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Home Health

A Simple Guide to Choosing the Right Medicare Plan for You

by Joe Calvin
September 21, 2022
in Health
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Medicare
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The fact that Medicare plans have various advantages is no secret. But, few people are aware that there are now more coverage options than there have ever been before. There are many plans to choose from for those looking to enjoy the benefits of Medicare.

It’s important to review your Medicare options and decide what’s best for you. This isn’t a simple task if you don’t know where to start your Medicare research from. The following tips will act as a guide to help you choose the right Medicare plan.

Image Source: Pexels 

Table of Contents

  • Consider Primary Care Providers
  • Consider If You Need Supplemental Coverage
  • Consider the Application Process
  • Consider Prescription Drug Coverage
  • Conclusion

Consider Primary Care Providers

If you’re opting for traditional Medicare, it’s important to check out primary care providers. Some people prefer staying with their healthcare providers even after subscribing to Medicare.

If you’re one of these people, you would have to check out if your local healthcare centers have Medicare. The largest and most populous states in the country have the best Medicare plans. These states offer you a wide range of healthcare providers and prescription drug coverage.

Medicare options in Florida are some of the most convenient in the country. The same goes for other large states like Texas. You can receive primary healthcare from these providers without switching from your provider. In most cases, traditional Medicare plans allow you to stay with your providers. If not, you would need to look for alternatives.

One of these alternatives is looking for an HMO Advantage Plan. This plan involves healthcare coverage from a list of doctors and hospitals. The only catch here is that these doctors should be affiliated with Medicare.

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This plan is ideal if you want inclusive healthcare but not from federal providers. The HMO plan lists out doctors and hospitals you can choose from to attend to your medical needs.

If you want a more flexible plan, you can opt for a PPO plan instead. This plan gives you more freedom with your choice of healthcare providers. There’s a list of preferred providers and hospitals under this plan.

You can choose any healthcare provider you like and Medicare will cover the services. But, as you can imagine, you’ll have to pay higher premiums for the PPO plan compared to the HMO plan.

Consider If You Need Supplemental Coverage

You don’t need to buy supplemental coverage if you’re paying for a Medicare Advantage Plan. If you’re not, then this extra coverage can help you pay off some significant healthcare costs. This supplemental plan is also called Medigap across the country.

Medicare Supplement Insurance covers many things that Original Medicare plan doesn’t cover. For instance, it covers coinsurance and other such deductibles. Also, an advantage of this plan is that it works with Original Medicare parts A and B.

But, it doesn’t work with Medicare Part C. So, don’t waste your time applying for it if you have Part C.  A great feature of Medicare Supplement Insurance is that it offers nationwide coverage.

So, it doesn’t matter where you live, you can save on healthcare costs using this plan.

Consider the Application Process

If you’re wondering how to apply for a Medicare plan, you’re not alone. Statistics show that millions of people enroll in the Medicare program every year. As you can imagine, not all of them are familiar with the application process from the get-go.

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You must know how to apply for a Medicare plan so you don’t miss the relevant deadline. First, you need to check out the eligibility criteria before you apply for a Medicare plan.

Following are the eligibility criteria for enrolling in the Medicare plan in the US:

  • You must be 65 years of age or older
  • You may be younger, but suffer from certain medical conditions
  • You are a US citizen

Once you meet the eligibility criteria, you can begin your Medicare application process. To start applying you would first need to gather all important information. Then, keep all your relevant documentation ready. This documentation would include your proof of citizenship and employment.

If you have all the documents ready, you can apply for a Medicare plan online or in person. Remember to check out the application deadlines though. If you miss the deadlines, you’ll have to wait for the next cycle to enroll in Medicare.

Once you have all the documents in order, the application process itself doesn’t take too long. After you fill in some basic details, you’re free to enjoy the benefits of Medicare coverage.

But, if you haven’t applied for insurance before, choosing between plans can be confusing. In such a scenario, it would make sense to ask an insurance advisor to help you choose the best fit for you.

A Medicare advisor will guide you and simplify the process for you. This would help you to have a successful Medicare application. They’ll also help you keep track of your application deadlines. In this way you won’t miss out on coverage when you’re eligible.

Consider Prescription Drug Coverage

A mistake that people make with Medicare plans is assuming they all cover prescription drugs. This isn’t true as only some Medicare plans have prescription drug coverage.

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Since prescription drugs cost a significant amount of money, opting for drug coverage is useful. The Original Medicare Part A and Part B don’t have prescription drug coverage. Medicare Advantage Plans cover prescription drugs for all eligible applicants.

You can opt for Medicare Part D through an Advantage Plan if you want drug coverage. This plan lowers the cost of prescription drugs that are used for various treatments.

Like the other Medicare plans, Part D too is provided by the government. But, unlike parts A and B, Part D is handled by private insurance providers. You won’t find yourself automatically enrolled in part D when you enroll in Medicare.

You’ll have to select an Advantage plan and enroll in Part D separately.

Conclusion

This guide will help you choose the Medicare plan for the best healthcare coverage. Medicare plans are available for applicants of varying medical and financial needs.

This is why the various plans available under Medicare help you cut medical costs. They also make it easier for you to access healthcare facilities wherever you live. The best Medicare plans are those that help you save costs and offer greatest coverage.

Not all Medicare plans are managed by the government. Some of them (like Part D) are managed by private insurance providers. So, there are extra costs that you’ll need to take into account before choosing these plans.

It would help if you read about Medicare application deadlines as well. In this way, you can apply for Medicare as soon as you’re eligible to do so.

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