Medicare Plans in Michigan

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Michigan Medicare Plans

More than 2 million people enrolled in Medicare Plan in Michigan as of 2018 that continued to grow and as of mid 2019, there were about 2.06 million residents enrolled in medicare coverage in Michigan.

Majority of the Medicare recipients in Michigan are eligible based on age alone and the rest qualify as the result of a disability. Residents of Michigan, who are legal U.S. residents and are of 65 years of age or older, like all the other states are eligible to enroll in the Federal Medicare Program. With the Medicare enrollment they are entitled of receiving medical benefits from Part A and Part B of Original Medicare. Part A and Part B cover a wide range of medical treatment from hospital services to outpatient and doctor visits. Original Medicare has two parts, Part A (hospital insurance) and Part B (medical insurance). Medicare Part ‘A’ benefits include inpatient care including hospital and skilled nursing facility stays, medications administered in hospital or SNF, some limited home health care along with hospice care. Medicare Part ‘B’ benefits include medically necessary outpatient services, doctors’ visits, preventive care, lab tests, durable medical equipment and mental health services.

Medicare Advantage Plan in Michigan

Medicare beneficiaries if wish to receive additional benefits beyond the traditional Medicare coverage then they can enroll in Medicare Advantage plans instead of Original Medicare. 100% of Michigan residents with Medicare have access to Medicare Advantage plan with a lower premium than what they paid in 2018. In Michigan there are 137 Medicare advantage plans available. Medicare Advantage plan is the another way of obtaining Original Medicare coverage that are offered by Medicare approved health insurance companies. These plans offer the same coverage as the Original Medicare except for hospice care and may also include extra benefits like dental care, vision care and prescription drug coverage. Michigan residents to enroll in Medicare Advantage plans should have both Medicare Part A and Part B, they should live in the service area of the plan in which they wish to enroll in and they should not have end-stage renal disease.

Medicare Advantage with Prescription Drug Coverage

Some Medicare Advantage plans in Michigan come with prescription drug coverage in which the beneficiaries receive benefits of both Medicare Part C and Part D plans in a single plan.

Medicare Part D Prescription Drug Coverage

Medicare beneficiaries of Michigan can obtain Medicare Part D prescription drug coverage either through Medicare Advantage plans including prescription drug benefits or by enrolling in a stand-alone Medicare Part D Prescription Drug plan offered by private insurance companies approved by Medicare. Stand alone Medicare Part D Prescription Drug Plans are designed to work with Original Medicare to offer prescription drug coverage. Residents having Medicare Part A and Part B plan are only eligible to enroll in the stand-alone Medicare Part D prescription Drug Plan and they should also live in the plan’s service area. Both type of Medicare Part D plans cover prescription drugs that are frequently used by Medicare beneficiaries. Though, there can be differences in prescription drug benefits between plans, as each plan decides on the medications to cover and the plans place these covered medications into different cost-sharing categories. The Medicare plans with prescription drug coverage publish a current formulary or list of medications they cover. Thus, while choosing a Medicare plan with prescription drug coverage beneficiaries should consider their individual prescription needs and should ensure that their medications are on Part D plan’s formulary before they enroll in the plan.

Medicare Supplement (Medigap) Plans in Michigan

Medigap Plans in Michigan are designed to help Medicare beneficiaries pay cost of Original Medicare such as copayments, coinsurance and deductibles. There are ten standardized Medicare Supplement plans available in Michigan identified by letters A, B, C, D, F, G, K, L, M, and N. Residents of Michigan should be enrolled in Original Medicare in order to be eligible for Medigap plans and the Medigap Open Enrollment Period is the best time to enroll in a plan that starts first day residents age 65 or older and enrolled in Medicare Part B. Residents in Michigan need to understand that Medigap plans are meant to supplement Original Medicare and not replace them and hence residents need to remain enrolled in Original Medicare for their hospital and medical coverage and should keep paying their Part B coverage in order to obtain Medigap coverage.

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