Page 55

• Deductible: If your plan has a deductible, that is the amount you will pay before the plan provides coverage. Your plan may or may not have a deductible. The maximum deductible in 2018 is $405. • Initial coverage: This starts after you meet your plan’s deductible (if it has one) and lasts until the total cost of your medications reaches $3,750 in 2018. The total cost is what both you and the insurance company pay for your medications. During this stage you will simply pay a copay for each prescription. • Coverage gap (donut hole): This starts once the total cost of your medications reaches $3,750 and lasts until your cost reaches $5,000 in 2018. In this stage you get a discount from the drug manufacturer so that you pay 35% of the cost for name brand drugs and 44% of the cost for generic drugs. Your cost includes only any deductible and copays you paid, plus the discount you get from the drug manufacturer: It does not include anything paid by your insurance company. • Catastrophic care: Once you reach this stage you will pay only a very small copay or co-insurance, usually about 5% for the rest of the year.

Medicare Advantage Plans (also called Medicare Part C) provide all of your Part A, Part B and usually your Part D coverages (although some plans without prescription drug coverage are available) in a single plan offered by the insurance company. In addition, many of the plans offer additional services (not covered by Medicare) such as vision, dental and transportation. To be eligible for a Medicare Advantage Plan you must have Medicare Part A and Part B, you must live in the plan service area (which may be an entire state or just a county) and you cannot have been diagnosed with end stage renal disease (kidney failure that requires dialysis or a transplant). When you select a Medicare Advantage Plan you are still enrolled in Medicare – however, you receive your coverage through a private insurance company. Therefore, your deductibles and copays are determined by the plan you chose, not by Original Medicare. Also, your doctors must submit all bills to your insurance company, not Medicare. All Medicare Advantage Plans place an annual limit on how much you pay for covered services. This limit will vary from one plan to another, even within the same company. Premiums for a Medicare Advantage Plan are smaller than premiums for a Medicare Supplement plan. However, you will have copays and

Don’t Miss A with Family & Friends!

A move to our neighborhood allows you freedom to enjoy time with the people you love. Come for a visit and join us for a meal. We’d love to show you around and introduce you to those who know us best - our residents.

Call Lynn to schedule your visit of our Garden Apartment Homes

910.295.2294 or visit QuailHavenVillage.com

DON’T WAIT! Special Entrance Fee Rates available thru August 31!

Hours: Monday-Friday 9 a.m. - 5 p.m. 155 Blake Blvd. | PINEHURST A PART OF THE LIBERTY FAMILY OF SERVICES AUGUST 2018 |

OutreachNC.com 55

Profile for OutreachNC magazine

OutreachNC August 2018  

Living Healthy, Dream Sleep Science & Mystery, Birding in NC Dunn-Erwin Trail, The Importance of the Right Fitness Equipment, Cancer Survivo...

OutreachNC August 2018  

Living Healthy, Dream Sleep Science & Mystery, Birding in NC Dunn-Erwin Trail, The Importance of the Right Fitness Equipment, Cancer Survivo...