you turn 65.

If you do not join a Medicare plan when you first become eligible for coverage, you’ll have to wait for the General Enrollment period, which is January 1 to March 31 of each year. You can review the Medicare late enrollment penalties here.

People who until recently were covered under an employer-sponsored plan may be able to apply for Medicare within eight months of their coverage ending.

For people with a disability who are under 65 and would like to go back to work:

“You can keep your Medicare coverage for as long as you’re medically disabled. If you return to work, you won’t have to pay your Part A premium for the first 8 ½ years. After that, you’ll have to pay the Part A premium.”

What are my Medicare coverage choices?

Part A covers hospital care, which is sometimes the most critical component of health care for older individuals. Additionally, it covers skilled nursing facility care and nursing home care as well as care provided in one’s own home, such as hospice and home health services.

Part B covers most preventive services and other services classified as medically necessary to address your condition. Things covered under Part B include:

  • Ambulance services
  • Mental health services
  • The cost of being in clinical research trials
  • Ambulance services
  • Durable medical equipment, such as blood sugar monitors and glucose test strips, canes, crutches, wheelchairs, nebulizers, and walkers

Part D is the component of Medicare that covers prescription drug costs. These plans vary in terms of coverage, and each policy covers only certain types of drugs.

– Original Medicare

When people refer to Original Medicare, they are usually talking about the basic components — Part A and Part B. Remember that when you enroll in Original Medicare, you can receive all the benefits that Part A covers without paying a premium, as long as you meet the eligibility requirements stated above.

If you don’t meet those requirements (usually because you didn’t work for the required period and didn’t pay enough payroll taxes), you can buy Part A in 2018 for a premium up to $422/month.

You can also choose to add Part B for more comprehensive coverage. The standard monthly premium for Part B in 2018 is $134 but may depend on your income. The yearly deductible is $183, and after you’ve met your deductible, you usually pay 20 percent of your adjusted bill.

Part D is additional coverage intended to make prescription drugs more affordable in many instances. Each plan has set its own associated premiums, deductibles, and copayments.

If you’d like to supplement your coverage under Original Medicare, you can purchase a Medigap policy, also known as a Medicare Supplemental Insurance Plan. These plans are administered by private insurance companies, to which you pay monthly premiums, and they can help you cover the cost of copayments and deductibles.

– Medicare Advantage Plan

Some people choose a Medicare Advantage Plan, also known as MA plans and sometimes referred to as Part C plans, instead of an Original Medicare plan. These plans are administered by private companies that have established contracts with Medicare, and they offer full-scale services within one policy.

Buying a Medicare Advantage Plan means that everything you would have otherwise been eligible for under Part A and Part B will still be covered.

There are several types of plans available, including those offered by:

  • Health maintenance organization (HMO)
  • Preferred provider organizations (PPO)
  • Private fee-for-service plans (PFFS)

Under the HMO plans, you’ll receive your care from providers within the HMO network, except for in an emergency. This may be a good idea if you have access to a provider or a group of providers in the network who you feel comfortable with.

With PPO plans, you’ll pay less to see a provider within your network, but you can still receive partial benefits if you visit someone out of your network, which gives you more flexibility than the HMO plan.

For even more flexibility, you can choose to get insured with a private fee-for-service (PFFS) plan. Some of these plans have networks, whereas others don’t.

The primary advantage of a PFFS plan is that you don’t have to receive a referral before making an appointment with a specialist. In contrast, many PPO plans and most HMO plans do require a referral to visit a specialist.

Make sure you have the right Medicare insurance for your needs. To get started just enter your ZIP into our FREE comparison tool below!

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Terms & Conditions · · Privacy Policy · Contact Us · Site Map is privately owned and operated. is a non-government asset for people on Medicare, providing resources in easy to understand format. The government Medicare site is

This website and its contents are for informational purposes only and should not be a substitute for experienced medical advice. We recommend consulting with your medical provider regarding diagnosis or treatment, including choices about changes to medication, treatments, diets, daily routines, or exercise.

This communication’s purpose is insurance solicitation. A licensed insurance agent/producer or insurance company will contact you. Medicare Supplement insurance plans are not linked with or sanctioned by the U.S. government or the federal Medicare program.

MULTIPLAN_GHHK5LLEN_Accepted Last Updated 3/18/2018

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