Heather Majka of Citizens Insurance explains How Medicare Part A, Part B, Medicare Advantage, and Part D of Medicare works. Understand the difference between Medicare Supplements and Advantage, and how to choose a company and a plan for you!

1. WelcometoMedicare

2. Agenda
Understand Medicare
Understand Options
Understand How to Choose

3. PartsofMedicare
A B

4. ByPrivate Companies (that getpaid byMedicare)
C D
Combines
A, B, & D

6. Medicare Supplement Options
Plans are all the same (STANDARDIZED)

8. Choosing a
Company

9. 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

10. How to
decide
Med Supp vs
Med Adv

11. 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?

12. Medicare Part D
How it works

13. 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

15. DifferencesamongDrugPlanOptions
Quite Varied
Drugs covered different
Costs can vary based on tier/coverage
Star Rating, Customer Service
Number of Medications Covered
Preferred Pharmacies

16. How toPickA PartDPlan
Look at Costs of your prescription drugs
Costs vary based on Insurance you pick, pharmacy you use,
and drug manufacturer
A personalized search that considers all of these factors
should be viewed

17. How theDonutHoleaffectsyouthisyear
Even though coverage gap “closed for 2020”
Still have to pay 25% cost of plan’s negotiated price for drug
Some people’s costs go up and some go down depending on
the medication

18. Example of how costs can change in 2020