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Product Descriptions

Stand-alone Medicare Prescription Drug Plans (Part D)

Medicare Prescription Drug Plan (PDP) : A stand-alone drug plan that adds prescription drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private-Fee-for-Service Plans, and Medicare Medical Savings Account Plans.

Medicare Advantage Plans (Part C) and Cost Plans

Medicare Health Maintenance Organization (HMO): A Medicare Advantage Plan that provides all Original Medicare Part A and Part B health coverage and sometimes covers Part D prescription drug coverage. In most HMOs, you can only get your care from doctors or hospitals in the plan’s network (except in emergencies).Medicare Preferred Provider Organization (PPO) Plan: A Medicare Advantage Plan that provides all Original Medicare Part A and Part B health coverage and sometimes covers Part D prescription drug coverage. PPOs have network doctors and hospitals but you can also use out-of-network providers, usually at a higher cost.Medicare Private Fee-For-Service (PFFS) Plan: A Medicare Advantage Plan in which you may go to any Medicare-approved doctor, hospital and provider that accepts the plan’s payment, terms and conditions and agrees to treat you – not all providers will. If you join a PFFS Plan that has a network, you can see any of the network providers who have agreed to always treat plan members. You will usually pay more to see out-of-network providers.Medicare Point of Service (POS) Plan: A type of Medicare Advantage Plan available in a local or regional area which combines the best feature of an HMO with an out-of-network benefit. Like the HMO, members are required to designate an in-network physician to be the primary health care provider. You can use doctors, hospitals, and providers outside of the network for an additional cost.Medicare Special Needs Plan (SNP): A Medicare Advantage Plan that has a benefit package designed for people with special health care needs. Examples of the specific groups served include people who have both Medicare and Medicaid, people who reside in nursing homes, and people who have certain chronic medical conditions.Medicare Medical Savings Account (MSA) Plan: MSA Plans combine a high deductible health plan with a bank account. The plan deposits money from Medicare into the account. You can use it to pay your medical expenses until your deductible is met.Medicare Cost Plan: In a Medicare Cost Plan, you can go to providers both in and out of network. If you get services outside of the plan’s network, your Medicare-covered services will be paid for under Original Medicare but you will be responsible for Medicare coinsurance and deductibles.Medicare Medicaid Plan (MMP): An MMP is a private health plan designed to provide integrated and coordinated Medicare and Medicaid benefits for dual eligible Medicare beneficiaries.

Dental/Vision/Hearing Products

Plans offering additional benefits for consumers who are looking to cover needs for dental, vision or hearing. These plans are not affiliated or connected to Medicare

Hospital Indemnity Products

Plans offering additional benefits; payable to consumers based upon their medical utilization; sometimes used to defray copays/coinsurance. These plans are not affiliated or connected to Medicare.

Medicare Supplement (Medigap) Products

Plans offering a supplemental policy to fill “gaps” in Original Medicare coverage. A Medigap policy typically pays some or all of the deductible and coinsurance amounts applicable to Medicare-covered services, and sometimes covers items and services that are not covered by Medicare, such as care outside of the country. These plans are not affiliated or connected to Medicare.

More Info

Product Descriptions

Stand-alone Medicare Prescription Drug Plans (Part D)

Medicare Prescription Drug Plan (PDP) : A stand-alone drug plan that adds prescription drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private-Fee-for-Service Plans, and Medicare Medical Savings Account Plans.

Medicare Advantage Plans (Part C) and Cost Plans

Medicare Health Maintenance Organization (HMO): A Medicare Advantage Plan that provides all Original Medicare Part A and Part B health coverage and sometimes covers Part D prescription drug coverage. In most HMOs, you can only get your care from doctors or hospitals in the plan’s network (except in emergencies).Medicare Preferred Provider Organization (PPO) Plan: A Medicare Advantage Plan that provides all Original Medicare Part A and Part B health coverage and sometimes covers Part D prescription drug coverage. PPOs have network doctors and hospitals but you can also use out-of-network providers, usually at a higher cost.Medicare Private Fee-For-Service (PFFS) Plan: A Medicare Advantage Plan in which you may go to any Medicare-approved doctor, hospital and provider that accepts the plan’s payment, terms and conditions and agrees to treat you – not all providers will. If you join a PFFS Plan that has a network, you can see any of the network providers who have agreed to always treat plan members. You will usually pay more to see out-of-network providers.Medicare Point of Service (POS) Plan: A type of Medicare Advantage Plan available in a local or regional area which combines the best feature of an HMO with an out-of-network benefit. Like the HMO, members are required to designate an in-network physician to be the primary health care provider. You can use doctors, hospitals, and providers outside of the network for an additional cost.Medicare Special Needs Plan (SNP): A Medicare Advantage Plan that has a benefit package designed for people with special health care needs. Examples of the specific groups served include people who have both Medicare and Medicaid, people who reside in nursing homes, and people who have certain chronic medical conditions.Medicare Medical Savings Account (MSA) Plan: MSA Plans combine a high deductible health plan with a bank account. The plan deposits money from Medicare into the account. You can use it to pay your medical expenses until your deductible is met.Medicare Cost Plan: In a Medicare Cost Plan, you can go to providers both in and out of network. If you get services outside of the plan’s network, your Medicare-covered services will be paid for under Original Medicare but you will be responsible for Medicare coinsurance and deductibles.Medicare Medicaid Plan (MMP): An MMP is a private health plan designed to provide integrated and coordinated Medicare and Medicaid benefits for dual eligible Medicare beneficiaries.

