As part of the Physicians Mutual family. we're here to help you with your needs for Health, Life, and Retirement. It's what Physicians Mutual has done since 1902, when their company was founded to provide health insurance to physicians and surgeons across the country who needed coverage. They've never lost sight of what's truly important. That's taking care of people like family from all walks of life that need protection for themselves and their families.
MEDICARE ADVANTAGE PLANS
WHAT IT is?
All-in-one alternative to Original Medicare.
- Combines Part A (Hospital Insurance) and Part B (Medical Insurance) into one plan.
- Prescription Drugs: Most plans include Part D (drug coverage) automatically.
- Extra Benefits: Many plans offer vision, hearing, dental, and fitness programs (like Silver Sneakers).
- Out-of-Pocket Limits: A yearly limit on what you pay out-of-pocket for covered services.
How It Works
HMO (Health Maintenance Organization) Designed for highly coordinated, and low-cost. Focuses on wellness and prevention through a referral network of providers.
PPO (Preferred Provider Organization) Offers freedom and choice of your PCP or specialist.
Costs: Most Advantage plans actually have a $0 monthly premium. You still pay your monthly Part B premium.
MOOP (Maximum Out of Pocket) Set for deductibles, copays, doctor visits, hospital stays, and lab tests within a year. Meet the MOOP, 100% coverage on Medicare services for the remainder of the year. ($2100) Out-of-pocket cost for prescription drugs.
Advantage plans include
Medicare Advantage plans add extra benefits Original Medicare doesn’t, like routine Dental, Vision, and Hearing covering cleanings, eye exams, glasses, hearing tests, and hearing aids. Certain plans have allowances for Healthy foods, Utilities and Rent. Levels, networks, monthly, and annual limits vary by plan.
MEDICARE supplement plans
WHAT IS IT?
Medicare Supplement Plan (also known as Medi-Gap) is extra insurance you can buy from a private company to help pay the out‑of‑pocket costs that Original Medicare (Part A and Part B) doesn’t cover. The core idea is simple: Medicare pays its share first, and Medigap helps cover the rest.
- Helps pay copayments, coinsurance, and deductibles that Original Medicare leaves you responsible for.
- Gives you predictable costs and the freedom to see any doctor or hospital that accepts Medicare.
How It Works
Plans are standardized and labeled by letters A–N.
- All plans with the same letter offer the same basic benefits, no matter which insurance company sells them — only the price differs.
Popular options include:
Plan G — most comprehensive for people new to Medicare.
Plan F — only for people who became eligible for Medicare before 2020.
Medigap does NOT cover
Prescription drugs (you’d need a Part D plan for that).
Routine vision, dental, or hearing care.
Long‑term care, like nursing home custodial care.