We simplify the process.
Whether you’re turning 65, retiring from employer insurance, starting on Medicare Disability, or have another qualifying event, we’ll guide you through the process of enrolling in Medicare and selecting the plan best for you. We will help you understand the pros and cons of your different options. Choosing the right plan can impact your benefits for years to come.
Original Medicare, also known as Medicare Part A & Part B, covers hospital and medical expenses.
Medicare does have copayments and deductibles that you are responsible for. A Medicare Supplement insurance policy can cover all or some of these costs. A Prescription Drug Plan (Medicare Part D) can help with the cost of drugs not covered by Original Medicare. With Original Medicare there are no networks or preapprovals. You can receive your medical care from any physician, hospital, therapist, etc… anywhere in the U.S. that accepts Medicare.
A Medicare Supplement or Medigap policy is designed to pay all or part of the health care costs that Original Medicare doesn’t cover, such as copayments, coinsurance, and deductibles.
These policies are guaranteed renewable over your lifetime as long as you pay your premium. There is no required annual change or re-enrollment period. Medicare Supplements, in general, do not require networks or preapprovals. You can receive your medical care from any physician, hospital, therapist, etc… anywhere in the U.S. that accepts Medicare.
Medicare Advantage is a managed care program offered by private companies.
Known as Medicare Part C, Medicare Advantage is an alternative to Original Medicare. Typically, it is an HMO or PPO plan that includes drug coverage and sometimes extras. With this plan design you receive your health care services primarily from network approved practitioners. Depending on the plan you choose, you will either have limited or no coverage if you receive care outside the network or the plan’s service area. Plan availability, costs and networks can change each year.
Prescription Drug Program
Medicare also offers an optional prescription drug program (Known as Medicare Part D).
The plans are run by private insurance companies approved by Medicare. They are one year contracts. You can change plans each year during certain enrollment periods. Each plan can vary in cost and drugs covered. It’s a good idea to review your plan each year.