Medicare Special Needs Plans When it comes to Medicare coverage and healthcare, a "standard" plan isn't always enough. This can be especially true if you’re managing a chronic condition and/or have a limited income. Medicare Special Needs Plans (SNPs) are plans deigned to provide care for people with specific health or income needs. What Exactly [...]
Who Qualifies, When to Enroll, and Requirements Understanding Medicare eligibility requirements is one of the most important steps before turning 65. Many people ask: Who qualifies for Medicare? Can you get Medicare before age 65? When should I enroll in Medicare? Does work history affect Medicare eligibility? Can I get Medicare if I never worked? [...]
Medicare Supplement (Medigap) Plans: What You Should Know Before Choosing a Carrier Medicare Supplement Benefits Are Standardized One of the most important things to understand about Medigap (Medicare Supplement) plans is that coverage is standardized by Medicare. That means: A Plan G is a Plan G, no matter which company sells it A Plan N [...]
Medicare Supplements Original Medicare is intended to help cover your healthcare costs. Unfortunately, Original Medicare (Medicare Part A and Medicare Part B) does not pay 100% of your costs for medical care. You will be financially responsible for copays, coinsurance, and deductibles. After Medicare pays, your cost will usually be 20% for medical services [...]
Medicare Coverage for Hearing It is more common as we age, but anyone can experience hearing loss. About 15% of American adults over 18 report some trouble hearing—and about one in three people ages 65 to 74 has hearing loss. If you’re looking into Medicare coverage for hearing, here’s what you should know about hearing [...]
Buying a Medigap Policy (Medicare Supplement) If you’re wondering when the best time to buy a Medigap policy is, the answer is clear: your best (and easiest) time is during your Medigap Open Enrollment Period. This is the window when you typically get the most plan choices, the best pricing protections, and guaranteed acceptance. What [...]
Medicare and Hospice Benefits Making decisions about hospice care for a loved one can feel overwhelming. Between the emotional challenges of end-of-life care and the complexity of Medicare rules, it’s easy to feel unsure about what’s covered and when hospice is appropriate. This guide explains how the Medicare hospice benefit works, who qualifies, what services [...]
Medicare Advantage Open Enrollment Period If you’re already enrolled in a Medicare Advantage (MA) plan, the Medicare Advantage Open Enrollment Period (MA OEP) is a once-a-year chance to make a change to your coverage. During this window, you can switch to a different Medicare Advantage plan or leave Medicare Advantage and return to Original Medicare. [...]
2026 Medicare Premiums and Deductibles The costs for Medicare for year 2026 have been released. This includes the new premiums, deductibles, and coinsurance amounts for Medicare Parts A and B, along with the income-related monthly adjustment amounts (IRMAA) for Medicare Part D. Medicare Part A Premium and Deductible (2026) Medicare Part A helps pay for [...]
New to Medicare: Questions and Considerations About Your Coverage Options New to Medicare Several months prior to your 65th birthday, something happens. You start receiving mail and phone calls like never before. Every phone call and letter you receive in the mail seems to be about Medicare. You will also receive a book in [...]
Medicare and Working Past 65 Turning 65 doesn’t always mean retiring. If you’re still working—or covered by a spouse’s employer plan—you may want to wait about beginning Medicare. The right choice depends on your situation, and knowing the rules can save you money and help you avoid penalties later. Do I Have to Sign Up [...]
PSA: “Medicare” Phone Calls — They’re Usually Scams Medicare does not call you out of the blue. Medicare nor Social Security will call you and ask for your Medicare number, Social Security number, bank details, or other private information. Legitimate calls happen only if you requested a callback or if a plan you’re already [...]
How Do Medicare HMO and Medicare PPO Differ? If you decide to replace your Original Medicare with a Medicare Advantage (Medicare Part C) Plan, your two most common options are an HMO (Health Maintenance Organization) or a PPO (Preferred Provider Organization). Both use provider networks to help manage costs, but they balance price vs. flexibility differently. Medicare PPO [...]
Medicare Annual Enrollment Period (AEP) When it happens: October 15 – December 7 each yearWhen changes begin: January 1 of the next year Heads-up: Medicare Supplement (Medigap) policies can be shopped and changed any time of the year. AEP doesn’t govern Medigap. Switch coverage types: Move between Original Medicare (Parts A & B) and Medicare [...]
Do you need to sign up for Medicare at 65 if you have other coverage? If you turn 65 and already have comprehensive health insurance, you don’t necessarily have to enroll in Medicare. In some situations, though, enrolling at 65 is essential to avoid coverage gaps and penalties. When enrolling at 65 makes sense Potentially [...]
Your Road Map to Medicare What is Medicare? Car Analogy: Medicare is the national interstate system for health care when you hit age 65 (earlier for some disabilities). To “get on the road” you will need Medicare Part A & Part B. Your “big” decision will be selecting how you want to travel. You will have two options. [...]
Understanding Your Medicare Annual Notice of Change (ANOC) Letter What it is, what to look for, and what to do next. What is the ANOC? The ANOC is a letter from your current plan—either a Medicare Part D prescription drug plan or a Medicare Advantage (MA) plan—spelling out any updates that will take effect [...]
Medicare Eligibility Medicare is the federal health insurance program that helps millions of Americans get the care they need. But who qualifies? Let’s break it down in simple terms. The Basics of Medicare Eligibility You may become eligible for Medicare a few different ways: Turning 65 Most people qualify for Medicare when they turn 65 years [...]
How to Choose the Right Fit for You Choosing a Medicare plan can feel overwhelming. You’ve probably heard about Original Medicare and Medicare Advantage Plans, but what’s the real difference? Both options will give you health coverage—it just depends on your lifestyle, budget, and priorities. Let’s walk through the main things to consider so you can feel more [...]
What is the process of enrolling in Medicare Part B?
What Does Medicare Cost? Medicare Part A Covers inpatient hospitals, skilled nursing facilities, hospice, inpatient rehabilitation, and some home health care services. Thankfully, most Medicare beneficiaries do not have a Part A premium since they have 40 or more quarters of employment. Forty Quarters is the equivalent to ten years. For a stay in a [...]
Original Medicare & Medicare Advantage Comparing Your Two Coverage Options Original Medicare (Medicare Part A & Medicare Part B) and Medicare Advantage (Part C) are two different ways to receive your Medicare benefits/coverage. Both options provide you with hospital and medical insurance, but there are differences between them. Learning about the differences in your coverage options will allow [...]
When Can I Change My Medicare Advantage Plan? If we lived in a perfect world, you would be more than satisfied with your new Medicare Advantage plan. Medicare Advantage plans may be a perfect coverage option for some individuals. However, situations occur, and maybe you realize that your family doctor doesn’t accept your plan, or [...]
Medicare Supplement Plans A Medicare Supplement insurance plan, also known as Medigap, is an insurance you can buy that helps pay for the out-of-pocket costs Original Medicare doesn’t cover. There are ten different supplemental plans to choose for coverage. Plans are referred to by letters. The three most purchased plans are Plan [...]
Medicare Advantage Open Enrollment Period (For Individuals Currently Enrolled in a Medicare Advantage Plan) January 1st through March 31st The Medicare Advantage Open Enrollment Period (OEP) gives you the opportunity to enroll in another Medicare Advantage (Medicare Part C) plan or go back to Original Medicare (Medicare Part A and Medicare Part B). Normally, [...]
