Medical Insurance Plans for Those Who Retired...2015 and Beyond

Medicare Primer

Medicare covers approximately 80% of eligible medical expenses and most retirees will choose to purchase a Medicare Supplement Policy (Medigap) which is designed to cover those medical expenses not covered by Medicare Parts A, B, and D.

For most retirees there is no cost for Medicare Part A.  After your retirement premium costs will be significantly higher (by a factor of 5-6X) because Medicare premiums are income-based and because separate policies must be purchased for you and your spouse. Your Medicare premiums for medical and pharmacy coverage will depend on your income as reported on your IRS income tax return from two years ago.  You will pay the standard premium amount plus an Income Related Monthly Adjusted Amount (IRMAA). This is more fully addressed in the Q & A section below.

After retirement your premium costs will be significantly higher and benefits and claims management for the government and private market are separate.  When you are retired your medical coverage will be multifactorial and consist of the following:

  • Medicare Part A inpatient hospital coverage
  • Medicare Part B outpatient provider coverage
  • Medicare Part D prescription drug plan
  • Medicare Supplement Policy (Medigap) and Supplemental Prescription Drug Plan are extra insurance coverage that you purchase from a private company

About Medigap Plans

Medicare Supplement (Medigap) policies are only “guaranteed issue” (not subject to medical underwriting) during the Initial or Special Enrollment Period.  If you do not enroll in a Medicare Supplement (Medigap) policy when you are first eligible, in most states you will lose guaranteed issue rights for future Medicare Supplement (Medigap) Insurance applications. 

Medicare Supplement (Medigap) policy premiums can vary in cost depending upon the scope of your coverage, but are not income-based.

You Have Questions...We Have Answers!

Questions & Answers

Medicare Part B Coverage

  1. How much do I pay for standard Medicare Part B premiums?
  2. Will Medicare cover medical costs if I travel internationally?
  3. Should you consider filing for a Medicare Income-Related Monthly Adjustment Amount-Life-Changing Event (including retirement) (SSA-44) in order to decrease my Medicare Part B and Part D premiums?

Medicare Part D Coverage

  1. How much do I pay for Medicare Part D drug coverage?

Medicare Supplement (Medigap) Insurance

  1. Do I have to sign up with Via Benefits to enroll in a Medicare Supplement (Medigap) Plan?

Health Reimbursement Arrangement (HRA)

  1. What is covered by Medicare Supplement Insurance (Medigap)?
  2. What are the main differences between Medicare Supplement (Medigap) and Medicare Advantage policies?
  3. Should I sign up for Air Medical Transportation?
  4. Will Medicare or my Medicare Supplement Plan cover long-term care?
  5. Additional questions to consider when choosing a Medicare Supplement (Medigap) Plan