Medicare Plans

Medicare plans are not one size fits all. There are several different options available to you once you are a Medicare beneficiary. It is important to know what type of plan will work best for you.

Who can enroll in a Medicare Advantage Plan?

  • Those enrolled in Medicare Part A AND Part B
  • Live in the service area of the plan
  • DO NOT have End-Stage Renal Disease

Medicare Advantage Plans

Medicare Advantage Plan, also known as Part C, is a Medicare Plan run by private insurance companies.  A Medicare Advantage Plan offers all of the benefits covered under Original Medicare and more. Medicare pays a fixed fee to the plan you choose in accordance with the 2003 Medicare Prescription Drug, Improvement, and Modernization Act.

 

  Medicare Supplement Plans

Medicare Supplement Insurance Plan(s) will help pay Part A and Part B deductibles, as well as the Part B coinsurance.   The amount the insurance company will pay depends on which plan you purchase.  All Medicare Supplement Insurance Plan(s) are standardized by the federal government and labeled “A” through “N.”  This means the main difference in benefits for a standardized Medicare Supplement Insurance Plan is the premium an insurance company charges.

Choosing a Medicare Supplement provider with strong industry ratings and a long history in the Utah market provides added assurance that the Insurance Provider will be adequately equipped to manage claims and has staying power in Utah.

 

Do Medicare Supplements cover prescription drugs?

  • Medicare Supplement Insurance Plan(s) do not include a qualifying Part D Prescription Drug Plan.
  • Some plans, however, offer prescription discounts.  A separate stand-alone Part D Prescription Drug Plan should be purchased for prescription coverage. If you choose to not purchase a Part D plan, you will incur late enrollment penalties if you choose to get one later.

How do I purchase a Medicare Supplement?

  • Give us a call and we can discuss plans, premiums, and benefits available in your area.

Are my drugs covered?

  • It depends on the federal government guidelines on the type of prescription drugs that must be covered which does not necessarily mean your prescriptions are covered.
  • Each insurance company has a different formulary (list of drugs they cover), depending on which plan you enroll in and the area you live in.

How much will my drug plan and prescriptions cost?

  • Costs of each plan varies depending on the plan and drug formulary.
  • Senior Med Benefit agents will review your prescriptions, benefits, and the cost plans prior to enrolling you in a Part D Prescription Drug Plan.

Prescription Drug Plans 

Part D Prescription Drug Plan(s) helps pay for prescription drugs, but it is not added automatically when you enroll in Medicare. Part D Prescription Drug Plan(s) are a voluntary program and is purchased through a private insurance company.  However, if you delay purchasing one, there will be a penalty assessed if you choose to enroll in a Part D Prescription Drug Plan later, unless there is an exception

 

How do I enroll in a Part D Prescription Drug Plan?

  • You have two choices when enrolling in a Part D Prescription Drug Plan.
    1. You can enroll in a stand-alone Part D Prescription Plan or a Medicare Advantage plan. Most Medicare Advantage Plans have Part D Prescription Drug coverage included in the plan, which allow the beneficiary to use the same card for prescription drugs, hospital care, and doctor appointments.
    2. Stand-alone Part D Prescription Drug Plan(s) are typically purchased as an addition to Original Medicare and a Medicare Supplement Plan.
  • If you do not have other credible prescription coverage, and you decide not to enroll in a Part D Prescription Drug Plan, you will be assessed a penalty for late enrollment if you choose to enroll in a Part D Prescription Drug Plan at a later date.
  • Contact us and we will review all your drug related information to ensure you choose the right plan for your needs.

Learn about Guarantee Trust Life (GTL) Medicare Supplements

Budgeting for Co-pays and Deductibles on a fixed Income

Living on a fixed income can be worrisome with unexpected expenses as we age.   If you are concerned about how to manage the cost of co-pays and deductibles in the future should a serious illness arise, there are  good options available that enable you to budget monthly for the unexpected later on.

Schedule an appointment to learn more.