Anyone on Medicare which is a federal program for those over 65 years of age and some individuals with End Stage Renal Disease or that have been on disability for rover 24 months.
-both with and without drug coverage
What I do is discuss with clients about their needs. It is very important to understand each person as they are all different. Do they have specific doctors they need to keep seeing – network issues. Do they need to be able to visit a specific hospital? My job is to educate each person on their options and I do this by creating a side-by-side comparison and then reviewing it with them until they get it and can make a decision on a plan that will work for them. Most plans are annual based meaning they renew each year January 1. There is annual election period that runs 10/15-12/7 each year and this is the time of the year that folks with Medicare can make a plan change for the upcoming year. What if they are on a bunch of different meds, now need to look at all the things again and help them make decisions.
I work with individuals that are looking at retirement and need to decide if they are going to stay on their group plan if they continue working or roll off to Medicare…I discuss when to sign up if you are turning 65 and not working anymore.
Medicare is a federal program. Part A is Hospital Insurance and Part B is Medical Insurance. Both of these come from the federal government. If you are going to take your social security then the premium for Part B would come out of social security…if you don’t take social security initially then you will pay the Part B premium to the federal government (CMS-center for medicare services). Medicare covers 80% leaving you with 20% unless you work with me to enroll in either an Advantage plan or a Supplement plan with a drug plan.
So many discussion points here. Does your doctor accept Medicare? If you go the advantage plan route then networks and doctors in network are very important. If you go the supplement route and they take Medicare then the supplement plan just follows Medicare.
Confused about your health insurance? Let us clear the path.
