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Mark Goldfinger
MBA CFM CRPC RIA CSNA
Understanding Medicare
Tel: 310-770-5944
Email: Mark@GoldfingerAdvisory.com
www.GoldfingerAdvisory.com
CA License #0D00057
Medicare & You 2015
154 Pages –Available in electronic
format or printed copy.
Call: 1-800-MEDICARE
Or visit: www.Medicare.gov
Signing Up For Medicare:
1) Auto - 3 months before age 65
2) Social Security Office
3) Online:
SocialSecurity.gov
Medicare.gov
Medicare is not Medi-Cal
The 4 Parts of Medicare
Part A = Hospital & Skilled Nursing
Part B = Doctors & Medical Equip.
Part C = Medicare Advantage (HMO)
Part D = Rx – Prescription Drug Plan
Medicare Options
OPTION 1: Medicare Parts A, B, D & Plan F
Part A is Free
You pay for Part B $104.90;
You buy a Supplement Plan F - $160 to $200
Part D Prescription Plan $28 - $108
OPTION 2: Medicare Advantage (HMO) Part C
Part A is Free
You Pay for Part B $104.90
This option can include: Hospital; Skilled
Nursing; Doctor; Medical Equip.; Prescriptions
Option 1: Medi-Gap (Supplement Plan)
Benefits A B C D
F* G K L M N*
Medicare Part A coinsurance and hospital
costs (up to an additional 365 days after
Medicare benefits are used)
100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Medicare Part B coinsurance or
copayment
100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Blood (First 3 Pints) 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Part A hospice care coinsurance or
copayment
100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Skilled nursing facility care coinsurance 100% 100% 100% 100% 50% 75% 100% 100%
Medicare Part A deductible 100% 100% 100% 100% 100% 50% 75% 50% 100%
Medicare Part B deductible 100% 100%
Medicare Part B excess charges 100% 100%
Foreign travel emergency (up to plan
limits)
100% 100% 100% 100% 100% 100%
MEDICARE PART C - (HMO)
MA Plans include: Parts A & B; and a Rx program
There are 18
insurance companies
approved to offer
Medicare Advantage
(MA) Plans in
Southern California,
with 100+ plans to
choose from.
For More Information, Please Call Mark Goldfinger 310-770-5944
Option 2: Medicare Advantage Plans
Please Note: Since MA Plans are HMOs, to be fully covered,
you will be required to use only those doctors and hospitals
that are within the Medicare Advantage network

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Understanding Medicare

  • 1. Mark Goldfinger MBA CFM CRPC RIA CSNA Understanding Medicare Tel: 310-770-5944 Email: Mark@GoldfingerAdvisory.com www.GoldfingerAdvisory.com CA License #0D00057
  • 2. Medicare & You 2015 154 Pages –Available in electronic format or printed copy. Call: 1-800-MEDICARE Or visit: www.Medicare.gov Signing Up For Medicare: 1) Auto - 3 months before age 65 2) Social Security Office 3) Online: SocialSecurity.gov Medicare.gov
  • 3. Medicare is not Medi-Cal The 4 Parts of Medicare Part A = Hospital & Skilled Nursing Part B = Doctors & Medical Equip. Part C = Medicare Advantage (HMO) Part D = Rx – Prescription Drug Plan
  • 4. Medicare Options OPTION 1: Medicare Parts A, B, D & Plan F Part A is Free You pay for Part B $104.90; You buy a Supplement Plan F - $160 to $200 Part D Prescription Plan $28 - $108 OPTION 2: Medicare Advantage (HMO) Part C Part A is Free You Pay for Part B $104.90 This option can include: Hospital; Skilled Nursing; Doctor; Medical Equip.; Prescriptions
  • 5. Option 1: Medi-Gap (Supplement Plan) Benefits A B C D F* G K L M N* Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Medicare Part B coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100% Blood (First 3 Pints) 100% 100% 100% 100% 100% 100% 50% 75% 100% 100% Part A hospice care coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100% Skilled nursing facility care coinsurance 100% 100% 100% 100% 50% 75% 100% 100% Medicare Part A deductible 100% 100% 100% 100% 100% 50% 75% 50% 100% Medicare Part B deductible 100% 100% Medicare Part B excess charges 100% 100% Foreign travel emergency (up to plan limits) 100% 100% 100% 100% 100% 100%
  • 6. MEDICARE PART C - (HMO) MA Plans include: Parts A & B; and a Rx program There are 18 insurance companies approved to offer Medicare Advantage (MA) Plans in Southern California, with 100+ plans to choose from. For More Information, Please Call Mark Goldfinger 310-770-5944 Option 2: Medicare Advantage Plans Please Note: Since MA Plans are HMOs, to be fully covered, you will be required to use only those doctors and hospitals that are within the Medicare Advantage network