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WelcometoMedicare
Agenda
Understand Medicare
Understand Options
Understand How to Choose
PartsofMedicare
A B
ByPrivate Companies (that getpaid byMedicare)
C D
Combines
A, B, & D
Medicare Supplement Options
Plans are all the same (STANDARDIZED)
Choosing a
Company
How toChoosea
company
MEDICARE SUPPLEMENTS CONSIDER
 Price
 Customer Service
 Financial Solvency
 Market Share
 Historical Rate Increases
MEDICARE ADVANTAGE CONSIDER
 Your Out of Pocket Costs
 Extra Benefits
 Network
 Prior Approvals and rules to obtain services
 Customer Service
 Star rating
 Historical changes
How to
decide
Med Supp vs
Med Adv
YOUR DECISION, Think about how you normally make
buying decisions
Do you prefer a Cadillac or a Camry?
Is flexibility the most important?
IsAccess to care the most important?
Is low cost up front most important?
Are the perks most important?
Why do I have to pick, I want someone else
to?
Medicare Part D
How it works
Part D
 Have to cover at least 2 drugs in
each drug class
 Have to meet basic coverage design
 All have formulary
 Coverage Rules
 Use Network Pharmacies
 Tier Structure (co-pays)
Similarities
Differences
among options
Quite Varied
Drugs covered different
Costs can vary based on
tier/coverage
Star Rating, Customer Service
Number of Medications
Covered
Preferred Pharmacies

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