A traditional plan that helps cover Medicare's co-pays and coinsurance. You have the freedom to choose your doctors and hospitals. These plans provide you with the freedom of choice and and ability to see the doctors and specialists you want
Whether you are turning 65, losing your employer sponsored health coverage or just want to see if there is a coverage that meets your needs, give me a call for a no cost review.
Medicare Advantage plans (also known as Part C of Medicare) combine Parts A, Part B and many plans offer prescription drug coverage known as Part D. These plans are offered by private insurance companies that are approved by Medicare. These plans provide coverage and costs beyond the standards set by Medicare and may/will vary from plan to plan. Many of these plans may offer coverage for vision, dental, hearing aids, gym memberships and other benefits depending on the plan
There are several types of Medicare Advantage plans (Part C). The common plans are Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee For Service plans (PFFS) and Special Needs Plans (SNP). These plans are offered and operate within a defined geographical area and you must live in the service area to enroll.
To find out if these plans are right for you, contact me and we can review the plans and see if a Medicare aAdvantage plan is right for your needs
Prescription Drug coverage can be obtained by enrolling in a standalone drug plan or it may be included in a Medicare Advantage plan. Not everyone's prescription needs are the same so I spend a lot of time with my clients comparing plans and making sure the plan provides the right coverage for the clients current medication needs at the time. We have the option to change plans every year so as your prescriptions change we do have an opportunity to change plans to better fit your needs
A formulary is a list of drugs covered by the plan. Medicare sets standards for the types of drugs Part D plans must cover, but each plan chooses the specific brand name and generic drugs on its formulary. Make sure your medication is covered by your plan
Know your formulary. If your doctor is going to prescribe a new medication, check to see if your plan covers the medication.
Consider generics. Ask your doctor if there is a generic equivalent to the medication you are taking.
Always use a Network Preferred Pharmacy. Preferred network pharmacies can help reduce your prescription drug costs
Use a mail order pharmacy. Many plans offer mail order plans that can lower your costs (many plans offer $0 copays for certain generic medications) and offer the convenience of not having to go to the pharmacy and providing a 3 month supply.
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Not connected with or endorsed by the United States government or the federal Medicare program.