Medicare costs

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Medicare Part A covers in patient hospitalization. 2025  you are responsible for paying the deductible, and a per day co-pay. For days 1-60 there is no co-pay.  For days 61-90 you pay a per day co-pay of $421.00. For a stay that lasts longer than 90 days, you are allowed an additional 60 days (lifetime) at a co-pay of $842.00 per day. You are also responsible for 20% of your medical care while in the hospital.

 After you pay your part B deductible, Medicare part B covers 80% of     doctor and specialist office visits, outpatient procedures, including out patient surgery, diagnostic testing such as MRI or CT scans.

Unlike Part A which does not have a premium (in most cases), part B has a monthly premium. If you do not enroll in part B when you are first eligible you may have to pay a part B premium late enrollment penalty.  the amount of the penalty is determined by the amount of time that you could have been enrolled and were not.  In most cases, if you have credible coverage, such as employer group insurance you will not be subjected to the late enrollment penalty.

Basic Medicare does not cover prescription drugs.  You will need to enroll in a plan offered by Medicare insurance company  If you do not enroll in a plan when you are first eligible, you will have to pay a monthly premium penalty, which is determined by how long you went without prescription drug coverage. These plans have varying premiums, co-pays, deductibles and formularies.  We can help you find the right plan to meet your specific needs.

Most Medicare Advantage plans have part D coverage included in the plan, so there is no need to enroll in a stand alone part D plan. Some Medicare advantage plans do not include drug coverage so it is important to make sure the plan that you are considering has part D included if you need part D coverage.  The monthly premiums for these plans vary, and some have $0 premiums. you will pay a co-pay for medical services.  We have many options to choose from, so finding the right plan is easy!