Lets Talk About Medicare
Our Agency represents majority of the insurance companies when it comes to picking a Medicare secondary plan. We offer one on one consultation’s to review your choices in picking the best secondary policy that best fits your needs. Our objective to make sure your coverage is a smooth transition into your Medicare eligible years. We offer reviews of your plan during open enrollment and we are here to answer any questions throughout the year. Those questions could be billing questions, claims questions or a refresher of your benefits. We provide every client the information needed to make a well advised decision on your Medicare plan.
What Are the Benefits of Working with a Broker?
The rates you pay for your insurance are exactly the same Agents are up to date with multiple insurance carriers plan benefits and rates We can offer a variety of plans so we do not have bias when you decide to choose a Medigap, Medicare Advantage or Part D drug plan that best fits your needs Licensed with multiple insurance companies Call us today to set up your appointment
Medicare Basics:
Medicare Basics- Medicare is health Insurance for people 65 or over who are under 65 with certain disabilities and are of any age with end-state rental disease.
The Basic Parts of Medicare
Part A - Hospital Insurance
Is managed by the federal government to help pay for care in a hospital and skilled nursing facility, home health care and hospice care – usually for no premium
Part B - Medical Insurance
Is managed by the federal government to help pay for doctors, outpatient hospital care and other medical services – usually for a monthly premium. The standard premium for 2019 is $135.50. Others may pay a little less because of lack of increases (COLA) to Social Security Income
Part C - Medicare Advantage Plans
Are offered by private insurance companies who contract with the federal government to cover the same or more benefits than Original Medicare (Parts A & B). Medicare Advantage Plans may offer extra coverage such as Vision, Hearing, Dental and Wellness programs. Most Medicare Advantage Plans include Prescription Drug coverage (MAPD)
Part D - Prescription Drug Coverage
Is offered by private insurance companies who contract with the federal government to help cover prescription drug costs. This coverage is available as a stand-alone prescription drug plan (PDP) or as part of a Medicare Advantage Plan (MAPD)
What is Original Medicare
Original Medicare refers to Medicare Part A (hospital insurance) and Medicare Part B (medical insurance), and is in some ways central to your Medicare coverage. That is, the Medicare plan options described below require you to be enrolled in Medicare Part A, Part B, or both (depending on the type of plan); some plan options are meant to work alongside your Original Medicare coverage, while Medicare Advantage offers an alternative way to get that coverage – more on this follows later in this article.
Most of those eligible are automatically enrolled in Medicare Part A and Part B when they turn 65; if you’re already receiving Social Security Administration (SSA) or Railroad Retirement Board (RRB) benefits, you’ll “age in” automatically. If you’ve been receiving SSA or RRB disability benefits for 24 consecutive months, Medicare enrollment is also automatic for you. On the other hand, if you have ALS, you’ll be automatically enrolled the same month that you start receiving SSA or RRB disability benefits.Some people need to sign up for Medicare. If your circumstances don’t fit the criteria above, or if you have ESRD, you’ll need to enroll in Medicare through the SSA or RRB.
What is Original Medicare
Original Medicare refers to Medicare Part A (hospital insurance) and Medicare Part B (medical insurance), and is in some ways central to your Medicare coverage. That is, the Medicare plan options described below require you to be enrolled in Medicare Part A, Part B, or both (depending on the type of plan); some plan options are meant to work alongside your Original Medicare coverage, while Medicare Advantage offers an alternative way to get that coverage – more on this follows later in this article.
Most of those eligible are automatically enrolled in Medicare Part A and Part B when they turn 65; if you’re already receiving Social Security Administration (SSA) or Railroad Retirement Board (RRB) benefits, you’ll “age in” automatically. If you’ve been receiving SSA or RRB disability benefits for 24 consecutive months, Medicare enrollment is also automatic for you. On the other hand, if you have ALS, you’ll be automatically enrolled the same month that you start receiving SSA or RRB disability benefits.Some people need to sign up for Medicare. If your circumstances don’t fit the criteria above, or if you have ESRD, you’ll need to enroll in Medicare through the SSA or RRB.
How Can a Medicare Supplement (Medigap) Help?
Another word for these plans is “Medigap”. These plans fill in the gaps of Part A and Part B. They pick up the deductibles and the 20% remainder that Medicare does not pay. The benefit of these plans are: No referrals, no or low copays and a small, if any Deductible
You can buy a Medigap policy through a private insurance company to help fill the gaps in Medicare Part A & B coverage such as coinsurance and deductibles.
There is a six-month Open Enrollment Period when you can purchase a Medigap plan without medical underwriting. This period starts when you are both 65 or over and enrolled in Medicare Part B and it cannot be extended. Thereafter Medigap Insurance companies can refuse to accept new applicants based on health history.
Medigap policies do not work with other health insurance including Medicare Advantage, VA benefits or Employer group plans.
Every Medigap policy must follow federal and state laws and can only offer standardized policies labeled by letters A through N. Each standardized policy must offer the same benefits no matter which insurance company sells it.
Cost and Financial Ratings are usually the primary considerations when comparing similar policies offered by different companies.
The brokers from Caise Benefits represent many Medicare carriers. Call today and find the Medicare coverage that is right for you.
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Aston, PA 19014
Phone: 610-494-8270
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