Your Guide to Medicare, Wausau Medicare Plans, and Health Insurance Plans
Frequently Asked Questions about Medicare and Health Insurance in Wausau, Wisconsin:
What is Medicare and how does it work? Medicare is a United States federal health insurance program that provides health insurance coverage for people that are age 65 and older, some people under the age of 65 that have certain disabilities, like those with end-stage renal disease. Medicare consists of 4 Parts covering inpatient hospital care (Medicare Part A), medical services (Medicare Part B), prescription drugs (Medicare Part D), and optional supplemental plans (Medicare Supplement Plans, Medigap Plans, or Medicare Advantage Plans), with associated premiums, deductibles, and co-payments.
How do people under 65 get health insurance? People under the age of 65 are able to get health insurance where the price is based off their income from the Health Insurance Marketplace, also known as the ACA Marketplace. Originally this type of health insurance was known as Obamacare because the program was designed by President Obama to be affordable for people who have lower incomes or because their employer sponsored health insurance was too expensive.
What is Medicare Supplement Insurance or Medigap?
Medicare Supplement Insurance, aka Medigap Plans, are a type private insurance policies that help pay the costs that Original Medicare (Parts A and B) does not cover, like copayments, coinsurance, and deductibles. Medigap Plans are made to fill in the holes in Original Medicare coverage, providing Medicare beneficiaries with insurance coverage for out of pocket healthcare expenses. Medigap plans are standardized, which menas they are regulated by the government, but are sold by private insurance companies. Because of this they are identical at every company, but can have different prices.
What are Medicare Advantage plans?
Medicare Advantage Plans in Wausau are alternatives to the Original Medicare (Part A and Part B) program and actually replace Original Medicare. As Wausau Medicare Advantage Agents, we are experts in Wausau Medicare Advantage Plans. These plans are sometimes called Medicare Part C plans, and offer the same services as Original Medicare, but may also include extra benefits that Medicare does not provide. Medicare Advantage plans are provided by private insurance companies contracted with Medicare and often have networks, meaning members may need to use specific providers for services to be covered. Common network types are HMO and PPO.
What is the difference between Original Medicare and Medicare Advantage?
Original Medicare is a traditional government-run health insurance program that has two parts: hospital coverage (Part A) and medical coverage (Part B). Medicare Advantage Plans are provided by independent companies and replace Medicare Part A and Medicare Part B. Depending on your wants and needs in a health insurance plan, a Medicare Advantage Plan could be a good option for you. Since Part C Plans combine those into a single coverage that may offer additional benefits that Medicare does not, such as prescription drug coverage, your medicare coverage is simplified.
How do Medicare Supplement Plans (Medigap Plans) Work With Medicare?
Medicare Supplement Plans, are also called Medigap Plans, and pay for expenses not covered by Original Medicare. They provide crucial financial coverage for out-of-pocket costs such as copayments, coinsurance, and deductibles, substantially decreasing an individual’s healthcare expense risk. Remember, Medigap plans improve, instead of replacing, your Original Medicare coverage.
How does ACA Marketplace Health Insurance work?
Each year during the Open Enrollment Period, November 1 to January 15, people under 65 are able to enroll in health insurance that is based off their income in the health insurance ACA marketplace. There are typically multiple plans per county and some plans provide better coverage than others. The easiest way to find an insurance plan that is both affordable and provides great coverage is to speak to a Local Health Insurance Agent or Health Insurance Broker.
Wausau Medicare Supplement Insurance Plans
What Medicare Supplement Insurance or Medigap Plans are available in Wausau, WI?
In Wausau, ABV, Medicare Supplement Insurance or Medigap plans are available to help cover out-of-pocket expenses not covered by Original Medicare. Many insurance companies offer standardized Medigap plans, but charge different prices. The most popular plans are Plan N, Plan G, and Plan F. These plans have different amounts of coverage and offer benefits like helping with copayments, coinsurance, and deductibles, as well as providing emergency care during foreign travel. It’s important to compare plans and costs before choosing a Medigap policy.
