There are 4 Parts to Medicare:
Part A = Hospital Insurance (Inpatient)
Part B = Medical Insurance (Outpatient)
(Medicare Parts A & B are referred to as ORIGINAL MEDICARE) Original Medicare does not cover preventative dental or routine vision. Click the link at the top right of this page to look at dental and vision plans.
Part C = Medicare Advantage Plans (offered by private insurance companies approved by Medicare)
Part D = Prescription Drug coverage (offered by private insurance companies approved by Medicare)
Once enrolled into Medicare A & B you then have to choose one of the two options available:
Choose the alternative to Original Medicare by enrolling into a Part C Medicare Advantage plan. Part C plans include all Part A, Part B and most times Part D prescription drug coverage, all in one plan. Some Plans also include extra benefits not covered by Original Medicare such as preventative dental, routine vision, hearing aid allowance and a monthly gym memberships. (Extra benefits will vary from plan to plan). *There are 46 Plans available in Berks County for 2019 (7 of which do not include prescription drug coverage) with each having their own plan design.
Keep Original Medicare and supplement it by enrolling in a Medicare Supplement plan. There are 11 Plans available, all named after letters; Plans A, B, C, D, F (High deductible F) G, K, L, M & N. Each Plan offers a different level of coverage. In Pennsylvania the Plans are standardized which means each Plan of the same letter has the same benefit regardless of the company you purchase it from. The only difference is what you'll pay.
Part D Prescription Drug coverage:
When you keep Original Medicare you'll need to enroll in a separate Part D Prescription Drug plan. There are 30 Drug plans available in Berks County for 2019.
**Medicare says enrolling into Part D is optional. However, if you do not enroll when first eligible and enroll at a later date you may be hit with a Late Enrollment Penalty.
Understanding the above is crucial in order for you to make an educated decision when it's time to choose.
*Verify your prescriptions are on the Plan's formulary and your doctors are in the Plan's network before enrolling!
**Verify your prescriptions are on the Plan's formulary before enrolling!
IMPORTANT NOTE: Regardless of the option you choose, you must continue to pay your Part B premium!
Here are some other questions I can answer for you:
Your insurance needs are specific to you. Whether it's a Medicare Supplement plan, a Prescription Drug plan or a Medicare Advantage Plan you want, I'll shop the market and select the plan that's best suited for you.
I received my Pennsylvania Insurance license in April 2006 and began my insurance career selling Life insurance and Annuities. During this time I worked with companies such as Monumental Life Insurance and American General Life Insurance. I was introduced to Medicare in 2013 and have been helping clients in this market ever since. I have helped hundreds of people enroll in a Medicare health plan, but more importantly helped them understand what Medicare IS and what their choices ARE once enrolled.