Learn about Medicare Part D plans

4 parts of medicare

Medicare Parts coverage and cost in 2020

What do Medicare Parts cover and cost in 2020?

There are 4 parts of Medicare: Part A, Part B, Part C, and Part D.

  • Part A covers inpatient hospital services.
  • Part B covers outpatient medical services.
  • Part C is Medicare Advantage plan offered by private companies approved by Medicare.
  • Part D provides prescription drug coverage to lower the cost you pay for medications.

Before you receive any of the health benefits above, you must first pay Part A deductible of $1408 in 2020. However, you can avoid paying this cost by having a Medicare Supplement plan.

What does Medicare Part A cover and cost in 2020?

According to Medicare.gov, Part A covers the following:

  • Inpatient hospital care
  • Skilled Nursing Facility care
  • Long-term Care Hospitals
Medicare Part A - Hospital

Inpatient Hospitals Coverage and Cost in 2020

The first 60 days of inpatient care is covered by Medicare Part A. In other words, you pay $0 coinsurance for eash 60 day benefit period. For example, you can be a hospital inpatient multiple times per year and each hospital stay will cost you nothing so long as each stay is 60 days or less. However, hospital stays between 61 days and 90 days will cost you $352 coinsurance per day in 2020.

Skilled Nursing Facility

Skilled Nursing Facility Coverage and Cost in 2020

Medicare Part A also covers 20 days of care in a Skilled Nursing Facility (SNF). Specifically, you pay $0 coinsurance for each 20 day benefit period. Some of the benefits of SNF include physical therapy, meals, and dietary counseling. Therefore, you can get short-term skilled nursing care multiple times per year for no cost so long as each stay is 20 days or less. However, SNF stays between 21 days and 100 days will cost you $176 per day in 2020.

Long-term Care Hospital Coverage and Cost in 2020

Medicare Part A covers the first 60 days in a Long-term Care Hospital (LTCH). In particular, the cost of LTCH is $0 for each 60 day benefit period under the following conditions.

  • You are transferred to a LTCH directly from an acute care hospital.
  • You are admitted to a LTCH within 60 days of being discharged from a hospital.

If the above conditions do not apply, then you must pay $1364 deductible in 2020 before Medicare will pay anything. Furthermore, LTCH stays from 61 days to 90 days will cost you $341 coinsurance per day in 2020.

Medicare Part A - Long-Term Hospital Care

What does Medicare Part B cover and Cost in 2020?

Medicare Part B covers the following services:

  • Medical outpatient services for stays at any hospital or medical facility for less than 24 hours. For example, a stay that occurs overnight but for less than 24 hours is outpatient service.
  • Preventive services to prevent illness such as seasonal flu-shot and annual wellness visits.
first aid kit

Medicare Outpatient Coverage and Cost in 2020

Original Medicare covers 80% of medically necessary services and supplies. These Part B medical services include:

  • Ambulance Service  – transportation to a medical facility.
  • Doctor Visits – anytime to see your primary doctor or specialist.
  • Mental Health – psychotherapy and counseling to treat conditions such as anxiety and depression.
  • Durable Medical Equipment – devices that assist with your medical conditions. For example, blood sugar monitors, oxygen equipment, and wheelchairs.

Before Medicare pays for these medical services and supplies, you must first pay Part B deductible of $198 in 2020. Furthermore, you are responsible to pay the 20% that Medicare does not cover. However, Medicare Supplement Plan C and Plan F pay Part B deductible and your 20% coinsurance.

Medicare Preventive Coverage and Cost in 2020

Medicare preventive services cover screening tests that help detect health conditions at early stages when treatment is most effective. In the tables below, we list 31 preventive tests covered by Medicare Part B. 

Medicare Part B preventive screening table 1
Click to view larger table size
Medicare Part B preventive screening table 2
Click to view larger table size

In the tables above, 71% of these screening tests are free after you pay the $198 Part B deductible. Furthermore, 19% of tests require payment of Part B deductible and 20% coinsurance. Finally, 10% of tests you pay absolutely nothing: neither Part B deductible nor 20% coinsurance. These preventive screening tests are completely FREE:

  • Nutrition Therapy Service – you pay nothing if you have diabetes or kidney disease.
  • “Welcome to Medicare” preventive visit – you pay nothing as long as the doctor does not perform additional tests or services.
  • Yearly Wellness Visit – is free every 12 months as long as the doctor does not perform additional tests or services.

To receive Part B coverage you need to pay a monthly premium. In 2020, the standard premium for Part B is $144.60.

