nancy wellman AGENCY
Authorized Representative for
The Insurance Store, a health benefits firm.
Medicare & Part D
Most people agree that coverage in addition to Medicare Part A & B is needed. But it is difficult to know which plans will provide the best coverage for each individuals unique situation. The introduction of Medicare Part D prescription drug program has added to the confusion.
Medicare and You 2008 Handbook
Original Medicare Plan
This fee-for-service plan covers many health care services. You can go to any doctor or supplier that is enrolled and accepts Medicare and is accepting new Medicare patients, or to any hospital or other facility.
Medicare Advantage Plans
These plans are approved by Medicare and run by private companies. When you join one of these plans, you are still in Medicare. Some of these plans require referrals to see specialists. They provide all of your Part A (hospital) and Part B (medical) coverage. They generally offer extra benefits, and many include prescription drug coverage. These plans often have networks, which means you may have to see doctors who belong to the plan or go to certain hospitals to get covered services. In many cases, your costs for services can be lower than in the Original Medicare Plan, but it is important to check with the plan because the costs for services will vary.
Medicare Advantage Plans we Offer:
AARP Aetna
Secure Horizons Regence Blue Cross MedAdvantage
Evercare Family Care
Health Net Coventry
Pyramid United Healthcare
Medigap (Medicare Supplement Insurance) Policies
These policies help pay some of the health care costs that the Original Medicare Plan doesn’t cover. If you are in the Original Medicare Plan, you could get a Medigap policy to help cover the extra health care costs.
The Standardized Medicare Supplement (Medi-Gap) Plans for 2008Medicare Part D Prescription Drug Plans
Your decision about Medicare prescription drug coverage depends on the kind of health care coverage you have now. There are two ways to get Medicare prescription drug coverage. You can join a Medicare prescription drug plan or you can join a Medicare Advantage Plan or other Medicare Health Plan that offers drug coverage. Whatever plan you choose, Medicare drug coverage will help you by covering brand-name and generic drugs at pharmacies that are convenient for you.
Like other insurance, if you join, generally you will pay a monthly premium, which varies by plan, and a yearly deductible (between $0-$275 in 2008). You will also pay a part of the cost of your prescriptions, including a copayment or coinsurance. Costs will vary depending on which drug plan you choose. Some plans may offer more coverage and additional drugs for a higher monthly premium. If you have limited income and resources, and you qualify for extra help, you may not have to pay a premium or deductible.
Medicare prescription drug coverage provides greater peace of mind by protecting you from unexpected drug expenses. Even if you don't use a lot of prescription drugs now, you should still consider joining. As we age, most people need prescription drugs to stay healthy. For most people, joining now means protection from unexpected prescription drug bills in the future.
Refer to the following government resource for furthur information:
Find & Compare Health Plans in Your AreaFind and Compare Prescription Drug Plans in Your Area
For more information contact:
Nancy Wellman
PO Box 2378
Clackamas, OR 97015503-705-1623
503-658-8570 FAX