Medicare Insurance: Medicare (Original/Traditional)
Avg. premium: $175/mo | Deductible: $1,632
What Is Medicare Insurance?
Medicare is the federal health insurance program for people 65 and older, certain younger people with disabilities, and people with End-Stage Renal Disease. Original Medicare has two parts: Part A (hospital insurance) and Part B (medical insurance). Part D covers prescription drugs.
Monthly Premium
$175
Deductible
$1,632
Copay
$0 for many preventive services; 20% coinsurance for Part B services
Flexibility
High
Who Is Medicare Best For?
Adults 65 and older or those with qualifying disabilities who want the freedom to see any Medicare-accepting provider nationwide without network restrictions.
Pros and Cons
Advantages
- Accepted by most doctors and hospitals nationwide
- No network restrictions
- No referrals needed for specialists
- Part A is premium-free for most people
- Covers hospital stays, doctor visits, lab tests, and preventive care
Disadvantages
- No out-of-pocket maximum without supplemental coverage
- 20% coinsurance on Part B services with no cap
- Does not cover dental, vision, or hearing
- Does not cover long-term care
- Prescription drug coverage requires separate Part D plan
Key Features
Referrals RequiredNo
Out-of-Network CoverageYes (at higher cost)
Network FlexibilityHigh