If you live in Massachusetts, Minnesota, or Wisconsin, Medigap policies are standardized in a unique way.
In Medicare Advantage (Part C) there are different plan types, HMO, PPO, and POS. Each plan type utilizes a different type of network.
There are four Medicare Part D plan benefit types: Defined Standard (DS), Actuarially Equivalent (AE), Basic Alternative (BA), and Enhanced Alternative (EA).
Medicare Part D is prescription drug coverage. Part D is optional drug coverage administered through private companies that can be paired with other Medicare plans.
Medigap (Medicare Supplement) plans are standardized in terms of benefits. You can easily compare Medigap letter plans in term of benefits by referencing the chart below.
Every year HHS and CMS put out a free guide to Medicare called “Medicare & YOU.” They also put out a number of other guides on various aspects of Medicare.
Each part of Medicare has unique cost sharing amounts. Below are the cost sharing amounts for Medicare copays, coinsurance, deductibles, and more for Medicare Parts A, B, C, D, and Medigap.
Medicare has a number of different enrollment periods. Initial enrollment, general enrollment, open enrollment, and special enrollment all have unique rules and dates.
In simple terms, Medicare is health insurance for seniors and Medicaid is health insurance for low-income individuals and families.
All part D plans have four phases or periods. Each phase essentially has a different type of deductible, and each phase offers better cost sharing.