You have a wide range of Medicare and other senior health insurance options available to you in Westmoreland County. To make shopping easier, use the navigation links below to show specific plan types. If you are looking for more information about your options click here.
To speak with a Medicare adviser, call us toll-free at 877-549-1452 (TTY 411). Our telephone hours are 6AM to 5PM PST, Monday through Friday.
Westmoreland County Medicare Insurance Options
Original Medicare (Part A and Part B) is the only Medicare insurance that's standard in Pennsylvania. All private Medicare insurance is regulated by the federal government, but plan and policy availability is regional (e.g., within all parts of Westmoreland County or throughout the state).
Also, although there are nearly 200,000 primary care doctors (physicians) in America that are authorized to bill Medicare for services provided to their patients, every doctor accepts Medicare payments in a different way. As a result, the combination of health insurance options and doctors who accept them is seemingly endless.
MedicareWire.com seeks to take as much of the guess work out of selecting Medicare health insurance as possible. Our goal is to help you narrow down your plan options before you get on the telephone with a licensed adviser. We know from experience that an educated healthcare consumer is more often satisfied with the care they receive than those who don't do their homework.
Medicare Advantage Insurance in Westmoreland County
If you're concerned that Original Medicare might be too expensive (you pay 20% of all costs), then a Westmoreland County Medicare Advantage plan is the first option you need to explore. It's the private health insurance alternative that replaces your Medicare Part A and Part B benefits with a managed care plan (HMO or PPO), or a private fee-for-service plan (available in limited areas).
There are 4 Medicare Advantage plans with prescription coverage and 0 without prescription coverage (Medicare Part D) in Westmoreland County. Monthly premiums range from $0.00 to $78.00.
Plans are not all the same, and there are several common types, including Private Fee-for-Service (PFFS), Health Maintenance Organization (HMO), and Preferred Provider Organization (PPO). Some areas also offer one or more Medical Savings Account (MSA) plans, but they are rare. HMO and PPO plans are by far the most common.
Zero dollar ($0) plans are available in most areas, but not all. Zero dollar does not mean free, it simply indicates that there's no additional monthly premium to enroll. However, you are still required to pay your monthly Part B premium. This is the case with all Medicare Advantage plans.
The most important benefit offered by Medicare Advantage insurance is the annual cap on your out-of-pocket expenses. The limit, called your Maximum Out-of-Pocket (MOOP) expense, is set each year by the Centers for Medicare and Medicaid Services (CMS). However, CMS allows plans to offer a lower alternative MOOP, so look for it. It's the MOOP that will help you sleep better at night knowing that a trip to the emergency room won't clean out your savings.
About one-third of all seniors on Medicare enroll in a Medicare Advantage plan. You can learn more about this private health insurance option on our Medicare Advantage Frequently Asked Questions page and our Medicare Advantage Coverage page.
Medicare Supplement Insurance in Westmoreland County
The only relief Pennsylvania seniors have from the high cost of medical bills is additional insurance. That's because Original Medicare does not set limits on your annual out-of-pocket expenses. It's a serious risk that you need to consider. If you plan to keep your Original Medicare, the solution is Medicare Supplement insurance (Medigap).
Medigap insurance is available in Pennsylvania in ten standardized letter plans, A, B, C, D, F, G, K, L, M and N. There's also a high deductible version of Plan F. Plan A is the most basic and Plan F offers the most coverage possible.
The most important thing to know about Medigap insurance policies is that if Original Medicare doesn’t cover a healthcare service, a Medigap plan won't cover it or any portion of it either. So, unlike Medicare Advantage plans that can offer extras, like coverage for prescription medications, hearing, vision, dental and more, Medicare Supplements are in lock-step with Original Medicare Parts A and B.
Medicare Prescription Drug Plans in Westmoreland County
One of the most important healthcare benefits needed by most Pennsylvania seniors is prescription medication coverage, and it's not included in Original Medicare. If you want assistance paying for your prescriptions you must enroll in a Medicare Advantage plan that includes it, or join a Medicare Part D plan (PDP).
There are a total of 12 PDPs available to Pennsylvania seniors. Premiums range from $33.30 to $169.00 per month. Also, be aware that some plans have an annual deductible that you must pay at the pharmacy before assistance begins. Some plans have a $0 deductible, but premiums are generally higher.
How-To Find a Medicare Doctor in Westmoreland County, Pennsylvania
We've recently added all Westmoreland County Medicare doctors (primary care physicians for now) to MedicareWire.com. Doctors who treat Medicare patients are listed by city or town. We have school information, years of experience, hospital affiliations and insurances for doctors in Adamsburg, Apollo, Avonmore, Bolivar, Delmont, Derry, Donegal, Export, Greensburg, Harrison City, Herminie, Hunker, Irwin, Jeannette, Latrobe, Ligonier, Monessen, Mount Pleasant, Murrysville, New Alexandria, New Florence, New Kensington, New Stanton, Norvelt, Rillton, Ruffs Dale, Scottdale, Seward, Smithton, Torrance, Trafford, Vandergrift, West Newton, Youngwood, and surrounding areas.
This page was last updated on: 11/12/2014.