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Posted 09/29/2023 in Medicare Advantage

Medicare in Lakeland, FL


Medicare in Lakeland, FL

Why Lakeland, FL is a Great Place to Live

Lakeland, FL, is a hidden gem nestled in the heart of sunny Florida. With its vibrant community, affordable cost of living, and endless recreational opportunities, it's no wonder why more and more people are choosing to call this city home. Whether you're a young professional starting your career or a retiree looking for a peaceful retirement destination, Lakeland has something for everyone.


One of Lakeland's most significant advantages is its strong sense of community. The locals are friendly and welcoming, making it easy to feel at home in this charming city. From annual events like the Sun 'n Fun Aerospace Expo to local farmers markets and live music festivals, there's always something happening that brings the community together. Additionally, Lakeland boasts an array of locally owned businesses and restaurants that contribute to its unique character and provide ample opportunities to support local entrepreneurs.


Part A in Lakeland, FL

Part A deductibles refer to the amount you must pay out-of-pocket for medical services before your insurance company begins to cover any expenses. Copays refer to the fixed amount you must pay each time you use a service covered by your healthcare plan. 


When it comes to Part A deductibles are set by the Center for Medicare and Medicaid Services and are usually released in the fourth quarter of every year.  

In 2023 the Part A deductible for hospital stays was $1600 per benefit period (meaning you could pay the deductible more than once in the calendar year). 

The Part A deductible covers you for the first 60 days in the hospital. Then you'll pay the following:

  • $400 per day for days 61-90
  • $800 per day for days 91-150 (you'll be using your Lifetime Reserve Days).

There is also coverage for Skilled Nursing Care, assuming you've been in the hospital as an inpatient for three days. If that's true, then Medicare will cover your first 20 days at 100%, and then you'll pay:

  • Days 21-100, you pay $200 per day.
  • Over 100 days, you'll pay the total cost.

 

 

By understanding how part A deductibles and copays work together within an insured individual's healthcare plan, consumers can make informed decisions about which services they need and when it is best for them financially to get adequate coverage without breaking the bank!

Hospitals in Lakeland, FL

Regarding healthcare services, Lakeland, FL, is home to several top-notch hospitals catering to the medical needs of its residents and visitors. These hospitals provide exceptional care, state-of-the-art facilities, and a wide range of specialized services.


One such hospital is Lakeland Regional Health Medical Center, which has served the community for over 100 years. With more than 850 beds and a team of highly skilled doctors and nurses, this renowned facility offers comprehensive services, including emergency care, trauma care, surgical procedures, maternity services, cancer treatment, and much more. Patients expect personalized attention and cutting-edge technology to ensure the best possible outcomes.

Watson Clinic's Bella Vista in Lakeland, FL, is a premier healthcare facility that offers a wide range of medical services to the community. With its state-of-the-art technology and highly skilled team of physicians, Bella Vista is committed to providing high-quality care in a comfortable and convenient setting. Patients can expect personalized attention and exceptional healthcare, from routine check-ups to specialized treatments at every visit.


One of the key highlights of Bella Vista is its comprehensive primary care services. The clinic has a dedicated team of family medicine physicians experienced in providing preventive care, managing chronic conditions, and addressing acute illnesses. Patients can easily schedule appointments for routine check-ups or same-day urgent visits, ensuring their healthcare needs are promptly met.


Additionally, Bella Vista offers various specialty services, such as cardiology, dermatology, endocrinology, gastroenterology, and more.


Part B in Lakeland, FL 

Medicare Part B is an essential component of the Medicare program, providing coverage for various medical services and supplies. However, it's crucial to understand the costs associated with this part of Medicare to plan your healthcare expenses effectively. 


Firstly, let's delve into the monthly premium for Part B coverage. Most beneficiaries pay a standard premium amount set annually by the government. In 2023 the monthly premium was $164.90.

However, high-income individuals may be subject to an income-related monthly adjustment amount (IRMAA) that increases their premium. It is essential to review your income level and determine if you fall within these higher brackets, as it can significantly impact your overall healthcare costs.


In addition to the monthly premium, Part B has a yearly deductible that you must meet before Medicare starts covering its share of your healthcare expenses. 

In 2023 the yearly deductible was $226.

Once you pay the deductible, Medicare covers 80%, and you'll pay 20%.


Doctors Groups in Lakeland, FL

From family medicine practices to specialists, numerous doctor's groups in Lakeland are dedicated to providing top-notch healthcare services. 

