Texas Medicare Insurance

Medicare insurance is a crucial component of healthcare for many Texans, offering various plans to suit different needs and preferences.

Medicare is a federal health insurance program in the United States primarily for people aged 65 and older, as well as certain younger individuals with qualifying health conditions. It consists of the following parts:

• Part A may help cover hospital stays and some skilled nursing care.
• Part B may help cover medical services like doctor visits and outpatient care.
• Part C offers optional Medicare Advantage plans through private insurers, often including additional benefits.
• Part D provides optional prescription drug coverage.

Medicare helps millions of Americans access essential healthcare services, though it requires careful consideration of coverage options to best meet individual health needs and financial situations.

You can customize Medicare insurance coverage by adding a Medigap plan or choosing a Medicare Advantage plan.

Medicare Advantage Plans

Medicare Advantage plans are offered by private insurance companies that are approved by Medicare. These plans provide an alternative way to receive your Medicare Part A (hospital insurance) and Part B (medical insurance) coverage.

Medicare Advantage plans typically cover all benefits under Original Medicare (Parts A and B) and may include additional benefits like prescription drug coverage (Part D), vision, dental and hearing.

Most Medicare Advantage plans operate within provider networks, such as HMOs (Health Maintenance Organizations) or PPOs (Preferred Provider Organizations). This can affect which doctors and hospitals you can use.

Costs for Medicare Advantage plans can vary widely. You’ll typically pay a monthly premium (in addition to your Part B premium), as well as copayments, coinsurance, and deductibles. Depending on your healthcare needs, some plans may have lower out-of-pocket costs than Original Medicare.

A Medicare Advantage plan could be beneficial if you want additional benefits beyond Original Medicare, such as dental services or vision care.

Medigap Plans

Medigap plans are designed to fill the gaps in Original Medicare coverage and may help cover your copayments, coinsurance and deductibles.

Medigap plans are standardized, each offering a different set of basic benefits. Private insurance companies sell them.

You’ll pay a monthly premium for a Medigap policy in addition to your Part B premium. These premiums can vary based on your chosen plan and insurance company.

Unlike Medicare Advantage plans, Medigap policies do not determine which doctor or specialist you see. A Medigap plan might be a good fit if you prefer predictable costs and flexibility in choosing healthcare providers.

How to Choose the Right Medicare Options

Contact New Beginning Insurance Services to compare plans available in your area. Our team can help you make an informed decision and consider premiums, coverage options, provider networks and out-of-pocket costs.

This blog is intended for informational and educational use only. It is not exhaustive and should not be construed as legal advice. Please contact your insurance professional for further information.