What does Medicare Part C cover and cost in 2020?

Part C Medicare Advantage network
MA plans have a network of doctors, hospitals, and other medical services.

Medicare Part C is an alternative to Original Medicare and covers Part A (Hospital Insurance) and Part B (Medical Insurance). Part C is also known as Medicare Advantage (MA) Plan.

Medicare Advantage (MA) Coverage

MA plans often include Medicare Part D prescription drug coverage. Moreover, many MA plans include extra benefits not covered by Original Medicare. For example, MA plans may include dental, vision, and hearing. Some MA plans even include gym memberships such as Silver Sneakers! MA plans are offered through a network of healthcare providers HMO or PPO.

Medicare Advantage (MA) Costs

To enroll in Medicare Advantage Plan (Part C) you must first be enrolled in Part A and Part B. Most Seniors pay no premium for Part A. However, you will have to pay Part B monthly premiums. In 2020, the standard premium for Part B is $144.66. Furthermore, you will need to pay a monthly Part C premium. According to The Kaiser Family Foundation, the average Medicare Advantage Plan premium is $36 in 2020.

When you add standard Part B and average MA premiums, the total monthly cost is $180.66 in 2020. Conversely, Original Medicare Part B and Part D premiums only cost $177.34 in 2020. However, you may be thrilled to get a gym membership for only a few extra dollars per month!

You can choose a lower premium MA plan. As a result, you may be excited to pay less every month. However, these MA plans will have higher deductibles, copays, and larger out-of-pocket limits. Consequently, the cost to use your health insurance will be much higher. You can avoid these excessive costs by choosing an MA premium of $40 or more.

What does Medicare Part D cover and cost in 2020?

Part D saves you money on prescription drugs. Specifically, it reduces your cost for brand-name and generic drugs. For example, rather than paying the full retail price for medications, you only pay small copayments with Part D. To join a Part D drug plan, you must be enrollment in certain parts of Medicare.

 Part D drug plan
Part D drug plans save you money

How to Join a Drug Plan

You must have either Part A or Part B to join a stand-alone Part D drug plan with Original Medicare. However, you must have both Part A and Part B to join a Medicare Advantage plan. Since private health insurance companies such as Aetna, Mutual of Omaha, and AARP provide drug coverage, the price you pay will vary.

Part D Costs for Original Medicare and MA Plans

To enroll in Part D with Original Medicare you need to have either Part A or Part B. However, most people have both Part A and Part B coverage. Since private health insurance companies such as Aetna, Mutual of Omaha, and AARP provide drug coverage, the price you pay will vary.

Part D drug costs in 2020 

All Part D drug plans a monthly Part D premium. This amount will depend on the income reported on your 2018 tax return. Some Part D plans have an annual deductible which can not be more than $435 in 2020. However, other drug plans may have little or no deductible. 

After the out-of-pocket deductible, you pay either a copay or coinsurance for each prescription drug. For example, $10 copay for all drugs on a tier or 25% of the drug cost. Furthermore, after you and your drug plan spend a certain amount, you enter a coverage gap called the donut hole.

Donut Hole Costs in 2020

In 2020, you will enter the donut hole and pay 25% coinsurance for both brand-name and generic drugs when your drug plan spends $4,020. After total out-of-pocket drug costs are $6,350 in 2020, you exit the donut hole.

Want More Help with Medicare Parts?

You can speak with a licensed agent at 1-855-368-4717 and get more help with the 4 parts of Medicare: A, B, C, and D. Our team is very experienced at explaining Medicare parts and how they work. 

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open enrollment for medicare

Medicare Open Enrollment Period

Medicare Open Enrollment Period

Once a year Medicare open enrollment period is October 15 to December 7 – also known as Annual Election Period or Annual Enrollment period – anyone with Medicare can make changes to their Medicare health plans and prescription drug coverage for the following year. For example, the next Medicare open enrollment is October 15, 2020 through December 7, 2020. Any changes you make to Medicare coverage during this open enrollment period will take effect in January 2021. Read more about what you can do during open enrollment period.

Medicare Advantage Open Enrollment

Likewise, Medicare Advantage open enrollment period occurs once a year between January 1 thru March 31. Anyone who has a Medicare Advantage Plan can switch to a different Medicare Advantage Plan. Alternatively, you can drop Medicare Advantage and return to Original Medicare. In addition, you can join a Medicare Part D prescription drug plan. For example, read the following story about George.

