It can be a challenge deciding how to use Medicare to your best advantage. Senior citizens are eligible to enroll in Medicare health care benefits at the age of sixty-two. Each person is covered by part A and Part B. Prescription drug coverage is not provided by Medicare, the government health care plan. As your Charlotte Insurance Broker can explain, one of the Medicare Advantage Plans will cover part of what Medicare does not pay and prescription drugs.
Medicare pays for about eighty-percent of the costs you incur and Advantage plans cover the remaining twenty percent. There may be a monthly fee. However some are free. You must apply each year and each segment of this plan covers one year. Not all procedures are covered in all plans.
With some plans there is no charge, only a smaller co-payment each time you visit the physicians office. This is for your primary doctor. Others for special needs, charge a higher co-payment. You may also require an approval for that doctors care.
Any time a doctor is seen that is not eligible to participate in the plan, there is no coverage provided to pay for the care. An advantage plan has a yearly limit on the amount the member must pay. Rules, lists of physicians and other coverage for tests and care are subject to change.
Once eligible for Medicare you can enroll in the Advantage Plan that best suits your needs. This coverage is referred to as Part C. Part D is for prescription drugs. Part A covers hospital charges and Part B covers doctors services, tests and outpatient care. After you enroll, the Medicare Advantage Plan will pay for your care.
Part C, the Medicare Advantage Plan covers blood tests, screenings such as mammograms and other tests needed on a regular basis. Plans can be outlined for you by a broker. A consultation will allow you to discuss your own medical needs and how the insurance can fill them in the most economic way possible. It is rare that a plan will be responsible for all the care you must have. Then you will have to make choices as to which offers the most.
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