PASTOR Insurance Agency
Coverage for your unique needs!
PASTOR Insurance Agency
Coverage for your unique needs!
MEDICARE INSURANCE SOLUTIONS
My name is Sid Pastor and I'm a licensed Medicare Supplement and Medicare Advantage Plan insurance broker, representing multiple companies for Medicare supplements, Medicare Advantage plans (HMO & PPO), & also Prescription drug plans. I specialize in assisting people in the Houston and surrounding area, who are becoming eligible for Medicare to understand the often complicated and confusing healthcare options available during this unique period in their lives
NAVIGATING MEDICARE
You have options for supplementing Medicare: Medicare Advantage plans, Medicare Supplements, Part D drug plans, and maybe a continuation of coverage through a past employer. I have a no-nonsense approach to giving you the information you need to make an informed decision about Medicare Advantage Plans, Medicare Supplement Plans, and Part D drug plans. I am an unbiased resource. I work with many of the major Medicare Insurance carriers and my service costs you nothing.
Original Medicare is broken down into two parts. Medicare Part A (hospital) and Medicare Part B (medical)
MEDICARE PART A
When you are admitted to the hospital Medicare Part A is activated and there is a deductible that is due, for 2024 it is $1632.00. This is good for a 60 benefit period. Under Medicare Part A, the window of time for the Medicare Part A deductible is 60 days, meaning if you are admitted, then discharged, and readmitted to the hospital in that same 60 days, then the one deductible applies for Medicare Part A. However, if you are admitted back into the hospital after the original 60 days, then a new Medicare Part A deductible applies. Also, if you are in a continuous hospital stay longer than 60 days, beginning day 61 through day 90, there is a daily co-pay up to $408.00 per day. If you are hospitalized longer than 90 days, beginning day 91 through day 150, there is a co-pay of $816.00 per day. In the last 60 days, which Medicare calls "lifetime reserve" days, Medicare will run out and you would be responsible for all the costs after the 150 days of continuous hospitalization. Next comes skilled nursing, in a skilled nursing facility, Medicare pays for the first 20 days, after that from days 21 through 100 there is a $204.00 daily co-pay.
MEDICARE Part B
Medicare Part B works much like your traditional major medical health insurance does, after the Part B annual deductible ($240.00 in 2024) then Medicare pays 80%, and you pay 20%. With one rule, according to Medicare assignment, meaning Medicare and your doctor agree on the cost. Your doctor can charge up to 15% over what Medicare allows. This is referred to as an "Excess Charge". Since 2007, a beneficiary's Part B monthly premium is based on that person's Modified Adjusted Gross Income (MAGI). In 2024, The "base" premium for Part B is $174.70/month. If you're taking Social Security, this amount is deducted monthly from your check.
It is important to add, that there are no Maximum Out of Pocket limits on Original Medicare! That's why most people will protect themselves with some sort of supplemental plan, whether it be a Medicare Supplement or Medicare Advantage Plan.
Pastor Insurance Agency
*** We do not offer every plan available in your area. Currently, we represent 7 organizations which offer 51 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) for help with plan choices. ***