Contact Senior Health Shop Today at (833) 278-0330 or click the button below!

Thank you for considering Senior Health Shop to assist you with Medicare plans.

The Medicare Market

You get to choose how you spend your Medicare money. So make it a wise choice.

Medicare Supplements

Medicare Supplement Insurance plans are offered to those enrolled in Medicare Parts A and B. These plans cover the 20% of Medicare-covered expenses that the individual is on the hook for after Medicare pays its 80%. They provide more freedom to choose doctors and hospitals and see specialists without referrals. Medicare supplement insurance plans also offer nationwide coverage, and some cover international travel.

Medicare Advantage Plan Types

  • Health Maintenance Organization (HMO) plans enable members to receive care through a network of contracted local doctors and hospitals that coordinate their care. Out-of-pocket costs may be lower for these plans than for other plans. Some plans do not require referrals for specialty care.
  • Point-of-Service (POS) plans include all the features of HMO plans plus the ability to go outside the contracted network for certain health care services, typically at a higher cost. Some POS plans offer open access to providers with no referrals needed.
  • Preferred Provider Organization (PPO) plans give members access to a network of contracted local doctors and hospitals, but also allow them the flexibility to seek covered services from physicians or hospitals outside of the contracted network, usually at a higher cost. Members do not need a referral for specialty care.
  • Private Fee-for-Service (PFFS) plans give members the freedom to receive care from any Medicare-approved provider who agrees to accept the plan’s terms and conditions of payment. Referrals are not needed for specialty care.
  • Medicare Advantage Special Needs plans provide health care coverage for people with a qualifying chronic condition, those who reside in a contracted skilled nursing or assisted living facility or those who qualify for both Medicare and Medicaid (also referred to as “dual eligible”).

Medicare Part D

Medicare Part D plans are available in all 50 states and the five U.S. territories. These plans provide a way to add drug coverage to Original Medicare or Medicare supplement insurance coverage.

Medicaid

Medicaid eligibility for individuals 65 and older or who have blindness or a disability is generally determined using the income methodologies of the supplemental security income (SSI) program administered by the Social Security Administration (some states, known as 209(b) states, use certain more restrictive eligibility criteria than SSI’s, but still largely apply SSI’s methodologies). Eligibility for the Medicare Savings Programs, through which Medicaid pays Medicare premiums, deductibles and/or coinsurance costs for beneficiaries eligible for both programs (often referred to as dual eligibles) is determined using SSI methodologies.

Medicare & You Guidebook

If you don't already have a current copy of the "Medicare and You Guidebook" released annually by the Centers for Medicare & Medicaid Services, you can download one here. This guidebook is your key to understanding Medicare.

Medicare & You Guidebook

If you don't already have a current copy of the "Medicare and You Guidebook" released annually by the Centers for Medicare & Medicaid Services, you can download one here. This guidebook is your key to understanding Medicare.

Outline of Coverage Charts: Plans F, G, and N

Contact Senior Health Shop Today at (833) 278-0330 or click the button below!

Thank you for considering Senior Health Shop to assist you with Medicare plans.

Contact Us

833-278-0330

2041 E. Square Lake Rd., Suite 100 • Troy, MI 48085

About Us

The Senior Health Shop specializes in Medicare Supplements and other health insurance solutions for America’s Seniors. We value the generations that helped build our great country, and we make our living helping America’s Seniors understand Medicare, what it pays, what it doesn’t, and filling those gaps.

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