We help make Medicare easier.
Our independent agents understand the ins and outs of Medicare. It’s our business to comprehend this system with its caveats, exemptions, and exceptions. We will meet with you, listen to your needs, explain your options, and find the best way for you to get the coverage you need. With our help, you won’t be surprised by the lack of coverage or exorbitant out-of-pocket expenses.
Attend one of our FREE Medicare information meetings near you or find an agent to get started today!
STEP 1
Enroll in Original Medicare
Medicare Part A
HOSPITAL
Inpatient Hospital Care
Days 1-60: 1,632 Deductible
Days 61-90: $408.00/Day
Days 91-150: $816.00/Day
Days 150+: All Costs
Skilled Nursing
Days 1-20: $0.00
Days 21-100: $204.00/Day
Days 101+: All Costs
Home Health Care
$0 copay 40 visits
Hospice Care
$0 copay
First 3 Pints of Blood
$300 per pint
$0 Premium
As long as you or your spouse has 40 quarters of Social Security
Medicare Part B
MEDICAL
Doctors, Outpatient surgery, Ambulance, Lab services, Durable Medical Equipment, Outpatient Therapy, Part B Drugs, Mental Health, Preventive Care
Part B Premium
$174.70
Part B Deductible
$240.00
Co-Insurance 20% - No Stop Loss
Medicare Discount
STEP 2
Decide if you need additional coverage
After you have enrolled in Original Medicare (Parts A and B), if you decide you would like additional coverage you have two ways to get it. It is important to understand that with both options below you still have Original Medicare and must continue to pay your Part B premium.
Option 1
Add one or both of the following to Original Medicare
Medicare Supplement Plan
Offered by private companies
Covers Part B Coinsurance
Covers First Three Pints of Blood
Inpatient Mental Health Coverage
175 days per lifetime in addition to Medicare
Home Health Care
40 visits in addition to Medicare
Medicare Part D Plan
Offered by private companies
24 Plans Available in Wisconsin
Average Part D Premium is $55.50
Lowest premium is $0
Highest premium is $133.30
Penalty if not taken
1% penalty per month
Medicare Supplement Insurance
Just as Medicare is really complicated, Medicare Supplement Insurance plans are too. Because Medicare coverage is not complete, the vast majority of people (86%) choose to buy some form of additional coverage. Medicare Supplemental insurance policies, or “Medigap” plans, come in different varieties. In most states, the standardized plans are labeled by letters: A, B, C, D, F, G, K, L, M, and N (plans E, H, I, and J are no longer offered.) However in a few states (Wisconsin, Minnesota, and Massachusetts) they are handled differently. These plans are standardized; that means that all the coverage options are the same no matter which company administers the policy. Discrepancies arise in which option you choose, how much you pay, and who administers the plan.
Experts in Wisconsin Medicare Medigap Insurance Policies
ePlatinumHealth has decades of experience working with the particular Medicare Supplement, or “Medigap,” policies available in Wisconsin. We can help you understand the Basic Plan and help you determine what riders you need. Riders can cover Part A & Part B deductibles, and Part B excess charges, for instance. Wisconsin Medigap plans can also help with Original Medicare costs on a 25% or 50% cost-sharing basis.
Have one of our independent agents sit down with you and figure out which Wisconsin Medigap plan works best for your needs.
Customizing Your Medicare Supplement Insurance and Your Budget
It’s important to understand the different options open to you and think through the potential pros and cons of each. Just because a particular plan has low premiums does not necessarily mean it is the best choice. We spend time with you talking about what your present health and financial situation are, and what you can reasonably expect in both areas. It is our goal to “arm you with information” so you have the knowledge and are confident in the decision you make.
Neither ePlatinumHealth nor its agents are connected with the Federal Medicare Program.
Medicare Prescription Drug Plans
The high cost of prescription drugs is not news for many of us. You know how important it is to have your medication, and at ePlatinum Health, we make sure your life-saving drugs aren’t financially threatening. We will look at your current prescription drug plan and help you determine whether it is creditable. That’s the first step to knowing which Medicare Prescription Plan you should have.
