Medicare Basics

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Medicare Plans in Lafayette, IN

An alternative to Original Medicare with private insurance

Medicare Plans and Education - Affordable Medicare Coverage in Lafayette, IN

What is Medicare?

Medicare is a healthcare insurance program for those age 65 and over and certain individuals with disabilities..  It is is a federal insurance program, meaning the government pays your health care providers directly for healthcare services you receive.  What is referred to as "Original Medicare" consists of  two parts, Part A being categorized as In-patient Hospital services and Part B covering Out-patient services. Part D of Medicare is for Prescription Drug Plans and Part C, also known as Medicare Part C, is the option where you choose to have your healthcare benefits administrated by a private insurance company.

However, Medicare does not cover all your healthcare expenses. You are left to pick up the costs of deductibles, co-pays and  co-insurance.  The deductibles, co-pays and co-insurance costs come out of your pocket, and the amount you can end up owing can be very significant.  Therefore, most individuals on Medicare look for coverage beyond Original Medicare.  Medicare Supplements (also called Medigap ) and Medicare Advantage plans are the two most common plans  used for protection against the gaps in Medicare Part A & B.

Medicare is divided into four categories. This allows you to customize your personal coverage when shopping for a comprehensive policy

  • Part A (hospital insurance): Covers hospital care, emergency services, nursing home care, home health services and hospice.
  • Part B (medical insurance): Covers medically necessary services and supplies used for diagnosing and treating medical conditions, and preventative services for illness prevention and/or early detection. Examples include ambulance services, mental health care, outpatient procedures and clinical research.
  • Part C: Combines Parts A and B and often part D as well.
  • Part D: Offers prescription drug coverage.

Protect your health and review your Medicare options.

What Medicare options are available?

Original Medicare offers coverage for services and supplies that are considered to be medically necessary, such as doctor visits, lab tests and wheelchairs. There are several alternative plans you can choose from for additional coverage, and each plan must offer at least the same coverage as Original Medicare. There are two Medicare plans that we can assist you with.

  1. A Medicare Advantage Plan, also known as Part C, combines Part A and Part B as a replacement to Medicare for more comprehensive health care coverage. This plan can be customized with additional coverage, such as a prescription drug program (Part D), vision and dental.
  2. A Medicare Supplemental Plan, also known as Medigap, has a higher premium but supplements the coverage gaps and deductibles that Part A and Part B leave behind.

Why do you need Medicare

Seniors are in the most need of health care, but once retired monthly premiums can become hard to maintain. Enrolling in the Medicare program allows you to get the care you need for a minimal charge.

We are happy to help you understand your options-call us today at 765-412-6492

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