Choosing the Right Medicare Plan

health plans in Oregon

Medicare should fit your unique health and lifestyle needs. Answer each of these questions to help guide your choice.

YES:

Do you take prescription drugs?

If your answer is Yes,
You will want a Medicare plan that provides drug coverage.

You have 2 options,

Option A : A Medicare Advantage plan that includes drug coverage.
Option B: A standalone Medicare Part D Prescription Drug plan.
If you are not taking prescription drugs, Ok but be aware:
You could face a Part D late enrollment penalty if you:

  • Don’t enroll in either a Part D plan or Medicare Advantage plan with prescription drug coverage when you’re first eligible
  • Don’t have a creditable drug coverage that qualifies you for Special Enrollment Period

Do you want coverage for dental, vision and hearing?

If YES:

Medicare Advantage plans offer additional health benefits like these. Non-medicare insurance products may offer coverage for this at additional costs.
If you dont want those coverage NO:
Ok, you don’t need to consider this when choosing a plan then.

Do you visit the doctor often?

If you answer is YES:

Frequent visits can get costly. With any plan, you have to pay the Part B premium. Depending on the plan, you may also have to pay the Part B deductible and other costs such as copayments or coinsurance.

If NO:

After you meet the deductible, With Original Medicare, you are responsible for 20% of the allowed amount for most services. A medicare supplement plan may help cover this cost.
With most Medicare Advantage plans, you pay a small copayment for each doctor visit.
It’s a good idea to evaluate the costs for the health services you will need under each plan you consider.

Is paying for Medicare a concern?

If YES:

There are a variety of financial assistance programs available.
If No: It’s a good idea to consider your total medicare costs and look for ways to save where you can.
Feel free to contact: Health Plans in Oregon for a no cost consultation. Your local Medicare expert!

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