What's the most cost-effective way for a healthy 65-year-old to structure their Medicare coverage?
Answered by 14 licensed agents
It all depends on your situation and needs. Most senior beneficiaries save money by enrolling in a Medicare Advantage Plan in their area but that may or may not be what is best for them specifically.
Enroll in a Medicare Advantage plan that has prescription drug coverage, vision, dental and hearing coverage for a low or no monthly premium. There is a maximum-out-of-pocket (MOOP) per year which differs with each plan.
Depends on your needs. I would want to know if you have VA benefits or some employers benefits to start. Next, I want to know which plans cover your doctors and how much they charge for your drugs. Finally I like to compare the options so you can see the plans so you can make an informed decision.
If you would like to get help with these steps, please send an email to me at [email protected] or text me at 321-346-9996. I would be happy to help.
The advice from a knowledgable Medicare Specialist is the best way to find out since everyone's situation is different and Medicare is changing all the time. I want my clients to have the most coverage for the least amount out-of-pocket.
Longterm, I believe having a Medicare supplement plan, paired with a separate dental and vision plan is the most cost effective way to structure your Medicare coverage.
If you're willing to have cost sharing through deductibles, copays and coinsurance, and are willing to deal with network restrictions, Medicare Advantage plans can also offer a cost effective way to structure your Medicare.
What you need to realize is that if you start out with a Medicare Advantage plan and later down the line want to switch to a supplement plan years later, you'll be subject to medical underwriting, which puts you at risk of being declined for pre-existing conditions.
The most cost-effective Medicare set up is typically Medicare (part A& B) paired with a low or zero premium Medicare advantage ( part C ) plan that includes built-in part D prescription coverage. These plans often offer low monthly costs, including dental/vision, perks, and cap your annual out-of-pocket spending. However, you’ll usually need to stay in network and pay co-pays for services as you use them. This set up typically works best if you’re healthy, have predictable medical needs, and are comfortable with provider networks and some cost sharing.
That's totally on you. You could just to go with a Medicare Supplement or you could look at a Medicare Advantage Plan. It comes down to pretty much one thing, cost. Cost continue to rise for Medical Care, so finding a plan that fits your budget, and your needs is what needs to be done.
Sit down with somebody like me review the doctors that you see the prescription that you may take the benefits of the companies and the overall cost then you can have the answer to your question.
As long as your financial picture is in order, I am prejudiced in this regard. I've always been fond of the Medigap, a.k.a., the Medicare Supplement "G" plan. The rules of the G plan are developed by Medicare & cannot vary from state to state like the Advantage plan. So, you can budget for A) the Part B premium, B) the Part B $257.00 deductible, C) the Part D(rug) plan and D) the Medigap policy easily. They are simply more predictable and it covers emergencies which occur out of the country (within the 1st 60 days) when you are on vacation, up to $50.000.00 lifetime.
For a healthy Medicare recipient, the most cost effective might be a Part B give back plan. However we would want to compare it to you doctors and medications to confirm this would be a good fit.
If you are healthy, enrolling into a Medicare Advantage plan would be the most cost effective, since most plans are premium free. They would pay copays when they use services
The most cost-effective way for a healthy Medicare-eligible person is to research the best Medicare Supplemental plan. I would not recommend a MAPD or MA plan .
The most cost-effective way you can structure your Medicare coverage would be to determine personally how much future use you would anticipate. There is no one answer for this question because everybody is different.
If you are Healthy and would like to save money on Premiums, the Medicare Advantage Plan from Blue Cross Blue Shield is an excellent choice, as you have 3 years to move over to a Medicare Supplement Guaranteed Issue! other carriers are only 1 year.