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    • Medicare Information
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  • Medicare Information

Understanding Medicare

Medicare is a federal health insurance program primarily for individuals aged 65 and older, as

well as certain younger individuals with disabilities or specific medical conditions. It consists of several parts:

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Medicare Part A (Hospital Insurance)

  • Covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care.
  • Most people do not pay a premium for Part A if they or their spouse paid Medicare taxes while working.

Medicare Part B (Medical Insurance)

  • Covers outpatient care, doctor visits, preventive services, and some medical equipment and supplies.
  • Requires a monthly premium, which can vary based on income.

Medicare Part C (Medicare Advantage)

  • Private health insurance plans approved by Medicare. 
  • Include all benefits and services covered under Part A and Part B, and often include additional benefits like vision, dental, and prescription drug coverage.

Medicare Part D (Prescription Drug Coverage)

  • Prescription drug coverage offered by private insurance companies approved by Medicare.
  • Helps cover the cost of prescription drugs and may lower your prescription drug costs and help protect against higher costs in the future.

Initial Enrollment Period (IEP)

  • Begins three months before your 65th birthday month and ends three months after.
  • If you miss your IEP, you may have to pay a late enrollment penalty and wait until the General Enrollment Period (January 1 - March 31) to enroll, with coverage starting July 1.

Special Enrollment Periods (SEPs)

  • Allows you to enroll in Medicare outside of your Initial Enrollment Period under certain qualifying circumstances (e.g., losing employer coverage, moving out of your plan's service area).

Original Medicare (Part A and Part B)

  • Provides coverage for hospital and medical services.
  • Allows you to see any doctor or healthcare provider that accepts Medicare.service area).

Medicare Advantage Plans (Part C)

  • Offered by private insurance companies approved by Medicare.
  • Often include prescription drug coverage (Part D) and may offer additional
  • benefits like dental, vision, and fitness programs.

Medicare Supplement Insurance (Medigap)

  • Helps pay for some of the healthcare costs that Original Medicare doesn't cover (e.g., copayments, coinsurance, deductibles).
  • Sold by private insurance companies and works alongside Original Medicare. Benefits like dental, vision, and fitness programs.

Choosing the Right Medicare Plan

  • Factors to Consider:
    • Your healthcare needs and budget.
    • Prescription drug coverage (Part D) requirements.
    • Provider networks and coverage options available in your area.
    • Additional benefits and cost-sharing requirements.
  • Our Assistance:
    • We provide personalized guidance to help you understand your Medicare options.
    • Our experienced agents can assist with plan comparisons and enrollment to ensure you find the coverage that meets your needs.

Resources and Support

  • Medicare.gov:
    • Official Medicare website offering comprehensive information, plan comparisons, and enrollment resources.
  • State Health Insurance Assistance Programs (SHIPs):
    • Provide free, personalized counseling and assistance to Medicare beneficiaries.

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