Medicare has FOUR PARTS:
Part A = Hospital Coverage (Inpatient) Is typically premium free because of taxes you paid during your, (or spouse's,) working years.
Part B = Medical Coverage (Outpatient) Is not premium free. The standard monthly premium for 2022 enrollees is $177.10.
(Medicare Parts A & B are referred to as ORIGINAL MEDICARE)
Part C = Medicare Advantage (offered by private insurance companies approved by Medicare)
Part D = Prescription Drug (offered by private insurance companies approved by Medicare)
Once enrolled in Medicare A & B you can choose from one of the two coverage options:
Medicare Supplement / Medigap plan. These plans pick up some or all, depending on which plan you choose, of Medicare's Part A & B deductibles and copays. There are 11 Plans to choose from, each having a different level of coverage. Supplement Plans are identified by letters: A, B, C*, D, F* (High deductible F) G, K, L, M & N. Each Plan's benefits are identical regardless of the company that offers them, however, the costs will vary greatly from company to company. There are no networks with this type of coverage. Enrolling in a Part D Prescription Drug plan will be necessary because Medicare Supplement/Medigap plans do not cover prescription drugs.
*Plans C & F are available only to thoses whose Medicare Part A became effective prior to January 1, 2020.
Part C / Medicare Advantage plan. Medicare Advantage plans combine Part A, Part B and Part D prescription drug coverage all in one plan. Part C plans have networks. There are 65 Medicare Advantage plans available in Berks County this year / 2022). Part C premiums range from $0 to $302.00. Copays are assigned to each medicare covered service, with no 2 plans being the same. Many plans include extra benefits not covered by Original Medicare such as; preventative & comprehensive dental, vision allowance toward glasses and/or frames, hearing aid allowance, free transportation to medical appointments, a monthly stipend to use for over the counter items, and free standard gym memberships,.
Part D Prescription Drug coverage:
When you enroll in a Medicare Supplement / Medigap plan, you'll want to consider enrolling in a Part D Prescription Drug plan. There are 25 Drug plans available in Berks County this year / 2022. Enrolling into Part D is optional, however, if don't enroll when you're first eligible, and go longer than 63 days without creditable drug coverage, you'll likely pay a Late Enrollment Penalty if you decide to enroll at a later date.
Make sure your prescriptions are on your decided Part D or Part C plan's formulary before enrolling!
Make sure your doctors and specialist are in the Part C plan's network before enrolling!
If you are not on an employer plan and are not collecting Social Security, call Social Security within 3 months of turning 65 to schedule an appointment. You can also enroll online at SSA.GOV
Reading's SS office phone number: 1-866-274-5960
If you are collecting Social Security you will automatically receive your Medicare card within 3 months of turning 65. If receiving Social Security Disability payments, you'll automatically receive your Medicare card after the 24th monthly payment.
You can delay enrolling into Part B of Medicare without penalty if:
1. You have employer coverage due to active employment, either yours or your spouse's.
2. The employer where you have the coverage has more than 20 employees.
If you're already enrolled in Medicare you'll have a Special Enrollment Period when you're ready to retire. You'll have 63 days after your employer coverage ends or employment ends, whichever is later, to enroll in a Medicare Advantage Plan, Prescription Drug Plan or a Medicare Supplement Plan.
I DO NOT OFFER EVERY PLAN AVAILABLE IN YOUR AREA. ANY INFORMATION I PROVIDE IS LIMITED TO THOSE PLANS I DO OFFER IN YOUR AREA. PLEASE CONTACT MEDICARE.GOV OR 1-800-MEDICARE TO GET INFORMATION ON ALL OF YOUR OPTIONS.
Your insurance needs are specific to you. Whether it's a Medicare Supplement plan, a Prescription Drug plan or a Medicare Advantage Plan, I'll shop the market and present to you some options I feel will be best suited for you, and your wallet!
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, now TransAmerica, and American General Life Insurance. I was introduced to Medicare in 2013 and have been helping clients in this mar
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, now TransAmerica, 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 maneuver through the Medicare maze.