What's the most cost-effective way for a healthy 65-year-old to structure their Medicare coverage?
Answered by 9 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.
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 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.
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.
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.
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