Image

3:56 AM / Friday November 24, 2017

19 Oct 2017

Find Medicare confusing? Start here

  • Facebook
  • Twitter
October 19, 2017 Category: Seniors Posted by:

BPT

Navigating Medicare can be challenging. In fact, according to a 2017 UnitedHealthcare survey, nearly 40 percent of Medicare beneficiaries find the program confusing. Learning the basics can help you cut through the confusion and make an informed decision about which coverage option may be the right fit for you.

Here’s a quick guide to five important Medicare terms to help prepare for the upcoming open enrollment period. What is open enrollment, you ask? Well, read on.

1. Open Enrollment Period

If you are already enrolled in Medicare and want to make changes to your health plan, you can do so during the annual open enrollment period, which runs from Oct. 15 to Dec. 7. For most people, this is the one opportunity each year to make changes to your Medicare coverage.

Changes made during this year’s open enrollment period take effect on Jan. 1, 2018.

2. Original Medicare

Original Medicare is made up of Part A and Part B and is offered by the federal government. Simply put, Part A helps cover services such as inpatient care at a hospital or a skilled nursing facility. Part B helps cover doctor’s office visits and outpatient physical and occupational therapy services.

According to Dr. Efrem Castillo, Chief Medical Officer for UnitedHealthcare Medicare & Retirement, “Original Medicare generally covers 80 percent of health care costs, leaving you responsible for paying the remaining 20 percent. It also does not have an out-of-pocket maximum, meaning that if you have unexpected health care costs, you could end up with a hefty bill.”

Original Medicare does not cover things like prescription drugs, long-term care, hearing aids and the exams needed for fitting them, or routine dental or vision care.

3. Medicare Advantage

Medicare Advantage plans, also known as Medicare Part C, are offered by private insurance companies. Medicare Advantage plans combine Medicare Parts A and B into one plan (which means you only need to carry one card), and can offer additional benefits such as vision, hearing, dental and even gym memberships. Most plans also provide prescription drug coverage.

In addition to the all-in-one coverage, Medicare Advantage plans also have an annual out-of-pocket maximum, making it easier for you to estimate your health care costs, even when facing an unforeseen health event.

4. Medicare Supplement Insurance (Medigap)

A Medicare Supplement policy is also known as Medigap and is offered by private companies. It can help pay for some things not covered by Original Medicare, such as copays, coinsurance and deductibles. Medigap plans typically have a higher monthly premium but little or no out-of-pocket costs when you access care. However, Medigap plans don’t cover prescription drugs, so you would need to enroll in a separate Part D plan.

Image

5. Medicare Part D

Medicare Part D helps cover prescription drugs. Castillo explains, “You have two options for prescription drug coverage. Either enroll in a standalone Part D plan, or you can get drug coverage through most Medicare Advantage plans.” Make sure that the plan you select covers the prescription medications you need.

To learn more, visit UHCOpenEnrollment.com.

  • Facebook
  • Twitter

Leave a Comment

Recent News

Go With The-Flo

Tracee Ellis Ross hosted the AMAs while her mother, Diana Ross took the stage for a rare performance

November 22, 2017

ABOVE PHOTO: Tracee Ellis Ross  ( Photo:  Kathy Hutchins / shutterstock.com) By Florence Anthony Congrats to Kevin...

Seniors

Protect your health and your card

November 22, 2017

Making the most of Medicare Open Enrollment   Family Features Eating well and regular exercise are part...

Food And Beverage

Helpful Holiday Recipes for the Home Chef

November 22, 2017

ABOVE PHOTO: Milo’s Sweet Tea Turkey Brine (Photo courtesy of Getty Images) Family Features With everything that goes into...

Commentary

Trump’s assault on Barack Obama’s legacy will fail

November 22, 2017

By Jesse Jackson TriceEdneyWire.com Donald Trump defines his administration as against all things Obama. Beneath the current...

Health

Control your diabetes while controlling costs

November 22, 2017

BPT Controlling the “ABCs of diabetes,” namely A1C, blood pressure and cholesterol levels, is difficult enough, but...

Horoscopes

SUNscopes for the week of Nov. 26

November 22, 2017

All Signs: This week the Sun, Mercury, Venus and Saturn are all in Sagittarius. Yowsers! Let’s all...

The Philadelphia Sunday Sun Staff