Generally speaking, Medicare recepients may choose to have Original Medicare and a Medicare supplement and a prescription drug plan (Part D) OR they may choose a Medicare Advantage Plan (Part C) with or without prescription drug coverage included.

Original Medicare has many deductibles and co-insurance amounts which must be paid by the member. Medicare supplements are plans that are designed to work with Original Medicare and, depending on the premium you are willing to pay, may pay some or all of what Medicare allows but does not pay completely. When a Medicare recipient goes to the doctor, the doctor bills Medicare and Medicare bills the supplementary insurace carrier, all of which send a statement to the member. Drug coverage must be purchased separately.

Choosing a Medicare Advantage Plan (Part C) DOES NOT replace Medicare. In fact, members of a Part C plan are required to have Parts A and B of Original Medicare. But the major difference is that co-payments, deductibles and co-insurance are different than under Original Medicare. Medicare requires that any Part C Plan be as good or better than Original Medicare but each provides coverage in a different manner.

Confusing? You bet. I am licensed insurance agent, I am trained in Medicare, and the reasons for choosing one or the other vary widely. Medicare is by no means a one-size-fits all. This is why you should meet with a variety of representatives and make sure you understand all of your options before making any decisions.

If you are interested in learning more or to schedule an appointment, please call me at (817) 323-7686 or CLICK HERE to schedule an appointment.