Why George Switched from Medicare Advantage to Original Medicare

open enrollment for medicare
George and Barbara excited about switching to Medicare Part D plan

George turned 65 last last year and enrolled in Medicare Advantage Plan. In 2020, George and his wife Barbara bought a recreation vehicle (RV). Together they plan to enjoy retirement by traveling across the United States in their new RV. However, George has an Advantage Plan and when he travels outside of his service area he pays higher out-of-network costs. Therefore, George makes a smart move and switches from his Advantage Plan to Medicare with Part D prescription drug plan.

Now, George and Barbara have peace of mind knowing their health costs will remain consistent whereever they travel in the United States. The good news is you can switch too! Medicare Advantage Open Enrollment Period (OEP) is January 1 to March 31. If you have a Medicare Advantage Plan, you can switch to another Medicare Advantage Plan. Otherwise, you can drop Medicare Advantage and enroll in Original Medicare and join Part D prescription drug plan. To shop and compare Medicare plans call Senior Healthcare Direct at 1-855-368-4717 or click the get quote button below.

get Medicare quote button

Common Questions About Medicare Open Enrollment

What is Medicare open enrollment?

Medicare open enrollment also called annual election period and annual enrollment period (AEP) is the annual period between October 15 and December 7 when people eligible for Medicare can change their Medicare plan.

When is Medicare open enrollment?

Annual Medicare open enrollment period is October 15 to December 7. Open enrollment for 2020 coverage ended on December 7, 2019. Next open enrollment will begin October 15, 2020 for coverage starting in January 2021.

What is Medicare Advantage open enrollment?

Medicare Advantage open enrollment only applies to people who have Medicare Advantage plans. During Medicare Advantage OEP you can switch to a different Medicare Advantage plan. Alternatively, you can switch from Medicare Advantage plan to Original Medicare including Part D prescription drug plan.

When is Medicare Advantage open enrollment?

Medicare Advantage open enrollment is January 1 to March 31.

What’s you can not switch in Medicare Advantage open enrollment?

During Medicare Advantage open enrollment period you can not switch from Original Medicare to Medicare Advantage Plan. In addition, you can not join Medicare Part D prescription drug plan. Furthermore, you can not switch from Medicare Part D drug plan to another Part D drug plan.

Medicare Drug Plan

Change Your Medicare 2020 Drug Plan Today

medicare 2020 drug plan

You can get the Medicare drug plan you want in 2020! Here’s the big Medicare Part D and Medicare.gov update: During the last 2019 Annual Enrollment you may have used the new Medicare.gov Plan Finder which was rolled out in October 2019. Unfortunately, there were a lot of errors with this new Plan Finder. Our agents at Senior Healthcare Direct were one of the first to realize that a lot of data from Medicare.gov plan finder was not adding up. For example, the Medicare.gov Plan Finder did not match up with the carriers.

Helping You Get The Right Drug Plan

To help our clients, we cross referenced Medicare.gov and the carrier information. As a result, we helped our clients get the right drug plan. However, other Medicare agencies or individuals who did not know ended up enrolling in the wrong plan. Consequently, there have been a lot of complaints to Medicare. Because there were enough complaints, Medicare opened up a new Special Enrollment Period. So if you used plan finder in 2019 and chose the wrong 2020 drug plan because the information provided was inaccurate, you can change your drug plan. Therefore, you do not have to wait until October 2020. You can get a new drug plan today! Watch the video below for more details.

You Can Change Your Medicare 2020 Drug Plan

MedicareBob, owner of Senior Healthcare Direct, breaks the news about Medicare Plan Finder inaccurate information and how you can change your drug plan today. Watch the video to get more details and learn what to say when you call Medicare to change your drug plan.

MedicareBob’s Big 2020 Announcement

How to Change Your Drug Plan

You can make changes to your Medicare Advantage or Medicare Part D plan. If you made the wrong plan choice because of inaccurate information on the Plan Finder, call 1-800-MEDICARE and explain your situation. For other special circumstances, such as you move or lose other insurance coverage, visit Medicare.gov

2020 Part D Updates: Humana Part D Doubled Premium

2020 Medicare Part D Deductible: How it Works

Medicare 2020 – Best Medicare Supplement 2020 – Best Part D Drug Plan 2020

FAQ Friday: Part D Attestation of Creditable Coverage

FAQ Friday: Extra Help with Part D

FAQ Friday: Why does my Social Security show the Incorrect Part D Premium Deduction?

2019 Part D Drug Plan Updates

FAQ Friday: What is Medicare Part D?

FAQ Friday: 2019 drug plans; when do they come out and when can I change?

