Medicare Advantage, Medicare Insurance, Medicare Supplement Medicare Prescription Drug Plans For Addison, Dallas, Denton, Fort Worth, Houston, and Richardson, TX
Texas Medicare Supplement
As the Texas population ages, individuals inevitable encounter more medical problems that require addition and costly health care services. As health care costs have increased at a dizzying rate, there has been an ever-growing concern over how to pay for these costs. Because the coverage and benefits provided by Medicare are by no means comprehensive, Medicare supplements have stepped in to fill these gaps in coverage. Medicare Supplements pick up coverage where Medicare leaves off.
Employment and Cobra when Eligible for Medicare
Your Part B enrollment rights can be affected if you have coverage through an employer (including FEHBP) or union, and you or your spouse is still working.
- When the employment ends, three things happen:
You may get a chance to elect COBRA coverage, which continues your health coverage through the employer’s plan (in most cases for only 18 months) and probably at a higher cost to you.
- You may get a special enrollment period to sign up for Part B without a penalty. This period only lasts for 8 months after your employment ends. This period will run whether or not you elect COBRA, so if you wait until your COBRA ends, your special enrollment period will probably be over.
- If you sign up for Part B, it will also start a 6-month Medigap open enrollment period which gives you a guaranteed right to buy a Medigap (Medicare Supplement Insurance) policy. Once this period starts, it also can’t be delayed or repeated.
Medicare Advantage (Part C)
Texas Medicare Advantage Plans (Part C)
Medicare Advantage Plans are health plan options (like an HMO or PPO) approved by Medicare and offered by private companies. These plans are part of Medicare and are sometimes called “Part C” or “MA Plans.” Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. These companies must follow rules set by Medicare. Medicare Advantage Plans provide your Medicare health coverage and usually Medicare drug coverage. These plans are not categorized as supplemental insurance.
Why Choose Medicare Advantage?
These health plans may provide all of the benefits covered under Original Medicare and more. These plans have no limitations for pre-existing conditions for enrollment, and they do not require a physical exam. You may have several health plans to choose from depending on where you live. Affordable enhancements to your Medicare Plan B are available to you, some with no cost.
How Do Medicare Advantage Plans Work?
To be eligible to enroll in a Medicare Advantage plan, you must be entitled to Medicare Part A and continue to pay your Medicare Part B premium each month, unless it is otherwise paid for under Medicaid or by another party. Medicare then pays the Medicare Advantage plan a specific dollar amount to cover your care each month you are enrolled in the plan. You may not be eligible to enroll in a plan if you have end-stage renal disease (ESRD).
Coverage under a Medicare Advantage plan replaces your Original Medicare coverage. Some members pay no monthly plan premium for a Medicare Advantage Plan. With low to no premiums, your out-of-pocket costs (like those paid to see a doctor or to be admitted to the hospital) under Medicare Advantage plans may be lower than your expenses would be with Original Medicare programs.
Medicare Advantage Plans include the following:
- Preferred Provider Organization (PPO) Plans
- Health Maintenance Organization (HMO) Plans
- Private Fee-for-Service (PFFS) Plans
- Medical Savings Account (MSA) Plans
- Special Needs Plans (SNP)
Medicare Prescription Drug (Part D)
Texas Medicare Prescription Drug Coverage(Part D)
Medicare offers prescription drug coverage (Part D) for everyone with Medicare, we focus on the Texas region of Arlington, Dallas, Denton and Fort Worth greater regions. To get Medicare drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and drugs covered. If you want Medicare drug coverage, you need to choose a plan that works with your health coverage.
There are two ways to get Medicare prescription drug coverage:
- These plans (sometimes called “PDPs”) add drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service (PFFS) Plans, and Medicare Medical Savings Account (MSA) Plans.
- Medicare Advantage Plans (like an HMO or PPO) or other Medicare health plans that offer Medicare prescription drug coverage. You get all of your Part A and Part B coverage, including prescription drug coverage (Part D), through these plans. Medicare Advantage Plans with prescription drug coverage are sometimes called “MA-PD’s”
Our main focus is to assist the senior market in finding long-term stability to supplement their current Medicare coverage. Through our commitment to research, we have found the senior market is in need of total and complete health care services. These services include assistance with the ever increasing costs of prescription drugs, dental, eye care and vision discounts which are not included in basic Medicare coverage, and most importantly the ability to obtain these services while working with fixed incomes. Medicare supplements are standardized by the government so there are two major criteria: Company stability and monthly premium.