Choose a Medicare Advantage Plan

1. Reasons to Choose a Medicare Advantage Plan if You are Turning Old

2. Turning OLD?? LET’S TALK US Turning 65 can be a bit overwhelming. As the years have passed, I’ve learned one undeniable fact: we have 65 years to learn about Medicare, but no one thinks about it until they are 64 and 9 months old. If you’re about to turn 65, you’re already 65, or you’re older than 65 – and trying to learn more about Medicare options by reading this blog, you’re already ahead of the game. You have questions…and we have answers. We want to hear from you so don’t hesitate to ask questions throughout the presentation. 1

3. What is Medicare Advantage? LET’S TALK US A Medicare Advantage Plan or (MA), also known as Part C, is one way to choose how to receive your Medicare benefits. When you have a MA, you still have Medicare – it is just being coordinated by a Private Company. It is very important to keep in mind that MA Plans cover all the benefits of Original Medicare and can also include additional benefits. These additional benefits are what we are covering today as reasons why people choose to have MA plans. By visiting our site and looking over our blogs, you would have done more research about your options than most Medicare beneficiaries. Our purpose here is to help you – the beneficiary – understand why some people choose Medicare Advantage plans over Medicare Supplement, or continue with Traditional Medicare along with a Stand-Alone Prescription Drug Plan. For more information on Medicare Supplement and Stand- Alone Prescription Drug Plans, we encourage you to refer to our other blogs. 1

4. First Reasons to Choose a Medicare Advantage Plan The first reason to choose a Medicare Advantage Plan is to have an all-in-one plan that includes prescription drug coverage. An important fact to state here is that Original Medicare alone does not cover Prescription Drugs. Therefore, to get Prescription Drug coverage, you need to purchase a Stand Alone Prescription Drug Plan, known as a PDP, or have the coverage included in your Medicare Advantage benefits. Medicare Advantage plans with Drug Coverage are known as MAPDs. Most Medicare Advantage plans have a prescription drug plan embedded into them at no additional monthly cost, even if that monthly premium is $0.. 3 4

5. Second Reasons to Choose a Medicare Advantage Plan The second reason to choose a Medicare Advantage plan is to avoid Original Medicare deductibles. Part A(Hospital) and PartB (Medical) have their own annual deductibles. For the year 2020, the Part A annual deductible is $1,400, and the Part B annual deductible is $190.Most Medicare Advantage plans do not have a deductible – rather, they have copays. An individual could expect to pay anywhere between $20 and $50 to see a specialist. 3 5

6. Third Reasons to Choose a Medicare Advantage Plan The third reason to choose a Medicare Advantage plan is for the benefit of a Maximum Out-of-Pocket Limit to your healthcare costs. This is an added benefit that Original Medicare alone does offer. Having a Maximum Out-of-Pocket is important due to the fact that once you reach this dollar amount in copays, you are done paying for any medically necessary procedures or office visits. Any remaining copays will be covered by the private company that is coordinating the Medicare Advantage Plan.When you reach your maximum out-of-pocket, the bucket is considered full and you are not responsible for any more medical-related out-of-pocket expenses for the rest of the calendar year.. 3 6

7. Fourth Reasons to Choose a Medicare Advantage Plan The fourth reason to choose a Medicare Advantage plan is have set copays rather than 20% co-insurance that you have with Original Medicare. Up on reviewing your Medicare Advantage options, you will notice that each plan has its own specific copays that would be required to be paid for each service. Copays can be as low as $0, depending on your plan options in your area. This is a benefit that Traditional Medicare does not offer. At Texas Medicare Solutions, before you sign up for a plan, we, as Agents, go through what is called the Summary of Benefits with you. The Summary of Benefits will state each copay associated with each service. Every carrier chooses their copays each year, and may choose to raise or lower them. This is why it is important to review your Medicare Advantage plan annually. 3 7

8. Who we are At Texas Medicare Solutions, all of our agents are licensed independent agents who focus on Medicare Advantage, Medicare Supplement (Medigap) and Medicare Prescription Drug plans. As independent agents, we do not work for an insurance company; rather, we work for you. individuals’ needs are different, so it is our goal to spend the appropriate amount of time with you to assist you. We realize that every 3 8

9. Contact Us Interested in Medicare Advantage Plans in San Antonio? Contact Us info@txmedsolutions.com 210-908-6565 Office 210-878-4019 Fax 6502 Bandera Rd Ste 210, San Antonio, TX 78238 3 9