2020 Medicare Part D

2018 Medicare Part D Finder Form

2020 Medicare Part D

2017 Medicare Part D Finder Form

Help with your Medicare Part D Plan

Thank you

2016 Part D Changes

CMS finalizes 2016 payment and policy updates for Medicare Health and Drug Plans

CMS NEWSFOR IMMEDIATE RELEASE

April 6, 2015

Contact: CMS Media Relations

(202) 690-6145 | go.cms.gov/media

CMS finalizes 2016 payment and policy updates for Medicare Health and Drug Plans

Rate Announcement Details Plan Payments and Other Program Updates for 2016

 

The Centers for Medicare & Medicaid Services (CMS) today released final Medicare Advantage (MA) and Part D Prescription Drug program changes for 2016 that provide fair and accurate payments to plans, and encourage the delivery of high-quality care for all populations.

 

“These policies strengthen Medicare Advantage for current and future consumers by encouraging higher quality care,” said Andy Slavitt, acting CMS Administrator. “As the Medicare Advantage marketplace continues to grow, consumers are getting access to better care through more choice and competition. Seniors and people with disabilities, including the dual-eligible population, will continue to have an extensive choice of plans, affordable premiums, and better and more transparent information about provider networks and pharmacies.”

 

The Medicare Advantage and the Part D Prescription Drug programs’ enrollments and quality continue to grow and improve since the Affordable Care Act became law. Medicare Advantage has reached record high enrollment each year since 2010, a trend continuing in 2015 with a cumulative increase of more than 40 percent since 2010. At the same time, premiums have fallen by nearly 6 percent from 2010 to 2015. And, more than 90 percent of Medicare beneficiaries have access to a $0 premium Medicare Advantage plan.

 

The finalized policies fully consider the many comments received during the public comment period. Particular care is being taken to ensure that plan sponsors have the right incentives to care for dual eligible populations over the long term. The Rate Announcement finalizes changes in payments that will affect plans differently depending on the characteristics of those plans. On average, the expected revenue change is 1.25 percent without accounting for the expected growth in coding acuity that has typically added another 2 percent.  The final revenue increase is larger than the February advance notice largely because the Medicare actuaries recently updated Medicare per capita spending estimates for 2014 and 2015. Medicare per capita spending in 2014, 2015 and 2016 is still expected to be below historical standards.

 

Today’s announcement drives important improvements to the star rating system, additional accuracy and transparency of provider networks, and continues to promote improvements in quality of care for beneficiaries. The policies in the Rate Announcement and final Call Letter reflect Secretary Burwell’s commitment to a Medicare program – including Medicare Advantage – that delivers better care, spends health care dollars more wisely and results in healthier people. In the Final Call Letter, CMS continues to update the Star Ratings measures to drive improved quality for Medicare Advantage and Part D enrollees. To enhance program integrity and payment accuracy, Medicare Advantage plans will continue to be provided stringent oversight for improper payments, just like other providers in the Medicare program.

 

Lastly, the final policies will provide enrollees with greater information to make informed and timely decisions about their care and their coverage. The Final Call Letter takes steps to require Medicare Advantage plans to maintain accurate provider directories in a timely manner and make those directories widely available. These steps will help enrollees better understand the providers and choices available to them. In addition, CMS will ensure that Part D sponsors provide clear and accurate access to information on preferred cost sharing pharmacies in their networks so that all beneficiaries have access to affordable coverage.

 

To view a fact sheet on the 2016 Rate Announcement and final Call Letter, please visit: http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-04-06.html

# # #

Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter @CMSgov

Shared by: Robert Bache

Twitter @MedicareBob

 

 

 

 

 

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Medicare Prescription Drug Costs, 4 Ways to Lower Your Costs:

4 Ways to Help Lower Your
Medicare Prescription Drug Costs

Are you a person with Medicare who’s having trouble paying for prescription
drugs? Joining a Medicare Prescription Drug Plan may help, even if you have to
pay a late enrollment penalty.
There are other ways you may be able to save. Consider switching to drugs that
cost less. Ask your doctor if there are generic, over-the-counter, or
less-expensive brand-name drugs that could work just as well as the ones
you’re taking now. Switching to lower-cost drugs can save you hundreds or
possibly thousands of dollars a year.
You can also help lower your Medicare prescription drug costs by:
1. Exploring national and community-based programs that might offer
assistance (like the National Patient Advocate Foundation or the National
Organization for Rare Disorders) that may have programs that can help with
your drug costs. Get information on federal, state, and private assistance
programs in your area on the Benefits Check Up website, benefitscheckup.org.
The help you get from some of these programs may count toward your true
out-of-pocket (TrOOP) costs. TrOOP costs are the expenses that count toward
your Medicare drug plan out-of-pocket expenses—up to $4,750 for 2013.
These costs determine when your catastrophic coverage will begin.
2. Looking at State Pharmaceutical Assistance Programs (SPAP) to see if
you qualify. SPAPs in 22 states and 1 territory offer some type of coverage
to help people with Medicare with paying drug plan premiums and/or cost
sharing. Find out if your state has a State Pharmaceutical Assistance Program
at Medicare.gov/pharmaceutical-assistance-program/state-programs.aspx
or calling 1-800-MEDICARE. SPAP contributions may count toward your
TrOOP costs.

