You can rely on the experience and knowledge of our team of licensed Medicare insurance consultants
Medicare is a wonderful benefit to seniors and others who qualify, but it can be confusing to understand. We have talked to countless seniors who have expressed their heartfelt gratitude for our gracious approach to explaining all of the options before them and helping to enroll them in the plan or plans that make the most sense for them. We hope our Medicare 101 information is helpful in your first step.
Our desire is to be with you every step of the way. Our licensed Medicare insurance consultants have the experience and tools to help you find the best plan for your specific needs and budget in your coverage area. Below are many of the questions we address on a regular basis.
We represent the following carriers:
Who is eligible for Medicare?
Individuals who are 65 or older are eligible for Medicare, as well as some younger individuals with disabilities or End-Stage Renal Disease.
What is Medicare coverage?
Medicare is a federally-administered health insurance program. There are two parts to Original Medicare – Part A and Part B. Part A covers inpatient hospital care, skilled nursing facility, hospice and home health care. Part B covers doctor appointments, outpatient care, preventive services, occupational/physical therapies and home health care.
What is Medicare Part D?
Medicare Part D is offered by private insurance carriers and provides coverage for prescription drug costs. It is available for purchase as a separate Stand Alone Plan for those with Original Medicare or can also be included as part of a Medicare Advantage Prescription Drug plan.
What is a Medicare Advantage Plan?
Medicare Advantage Plans, also known as “Part C”, are offered by private insurance companies approved by Medicare. These plans are an “all in one” alternative to Original Medicare and include Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance). They often also include prescription drug coverage (Part D) and extra benefits and services that are not covered by Original Medicare.
If you join a Medicare Advantage Plan, you still have Medicare.
What is a Medicare Supplement (also known as Medigap)?
While Original Medicare pays for much of the cost for covered health care services and supplies, it does not cover everything. A Medicare Supplement Insurance (Medigap) policy can help pay some of the remaining health care costs, such as copayments, coinsurance, and deductibles. Medicare Supplement plans are offered by private insurance carriers.
When can I enroll in a Medicare plan?
There are several enrollment periods for Medicare plans.
- Initial Enrollment Period – begins 3 months before your 65th birthday and ends 3 months after the month that you turn 65.
- Annual Enrollment Period – begins October 15 and ends December 7 each year.
- Open Enrollment Period – allows you to make changes to your Medicare Advantage plan from January 1 through March 31.
- Special Enrollment Periods – are available under certain circumstances throughout the year, such as moving out of your existing plan’s service area or retiring from a job that previously provided your benefits.
What additional benefits/coverage can I get?
In addition to medical and/or prescription coverage, the benefits/coverage offered by different plans varies. Some common types of additional coverage include dental, vision, hearing, and wellness programs.
Is transportation included?
Coverage and additional benefits vary by plan and service region. Some plans do offer transportation coverage. If you are interested in this particular benefit, a knowledgable Medicare insurance consultant can help you find the right plan.
Can I get help with bills?
There are a variety of plan options that include assistance with bills, such as copayments and deductibles. A knowledgable Medicare insurance consultant can help you determine which benefits are available where you live.
New to Medicare?
We understand you may have a number of questions about Medicare and where to begin. Our licensed Medicare insurance consultants have answers to your questions and more.
Ready to switch plans?
Your needs change and so do your plan options. Our team has the knowledge and experience to help you find the plan to meet your uniques needs and circumstances.
Leaving group insurance?
You may be able to save money and receive more benefits. Schedule an appointment to talk to one of our licensed Medicare insurance consultants to learn what steps to take.
Are you an employer?
Your current or soon-to-retire employees may benefit from switching to Medicare. Connect with the Grace Agency team to learn how you can help your employees.