Medicare Insurance
& Rx Plans
Medicare Advantage Plans (Part C)
Benefits of this Plan:
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Offered by private insurance companies
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Helps pay for hospital costs, doctor’s visits, and other medical services
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May also include built-in Medicare prescription drug coverage (Part D)
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Have an out-of-pocket maximum to help limit your healthcare expenses
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Typically provide additional benefits, that original Medicare doesn’t cover, like wellness benefits, vision, and dental benefits
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Offer plan options with premiums as low as $0
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Combine all benefits and services in one plan
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Plans are offered in the following forms: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO) and Point of Service (POS)
Medicare Prescription Drug Plans (Part D)
Benefits of this Plan:
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Helps cover cost of member’s Rx
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Are only offered by private insurance companies
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Offered two ways: As a Stand-Alone Part D Plan or embedded in a Part C Plan
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Have a specific list of approved drugs they cover (Formulary/Drug List)
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Have specific drug stages that determines your cost share of drugs
Medicare Supplement Plans (Medigap)
Benefits of this Plan:
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Designed to work with Original Medicare and offer secondary coverage through a private insurance company
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Helps reduce your out of pocket cost (deductible, coinsurance, copays)
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Standardized plans that are identified by letters – A through N
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Does not offer additional supplemental benefits