Am I Eligible for Medicare?

First, let’s make sure you’re eligible for Medicare.

  • You are 65 or older

  • You are a citizen or permanent resident who has lived in the United States at least five years

  • You or your spouse has worked for at least 10 years

  • You or your spouse is a government employee or retiree who has paid Medicare payroll taxes

  • You or your spouse has been on disability for 2 or more years

Am I Eligible for Medicare?

First, let’s make sure you’re eligible for Medicare.

  • You are 65 or older

  • You are a citizen or permanent resident who has lived in the United States at least five years

  • You or your spouse has worked for at least 10 years

  • You or your spouse is a government employee or retiree who has paid Medicare payroll taxes

  • You or your spouse has been on disability for 2 or more years

Now, let’s talk about what Medicare covers.

The Basics. There are four components of Medicare: Part A, Part B, Part C, and Part D.

Medicare Part A covers inpatient hospitalization, skilled nursing, home healthcare and hospice

Medicare Part B covers doctor visits, labs, x-rays, outpatient surgery and diagnostic services

Did you know?

As long you have creditable coverage (group healthcare plan, VA benefits, etc.) you can delay taking part B as long as you are still working. This saves you $135.50 every month (2019)

That’s Original Medicare. Parts C and D is where we’ll use our expertise to make sure you get the best, most cost- effective supplemental coverage.

Medicare Part C, also known as a Medicare Advantage Plan, includes all of the services provided by Part A and Part B, and usually includes Part D

Medicare Part D is devoted to prescription drug coverage. This helps lower your prescription drug cost, helps cover the cost of outpatient prescription drugs, and protects against future increases in drug costs.

Parts A and B may only take you so far. Investing in the best Medicare Supplement or Advantage plan is key to your financial and physical health. That’s what we’re here to help you do.

Now that we’ve covered the basics, let’s find the additional plan that makes sense for you and your family right now– and tomorrow.

Let’s find a plan that works best for you

MEDICARE SUPPLEMENT MEDICARE ADVANTAGE

Medicare Supplement Plans

Medicare Plan G

Company 1

Monthly Premium

$140

Primary Care Physician

$0

Specialist

$0

Inpatient and Outpatient Care

$0

MRI, Cat Scans

$0

Tests, X-Rays

$0

Emergency Room

$0

Choose any hospital

Yes

Ability to see doctor of choice

Yes

Need a referral to see specialist

No

Choose any hospital

Yes

Show More

Medicare Plan G

Company 2

Monthly Premium

$128

Primary Care Physician

$0

Specialist

$0

Inpatient and Outpatient Care

$0

MRI, Cat Scans

$0

Tests, X-Rays

$0

Emergency Room

$0

Choose any hospital

Yes

Ability to see doctor of choice

Yes

Need a referral to see specialist

No

Choose any hospital

Yes

Show More

Medicare Plan G

Company 3

Monthly Premium

$141

Primary Care Physician

$0

Specialist

$0

Inpatient and Outpatient Care

$0

MRI, Cat Scans

$0

Tests, X-Rays

$0

Emergency Room

$0

Choose any hospital

Yes

Ability to see doctor of choice

Yes

Need a referral to see specialist

No

Choose any hospital

Yes

Show More

Medicare Plan G

Company 4

Monthly Premium

$168

Primary Care Physician

$0

Specialist

$0

Inpatient and Outpatient Care

$0

MRI, Cat Scans

$0

Tests, X-Rays

$0

Emergency Room

$0

Choose any hospital

Yes

Ability to see doctor of choice

Yes

Need a referral to see specialist

No

Choose any hospital

Yes

Show More

Medicare Plan G

Company 5

Monthly Premium

$213

Primary Care Physician

$0

Specialist

$0

Inpatient and Outpatient Care

$0

MRI, Cat Scans

$0

Tests, X-Rays

$0

Emergency Room

$0

Choose any hospital

Yes

Ability to see doctor of choice

Yes

Need a referral to see specialist

No

Choose any hospital

Yes

Show More

Medicare Plan G

Plan G

Plan G

Plan G

Plan G

Plan G

&nbsp

Company 1

Company 2

Company 3

Company 4

Company 5

Monthly Premium

$140

$128

$141

$168

$213

Primary Care Physician

$0

$0

$0

$0

$0

Specialist

$0

$0

$0

$0

$0

Inpatient and Outpatient Care

$0

$0

$0

$0

$0

MRI, Cat Scans

$0

$0

$0

$0

$0

Tests, X-Rays

$0

$0

$0

$0

$0

Emergency Room

$0

$0

$0

$0

$0

Choose any hospital

Yes

Yes

Yes

Yes

Yes

Ability to see doctor of choice

Yes

Yes

Yes

Yes

Yes

Need a referral to see specialist

No

No

No

No

No

Choose any hospital

Yes

Yes

Yes

Yes

Yes

Medicare Supplement Plans

(or Medigap) is private health insurance that helps cover the numerous “gaps” and “holes” often found in primary Medicare programs. These gaps include:

  • Copayments

  • Coinsurance

  • Deductibles

  • Blood Transfusions

  • Nursing Care Coinsurance

  • Foreign Travel Emergencies

  • Hospice Care Coinsurance or Copayments

These gaps can be extremely costly. They can also impact the quality of care you receive, and put a strain on your finances.

Coupling your Medicare coverage with a solid Medicare Supplement Plan

ensures that additional costs are covered beyond what Medicare takes care of. You don’t have to dip into your personal savings. Too many retirees go bankrupt from medical bills, and The Medicare Guys are here to ensure that this does not happen to you. That way, instead of gaps, you can focus on:

  • Traveling

  • Fishing

  • Spending time with family

  • BRelaxing on the front porch with the peace of mind that we take pride in providing to you

Schedule an appointment with us today!

