On this page you will meet a few retirees, read about their situation, and see what Medicare choices they made.
Marie is turning 65 in a couple of months. She’s still working but plans to retire shortly after her birthday so she can see her grandchildren in Georgia, her parents in Florida, and her best friend in California. Marie is in excellent physical fitness, but she has early signs of diabetes and recently started on a prescription drug for Osteoporosis.
Marie will retire with a good pension, but she wants to leave her lifetime investments to the grandchildren for college.
Marie’s Health Care Goals
- Access to medical care when she’s out of state visiting family and friends
- Assistance with her prescription drug costs
- Assistance paying for her medical care needs if they become large
Marie’s Medicare Selection
- Original Medicare (Parts A & B)
- Standalone Medicare Part D prescription drug plan
- Medicare Supplement Plan “F” insurance (Medigap)
Marie’s Medicare Plan Features
- Access to doctors and hospitals where ever she goes in the USA
- Discounted prices on the drugs she takes
- Assistance with with her Part A and Part B deductibles and coinsurance
Marie’s Medicare Cost Sharing
2012 Part B premiums are $99.90 per month. This amount is automatically deducted from her Social Security check each month.
- $27.50 per month Medicare Part D prescription drug plan premium
- $150.00 per month Medicare supplement insurance plan “F” premium
Monthly Total: $277.40
NOTE: In Marie’s case, her Medicare supplement insurance plan covers most of the Original Medicare cost sharing. Marie pays the drug plan cost sharing and the costs not covered by her Medicare supplement insurance plan. Your supplemental plan rates may be different. This is just an example.
Clarence just turned 65. He has had serious health problems for most of his adult life, starting with diabetes at age 17. He has had two minor heart attacks and suffers from hypertension and high cholesterol. His doctor has told him he needs to lose weight, exercise and change his diet or his health will continue to decline.
Clarence has a daily prescription of insulin, blood pressure and cholesterol medications. In the past he has encountered insulin reaction and interaction issues with his medications.
Clarence’s Health Care Goals
- Expert assistance managing his health problems
- Assistance with his diet, exercise and weight management plan
- Prescription drug discounts
Clarence’s Medicare Selection
- Medicare Advantage Special Needs Plan for people with diabetes, with built-in prescription drug coverage.
- Original Medicare (required to receive SNP above).
Clarence’s Plan Features
- Access to a care manager. Clarance’s care manager will develop a plan that coordinates his medical care.
- Financial assistance. Clarence may qualify for financial aid that helps pay for his Medicare costs.
- Discounted prices on his prescription medications.
- Assistance with a diet and exercise program to reduce his weight, lower his cholesterol levels and control his high blood pressure.
Clarence’s Medicare Cost Sharing
Clarence will pay $99.90 per month for his Part B premium. This amount is taken directly from his Social Security check each month.
His Medicare Advantage Special Needs Plan premium is $24 per month. This amount is paid out of pocket.
Monthly Total: $123.90
NOTE: Clarence pays his cost sharing that’s determined by the plan. His total amount is based on the medical services and drugs used. Clarence may qualify for financial aid due to his illness and income.