Original Medicare
*prepaid * 148.50/mo – standard
Part A – Hospital Part B – Medical Part D –Prescriptions
Room & Board (Bed, Food, TV) Anything medically necessary 28 choices for prescription
(Dr, surgeries, x-rays, lab, etc.) drug plans
Deductible per 60 days $1,484
Days 61 – 90 Copay $371/day Deductible per year $203 Premiums $7.30 – $172/mo
Days 91 and beyond $742/day
Medicare becomes 80/20 Open Enrollment Oct – Dec
Rehab (Skilled Nursing) insurance after deductible ________________________
Days 1 – 20 are covered $0 Example: Part C – Advantage
Days 21 – 100 $185.50/day $100,000 Was Billed Medicare Replacement
Medicare approves $50,000
* Medicare cuts off day 101 Medicare pays 80% – $40,000 * Network – HMO / PPO
Patient pays 20% – * Co-Pays / Deductibles
Long Term Care $10,000 * Maximum Out of Pocket
* Not covered by Medicare Remaining Excees Fees * Referrals-Pre-Authorizations
$50,000 * Most Premiums are $0
Original-Medicare-2021
Notes:
1) can postpone medicare for later date. 1st apply, no health check – health underwriting
2) C- Advantage – Medicare replacent – get $$$ (148) from medicare, limit access HMO/PPO