By turning 65, you are automatically enrolled in Medicare Part A at no extra cost. Medicare Part B is available to you for about $100 a month for most people. However,Medicare part A and B only cover about 80% of the costs of healthcare in most cases, leaving you to pay the out of pocket expenses. Medigap focuses on those out of pocket expenses left after Original Medicare.
By the numbers
As of 2015, Delaware had over 178,000 Medicare beneficiaries*. Here is some information about Medicare in Delaware*:
Delaware beneficiaries enrolled in Medicare Part A and/or Part B: 163,003
Delaware beneficiaries enrolled in Original Medicare or Medicare Part C: 178,080
Delaware beneficiaries enrolled in a Medicare Advantage plan: 15,077
Delaware beneficiaries with a stand-alone Medicare Prescription Drug Plan: 115,989
Delaware residents enrolled in a Medicare Advantage Prescription Drug plan: 12,163
Medicare Advantage plans and Medicare Prescription Drug Plans are available through private insurance companies that contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Prescription Drug Plan). Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of Medicare plans in a specific service area is subject to change.
Medicare resources in Delaware
Delaware has Medicare resources available for beneficiaries who would like to know more about Medicare or who may need help with their out-of-pocket health-care expenses.
Delaware Medicare Savings Programs: These programs provide assistance with out-of-pocket costs for beneficiaries with an income that is below a limit set by the government each year. This may include help with costs like premiums, deductibles, and copayments. To learn more about eligibility and how to apply, contact the Delaware Medicaid department or visit the Delaware insurance department website.
Delaware State Health Insurance and Assistance Programs (SHIP): The Delaware Medicare Assistance Bureau (DMAB), formerly known as ELDERinfo, is an organization in Delaware that provides free health-insurance counseling for residents with Medicare. The program is sponsored in part by a grant from the Centers for Medicare & Medicaid Services (CMS). To look up the contact information for a DMAB program in your area, visit theDelaware Medicare Assistance Bureau website.
*Source: Statistical data from the Centers for Medicare & Medicaid Services, "On its 50th anniversary, more than 55 million Americans covered by Medicare" as of July 28, 2015.
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