Medicare Options and Solutions
Turning 65, Retiring, Disabled on Medicare, and Beyond
Medicare is confusing to most people and health care can be expensive. Our goal is to help you find the plan that offers the highest level of protection at the lowest cost.
First, we sit down with you and show you how everything works and explain all of your options because Medicare is not “one size fits all”. Every beneficiary has a unique set of circumstances. The right fit for one person, may not be the right fit for you. And that “right fit” may change from year to year.
Next, we’ll help navigate your choices, and show you all the plans available to you. The decision is always yours.
Currently, we’re licensed in several states including Alabama, Delaware, Florida, Georgia, Mississippi, North Carolina, Ohio, Tennessee and Virginia.
Original Medicare Only
Part A (Inpatient Hospital) 2024-
$1632 Deductible Every 60 Day Benefit Period
- Days 1-60: $0 copayment
- Next 30 Days: $408 copayment each day
- Lifetime Reserve of 60 Days: $816 copayment each day
- After a total of 150 days: You pay all costs
Inpatient Hospital Care includes semi-private room, meals, drugs as part of treatment
Skilled Nursing Facility up to 100 Days
- Days 1-20: $0 copayment
- Days 21-100: $204 copayment each day
- Days 101 and beyond: You pay all costs
Hospice Care
Home Health
20% for durable medical equipment
Part B (Medical) 2024 –
$240 Annual Deductible
80/20 Coinsurance – No cap on the 20% you pay
Medically necessary doctors’ services including those received as hospital inpatient
Preventative Services
Labs, X-rays, MRIs and some other diagnostic tests
In some circumstances, medications administered in an outpatient setting may be included in Part B
Out-of-Pocket Limitations
Medicare pays a percentage of approved amounts after certain deductibles have been met. There is no maximum out of pocket limit, meaning there is nothing that limits what a person pays. This does create financial exposure.
Medicare does not pay for prescription medications you pick up at the pharmacy and administer yourself.
How to Limit Out of Pocket Expenses
Medicare only pays so much, and the rest is up to you. There are two ways to limit the financial exposure. You may purchase a Medicare Supplement Plan aka Medigap, or you may purchase a Medicare Advantage Plan aka Part C. Either of these choices will limit how much you pay. They work very differently, and you will find that one may work better than the other for you. The only caveat is understanding the choice you are making and why you are making that choice.