These include Watson Clinic, which offers comprehensive care from general medicine providers as well as leading subspecialists; Lakeland Regional Health Physicians Group (LRHP), with convenient offices located throughout the city; ICON Medical Center, where you can receive specialized care from board-certified physicians; and many more. All these doctor's groups boast excellent reputations and provide outstanding service in their respective fields. 


With various doctor groups offered throughout Lakeland, each offering something unique, it should be easy for anyone looking for personalized medical attention or expert treatment to find what they need here in this vibrant city. Ultimately, ensuring residents have access to premier providers no matter where they live or work within the city limits will help promote long-term health and wellness in everyone who calls Lakeland home.


Part D in Lakeland, FL

Drug plans can be an easily misunderstood part of Medicare. The most confusing part is the "donut hole." Here's how it works:

  • Medicare tracks how much is being spent on your drugs. This includes what the insurance company is paying.
  • Once it reaches a certain threshold, you'll likely pay more. Instead of paying your copays, you'll pay 25% of the cost of the drug. The threshold for this was $4660 in 2023.
  • Your costs will change again if you reach the "Catastrophic" threshold. In 2023 that threshold was $7400. This does not include what the insurance company is spending.
  • Once you reach catastrophic coverage in 2023, you'll pay the greater of:
    • 5% of the cost of the drug.
    • $4.15 for generic drugs.
    • $10.35 for brand-name drugs.

PDP plans change every year, so we recommend that you work with your Medicare Agent to be sure you are on the right plan each year.


Medicare Supplement insurance in Lakeland, FL


What Is Medicare Supplement Insurance? 

Also known as Medigap coverage or MedSupp, Medicare Supplement insurance is a type of health insurance policy that helps cover medical expenses incurred with Original Medicare (Parts A & B). These include copayments, coinsurance, and deductibles for hospital stays and doctor visits. 

In addition, some plans may help pay for emergency care while traveling abroad. 

Plus, many supplement plans offer riders that cover additional benefits such as vision care or hearing aids. 


Who Is Eligible for Medicare Supplemental Insurance Coverage? 

To be eligible for Medicare supplemental coverage in Lakeland or anywhere else in Florida, you must meet specific requirements: 

  • You must be enrolled in both Part A & B of Original Medicare
  • You must be over 65 years old or disabled
  • Your primary residence must be within the state lines of Florida


Medicare Advantage Plans in Lakeland

Medicare Advantage plans are an increasingly popular way for seniors to get coverage while receiving unparalleled benefits. They can offer additional coverage than Original Medicare, including benefits such as dental, vision, hearing aid coverage, and more. 


Lakeland is home to several providers of Medicare Advantage plans. Each of these companies offers different plans with varying levels of coverage at various rates. It's essential to research each provider carefully before making your decision so that you can find the plan that best fits your needs. Some programs may cover services not included in Original Medicare or add extra perks like gym memberships or discounts on health products. 


When comparing plans from different providers, it's helpful to look at premiums (monthly costs), copayments for doctor visits and hospital stays, deductibles (amount paid out-of-pocket before insurance starts paying), coinsurance (percentage of costs paid after deductible is met), maximum out-of-pocket limit (cap on how much you must spend in a year before insurance covers 100% of services) and network size (list of doctors/hospitals accepted). These factors all play a role in deciding which plan best meets your needs while staying within your budget constraints.  


It's also important to consider any special requirements when selecting a plan, such as being limited in eligible physician choices or having specific prescription drugs not be covered by certain plans but still prescribed by your doctor(s).  

Additionally, suppose beneficiaries have already received care before enrolling. In that case, they should ensure their services continue uninterrupted under their chosen plan. For example, those who have had joint replacement surgery may wish to ensure their post-surgical therapy continues appropriately with the same facility or doctor. 


Working with a Medicare Agent in Lakeland, FL  

Working with a qualified Medicare Agent can be beneficial and even simplify the process. 


A Medicare Agent is specially trained to review insurance plans accepted under Medicare and answer any questions or concerns you may have about getting insured. They can also provide detailed information on coverage types such as Original Medicare (Part A & Part B), Medigap Plans, Prescription Drug Plans, Medicare Advantage, and more. 


Having a dedicated professional help make sense of all this complex information can be incredibly helpful. Knowing which plan best fits your specific needs is key in choosing an effective option for health care coverage while staying within your budget. 


When considering different plans, it is important to note that rates change depending on where you live and the insurance carriers within that region. That's why a knowledgeable agent is so valuable; they can narrow your choices into those most applicable to your local area while still meeting your desired medical needs. 


If you want to learn more about working with a trusted Medicare Agent in Lakeland, FL, then search the site today! One of our member agents will guide you through all available options while easing common worries or concerns about making decisions concerning healthcare costs and coverage solutions!



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