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What medicare prescription Drug Plans (Part D) are available in Eastern Washington?

Posted on by Matt McColm
medicare prescription plan d talk to Suzie at Wenatchee

Discovering Your Medicare prescription Match: A Light-hearted Journey Through Part D Plans with Wenatchee Insurance

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When it comes to finding the right Medicare Prescription Drug Plan (Part D) in Eastern Washington, the options can feel like a never-ending buffet. But fear not! Suzie with Wenatchee Insurance is here to help you navigate the smorgasbord of choices with humor and experence. Let’s dive into the delightful world of Medicare Part D plans, where each plan is like a quirky character at a neighborhood cook out.

The “Budget Benny” Plan

First up is the “Budget Benny” plan. Benny is that guy who always brings the cheapest dish to the cook out but somehow manages to make it taste great. This plan has a low monthly premium and keeps costs minimal. Perfect for those who are pinching pennies but still want solid coverage. With Budget Benny, you won’t break the bank, and you’ll still get your essential medications covered.

Sample: “Imagine Benny showing up with a big bowl of chili—simple, affordable, and everyone loves it. That’s what you get with the Budget Benny plan: basic but beloved.”

The “Luxury Lucy” Plan

On the other end of the spectrum, we have “Luxury Lucy.” Lucy arrives at the cook out with gourmet hors d’oeuvres, a cheese platter, and artisanal bread. This plan has a higher premium but offers extensive coverage, low deductibles, and includes a wide range of medications. Ideal for those who prefer their healthcare coverage to be as luxurious as their lifestyle.

Sample: “Luxury Lucy is like the friend who treats every meal like a Michelin-star event. With this plan, you’re not just covered—you’re covered in style.”

Medicare plan 65 Wenatchee Advantage

The “Steady Eddie” Plan

Next, meet “Steady Eddie.” Eddie is dependable, always brings a reliable dish, and you can count on him year after year. This plan offers a balanced approach with moderate premiums and coverage. It’s designed for those who want stability and don’t like surprises—just good, consistent coverage.

Sample: “Steady Eddie is like that comforting casserole at every cook out—hearty, satisfying, and you know exactly what you’re getting.”

The “Flexible Fran” Plan

There’s “Flexible Fran,” who always brings a dish that can be vegan, gluten-free, or carnivore-friendly depending on what’s needed. This plan is all about options and adaptability. Perfect for those who have specific or changing medical needs, Fran’s plan can adjust to whatever life throws your way.

Sample: “Flexible Fran is the chameleon of cook out dishes, just like her plan can adapt to your shifting medical needs.”

The “Value Vicky” Plan

Lastly, let’s not forget “Value Vicky.” Vicky is thrifty and resourceful, bringing a dish that’s cost-effective. This plan strikes a balance between cost and coverage, giving you the most bang for your buck without sacrificing quality.

Sample: “Value Vicky’s plan is like that surprisingly tasty dish made from leftovers—creative, cost-efficient, and surprisingly satisfying.”

Navigating the Buffet with Wenatchee Insurance

Choosing the right Medicare Prescription Part D plan doesn’t have to be overwhelming. At Wenatchee Insurance, we’re your friendly guides at the buffet table of Medicare options. We’ll help you sample each plan, compare the flavors, and find the one that leaves you feeling satisfied and secure.

So, whether you’re a Budget Benny or a Luxury Lucy, a Steady Eddie or a Flexible Fran, Wenatchee Insurance is here to make sure your Medicare Prescription Part D plan fits you like a glove—or like your favorite cook out dish. Call us today, and let’s get started on finding your perfect plan match!

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Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability,

How do I enroll in a Medicare Part D plan in Eastern Washington?

