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Medicare Coverage and Costs in Boynton Beach

Medicare Coverage and Costs in Boynton Beach  


Medicare coverage and costs in Boynton Beach

Medicare coverage and costs in Boynton Beach


This article will review Medicare coverage and costs in Boynton Beach. What is Medicare? It is also known as Original Medicare or Medicare A and B. It is part of a government insurance program for US retirees age 65 plus.

This article will help you understand your Medicare coverage and costs in Boynton Beach.

You may be entitled to Medicare if you under 65, if you have a qualifying illness or are disabled.

    What Medicare Covers

  • Hospital Insurance, Part A
  • Medical Insurance, Part B
  • Medicare Advantage Plans, Part C
  • Prescription Drug Coverage, Part D

    What Medicare Part A Covers

  • Inpatient care in a Hospital or Skilled Nursing Facility. You must be admitted to the Hospital, not be an outpatient under a doctor’s orders.
  • Medically Necessary Hospice and Home Health Services.
  • Blood transfusions after the first three pints of blood in a year.

    What Medicare Part A Costs

  • If you or your spouse have paid payroll taxes for 10 years, there will be no premium for Part A. If you don’t qualify for free Part A coverage, you can purchase it.
  • When you use Part A services, you will be charged a copayment or coinsurance and /or a deductible. You can pay these or purchase insurance to pay some or all of the costs.

    What Medicare Part B Covers

  • Outpatient services such as:
  • Vaccinations such as Flu, Shingles, Pneumonia Shots.
  • Preventative Cancer Screenings, such as Mammograms, and colorectal exams, and Diabetes tests.
  • “Welcome to Medicare”physical and Annual Wellness Exam

    What Medicare Part B Costs

  • For 2017, the standard monthly cost is $134.o0.You may pay more or less than this amount depending on your financial situation. If you have a higher income, ($85,000 for individuals and $170,000 for couples), you will pay more for Part B.

    What Medicare Part C Covers

  • Medicare Advantage Plans are health plans offered by private insurance companies:
  • They include all Medicare Part A and Part B benefits.
  • Many of these also include Part D, Prescription drug coverage.
  • Most offer extra benefits not covered by Medicare. These are preventive services such as vision, hearing, dental and gym memberships.

    What Medicare Part C Costs

  • Most of the plans have low or “0” monthly premiums.
  • The plans have Annual Maximum Out of Pocket limits. That is the most your health care costs can be in one year, no matter how sick you get.
  • Some of the services, such as Preventive tests are free
  • Most of the services have fixed costs.

    What Medicare Part D in Boynton Beach Covers

  • Medicare Part D is your Prescription drug coverage.
  • Part D coverage is included when you are entitled to Medicare A and/or enrolled in Part B.
  • You do not enroll in Part D however you need to select a Medicare Part D Plan to receive your coverage.
  • A Medicare Advantage plan may include drug benefits.

    What Medicare Part D Costs in Boynton Beach

  • Your costs will vary depending on the type of plan you enroll in.
  •  The plan may have an annual deductible to pay before you have coverage,  and copays or coinsurance for your medicine
  • The drug portion of your plan may have an annual deductible. It may have copays or coinsurance for your medicine.

    Paying your Medicare Part B Premium in Boynton Beach

  • You can have the Part B premium deducted from your Social Security check. For more information on Medicare’s coverage and costs visit this page: https://www.medicare.gov/your-medicare-costs/index.html
  • If you have limited income and assets, you may qualify for government assistance paying your Part B premium. Visit the National Council on Aging’s website to see if you qualify for this or other types of assistance. You can apply on their site.

    How to Apply for Medicare in Boynton Beach

  • You may be automatically enrolled in Original Medicare A and B, if you are receiving Social Security.
  • Contact Social Security to apply by phone, in person or online.  

    Review these pages for more information:

    When and how to sign up for Medicare Advantage plans 

    Learn the pros and cons of Medicare Advantage plans

    How and when to enroll in Medicare Drug Coverage

    Review your Medicare coverage and costs for health and drug plan(s)

    Medicare’s Annual Enrollment Period is October 15-December 7, 2017

     For help applying for Medicare and selecting the best health and drug plan, contact Renee (561) 704-9302 

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