Medicare in Mohrsville, Pennsylvania 2024
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Find the right Medicare plan for you
- 2024 Medicare Facts for Mohrsville
- What is Medicare?
- Medicare Plans in Mohrsville
- When to Enroll in a Medicare Plan in Mohrsville
- Doctors Near Me Accepting Medicare: Mohrsville, Pennsylvania
- Frequently Asked Questions
Want to discover how to sign up for Medicare in Mohrsville, Pennsylvania or what plans are available? You’ve come to the right place. Connie Health gathered the vital details you need to sign up for Medicare, your plan options in Mohrsville, Berks County, and Medicare providers in your area.
2024 Medicare Facts for Mohrsville
Original Medicare (Parts A & B)
- There are 91,346 Medicare-eligible people living in Mohrsville, Pennsylvania.
- Most Medicare beneficiaries pay $0 for their Medicare Part A premium. For those that pay a premium, it's $0 or $505 each month, depending on how long you or your spouse worked and paid Medicare taxes.
- The Medicare Part A deductible is $1,632 before Original Medicare starts to pay for inpatient hospital stays, plus copayments.
- The majority of Medicare beneficiaries pay for their Medicare Part B coverage. The standard Part B premium is $174.70 per month. Your Part B premium could be higher because of your income (IRMAA).
- The Medicare Part B deductible is $240 annually before Original Medicare starts to pay, plus 20% coinsurance for all Medicare-approved services.
Medicare Part C (Medicare Advantage)
- Of the 91,346 Medicare beneficiaries, there are 41,826 enrolled in a Medicare Advantage plan in Mohrsville. That’s 45.79% of those enrolled in Medicare in Mohrsville.
- All Medicare eligibles have access to a $0 premium Medicare Advantage plan, and there are 42 $0 premium plans in Mohrsville.
- If you pay a premium for a Medicare Advantage plan, the average cost is $75.09 per month. And the average out-of-pocket max is $NaN per year.
Read more about Medicare Advantage plans in Mohrsville.
Speak with a local licensed insurance agent
M-F 9am - 5pm
No obligation to enroll
(TTY: 711)
Medicare Part D (Prescription drug coverage)
- You have 21 Medicare Part D prescription drug plans to choose from in Mohrsville.
- Medicare Part D premiums range from $0.50 to $195.10 per month in Mohrsville. The price depends on whether you enroll in a basic or enhanced benefit plan, and your prescription drug needs.
- The average monthly stand-alone Part D premium in Mohrsville is $62.80.
- There are 14 plans available in Mohrsville that Medicare rated three stars or higher.
- 24.41% of Medicare eligibles with a stand-alone Part D plan get Extra Help.
Read more about Medicare Part D plans in Mohrsville.
Medicare Supplement (Medigap)
- There are 12 Medicare Supplement plan types to choose from in Mohrsville. These include Medicare Supplement Plan A, Plan B, Plan C, Plan D, Plan F, Plan F high-deductible, Plan G, Plan G high-deductible, Plan K, Plan L, Plan M, and Plan N.
- The cost of a Medicare Supplement plan in Mohrsville ranges from $40 to $1,478 depending on the Plan Type you choose, your age, sex, whether you smoke, and when you enroll.
- The annual prescription drug deductible ranges between $0 - $545 in Mohrsville, Pennsylvania.
Read more about Medicare Supplement plans in Mohrsville.
What is Medicare?
Medicare is a health insurance program created by the government. There are 27.9 million people who have Medicare in the United States. And there are 91,346 Medicare-eligible people in Mohrsville. If you're eligible for Medicare, this means that you're in good company.
People who are 65 years old or older, certain younger people with disabilities, and individuals with End-Stage Renal Disease (ESRD) or other qualified illnesses can get help from Medicare to pay for medical costs like doctor visits, hospital stays, and other treatments.
Medicare Plans in Mohrsville
Original Medicare (Part A and B) is the most basic coverage offered by the government for people who are eligible for Medicare. You enroll in Medicare Part A and Medicare Part B when you first become eligible for Medicare.
