Medicare

Medicare Part D Coverage

Medicare Part D is a prescription drug program that is part of the Medicare system in the United States. The program was introduced in 2006 as a way to provide beneficiaries with access to affordable prescription drugs. Medicare Part D is available to individuals who are enrolled in Medicare Part A and/or Part B and who do not have prescription drug coverage through another source, such as an employer-sponsored plan or Medicaid. The program is provided by private insurance companies that are approved by Medicare, and beneficiaries can choose from a variety of plans based on their specific needs and preferences. Medicare Part D plans typically have monthly premiums, deductibles, and copayments or coinsurance that vary depending on the plan and the drugs covered. Overall, Medicare Part D has helped millions of beneficiaries afford necessary prescription drugs, making it an important component of the Medicare system.

Medicare Supplements

​There are currently 10 standardized Medicare Supplement insurance plans available in most states, labeled as Plan A through Plan N. Each plan provides a different combination of benefits to help cover the out-of-pocket costs that are not covered by Original Medicare, such as deductibles, coinsurance, and copayments. For example, Plan F is a comprehensive plan that covers all out-of-pocket costs, while Plan G covers everything except the Medicare Part B deductible. Each plan provides the same basic benefits, but the cost and availability may vary by state and insurance company. To purchase a Medicare Supplement plan, individuals must be enrolled in Original Medicare Parts A and B, and they must pay a monthly premium to the insurance company offering the plan. Medicare Supplement plans can help beneficiaries better manage their healthcare costs and provide greater financial security.

Dental and Vision 

Medicare does not typically cover routine dental and vision care, which can be important for maintaining overall health and wellness. However, some Medicare Advantage plans offer additional benefits, including supplemental dental and vision coverage. These plans are provided by private insurance companies that contract with Medicare, and they may offer a range of benefits, such as routine dental cleanings, vision exams, eyeglasses, and hearing aids. Medicare beneficiaries who are interested in supplemental dental and vision coverage should review the benefits and costs of different Medicare Advantage plans and select the one that best meets their needs. Additionally, some standalone dental and vision insurance plans are available for purchase outside of Medicare that may provide additional coverage options for beneficiaries.

Medicare Advantage

Medicare Advantage plans, also known as Medicare Part C, are health insurance plans offered by private insurance companies that are approved by Medicare. Medicare Advantage plans provide all of the benefits of Original Medicare (Parts A and B), and often include additional benefits such as prescription drug coverage, dental and vision care, and wellness programs. Medicare Advantage plans may also have different rules and restrictions compared to Original Medicare, such as provider networks and prior authorization requirements. Medicare beneficiaries who choose a Medicare Advantage plan typically pay a monthly premium in addition to their Medicare Part B premium. Enrollment in Medicare Advantage plans is optional and is available during designated enrollment periods. Medicare Advantage plans can be a good choice for individuals who want more comprehensive coverage than Original Medicare provides, but it's important to review the specific plan details and costs to ensure it meets individual health needs and budget.