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You can also buy Supplemental coverage to fill the gaps, but you may want some help deciding which options fit you best. Look around the website and call me for expert advice with no obligation.
If you're seeking knowledge about Medicare and additional coverage options, click on one of the buttons below to learn more.
If you're looking for pricing on an option you've already decided upon, and just want to compare them on your own click on one of the two links provided below.
Straightforward, objective Medicare insurance advice.
If you're looking for clear answers to your Medicare questions with no pressure and no spin, you've come to the right place! We'll help you understand your options, the short term and long term considerations, and help you enroll in the plan(s) best suited for you. Feel free to browse and learn, or call us for more information. Our services are free and we're here to help! Call today! (405) 409-7884
- Medicare Supplements
- Medicare Advantage Plans
- Prescription Drug Plans
Medicare Supplements, Advantage Plans and Prescription Drug Plans
Free handbook to help you understand the basics of Medicare Parts A, B,C, & D, supplements, Advantage plans, and the prescription drug plan.
2015 Medicare and You Handbook.pdf
Adobe Acrobat document [3.5 MB]
Choosing the right product to complement your Medicare coverage can be confusing, even with the many resources available to help you in making the best decision. A licensed, state certified agent is not only able to help you understand the plans they represent, but can explain and demystify the Medicare program for qualified beneficiaries.
If you are a tech-savvy senior, you can get instant access and answers to most of your questions at the CMS website: www.Medicare.gov.
You don't have to go it alone. If you're searching for Medicare supplements, Medicare Advantage plans, or Medicare prescription drug coverage in the state of Oklahoma, give us a call today to schedule a complementary, no-obligation, office or in-home appointment. We'll explain your options and show you how to compare plans to find the one that fits best with your personal needs and budget.
Original Medicare A (Hospitalization) and B (Medical) are a senior's lifeline to affordable medical care, but, they don't cover everything. Each part has deductible(s) and there is a co-insurance you will be responsible to pay after Medicare has paid its' 80%. For that reason, many individuals choose additional coverage in the form of a Medicare supplement, to cover some or all of the eligible costs that original Medicare doesn't cover.
Supplements are insurance products that are offered by private insurance companies. They are secondary payers (original Medicare pays first, then the supplement pays), therefore you must have both part A and B of Medicare before you can purchase a supplement.
They are most affordable when you first turn 65, during which time you are also guaranteed coverage with no medical questions. The coverage offered by each type of plan (currently A through N) is regulated in 48 states in the US, which means the coverage provided in each plan is exactly the same regardless which company offers it. The differences are the extras that may be offered as part of the coverage, the premiums for the plans, and the pricing methods used that will govern future price increases.
Types of pricing methods:
- Issue Age
- Community Rated
- Attained Age
Click on the CMS link for more information on pricing methods: Medicare Supplement Pricing Methods.
2015 Guide to Health Insurance For People With Medicare.
2015 Choosing a Medigap Policy.pdf
Adobe Acrobat document [1.2 MB]
Shoppers guide for Medicare Supplements offered in Oklahoma
2014-15 SHIP Med Supp SHOPPERS GUIDE.pdf
Adobe Acrobat document [3.2 MB]
Prescription Drug Plans
Before you choose a prescription drug plan, make sure you know how the plan works by understanding all the following components of the plan:
- Cost (Monthly Premium)
- Formulary (List of Drugs Covered by Plan)
- Formulary Tiers (Your Costs for Covered Drugs)
- Deductible (Amount You Pay Before Insurance Pays)
- Coverage in the Gap (Donut Hole)
- Plan Rating (Stars Method = Client and Provider Satisfaction)
A great place to initially compare plans available in your area is the CMS website: www.Medicare.gov. If you need or want help navigating the site or comparing your options, we're here to help!
Medicare Advantage Plans
Medicare Advantage plans are also known as Part "C". Coverage includes all the original benefits of Medicare Part A (Hospitalization) and Part B (Medical), and many plans also include Medicare Part D (Prescription Drugs). They are not the same as Medicare supplements. If you have a supplement you do not need and cannot legally have an Advantage plan at the same time. Advantage plans only have one medical qualifying condition that would exclude coverage (ESRD - End Stage Renal Disease - Kidney Failure/Dialysis). To qualify for an Advantage plan you must live in the area it's offered, and you must have Medicare Parts A and B.
All Medicare Advantage plans are regulated by Medicare and transfer the claims paying responsibility from Medicare to the private insurance company offering the Advantage plan. Advantage plans are required to offer the same benefits as original Medicare as a minimum. The plans can offer more benefits, such as covering the deductibles and co-insurance requirements not paid by original Medicare, as well as additional "extra" services and benefits, but they cannot legally offer less coverage than original Medicare.
In many cases, Advantage plans offer significantly lower monthly premiums (in some cases, zero premiums) than Medicare Supplements, and lower maximum-out-of-pocket costs than original Medicare, and some Medicare supplements. They can include benefits for services not covered by Medicare such as dental, vision, health & wellness, and fitness programs.
They are available in specific counties in each state, and are categorized by the type of plan they represent:
- HMO (Health Maintenance Organization)
- PPO (Preferred Provider Organization)
- PFFS (Private Fee For Service)
Learn more about the different Medicare Advantage Plans or Part C here: Medicare Advantage Part C.
You can learn more about Medicare and your options by contacting us and scheduling a no-cost, no-obligation appointment in our office, or the comfort of your own home, or by contacting Medicare at 1-800-MEDICARE (1-800-633-4227) or the Oklahoma Insurance Department, SHIP Senior Health Insurance Counseling Program: Medicare Advantage (1-800-763-2828).
Call Us Today and Enter Your Golden Years Worry Free!
Schedule a complementary, no-obligation, in-home or office appointment at your convenience. Call (405) 409-7884 or (888) 810-6678 (Toll Free).