Adler Insurance wants to help you understand Medicare terminology in Prescott

Deciding what Medicare coverages are right for you is no simple matter, and Medicare terms can be confusing. To help you make an educated decision about what option is best, Adler Insurance shares a guide to Medicare terms that may help you prepare for enrollment in Prescott.

Open Enrollment: The annual enrollment period runs from October 15 to December 7. This is when changes may be made to your Medicare coverage if you are already enrolled. Since plan benefits may change from year to year, this is the time to review your health plan to see if your current plan still meets your needs. Changes made during open enrollment are effective on January 1 of the following year.

Original Medicare: Parts A and B are considered original Medicare and are offered by the US Government. Each part covers a different aspect of healthcare services. Part A covers inpatient care at a hospital, skilled nursing facility and in some situations it could also cover care at home. Part B covers such things as visits to your doctor, outpatient physical therapy, and occupational therapy. Between Part A and Part B, approximately 80 percent of healthcare costs are covered.

Medicare Advantage: Medicare Part C is also referred to as Medicare Advantage, and is Medicare-approved private insurance that you can purchase. Medicare pays these insurance companies to cover your Part A and B coverages. Also known as MA Plans, they are designed to save you out-of-pocket costs, and offer additional benefits such as dental care, eyeglasses and wellness programs.

Prescription Coverage: Medicare Part D is prescription drug coverage. This can be stand-alone, or a coverage that is sometimes included in a Medicare Advantage Plan. When choosing a prescription drug plan, be sure to review the formulary (list of covered drugs) to make sure any medications you take are covered in the plan.

Medigap: Medigap is private insurance coverage that supplements original Medicare and fills in the “gap” between what you are charged and what Medicare pays. The premiums are typically higher, but it reduces out-of-pocket costs for co-pays, deductibles and coinsurance.

Parts F, G, K, L, M and N are additional Medicare supplement plans that lower your out-of-pocket costs by varying degrees.

Hopefully this guide has given you some insight on what to look for when choosing or reviewing your Medicare plan. Adler Insurance, your Medicare expert in Prescott, can help you select the plan that will save you money and best fit your medical care needs. Call us today at 928-710-1455 and learn more about other types of insurance services we offer at http://www.adlerlifehealth.com.

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Medicare Supplements in Prescott
Prescott Prescription Drug Plans
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Adler Insurance helps you to decide the right Medicare supplement in Prescott

Although the federal Medicare program pays the lion’s share of medical expenses for those that use it, it still pays to look into the supplement policies as they help to pay for certain expenses not covered by Medicare. Adler Insurance helps you to navigate the Medicare supplements in Prescott and decide what is right for you.
When can I apply for a supplement policy?

Generally speaking, when you elect coverage from Medicare Part B, you have 6 months of open enrollment time for a supplement policy. This is the same whether you have Medicare due to age or disability. If you do not enroll in a supplement policy within the open enrollment window, you can be denied due to health conditions. Again, this is generally speaking. There are some exceptions, but you are safe to assume that 6-month window.

Does the supplement policy cover prescription drugs?
If you are looking for prescription drug coverage, it may be best to go with the Medicare prescription drug plan, as supplements may not include drug plans.

MedicareAdvantage Plans
MedicareAdvantage plans are privately sold insurance plans for a monthly fee that provide the standard Medicare benefits plus additional supplements. This is formerly known as Medicare+Choice plans.

Medicare Select Plans
Medicare Select plans are very similar to PPO plans. If you stay in network, the plan will be a lower cost.

Medigap policyA Medigap policy is basically just how it sounds. It pays the gaps that Medicare does not cover. It is sold by private insurance companies.

Am I qualified for a Medigap policy?
Not everyone qualifies for Medigap. Some reasons that may keep you from qualifying are: being enrolled in a Medicare Advantage plan, having Medicaid, being under the age of 65 and disabled or having end stage Renal disease. Also, generally speaking, you must have both Medicare part A and part B.

Let Adler Insurance help you with sorting out Medicare supplements in Prescott. We will see to it that you pick the right supplement plan for your specific needs. This article is not exhaustive, so it’s in your best interest to sit down and become fully educated on the supplement policies. If you need more information on how to choose your Medicare plan, call Adler Insurance at 928-710-1455 and discover more at http://www.adlerlifehealth.com.

ADDITIONAL INFORMATION
Medicare Agent in Prescott
Prescott Medicare Insurance
Helpful Articles about Medicare