Medicare Part Bcovers Outpatient Service. The standard Part B premium amount is $134 (or higher depending on your income). However, most people who get Social Security benefits will pay less than this amount ($109 on average).  Part B has a $183 DeductibleAfter your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and durable medical equipment.


There is no Prescription Drug Benefit in Original Medicare.


medicare supplement INSURANCE (medigap)
medicare part d - prescription drug plans

To get Medicare drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and drugs covered.


Two ways to get drug coverage

  • Buy a Medicare Prescription Drug Plan (Part D). These plans (sometimes called "PDPs") add drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service (PFFS) Plans, and Medicare Medical Savings Account (MSA) Plans.
  • Medicare Advantage Plan (Part C) (like an HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage.


If you do not buy a Part D Plan when you are first eligible, you will limit your ability to enroll in the future and you will pay a Late Enrollment Penalty when you do enroll and for as long as you have coverage.


A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans.

If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare.


Each Medicare Advantage Plan can charge different out-of-pocket costs. Each plan can also have different rules for how you get services, like:

  • Whether you need a referral to see a specialist
  • If you have to go to doctors, facilities, or suppliers that belong to the plan for non-emergency or non-urgent care


These rules can change each year.

  • IDENTITY THEFT
  • PRE PAID LEGAL
  • TRIP COVERAGE
  • PET

  • TERM
  • WHOLE
  • BURIAL
  • MORTGAGE

A Medicare Supplement Insurance (Medigap) policy, sold by private companies, can help pay some of the health care costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles. You pay the private insurance company a monthly premium for your Medigap policy in addition to the monthly Part B premium that you pay to Medicare.

Medicare Supplement policies are Standardized by Medicare. The only difference between the same type of plan between different insurance companies, is the monthly premium you pay them.


Medicare Part A covers Inpatient Hospital Services and has a $1,340 Deductible for each benefit period.  Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). 

What does Medicare cover?

What is not covered?

What is Part D?

What does a Supplement do?



Original Medicare

life insurance
Medicare
specialty insurance
ADDED BENEFITS
  • DENTAL
  • VISION
  • CANCER
  • HOME CARE
  • LONG TERM CARE

Medicare is great, but it doesn't cover everything

Customized Medicare Planning

  • MEDICARE SUPPLEMENT
  • MEDIGAP
  • MEDICARE ADVANTAGE
  • MEDICARE PART C
  • PRESCRIPTION DRUG PLANS
  • MEDICARE PART D
  • NEW YORK STATE EPIC

medicare part c - medicare advantage