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Senior Health Insurance
Contracted with over 20 carriers to choose from
Medicare Supplement
We offer plans for every budget, outstanding service and top carriers.
Medicare Advantage
We offer plans for every budget, outstanding service and top carriers.
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Medicare
There are many options and types of health insurance and we know it can be a hassle to find the plan that works for you. Our number one goal is to help you find quality and affordable Medicare coverage with the resources you need.
Work with our expert insurance agents and some of the top Medicare companies in the surrounding states. The cost of prescription drugs continues to rise, an expenditure that can be eased by Medicare.
Medicare Advantage Plans
a.k.a Medicare Part C provide
-Part A Hospital Insurance &
-Part B Medical Insurance Coverage
-Part D Medical Prescription Drug Coverage
*Most plans include Part D*
Some plans fully round out coverage with benefits like:
- Health and Wellness Programs
- Vision
- Hearing
- Dental
Medicare Part A
This covers costs associated with in-patient services at facilities including:
- Hospitals
- Skilled Nursing Facilities
- Hospice
- Some Home Health Care
*Many people pay into Medicare while they are employed; consequently, most Medicare Part A enrollees are not required to pay a premium.*
Please Note- Those who do not meet eligibility requirements for premium-free Part A may still enroll, contingent upon paying a premium, provided they are at least 65 years-old and enrolled in Part B, or they have been diagnosed with a disability. These enrollees are responsible for monthly premiums for both Part A and Part B coverage.
*Some states will assist residents who have limited income and resources with payments for one or both plans.*
Medicare Part B
The complementary other half to Part A, covering a variety of services including
- Exams,
- Outpatient Care,
- Durable Medical Equipment
- Home Health Services
Typically, the monthly premium for Part B coverage is a standard amount, but some recipients are required to pay a higher premium based on their income.
*It is important to sign up for Part B when you first become eligible, as enrolling late sometimes carries a late enrollment penalty.*
Those with an Advantage plan will typically pay a monthly premium in addition to the Part B premium.
There is usually a co payment or coinsurance for covered services as well. Out-of-pocket costs and rules about service providers can vary from plan to plan, and these rules can change each year.
Benefits to Medicare Advantage Plans
- Medicare Part A (hospital insurance) and Part B (medical insurance) benefits and services.
- Part D (medical prescription) coverage.
- The same Medicare rights and protections offered by Original Medicare.
- With the exception of End-Stage Renal Disease, those with a preexisting conditions can be eligible for Medicare Advantage coverage.
Our licensed agents can work with you to help you figure out if you need the high level Medicare coverage offered by Medicare Advantage plans. Start by obtaining free quotes via our quote engine, and then discuss your options in-depth with a member of our team.
Our licensed agents can work with you to help you figure out if you need the high level Medicare coverage offered by Medicare Advantage plans. Start by obtaining free quotes via our quote engine, and then discuss your options in-depth with a member of our team.
Medicare Part B - 2024
| If your yearly income in 2023 (for what you pay in 2024) was | |||
| Beneficiaries who file individual tax returns with modified adjusted gross income: | Beneficiaries who file joint tax returns with modified adjusted gross income: | Income-Related Monthly Adjustment Amount | Total Monthly Premium Amount |
| Less than or equal to $103,000 | Less than or equal to $206,000 | $0.00 | $174.70 |
| Greater than $103,000 and less than or equal to $129,000 | Greater than $206,000 and less than or equal to $258,000 | $69.90 | $244.60 |
| Greater than $129,000 and less than or equal to $161,000 | Greater than $258,000 and less than or equal to $322,000 | $174.70 | $349.40 |
| Greater than $161,000 and less than or equal to $193,000 | Greater than $322,000 and less than or equal to $386,000 | $279.50 | $454.20 |
| Greater than $193,000 and less than $500,000 | Greater than $386,000 and less than $750,000 | $384.30 | $559.00 |
| Greater than or equal to $500,000 | Greater than or equal to $750,000 | $419.30 | $594.00 |
Types of Medicare Plans:
- Health Maintenance Organization (HMO) Plans
- Preferred Provider Organization (PPO) Plans
- Private Fee-for-Service (PFFS) Plans
- Special Needs Plans (SNPs)
There are other less common types of Medicare Advantage Plans that may be available:
- HMO Point of Service (HMOPOS) Plans: An HMO Plan that may allow you to get some services out-of-network for a higher cost.
- Medical Savings Account (MSA) Plans: A plan that combines a highdeductible health plan with a bank account. Medicare deposits money into the account (usually less than the deductible). You can use the money to pay for your health care services during the year.
Medicare Supplements
Aka Medigap Plans
Fill in coverage gaps left by Original Medicare (Parts A and B). Parts A and B, while a part of the Medicare family, include very different benefits, and these benefits do not necessarily offer a level of coverage that meets every person’s medical needs. In these cases, it is important to consider adding a Supplemental plan.
Medicare Supplemental Insurance
This may be purchased by beneficiaries of Original Medicare. Medicare Advantage is another type of coverage available, but receiving Medigap and Medicare Advantage benefits simultaneously is not allowed. Supplemental plans complete the Medicare suite of products, but they are not necessarily a good fit for everyone.
Speak with a Professional
Speaking with a professional who possesses extensive knowledge on this type of coverage is beneficial. Our agents can help you figure out if Medicare Supplement Insurance is right for you.
Contact Us today at (260) 755-3585 to learn more about your complete list of Medicare options!
Get In Touch!
- 3711 Rupp Dr., Suite 103,
Fort Wayne, IN 46815 - (Office): (260) 755-3585
- (Toll Free): (866) 764-2204
- (260) 444-4212
- spearson@pmgagency.com
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