Original Medicare- Currently Medicare pays 80% of all Medicare covered services, and the beneficiary
pays the remaining 20%. Part A covers hospital visits and there is no premium if you have worked at 10 years and
paid your Social Security tax. Part B covers Dr. and Specialist visits and beneficiaries pay a monthly premium ($96.40
in 2008). Part D covers your prescription drugs, and there is no premium but you do have to enroll into that part
to avoid penalties.
* Medicare Advantage PFFS Plans
Medicare eligible only: Private-Fee-For-Service
Plans allow you to go see any doctor you want to (there is no contracted network). You pay for a fee for the service
you incurr (in the form of a co-pay). You may go to any Provider that accepts the terms and conditions of plan.
Providers may choose to accept the terms and conditions of the plan on a per visit basis.
Monthly Premium: $0- 50
* Medicare Supplement Plans
Medicare eligible only: Supplement Plans allow MediCare to pay 80% of your claim and the company
pays the remaining 20% and beyond. These plans allow you the most extensive coverage.
Monthly Premium: based on age and health qualifications
* MAPD Plans
Plans that include both a Medical and a Prescription plan.
* MA Plans
Plans that include a Medical plan only, and they do not have prescriptions available except the Medicare
approved drug coverage.
* PDP Plans
Plans that include a stand-alone Prescription plan. You may combine a PDP plan with
a MA only plan.
* Individual Health plans
Non Medicare eligible only: Individual plans allow you to customize your HealthCare and vary
with deductibles, copays, and premiums. They are available to non-Medicare beneficaries.
Monthly premium: Depends on age and deductibles.