3. Looking into Manufacturer’s Pharmaceutical Assistance Programs
(sometimes called Patient Assistance Programs (PAPs)) offered
by the manufacturers of the drugs you take. Many of the major drug
manufacturers offer assistance programs for people enrolled in a
Medicare drug plan. Find out whether the manufacturers of the drugs
you take offer a Pharmaceutical Assistance Program by visiting
Medicare.gov/pap/index.asp or calling 1-800-MEDICARE
(1‑800‑633‑4227). TTY users should call 1-877-486-2048. Assistance
from PAPs isn’t part of Medicare Part D, so any help you get from this
type of program won’t count toward your TrOOP costs.
4. Applying for Extra Help paying for your Medicare prescription drugs.
If you have Medicare and have limited income and resources, you may
qualify for Extra Help paying for your prescription drugs. To apply for
Extra Help, contact Social Security at ssa.gov or by calling
1-800-772-1213. TTY users should call 1-800-325-0778.
If you need help finding resources, like the ones described above, call your
State Health Insurance Assistance Program (SHIP) for free personalized
counseling to people with Medicare. Get their phone number by visiting
Medicare.gov/contacts, or calling 1-800-MEDICARE.

SEE IF YOU CAN SAVE NOW: CLICK HERE

 

Shared by:

Robert W. Bache aka “MedicareBob™”

President / Producer

Senior Healthcare Direct

Direct Toll Free: 1-800-525-0299

Company Toll Free: 1-855-368-4717

www.SrHealthcareDirect.com

Incorrect Medicare Part D information may be on your letter from Social Security:

Senior Healthcare Direct
December 18, 2013
Incorrect Medicare Part D information may be on your letter from Social Security:

I hope you are doing well. This is Robert Bache, aka “MedicareBob™”. I want to share some information with you about a letter that you might receive from the Social Security Administration about an increase in your Social Security Income for 2014.

Great news: Most people are receiving an increase in their Social Security Income.

Bad news: Social Security did not communicate very well with Medicare regarding your Medicare Part D information. On this letter, the Part D information does not reflect if you made a change for 2014, the letter reflects your 2013 Part D Plan information.

In summary, If you made a Medicare Part D change for 2014, the letter from Social Security does not reflect your correct monthly premium information.

It is not too late to shop for the best 2014 Medicare Supplement Price. The December 7th deadline only applies to the Medicare Part D Coverage.

As you know, all Medicare Supplement Plans offer the same insurance coverage, so there is no reason to over pay. Senior Healthcare Direct represents all of the top Medicare Supplement Companies.

If you have any questions about Medicare please contact me, my direct phone number is 1-800-525-0299 or you can email me,  Bob@MedicareBob™.com.

As always, we appreciate being your Medicare Insurance Agency.

Sincerely,


Robert W. Bache aka “MedicareBob™”
President / Producer
Senior Healthcare Direct
Direct Toll Free: 1-800-525-0299
Company Toll Free: 1-855-368-4717
www.SrHealthcareDirect.com
www.MedicareBob™.com

Obamacare Changes Medicare Part D

How much is Medicare Part D

Free Generic with Medicare Part D

Medicare Part D, what do I have to pay

When to enroll into Medicare Part D

Medicare Part D Avoid the Donut Hole

How Medicare Part D works

Choosing the Best Medicare Part D Plan

Medicare Part D Extra Help

How Obamacare affects Medicare Part D Beneficiaries

Medicare Part D. How do you get the best plan?

First Health Medicare Part D Value Plus Plan is no longer the best Medicare Part D Plan for 2014.

First Health Medicare Part D Value Plus Plan is no longer the best Medicare Part D Plan for 2014.

If you actively shop your Medicare Part D Plan each year and you take mostly generic medications, there is a good chance that for 2013 you chose the First Health Part D Medicare Value Plus Plan.

