Every Medicare beneficiary has unique healthcare needs and budget considerations. Mary Bundy is an insurance agent who navigates the Medicare program’s maze for you. To match you with the right plan, The Medicare Mary works with many carriers with different Medicare insurance plans for your every need.
Medicare Advantage Plans are a type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits. Most Medicare Advantage Plans also offer prescription drug coverage. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan. Your Medicare services aren’t paid for by Original Medicare.
Each plan that offers prescription drug coverage through Medicare Part D must give at least a standard level of coverage set by Medicare. Plans can vary the list of prescription drugs they cover (called a formulary) and how they place drugs into different “tiers” on their formularies.
Medicare Supplement Insurance Plans help fill “gaps” in Original Medicare and is sold by private companies. Original Medicare pays for much, but not all, of the cost for covered health care services and supplies. A Medicare Supplement Insurance (Medigap) policy can help pay some of the remaining health care costs.
Burial or cremation and other final expense costs are not covered by Original Medicare or Medicare Advantage Plans. Some private life insurance companies offer coverage for this need. Some plans’ qualifications may include health questions to determine eligibility or premium.
Original Medicare and Medicare Advantage Plans may cover part of your treatment costs for cancer, heart attack, or stroke. Cancer insurance plans are specifically designed to provide a lump-sum benefit to help with coinsurance and copayments that often accompany cancer treatments. Additionally, some states offer plans that cover advanced screening for cancer, subject to pre-existing condition look-backs. For those who have suffered a heart attack or stroke, insurance may be available to help cover the copayments and/or coinsurance associated with ongoing doctor, clinic, and hospital visits. Many plans offer a one-time lump sum benefit that is paid regardless of any other insurance benefits you may have.
Original Medicare does not provide coverage for regular dental, vision, or hearing expenses. However, some Medicare Advantage Plans may offer partial coverage for these costs. Private insurance companies offer insurance and discount plans to assist with these expenses. These companies determine the specifics of the coverage, deductibles, co-pays, and premium costs. It's important to note that some plans may have exclusions for pre-existing conditions.