SHINE (Serving the Health Insurance Needs of Everyone) is funded by the Agency for Community Living and coordinated by the Massachusetts Executive Office of Elder Affairs in partnership with the Friends of The Milford Senior Center.
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The SHINE Program
60 North Bow Street, Milford, MA 01757, USA 1-800-243-4636, option 3 firstname.lastname@example.org
Medigaps or Supplemental Plans
Original Medicare has Part A and B deductibles, and only pays 80% of Part B costs. Medigap plans compliment original Medicare and cover part of or all of what Medicare does not cover.
Medigaps are not networked so a beneficiary can go to any doctor or hospital that accepts Medicare, nationwide.
Medigaps DO NOT cover drugs. To cover drugs a Medicare Prescription Drug Plan (or Part D Plan) is required.
Talk to SHINE about plans, coverage and costs in our area.
Medicare Advantage Plans
Medicare Advantage Plans are a combination of Medicare Part A (Hospital) and Part B (Medical) benefits, additional health insurance and drugs. These plans are typically Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO). HMO’s are strictly networked, meaning a beneficiary must go to doctors and hospitals contracted with the plan. PPO’s allow a beneficiary to go outside of the plans network, however the doctor or hospital must agree to accept the insurance. Doctors and hospitals are not required to take PPO’s.
Medicare Advantage Plans usually have monthly premiums, co-pays and deductibles. Medicare Advantage Plans are also subject to the coverage gap or “donut hole” with regard to prescriptions. These plans may offer “extras” like annual physicals, dental and vision coverage, credit toward glasses, gym memberships, etc.
Talk to SHINE about plans, coverage and cost in our area.