Part A |
Hospital - Original Medicare |
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No Premium |
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Deductible |
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Part B |
Medical - Original Medicare |
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Monthly Premium |
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Annual deductible and you pay 20% |
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Part C |
Medicare "Advantage" Plans |
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Through health plan carriers |
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Advantages (additional benefits) |
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Part D |
Prescription Coverage |
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Through prescription plans |
You have 2 Options |
For additional Coverage |
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First Option |
- Medicare Advantage Plans (Part C)
- 1. Covers Part A, Part B and Part D of Medicare
- 2. All plans approved by Medicare
- 3. Premiums $0 to $150 per month
- 4. "Advantages", such as, annual physical, vision
- 5. Available through national/regional carriers
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Second Option |
- "Supplemental or mediagap" plans
- 1. Covers Part A and B only. Need to buy Part D
- 2. Plans are standardized by Medicare
- 3. Premiums start at about $110 per month
- 4. Available through insurance company
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Part D
(Medicare Prescription Coverage) |
- 1. Available through Prescription and Medicare Advantage
- 2. Three prescription plans and four co-pay levels
- 3. Plans may have deductibles
- 4. Plans may cover generics in the "gap"
- 5. Available at pharmacies or through mail order
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How Part D works |
| You Pay Co-pay |
Retail Price |
| $7 |
$100 |
| $29, etc. |
$250, etc. |
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| When the retail amount totals: |
$2,510 then... |
...you are in the gap or Donut Hole
You pay full price until you have paid $1,540 |
| ...you are now out of the GAP...and you pay the greater of $2.25 or $5.60 or 5% |

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ASSISTANCE
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LEARN MORE
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MEDICARE 101
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CHOICES
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