Medicare Coverage
Worry-free Medicare insurance coverage
Medicare Insurance Options
Medicare coverage can be overwhelming, especially with so many Advantage and Supplement plan options—and long-term care insurance choices—to consider. At The Resource Center, our specialists help individuals and families in greater Springfield, MO navigate it all, clearly explaining Medicare and long-term care coverage and guiding you in finding a plan that fit your financial and care comfort zone. We’re dedicated to making Medicare and long-term care insurance less confusing and helping you select the right plan at the right price.
Long-Term Care
As our longevity increases, planning for the future need of long-term care is a necessity. It’s important to know all your options before you will need them, especially when it comes to paying for the cost of long-term care. It’s important to note that most long-term care expenses are not covered by Social Security or Medicare, Medicare Supplement (“Medigap”), or private health insurance. The Resource Center professionals will help you create a long-term care planning strategy to help address rising health care costs and analyze options for a long-term care plan.
Medicare Health Plans
Medicare is a federal health insurance program for people aged 65 and older, people of any age with permanent kidney failure, and certain disabled people under age 65. While Medicare has great benefits and improves the lives of millions of people, it can be very confusing to navigate the enrollment process and all of your coverage options. Medicare has more to offer than most people realize. The Resource Center will ensure you are aware of all of the options Medicare, Medicare Supplement plans, and Medicare Advantage plans have to offer.
Many private insurance companies sell Medicare Supplemental Insurance Policies (‘Medigap’ or ‘Medicare SELECT’) to help fill the coverage gaps in the Original Medicare Plan. ‘Medigap’ (also known as ‘Medicare Plan F’) and Medicare Plan G are among the most comprehensive supplemental plans to choose from. If you remain in the Original Medicare Plan, you may want to consider buying one of these 10 standard supplemental policies for extra benefits. These policies help pay Medicare’s coinsurance amounts and deductibles and other out-of-pocket costs for health care. We have access to these plans to help ensure you get the coverage that you need.
Another option to supplement Medicare is an Advantage Plan within Medicare Part C. With this type of plan, Medicare pays a fixed amount to companies each month in order to provide your care. These companies must follow a set of rules from Medicare, but out-of-pocket costs can vary. At The Resource Center, we will take a look at your needs and help you determine if an Advantage Plan will be a good fit.
In addition to the plans explained above, you may have other Medicare coverage plans available to you. To be eligible for these other health plan choices, you must:
- Have both Part A (hospital insurance) and Part B (medical insurance)
- Continue to pay the monthly Part B premium
- Live in the plan’s service area (the counties in which the plan is offered)
- Not have permanent kidney failure (End-Stage Renal Disease)
Ask our professionals whether the following plans may be options for you:
- Medicare Managed Care Plans
- Private Fee-for-Service Plans
- Medicare Medical Savings Account (MSA) Plans
- Religious Fraternal Benefit Plans
How could my income affect my monthly Medicare premiums?
Do I need to sign up for Medicare Part A and B if I’m still working?
How can private insurance help me with the costs of Medicare?
How do I avoid the coverage gap with Medicare Part D prescription drug plans?
Medicaid Consulting
Applying for Medicaid is a lengthy process. We can help you determine your Medicaid elibility and walk you through the Medicaid application.
FAQs
How could my income affect my monthly Medicare premiums?
Your Medicare Part B and Part D premiums can increase if your income is above a certain threshold, through what’s called an Income-Related Monthly Adjustment Amount (IRMAA). This is based on your tax return from two years prior, so a high-income year can affect your premiums later. Our specialists can help you understand how your income bracket may impact your costs.
Do I need to sign up for Medicare Part A and B if I'm still working?
It depends on the size of your employer and whether you have creditable coverage through your job. If you work for a large employer, you may be able to delay Part B without penalty. If you’re unsure, it’s worth reviewing your situation with us before your Initial Enrollment Period ends to avoid late enrollment penalties.
How can private insurance work alongside Medicare?
Private insurance, such as a Medicare Supplement (Medigap) plan, can help cover costs that Original Medicare doesn’t, like deductibles, co-pays, and coinsurance. Medicare Advantage plans are a different route, replacing Original Medicare with a private plan that often includes extra benefits. We’ll help you compare both paths based on your health needs and budget.
Does Medicare cover long-term care?
No. Most long-term care expenses are not covered by Medicare, Medicare Supplement plans, or private health insurance. Long-term care requires its own planning strategy, which is why we help clients build one before the need arises.
When should I start planning for long-term care costs?
As early as possible. Long-term care needs often arise later in life, but planning ahead while you’re still healthy and have more options gives you greater flexibility and typically lower costs than waiting until care is needed.
What's the difference between Medicare Supplement and Medicare Advantage plans?
Medicare Supplement plans work alongside Original Medicare to help cover out-of-pocket costs. Medicare Advantage plans replace Original Medicare with a private plan, often bundling in prescription drug coverage and extra benefits like dental or vision. The right choice depends on your health needs, providers, and budget.
Why work with The Resource Center instead of enrolling on my own?
Medicare has more options than most people realize, and choosing the wrong plan can be costly. Our specialists walk you through every option so you understand the trade-offs and land on a plan that fits your care needs and financial comfort zone.
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