Main Street Financial Partners - What are my Medicare options
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What Are My Medicare Options? Understanding Coverage and Enrollment

Navigating the world of Medicare can feel overwhelming, especially if you’re new to the program or turning 65 soon. With multiple parts and plan types to consider, it’s important to understand how each one fits into your overall healthcare coverage.

At Main Street Financial Partners, we help individuals across the Lehigh Valley, Northampton County, Bucks County, Montgomery County, and Berks County explore their Medicare options, compare coverage, and enroll with confidence.

Understanding the Basics of Medicare Coverage

Medicare is divided into several parts, each serving a different purpose in your healthcare plan. While some individuals are automatically enrolled in Medicare Part A and Part B, others need to sign up manually through Social Security or SSA.gov.

Original Medicare (Part A and Part B)

Original Medicare includes two key components:

  • Part A (Hospital Insurance): Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care.
  • Part B (Medical Insurance): Covers doctor visits, outpatient care, preventive services, and medical supplies.

 

Original Medicare forms the foundation of your coverage but it doesn’t pay for everything. Typically, it covers about 80% of approved healthcare costs, leaving you responsible for the remaining 20%.

Adding Prescription Coverage with Medicare Part D

Prescription drug costs can add up quickly, making Medicare Part D an essential piece of your healthcare plan.

How to Enroll in a Part D Plan

You can enroll in Medicare Part D through:

  • Medicare.gov,
  • Private insurance companies, or
  • A CMS-appointed health insurance marketplace such as Main Street Financial Partners.


Having a Part D plan ensures your prescriptions are covered and helps protect against unexpected medication costs.

Covering Gaps with Medigap or Medicare Advantage Plans

Since Original Medicare doesn’t cover everything, most beneficiaries add an additional insurance plan to fill the gaps in coverage.

Medigap (Medicare Supplement Insurance)

Medigap plans help pay for out-of-pocket costs such as co-payments, coinsurance, and deductibles that Original Medicare doesn’t cover. These plans allow you to see any doctor who accepts Medicare anywhere in the U.S.

Medicare Advantage (Part C)

Medicare Advantage (Part C) plans are offered by private insurers and combine Part A, Part B, and often Part D into one comprehensive plan. Many include additional benefits such as:

  • Dental, vision, and hearing coverage
  • Wellness programs and telehealth services
  • Prescription drug coverage


You can enroll in either type of plan directly through a private insurance company or with assistance from Main Street Financial Partners, a Centers for Medicare & Medicaid Services (CMS) appointed health insurance marketplace serving the Lehigh Valley and surrounding areas.

Get Expert Help Exploring Your Medicare Options

Choosing the right Medicare coverage can be confusing but you don’t have to navigate it alone. The licensed advisors at Main Street Financial Partners simplify the process, ensuring you understand every option available to you.

Frequently Asked Questions

Your choices include Original Medicare (Parts A & B), Medicare Advantage (Part C), Medicare Part D for prescription drugs, and Medigap (Supplement) coverage.

Original Medicare is government-managed and allows freedom to choose providers. Medicare Advantage is offered by private insurers and may include additional benefits like dental or vision.

Medigap helps cover out-of-pocket costs like deductibles, copayments, and coinsurance that Original Medicare doesn’t cover.

Prescription drug coverage is available through Medicare Part D or Medicare Advantage plans that include drug coverage.

It depends on your health, travel habits, and provider preferences. Medigap offers broader access, while Advantage often provides extra benefits at lower premiums.

Yes, during the Annual Enrollment Period from October 15 to December 7 each year.

Many Medicare Advantage plans include dental, vision, hearing, and wellness benefits.

Most people pay a Part B premium and may have additional premiums for Advantage, Part D, or Medigap coverage.

You can change plans during the Annual Enrollment Period or during a Special Enrollment Period if you qualify.

We provide expert Medicare enrollment help by comparing plan options, coverage benefits, and costs to ensure you find the best fit.

Client Testimonials

"I had a great experience working with Elizabeth Snyder. They made the process of moving my funds smooth, secure, and stress-free. Their communication was clear, and they were always available to answer my questions. I felt confident in their expertise and appreciated the level of care and professionalism throughout. Highly recommended!"
Jane H.
"After working with Elizabeth Snyder, owner of Main Street Financial for approximately 2 years, I wanted to share my experience for anyone considering their services. I have found Elizabeth’s knowledge base of risk vs. benefit in regards to financial planning to be extremely helpful and appreciated her recommendations of varying options for my particular needs to be spot on. Her knowledge base of the market has provided me with confidence for my long-term plan and I feel assured their advice and fiduciary commitment is focused on my best interest and not theirs.  Additionally, I would be amiss to not mention members of her team Bethany and Nancy, who create a strong backbone and presence in the company."
Deborah B.
"I just want to “thank you” for all your help over the years. My Dick learned so much from your classes back at the Bethlehem location. I have been covered w/good sound advice from you dear people. Thank you so very much."
Jane P.

The Right Medicare Plan Starts with the Right Guidance.

Our licensed advisors take the guesswork out of Medicare by helping you evaluate your coverage, avoid costly gaps, and choose the plan that fits your health and budget best.