Medicare

If you are turning 65, it’s important to start thinking about Medicare to ensure that you will have the right type of plan in place to cover your most important and probable healthcare needs. You can sign up for Medicare as early as 3 months prior to your 65th birthday.

Medicare benefits can change from year to year, and the options are complex. Benefits by Design is a full service Medicare insurance broker, offering custom tailored plans. We can provide the expert advice and clear and simple answers you need to determine what type of coverage is right for your situation.

Medicare is a federally administered insurance program that helps pay for health care expenses with a unique benefit structure for people aged 65 or older. Medicare is also available to people under 65 with certain disabilities, and people of any age with End-Stage Renal Disease (ESRD).

Below are thoughts you'll want to consider in your decision:

Medicare is a “fee-for-service” system, where a Medicare beneficiary is charged a fee for each health care service received. Basic Medicare helps with the cost of health care, but it does not cover all medical expenses, nor the cost of most long-term care. To cover more of their health care costs, many individuals pay for additional Medicare policies to supplement what Medicare pays.

Part A

Also called hospital insurance, Medicare Part A covers the cost of hospital care, a skilled nursing facility, or hospice. Medicare Part A also covers some home health services.

Part B

Also called medical insurance, Medicare Part B covers most medically necessary doctors’ services, preventive care, durable medical equipment, hospital outpatient services, laboratory tests, x-rays, mental health care, and some home health and ambulance services.

Part D

Also called a Medicare Prescription Drug Plan, Medicare Part D is prescription drug coverage.

Part C

The Medicare Advantage (MA) Program, Part C, combines coverage for Parts A, B and at times, Part D benefits. These plans are administered by private insurance companies, rather than the Federal government. In most cases, you must use the plan’s in-network doctors and facilities. Some Medicare Advantage Plans include Medicare Part D prescription drug coverage.

A Medicare Supplement Insurance (Medigap) policy helps pay some of the health care costs that Medicare Parts A and B don’t cover, like: Copayments, Coinsurance, and Deductibles. Medigap policies are administered by private insurance companies.

If you need assistance with coverage for Long Term Care, Vision, Dental, Hearing Aids and/or Private Duty Nursing, we can help!

Feel free to call 714-944-2281 to learn more!

Click below to view plan options. Or, visit our Medicare website HERE for additional information.