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Welcome to Medicare: Your First Steps Guide
Congratulations on reaching this milestone of eligibility for Medicare! Navigating the world of healthcare options can seem overwhelming, but we’re here to help you take those crucial first steps. If you have already read so much you can’t bear to read more…Call me directly at 336-228-9200 to schedule your appointment.
Check Your Eligibility
Ensure you meet the eligibility criteria for Medicare. Typically, individuals become eligible at age 65, but there are exceptions for those with certain disabilities.
Sign up for Medicare/ Enroll in Part A and/or Part B. To sign up for Medicare, you can do so during the Initial Enrollment Period (IEP), which begins three months before you turn 65 and lasts for seven months. You can enroll through the Social Security Administration (SSA) online (https://www.ssa.gov/medicare/sign-up), by visiting the Medicare website (www.Medicare.gov) , or by contacting them directly, 800-772-1213.
What if I’m not retiring?
If you are going to continue working past the age of 65, and you have creditable health insurance coverage, you can opt for Part A only and wait until you retire to enroll in Part B. Or you can compare what is available for Medicare products with your current benefit and choose what works for you.
If you’re already receiving Social Security benefits, you may be automatically enrolled.
It’s essential to understand the different parts of Medicare (A, B, C, and D) and choose the coverage that best suits your needs.
Part A
- Hospital Charges and certain surgeries
- Skilled nursing facilities for short periods of time
- Limited Home Health Service
- Hospice
- Deductibles and limits apply
Part B
- Doctor and health provider services
- Outpatient treatment
- Medical equipment
- Screenings and lab testing
- Preventive services, and other medical and health services not covered by Part A.
- Deductibles, co-pays, and additional charges may apply
Part D
- Prescription Drug Benefit
- Can be added to Part A and/or Part B
- Deductibles and co-pays may apply
Part C
Also called a Medicare Advantage plan, which combines Part A, Part B, and usually Part D. These plans are offered by private insurance companies and replace original Medicare.
Medigap or Medicare Supplement
These are plans that can “fill-in” the gaps left by original Medicare Parts A and B. Several plans are available with different premiums and benefits. You CANNOT have a supplement AND an Advantage Plan.
Whether you choose original Medicare or choose a Medicare Advantage Plan, you must pay your Part B premium, which changes every year. You also can incur penalties for enrolling in Part B and/or Part D after your initial coverage election period.
You will be notified by CMS if you must pay an Income Related Monthly Adjustment Amount (IRMAA) that is applied based on your household income from 2 years prior. For more information – https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/IRMAA-adjustment-notice.
Remember, you’re not alone on this journey. If you have questions or need assistance, don’t hesitate to reach out to us for help through the process. Welcome to the world of Medicare, where you can access quality healthcare tailored to your needs.
If you would like, below is a tool to begin reviewing some Medicare plans that may suit your current healthcare needs. Note that not all plans are included in this comparison, but it can get you some practice reviewing the benefits and options.
Click here to shop Medicare Advantage plans
Welcome to Medicare Quote Request
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