Products and Services | medicaresolutions

Products & Services

At Midwest Insurance Professionals we offer our customers a broad portfolio of products and services to meet many of the financial and insurance needs of our clients during their retirement years. Through our vast network of insurance partners, we can provide advice and solutions for:

Medicare Advantage Plans
Medicare Supplement (Medigap)
Part D Prescription Drug Plans
Long Term Care Insurance
Final Expense Insurance
Senior Health Insurance Products

What We Offer

Medicare Advantage Plans

Medicare Advantage Plans are a type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits. Most Medicare Advantage Plans also offer prescription drug coverage. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan. Your Medicare services aren’t paid for by Original Medicare.

Health Maintenance Organization (HMO) Plans

In HMO Plans, you generally must get your care and services from providers in the plan’s network, except:

Emergency care
Out-of-area urgent care
Out-of-area dialysis

In some plans, you may be able to go out-of-network for certain services. But, it usually costs less if you get your care from a network provider. This is called an HMO with a point-of-service (POS) option.

Preferred Provider Organization (PPO) Plans

Private Fee-for-Service (PFFS) Plans

Special Needs Plans (SNP)

Other

Medicare Part D – Prescription Drug Plans

Each plan that offers prescription drug coverage through Medicare Part D must give at least a standard level of coverage set by Medicare. Plans can vary the list of prescription drugs they cover (called a formulary) and how they place drugs into different “tiers” on their formularies.

List of Covered Prescription Drugs (formulary)

Generic Drugs

Tiers

Home Health Care Plans

Insurance plans, often referred to as short-term home health care coverage, may be available in your area to help cover the costs of deductibles and co-payments for home health care services provided by a Licensed Health Care Practitioner. In many cases, benefits are paid directly to the insured, regardless of any other insurance you many have.

Burial & Final Expense Plans

Burial or cremation and other final expense costs are not covered by Original Medicare or Medicare Advantage Plans. Some private life insurance companies offer coverage for this need. Some plans’ qualifications may include health questions to determine eligibility or premium

Medicare Supplement Insurance Plans

Medicare Supplement Insurance Plans help fill “gaps” in Original Medicare and is sold by private companies. Original Medicare pays for much, but not all, of the cost for covered health care services and supplies. A Medicare Supplement Insurance (Medigap) policy can help pay some of the remaining health care costs, like:

Copayments
Coinsurance
Deductibles

Some Medigap policies also cover services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, here’s what happens:

Medicare will pay its share of the Medicare-approved amount for covered health care costs.
Then, your Medigap policy pays its share.

Hospital Plans

Depending on the state you live in and the insurance carrier some insurance plans may be available to help cover out-of-pocket expenses for hospital care and fill all or some of the gap in most Medicare Advantage Plans. Many hospital plans are indemnity type plans, meaning they pay the insured directly, regardless of other insurance coverage. Health questions may be included to determine eligibility.

Dental, Vision, Hearing Plans

Original Medicare does not cover normal dental, vision or hearing costs. Some Medicare Advantage Plans may offer some coverage to these costs. Insurance and discount plans are available through private insurance companies to help cover these costs. These companies determine what the plans will cover, if there will be a deductible or co-pay, and how much the premiums will be. Some plans may exclude some pre-existing conditions

Cancer, Heart Attack, Stroke Plans

Original Medicare and Medicare Advantage Plans pay part of cancer treatments. Other cancer insurance plans are built to pay a lump-sum benefit to help pay coinsurance and co-payments often accompanying cancer treatments. Plans may also be available in your state to cover advanced screening. Qualification includes pre-existing condition look-backs. Contact us for details of these plans and availability in your state.

Insurance may be available in your state to help cover co-payments and/or coinsurance for on-going doctor, clinic and hospital visits after suffering a heart attack or stroke. Most plans pay a one lump sum benefit regardless of any other insurance benefits.