This means that there is an even better chance that you recently received a notice that the First Health Part D Plan’s premium is increasing by quite a bit.

Have no fear, 2014 boast a couple of Medicare Part D Plans that will suite you even better! For 2014, say good bye to First Health Part D, and say hello to one of the following 2014 Medicare Part D Plans:

  • 2014 Humana Walmart Rx PDP Plan: Most of us have known about this Plan for a few years and even though it has always had a lower monthly premium, it has also always had a big deductible. This deductible often times did not make a lot of sense for a person whom takes mostly or all generic medications because this person would never meet said deductible.

 

The Humana Walmart Rx Plan is better for 2014, because the deductible is now a “Tiered Deductible”. This means that it does not apply for Tier 1 and/or Tier 2 medications. So starting January 1st 2014 at Walmart/Sam’s Club you will receive Tier 1 medications for $1.00 and Tier 2 medications for $4.00.

If you dislike getting your medications from Walmart/Sam’s Club, or you like using Mail Order, then you can still save money. If you use Humana’s Mail Order service through “Right Source”, starting January 1st 2014, you will receive your Tier 1 and Tier 2 medications for FREE! 

Did I mention that the 2014 national average monthly premium for the Humana Walmart Rx PDP Plan is only $12.60!!!

  • 2014 WellCare Classic PDP Plan: This Plan is more similar to the 2013 First Health Part D Plan because of the $0.00 deductible and $0 copay for Tier 1 medications. The premium is friendly as well, the 2014 average monthly premium is $23.00.

It is always a bummer to receive a notice that anything you are paying for is increasing in price, but call me or one of my fellow Medicare Insurance Specialists and I know we can help you shop and compare all of the available 2014 Medicare Part D Plans.

Direct Toll Free Number: 1-855-368-4717.

Who am I? I am Robert Bache, Google “MedicareBob™”, and you will see that I have been in the news and awarded for helping Medicare Beneficiaries just like you. I own Senior Healthcare Direct, www.SrHealthcareDirect.com , and I encourage you to experience the difference of working with one of our Medicare Specialists. My Agents and I are the best at what we do.

Robert Bache aka “MedicareBob™”
President / Producer
Senior Healthcare Direct
Direct Toll Free: 1-800-525-0299
Company Toll Free: 1-855-368-4717

www.SrHealthcareDirect.com

www.MedicareBob™.com

Learn more about Robert aka “MedicareBob™”

http://SrHealthcareDirect.com/medicarebob/
http://MedicareBob™.com

Please “Like” Senior Healthcare Direct on Facebook:
https://www.facebook.com/MedicareBob™?ref=hl

 

2014 Humana Walmart Medicare Part D Plan

2014 Humana Walmart Rx PDP Medicare Part D Plan

Overview: 

The 2014 Humana Walmart Rx- Low monthly plan premium, offered nationwide, copays as low as $1 even before you meet the $310 deductible.

Additional highlights for the Humana Walmart Rx PDP Plan:

        • The national average monthly premium for is 2014 is $12.60.
        • Tier 1 Retail Copays as low as $1.00 and Mail Copays as low as $0.00.
        • Offered  in all 50 states.
        • ***Tiered $310 annual deductible, does not always apply, see below:

***This is really really cool, the 2014 Humana Walmart Rx Plan is now offering a “Tiered Deductible”.  When you use Walmart’s Pharmacy, the $310.00 deductible does not apply for Tier 1 and Tier 2 medications. At Walmart, the Tier 1 medications are only $1.00 and the Tier 2 are only $4.00.

Even better, if you use Humana’s Mail Order Provider, “Right Source”, the Tier 1 and Tier 2 medications are FREE!!! Again, the deductible does not apply.

PLEASE CALL ME IF YOU WOULD LIKE TO SHOP ALL OF YOUR 2014 MEDICARE PART D OPTIONS.

Robert Bache aka “MedicareBob™”
President / Producer
Senior Healthcare Direct
Direct Toll Free: 1-800-525-0299
Company Toll Free: 1-855-368-4717

www.SrHealthcareDirect.com
Learn more about Robert aka “MedicareBob™”

http://SrHealthcareDirect.com/medicarebob/
http://MedicareBob™.com

Please “Like” Senior Healthcare Direct on Facebook:
https://www.facebook.com/MedicareBob™?ref=hl

2014 AARP Medicare Part D Plans Insurance by United Healthcare:

2014 AARP Medicare Part D Plans Insurance by United Healthcare Summarized by MedicareBob™:

AARP is offering 3 different Medicare Part D Plans in 2014:
1. AARP MedicareRx Preferred (PDP)

The AARP® MedicareRx Preferred drug list includes nearly all generic drugs covered by Medicare Part D and most commonly used brand-name drugs. $0 annual deductible, lower copayments with the Preferred Retail Pharmacy Network and access to more than 65,000 network pharmacies make this our most popular prescription drug plan.

