Simplifying Medicare for Seniors
We understand the challenges our senior patients and their caregivers face when navigating the complex Medicare system. We’re here to help. Discover how Greater Good Health can clarify your health benefits, so you can focus on what matters most – your health and well-being.
Medicare Providers Near You
Greater Care Starts with the Right Medicare Plan
When it comes to accessing the best healthcare for seniors, it all starts with choosing the right Medicare plan. With so many options and factors to consider, it can feel overwhelming and confusing. Partnering with a trusted healthcare provider or Medicare adviser can help ensure that you are enrolled in the best plan and making the most out of your health benefits. Our Patient Liaisons are experts in all things Medicare and offer free, comprehensive benefits assessments to any older adult looking for support with Medicare.
Key Differences to Know
Traditional Medicare vs. Medicare Advantage
For older adults 65 years and older, there are lots of health insurance plan options. Enrolling in Medicare for the first time, or thinking about changing your plan? Here are some key differences between Medicare and Medicare Advantage.
Traditional Medicare
Medicare Advantage
Inpatient hospital care
Inpatient hospital care
Inpatient hospital care
Doctor visits, lab tests, and outpatient care
Doctor visits, lab tests, and outpatient care
Doctor visits, lab tests, and outpatient care
Dental, vision, or wellness programs
Dental, vision, or wellness programs
Dental, vision, or wellness programs
Cultivated high-quality provider networks
Cultivated high-quality provider networks
Cultivated high-quality provider networks
Predictable out of-pocket costs
Predictable out of-pocket costs
Predictable out of-pocket costs
Included coverage for prescription drugs
Included coverage for prescription drugs
Included coverage for prescription drugs
Investment in coordinating care for patients
Investment in coordinating care for patients
Investment in coordinating care for patients
Understanding Medicare in Primary Care
Common Questions
Medicare can be a complex and intricate system to navigate, leaving many with unanswered questions. At Greater Good Health, we know that your health coverage plays a critical role in the care you receive. That’s why we are committed to simplifying Medicare for you, starting with providing clear and concise answers to some common questions about Medicare plans and coverage.
What Is Medicare?
Medicare is an essential federal health insurance program that provides coverage for individuals aged 65 and older, as well as younger individuals with certain disabilities or end-stage renal disease. It offers various parts, including Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage), and Part D (prescription drug coverage). With Medicare, you gain access to vital healthcare services and support that cater to your specific needs, promoting your overall well-being.
What are the different parts of Medicare?
Medicare is divided into four parts: Part A, which covers hospital insurance; Part B, which covers medical insurance; Part C, which refers to Medicare Advantage plans; and Part D, which provides prescription drug coverage. Each part serves a specific purpose and offers different services, ensuring comprehensive healthcare coverage for individuals enrolled in Medicare.
What Is Medicare Advantage?
Medicare Advantage, also known as Part C, is an alternative to traditional Medicare offered by private insurance companies. It provides comprehensive healthcare coverage, combining the benefits of Parts A and B, and often includes additional services such as prescription drug coverage, dental, vision, and hearing benefits. With Medicare Advantage, you can enjoy the convenience of having all your healthcare needs under one plan, often with the option of preferred provider networks and coordinated care.
When can I enroll in Medicare?
The Initial Enrollment Period (IEP) for Medicare begins three months before your 65th birthday and ends three months after. Each year, you have the opportunity to review and make changes to your current Medicare coverage during Annual Enrollment Period (AEP), which runs from October 15th to December 7th. However, certain circumstances may qualify you for a Special Enrollment Period (SEP) outside of the AEP, such as losing employer coverage or moving out of your plan’s service area. Understanding the enrollment periods and timelines is crucial to ensure you have timely access to the benefits and coverage you need.
How much does a doctor’s appointment cost under Medicare or Medicare Advantage?
The cost of a doctor’s appointment under Medicare or Medicare Advantage can vary depending on several factors, such as the specific plan you have and the services provided during the appointment. Generally, under Medicare, Part B, you will pay a yearly deductible and a 20% coinsurance for the Medicare-approved amount. Medicare Advantage plans may have different cost structures, including copayments for primary care visits. It’s important to review your plan’s details or contact your plan directly to understand the cost-sharing requirements for doctor’s appointments. Luckily, the Greater Good Health team is well-versed in the intricacies of Medicare Advantage, and we can help you understand exactly what your coverage entails.
Insights & Resources
Helpful Medicare Information
For more information about Medicare, different types of Medicare coverage, or the Medicare enrollment process, check out these helpful articles from our team.
Your Healthcare Experience Guide
Meet Your Patient Liaison
Our Patient Liaisons are here to welcome you to the Greater Good Health community and ensure that you receive the best care possible. They will help you complete all new patient paperwork, give you a tour of the clinic, connect you to community resources when appropriate, help arrange transportation, and more. Our Patient Liaisons also offer free, comprehensive benefits assessments, and are always here to answer questions about your coverage.
Greater Care Is Here
Schedule an Appointment
To schedule an appointment, call us at (833) 406-3366. Prefer that we contact you? No problem! Share your information below and a member of our team will reach out soon. We look forward to speaking with you!