Medicare ABCs - Making It Simple

If you are age 65 or older, you can choose federally funded Medicare health insurance. Because Medicare is divided into several “parts,” deciding which plan is best for you can seem confusing. Lighthouse is here to help you get the best coverage possible and senior health insurance to accompany the plan, if necessary.


Medicare eligibility. You can elect Medicare benefits if you:

  • Are 65 years of age or older
  • Received Social Security for more than two years
  • Have had disability benefits from the Railroad Retirement Board for more than two years
  • Have kidney failure requiring permanent dialysis or require a kidney transplant
  • Have Lou Gehrig’s disease (Amyotrophic Lateral Sclerosis)
  • Are an American citizen or have lived in the U.S. legally for five years or more

Make Medicare simple. Now you’re 65—so what next? Reach out to a Lighthouse health insurance specialist. We’re here to help you navigate Medicare plans and help you determine your eligibility for this federally funded program.


An Option for Beneficiaries

Medicare Part C is Medicare Advantage. You might also know Part C as Medicare+Choice, the original name for the plan. Today, we call Part C Medicare Advantage plans, and almost 9 million Americans are enrolled in these plans.

The Advantage. Part C is designed to give Medicare beneficiaries the option of buying coverage through a private health insurance company. These plans offer coverage for all the same services as Parts A and B, but Medicare Advantage is administered by private carriers. That’s why these plans often include additional benefits.

Choosing insurance. What additional benefits might Medicare Advantage plan include? How do you know which insurance plan is best for you? Lighthouse is here to help you navigate this important choice. Call us anytime at 866-230-0222.


Helping You Navigate Medicare’s Working Parts

Medicare, the federally funded health care program for disabled Americans and senior citizens, is made up of several parts. Specifically, those are Parts A, B and C. (Part C includes Medicare Advantage plans for beneficiaries.) There are also Medicare Prescription Drug (Plan D) plans you can elect.

If you are over age 65 or meet other Medicare requirements , it’s time to understand Medicare Part A and Part B.

Part A. This health insurance covers in-patient hospital care and skilled nursing care. You get full health coverage if you stay in a facility for at least three days. Part A also covers care for one health condition for up to 100 days. Beneficiaries won’t need to pay for the first 20 days, but must make a copay for the next 80 days. Note: Part A does not provide coverage for long-term or unskilled custodial care.

Part B. This covers most outpatient medical care. That includes physician services, lab and diagnostic test, X-rays, outpatient hospital care and medical equipment like wheelchairs, walkers, prosthetics and in-home oxygen. Part B is optional for those working full-time. Part B is mandatory for anyone not actively employed. You’ll pay a premium each month for Part B coverage.


Prescription Coverage, That’s the Plan

Medicare Plan D plans provide coverage for prescription medications. Part D is an optional benefit, and it is administered by private insurers that abide by certain federal requirements. Plans vary in terms of what drugs are covered. Lighthouse can help you compare plans and choose the best one for your situation.

How to Enroll. To enroll in Medicare Part D, beneficiaries can choose a Prescription Drug Plan (PDP) or a Medicare Advantage plan that includes drug coverage (MA-PD). Confused? Give us a call at 866-230-0222 and we’ll help you work it out.


Medicare Resources

If you are age 65 or older, you can choose federally funded Medicare health insurance. Because Medicare is divided into several “parts,” deciding which plan is best for you can seem confusing. Lighthouse is here to help you get the best coverage possible and senior health insurance to accompany the plan, if necessary.


Medicare Supplement

Medicare Parts A and B don’t cover everything. Beneficiaries get charged for copays and coinsurance fees for hospital and skilled nursing care bills. That can really add up! And don’t forget, there is an annual deductible for Part B.

Stop Medicare gaps with supplemental insurance, also called “Medigap” plans. You’ll purchase this plan through a private insurance company, and you are responsible for monthly premiums.

When to enroll. Open enrollment is the best time to opt in because insurers can’t set your premiums based on pre-existing conditions or health status. During open enrollment, they are required to accept your application for coverage. Open enrollment is a 6-month time-frame beginning the day you are enrolled in Medicare Part B (as long as you are 65+).

Cost coverage. Supplemental insurance covers a range of charges. Those include Part A coinsurance fees for hospital services, some Part B coinsurance and copays, skilled nursing care coinsurance, and Parts A and B deductibles. Typically, supplemental insurance does not cover prescription drugs.

Compare quotes. Lighthouse allows you to compare competitive quotes from multiple agents so you can choose the best Medicare supplemental insurance plan for you. Just fill out the form or calls us at 866-230-0222 and a Lighthouse specialist will reach out and help you with this process at no cost.