Frequently Asked Questions About Oregon Medicare Supplement Insurance and Oregon Medicare Advantage Plans

Medicare is a single-payer, national insurance program administered by the US federal government since 1966. Medicare is health insurance for people age 65 years and older; people younger than 65 receiving Social Security Disability Insurance (SSDI) income for more than 24 months; and people with end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS).

Medicare consists of two parts:

1. Medicare Part A (Hospital Insurance) covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
2. Medicare Part B (Medical Insurance) covers certain doctors’ services, outpatient care, medical supplies, and preventive services.

Medicare Part D offers prescription drug insurance to all Medicare beneficiaries, regardless of income or health. Medicare Part D plans cover generic and brand name prescription drugs.

Private insurance companies contracted with Medicare offer the plans, which may require monthly premiums, co-pays, co-insurance, and deductibles.

Part D coverage is available through standalone Prescription Drug Plans (PDPs) that cover only drugs, as well as from Medicare Advantage with Prescription Drug (MAPD) plans that combine health and drug coverage.

If you want prescription drug coverage, you must take an action to enroll in a plan. We can help you with that.

Medicare only pays about 80% of your medical and health care costs. The remaining 20% is up to you. People want and need to have additional health insurance to pay for their health care. We can help you determine which is a better choice for you: A Medicare Supplement Plan or a Medicare Advantage Plan; a stand-alone Part D, or combined Medicare Advantage Part D (MAPD).

No. The Affordable Care Marketplace website is for individuals, families, and employees of small businesses to get health coverage through either private insurance companies, or the Oregon Health Plan.

Contact us today to set up a time to talk about your needs. We represent a number of different insurance companies and plans. We work for you – not the insurance companies. We can help you decide for yourself what is best for you and your family. Everyone is different. We have the options and expertise to help you make a wise decision.

Our services cost you nothing. The various insurance companies we represent pay us a commission. Our time and work with you is at no cost to you!