Part A
Original Medicare has two parts: Part A and Part B. Part A is _______ Insurance
Hospital Insurance
Original Medicare has two parts: Part A and Part B. Part B is _______ Insurance
Medical
Medicare Supplement plans are offered by ________ and cover ________________
private insurance companies and can help pay some of the remaining health care costs for covered services and supplies, like copayments, coinsurance and deductibles.
Medicare Advantage Plans are offered by _________ and generally include _______________
They’re offered by private companies that must follow rules set by Medicare and generally include Medicare drug coverage (Part D).
Medicare Part D helps pay for your
prescription drugs
Part A helps cover
Inpatient care in hospitals
Skilled nursing facility care
Hospice care and Home health care
Part B helps cover
Medically necessary doctor's services, outpatient care, home health services, durable medical equipment, mental health services, limited outpatient prescription drugs, and other medical services. Medicare Part B also covers many preventative services.
The different terms/names for this type of Medicare plan are
MedSupp, Medigap, Medicare Gap Insurance, Medicare Secondary Insurance
Can you have a Medicare Supplement and Medicare Advantage plan at the same time
No
There are 2 ways to get Medicare drug coverage (Part D):
1. Medicare drug plans. These plans add Medicare drug coverage (Part D) to Original Medicare, some Medicare Cost Plans, some Medicare Advantage Private Fee-for-Service Plans, and Medical Savings Account (MSA) Plans. You must have Part A and/or Part B to join a separate Medicare drug plan.
2. Medicare Advantage Plans or other Medicare health plans with drug coverage. You get your Part A, Part B, and Medicare drug coverage (Part D) through these plans. Remember, you must have Part A and Part B to join a Medicare Advantage Plan, and not all Medicare Advantage Plans offer drug coverage.
Part A monthly premium if you or your spouse paid Medicare taxes for 10 years or more
$0
Part B monthly premium in 2025
It depends on your income. Some people will pay $0 and a majority of people pay $185.
A Medicare Supplement plan is secondary to _____________
Original Medicare Part A & Part B
If you join a Medicare a Medicare Advantage Plan
you’ll still have Medicare but you’ll get most of your Part A and Part B coverage from your plan, not Original Medicare
How much do I pay?
Your drug costs will vary based on the plan you choose. Remember, plan coverage and costs can change each year. You may have to pay a premium, deductible, copayments, or coinsurance throughout the year.
Part A premium if you don't get it for free in 2025
$285 or $518
Income Related Monthly Adjustment Amount relates to individuals with high income and can increase what you pay for Part B. The premiums are $259, $370, $480.90, $591.90 and max is $628.90.
The main benefits of a Medicare Supplement plan are
Nationwide Access: You can see any doctor or hospital in the United States that accepts Medicare.
Participating Providers: Most doctors and hospitals in the U.S. accept Medicare. Over 90% of U.S. physicians participate in Medicare.
Flexibility: You don't need a referral to see a specialist.
The different types of Medicare Advantage Plans available are
• Health Maintenance Organization (HMO) Plan • HMO Point-of-Service (HMOPOS) Plan: May let you get some services out of network for a higher copayment or coinsurance. • Medical Savings Account (MSA) • Preferred Provider Organization (PPO) Plan • Private Fee-for-Service (PFFS) Plan • Special Needs Plan (SNP)
Starting in 2025, your out-of-pocket covered drug costs will be capped at ___________
$2,000. Once you reach this limit in 2025 (from your out-of-pocket spending plus certain payments other people or entities make, including Medicare’s Extra Help program) you won’t have to pay a copayment or coinsurance for covered Part D drugs for the rest of the calendar year.
Part A deductible in 2025
$1676
Part B deductible in 2025
$257
The most popular Medigap plan
Plan G
To join a Medicare Advantage Plan, you must:
• Have Part A and Part B.
• Live in the plan’s service area.
• Be a U.S. citizen or lawfully present in the U.S.
Medicare Prescription Payment Plan
Starting in 2025, this new payment option works with your current drug coverage to help you manage your out-of-pocket drug costs, by spreading them across the calendar year (January–December). This payment option might help you manage your expenses, but it doesn’t save you money or lower your drug costs.