The average monthly premium for the AARP MedicareRx Preferred in 2014 is $43.47.

2. AARP MedicareRx Enhanced (PDP)

The AARP® MedicareRx Enhanced plan includes nearly 94% of drugs covered by Medicare Part D plus coverage for Tier 1 and Tier 2 drugs and select brand name drugs in Tiers 3 – 5 in the coverage gap. It offers a $0 annual deductible, lower copayments with the Preferred Retail Pharmacy Network and access to more than 65,000 network pharmacies. Note: This plan is not available in: Arkansas, Kansas, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.

The average monthly premium for the AARP MedicareRx Enhanced in 2014 is $101.57.

3. AARP MedicareRx Saver Plus (PDP)

The AARP® MedicareRx Saver Plus plan includes most generic drugs covered by Medicare Part D and many commonly used brand name drugs. It offers a $310 annual deductible, lower monthly premiums , lower copayments with the Preferred Pharmacy Network and access to more than 65,000 network pharmacies. Note: This plan is not available in: America Samoa, Guam, the Northern Mariana Islands, Puerto Rico or the U.S. Virgin Islands.

The average monthly premium for the AARP MedicareRx Saver Plus in 2014 is $23.10.

Call Senior Healthcare Direct today to review all of the 2014 Medicare Part D Plans: 1-855-368-4717 OR Go to: https://www.seniorhealthcaredirect.com/quoting-engine-2/

Explanation of AARP MedicareRx Tiers
AARP MedicareRx Plans, insured through UnitedHealthcare, are Medicare Part D Plans with five different coverage levels or tiers of copayments/coinsurance for prescription drugs. The amount paid for each prescription depends on the tier assigned to the prescription drug.

Tier 1: Preferred Generic – Lowest Copayment – Lower-cost, commonly used generic drugs.

Tier 2: Non-Preferred Generic – Low Copayment – Most generic drugs.

Tier 3: Preferred Brand – Medium Copayment – Many common brand-name drugs, called preferred brands, and some higher-cost generic drugs.

Tier 4: Non-Preferred Brand – Highest Copayment – Non-preferred generic and non-preferred brand name drugs.

Tier 5: Specialty Tier: Coinsurance – Unique and/or very high-cost drugs.

Brand name – A prescription drug that is manufactured and sold by the pharmaceutical company that originally researched and developed the drug. Brand-name drugs have the same active-ingredient formula as the generic version of the drug. However, generic drugs are manufactured and sold by other drug manufacturers and generally not available until after the patent on the brand-name drug has expired.

Generic – Generic drugs are medications that usually cost less and are sold under a generic name for the brand-name drug (usually its chemical name). Because generic drugs are less expensive than their brand-name equivalent, the copayment usually is less as well. Generic drugs are approved by the U.S. Food and Drug Administration (FDA).

Specialty Drugs – Generic and Brand drugs designed to treat special types of medical conditions.

Coverage Gap – A name for the step in a Medicare Prescription Drug Plan in which the member would usually pay more of their expenses for eligible drugs including the discounted cost of their medications. In 2014, the coverage gap begins after the member and the plan together have spent $2,850 in total yearly drug costs. From this point, the member will pay no more than 72% of the total cost for generic drugs or 47.5% of the total cost) for brand-name drugs until they reach $4,550 in yearly True Out-of-Pocket (TrOOP) drug costs. Once the member reaches $4,550 in TrOOP costs, they will enter the catastrophic coverage phase, during which the plan pays nearly all of the member’s drug expenses until the end of the year, with no upper limit.

If the member has both Medicare and Medicaid coverage, they will not experience a gap in coverage even if their benefit plan does have a Coverage Gap.
Call Senior Healthcare Direct today to review all of the 2014 Medicare Part D Plans: 1-855-368-4717 OR Go to: http://SrHealthcareDirect.com/quoting-engine-2/

Robert W. Bache aka “MedicareBob™”
President / Producer
Senior Healthcare Direct
Direct Toll Free: 1-800-525-0299
Company Toll Free: 1-855-368-4717
www.SrHealthcareDirect.com
www.MedicareBob™.com
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Coventry’s Medicare Part D Plan

Coventry’s Medicare Part D Plan

Coventry has a Medicare Part D Plan that I just seem to keep recommending, “First Health Part D“. I enrolled 150 Medicare Beneficiaries last month into a Medicare Supplement Plan, and for 70% of those Medicare Beneficiaries, the “First Health Part D Plan” reported back as the most cost-effective drug plan for them.

