Who I Help
I can assist clients in every type of scenario
- Turning 65
- Over 65 losing their coverage
- Unsure whether to on employer insurance or enroll in Medicare
- Unhappy with current coverage
- On Social Security Disability
What is Medicare
Medicare IS
- A federal health insurance program
- For US citizens and legal residents
- Individual health insurance
Medicare is NOT
- Medicaid
- Social Security
- Family plans
Who Can Get Medicare
You can qualify for Medicare if you meet one of the following requirements
- Within 3 months of turning 65 or older, even if you still work
- Younger than 65 with a qualifying disability
- Have enstage renal disease (ERD)
Note: You may be eligible for Part A through your spouse though you must meet the age or disability requirements
What Does Original Medicare Cover
Part A – Hospital Insurance
- Hospital room and meals
- Intensive care
- Skill Nursing Facility Care
- Operating room services
- Hospice care
- Rehabilitation services
- Some home health care
- Some drug and medical supplies for in patient stats
Part B- Medical Insurance
- Outpatient care
- Mental health care
- Clinical lab services
- Durable medical equipment
- Ambulance services
- Occupation/Physical therapy
What Does It Cost
Original Medicare consists of Part A and B but no out of pocket maximum
Part A – Hospital Insurance
- Premium $0.00
- Deductible $1632
- Other Cost $408.00/day 61-80
- $816.00 a day after 90 days
Part B – Medical Insurance
- $174.70/mo
- $240.00 Yearly 20%
What Is Not Covered
- Prescription drugs
- Annual physicals
- Dental, vision and hearing care
- Hearing aids
- Glasses or contacts
- Long term care
- Most care outside the US
What Should You Consider
It’s a personal decision based on cost, convenience and health history so consider the following questions
- What am I willing/able to spend on programs, deductibles, co-insurance and copays
- Does the plan I’m considering have all the benefits I am looking for
- How important is it to me to have vision, dental and hearing services
- Am I ok with having a restricted list of providers and hospitals in a network?
- Do I feel comfortable using this plan to manage any chronic health conditions I have