SPECIALIZING IN MEDIGAP MEDICARE ADVANTAGE, & PRESCRIPTION DRUG PLANS
Thank you for logging in and checking out our website here at Braden MSI Insurance. We understand how confusing and overwhelming it is when you first become eligible for medicare and even after you have enrolled, and we want you to know that that's why we're here. We want to help lead you through all of your choices and help you in whatever way we can. There is NEVER a charge for any of our services.
We encourage you to click on the Page Headers at the top of the website and take your time researching everything you can about Medicare. You will see that there are many choices and there is no one size fits all when it comes to choosing the Medicare Plan that suits you the best. We suggest having a pen and paper handy to write down any questions you may have as you read and absorb the information. Then, please complete the form below and we can schedule an appointment to review your situation, answer ALL of your questions and increase your knowledge and understanding of Medicare along the way.
AT Braden MSI you will never be pressured into anything, there is no charge for our services. We chose this business because we are dedicated to serving our clients to the best of our ability, you deserve it and we genuinely love what we do. When you work with Braden MSI Insurance you're not just getting a quote your getting a friend for life who will always be committed to putting your needs first and someone who you and your family can trust to look out for you and help you in any way we can.
OUR MISSION STATEMENT
"To Create Long Lasting Relationships by always interacting with our Clients and Policyholders in a Genuine, Caring and Respectful Manner"
Medicare is is a national health insurance program established and administered by the federal government. It operates under the same rules and regulations no matter where you live in the US. You generally become eligible for Medicare when you turn 65. Some people may qualify earlier if they receive Social Security Benefits or have been diagnosed with ALS (Lou Gehrig's Disease) or end-stage renal disease.
Medicare consists of 4 Parts. Part A, Part B, Part C and Part D, you can find more detailed information on the Compare Plans Page.
Medicare is not free there are monthly premiums and cost sharing for things such as deductibles and coinsurance. Today there are over 57 million people on Medicare, there are over 900,000 doctors and hospitals who accept Medicare in the United States. Your Initial Enrollment Period (IEP) for Medicare is 7 months long beginning 3 months before your "Birth Month" and continues until 3 months after you turn 65. Some conditions may qualify some people for Medicare benefits before they reach 65.
During your IEP you are GUARANTEED issue into Medicare and any Medicare Supplement Plan or Medicare Advantage Plan you choose.
There are late penalties if you miss your IEP and do not have any other credible health coverage (such as employer coverage). You can apply for Medicare from the Social Security Administration in person, online or by telephone.
Medicaid is a program to provide health care services to low-income individuals, primarily children, older adults, persons with disabilities, pregnant women and caretakers of children.
Medicaid is administered at the state level, although it is jointly funded by the state and federal tax dollars. Each state sets its own income and eligibility requirements.
Although Medicaid covers some of the same services that Medicare typically covers, such as hospital care and doctor visits, it also offers benefits that Medicare doesn't, such as Long Term Care, Vision and Dental Care.
IT is possible to qualify for both Medicare and Medicaid and this is know as being "dual eligible". This can be particularly helpful if an individual needs help with Long Term Care and a few other items that are not covered by Medicare.
Medicare was created by the United States Congress in 1965. Congress broke Medicare into two main parts that still exist today. Part A covers hospital benefits and Part B covers outpatient benefits.
Medicare Part A pays for hospital stays, skilled nursing care , blood and hospice.
Medicare Part B pays for outpatient services such as preventative care, doctor visits, lab work, diagnostic imaging, outpatient surgery, medical equipment, chemotherapy, radiation treatments and more.
Both Medicare part A and Medicare Part B are 80% paid for by the government and 20% is the responsibility of the beneficiary or the patient.
There is no prescription drug coverage except those provided during your hospital stay.
Medicare Supplemental Insurance or Medigap Insurance fills in the gaps that are not paid for with Original Medicare Parts A & B. These are plans sold by private health insurance companies, that by law must offer the same benefits as Original Medicare and often offer more coverage.
The best way I have found to describe a Medicare Supplement is it is like an attachment to the back of your Medicare Card and it covers and pays for the things Original Medicare does not such as coinsurance, copayments and deductibles. You must pay for these when accessing medically-approved services.
If you have a Medigap Plan or Medicare Supplement Policy Medicare pays their portion of your Doctor or Hospital Bill then your Medigap Policy steps in and pays its share. This is usually the remainder of the bill, However; it does depend on which Medigap Policy you choose. You must continue to pay your Medicare Part B premium even if you are enrolled in a Medigap Plan.
Medicare Supplement Plans became available in 1990 and these plans are all standardized and must follow the guidelines set by Medicare itself. Medigap Plans are lettered and although the coverage is the same from each Insurance Company their prices will vary. These are Plans A, B, C, D, F, G, K, L, M and N. The most common plans sold are Plans F, G and N.
Items not covered by Medicare Supplement Plans are:
A Medicare Advantage Plan is a private health insurance plan approved by Medicare. You have the option to receive your Part A, Part B and Part D benefits from a Medicare Advantage Plan instead of Original Medicare. Originally these private insurance company offerings were referred to simply as Medicare Part C. Medicare Advantage plans usually have and HMO or PPO network of physicians and hospitals.
MAP (Medicare Advantage Plans) were created as an alternative to Original Medicare and Medicare Supplemental/Medigap insurance. By joining one of these plans, you direct Medicare to pay the Advantage Plan a set monthly amount for your care. In return, the plan will deliver all of your Part A & Part B benefits and services. Essentially your care and services are managed by a private insurance company instead of the government. The Insurance carrier takes on all of the risk.
You must continue to pay your Medicare Part B premium each month, you must be enrolled in Medicare Plan A and Plan B and you must live in the Medicare Advantage Plan' service area.
Medicare Advantage plans are NOT Medigap plans. They work completely differently because they pay all of your bills instead of Medicare.
Medicare Advantage Plans may offer built in supplemental benefits to their beneficiaries.
There are certain times each year from October through mid December when you are allowed to switch or change your Medical Advantage Plan. This period is referred to as the annual Open Enrollment Period (OEP) and it only pertains to Medicare Advantage Plans.
Medicare Part D is a Voluntary Prescription Drug Plan that was introduced in 2006 to help Seniors on Medicare with a way to help them cut down on the costs associated with Prescription Drugs.
Any beneficiary who is enrolled in Medicare Part A or Medicare Part B is eligible to enroll in a Part D Plan.
Medicare Part D is simply insurance for your medications. You pay a monthly premium to an insurance company for your Part D Plan. In return, you use the insurance carriers network of pharmacies to purchase your prescription medications. Instead of paying full price, you will pay a copay or a percentage of the drugs cost and the insurance company pays the rest.
Plans vary by state but most start around $15-$20 per month.