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Posted 02/16/2024 in Medicare Advantage

Securing Your Health: A Closer Look at Medicare Options in Keansburg, NJ


Securing Your Health: A Closer Look at Medicare Options in Keansburg, NJ

Securing Your Health: A Closer Look at Medicare Options in Keansburg, NJ



Keansburg, NJ, is a great town for many reasons. The small-town atmosphere and close-knit community make it a great place to call home. There are plenty of opportunities for outdoor activities such as fishing, boating, kayaking, and swimming at the local beaches, as well as several parks and trails available for hiking and biking.

 



Using Medicare Part A in Keansburg, NJ

 

The Medicare Part A deductible for hospital insurance is $1632 in 2024. Individuals who enroll for Medicare Part A (hospital insurance) must pay this amount out of pocket before their coverage kicks in.


If you experience multiple hospital stays in a given year or find yourself readmitted after being discharged, you may need to cover the deductible numerous times.


Medicare Part A requires copayments that differ based on the type of care received. For extended stays, individuals are responsible for the following copayments: $408 per day for days 61-90 and $816 per day (utilizing Lifetime Reserve Days) for days 91-150.

 

Keansburg, NJ, is located in Monmouth County and has around 10,500 people. Residents of Keansburg can access several hospitals for their medical needs. Jersey Shore University Medical Center, located in Neptune Township just minutes away from Keansburg, provides quality care with state-of-the-art technology. This facility houses an emergency department and many specialty units, including a cardiology unit, cancer care center, and orthopedics.


Jersey Shore University Medical Center is a participating provider in the Medicare program and accepts most types of Medicare health insurance plans. They also accept Medicare Advantage plans with low copays and deductibles for eligible people. 


Other nearby hospitals include Hackensack Meridian Health Raritan Bay Medical Center in Old Bridge and Riverview Medical Center in Red Bank.

Keansburg, New Jersey, is home to the Medicare-participating Bayshore Community Hospital. The hospital offers a wide range of medical services for seniors, including inpatient care, outpatient care, emergency services, and a comprehensive rehabilitation program. In addition to Medicare benefits, the hospital also accepts Medicaid and most major insurance plans.


For Keansburg residents needing more specialized care, the hospital has an extensive network of specialists, including cardiologists, neurologists, endocrinologists, and orthopedic surgeons. Bayshore Community Hospital strives to provide quality care for every patient regardless of age or financial situation. It works with Medicare and Medicaid to ensure that all patients receive the necessary care. 


 


Part B in Keansburg, NJ


Medicare Part B is a health insurance program that helps cover medically necessary services and preventive care, such as doctor visits and outpatient care. It also covers some medical equipment, such as walkers, wheelchairs, and home health services. In 2024, the premiums for Part B will be $174.70 per month for those unaffected by the high-income surcharge. Medicare Part B helps cover medically necessary services and preventive services like vaccinations, doctor visits, lab tests, and more needed to treat a health condition.


Medicare Part B is an integral part of Medicare that helps cover medical expenses such as doctor visits and outpatient care. To receive coverage, enrollees must pay the Part B premium each month. Additionally, most enrollees are also responsible for a Part B deductible.


The Part B deductible is the amount you must pay before Medicare begins to cover your medical expenses. For 2024, the deductible is $240. Once you pay the deductible, Medicare covers 80%, and you'll pay 20% of covered services.


 

Finding doctors' groups near Keansburg, NJ, is easy. Several medical practices in the area accept Medicare and other insurance plans. One of the most popular options is Shore Medical Group, which provides primary care services to patients of all ages. This practice has Brick, Point Pleasant Beach, Toms River, and Keansburg locations. They also offer cardiology, endocrinology, nephrology, orthopedics, pulmonology, and more specialties. They accept Medicare Part B and Medicaid insurance for all their services at their Keansburg location. They also provide same-day appointments to ensure you get the timely care you need. Shore Medical Group offers comprehensive primary care, including preventive care, routine checkups, and managing chronic conditions.


Another Doctor group near Keansburg is AZZ Medical Associates. They provide various healthcare services, encompassing primary care, specialized care for chronic conditions, and gastroenterology. Their team consists of specialized primary care providers, and our facilities are conveniently situated in Ewing, Hamilton Township, Brick Township, Robbinsville, and Matawan, NJ.

 



Keansburg, NJ Part D

 

Regarding Medicare in Keansburg, NJ, Part D is a drug coverage plan that helps pay for prescription drugs. It is available through private insurance companies that have a contract with Medicare. With Part D, enrollees pay an annual deductible and a copayment or coinsurance when their prescriptions are filled.

 

In 2024, plans can have a deductible up to $545. You might be required to cover the initial $545 for your prescription medications personally. It's important to mention that some plans exclude the deductible for generic drugs.

 

The donut hole, also known as the coverage gap, is an issue that affects Medicare recipients in Keansburg, NJ, and the rest of the USA. In 2024, once you and the insurance company spend $5030, your copays go to 25% of the cost of the drug. You'll continue to pay that until you reach catastrophic coverage, which in 2024 is $8000.

 

 


Medicare Advantage Plans in Keansburg, NJ

 

Medicare Advantage plans are a type of health plan offered through Medicare, providing Medicare recipients an alternative way to receive health care coverage. 

Medicare Advantage plans may offer additional benefits that Original Medicare does not cover, such as vision, hearing, and dental coverage. These advantage plans are offered through private insurance companies that contract with Medicare.


Medicare Advantage plans in Keansburg, NJ, may offer additional benefits to help you manage your health care costs. These plans may provide coverage for things like:

  • vision
  • Hearing
  • Dental services that Original Medicare does not cover

They also often include prescription drug coverage and other extras like fitness memberships or meal delivery programs.

Some disadvantages of Medicare plans in Keansburg, NJ, include limited coverage for certain services and treatments, high out-of-pocket costs, difficulty finding doctors who accept the plans, and pre-authorizations.  



 

Keansburg, NJ Medicare Supplement Plans

 

Medicare Supplement Plans, or Medigap plans, are insurance policies designed to help cover some of the gaps in Original Medicare coverage. Private insurers provide them but are not endorsed by or connected with the federal government's Medicare program. Medigap plans fill in many of the gaps left by Original Medicare, such as copayments, coinsurance, and deductibles.


Medigap plans in Keansburg, NJ, are supplemental insurance policies designed to help cover out-of-pocket costs associated with Original Medicare. These plans fill in the gaps left by Original Medicare, such as copayments, coinsurance, and deductibles. Medigap plans are offered by private insurance companies.

 

 


Working with a Medicare Agent in Keansburg, NJ

 

Finding a Medicare Agent in Keansburg, NJ, can be a great way to ensure you have the right coverage for your healthcare needs. A Medicare Agent in Keansburg can help you understand the different parts of Medicare and determine what's best for you.


When working with a Medicare Agent in Keansburg, they can help you decide whether to enroll in Original Medicare or stay on a group plan.  


An experienced agent can help you understand your options by explaining the differences between Original Medicare, Advantage Plans, and other supplemental plans. They can also answer any questions about coverage levels, program costs, and eligibility requirements. Find a local Medicare Agent today at https://CertifiedMedicareAgents.com.


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