Posted on by Matt McColm
prescriptions cost money a medicare part d can save

Enrolling in Medicare Part D: A Humorous Walkthrough with Wenatchee Insurance

When you enroll in a Medicare Part D plan kind of feels like applying for a secret society membership—complete with cryptic forms, mysterious deadlines, and possibly a funky handshake or two. Don’t worry! Suzie & Wenatchee Insurance is here to make the process as entertaining as a sitcom episode, where even the most tedious tasks can come with laughter. We are going to walk through the Medicare Part D process together, with a dash of humor.

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Step 1: The Invitation

First, you need to get invited to the party, a.k.a. determine your eligibility. Generally, if you’re eligible for Medicare then you’re eligible for Part D. Think of it as receiving your VIP ticket to a chef’s table in the newest restaurant in town.

Example: “You’ve got your golden ticket, just like Charlie in the chocolate factory, except instead of chocolate, you’re getting life-saving medication. Still, pretty sweet deal, right?”

Step 2: The Grand Entrance – Initial Enrollment Period

The Initial Enrollment Period (IEP) is your first chance to join the party. Starting three months before you turn 65, your birth month and ending three months after, you have your initial enrollment period. Seven months seem like a lot however they can go fast. Miss this, and you’ll have to wait for the next party invite. Yes, sometimes you will have to bring a note to get in!

Sample: “Think of the IEP as the VIP entrance to a concert. You get in early, avoid the rush, and grab the best spot near the stage. Miss it, and you’ll be stuck at the back, straining to hear the music.”

Step 3: The Red Tape – Required Information

Now, let’s tackle the paperwork. You’ll need your Medicare number, date of birth, and other personal info.

Sample: “Filling out your info is like completing a membership form for the ‘Cool Kids Club.’ Just a few details and you’re ready to flash that membership card (your Part D plan) proudly.”

Step 4: The Selection Process – Choosing Your Plan

Here’s where it gets fun: Choosing a Part D plan is like picking your Hogwarts house. Do you go with the bravery of Gryffindor (extensive coverage), the loyalty of Hufflepuff (steady and reliable), or maybe the cunning of Slytherin (low premiums but high deductibles)?”

health or medicare enrollment suzie makes it easier

Step 5: The Initiation – Enrollment

Once you’ve chosen your plan, it’s time to officially enroll. You can do this online, over the phone, or by mail. Enrolling in your Part D plan is like taking the final step in joining a secret society. You recite the oath (or just click ‘submit’), and voila! You’re in. Cue the applause and confetti.”

Step 6: The Welcome Package

After enrolling, you’ll receive your membership card and welcome package. Receiving your Part D welcome package is like getting your secret decoder ring. Suddenly, all the mysterious codes (insurance jargon) make sense, and you’re ready to take on the world—or at least the pharmacy.”

Step 7: The Ongoing Adventure

Now that you’re enrolled, the adventure begins. Keep an eye on your medications, costs, and any plan updates. It’s an ongoing journey, but with Wenatchee Insurance by your side, you’ll navigate it with ease and a smile.

Sample: “Your journey with Medicare Part D is just beginning. It’s like starting a new season of your favorite show—there will be twists, turns, and maybe a few cliffhangers, but Wenatchee Insurance is here to help you through every episode.”

Wenatchee Insurance: Your Trusted Sidekick

Enrolling in a Medicare Part D plan doesn’t have to be a chore. With Suzie & Wenatchee Insurance, it’s a fun and straightforward process, complete with guidance, support, and a few laughs along the way.

So, if you’re ready to join the secret society of Medicare Part D, let Wenatchee Insurance be Robin to your Batman. Together, we’ll make this journey as entertaining as it is rewarding.

talk with Suzie
Home Health Medicare Car Dental Prescription insurance corndog

Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability,

How Do I Make the Most of My Medicare Benefits?

Posted on by Matt McColm
Medicare plan 65 Wenatchee Advantage medicare benifits

Hey Chelan County, It’s Suzie with Wenatchee Insurance. Today, we’re here to help you milk every drop of goodness out of your Medicare benefits – think of it as getting all the toppings on your sundae, without any extra charge!

