Your Medicare Coverage Choices

Your Medicare Coverage Choices

If you’re age 65 or older and you qualify for Medicare, you have a number of choices for your medical coverage. At John Muir Health, we work with Medicare, so your health insurance works for you.   

What is Original Medicare?

Original Medicare includes Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance). Part A helps cover inpatient hospital stays, skilled nursing facility stays, home health visits, and hospice care. Part B helps cover visits to doctors, outpatient services, preventive services, and intermittent home health visits.

For most people, there's no monthly premium for Part A but there's a monthly premium for Part B, which varies depending on your income.

You may also choose to enroll in Medicare Part D (Prescription Drug Coverage) or a Medigap policy (supplemental insurance) to help pay some of the costs Original Medicare doesn't cover.

Visit www.medicare.gov to learn more about Medicare benefits and eligibility.

What is Medicare Advantage?

Medicare Advantage Plans (also called Medicare Part C) provide another option for receiving your Medicare benefits. Medicare Advantage plans are private health plans that include coverage for Medicare Parts A and B. Most plans also include prescription drug coverage, and some may cover extra benefits such as glasses, hearing aids, or dental care for an additional cost. Medicare Advantage Plans may have a specific network of doctors and hospitals, so it's important to review the provider network when choosing a plan. Premiums and coverage details vary widely depending on the plan you choose. Note that if you have Medicare Advantage, you don't need Medigap supplemental insurance.

At John Muir Health, we work with the following Medicare Advantage health insurance plans.

Blue Shield 65 Plus (HMO)
Call Toll-Free 1-800-488-8000
8:00 a.m. - 8:00 p.m., 7 days a week.
TTY Users: 711
www.blueshieldca.com
(Serving portions of Contra Costa county)

Golden State Medicare Health Plan (HMO)
Call Toll-Free 1-877-541-4111
8:00 a.m. - 8:00 p.m., seven days a week during open enrollment period and disenrollment period.
TTY Users: 1-877-551-4111
www.GoldenStateMHP.com
(Serving portions of Contra Costa county only)

Humana Gold Plus HMO Plan
Call Toll-Free 1-866-836-4001*
8:00 a.m. - 8:00 p.m.
TTY Users: 711
*Call a licensed sales agent toll free 8:00AM-8:00PM, seven days a week. www.humana-medicare.com


The health plans listed are Medicare Advantage organizations with Medicare contracts. Enrollment in any of the Medicare plans offered by these plan sponsors depends on plan renewal. This is not a complete listing of plans available in your service area. For a complete listing, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

What's next?

Complete your research. For more information about Medicare visit our Understanding Medicare page or sign up to attend a Welcome to Medicare class. If you have questions for John Muir Health, call (925) 296-9761.

These online resources can also help you understand Medicare.

AARP - Health Insurance
CA Health Advocates (HICAP) fact sheets
Contra Costa County HICAP
Medicare.gov
Medicare Rights Organization
NCOA - My Medicare Matters
Social Security Information

Blue Shield of California is an independent member of the Blue Shield Association.