Understanding Insurance Claims

Questions To Ask When You're New To Medicare

If you are new to Medicare insurance, you may find that there are many questions that can overwhelm you. The good news is you can work with an agent for a smoother process. As the name implies, this form of insurance covers medical expenses of patients above 65 years. There are various policies to select based on your health needs. Here are crucial questions to ask if you are new to Medicare.

What Types of Coverage Are Automatic?

Usually, Part A and B are automatic when you enroll in Medicare. If you are receiving Social Security benefits, it means you are already in the system. Therefore, the two policies are inevitable when you register for coverage. From there, you can decide to buy beyond Parts A and B for more insurance cover. An agent will explain to you the benefits of each plan in detail. This way, you can choose additional policies that meet your health needs.

Does Your Health Affect the Coverage?

Typically, health plays a crucial role when choosing Medicare plans. For instance, a Medicare supplement plan is essential if you have the following chronic diseases:

  • Diabetes
  • Cancer
  • Heart disease
  • Arthritis
  • Asthma
  • Alzheimer's and dementia
  • Crohn disease

The above ailments require hospital stays and multiple doctor visits. The good news is that Medigap pays for costs that Parts A and B don't cover.

What Benefits Do the Policies Have?

Each plan has unique benefits that you can enjoy. The policies that you choose rely on your lifestyle, health, and location. For example, Medicare Advantage offers prescription drug coverage as one of its benefits. In addition, this plan provides the following:

  • Fitness programs
  • Vision care
  • Dental care
  • Acupuncture
  • Counseling for mental health issues

Original Medicare Part A covers the following:

  • Surgery
  • Home health care
  • Laboratory tests
  • Hospice
  • Skilled nursing facility
  • Inpatient hospital care

On the other hand, Part B insures outpatient care and doctor services. Original Medicare isn't comprehensive; hence, you might need Medigap.

Are There Plans That Lower Costs?

If you have a tight budget, costs can be a determining factor when looking for Medicare. You can go for a Medicare supplement plan to help you pay for deductibles and coinsurance. This plan can also cater to copayments if you are an eligible candidate.

You might need to hire an agent to make your purchasing experience seamless. The expert will walk you through various policies and their prices. Also, you will have to get different quotes from multiple carriers. Compare the rates and coverage amount to enjoy a fair deal. Keep these tips in mind when looking for an insurance agency.