Senior Healthcare at Northeastern Group


The Medicare Advantage Program

Medicare is a health insurance program for:

  • People age 65 or older.
  • People under age 65 with certain disabilities.
  • People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

The Original Medicare Has Two Parts

  • Part A - Hospital Insurance: Most people pay for Part A through their payroll taxes when they are working.
  • Part B - Medical Insurance: Most people pay monthly for Part B.

You can elect to participate in a Medicare Advantage Plan Part C and Medicare Prescription Drug Coverage Part D
 
Medicare Advantage Plans

Medicare advantage plans include the following:

  • Health Maintenance Organization (HMO) Plans
  • Preferred Provider Organization (PPO) Plans
  • Private Fee-For-Service (PFFS) Plans
  • Medical Savings Account (MSA) Plans
  • Special Needs Plans (SNP)

You can choose different ways to get the services covered by Medicare. Depending on where you live, you may have different choices. In most cases, when you first get Medicare, you are in the Original Medicare Plan. Or, you may want to consider a Medicare Advantage Plan (like an HMO or PPO) that provides all your Part A, Part B, and often Part D (Medicare Prescription Drug) coverage. You make a choice when you are first eligible for Medicare. Each year you can review your health and prescription needs and switch to a different plan in the fall.

Medicare Advantage Plans are health plan options that are approved by Medicare but run by private companies. They are part of the Medicare Program, and sometimes called "Part C." When you join a Medicare Advantage Plan, you are still in Medicare. As long as you have both Part A and Part B, items covered by Part A and Part B are covered whether you have the Original Medicare Plan, or you belong to a Medicare Advantage Plan (like an HMO or PPO).
 
Prescription Drug Coverage - Part D


Medicare Prescription Drug Plans are offered by insurance companies and other private companies approved by Medicare.


To request a MEDICARE ADVANTAGE and/or MEDICARE SUPPLEMENT Plan Quote, click here.


What is a Medigap Policy?

A Medigap (also called "Medicare Supplement Insurance") policy is private health insurance that is designed to supplement original medicare. This means it helps pay some of the healthcare costs ("gaps") that original medicare doesn't cover (like copayments, coinsurance and deductibles). If you are in original medicare and you have a Medigap policy, Medicare will pay its share of the Medicare-approved amounts for covered health care costs. Then, your Medigap policy pays its share. (Note: Medicare doesn't pay any of the costs for you to get a Medigap policy.)

What's the difference between Medigap and a Medicare Advantage Plan?

A Medigap policy is different than a Medicare Advantage Plan (like an HMO or PPO) because those plans are ways to get Medicare benefits, while a Medigap policy only supplements your medicare benefits.


If you want to know more about Medicare in general, call 800-MEDICARE (800-633-4227), 24 hours a day, seven days a week. The Medicare TTY/TDD line is 877-486-2048.

For more information about Medigap, visit the Centers for Medicare and Medicaid Services at www.cms.gov/medigap or www.medicare.gov/medigap.

For help with choosing a Medigap policy, visit www.medicare.gov/publications/pubs/pdf/02110.pdf

Northeastern Group is eager to assist you! Give us a call or fill out our quick form & one of our agents will get back to you promptly.

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