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Saturday: 5:00 AM to 5:00 PM PT
Sunday: Closed

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare

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Medicare Advantage: Basic Terms to Know

Claim

A payment request submitted to insurance providers for services that you believe are covered.

Deductible

The overall cost for health care services or prescriptions which must be paid before insurance plans will pay anything.

Premium

The amount paid by the insured party to the insurance company.

Long Term Care

Medical and non-medical care provided to those who cannot perform simple daily tasks such as washing and dressing. These services can be provided in the home, in assisted living facilities, or in nursing homes.

Medicare Advantage Coverage: Simplified

Medicare Part A

Inpatient care in a hospital, Skilled nursing facility care, Nursing home care (inpatient care in a skilled nursing facility that’s not custodial or long-term care), Hospice care, Home health care.

Medicare Part B

Helps covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.

Medicare Part C

A Medicare Advantage Plan (like an HMO or PPO) is another Medicare health plan choice you may have as part of Medicare. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare.

Medicare Part D

Helps covers prescription drug benefits.

Factors that Affect Medicare Advatage Rates

Certain parts of your profile affect your Medicare Advantage rates more than others, and every insurance company has their own specific formula to determine your premiums. The following are the most heavily weighted factors used to determine car insurance rates:
Part A Premiums

Medicare Advantage recipients do not pay any premiums if they are over 65 and:

  • collect retirement benefits from Social Security or the Railroad Retirement Board.
  • Qualify for Social Security or Railroad benefits not yet claimed.
  • Employment with a Medicare-covered government agency.
Part B Premiums
Medicare Part B is a premium that changes annually, determined by modified adjusted gross income and your tax filing status. However, it will be more if you reported above a certain level of modified adjusted gross income on your federal tax return two years ago.
Part C Premiums
Premium will vary depending on the insurance company you pick.
Part D Premiums
Premium will vary depending on the insurance company you pick.

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We do not offer every plan available in your area. Currently we represent 18 organizations which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Enrollment in the described plan type may be limited to certain times of the year unless you qualify for a Special Enrollment Period.

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