Page 5 - MedicareBookPresentation
P. 5
16 Section 1— Learn How Medicare Works
This presentation is about what Medicare will pay, and "what and how" you have to take care of yourself...
for Medical Services
and How can I get my Medicare coverage?
Financial Protection
The side notes on the When you first enroll in Medicare, you’ll have Original Medicare,
selected pages from unless you make another choice. Here are the different ways you
this booklet will help can get your Medicare coverage:
you in making timely 1. You can stay in Original Medicare. If you want prescription
decision on the options
you have to meet your drug coverage, you’ll need to join a Medicare Prescription
goals of efficient Drug Plan (Part D). If you don’t join a Medicare drug plan
Medical Services when you’re first eligible and you don’t have other creditable
anywhere, and prescription drug coverage, you may pay a late enrollment
Financial Protection of penalty if you choose to join later. See pages 90–92 for more
your cost share. information about the late enrollment penalty.
Remember, you are 2. You can choose to join a Medicare Advantage Plan (like an
making a very important HMO or PPO) if one’s available in your area. The Medicare
decision as you enter Advantage Plan may include Medicare prescription drug
Seniors' Club. coverage. In most cases, you must take the drug coverage that
comes with the Medicare health plan if it’s offered. In some
types of plans that don’t offer drug coverage, you may be able
to join a Medicare Prescription Drug Plan.
CAUTION!! Before making any decisions, learn as much as you can about
the types of coverage available to you. The next 2 pages include
information to help you with your coverage choices. If you need
more detailed information, you can:
1. Visit the Medicare Plan Finder at Medicare.gov/find-a-plan.
You can sort plans by plan type. You can compare the coverage,
benefits, and estimated costs, and then enroll in a plan that meets
your needs.
2. Get personalized counseling about choosing coverage. See
page 121 for the phone number of your State Health Insurance
Assistance Program (SHIP).
Definitions 3. Call 1-800-MEDICARE (1-800-633-4227) and say “Agent.”
of blue words TTY users should call 1-877-486-2048.
are on pages
125–128. YOUR GOALS...
1. Efficient access to medical services, anywhere.....
2. Financial protection of your cost share with Medicare
This presentation is about what Medicare will pay, and "what and how" you have to take care of yourself...
for Medical Services
and How can I get my Medicare coverage?
Financial Protection
The side notes on the When you first enroll in Medicare, you’ll have Original Medicare,
selected pages from unless you make another choice. Here are the different ways you
this booklet will help can get your Medicare coverage:
you in making timely 1. You can stay in Original Medicare. If you want prescription
decision on the options
you have to meet your drug coverage, you’ll need to join a Medicare Prescription
goals of efficient Drug Plan (Part D). If you don’t join a Medicare drug plan
Medical Services when you’re first eligible and you don’t have other creditable
anywhere, and prescription drug coverage, you may pay a late enrollment
Financial Protection of penalty if you choose to join later. See pages 90–92 for more
your cost share. information about the late enrollment penalty.
Remember, you are 2. You can choose to join a Medicare Advantage Plan (like an
making a very important HMO or PPO) if one’s available in your area. The Medicare
decision as you enter Advantage Plan may include Medicare prescription drug
Seniors' Club. coverage. In most cases, you must take the drug coverage that
comes with the Medicare health plan if it’s offered. In some
types of plans that don’t offer drug coverage, you may be able
to join a Medicare Prescription Drug Plan.
CAUTION!! Before making any decisions, learn as much as you can about
the types of coverage available to you. The next 2 pages include
information to help you with your coverage choices. If you need
more detailed information, you can:
1. Visit the Medicare Plan Finder at Medicare.gov/find-a-plan.
You can sort plans by plan type. You can compare the coverage,
benefits, and estimated costs, and then enroll in a plan that meets
your needs.
2. Get personalized counseling about choosing coverage. See
page 121 for the phone number of your State Health Insurance
Assistance Program (SHIP).
Definitions 3. Call 1-800-MEDICARE (1-800-633-4227) and say “Agent.”
of blue words TTY users should call 1-877-486-2048.
are on pages
125–128. YOUR GOALS...
1. Efficient access to medical services, anywhere.....
2. Financial protection of your cost share with Medicare
