CFP
Health Care Insurance and Cost Management - Medicare and Medical Expenses
Part B - Medical Expense
This part of Medicare covers most medical expenses not covered in Part A of the plan. This part of the plan is always voluntary and requires that the participant pay monthly premiums.
*All numbers are as of the 2007 plan documents
Part D - Prescription Drug
Prescription drug coverage is available to those covered under Medicare Part A and Part B through private insurance companies. Since this plan is offered by private companies the costs may vary. A covered individual pays a monthly premium and the costs illustrated below.
There is assistance available to seniors with low incomes with Part D coverage. The assistance can include a premium waiver, deductible waiver, and/or reduced co-pay.
Medigap insurance - Medicare Supplement
This policy is designed to make up the difference between what the participant has to pay and what the Medicare policy pays. These policies will pay a portion, if not all, of the participant's deductibles and co-insurance associated with their Medicare policy.
This part of Medicare covers most medical expenses not covered in Part A of the plan. This part of the plan is always voluntary and requires that the participant pay monthly premiums.
Covered Expenses |
Excluded Expenses |
| Physicians and surgeons services | Self administered drugs |
| Diagnostic tests | Routine physical, eye, and foot exams |
| Radiology/pathology | Routine dental care |
| Physical therapy | Cosmetic surgery |
| Drugs that cannot be self administered | Eyeglasses |
| Blood transfusions | Custodial care |
| Outpatient services | Immunizations - except Pnemococcal |
| Rental of medical equipment | |
| Cancer screenings | |
| Prosthetic devices | |
| Home health care - when not covered under Part A |
Part B Expenses Covered |
|
| Deductible | $131 yearly |
| Co-Insurance | 20% of the approved amount (Medicare 80%) |
Home Health Care |
|
| Cost | $0 for care 20% for durable medical equipment |
Clinical and Laboratory |
|
| Cost | $0 for approved services |
Mental Health |
|
| Cost | 50% for outpatient |
Blood |
|
| Cost | 100% of the first 3 pints 20% for any additional pints |
*All numbers are as of the 2007 plan documents
Part D - Prescription Drug
Prescription drug coverage is available to those covered under Medicare Part A and Part B through private insurance companies. Since this plan is offered by private companies the costs may vary. A covered individual pays a monthly premium and the costs illustrated below.
- Deductible $265 Participant Pays
- Next $2,400 Participant Pays a Co-payment and Co-insurance
- Participant pays 100% until he /she pays $3,250 out of pocket
- Participant Pays a co-insurance of 5%
There is assistance available to seniors with low incomes with Part D coverage. The assistance can include a premium waiver, deductible waiver, and/or reduced co-pay.
Medigap insurance - Medicare Supplement
This policy is designed to make up the difference between what the participant has to pay and what the Medicare policy pays. These policies will pay a portion, if not all, of the participant's deductibles and co-insurance associated with their Medicare policy.
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