If you are 65 or older (or have a certain disability), and are not covered by a group health plan, Medicare is for you. Also, even if group health is available, Medicare may be the better choice. Contact us for more information as the specifics of each situation are different.
There are two ways to get Medicare:
1. Original Medicare A & B; plus a Medigap policy; plus a Part D drug plan.
2. Medicare Part C, also known as Medicare Advantage. These plans must offer all of the benefits that are covered under Part A and B. Most MA plans include prescription drug coverage; hence the term MAPD. Many also have some dental, vision, and/or hearing benefits; things which are not covered by Original Medicare.
Which path is better? It depends on your situation. Since we offer
Medicare Supplements, Medicare Advantage plans, and Medicare Prescription drug plans, we are able to help you find the solution that is best for you.
Here is a brief description of some of the terms you will hear.
Medicare Supplements (of which there are 10 to choose from) also known as Medigap, Med Sup, or even Supplement, cover the 20% of expenses not covered by Medicare Part B, referred to as Medical. It primarily covers doctors, outpatient procedures, and preventive tests.
Medicare Part A, referred to as Hospital, primarily covers inpatient hospital and skilled nursing expenses.
For MA, MAPD, and Part D plans, there is an Annual Enrollment Period, which runs from October 15 - December 7 each year.
This enrollment period is separate from the Open Enrollment Period when a person turns 65, or is first eligible for Medicare Part B.
We're here to help you navigate what can be a confusing subject for many people. The good news is that you don't have to pay us anything for consultations as the insurance companies we represent pay us a commission (if you apply for coverage through us!).
Disclaimer
“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.”
Other Types of Health Insurance
This broad category includes accident, bridge or gap, cancer, critical illness, dental, disability, hospital/surgical or limited medical, long-term care, short-term medical, and vision. These plans may be suitable to fill in the gaps in coverage; deductibles, coinsurance, and non-covered expenses in Medicare and Obamacare plans. For example, while cancer treatment is covered by the Medicare or Obamacare plan, it may be advantageous to be treated at a specialty center. Travel, lodging, and meals are not covered expenses under ACA or Medicare plans.
Other Types of Coverage
There are sharing plans that, while they are not insurance, offer benefits that may be suitable for you. Please contact us for more information.