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LEARN MORE ABOUT MEDICARE

Getting Starting with Medicare

Medicare serves as health insurance for individuals aged 65 or above. However, eligibility can extend to those with disabilities, End-Stage Renal Disease (ESRD), or ALS (commonly known as Lou Gehrig’s disease), potentially allowing access before reaching 65. While some individuals are automatically enrolled, others need to actively sign up, depending on whether they begin receiving retirement or disability benefits from Social Security before turning 65.

Understanding the Link between Social Security Benefits and Medicare

Before reaching 65:

If you apply for retirement benefits from Social Security (or the Railroad Retirement Board) at least 4 months before turning 65, you will automatically receive Part A (Hospital Insurance) and Part B (Medical Insurance) upon reaching 65.
Despite automatic enrollment, important decisions still need to be made regarding coverage options, including the addition of drug coverage.
If planning to enroll in Medicare at 65 without taking retirement benefits, signing up for Medicare is necessary.

After turning 65:

Contact Social Security when ready to sign up for Medicare.
Depending on employment circumstances and existing health coverage through employers, it may be advisable to delay Medicare enrollment.

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Learn the Basics

Understanding Medicare:

Learn how Medicare works what it covers what it cost and the different parts of Medicare. Before making coverage decisions, it’s essential to have a comprehensive understanding of Medicare’s complexities.

Explore Your Coverage Alternatives:

There are two main primary avenues for obtaining Medicare coverage: Original Medicare and Medicare Advantage.
If you’re already receiving Social Security benefits at least four months before turning 65, there’s no need for additional action to enroll. You’ll be automatically enrolled in both Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). Expect a welcome package containing your Medicare card three months before your coverage commences.

Select Your Coverage Plan:

When you have Part A and or Part B, you have whats called Original Medicare.
Some people choose to add prescription coverage. You can do this by joining a Medicare drug “Part D” plan
Coverage can also be bought by buying a Medigap policy.
You can select from joining either Medicare Advantage or Medicare health plan instead of choosing the Original Medicare plan.

Select Your Coverage Plan:

When you are ready, give us a call and we will guide you through the process.

Medicare consists of distinct parts designed to address specific healthcare needs:

Medicare Part A (Hospital Insurance): This part covers inpatient care in hospitals, including critical access hospitals, as well as skilled nursing facilities (excluding custodial or long-term care). It also includes coverage for hospice care and certain home health services, subject to eligibility criteria. Many individuals do not pay a premium for Part A as it is typically covered through payroll taxes paid during employment.

Medicare Part B (Medical Insurance): Part B covers services provided by doctors and outpatient care. Additionally, it encompasses some medical services not covered by Part A, such as certain services provided by physical and occupational therapists, along with select home health services. Part B assists in covering medically necessary services and supplies, with most individuals paying a monthly premium for this coverage.

Medicare Part D (Prescription Drug Coverage): This part provides prescription drug coverage to all Medicare beneficiaries. To access Medicare prescription drug coverage, individuals must enroll in a Medicare-approved plan offering such coverage. Most beneficiaries pay a monthly premium for Part D.

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LEARN MORE ABOUT MEDICARE

Getting Starting with Medicare

Understanding the Link between Social Security Benefits and Medicare

Learn the Basics

Medicare consists of distinct parts designed to address specific healthcare needs:

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