Troncalli Insurance Solutions

Confused about Medicare? Medicare terminology is confusing, but we can explain it in terms that are easier to understand.

Medigap plans and Medicare supplement insurance plans are the same things, just two different terms.

The cost of a Medigap policy depends on which plan letter you choose and then varies by zip code, age, gender, and to***co use.

Don’t forget that Medigap policies also do not include Part D, so you will purchase your drug plan separately.

“Your passion is waiting for your courage to catch up.”

Quick Tip: Working for an employer with less than 20 employees does not count as having creditable coverage, so you will likely want to sign up for Medicare when you are first eligible to avoid penalties.

Critical Illness Insurance provides benefits when a covered person is diagnosed with an eligible condition like heart attack, stroke, major organ transplant, end stage renal failure or coronary artery bypass surgery.

Medicare Supplement and Advantage plans differ significantly as Supplement plans are secondary plans, and Advantage plans replace your Original Medicare.

Lifetime reserve days are in Original Medicare, these are additional days that Medicare will pay for when you're in a hospital for more than 90 days. You have a total of 60 reserve days that can be used during your lifetime. For each lifetime reserve day, Medicare pays all covered costs except for a daily coinsurance.

Understanding the basics: A “Deductible is the amount you must pay for health care or prescriptions before Original Medicare, your Medicare Advantage Plan, your Medicare drug plan, or your other insurance begins to pay.

Prior Authorization is the approval that you must get from a Medicare drug plan before you fill your prescription in order for the prescription to be covered by your plan. Your Medicare drug plan may require prior authorization for certain drugs.