What are the differences between plans?

• Medicare Advantage
  • HMO/PPO type of plan
  • Many think these plans have very limited networks of doctors – THIS IS NOT TRUE!
  • There are some plans that have thousands of physicians “in-network”
  • Helps cover hospital, doctor’s visits and in most cases prescription drug costs
  • $0 – low monthly premiums with small co-pays due at time of service
• Medicare Supplement
  • Used to supplement Original Medicare
  • Variety of plan options and carriers available
  • Helps pay for out-of-pocket healthcare costs after Original Medicare pays
  • Premiums vary between carriers and plans, typically $100-$300 per month
• Prescription Drug Plans
  • Medicare requires most people to obtain prescription drug coverage
  • Covers a large portion of prescription costs
  • Variety of plans available
  • Costs vary by plan and carrier
  • $15 - $100 monthly premium, with co-pays depending on drug tier
• Chronic Illness
  • Plan geared towards certain chronic conditions
  • Most common plans for Diabetes, COPD, Chronic Heart Failure
  • Benefits are built to best serve the specific issues that occurs with different types of chronic conditions; e.g. Foot care for diabetes patients
  • Plans are not available everywhere
  • Ask an agent to see if you qualify
• Special Needs Plans (DUALS)
  • People who are eligible for Medicare AND Medicaid may qualify
  • Plans pick up cost-sharing such as co-pays and deductibles
  • Plans are not available everywhere
  • Eligibility is determined by state or federal government program requirements
  • Ask an agent to see if you qualify