Medicare Advantage - Insurance Purse

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare

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If you are Turning 65, New to Medicare Parts A & B, Moving or Losing Coverage, or within an enrollment period you may be eligible to enroll in a plan. Get connected with a licensed insurance agent to check your enrollment eligibility and review your plan options.

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Our licensed insurance agents will help review plans for your budget and needs.

Basic Terms to Know

Medicare Parts

Factors that Affect Plan Costs

Medicare Advantage: Basic Terms to Know

Claim
A payment request submitted to insurance providers for services that you believe are covered.

Deductible
The overall cost for health care services or prescriptions which must be paid before insurance plans will pay anything.

Premium
The amount paid by the insured party to the insurance company.

Medicare Parts: Simplified

Medicare Part A
Inpatient care in a hospital, Skilled nursing facility care, Nursing home care (inpatient care in a skilled nursing facility that’s not custodial or long-term care), Hospice care, Home health care.

Medicare Part B
Helps covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.

Medicare Part C
A Medicare Advantage Plan (like an HMO or PPO) is another Medicare health plan choice you may have as part of Medicare. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare.

Medicare Part D
Helps covers prescription drug benefits.

Factors that Affect Medicare Advantage Plan Costs

Certain parts of your profile affect your Medicare Advantage Plan Costs more than others, and every insurance company has their own specific formula to determine your premiums.The following are the most heavily weighted factors used to determine Medicare Advantage Plan Costs:

Part A Premiums
Original Medicare recipients do not pay any premiums if they are over 65 and:
-Collect retirement benefits from Social Security or the Railroad Retirement Board.
-Qualify for Social Security or Railroad benefits not yet claimed.
-Employment with a Medicare-covered government agency.

Part B Premiums
Medicare Part B is a premium that changes annually, determined by modified adjusted gross income and your tax filing status. However, it will be more if you reported above a certain level of modified adjusted gross income on your federal tax return two years ago.

Part C Premiums
Premium will vary depending on the insurance company you pick.

Part D Premiums
Premium will vary depending on the insurance company you pick.

Additional Information

Initial Enrollment Period

When turning 65. Enroll in Original Medicare and possibly a Medicare Advantage Plan. Enroll 3 months before your 65th birthday, your birthday month, and 3 months after 65th birthday month

Medicare Advantage & Prescription Drug Plan Annual Enrollment Period

Medicare Parts A & B Enrollees can reevaluate thier coverage & make changes between October 15 - December 7.

Enrollment in the described plan type may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period

Speak with a licensed insurance agent to review your plan options and possibly enroll in a Medicare Advantage Plan during one of these enrollment periods.

Call to connect with a licensed insurance agent: [Mon-Fri 5am-6pm PT | Sat 5am-5pm PT | Sunday Closed]

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