Creditable prescription drug coverage is Prescription Drug Coverage (i.e., employer or union coverage) that’s expected to pay (usually on average) at least as much as standard prescription drug coverage from Medicare. If you have have this type of coverage when you become eligible for Medicare, you can typically keep that coverage and not pay a…

Creditable coverage is when you’ve had previous health insurance coverage that can be used to decrease a Pre-existing condition waiting period under a Medicare Supplement policy.

A Coverage gap (also known as the “Donut Hole“) is the period of time that people will pay a higher cost sharing for their prescription drugs until they have spent enough to qualify for catastrophic coverage. It begins when you and your plan have spent a set dollar amount for your prescription drugs during that…

A Copayment is the amount people are required to pay as their share of the cost for medical supplies or services. Examples include doctor visits, hospital outpatient visits, or prescription drugs. Copayments are typically a set amount (instead of a percentage). An example would be paying $15 or $25 for a visit to your doctor…

Your Coinsurance is the amount people may be required to pay as their share of the cost for services once they have paid any deductibles. Coinsurance is typically calculated as a percentage (i.e., 20%).

A clinical breast exam is an exam conducted by your physician or other Health care provider. It is done in order to check for breast cancer by looking at and physically examining an individual’s breasts. This exam is not a mammogram. Breast exams are typically done in a doctor’s office during a Pelvic exam and…