Timing Is Essential
The enrollment period for a Medicare Prescription Plan begins three months before your 65th birthday and ends three months after it. If you do not enroll in a Medicare Prescription Plan and do not have creditable prescription drug coverage, you will be subject to an ongoing penalty. That penalty will be added to your monthly Part D premium forever. Let the professionals at ePlatinum Health help you start off right.
Finding the Right Plan
It can be difficult to weigh the costs and benefits of the various options available – you can choose a Medicare Prescription Plan that has all of your drugs on its formulary, that has a low co-pay, that has no restrictions for the medications that you use, or one that even provides mail order pricing. The experts at ePlatinum Health can guide you through the decision-making process so that you have the Medicare Prescription Plan that makes the most sense for you.
Cultivating Long-Term Relationships
At ePlatinum Health, we’re committed to personal, long-term relationship with our clients. One of our professionals will come to your home to discuss your needs and options. Are you likely to find yourself in the “donut hole” in 2017? If you spend around $300 a month for your medicine, you may. Our experts may help you avoid it, or minimize its negative effects.
Optional Riders
Medicare Part A Deductible
OR
Medicare 50% Part A Deductible
Additional Home Healthcare
365 visits in addition to Medicare
Medicare Part B Copayment
Medicare Part B Excess Charges
Foreign Travel Emergency
Option 2
Choose a Medicare Advantage plan
Medicare Advantage Plan
Health Plan Options Approved By Medicare
Still Part Of The Medicare Program But Ran By Private Insurance Companies
Medicare Pays An Amount For Each Member To The Insurance Company
All Plans Have Max Out Of Pocket
Monthly Premium Can Range From:
$0.00 up to $251.00 per month
Still need to pay your Part B Premium
Part D or Additional Benefits
Monthly Premium
Most advantage plans include a drug plan with no additional premium
Some Plans Offer Additional Benefits
Medicare Advantage (Part C)
Medicare Advantage Plans are offered by private insurance companies approved by Medicare. You may choose a Medicare Advantage Plan instead of Original Medicare Part A and Part B. Many Medicare Advantage Plans also include Prescription Drug Coverage; costs may vary between counties. Consult with the professionals at ePlatinum Health to see if a Medicare Advantage Plan is right for you.
More Coverage, Limited Providers
Medicare Advantage Plans cover the same health services as Medicare Parts A and B. Some plans even include added wellness coverage such as annual physicals, vision, hearing, or dental care. Most plans function like Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs). That means that you need to use doctors and other care providers that are designated in your plan; some plans may require referrals or pre-authorizations for certain services. Have one of our agents at ePlatinum Health visit with you to work through your choices.
Out-of-Pocket Spending Cap
Medicare Advantage Plans limit how much you’ll have to pay out-of-pocket over the course of the year. In 2018 no plan can have higher than a $6,700 out-of-pocket maximum, but many plans’ maximums are lower. Unlike Original Medicare, once you reach your plan’s set amount you will pay nothing out-of-pocket for the rest of the year. This feature may be vital for you, and if cost is a concern be sure to mention this to your agent when you meet.
Geography Matters
The cost of a Medicare Advantage Plan changes from county to county. The government determines the benchmark for each one, and companies submit bids that may be higher or lower than that benchmark. If higher, then you pay more; if lower, then the company receives a rebate and provides extra coverage. The experts at ePlatinum Health can help you analyze your best option.
Neither ePlatinumHealth nor its agents are connected with the Federal Medicare Program.
Option 3
Choose Ancillary products
Hospital Indemnity
Pays Cash Benefits For:
Travel to the Hospital or Medical Facility and/or A Hospital Stay
Inpatient Mental Health Services
Observation Unit Monitoring
Emergency Room Services For Injuries
Cancer Policy
$10,000 Reimbursement
For Life Threatening Internal Cancer
Exception
Not Skin Cancer
Confused by your options, or unsure how to get started?
Don’t worry – join us for a FREE New to Medicare meeting!
In an information-only presentation, one of our licensed agents will explain how Medicare works, and the additional insurance options available. You can have your questions answered in a no-pressure, small group environment.