Understanding health insurance terminology first will help one understand Medicare policies! Premium: A monthly payment for health insurance. If you’re fortunate enough to have employer-provided insurance, the company picks up all or part of the premium. Copay: Your copay is a predetermined rate you pay for health care services at Read more
Remember to create your Medicare.gov login account for privacy, accuracy, and ease of use! Medicare Annual Open Enrollment – also known as the Annual Election Period or Annual Coordinated Election Period – refers to the annual period (October 15 through December 7) during which Medicare plan enrollees can reevaluate Read more
1 – During Annual Open Enrollment from October 15th through December 7th, you can shop your Part D prescription drug plan. It is accurate and easy to do! I will coach you through the process so that you can gain control and do this at your convenience! 2 – Pay Read more
Medicare DOES NOT COVER long-term care (also called custodial care). Most nursing home care is custodial care. What is Long-Term care? Long-term care is a range of services and support for your personal care needs. Most long-term care isn’t medical care. Instead, Long-Term care helps with basic personal tasks of Read more
Don’t pay any bill from a medical provider or hospital until you have received your Medicare Summary Notice (MSN). It will tell you how much Medicare will pay what you might owe and whether or not you have met deductible. At the bottom of the MSN will be coded IE: Read more
Your monthly premium will be taken from your Social Security Check. If you are not on Social Security, you will receive a Quarterly bill in the mail from Medicare. This option can be dangerous if you neglect to pay the bill. You will lose your Medicare benefits AND because you Read more
For some people, the lines between Medicare and Medicaid may not be clear. With similar names and the same basic purpose, it is easy to confuse what each program has to offer and how it works. Medicare is Health Care Insurance provided by the Federal Government. For almost everyone 65 Read more
IRMAA is an acronym for Medicare’s Income-Related Monthly Adjustment Amount. A higher premium is charged by Medicare for Part B and Part D monthly premiums to individuals with higher incomes. This has nothing to do with your Supplement or Medicare Advantage plan premiums. The 2025 IRMAA amount is based on Read more
Go To: MyMedicare.gov. free and secure way for you to: Sign up to get other Medicare resources electronically, like Medicare Summary Notices and your “Medicare & You” handbook. Check your eligibility, enrollment, and other Medicare benefits. View a calendar of your current and upcoming preventive services. Electronic Medicare Summary Read more
So, you just lived through all the commercials for Annual Open Enrollment, Now what? Open Enrollment Period (OEP): Jan 1st through March 31st What can beneficiaries do during OEP? You can: Switch to a different Medicare Advantage Plan You can: Drop your Medicare Advantage plan and return to Original Medicare Read more