Medicare is the Federal Health Program for individuals 65 and older or have a disability under 65 years of age.
Original Medicare consists of Parts A and B only. Part A pays for hospital coverage and Part B pays for medical expenses like doctors, X-rays and surgery. Original Medicare only pays 80% of eligible expenses. Original Medicare does not have an out-of-pocket limit!
ICEP — Initial Coverage Enrollment Period
(7 months total) - 3 months before 65th birth month, 65th birth month, 3 months after Example - If your birthday is in April, you’re eligible to enroll during January, February, March, April’s birth month, May, June, and July
SEP - Special Election Period
Medicare Advantage or PDP changes allowed all year, based on special events like a move, new to Medicaid or loss of Employer coverage.Example - If your birthday is in April, you’re eligible to enroll during January, February, March, April’s birth month, May, June, and July
AEP - Annual Election Period
October 15th through December 7th
Medicare Advantage and PDP changes allowed.
OEP - Open Enrollment Period
January 1st through March 31st
Only Medicare Advantage plan-to-plan changes or return to Original Medicare with a PDP are allowed.
Do I need a Supplement (Medigap) plan?
Original Medicare does not pay for everything. It pays 80% of Medicare eligible expenses, leaving you with 20% on an unlimited basis. Whereas most Employer plans and individual plans from the Marketplace are required to have an out-of-pocket maximum to be ACA compliant. Medigap does not include Part D (prescription drugs). Further,
What is the cost of your assistance?
Our services are at no charge to you. We are paid by the insurance companies. Our primary goal is to get the right medical plan for your needs with an insurance company that has a stable financial outlook.
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