Medicare

MEDICARE COVERAGE

Medicare is the federal health insurance program for people aged 65 and above, and under 65 with End-Stage Renal Disease (ESRD) or certain disabilities.

Enrolling in the right Medicare plan is an important decision to make. Your lifestyle, budget, and health are key considerations. You’ve worked hard to get to Medicare and now you want the freedom to pursue your interests without worrying about health insurance. That’s where we come in. As an independent agency, the pros at Quotes Mate will help you understand your Medicare coverage options and provide FREE advice so you can feel confident in your decision!

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Medicare Part A

Medicare Part A is hospital coverage. If you or your spouse paid Medicare taxes for a decade or more, you qualify for Part A premium-free. Medicare Part A includes hospice care, skilled nursing, hospice, and sometimes home healthcare. There’s currently a $1,408 deductible when you’re admitted into hospital care.

Medicare Part B

Medicare Part B is medical coverage. This includes doctor visits, lab tests, outpatient surgeries, mental health services, x-rays, ambulances, flu shots, and durable medical equipment (like oxygen tanks and wheelchairs).

Part B has a monthly premium and a deductible. Under Part B, the government pays 80% and you pay 20% of your medical bills. But there’s NO cap on how much you could pay.

Together, Parts A and B make up what’s known as Original Medicare.

Medicare Part D

All plans must cover a wide range of prescription drugs that people with Medicare take, including most drugs in certain protected classes,” like drugs to treat cancer or HIV/AIDS. A plan’s list of covered drugs is called a “formulary,” and each plan has its own formulary. Medicare drug coverage typically places drugs into different levels, called “tiers,” on their formularies. Drugs in each tier have a different cost. For example, a drug in a lower tier will generally cost you less than a drug in a higher tier.

Original Medicare Is Not Full Coverage

While Original Medicare covers your basic healthcare expenses, it doesn’t cover everything. And the costs can add up quickly!

Original Medicare does NOT cover hearing, vision, dental, prescription drugs, gym membership, or medical emergencies overseas. Because of the gaps and expenses, about 85% of people with Original Medicare sign up for additional coverage.

Medicare Part C (Medicare Advantage)

When Does Your Medicare Coverage Start?

For most people, Medicare begins the FIRST day of the month they turn 65. If you’re receiving Social Security before age 65, you’ll automatically be enrolled in Medicare Parts A and B.

If you’re not receiving Social Security, you must self-enroll. Your Initial Medicare Enrollment Period is a 7-month window around your 65th birthday. It starts 3 months before and ends 3 months after the month you turn 65.

You can enroll online .You may call Social Security or show up in person at your local office. However, with long lines, it may be quicker to enroll via phone or online.

Once you have your Medicare card, you may enroll in other Medicare options, such as:

Medigap
Medicare Part D
Medicare Advantage

Whatever option you choose, you must continue to pay your Medicare Part B premiums.

Get FREE Medicare Advice Today

Medicare can be confusing and overwhelming, but don’t let that keep you from getting all the benefits you’re entitled to. Reach out to Quotes Mate today, and get FREE advice from Our licensed insurance agents. You’ve got nothing to lose.

Medigap Plans

One of these supplementary coverage options is Medigap or Medicare Supplement plans. With a Medigap policy, you keep Original Medicare and your Medigap plan covers many — if not all — of the costs that the government does not pay, such as deductibles, coinsurance, and excess charges.

Here are some key points to know about Medigap plans:

You can use your plan anywhere in the U.S. that accepts Medicare, and if you move, you can keep your plan.
They are guaranteed issue when you’re first eligible for Medicare and in limited scenarios, meaning you cannot be denied coverage.
Once you have a Medigap plan, the benefits cannot be changed or taken away.

Medicare Part D

Medicare Part D provides coverage for prescription drugs. It’s important if you’re taking regular medications for conditions like high blood pressure and diabetes.

Unless you qualify for a subsidy, you’ll pay premiums for your plan, and depending on your plan, you may be responsible for copays, deductibles, and coinsurances for the medications you need. The formulary, or list of covered drugs, on each Part D plan may be different.

However, Part D plans are required to cover at least two drugs from each category. They also must cover all drugs in six specific categories:

Immunosuppressants
Anticancer
Antidepressants
Antipsychotics
Anticonvulsants
HIV/AIDS drugs

When choosing a Medicare drug plan, make sure your preferred pharmacy is in-network and all your prescriptions are on the formulary. An advisor at QuotesMate can help you with this.

What If You Miss Initial Enrollment?

If you miss your Initial Enrollment Period, you can enroll in Medicare during the General Enrollment Period — from January 1 to March 31 — although you may be subject to a late enrollment penalt

Call Today:

+1 727-274-8698

For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day, 7 days a week or consult www.medicare.gov.

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ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1-800-633-4227 (TTY: 1-877-486-2048).

We do not offer every plan available in your area. Any information we provide is limited to ‎those ‎plans we do offer ‎in your area. Please contact Medicare.gov or 1-800-MEDICARE to get ‎‎information on all of your options.