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Step 1: Embrace the Freebies (Preventive Services)

Medicare loves giving out freebies. Take advantage of preventive services like:

  • Annual Wellness Visits: Like a yearly tune-up for your car, but a lot less grease.
  • Screenings: For things like diabetes, heart disease, and certain cancers – think of it as an annual “What’s going on in there?” check.
  • Vaccinations: Stay flu-free and fabulous with covered vaccines.

Example Time!

Bob never misses his annual wellness visit. His doctor keeps him in tip-top shape, and Bob feels like he’s just had a makeover on a reality TV show.

Step 2: Manage Your Meds (Pharmacy Hacks)

Your Part D plan is your ticket to affordable meds, but let’s make sure you’re really saving:

  • Check the formulary: It’s like reading the menu before you order – know what’s covered.
  • Use preferred pharmacies: Some pharmacies are like that one pizza place that always has a deal.
  • Go generic: Just as tasty, but a lot cheaper – like getting the store-brand cereal.

Example Time!

Sally May loves a good bargain. By sticking to her plan’s preferred pharmacies and opting for generic meds, she saves enough each month to treat herself to something nice – like a day at the beauty salon.

Step 3: Use Extra Benefits (Hidden Gems)

If you have a Medicare Advantage plan, don’t ignore those extra benefits:

  • Vision, dental, and hearing: Routine exams, glasses, hearing aids – it’s like getting free sprinkles on your sundae.
  • Fitness programs: Many plans include gym memberships.
  • Telehealth services: See your doctor without leaving your couch – perfect for pajama days.
health or medicare enrollment suzie makes it easier for medicare benefits

Example Time!

Steve stays active with her plan’s including gym membership. He’s a regular at the gym, where he’s known as “The Silver Swole.”

Step 4: Know Your Out-of-Pocket Costs (Avoid Surprise Bills)

Keep an eye on your out-of-pocket costs. This includes:

  • Deductibles: The upfront cost before your plan kicks in – like the cover charge at a club.
  • Copayments/Coinsurance: Your share of the cost – think of it as splitting the dinner bill on a night out.
  • Out-of-pocket maximum: The most you’ll pay in a year before your plan picks up everything else–the save your farm number.

Example Time!

Tom keeps track of his medical expenses like a hawk. By understanding his plan’s costs, he avoids those “What the heck?!” moments when the bill arrives.

Wenatchee Insurance: Suzie is your Medicare Wingman

At Wenatchee Insurance, we’re here to help you get the most out of your Medicare benefits. Think of us as your trusty sidekick, always ready with the right advice and a corny joke.

Final Thoughts

Maximizing your Medicare benefits is like finding hidden treasures. By embracing the freebies, managing your meds, using extra benefits, and understanding your costs, you’ll make the most out of your coverage and keep your wallet happy.

Remember, dear readers, getting the most from your Medicare benefits doesn’t have to be a scavenger hunt. With Wenatchee Insurance by your side, you’ll be the Indiana Jones of healthcare savings world. Stay tuned for more insights, tips, and plenty of laughs!

talk with Suzie

Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability,

Health Insurance Medicare Advantage Wenatchee Suzie

Covering Dental Insurance and Vision Coverage with Wenatchee Insurance

Posted on by Matt McColm
dental insurance is important

Hey there, savvy insurance seekers in North Central Washington! Today, let’s zoom in on something that’s not just about covering your health but also about your sparkling smile and eagle-eyed vision— dental insurance and vision! 🦷👀

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So, why should you care about dental insurance and vision coverage? Well, picture this: you’re chomping down on your favorite Granny Smith apple (because who doesn’t love those?) and suddenly—CRACK! A dental emergency strikes. Now, without the right coverage, that apple might turn into an expensive dental disaster! That’s where Suzie at Wenatchee Insurance swoops in like a dental superhero, offering plans that protect your pearly whites without breaking the bank.

