Medicare in Plano, TX

Medicare plays a vital role in providing health care coverage for millions of Americans. This federal health insurance program is designed to help ensure access to essential medical services and treatments for qualified individuals aged 65 and over and those with specific disabilities and health conditions.

Contact LSI Insurance Services, LLC in Plano, Texas, to understand your Medicare options.

How Does Medicare Work?

Medicare operates as a fee-for-service health care program, with different parts covering various aspects of health care services. Beneficiaries can receive care from any health care provider that accepts Medicare, giving them freedom of choice.

The program reimburses health care providers for services rendered, and beneficiaries are responsible for paying their share of the costs, such as deductibles, copayments and premiums.

The Parts of Medicare

Original Medicare (Parts A and B) is designed to cover the following health care services:

• Part A (hospital insurance) may help cover inpatient hospital stays, skilled nursing facility care, hospice care and some home health care services. Generally, beneficiaries do not pay premiums for Part A if they paid Medicare taxes while working. However, there are typically deductibles and coinsurance beneficiaries pay when utilizing Part A services.
• Part B (medical insurance) may help cover medically necessary services, including doctor visits, outpatient care, preventive services and durable medical equipment. It may include certain services related to mental health, physical therapy and clinical research. Most beneficiaries pay a monthly premium for Part B coverage, and there are also typically deductibles and coinsurance responsibilities.

The following Medicare parts are optional:

• Part C (Medicare Advantage) combines the benefits of Part A and Part B coverage and is provided by private insurance companies approved by Medicare. Unlike Original Medicare, Medicare Advantage plans have networks of health care providers that may be restricted by geographical location. These plans may include additional benefits such as prescription drug coverage, vision, dental and hearing services. These plans may have different costs and network restrictions than Original Medicare (Part A and Part B).
• Part D (prescription drug coverage) is optional coverage available through Medicare-approved private insurance companies and may help cover the costs of prescription medications, including brand-name and generic drugs. Beneficiaries typically pay a monthly premium, a deductible, copayments and coinsurance.

How to Get Started With Medicare

Medicare is a complex coverage that you shouldn’t have to navigate alone. Reach out to an agent to learn more about your enrollment process today.