Frequently Asked Questions

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Your personal healthcare needs will often determine which Medicare coverage(s) may be best for you. Acute/Hospital care, Medical insurance, and even your prescription drug needs can vary from person to person. Our Consultants would be happy to discuss your options and provide you with personalized solutions to address your needs. 

You will likely pay the Part B premium to Medicare. Beyond that, you may pay other premiums, deductibles, co-pays, and co-insurance. The total amount you pay will depend on the type of Medicare plan(s) you choose, and the healthcare services you use during the year.

Potentially, yes. However, working after the age of 65 years may require a more customized solution to ensure eligibility in specific Medicare plans. Connect with our Consultants today to discuss your potential options.

Original Medicare (Part A & B) does not cover routine dental or vision care; however, some Medicare Advantage (Part C) plans do. Plans include all the coverage provided by Parts A & B, and often additional benefits like dental, vision, hearing and gym memberships, all in one plan. 

There are several financial assistance programs in place to assist those who may have limited income or assets. Programs such as: Extra Help (prescription drugs), Medicare Savings Program, and Medicaid, can often be used to assist with addressing the unique financial needs of each individual. Qualifications for each program and the level of help offered can vary. 

Your Medicare coverage choices will stay in place year after year unless you change your plan.  This ensures that your coverage continues. However, even if a plan renews, the plan benefits and costs may still change each year.  It's advised to review your Medicare choices with a licensed Specialist annually during the Medicare Annual Enrollment Period, which typically runs Oct. 15- Dec 7.

Supplemental Insurance policies are sometimes called Medigap plans.  Medigap plans are private health insurance policies that cover some of the costs that the Original Medicare Plan does not cover. Some Medigap policies will cover services not covered by Medicare such as prescription drugs. Medigap has 10 standard plans and each plan has a different set of benefits. 

In general, you are eligible for Medicare after receiving Social Security disability benefits for 24 months.  There are exceptions for people with certain medical conditions.

There are several differences between the 2 plans, which can be discussed in depth in one of our educational sessions or free consultations. However, the distinct difference is that Original Medicare is regulated by the federal government and covers inpatient hospital and skilled nursing services while Medicare Advantage plans are regulated by the insurance companies and typically covers these services as well as additional benefits.