How Do I Enroll in a Medicare Supplement Plan?
Due to the complexities and differences in the different Wausau Medicare Supplement Plans, it is smart to seek the help of a Local Medicare Insurance Agency when searching for a Medicare Help. A reputable Wausau Medigap Agent will not charge a fee for their service and will help you determine exactly what Wausau Medigap Plan you need. Additionally, they can answer questions, clarify coverage, and address concerns you may have, ensuring you make an informed decision while saving time, effort, and money.
Looking for a Local Medicare Insurance Agency to help you choose a Medicare Supplement Plan? Call Packerland Insurance Advisors at (920)315-8412. Their local Medicare Insurance Agents are considered Insurance Brokers and are dedicated to helping you find a plan that fits your needs and budget.
Wausau Medicare Advantage Plans
What kinds of Medicare Advantage Plans are available in Wausau?
There are many different Wausau Medicare Advantage Plans available. The primary plan types include Health Maintenance Organization (HMO) plans, which require you to choose a Primary Care Doctor and referrals to see specialists, Preferred Provider Organization (PPO) plans, which offer allow you to see doctors in and out of the network, and Private Fee-for-Service (PFFS) plans, which set specific payment rates for medical services and allow members to visit any Medicare-approved provider, and Dual Special Needs Plans (D-SNP) Plans which are for people who have both Medicaid and Medicare.
Not every plan makes sense for everyone. Having a conversation with a Medicare Insurance Agent or Insurance Broker to understand which plan type would work for you is a great idea.
How Do I Enroll in a Medicare Advantage Plan?
The best way to enroll into a Medicare Advantage Plan is by speaking with a Wausau Medicare Agent or Wausau Medicare Broker. Since each Medicare Advantage Plan provides different benefits and coverage, there is no single best plan for everyone. Your healthcare needs are unique to you!
Looking for a Local Medicare Insurance Agency to help you choose a Medicare Advantage Plan? Call Packerland Insurance Advisors at (920)315-8412. Their local Medicare Insurance Agents are considered Insurance Brokers and are dedicated to helping you find a plan that fits your needs and budget.
How Do I Enroll in a Marketplace Health Insurance Plan?
What kinds of Health Insurance Plans are available in Wausau?
There are many different Wausau Health Insurance Plans available. The primary plan types include Health Maintenance Organization (HMO) plans, which require you to choose a Primary Care Doctor and referrals to see specialists, Preferred Provider Organization (PPO) plans, which offer allow you to see doctors in and out of the network.
Not every plan makes sense for everyone. Having a conversation with a Health Insurance Agent or Insurance Broker to understand which plan type would work for you is a wise choice.
How Do I Enroll in a Health Insurance Plan in Wausau?
Because of the differences and intricacies in the different Wausau Health Insurance Plans, it is wise to seek the help of a Local Health Insurance Agency when searching for free insurance help. A reputable Wausau Health Insurance Agent will not charge a fee for their service and will help you determine exactly what Wausau Health Insurance Coverage you need. Additionally, they will answer your questions, explain coverage, and address concerns you may have, so you can make an informed decision while saving time, effort, and money.
Looking for a Local Health Insurance Agency to help you choose a Health Plan? Call Packerland Insurance Advisors at (920)315-8412. Their local Health Insurance Agents are considered Insurance Brokers and are dedicated to helping you find a plan that fits your needs and budget.
We are Here to Help!
Packerland Insurance Advisors is dedicated to being your Trusted Medicare Resource year after year. Once you become a Packerland Insurance Advisors customer you can count on yearly plan reviews to ensure you always have a plan suited to you. As a local health insurance agency in Wisconsin, our licensed insurance agents are well trained in the specific Medicare Plans in Wausau.
Call Packerland Insurance Advisors today at (920)315-8412.