Pricing
Isn't Medicare Free?
Many people think—and hope—that their Medicare will be free whenever they get ready to start on it. However, such thinking is not completely true! The following three boxes, which represent your three main Medicare options, will break down the various parts of Medicare (A,B,C, & D), and the costs there are, if any, among the 4 major cost factors: premium, deductible, copay and coinsurance.
Original Medicare + Part D
Part A (Hospital > Inpatient Care)
- Premium: free for most people, who have worked 10 yrs./40 qtrs in their lifetime.
- Deductible for 2024: $1,632/60 days
Part B (Medical > Dr. Visits/O/P care)
- Premium for 2024: $174.70/mo (could be higher based on income) Why this charge? Never been charged for Pt.B prior to 65
- Deductible (Annual) for 2024: $240
- CoInsurance: 20% for all Pt.B services
Part D (Drug coverage)
- Premium: varies each month
- Deductible (Annual) for 2024: $0-$545
- Copays: Copays: vary based on drug tier; if total costs reach $5,030 = Cvge.Gap/Donut Hole
Original Medicare + Part D
2 Most Popular Plans: Plan G & Plan N
Plan G (for a 65 yr. old)
- Premium: varies from ca. $110-170/mo. (+Mthly Pt.B Prem.-$174.70)
- Deductible: Annual Pt.B for 2024 is $240
Plan N (for a 65 yr. old)
- Premium: varies from ca. $80-110/mo. (+Mthly Pt.B Prem.-$174.70)
- Deductible: Annual Pt.B for 2024 is $240
- Copays: 1) All Dr. Visits – $20. 2) ER Visit – $50.
Part D (Drug coverage)
- Premium: varies from plan to plan
- Deductible (Annual) for 2024: $0-$545
- Copays: vary based on drug tier: if total costs reach $5,030 = Cvge.Gap/Donut Hole
Original Medicare + Part D
Medicare Advantage Plans: Part C
MAPD (Medical + PDP combined)
- Premium: varies, but most are $0/mo. (+Mthly Pt.B Prem.-$174.70)
- Deductible: Most are $0 (the Annual Pt.B Ded. of $240 does not apply)
- Copays: vary from plan to plan for each benefit/service
Part D (Drug coverage)
- Premium: most are $0/mo., since they’re built into the MAPD plan
- Deductible (Annual) for 2024: $0-$545
- Copays: vary based on drug tier; if total costs reach $5,030 = Cvge. Gap/Donut Hole
What does it cost for our Help with all of the Above?
Most people want and need help processing all of the above information, and making sure they’ve got everything covered. That is precisely what we are here to help you with at Middleton Healthcare Advisors, and your cost for employing us to do that for you? It’s absolutely FREE OF CHARGE…as the companies we write for, pay us, so you don’t have to! Could it get any better than that?