Paying for Your Health Care in Retirement

Do you know how you will pay for your health care after you retire from your company, or when you turn 65?

Would you be surprised to learn that Medicare does not pay for all medical procedures or costsand doesn't pay 100% for those that it does cover?

So how can you protect your financial well being, and insure you have enough money for your retirement against the uncertainties of health care in your senior years?

Most people turn to Medicare, the federal insurance program for people over 65, and some people under 65 with certain disabilities.

First, you must learn about how Medicare is structured. Medicare has 4 parts, lettered A, B, C, D.

Paying for Your Health Care in Retirement

Original Medicare consists of Part A to cover hospital or inpatient costs, and Part B to provide for medical or outpatient coverage.

Part A (hospital insurance) does not have a premium for eligible individuals, but does have cost sharing amounts (deductibles, coinsurances) that are paid by the beneficiary when care is received.

Part B (medical insurance) of Medicare is optional coverage and charges a premium, which is adjusted each year by the federal government to cover costs. Premiums for Part B are means tested higher incomes translate to a higher premium based on an established table of values. Part B also uses cost sharing in the form of deductibles, coinsurance, and excess charges.

Medicare pays for medical care based on reimbursement schedules determined by the federal government for all approved medical care.

Another part of Medicare is Part C. This allows private insurance companies to offer plans that cover all Medicare-covered services, and more benefits that may not be covered by Medicare. Many Part C plans are structured like HMOs or PPOs.

Part D of Medicare pays for outpatient prescription drugs, a benefit not included with Original Medicare. Multiple plans are available, with varying benefits and premiums. Part D is also means tested.

As Medicare does not pay full compensation for care, the beneficiary is responsible for cost sharing out of their own pocket. To address this, Medicare beneficiaries can seek to improve their benefits using additional coverages Medicare Supplement (Medigap) plans or Medicare Advantage plans.

Our 2021 Medicare Overview pamphlet is now available.
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Medicare Overview Video

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The costs of non-Medicare covered health care costs (ie. dental, vision, hearing etc) must also be considered, and we will examine and can suggest coverages in these areas as well.

***Disclaimer regarding Medicare Advantage and Part D. We may not offer every plan available in your area, although in some areas we do. Nevertheless, we will show you information on any or all plans through our quoting system. You may also wish to contact Medicare.gov or call 1.800.MEDICARE to get information for any option.***