Solutions to Retirement Healthcare

Original Medicare allows you to go to any doctor or hospital anywhere in the U.S, without referrals to see specialists. As of 2023, 98% doctor participation rate. You have access the largest array of healthcare options imaginable.

MEDICARE PART A:

Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

Most of the time Part A doesn't cost you anything in terms of monthly premium as long as you have paid 40 quarters in the the Medicare system through you taxes while you were working.

If you do end up needing to use your benefits, there is a large deductible that needs to be met before Part A starts paying benefits, then you will be covered for the 1st 60 days. Days 61 and after coinsurance will be required per day.

MEDICARE PART B:

Medicare Part B is outpatient medical coverage. Part B helps pay for medically necessary services performed on an outpatient basis that are needed to diagnose and treat a medical condition.

Visits to your Primary Care Physician, Specialists, Surgeries, lab work, and preventative services are all covered under Part B. There is a monthly premium that you would be responsible for that will be withdrawn directly from your Social Security check if you are drawing Social Security. Otherwise you would need to pay the premium 3 months at a time from your checking account.

There is a once a year deductible that you would have to meet before Part B pays anything, then it is a 80/20 split where you would be responsible for 20% of the costs of service.

MEDICARE PART C:

Medicare Part C is also called Medicare Advantage (MA or MAPD). It’s privately-managed alternative to Original Medicare. Medicare Advantage may include prescription drug coverage, along with other extra benefits. These are usually network plans such as HMO's and PPO's with copayments and coinsurance found all throughout the plan based on services rendered, similar to work group plans.

If you have an MA plan then this becomes your Primary Insurance, you leave the Original Medicare options behind. In most cases, your access to doctors and hospitals are limited to whichever company private network. You will still need to continue paying your Part B premiums.

MEDICARE PART D:

Medicare Part D is your prescription drug coverage. Part D coverage is available as a Stand Alone Option (PDP) or as part of a Medicare Advantage plan (Part C). Part D plans are offered by private insurance companies contracted and approved by Medicare. To avoid penalty, it is mandatory that you have credible drug coverage when you join Original Medicare or if you choose a Medicare Advantage plan.

To learn more about the options of having Original Medicare with a Supplement and Drug Plan OR choosing a Medicare Advantage plan, please click one of the buttons below. You can also always press the "Click to Call" button above to reach us today!