Let's learn more about Medicare rules together. Scroll below or schedule your consultation to get more Medicare info.
Medicare is a federal health insurance program designed to help those 65 and older, as well as certain younger individuals with disabilities or specific medical conditions, access affordable healthcare. Medicare rules affect beneficiaries differently, so understanding your benefits is important.
Medicare coverage can vary in many ways from one beneficiary to another, based on their existing benefits and eligibility, both inside and outside of Medicare.
Medicare can seem overwhelming at first, but that’s why I’m here. I’ll break it down for you, answer your questions, and help you make informed decisions about your healthcare coverage.
Medicare rules affect eligibility as well. For example, you’re eligible for Medicare if:
The best time to sign up for Medicare is during your Initial Enrollment Period (IEP), which begins 3 months before your 65th birthday and lasts 3 months after. If you miss your IEP, there may be other election periods (Special Election Periods, SEPs) that allow you to enroll in coverage.
You may face penalties or delays in coverage if you do not enroll in coverage during your IEP, so it’s crucial to consult an advisor to understand your options and avoid any issues.
Each year, the Medicare Annual Enrollment Period (AEP) runs from October 15th to December 7th.
Annual Enrollment Period will be here before you know it
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Now is the time to elect coverage for 1/1/2026
Medicare is broken down into "parts" which cover different types of services. Below is a breakdown of what each part provides.
Covers inpatient hospital stays, skilled nursing care, hospice care, and some home health services.
Covers outpatient services like doctor visits, preventive care, and medical equipment.
A private plan that combines Part A and Part B coverage. Many Medicare Advantage plans also offer additional benefits, like dental and vision care, and may have lower out-of-pocket costs.
Helps cover the cost of prescription medications. You can choose a standalone Part D plan or get it through a Medicare Advantage plan.
With most any insurance plan, there are two primary costs to consider:
I can help you figure out the costs based on your unique needs and situation.
For most people, Part A is premium-free if you or your spouse have worked and paid Medicare taxes for at least 10 years.
Part B has a monthly premium (based on your income) and a deductible, along with copayments for services.
Part D also has a monthly premium and may include deductibles and copays depending on your plan.
Costs can vary widely depending on the plan, but they often offer additional coverage (like dental and vision) with lower out-of-pocket costs.
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