While a majority of dental plans have waiting periods for major services. We do have a couple that can start the following month with items such as root canals and other big ticket items. If you have something going on or a favorite dentist then we need to know to get you the coverages that you need.

If you are in our office in Wenatchee, you can ask about his graveyard shift at Treetop, a leatherman file and a broken tooth. It was his tipping point to stop being silly and get dental insurance.

But wait, there’s more! Ever lost your glasses right before an important presentation? Or needed new contact lenses pronto because you mistook your dog for your boss? 🐶👓 Don’t worry; Wenatchee Insurance has your back (or should we say your eyes?) with vision plans that keep you seeing clearly, even when your dog looks suspiciously like your boss!

So, whether you’re a teeth-whitening enthusiast or someone who just wants to avoid confusing their pets with their colleagues, check out Wenatchee Insurance for dental and vision coverage that’ll have you smiling and squint-free in no time!

At Wenatchee Insurance, we have several different companies offering dental options. In Central Washington, we have very limited vision coverage so we have conversations with clients.

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Topics: Dental, Vision, VSP, Delta Dental, Wenatchee Insurance, Suzie, Enrollment, Glasses, Contacts, Chelan County, Okanogan, Grant County, Douglas County, Leavenworth

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How Do Medicare Supplement (Medigap) Plans Work?

Posted on by Matt McColm
Medicare Advantage or Medigap Suzie has you covered

Hey North Central Washington, it’s Suzie with Wenatchee Insurance. Today, we are talkin’ about  Medicare Supplement Insurance, or Medigap. Think of Medigap as the baked potato to your Medicare steak, helping cover the costs that Original Medicare doesn’t.

Suzie Appointment

What is Medigap?

Medigap plans are sold by private insurance companies and are designed to fill the “gaps” in Original Medicare. These gaps include out-of-pocket costs like copayments, coinsurance, and deductibles.

Example!

Meet Barney, who’s enjoying his retirement but worried about potential healthcare costs. He decides to get a Medigap plan to cover expenses that Original Medicare doesn’t. Now, Barney can focus on detailing his Corvette instead of medical bills.

Standardized Medigap Plans: One Size Fits Most

Medigap plans are standardized, meaning each plan offers the same basic benefits regardless of the insurance company. There are ten standardized plans (Plan A, B, C, D, F, G, K, L, M, and N), each offering a different level of coverage.

Standardized plans allow a client to shop based on price in the middle of the year.

Example!

Imagine Joan, who travels frequently. She chooses Medigap Plan G because it covers emergency care when traveling outside the U.S., giving her peace of mind on her adventures.

What’s Covered?

Medigap plans help cover costs like:

  • Part A coinsurance and hospital costs
  • Part B coinsurance or copayments
  • First three pints of blood
  • Part A hospice care coinsurance or copayments
  • Skilled nursing facility care coinsurance
  • Part A and B deductibles (depending on the plan)
  • Foreign travel emergency care

Example Time!

Consider Bob, who needs regular blood transfusions. His Medigap plan covers the cost of the first three pints of blood each year, saving him from unexpected expenses.

How to Enroll?

To enroll in a Medigap plan, you must already have Medicare Part A and Part B. The best time to buy a Medigap policy is during your Medigap Open Enrollment Period, which lasts for six months and starts the month you turn 65 and are enrolled in Part B. During this period, you can buy any Medigap policy sold in your state, regardless of your health status.

Protip: We have a lot of members who review their Medigap plan and switch in early summer to reduce inflation.

Example!

Imagine Sally, who just turned 65 and enrolled in Medicare Part B. She takes advantage of her Medigap Open Enrollment Period to get a policy without worrying about being denied coverage due to her pre-existing conditions. The Guarantee Issue is a game changer for people who have struggled with co-payments for under 65 healthcare.

Suzie @ Wenatchee Insurance

We’re here to help you navigate the world of Medigap with ease. Our knowledgeable agents can explain the different plans, help you compare options, and ensure you choose the coverage that best fits your needs.