Together, we’ll make sure that you enter your senior years knowing you’re being taken care of.

SCHEDULE A PHONE CALL NOW

Schedule an appointment with us today!

Together, we’ll make sure that you enter your senior years knowing you’re being taken care of.

SCHEDULE A PHONE CALL NOW

Medicare Advantage Plans

You may notice plans vary and premiums vary from company to company!

Medicare Advantage

Plan 1 – HMO

Monthly Premium (In addition to Part B)

$0

Part B Premium Reduction

$0

Primary Care Physician (office visit)

$0

Specialist (office visit)

$20

Inpatient Hospital Stay

$275 Day 1-5

Outpatient Surgery

$200

X-Rays

$0-95

Diagnostic Radiology & CT Scans

$150-200

Emergency Care

$120

Over-the-Counter Items (Health & Wellness)

$50

Routine Dental Benefit

$2,000

Prescription Drug Coverage

Routine Vision Coverage

Fitness Club Membership

Show More

Medicare Advantage

Plan 2 – HMO

Monthly Premium (In addition to Part B)

$0

Part B Premium Reduction

$0

Primary Care Physician (office visit)

$0

Specialist (office visit)

$35

Inpatient Hospital Stay

$275 Day 1-5

Outpatient Surgery

$275

X-Rays

$0

Diagnostic Radiology & CT Scans

20%

Emergency Care

$90

Over-the-Counter Items (Health & Wellness)

Routine Dental Benefit

Offers a Separate Plan

Prescription Drug Coverage

Routine Vision Coverage

Fitness Club Membership

Show More

Medicare Advantage

Plan 3 – HMO

Monthly Premium (In addition to Part B)

$0

Part B Premium Reduction

$0

Primary Care Physician (office visit)

$0

Specialist (office visit)

$20

Inpatient Hospital Stay

$300 Day 1-6

Outpatient Surgery

$275

X-Rays

$0

Diagnostic Radiology & CT Scans

20%

Emergency Care

$90

Over-the-Counter Items (Health & Wellness)

$25

Routine Dental Benefit

$1,700

Prescription Drug Coverage

Routine Vision Coverage

Fitness Club Membership

Show More

Medicare Advantage

Plan 4 – PPO

Monthly Premium (In addition to Part B)

$0

Part B Premium Reduction

$104

Primary Care Physician (office visit)

$0

Specialist (office visit)

$50

Inpatient Hospital Stay

$410 Day 1-4

Outpatient Surgery

$275

X-Rays

$50

Diagnostic Radiology & CT Scans

$50

Emergency Care

$90

Over-the-Counter Items (Health & Wellness)

$25

Routine Dental Benefit

$200

Prescription Drug Coverage

Routine Vision Coverage

Fitness Club Membership

Show More

Medicare Advantage

Plan 5 – PPO

Monthly Premium (In addition to Part B)

38

Part B Premium Reduction

$0

Primary Care Physician (office visit)

$10

Specialist (office visit)

$45

Inpatient Hospital Stay

$395 Day 1-4

Outpatient Surgery

20%

X-Rays

$14

Diagnostic Radiology & CT Scans

20%

Emergency Care

$90

Over-the-Counter Items (Health & Wellness)

Routine Dental Benefit

Offers a Separate Plan

Prescription Drug Coverage

Routine Vision Coverage

Fitness Club Membership

Show More

 

Medicare Advantage

Medicare Advantage

Medicare Advantage

Medicare Advantage

Medicare Advantage

&nbsp

Plan 1

Plan 2

Plan 3

Plan 4

Plan 5

Monthly Premium (In addition to Part B)

$0

$0

$0

$0

$38

Part B Premium Reduction

$0

$0

$0

$104

$0

Primary Care Physician (office visit)

$0

$0

$0

$0

$10

Specialist (office visit)

$20

$35

$20

$50

$45

Inpatient Hospital Stay

$275
Day 1-5

$275
Day 1-5

$300
Day 1-6

$410
Day 1-4

$395
Day 1-4

Ourpatient Surgery

$200

$275

$275

$275

20%

X-Rays

$0-95

$0

$0

$50

$14

Diagnostic Radiology & CT Scans

$150-200

20%

20%

$50

20%

Emergency Care

$120

$90

$90

$90

$90

Over-the-Counter Items (Health & Wellness)

$50

$25

$25

Routine Dental Benefit

$2,000

Offers a Separate Plan

$1,700

$200

Offers a Separate Plan

Prescription Drug Coverage

Routine Vision Coverage

Fitness Club Membership

 

HMO

HMO

HMO

PPO

PPO

* All Plans Have a Maximum Out of Pocket of $6,700 Per Year or Less

Interested in a Medicare Advantage Plan aka Part C?

Medicare Advantage Plan can be robust, so let’s break it down for you. These plans are offered by private companies approved by Medicare and combine Medicare Parts A, B and usually D. They often include additional benefits like:

  • Dental

  • Vision

  • Additional health products

  • Transportation

  • A nurse hotline

  • And even a gym membership

We’re ready to guide you

through all of the options available to you with a Medicare Advantage Plan, so let’s talk. Schedule a call with us today, and get answers to all of your questions about additional healthcare coverage.

SCHEDULE A PHONE CALL NOW

We’re ready to guide you

through all of the options available to you with a Medicare Advantage Plan, so let’s talk. Schedule a call with us today, and get answers to all of your questions about additional healthcare coverage.

SCHEDULE A PHONE CALL NOW
MEDICARE