Delaware is home to over 200,000 Medicare beneficiaries. Delaware Medicare plans offer residents the same great coverage that supplements do in nearly every other state. You can choose from 10 standardized plans as of 2019. The coverage works alongside your Original Medicare coverage and leaves you with little to no out of pocket cost.
Delaware Medicare Supplements
One great feature of all Medicare supplements is that you can see any doctor that accepts Medicare. You are not limited to any networks. No matter which company you choose, you can see any doctor that participates in Medicare. Considering that Medicare has hundreds of thousands of providers, you will have great choices for your medical care.
People who enroll in Delaware Medicare supplements can set up a Part D drug plan as well to cover medication needs. This is a standalone pharmacy card that you present to your pharmacist. Part D coverage gives you access to medications at a copay rate instead of at full price.
There are a number of great insurance companies offering plans in Delaware, including Aetna, American Retirement Life (Cigna), and Omaha Insurance Company. We represent 25+ insurance carriers so we can review plans from each of them in your area to find the most cost-effective one.
Medicare Under 65 in Delaware
Senate Bill 42 requires that insurance carriers in Delaware who offer Medicare supplements to people age 65 and older, must also offer the same policies to people under 65. However, premiums for people under 65 are often much higher than for people age 65 and older.
This is because people under 65 have health conditions that qualified them for Medicare. This often causes higher loss ratios for the carrier, and they must raise rates to stay ahead. If you find that Medicare supplements are out of your budget, then a Medicare Advantage plan might be a better fit.
Medicare Advantage Plans in Delaware
Some people prefer to get their insurance through a Part C Medicare Advantage plan. Medicare Advantage plans in Delaware are private plans that provide you the same benefits as Original Medicare. These plans have smaller networks, but often also have lower premiums.
With any Medicare Advantage plan, you must still pay your Medicare Part B premium, but often Part D is included. You will pay copays for various medical services. Each plan has its own network, drug formulary, and Summary of Benefits that you can review before enrolling. Be sure to check with your doctors to find out if they are in the network.
Note that you also pay your Part B premium with Medigap plans.
When you join a Medicare Advantage plan, you are enrolling for the rest of the calendar year. You cannot leave the plan until the Annual Election Period in the fall unless there is a special circumstance. Any changes made during the Annual Election Period don’t take effect until January 1st.
Prescription Assistant in Delaware
The Delaware Prescription Assistance Program provides up to $3000 annually to assist low-income people with drug costs. Eligible persons will have a small copay and must enroll in Part D to take advantage of the program.
You can purchase a Part D drug plans from a wide variety of carriers. We recommend you use the Medicare Plan Finder Tool to see which one will be the most cost effective for you. However, if you have your Medigap plan through us, we can evaluate Part D plans for you to make sure you find the most cost-effective one, even if that plan isn’t through us.
Common Questions About Delaware Medicare:
These questions are some of our most frequently asked questions about Medicare Supplements in Delaware.
Yes. Medigap plans can be used anywhere in the country at any doctor’s office or hospital that accepts Original Medicare. Unlike Medicare Advantage plans that limit you to a network, Medigap plans travel with you.
The “best” Medicare Supplement plan for you will depend on several factors such as cost, medical usage, and more. You should focus on finding the most cost-effective plan. Here at Boomer Benefits we compare 30+ carriers, find the top 3-5 most cost-effective premiums, then narrow the list down by comparing average rate increases and financial ratings.
There are several big differences between Medicare Supplements and Medicare Advantage plans. For instance, the network, the premiums, the application process, and the coverage are all examples of things that differentiate the two.
Get Someone on Your Side with Medicare
When you are new to Medicare, all the choices can sometimes overwhelm you. Here at Boomer Benefits, we take time to educate our clients on how each type of plan works. We’ll help you find one that fits you best and works with your budget.
To investigate your options, give us a call here at 1-855-732-9055.