MedicareBob™’s Summary of Coventry’s, First Health Part D Plan:

•Monthly Premium: Ranges from $22.50 to $36.00 nationwide
•No deductible
•No copay (you pay nothing) for most generic medications as long as you go to a preferred pharmacy partner. (Walgreen, Target, Wal-Mart, etc…)
If you have any Medicare related questions or concerns, please contact me:

Robert Bache aka MedicareBob™
Owner / Producer
SrHealthcareDirect.com
Bob@MedicareBob™.com
Toll Free Cell: 1-800-525-0299

Medicare Part D

Medicare Part D

Robert Bache aka MedicareBob™ answers questions about Medicare Part D.

CLICK ON THE QUESTION OR STATEMENT BELOW AND THE VIDEO WILL OPEN ON YOUR COMPUTER SCREEN.

 

Medicare Part D, How Medicare Part D works

Medicare Part D, When to Enroll into Medicare Part D

Obama Changes Medicare Part D

Medicare Part D, Extra Help

Medicare Part D, what do I pay?

Free Generic Drugs with Medicare Part D

Medicare Part D, How to get the best Part D Plan

How much is Medicare Part D?

Medicare Part D, What is the Donut Hole?

Medicare Part D, tips to avoid the Donut Hole

 

 

 

 

 

Medicare Part D “Extra Help” with paying for your Medications

2013 Requirements to receive Medicare Part D  “Extra Help” with paying for your Medications:  

Must be enrolled in:

  • Medicare Part A
  • Medicare Part B
  • Medicare Part D

Annual Income Requirements:

  • Individual: $17,235
  • Married Couple: $23,265

Your Assets (Medicare refers to this as your “resources”)

Individual: $13,000

Married Couple: $26,580

Resources that are counted towards your amount:

  • Money in Checking and Savings Account
  • Stocks
  • Bonds

Resources that are NOT counted towards your amount:

  • Home
  • One car
  • Burial Plot or up to $1,500 for your burial expenses
  • Furniture and other personal belongings.

To see if you qualify for any Medicare Part D “Extra Help” with paying for your medications, click below.

Click here: APPLY NOW

If you have any additional Medicare questions, please e-mail me: Bob@MedicareBob™.com

Robert W. Bache AKA MedicareBob™

1-855-368-4717 or 727-643-0219

www.SrHealthcareDirect.com

www.MedicareBob™.com

Please like me on Facebook: https://www.facebook.com/MedicareBob™?ref=hl

Obamacare Changes Medicare Part D

Obamacare Changes Medicare Part D:

Medicare Beneficiaries that have high drug costs now, are very familiar with what is referred to as the, “The Donut Hole”.

Coverage Gap or “Donut Hole”: Once a Medicare Beneficiary and the Part D Plan have spent $2,970 on prescription medications, the Beneficiary’s cost increase.  Obamacare is requiring Medciare Part D Plans to pay more during the “Donut Hole”.

Obamacare has already started to increase what each Medicare Part D Plan is required to pay when the Medicare Beneficiary reaches the “Donut Hole”.

Below is a chart of what has happened and what is expected to happen through 2020. As you will see, in 2020, the Medicare Part D Plan will pay 75% of each brand name medication, and the Beneficiary will be required to pay only 25%.

The table below shows the percentage of what a Medicare Beneficiary is and will pay through Medicare Part D due to Obamacare.

YEAR

Brand

Generic

2012

50%

86%

2013

47.5%

79%

2014

47.5%

72%

2015

45%

65%

2016

45%

58%

2017

40%

51%

2018

35%

44%

2019

30%

37%

2020

25%

25%

 

Example:  For a brand name medication that costs the $200.00.

PAST 2012: Once the Medicare Beneficiary entered the “Donut Hole”, the person had to pay $100.00 for a 30 day supply.

PRESENT 2013: This year when the Medicare Beneficiary enters the “Donut Hole”, they pay$95.00 for a 30 day supply.

FUTURE 2020: When a Medicare Beneficiary enters the “Donut Hole”, the cost will only be $50.00 for a 30 day supply.

 

Posted by Robert Bache aka MedicareBob™ 05/14/2013.