Remember, understanding Medigap doesn’t have to be a daunting task. With Suzie helping out, you’ll find the perfect potato for your Medicare steak in no time.

Stay tuned for more tips, tricks, and helpful advice from Suzie!

Suzie appointment

Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability,

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What Are the Differences Between Medicare and Medicaid?

Posted on by Matt McColm
Medicare or Medicaid a conversation about the differences

Hey, it’s Wenatchee Insurance! We are answering a classic question today, what are the differences between Medicare and Medicaid. We are going to use a Golden example:

It’s 2024, you’re sitting with Blanche, Dorothy, Rose, and Sophia in Miami, and you’re scratching your head over the differences between Medicare and Medicaid. Sit tight and grab a cheesecake because we’re about to unravel this mystery Golden Girls style!

Medicare: The Senior Superstar

Dorothy: “Alright, let’s start with Medicare. It’s like Stan – it’s been around forever. Medicare is a federal program mainly for folks aged 65 and older. It also covers younger individuals with certain disabilities and those with End-Stage Renal Disease (ESRD). Think of Medicare as the golden ticket for our seasoned citizens.”

Medicaid: The Need-Based Nurturer

Blanche: “Oh honey, Medicaid is a whole different ball game. It’s a joint federal and state program that helps people with limited income and resources. It’s like that nice gentleman who insists on paying for your drinks at the Rusty Anchor – it’s there to lend a hand when you need it most.”

Who Qualifies?

Medicare:

Rose: “If you’re 65 or older and worked your credits, congratulations, you qualify! But even if you’re younger and have disabilities or ESRD, you’re still in the club.”

Medicaid:

Sophia: “Eligibility for Medicaid is trickier than finding a good cannoli in Miami. It depends on your income, family size, and sometimes disability or other factors. Each state has its own rules – it’s like trying to follow Rose’s stories about St. Olaf.”

Example Time!

Dorothy: “Meet George, a 68-year-old retiree. He’s eligible for Medicare because he’s over 65. Now, consider Anna, a single mother with a low income. She qualifies for Medicaid to help cover her children’s medical expenses. Simple as pie, right?”

health or medicare enrollment suzie makes it easier

What Do They Cover?

Medicare:

Blanche: “Medicare’s got you covered for hospital stays (Part A), doctor visits and outpatient care (Part B), Medicare Advantage (Part C), and prescription drugs (Part D). It’s like having a fabulous wardrobe – everything you need, you just have to mix and match beforehand .”

Medicaid:

Rose: “Medicaid covers a broader range of services, including hospital and doctor visits, long-term care, and sometimes even dental and vision care. It’s like the St. Olaf Cheese Festival – there’s something for everyone!”

Example Time!

Sophia: “Imagine Sue, who has both Medicare and Medicaid (dual eligibility). Medicare covers her hospital and medical expenses, while Medicaid helps with additional costs like long-term care and some out-of-pocket expenses. Sue’s got the best of both worlds – like having cheesecake for dinner and dessert!”

How Are They Funded?

Medicare:

Dorothy: “Medicare is funded by payroll taxes, premiums, and general revenue. It’s as straightforward as Blanche’s love life – always funded by someone.”

Medicaid:

Sophia: “Medicaid, on the other hand, is jointly funded by the federal government and the states. The feds match state spending, with the match rate varying by state. It’s like a family potluck – everyone brings something to the table.”

Example Time!

Rose: “Think of Medicare as a national program with uniform rules. Medicaid is more like St. Olaf’s festivals – each state adds its own unique twist to the overall picture.”

Wenatchee Insurance: Your Dual Eligibility Expert

Blanche: “Navigating the differences between Medicare and Medicaid can feel like one of Rose’s long stories. But don’t worry, darling, Suzie at Wenatchee Insurance is here to guide you through every twist and turn.”

Dorothy: “Our knowledgeable agents can help you understand which program you qualify for and how to make the most of your benefits. Remember, understanding Medicare and Medicaid doesn’t have to be a puzzle.”

