Learn About Medicare
Navigating Through Medicare
If you already have a Medicare plan and want to keep your doctor with Hill Physicians Medical Group, take a look at your coverage choices and select one of Medicare plans that works with Hill Physicians during the Annual Enrollment Period.
Learn about the different parts of Medicare, to understand the basics of how it works.
Your Coverage Choices
If you’re 65 or older and qualify for Medicare, you have several healthcare coverage options to choose from.
Annual Health Assessment
An Annual Health Assessment focuses on preventative care, health screenings, and planning for your well-being. Schedule yours today.
Join us for one of our in-person events during the Medicare Annual Enrollment Period (AEP) Oct 15 to Dec 7.
Your Medicare options
When you first sign up for Medicare and during certain times of the year, you can choose which way to get your Medicare coverage.
There are 2 main ways:
Original Medicare and Medicare Advantage.
- Original Medicare includes Part A and Part B.
You can join a separate Medicare drug plan to get Medicare drug coverage (Part D).
To help pay your out-of-pocket costs in Original Medicare (like your 20% coinsurance), you can also buy supplemental coverage, like Medicare Supplement Insurance (Medigap), or have coverage from a former employer or union, or Medicaid. -Medicare.gov.
Helps cover the following:
Inpatient care in hospitals (such as critical access hospitals, inpatient rehabilitation facilities, and long-term care hospitals)
Inpatient care in a skilled nursing facility
- Home Health Care Services
If you already receive benefits from Social Security or the Railroad Retirement Board (RRB), your Medicare Part A coverage will automatically start as soon as you qualify. If you aren’t getting Social Security benefits (for example, if you’re still working), you may need to sign yourself up for Part A, even if you are eligible to receive Part A at no cost.
Helps cover a range of outpatient services:
Visits to your physician’s office
Specialist office visits
Preventive care like flu shots and mammograms
Lab costs, such as blood work and X-rays
Wheelchairs, walkers, and other medical equipment
Mental health care
A “Welcome to Medicare” visit (a routine physical that happens within a year of your sign-up for Part B)
Annual Health Assessments in the following years
Helps cover the cost of prescription drugs (including many recommended shots or vaccines).
You join a Medicare drug plan in addition to Original Medicare (Part A and Part B), or you get it by joining a Medicare Advantage Plan with drug coverage.
Plans that offer Medicare drug coverage are run by private insurance companies that follow rules set by Medicare. – medicare.org
Extra insurance you can buy from a private company that helps pay your share of costs in Original Medicare.
Policies are standardized and in most states named by letters, like Plan G or Plan K.
The benefits in each lettered plan are the same, no matter which insurance company sells it. -medicare.gov
Medicare Advantage is a Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These all-in-one plans include Part A, Part B, and usually Part D.
- Plans may have lower out-of-pocket costs than Original Medicare.
- Plans may offer some extra benefits that Original Medicare doesn’t cover — like vision, hearing, and dental services.
For more information you can visit www.medicare.gov
If you would like information on licensed Medicare brokers feel free to reach out to our customer service team at 1-800-445-5747.