Top Frequently Asked Questions About Medicare
How Do I Enroll in Medicare?
Well, it varies based on your circumstances. However, anyone turning 65, or who is under 65 and qualifies on the basis of disability or other special situation may enroll.
What are Medicare Parts A & B?
Medicare Part A helps cover most medically necessary hospital care, skilled nursing care facility care, nursing home care, hospice and home health services. There is a monthly premium for Part A, but many people will qualify for premium-free Part A*.
Medicare Part B helps cover most medically necessary doctors’ services, preventive care, lab tests, x-rays and some health and ambulance services. You pay a monthly premium for Part B.
*If you have worked and paid Social Security taxes for at least 40 calendar quarters (10 years).
What is Medicare Advantage?
Medicare Advantage plans (Part C) are offered by Medicare-approved private insurance companies. A Medicare Advantage plan includes all the benefits and services covered under Part A and Part B, working in place of them. These plans may also include additional benefits like hearing, dental, vision and fitness programs, as well as Medicare prescription drug coverage as a part of the plan.
What is a Medicare Supplement Plan?
These plans add additional benefits to those provided by Medicare Part A and Part B. There are 8 Medicare Supplement Insurance Plans (A to N). Plan G provides the broadest coverage. All 8 plans are standardized and are identical from one insurance carrier to another.
What Benefits do Medicare Supplement Plans Provide?
They provide additional benefits to help fill in the gaps in Medicare Part A and Part B coverage, like covering 20% of coinsurance that Medicare doesn’t pay for. However, Medicare Supplement Insurance does not provide drug coverage, so you’ll want a Medicare Prescription Drug Plan (Part D) for that.
More FAQs About Medicare
Do Medicare Advantage plans include Prescription Drug Coverage?
Most Medicare Advantage plans include Prescription Drug Coverage (Part D).
How do I switch Medicare plans?
Each year, you have a chance to make changes to your Medicare Advantage or Medicare Prescription Drug Coverage for the following year during the Medicare Annual Enrollment Period (AEP). You can also make changes to your Medicare Advantage and Medicare Prescription Drug Coverage when certain events happen in your life, like if you move or you lose other insurance coverage. These chances to make changes are called Special Enrollment Periods (SEPs). There are certain rules about when you can make changes and the type of changes you can make are different for each SEP.
What is the Annual Enrollment Period (AEP)?
AEP allows you to make any changes to your Medicare Advantage coverage once a year. AEP enrollment runs October 15th through December 7th every year.
What is the Initial Enrollment Period?
The Initial Enrollment Period for Part A and Part B starts 3 months before your 65th birthday, includes the month you turn 65, and ends 3 months after the month you turn 65.
Do zero-premium plans exist? How do they work?
Yes. However, they may not be the cheapest Medicare Advantage offerings in your state. They tend to include higher prescription drug costs, copayments and deductibles. Talk with one of our licensed sales agent about zero-premium plans and if they’re right for you.
Do I need a Prescription Drug Plan?
That’s up to you. A Prescription Drug Plan (Part D) is insurance that helps protect you against high out-of-pocket drug costs. If you decide not to join a plan when you’re first eligible, and you don’t have other creditable Prescription Drug coverage, you’ll likely pay a late enrollment penalty later. So even if you don’t take many prescriptions now, you should consider joining a Prescription Drug Plan.
Does Medicare cover dental?
Original Medicare doesn’t, but some Medicare Advantage plans can have dental coverage built in. If you pick a plan that doesn’t have it built in, The Medicare Helpline can help you with a stand-alone dental plan.
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The Medicare Helpline is a licensed and certified representative of a Medicare Advantage [HMO, PPO and PFFS] organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any plan depends on contract renewal. By completing the contact form above or calling the number listed above, you will be directed to a licensed sales agent who can answer your questions and provide information about Medicare Advantage, Part D or Medicare supplement insurance plans. Availability of carriers and products are dependent on your resident zip code.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and in some states to those under age 65 eligible for Medicare due to disability or End Stage Renal disease. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
The Medicare Helpline is not affiliated with any governmental program or agency. Plans can only be changed during certain times of the year.
This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
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