Sophia: “With Wenatchee Insurance by your side, you’ll find your way in no time. So stay tuned for more insights, tips, and helpful advice. And always remember – thank you for being a friend!”

calling suzie for medicare or health insurance help

Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability, Dual Eligible, Dual SNP,

How Do I Choose the Right Medicare Plan for Me?

Posted on by Matt McColm
Medicare plan 65 Wenatchee Advantage

Hey it’s Suzie with Wenatchee Insurance coming in from 413 Mission Street! Today, we’re tackling the question that’s as tricky as choosing the right toppings for your pizza: “How do I choose the right Medicare plan for me?” Like finding the perfect slice, selecting the right Medicare plan requires a bit of thought, a touch of flair, and maybe a dash or two of pepperoni.

appointment with Suzie

Step 1: Know Your Cravings (er, Needs)

First up, you need to understand your healthcare cravings – I mean, needs. Ask yourself:

  • How often do I visit the doctor? Does your doctor’s office know your cat’s favorite toy, or do you just drop by for an annual tune-up like a leaf in the wind?
  • What meds am I taking? Is your nightstand a mini-pharmacy, or do you have a couple of trusty prescriptions?
  • Who are my favorite healthcare providers? Do you have a doc you’d follow to the ends of the earth (or at least across town)?

Example Time!

Take Rita. She’s got more doctor appointments than a socialite has lunch dates and takes a medicine cabinet’s worth of prescriptions. She needs a plan that covers all her meds and keeps her favorite doctors in-network. Rita’s Medicare plan hunt is like finding the perfect pair of shoes: practical, stylish, and something you can walk miles in.

Step 2: Check Out the Menu (Plan Options)

Here’s the Medicare menu:

  1. Original Medicare (Parts A & B): The classic. Like a good cheese pizza, it’s dependable and straightforward.
  2. Medicare Advantage (Part C): The supreme combo. These plans, offered by private companies, bundle Parts A, B, and usually Part D, plus extra toppings like vision, dental, and gym memberships.
  3. Medicare Part D: Standalone prescription drug plans. It’s like adding a side of garlic knots.
  4. Medigap (Medicare Supplement): These plans cover costs that Original Medicare doesn’t. Think of it as the Ranch dipping sauce for your crust.

Example Time!

Picture John. He’s a minimalist at heart. Original Medicare with a side of Medigap is his go-to. No frills, just solid coverage that gets the job done, like a perfectly baked Margherita pizza.

Step 3: Compare the Costs (Count the Dough)

Don’t get caught with an empty wallet. Here’s what to look at:

  • Premiums: Your monthly fee – like your subscription to that pizza-of-the-month club.
  • Deductibles: The amount you pay before coverage kicks in. Consider it your ante at the poker table.
  • Copayments/Coinsurance: Your share of the bill – like splitting the tab on pizza night.
  • Out-of-pocket maximums: The most you’ll pay in a year before insurance takes over. Think of it as your “all-you-can-eat” cap.

Example Time!

Meet Mary. She’s on a tight budget but loves a good value. She compares plans to find one with low premiums and reasonable out-of-pocket costs, ensuring she doesn’t end up eating ramen instead of pizza.

We love our senior insurance customers
Why be boring, life is short.

Step 4: Star Ratings (Yelp for Medicare)

Medicare plans come with star ratings (1 to 5 stars). Think of it as checking Yelp reviews before trying a new pizza joint.

Example Time!

Tom wants the best of the best. He checks out the 5-star Medicare Advantage plans, ensuring he’s getting top-notch service, like dining at a five-star pizzeria.

Get Expert Help (Call the Pizza Hotline)

Feeling overwhelmed? Don’t worry! Wenatchee Insurance agents are like your personal pizza hotline. We’ll help you compare plans, answer your questions, and find the perfect Medicare pie for you.

Example Time!

