DISCLAIMER

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INITIAL  ENROLLMENT  FOR MEDICARE BEGINS WHEN YOU

1.  Turn 65 yrs. of age.

2.  You can enroll for Original Medicare up to (3) months in advance of your 65th birthday.

3.  When you enroll in Medicare, you should choose a supplemental medical plan & prescription drug insurance because Medicare does not cover all the medical expenses you can incur.

Original Medicare is administered by the Federal Government.

Part A - Hospital Insurance

Part B - Medical Insurance

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Part C - Medicare Advantage

Part D - Prescription Insurance

Plan F - Supplement Plan to Parts A & B

Plan G - Supplement Plan to Parts A & B

ORIGINAL MEDICARE Part A & Part B 

1.   Under Original Medicare, the government pays your healthcare providers directly for the healthcare services you receive.

2.   You can visit any hospital or see any doctor that accepts Medicare.  

PREMIUMS

1.   There is no premium for Part A,  if you worked 40 quarters and paid taxes to Medicare.

2.   There is a monthly premium for Part B and it is deducted from your Social Security Benefits.

3.  If you do not yet collect Social Security Benefits, you will be billed quarterly for Part B.  

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Part A - Hospital Coverage

Coverage for inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, home health care.

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Part B - Health Insurance 

Offers coverage for (2) types of services;

Medically necessary services to treat illnesses or conditions, such as, doctor's office visits, lab work and x-rays.

Outpatient surgeries, and preventive services to keep you healthy, like cancer screenings, including 3-D mammograms, pneumonia and flu shots. 

Original Medicare and Medicare Advantage Plans are NOT the same.

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MEDICARE OPEN ENROLLMENT – also known as the Annual Election Period will occur from October 15 - December 7, 2020.

Medicare Open Enrollment - DOES NOT impact those who are enrolling in Medicare for the first time.                

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During the Open Enrollment period, those already enrolled in Medicare can re-evaluate their coverage for 

(1) Part C (Medicare Advantage) 

(2) Part D (Prescription Drugs) 

--- and make 'some' changes to these two parts of your coverage. 

What Can You Change During Open Enrollment?

• Switch from Original Medicare to Medicare Advantage, or vice versa.
• Switch from one Medicare Advantage plan to another.
• Switch from one Medicare Part D (prescription drug) plan to another.
• If you did not enroll in a Medicare Part D (Prescription Drug) Plan when you were first eligible for Original Medicare; you can do it during the Open Enrollment period although a late enrollment penalty fee may apply.

• If you want to switch to a Medicare Advantage (Part C) Plan, you must meet some basic criteria.
• You must be enrolled in  Original   Medicare Parts A and B.
• You must live in the plan’s service area.

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               MEDICARE ADVANTAGE PLANS 

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You will not be enrolled in Parts A & B 

of Original Medicare if you choose a Medicare Advantage Plan.

A Medicare Advantage Plan should include the coverage provided by Parts A & B of Original Medicare. 

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PART C - MEDICARE ADVANTAGE

1.   'Medicare Advantage Plans are offered by Private Insurance Companies (HMOs or PPOs).

2.   Advantage Plans cover most costs, 

but coverage is LIMITED to Medicare Approved Charges. You may be responsible for additional out-of-pocket expenses if your doctors charge more than what is allowed by Medicare. 

3.   You can purchase an Advantage Plan that includes Prescription Drug Coverage (Part D).

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PART D - PRESCRIPTION DRUG COVERAGE

Other vaccines, such as, Shingles, Diphtheria, Tetanus, Pertussis are not covered under Medicare. 

However, they are generally covered under a stand-alone Part D  or a Medicare Advantage that includes Plan D. 

PURCHASED FROM PRIVATE INSURANCE COMPANIES 

Part D - Prescription Drug Coverage 

Provided only by Private Insurance Companies who have contracts with the federal government.

Most Advantage Plans include Plan D for prescription drugs. 

Your prescription drug costs are based on the Tiers of Drugs under which your current medications are categorized.  

PENALTY APPLIED: If you choose NOT to purchase Plan  D for Prescription Drug Coverage when you are eligible for Original Medicare a life-long penalty can be imposed. 

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Plan F - Supplemental Medical Coverage to Parts A & B of Medicare. 

This plan pays 100% of any excess charges not covered by Medicare including your annual deductible for 

Plan B. 

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Plan G -  Supplement Medical Coverage to Parts A & B of Medicare. 

This plan is nearly identical to Plan F and  covers excess costs from healthcare providers (charges exceeding Medicare-approved charges). 

This plan covers 100% of Plan A excess amounts

This plan covers 100% of Plan B excess amounts, except it does not pay the annual deductible required by Plan B. 

Excess charges occur when medical providers charge more than what Medicare allows. By law, providers can't charge more than 15% of what Medicare covers.

www.medicare.gov 

Your new card does not include your Social Security Number.

PLEASE ENSURE YOUR HEALTHCARE PROVIDERS HAVE YOUR NEW MEDICARE NUMBER.  

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MEDICARE ADVANTAGE PLAN

If you have a Medicare Advantage Insurance Plan - you must keep your Medicare Advantage Plan Card.