There are also plan options that expand Original Medicare coverage. These options include Medicare Advantage (Part C), stand-alone Medicare Prescription Drug Coverage (Part D), and Medicare Supplement (Medigap) plans.
Most people enrolled in Medicare expand their coverage because Original Medicare doesn’t have an out-of-pocket maximum. Without expanded coverage, you could expose yourself to high out-of-pocket costs, a financial risk.
By enrolling in a Medicare Supplement and/or a Medicare Part D stand-alone prescription drug plan, you get help with some or all of your Medicare out-of-pocket costs, plus prescription drug coverage.
With a Medicare Advantage plan, you receive your coverage in a single plan: Medicare Parts A and B, and comprehensive dental, vision, and hearing coverage. Plus, most plans include prescription drug coverage. 45.79% of Medicare beneficiaries in Mohrsville are enrolled in a Medicare Advantage plan.
When to Enroll in a Medicare Plan in Mohrsville
Knowing when to enroll or make plan changes can help you save money.
Enrolling in Medicare for the first time, or are you interested in making a plan change? Skip to the section that applies to you - and mark the dates in your calendar.
Enroll for the First Time
If you’re new to Medicare, the best time to enroll in Medicare is during your Initial Enrollment Period. If you miss that, you can still enroll during the General Enrollment Period (January 1 - March 31) or Special Enrollment Period, but likely with penalties.
Make A Plan Change
The best time to make a plan change is during the Medicare Annual Enrollment Period (October 15 - December 7). During this time, anyone enrolled in Medicare can review their plan options for the coming year and ensure that their plan choice meets their health and budget needs.
If you need to make a plan change because you moved to a new service area or lost coverage, among other reasons, you could qualify for a Special Enrollment Period.
Whether you’re enrolling for the first time or making a plan change, Medicare in Pennsylvania can be confusing. You don’t have to sift through your options alone. A local licensed agent can help.
Medicare Doctors Near Me in Mohrsville, Pennsylvania
Having trouble finding doctors that accept your plan? The search for a trustworthy physician can feel overwhelming, but no need to worry. Say goodbye to endless phone calls and time-consuming online searches.
We’ve modernized the process with our convenient online platform. Enter your address and plan information, and let Connie Health do the heavy lifting. We'll locate Medicare doctors near you.
Why Connie Health
Local licensed insurance agents:
Independent agents, who live and work in your community, can help you access the best care for you in your area.
Compare all major insurance:
Our technology will help you find the plan that best fits your budget and health needs.
Our service is free:
You receive unbiased advice since our agents receive the same commission regardless of the insurance plan selected.
Ongoing support:
Once you have selected an insurance plan, your dedicated team will help you use your benefits and answer your questions.
Speak with a local licensed insurance agent
M-F 9am - 5pm
No obligation to enroll
(TTY: 711)
Frequently Asked Questions
Medicare has national offices in Maryland and Washington, D.C., and ten regional offices in the United States. Medicare does not operate in local offices, but you can apply for Medicare at any local Social Security office or through Connie Health. Also, most questions can be answered through the Social Security Administration’s toll-free phone number 1-800-772-1213 or by speaking with a Connie Health local licensed Medicare agent at 1-888-369-1211.
Don’t stress about finding a doctor or specialist who accepts Medicare. Find your Medicare doctor today.
Medicare plans may be available in the following zip codes in Mohrsville, Pennsylvania: 19541.
Sources
“2021 Medicare Supplement Loss Ratios.” National Association of Insurance Commissioners.
“Fact sheet - Medicare Open Enrollment, 2024” CMS.gov.
“Find a Medigap policy that works for you.” Medicare.gov.
“MA State/County Penetration.” CMS.gov.
“Monthly PDP Enrollment by State/County/Contract.” Medicare.gov.
“Prescription Drug Coverage - General Information.” CMS.gov.
“Social Security Office Locator.” The Official Website of the U.S. Social Security Administration.
“The State of Medicare Supplement Coverage.” AHIP.
Last updated: November 22, 2024