Jane was lost in the sauce until she called Wenatchee Insurance. With expert guidance, she found a plan that fit her health needs and budget, like a pizza made just for her.

Final Thoughts

Choosing the right Medicare plan is like finding your favorite pizza: once you get the right combo, it’s pure bliss. With Wenatchee Insurance by your side, you’ll be enjoying your perfect Medicare slice in no time. Stay tuned for more insights, tips, and plenty of cheesy puns!

appointment with Suzie

Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability,

Insurance Bundle

What does Medicare Cost?

Posted on by Matt McColm
medicare does cost even medicare advantage

Hey North Central Washington, from Wenatchee Insurance on Mission street! Today, we’re diving into the nuts and bolts of Medicare cost. Understanding these costs will help you make the best decisions for your bank account and health.

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Breaking Down the Medicare Costs

Medicare isn’t free, but understanding its costs is as easy as pie (or at least as easy as a slice). (When Medicare first came out in 1966, the annual deductible for Part A was $40, and the monthly premium for Part B was $3.) There are programs for low income however that is another post. Here’s the breakdown:

Medicare Part A: Hospital Insurance

  • Premium: Most people don’t pay a premium for Part A if they’ve worked and paid Medicare taxes for at least 10 years (40 quarters). If you haven’t, you might pay up to $506 per month.
  • Deductible: In 2024, the deductible for each benefit period is $1,600.
  • Coinsurance: After the deductible, you pay coinsurance for hospital stays:
    • Days 1-60: $0 per day
    • Days 61-90: $400 per day
    • Days 91 and beyond: $800 per “lifetime reserve day” (up to 60 days over your lifetime)

Medicare cost example!

Meet Sam, who’s 65 and newly retired. Since he worked for over 30 years, he doesn’t pay a Part A premium. After a brief hospital stay, he’s grateful his deductible and coinsurance costs are manageable.

Medicare Part B: Medical Insurance

  • Premium: The standard premium for Part B in 2024 is $164.90 per month, but it can be higher based on your income (IRMAA).
  • Deductible: The annual deductible is $233.
  • Coinsurance: After meeting the deductible, you typically pay 20% of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment.

Note: The Income-Related Monthly Adjustment Amount (IRMAA) is based on the tax return of the previous two years.

Medicare cost example!

Consider Lucy, who loves her yearly wellness visits. She pays her monthly Part B premium and a small deductible, but thanks to Medicare, her out-of-pocket costs for doctor visits and preventive care are minimal.

Part C: Medicare Advantage

Medicare Advantage Plans vary in cost, depending on the plan and provider. Some plans have low or even $0 premiums but may have different deductibles, copayments, and out-of-pocket maximums. These plans vary from company to company and can even be different by zip codes in the same state. We recommend having a trained person walk you through these plans.

Medicare cost example!

Picture John, who chooses a Medicare Advantage Plan with a $50 monthly premium but no additional deductible. His plan includes vision and dental coverage, making it a sweet deal for his needs.

Part D: Prescription Drug Coverage

  • Premium: Varies by plan, with an average of around $33 per month.
  • Deductible: Some plans have a deductible, which can be up to $480.
  • Copayments/Coinsurance: Costs vary based on the medication tier and whether you use a preferred pharmacy.

Note if you do not sign up for Part D or have credibly prescription coverage then you can have a penalty from Medicare.

Wenatchee Insurance: Your Budget Buddy

At Wenatchee Insurance, we understand that navigating Medicare costs can feel like assembling a financial jigsaw puzzle. But don’t worry – we’re here to help you piece it all together. Suzie at Wenatchee Insurance can provide personalized guidance and ensure you understand all the costs involved.

Remember, folks, planning for Medicare doesn’t have to be a budget-busting headache.

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Health & Medicare

For nearly a decade we have assisted with Health & Medicare Solutions. We are proud to be selected by the Washington Healthplanfinder to be one of ten Enrollment Centers located in Washington State.

We work with all ages and charge no fees.

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