3 Options for Medicare
1. Original Medicare
HOSPITAL: Original Medicare has a $1,632 deductible in 2024 then pays 100%
MAJOR MEDICAL: You are covered for 80% of major medical claims
PRESCRIPTION DRUGS: There is NO COVERAGE
2. MEDICARE SUPPLEMENT
Covers hospital and major medical. NO COVERAGE for Prescription drugs (Part D).
This is a PPO type plan which gives you the freedom to see any doctor or hospital in the U.S. without getting a referral from your family doctor. There is an annual deductible of $240 in 2024 and then the plan pays 100% for hospital and major medical. The plan has monthly premiums which are in addition to your Medicare Part B premiums.
Medicare Supplement plans (also known as Medigap plans) are standarized. All plans with the same letter (A-D, F,G and K) offer the same basic benefits with the main difference being the premium.
NO COVERAGE for Prescription drugs (Part D). You must purchase a separate plan for prescription drugs.
3. MEDICARE ADVANTAGE HMO PART C
This is either an HMO or PPO plan which in most cases covers hospital, major medical and prescription drugs.
The HMO plan has a network of doctors and hospitals which you must use. You must get a referral from your family doctor to see a specialist. The PPO plan allows you to use doctors outside the network but at a higher copay.
Medicare Advantage plans may have additional benefits like vision, eyeglasses, free gym membership and hearing aids. In some areas, the Medicare Advantage plans have $0 premiums and $0 copays for doctors and basic medical services.