Initial Enrollment
As you approach 65 years old, you become eligible for Medicare, the federal health insurance program in the USA ages 65 and older*
This requires an initial enrollment. Once that has been completed, there are additional options for your consideration.
Medicare Part A
Covers hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
Medicare Part B
Covers certain doctors' services, outpatient care, medical supplies, and preventive services.
Medicare Part C
Also known as Medicare Advantage, Part C offers an alternative way to receive Medicare benefits through private insurance companies approved by Medicare.
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Medicare Advantage plans combine Part A, Part B, and often Part D (prescription drug - see below) coverage into a single plan. This makes it easier for beneficiaries to manage their healthcare services.
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Many Medicare Advantage plans offer benefits not included in Original Medicare, such as dental, vision, hearing, and wellness programs. Some plans may also include additional perks like fitness memberships.
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Part C (Medicare Advantage) plans often have an out-of-pocket maximum limit, which Original Medicare does not offer. This means there's a cap on how much you have to spend on covered medical services in a year.
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Part C (Medicare Advantage) plans come in various forms, such as Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Private Fee-for-Service (PFFS) plans, and Special Needs Plans (SNPs). Each type has different rules regarding choosing your healthcare providers and whether you need a referral to see a specialist.
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Unlike Original Medicare, which allows beneficiaries to visit any doctor or hospital that accepts Medicare, Medicare Advantage plans usually have network restrictions. This means beneficiaries need to use healthcare providers who are part of the plan’s network to get the lowest out-of-pocket costs.
Medicare Part D
Covers prescription drugs and is also offered through private insurance companies.
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Contact us.
lucas@premiermountaingroup.com
(970) 800.4030
333 W Drake Road, Suite 220
Fort Collins, CO. 80526
333 W. Drake Road, Suite 220
Fort Collins, CO 80526