When deciding between Original Medicare and a Medicare Advantage plan, consider factors like coverage, costs, flexibility, choice of doctors, and additional benefits. For help choosing the right option, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Medicare Part D covers prescription drugs and includes a formulary, copayments, coinsurance, and coverage stages like the coverage gap (donut hole) and catastrophic coverage. To explore your Part D options, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Most people receive Medicare Part A (hospital insurance) premium-free if they or their spouse worked and paid Medicare taxes for at least 10 years. If you don’t meet this requirement, you may have to pay a monthly premium. For more details, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

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In 2024, the standard monthly premium for Medicare Part B is $174.70, but if your income is higher, you may pay more. Medicare Part B premiums can also change annually based on healthcare costs. For personalized guidance, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

You may need to pay an additional premium for a Medicare Advantage plan, and you'll also have out-of-pocket costs like deductibles, copayments, and coinsurance. The good news is that these plans include an annual out-of-pocket maximum to limit your expenses. For more information, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

The Medicare Part B late enrollment penalty is 10% for each 12-month period you delay enrollment without creditable coverage. This penalty lasts for as long as you have Part B. For help avoiding the penalty or understanding your options, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Medicare Part D covers prescription drugs, but you'll still pay some out-of-pocket costs, including premiums, deductibles, and copayments. To learn more about your prescription drug costs, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

The Medicare Part A deductible is $1,632 per benefit period, while the Medicare Part B deductible is $240 annually. For help understanding your deductibles and costs, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

To find out if your medications are covered under Medicare Part D, you can review your plan’s formulary or use the Medicare Plan Finder Tool. For personalized assistance, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Medicare Part A does not include prescription drug coverage. To get coverage for medications, you'll need to enroll in a standalone Medicare Part D plan or a Medicare Advantage Plan that includes drug coverage. For personalized guidance, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Delaying enrollment in Medicare Part D without creditable prescription drug coverage can result in a late enrollment penalty. The penalty is 1% of the national base beneficiary premium for each month you delay and lasts for as long as you have Part D. For help avoiding the penalty, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

You can change your Medicare Part D plan during the Annual Enrollment Period (Oct 15 - Dec 7) or the Medicare Advantage Open Enrollment Period (Jan 1 - Mar 31). Special circumstances may also qualify you for a Special Enrollment Period. For personalized assistance, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

The donut hole in Medicare Part D is a coverage gap where you pay 25% of drug costs after your total spending exceeds $5,030. Once your out-of-pocket costs reach $8,000, you enter catastrophic coverage. For personalized guidance, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Medicare Part A covers hospital stays, skilled nursing facility care, home health care, hospice care, and inpatient mental health services. For personalized guidance on your coverage, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Medicare Part B covers services like doctor’s visits, preventive care, outpatient services, and durable medical equipment, with 20% coinsurance after meeting your deductible. For help with your coverage, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Original Medicare doesn’t cover routine dental or vision care, but many Medicare Advantage plans offer these benefits. You can also purchase standalone dental and vision insurance. For help finding coverage, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Medicare covers preventive care services like screenings for cancer, diabetes, and heart disease, as well as vaccines for flu, pneumonia, and more. For help scheduling your preventive services, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Medicare does not cover long-term custodial care in a nursing home, but it does cover short-term skilled nursing care after a qualifying hospital stay. For long-term care coverage, consider Medicaid or long-term care insurance. For personalized guidance, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

Medicare covers home health services like skilled nursing and physical therapy if they are medically necessary and provided by a Medicare-certified agency. For personalized help, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.

If you’re eligible for both Medicare and Medicaid, Medicare is your primary insurance, and Medicaid helps cover costs Medicare doesn’t pay, such as copayments and long-term care. For help managing both programs, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.