FAQs

Home » FAQs

What’s ACA?

The Affordable Care Act was designed to reduce the cost of healthcare insurance coverage. The ACA Includes premium tax credits and cost sharing reductions to help lower costs for low-income individuals and families.

What’s Medicare?

The Federal Health Insurance program for:

• People of any age with end stage renal disease (permanent kidney failure requiring dialysis)

• People who are 65 or older

• People under 65 who has been on disability for at least 24 months

Different Parts of Medicare:

• Part A (Hospital coverage)

• Part B (Physician coverage)

• Part C (Medicare Advantage plan)

• Part D (drug plan)

• Medigap – supplemental Medicare insurance

What’s Original Medicare?

Part A - in-patient hospital coverage, skilled nursing facility, hospice care, etc

Part B – services from doctors, outpatient hospital services, durable medical equipment, etc.

You are required to pay the standard government Part B premium. The Social Security Administration will let you know the exact amount.

What’s a Medicare Advantage Plan?

• Combines Part A/Part B

• Generally, no or lower premium & co pays

• HMO plans (Restricted to network)

• PPO plans

• Prescription drug plan

• Extra benefits such as dental, vision, hearing, etc.

What’s Part D?

A Medicare Drug plan that helps the cost of prescription drugs

What’s a Medigap plan?

• Medicare Supplemental Plan

• You will pay a monthly premium

• Freedom to choose doctors

• Covered anywhere in the USA

• Must purchase a separate prescription drug plan

What’s dual eligibility?

People that qualify for both Medicare and Medicaid. Majority of healthcare costs are likely covered.