Haslet Medicare Plans

Haslet Medicare Plans

Medicare is a federal health insurance program available to individuals who are 65 years old and above, disabled, or diagnosed with end-stage renal disease. Medicare is split into three parts: Part A, which is hospital insurance; Part B, which is medical insurance; and Part D, which is prescription drug coverage. Additionally, there are two other options available: Medicare Advantage and Medigap.

Ashford Insurance, an independent insurance agency, specializes in the Medicare market. As an independent agency, Ashford Insurance has the freedom to offer any supplement or Medicare prescription drug product from any company. The agency reviews all doctors and prescriptions to provide clients with a true and unbiased opinion.

Medicare Part A, also known as hospital insurance, covers inpatient care in hospitals and skilled nursing facilities, but it doesn’t provide coverage for custodial or long-term care in most cases. Medicare Part A covers inpatient hospital care, acute care, skilled nursing facility care, nursing home care, hospice care, and home health care. Eligibility for Part A is determined by age, disability, or diagnosis of end-stage renal disease.

Medicare Part B is medical insurance and covers some of the enrollee’s outpatient costs and doctor bills, but in most cases, it doesn’t fully cover any of the applicable goods and services. Medicare Part B covers services and supplies required for the diagnosis and treatment of medical conditions, preventive services, ambulance services, durable medical equipment, clinical research, some outpatient prescription drugs, and mental health services. Eligibility for Part B is dependent on the enrollee’s eligibility for Part A and whether they pay a premium for it.

Medicare Part D is prescription drug coverage and is offered by private insurance companies. The majority of those enrolled in Part D pay a premium. The list of covered prescription drugs in each plan is not set in stone, and members may view any upcoming changes to covered drugs each year. Part D is available to anyone enrolled in Original Medicare or who has joined a Medicare-approved plan with prescription drug coverage listed as a benefit.

Medicare Advantage is a replacement for both Parts A and B, and it’s usually less expensive for the member. However, members of a Medicare Advantage Plan must be provided with the same coverage as Parts A and B, at a minimum, but there may be additional rules in place. As these plans are offered by private insurance companies, they can differ based on location and may not be accepting new members at any given time.

Medigap, also known as Medicare Supplement coverage, fills in the gaps in Original Medicare (Parts A and B). Federal and state regulations set the framework for Medigap plans, but they’re sold by private insurance companies. One of the requirements is that plans follow state and federal laws, and this coverage is not available to those who have already enrolled in a Medicare Advantage Plan.

In conclusion, understanding Medicare can be a complex process. It’s crucial to have a thorough understanding of each part and coverage options to make an informed decision. Independent insurance agencies such as Ashford Insurance specialize in the Medicare market and can provide true and unbiased opinions to help navigate this process.