Medicare can be complicated. We will help simplify it for you. Our expertise and main focus are in helping individuals with Medicare and Medicaid evaluate and explore all available healthcare options.
This positions you to make the absolute best decision for not only your healthcare needs, but also for your financial future.
Please contact us. We are here to walk you through it. We will be glad to help you!
Most people think of Medicare as health insurance for older people. But younger people who have certain disabilities or diseases can get Medicare, too.
Are you younger than 65?
You might be eligible for Medicare if you have:
All U.S. citizens are eligible for Medicare when they turn 65. But what you pay for Medicare depends on your work history and income.
You can get Medicare Part A, or hospital insurance, with no monthly premium if you or your spouse have worked and paid Medicare taxes for at least 10 years. If you don't qualify to get Part A for free, you can still get it by paying a monthly premium.
Medicare Part B helps cover medical costs. Everyone pays a monthly premium for Part B. The amount you pay depends on your annual income. People with higher incomes will pay higher monthly premiums for Part B.
Legal permanent residents who are 65 and older are eligible if they’ve lived in the U.S. for five years in a row.
Initial Enrollment Period
This includes the three months before, the month of, and the three months after your 65th birthday.
Annual Election Period
You can enroll in or change your Medicare plan from October 15 through December 7 each year.
Special Enrollment Period
You may be able to enroll in or change Medicare plans if you:
If you are enrolled in a Medicare Advantage (Part C) plan, you have the opportunity to change your plan January 1 to March 31. (You can change your plan only once during this time period)
Medicare is a health insurance program that has four parts: A,B,C, & D
A-Hospital (original Medicare)
B-Medical (original Medicare)
C-Medicare Advantage (offered by private insurers; not the federal government)
D-Prescription Drugs (offered by private insurers; not the federal government
For each month you delay enrollment in Medicare Part D, you will have to pay a 1% Part D late enrollment penalty (LEP), unless you:
Medicare covers most services deemed "medically necessary," but it doesn't cover everything.
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MEDICARE ADVANTAGE PLANS
Medicare Advantage Plans are a type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits. ... If you're enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan.
Medicare Advantage Plan
MEDICARE SUPPLEMENT
Medigap is Medicare Supplement Insurance that helps fill "gaps" in Original Medicare and is sold by private companies.
Original Medicare and Medigap Supplement
PRESCRIPTION DRUGS
What is a prescription drug plan (PDP)?
A prescription drug plan (PDP) is one option for individuals who want to enroll in the Medicare Part D prescription drug coverage, which subsidizes the costs of prescription drugs for enrollees. A prescription drug plan (PDP) is a stand-alone plan, covering only prescription drugs.
Basic Medicare (again, parts A and B) does not cover prescription drugs, although:
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If you choose not to buy part B and change your mind later, you'll pay a life-lasting penalty unless you meet certain exclusions (i.e., you receive acceptable coverage through a union or employer).
Both are offered by private insurance companies approved by Medicare. With either choice, you continue to pay a monthly Part B premium to Medicare. The main things to think about when deciding between them are:
As long as you have group health insurance from an employer for which you or your spouse actively works after you turn 65, you can delay enrolling in Medicare until the employment ends or the coverage stops (whichever happens first), without incurring any late penalties if you enroll later.
When you join a Medicare Advantage Plan, Medicare pays a fixed amount for your coverage each month to the company offering that plan. These companies must follow Medicare's coverage rules. Medicare Advantage Plans have yearly contracts with Medicare