Frequently Asked Questions


Q: How does Medicare work?

A: “Original Medicare” includes Medicare Part A (hospitalization insurance) and Part B (medical insurance). Through Medicare, you can use any doctor or hospital that takes Medicare. If you want drug coverage for medications, you can join a separate Medicare drug plan (Part D).

There are often many different options to choose from depending on where you live. This is why it’s a good idea to speak to an insurance agent specializing in Medicare.

Q: Does Medicare cost money?

A: You usually don’t pay a monthly premium for Medicare Part A (which is hospitalization insurance) if you or your spouse paid Medicare taxes for a certain amount of time while working.

There are additional coverages which may require a monthly premium payment.

Q: What is a Medicare Advantage Plan?

A: Most Medicare Advantage Plans cover things like vision, hearing, dental, and fitness programs (like gym memberships or discounts).

These plans can also choose to cover even more benefits, like transportation to doctor visits, over-the-counter drugs, and other services that promote your general health and wellness.

Q: What is a Medicare supplement?

A: Medicare supplement plans help to cover the cost of things Original Medicare does not cover. These plans generally require a low monthly premium.

Talk to us to see if a Medicare supplement plan is right for you!

Q: How does the Prescription Drug Plan Work?

A: Medicare Part D is insurance to help you pay for your medication. You pay a monthly premium for your Part D plan, then instead of paying full price at your pharmacy, you will pay a copay or percentage of the drug’s cost.

Q: How do I get Medicare?

A: When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period surrounding your 65th birthday to sign up for Part A and/or Part B.

If you choose to work after 65, you may have the option to delay your Part B enrollment.

However, there are some important decisions to make at this time which can affect your healthcare coverage for years to come. This is why it’s a good idea to speak to an insurance agent specializing in Medicare.

Q: Where is your office located?

A: TriCounty Health Plans serves all of southeastern Pennsylvania, but our offices are located in Pottstown PA.

Q: Do I need more than Parts A and B?

A: It depends on a number of different factors. This is why it’s a good idea to speak to an insurance agent specializing in Medicare. Together, we can determine what plan best suits your individual needs, and make sure you have the coverage you need.

Contact us today for a free consultation!



If you still have questions of concerns, feel free to contact us by filling out the form below and we’ll get back to you with an answer ASAP!

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TriCounty Health Plans

Phone: 484-424-5222
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