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Cornerstone Insurance Agency Blog

Comparison Of Medicare Vs. Private Health Insurance

2/2/2023

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​Many health insurance options are on the market, including government-funded and private options. These insurance are different from each other, including insurance plan options, coverage, costs, and more. This article will compare Medicare and private health insurance to help you choose the best insurance for your needs. 
Difference Between Health Insurance and Medicare
Medicare is a federal program offering affordable healthcare coverage, such as hospital stays, medical services, and some prescription drugs for anyone 65 or older who qualifies for Medicare. On the other hand, a health insurance plan is marketed by the private health insurance industry. Unlike Medicare, this insurance is for anyone, regardless of age, as long as you can pay premiums. 

Medicare vs. Private Health Insurance: Out-of-Pocket Maximums
Cash on hand maximums includes coinsurance, copays, and deductibles. Medicare does not limit how much you might pay each year. In comparison, private health insurance typically costs more each month but provides a cash-on-hand maximum and is more flexible for beneficiaries.

Medicare vs. Private Health Insurance: Benefits Differences
The benefits and coverage of private insurance and Medicare vary. Both of these plans cover medical services. However, unlike private health insurance, Medicare has coverage gaps that insurers need to fill. For instance, prescribed drug coverage is not provided by Medicare, necessitating the purchase of a Medicare Part D plan. 

Can You Have Medicare and Private Health Insurance?
You are allowed to have private insurance and Medicare simultaneously. In most cases, Medicare creates initial and secondary payers. The first one to pay will be the initial payer, and the secondary payer should cover the unpaid cost.

Choose Wisely
Being insured is a necessity nowadays. And so, deciding between Medicare and private health insurance is a major decision you can make. You can determine which plan best meets your needs by comparing premiums, out-of-pocket expenses, and health coverage. The best insurance coverage is the one that fits your needs. 

At Cornerstone Insurance Agency, we put our clients first by offering them policies that they can afford. Having insurance is a necessity nowadays, and we're here to help you out. Learn more about our products and services by calling our agency at (888) 661-8831. You can also request a free quote by CLICKING HERE. Topics and coverage discussed in this article are not guaranteed, consult with your agents to determine what your policy does and does not cover. We are more than happy to help!
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