Medicare 101

Medicare Advantage Plans and Medicare Supplemental Insurance In Bartlesville, OK, Broken Arrow, Grove, Muskogee, Oklahoma City, Tulsa, throughout Oklahoma and the Surrounding States

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MEDICARE 101

Medicare, Medicare Advantage Plans, and Medicare Supplements

Medicare is a government-run health insurance program for people over the age of 65, people receiving Social Security Disability payments, and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Medicare has different parts that help cover specific services:

Medicare Part A (Hospital Insurance) - Part A helps cover inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities (not custodial or long-term care). It also helps cover hospice care and some home health care. Beneficiaries must meet certain conditions to get these benefits. Most people don't pay a premium for Part A because they or a spouse already paid for it through their payroll taxes while working.

Medicare Part B (Medical Insurance) - Part B helps cover doctors' services and outpatient care. It also covers some other medical services that Part A doesn't cover, such as some of the services of physical and occupational therapists, and some home health care. Part B helps pay for these covered services and supplies when they are medically necessary. Most people pay a monthly premium for Part B.

Medicare Part D (Prescription Drug Coverage) - Medicare prescription drug coverage is available to everyone with Medicare. To get Medicare prescription drug coverage, people must join a plan approved by Medicare that offers Medicare drug coverage. Most people pay a monthly premium for Part D.

Medicare SupplementMedicare Advantage Medicare Part DMedicare Supplement

To help fill the gaps in Medicare, some people purchase
a Medicare Supplement, also known as a Medigap policy. Medicare supplements pay secondary to Medicare and cover some of the out-of-pocket expenses after Medicare has paid its share.

When someone with a Medicare supplement receives medical services, they present both the red, white, and blue Medicare card and the Medicare supplement card. The provider will bill Medicare, which will pay its portion of the bill. Afterwards, the supplement will pay the portion that it is responsible for.

Medicare Advantage

Medicare Advantage plans are offered by private insurance companies that take over for Medicare. While a beneficiary is on an Advantage plan, they won't use their Medicare card; instead, they will show their Medicare Advantage insurance card when they visit the doctor or go to the hospital. If the Advantage plan has a Medicare Part D built into it (a Medicare Advantage Prescription Drug Plan, or MAAPD for short:, they will show the dame card when they pick up the monthly prescriptions.

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Medicare Part D

Under Medicare Part D, people get help paying for the medications they need. Many plans require the member to pay an annual deductible before the drug coverage kicks in, and almost all have a "coverage gap," sometimes referred to as a donut hole, after the total drug costs exceed a certain amount.

Medicare Part D programs are offered by private insurance companies which has led to more options for consumers, and the competition has helped to keep premiums down.

Medicare Plans

We have plans that will suit most clients. If you want to know more about your options, you can call one of our licensed agents and they will be glad to help in any way they can.