Dental/Vision/Hearing Products

Plans offering additional benefits for consumers who are looking to cover needs for dental, vision or hearing. These plans are not affiliated or connected to Medicare

Hospital Indemnity Products

Plans offering additional benefits; payable to consumers based upon their medical utilization; sometimes used to defray copays/coinsurance. These plans are not affiliated or connected to Medicare.

Medicare Supplement (Medigap) Products

Plans offering a supplemental policy to fill “gaps” in Original Medicare coverage. A Medigap policy typically pays some or all of the deductible and coinsurance amounts applicable to Medicare-covered services, and sometimes covers items and services that are not covered by Medicare, such as care outside of the country. These plans are not affiliated or connected to Medicare.

Reviews

Real-Life Testimonials

From Satisfied Clients

Elizabeth S.

"I’ve worked with Shpresa for my long-term care insurance planning, and I can’t say enough about how thoughtful and professional she is. She took the time to explain every option clearly, answered all of my questions, and never made the process feel rushed or overwhelming. This is an emotional and important decision, and she approached it with patience, knowledge, and genuine care. I felt confident and well-supported every step of the way, and I highly recommend her to anyone looking for guidance they can truly trust."

Michael C.

"I have had the pleasure of working with Shpresa for the past two years, and I cannot speak highly enough of her professionalism, dedication, and care. From the very beginning, she has taken the time to truly understand my needs and concerns, and she consistently provides thoughtful, individualized guidance. What sets her apart is her genuine compassion and personal investment in her clients. She is kind, attentive, and exceptionally responsive, and I have always felt supported and valued throughout the entire process. Her knowledge of health insurance is extensive, and she explains options clearly and patiently, making what can be a complex and overwhelming process feel manageable and reassuring."

Brian D.

"Shpresa has given me peace of mind about my family's financial future. I have used her services to better understand and protect my family should unforeseen events happen. I appreciate her willingness to take time to explain the different options and their potential outcomes. I trust Shpresa's perspective. She has first hand experience in the healthcare industry, so she is sensitive to matching her recommendations to my current situation. I really appreciated that. I highly recommend Shpresa."

Reviews

Real-Life Testimonials

From Satisfied Clients

Elizabeth S.

"I’ve worked with Shpresa for my long-term care insurance planning, and I can’t say enough about how thoughtful and professional she is. She took the time to explain every option clearly, answered all of my questions, and never made the process feel rushed or overwhelming. This is an emotional and important decision, and she approached it with patience, knowledge, and genuine care. I felt confident and well-supported every step of the way, and I highly recommend her to anyone looking for guidance they can truly trust."

Michael C.

"I have had the pleasure of working with Shpresa for the past two years, and I cannot speak highly enough of her professionalism, dedication, and care. From the very beginning, she has taken the time to truly understand my needs and concerns, and she consistently provides thoughtful, individualized guidance. What sets her apart is her genuine compassion and personal investment in her clients. She is kind, attentive, and exceptionally responsive, and I have always felt supported and valued throughout the entire process. Her knowledge of health insurance is extensive, and she explains options clearly and patiently, making what can be a complex and overwhelming process feel manageable and reassuring."

Brian D.

"Shpresa has given me peace of mind about my family's financial future. I have used her services to better understand and protect my family should unforeseen events happen. I appreciate her willingness to take time to explain the different options and their potential outcomes. I trust Shpresa's perspective. She has first hand experience in the healthcare industry, so she is sensitive to matching her recommendations to my current situation. I really appreciated that. I highly recommend Shpresa."

Looking for a First-Class Medicare Consultant?

RetireProof, LLC is committed to serving you at the highest level with all your Medicare needs.

National Producer Number: 20635951

DISCLAIMER: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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RetireProof, LLC is committed to serving you at the highest level with all your Medicare needs.

National Producer Number: 20635951

DISCLAIMER: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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