Medicare
Medicare
Benefits of Medicare
If you are Medicare Eligible, you may need to enroll in Medicare coverage. A free consultation with one of our agents can help you determine important next steps.
The potential to lower your medical expenses.
In many regions, Medicare provides better coverage than some employer-sponsored plans.
It is likely that your current doctors accept Medicare.
Some plans also provide additional benefits such as dental care, transportation to healthcare facilities, and other services such as housekeeping, meal preparation, and gym memberships.
HOW DO I ENROLL?
- Apply online at www.ssa.gov/retireonline
- Visit your local Social Security office
- Call Social Security at 1-800-772-1213
- If you are currently enrolled in Part A and want to enroll in Part B, you will need to complete an Application for Enrollment in Medicare Part B form (CMS-40B). Download the form here.
DO I NEED TO ENROLL?
When you are nearing eligibility, it’s important to understand your options so you can make informed decisions. Individual circumstances will likely determine when you should enroll in Medicare. When considering your options, keep the following in mind:
- The majority of individuals should enroll in Part A upon becoming eligible.
- Certain people may choose to wait to enroll in Part B, depending on their individual circumstances.
- If you do not quality for premium-free Part A, you cannot enroll in Part A without first enrolling in Part B.
WHEN DO I ENROLL?
Upon becoming eligible for Medicare, you have 7 months to sign up for Part A and/or Part B, this is called the initial enrollment period. If your Medicare eligibility begins when you turn 65, you can sign up during the 7-month initial enrollment period which begins 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.
WHAT HAPPENS IF I MISS ENROLLMENT?
MEDICARE PART B LATE ENROLLMENT PENALTY
If you do not enroll in Part B when initially eligible, once you do enroll your monthly premium may have increased by 10% for each 12-month period in which you were eligible but not enrolled. This penalty will continue to increase for the length of time that you are not enrolled in Part B. However, you may not pay this penalty if you are eligible to enroll in Part B during a “Special Enrollment Period”. For example, if you are actively employed when you turn 65, you may be granted a “Special Enrollment Period” upon retirement from your employment.
MEDICARE PART D LATE ENROLLMENT PENALTY
If you do not enroll in Part D when initially eligible, and you are without Part D or equivalent coverage for 63 or more days in a row, you will be subject to a monthly penalty added to your premium. This monthly penalty is calculated by taking 1% of the national based beneficiary premium ($33.06 in 2021) and multiplying it by the number of months you were not enrolled in Part D.
PART A - HOSPITAL INSURANCE
What’s covered:
- Inpatient care in a hospital
- Skilled nursing facility care
- Hospice Care
- Home Health Care
PART B - MEDICAL INSURANCE
What’s covered:
- Doctor Visits
- Medically Necessary Services
- Outpatient Services
- Preventive Care
PART C - MEDICARE ADVANTAGE
Medicare Advantage Plans, also known as “Part C” or “MA Plans” are an alternative to original Medicare which combines Medicare Part A, Part B and often Part D
PART D - MEDICARE DRUG COVERAGE
MEDICARE SUPPLEMENTAL PLAN
Medigap is insurance designed to work with Original Medicare. Original Medicare does not cover all of the costs associated with covered health care services and supplies. Medigap can cover some of the remaining health care costs, such as coinsurance, deductibles, and copayments.