Medicare Plan Review
Understanding Medicare Advantage Plan
A Medicare Advantage plan, also known as Part C, is a type of health insurance that offers an alternative to Original Medicare. These plans are provided by private insurance companies approved by the Centers for Medicare & Medicaid Services. Here’s what you need to know:
Combines coverage from Medicare Part A (hospital insurance) and Part B (medical insurance).
Often includes additional benefits such as dental, vision, and prescription drug coverage.
Can be structured as Health Maintenance Organizations (HMO) or Preferred Provider Organizations (PPO).
Typically, you will pay a monthly premium in addition to your Medicare Part B premium.
As you consider your options, it's important to review the specific plans available in your area. Understanding the features of different plans can help you choose the best Medicare Advantage plan that fits your health needs and budget.
Best Medicare Advantage Plan
When you’re ready to enroll, there are a few ways to sign up for Medicare:
Online: You can easily enroll in Medicare through the Social Security website. This is a convenient option that allows you to complete your enrollment from home.
By Phone: Call the Social Security Administration at 1-800-772-1213 to enroll or ask questions about your Medicare options.
In Person: Visit your local Social Security office for face-to-face assistance with your enrollment.
Be sure to gather necessary documents like your Social Security number, proof of citizenship, and any information regarding your employer-sponsored health coverage before starting the process.
Signing Up for Medicare Part A and Part B
When you enroll in Medicare, you’ll typically be eligible for two main parts: Part A and Part B. Here’s what you need to know:
Medicare Part A: This is hospital insurance, covering inpatient stays, skilled nursing facilities, hospice, and some home health care. Most people get Part A premium-free if they or their spouse paid Medicare taxes while working.
Medicare Part B: This is medical insurance, covering doctor visits, outpatient care, and preventive services. You usually pay a monthly premium for Part B, which can increase if you delay your enrollment.
It’s essential to sign up for both parts as soon as you’re eligible to avoid a monthly late enrollment penalty. If you want Part B, you must actively enroll, as it does not come automatically with Part A unless specified.
Special Circumstances: Disability and ALS
If you are under 65 and qualify for Social Security disability benefits or if you have Amyotrophic Lateral Sclerosis (ALS), you may be entitled to Medicare earlier than age 65. Here’s what to consider:
After 24 months of receiving Social Security disability benefits, you automatically get Medicare Part A and Part B.
If you have ALS, your Medicare coverage starts the same month you begin receiving disability benefits, meaning you won’t have to wait the usual 24 months.
It’s crucial to monitor your eligibility and ensure you enroll in Medicare as soon as you qualify to avoid any lapses in coverage.
For those with disabilities or ALS, understanding how to navigate your Medicare enrollment is vital to ensure you receive the necessary medical care.
Getting Benefits from Social Security
Many people enroll in Medicare during the same time they apply for Social Security benefits. If you're eligible, you will automatically receive Part A. But you need to sign up for Part B. Here's how:
When you apply for Social Security, answer a few questions about your Medicare enrollment. This will help determine your eligibility.
If you’re already receiving Social Security benefits, you don’t have to sign up for Part A; you will get it automatically.
If you want to enroll in Part B, make sure to do so during your IEP or GEP to avoid a late enrollment penalty.
Understanding how to get benefits from Social Security can streamline your Medicare enrollment process and ensure you have the coverage you need.
Contact Andrews Insurance Agency Today!
Are you ready to enroll in Medicare or need more information about the enrollment process? Andrews Insurance Agency is here to help you every step of the way. We understand that Medicare can be confusing, but our knowledgeable team will work with you to ensure you get the coverage that best suits your needs.
Call us today at (918) 653-7707 to schedule a consultation or visit our website at Andrews Insurance Agency. Let us assist you in making informed decisions about your Medicare coverage!