The Parts of Medicare A, B, C, D
Medicare Advantage
Part C
Over 1/3 of Medicare recipients get their care via a Medicare Advantage Plan. Medicare Advantage plans are sold by private insurance companies (Humana/AARP/United Healthcare/Anthem etc) who receive payments from Medicare to cover enrollees. Medicare Advantage monthly premiums are for the most part lower than coverage via Original Medicare with a Medigap and a PartD RX plan would be. Medicare Advantage plan come with a "built-In" RX plan, there's no need to get a separate RX plan. That's why they're referred to as "All In One" plans on some advertisements. Quite often there will be a plan in your area with Zero Premium. Meaning all you pay monthly is your Part B premium! Some companies have also taken to reimbursing enrollees for portions of their Part B premium!
Medicare Advantage plans can also provide Dental coverage, Vision coverage and Acupuncture which Original Medicare cannot. Additionally most plans also provide access to fitness programs such as www.Silversneakers.com which is a great benefit.
(Medicare Advantage plans are often mistakenly referred to as "Gap" plans or "secondary plans" which is not accurate. They do provide a ceiling on annual out-of-pocket expenses, usually at 6700.00. Anything spent on medical care over that will be paid for by the Insurance Company.
(Note, RX costs do not factor into the 6700.00 amount)
Part C
Over 1/3 of Medicare recipients get their care via a Medicare Advantage Plan. Medicare Advantage plans are sold by private insurance companies (Humana/AARP/United Healthcare/Anthem etc) who receive payments from Medicare to cover enrollees. Medicare Advantage monthly premiums are for the most part lower than coverage via Original Medicare with a Medigap and a PartD RX plan would be. Medicare Advantage plan come with a "built-In" RX plan, there's no need to get a separate RX plan. That's why they're referred to as "All In One" plans on some advertisements. Quite often there will be a plan in your area with Zero Premium. Meaning all you pay monthly is your Part B premium! Some companies have also taken to reimbursing enrollees for portions of their Part B premium!
Medicare Advantage plans can also provide Dental coverage, Vision coverage and Acupuncture which Original Medicare cannot. Additionally most plans also provide access to fitness programs such as www.Silversneakers.com which is a great benefit.
(Medicare Advantage plans are often mistakenly referred to as "Gap" plans or "secondary plans" which is not accurate. They do provide a ceiling on annual out-of-pocket expenses, usually at 6700.00. Anything spent on medical care over that will be paid for by the Insurance Company.
(Note, RX costs do not factor into the 6700.00 amount)
Original Medicare Part A&B
Part D RX plan
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WHY ORIGINAL MEDICARE as my primary insurance company?
When you use Original Medicare as your primary you will have access to the entire Medicare network nationwide. After a small deductible for doctors visits (185 in 2019) Medicare will pay 80% of all charges incurred - except for Hospital stays which have a separate yearly deductible. ($1364.00 in 2019) and certain other charges. What is NOT covered by Medicare Part A&B is known as the "gap." |
Medigap
Medigap plans cover the various"gaps" left after Medicare pays their portion. The Medigap plans are designed by Medicare and are designated by letter (NOT to be confused with Medicare's Part A, Part B, Part C & Part D) . The same plan F can be sold by many different carriers at different prices. In our opinion the plans are a "commodity." In that regard it's wise to purchase the least expensive plan. There is no better plan "F" for instance from one company to another. The medigap plans don't designate the network of doctors, Medicare does that. The best plan is the least expensive plan! Wallace & Feldman Ins. will help you find and secure that plan. |
Medicare Prescription Part D RX Plans
Wallace & Feldman represents most of the Part D drug plans. We choose the plan that is the best fit with your list of medications. There are multiple plans to choose from - some will give you a better price for your medications than others - we'll help you pick the right one. |