By Patricia Barry
Manage the Medicare maze — from enrollment dates to plot options!
To get the main from Medicare, you would like actual info that steers you away from undesirable suggestion and expensive pitfalls. Medicare For Dummies is what you want to navigate Medicare effectively and get the simplest out of the advanced procedure. AARP’s Medicare specialist, Patricia Barry, offers plain-language reasons of ways Medicare works and what steps you want to take to make it give you the results you want, including:
- How you qualify for Medicare and whilst to sign up in line with your own situation
- What Medicare covers and what it costs
- Ways to lessen out-of-pocket expenses
- Tips for facing medical professionals and switching plans
You'll even get information regarding proposed alterations to Medicare that you can find out about and tips for staying fit. in case you are one of many thousands of usa citizens trying to get the lowdown on Medicare, this hands-on, pleasant advisor has you covered.
Read Online or Download Medicare For Dummies PDF
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Extra resources for Medicare For Dummies
Until 2011, you would’ve had to pay 100 percent of the cost of your drugs in the gap. Now you pay a lot less because under the Affordable Care Act, the gap is gradually shrinking. 5 percent on brand-name drugs in the gap. For generic drugs, you get a discount of 21 percent in 2013 and 28 percent in 2014. These discounts, which come partly from the drug manufacturers and partly from the government, get larger until by 2020, you pay no more than 25 percent of the cost of any drugs in the gap. What’s more, the discounts count toward the dollar out-of-pocket limit that gets you out of the gap; that is, you get credit for having paid full price even though you’re receiving the discount.
This period ends when the total cost of your drugs — what you’ve paid plus what your plan has paid — reaches a certain dollar limit set in law ($2,970 in 2013; $2,850 in 2014). ✓ Phase 3, the coverage gap: This gap — often called the doughnut hole — begins when you hit the limit of initial coverage and ends if and when the amount you’ve spent out-of-pocket on drugs from the beginning of the year hits another dollar limit set in law ($4,750 in 2013; $4,550 in 2014). Until 2011, you would’ve had to pay 100 percent of the cost of your drugs in the gap.
Out-of-pocket limits Part D doesn’t place a flat cap on your drug expenses in any one year, but you do get some relief if your costs rise over a certain level during the year. When that happens, catastrophic coverage kicks in, meaning that your drugs cost far less — no more than 5 percent of the full cost — until the end of the calendar year. However, to qualify for catastrophic coverage, you must spend quite a bit out of pocket, as explained in Chapter 2. Medicare Advantage costs Under the Medicare Advantage program, you can choose to receive your Medicare benefits through a private health plan, such as a HMO and a PPO, as an alternative to traditional Medicare.
Medicare For Dummies by Patricia Barry