ORIGINAL MEDICARE
Medicare Parts A and B: Key Details
- Part A Premium: Usually free if you meet certain requirements.
- Standard Part B Premium: $174.70 (can be higher based on previous income).
- Coverage: Pays 80% of most medical bills.
- Your Share: You pay the remaining 20% of costs, with no yearly limit on out-of-pocket expenses.
Options to Enhance Your Coverage:
- Medicare Supplement Insurance (Medigap): Can help cover your share of costs.
- Drug Coverage (Part D): Join a separate plan for prescription drugs. Avoid penalties by enrolling when first eligible.
Flexibility and Access:
- Nationwide Access: Use any doctor or hospital that accepts Medicare, anywhere in the U.S. No networks required.
THIS COVERAGE INCLUDES :
Medicare Part A: Hospital Coverage
- Nationwide Access: Use any doctor or hospital that accepts Medicare, anywhere in the U.S.
- Monthly Premium: $0 if you qualify and have worked 40 quarters in your lifetime.
Medicare Part B and Medigap Policies: Essential Information
- Standard Part B Premium: $174.70 (may be higher depending on income)
- Medigap Policy Premium Range: $29.00 – $940.10
Total Monthly Premium:
- $193.90 – $1,105.10 (includes Standard Part B premium of $174.70)
Medigap Policy (Medicare Supplement):
- Premium Range in ZIP Code 29801 (Example): $29.00 – $940.10
Coverage Details:
- Cost Coverage: Pays most of the 20% of costs that Original Medicare doesn’t cover, plus additional costs based on the policy you choose.
- Policy Providers: Typically administered through life insurance companies, and premiums vary by location.
- Consistent Benefits: Your benefits won’t change, and as long as you pay your premiums, the company cannot drop you. Premiums may increase annually.
- Premium Variations: Reflect the different prices companies can charge for the same policy or based on which lettered policy you choose (Plans labeled A-L).
- Enrollment Timing: If you don’t get a Medigap policy when first eligible, you may not be able to buy one later, or you may pay more. When turning 65, there are no health questions or pre-existing condition requirements. If you wait to purchase later, you could be subject to underwriting.
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DISCLAIMER
It is a company decision not to represent every plan that is available in the area. Some of these are MSA plans, plans with high deductibles, Institutional Special Needs Plans, Cost Share Plans, and certain plans that have coverage limitations. Therefore: “We do not offer every plan available in your area. We represent 10 MA organizations representing 67 MA plans. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all your options.” Including plans, we choose not to represent.
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