Medicare Coverage Plans Lake of the Ozarks, Missouri
Capricorn Insurance Agency, LLC aims to help you understand all of your choices, and to make informed decisions about your Medicare Coverage Options. It is our pleasure to provide solutions that fit your needs and your budget.
- Medicare – Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).
- Medicare Supplement (Medigap) Insurance.Medicare Supplement, or Medigap, plans fill in some of the gaps in coverage in Original Medicare, such as deductibles, coinsurance, copayments, and overseas emergency health coverage. These are costs you’d normally be responsible for paying out of pocket.
- Medicare Advantage plans provide a managed health care plan (typically a health maintenance organization (HMO) but also often a preferred provider organization (PPO) or another type of managed care arrangement) that is paid based on a monthly capitated fee.
- Medicare Part D, also called the Medicare prescription drug benefit, is a United States federal-government program to subsidize the costs of prescription drugs and prescription drug insurance premiums for Medicare beneficiaries.
Frequently Asked Questions About Medicare
Click on the + sign to read the answers.
When should I sign up for Medicare?
You can sign up for Medicare beginning 3 months before you turn 65. Coverage can start as soon as the first day of the month you turn 65. Your initial enrollment period lasts until 3 months after your 65th birthday.
What does Medicare Part A cover?
Medicare Part A covers hospital, inpatient care, some skilled nursing, limited home health care & hospice care.
What does Medicare Part B cover?
Medicare Part B covers medical services, outpatient care, preventative services, ambulance services and durable medical equipment.
Do I need to enroll in Part D coverage even if I'm not currently taking any medications?
Part D is Medicare Drug coverage to protect against high drug cost if and when you need it. If you delay signing up for Part D outside of your initial enrollment period and go longer than 63 days without creditable drug coverage you could face the lifetime penalty. The late enrollment penalty is an amount added to your Medicare Part D monthly premium.
When is the Medicare Open Enrollment Period?
Every year, Medicare’s open enrollment period is October 15 – December 7.
What is the Medicare Open Enrollment Period?
The Medicare Open Enrollment Period is when all people with Medicare can change their Medicare health plans and prescription drug coverage for the following year to better meet their needs.
Do I need Medicare Supplement if I already have Medicare Part A & Part B?
Medicare supplements are offered through private insurance companies and cover expenses that traditional Medicare does not cover such as copayments, 20% coinsurance, and deductibles.
When can I change from one Medicare supplement to another?
You can change Medicare Supplement plans at anytime of the year but in most states you will need to pass medical underwriting unless you are in a guaranteed issue period. In Missouri you can change companies every year on your policy anniversary with out underwriting qualifications.
What is a Medicare Advantage Plan?
Medicare Advantage is also referred to as Part C of Medicare or MA plans. A Medicare Advantage Plan is a type of Medicare Health Plan offered by a private insurance company that contracts with Medicare to provide you with all of your Part A and Part B benefits. Medicare Advantage Plans insurance include Health Maintenance Organizations (HMO’s), Preferred Provider Organizations (PPO’s), Private Fee-For-Service Plans (PFFS), Special Needs Plans (SNP’s) and Medicare Medical Savings Account Plans (MSA). If you are enrolled in a Medicare Advantage Plan, Medicare Services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage plans offer prescription drug coverage (Part D) and some plans may offer Dental, Vision or Hearing coverage, Fitness membership discounts and other value added benefits.
Does Medicare cover Dental, Vision or Hearing?
Medicare does not cover your typical Dental, Vision or Hearing Services. However you may purchase or qualify for additional plans to cover these services.
Does Medicare cover Long Term Care for Nursing Homes?
Medicare Part A (Hospital Insurance) may cover care in a certified skilled nursing facility (SNF). It must be medically necessary for you to have skilled nursing care (like changing sterile dressings). However, most nursing home care is custodial care, like help with bathing or dressing. Medicare doesn’t cover custodial care if that’s the only care you need. Medicare does not cover long-term nursing care. Medicare helps to pay for your recovery in a skilled nursing care facility after a three-day inpatient hospital stay.