April 27

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Medicare

By Edward Givens

April 27, 2020


If you’re turning 65 years old and you are already drawing Social Security Income, Medicare Part A and Part B will start automatically. You can verify this by calling Social Security or logging into your Social Security account online.

If you’re not drawing Social Security right now? You can sign up for Medicare three months before your 65th birthday and no longer than 3 months after. You need to know that if you wait beyond this point there could be life-long penalties (if you have no other qualifying coverage).

How to apply for my Medicare Benefits:

1)  You can easily apply online for Medicare to start: 

https://www.ssa.gov/benefits/medicare/

2) You can call: 1-800-772-1213 and apply over the phone.

3) You can apply in person at your local Social Security office (if it’s open)

I’ve included a link to a directory of the Social Security offices: https://secure.ssa.gov/ICON/main.jsp

Once you have applied for Medicare Part A and B, reach out to my team so that we can explore the Medicare insurance options to cover the parts of Medicare not covered (like the unlimited 20% of Part B costs, deductibles, co-payments, etc.)

It’s as simple as A, B, C

Apply for Medicare

Be a person who talks with our team about Medicare insurance to cover the things Medicare does not.

Continue on with a stress free retirement

What if I have an employer plan?

Are older than 65 and leaving, or recently left your employer plan which was a group of more than 20 employees? If so, you will need to show Medicare that your current or previous plan is/was qualifying coverage. You want to verify this with Medicare so they do not charge you a penalty for not having signed up with Medicare when you were first eligible (when you turned 65).

If you decided to stay on COBRA, you MUST apply for Medicare no later than your 8th month on COBRA, this is to avoid the Medicare penalty. It doesn’t matter if you are planning to continue on COBRA beyond the 9th month. 

To get started download both forms below:

 (“Part B Enrollment” and “Part B Employer Verification of Benefits Form”).

Part B Enrollment 

Part B Employer Verification of Benefits Form 

Fill out “Part B Enrollment” and be sure to clearly write the date you’d like Part B to begin on the form

Have your Human Resources (HR) or benefits adviser from your employer fill out “Part B Employer Verification of Benefits Form”.

Overnight these two forms to your local SSA office or send via certified mail with “URGENT” written on the envelope.

Here is a directory of the Social Security offices:

https://secure.ssa.gov/ICON/main.jsp

Once you have applied for Medicare Part A and B, reach out to my team so that we can explore the Medicare insurance options to cover the parts of Medicare not covered (like the unlimited 20% of Part B costs, deductibles, co-payments, etc.).

What if I'm over 65 and I'm not on an employer plan?

If you are over 65, not leaving an employer or group plan, and are just realizing that you want to start Medicare, Then you must face the fact that you might have a problem. If 3 months has passed since your 65th birthday, you will possibly have to wait for the General Enrollment Period for Part B, this happens only once per year. Your local Social Security office can help you determine if this is the case for you; Here is a directory of the Social Security offices:

https://secure.ssa.gov/ICON/main.jsp

The General Enrollment Period is January 1 until March 31 each year. Your coverage would then start July 1 and you will have to pay a late enrollment fee. You can see the entire process here:

https://www.medicare.gov/sign-up-change-plans/how-do-i-get-parts-a-b/part-a-part-b-sign-up-periods

Once you have applied for Medicare Part A and B, reach out to my team so that we can explore the Medicare insurance options to cover the parts of Medicare not covered (like the unlimited 20% of Part B costs, deductibles, co-payments, etc.).

Medicare consists of the following parts; Medicare Part A (this pays for your hospital insurance), Medicare Part B (this pays for doctors and outpatient services), Medicare Part C (this combines parts A, B & D plus some added benefits, known as Medicare Advantage), and Medicare Part D (this is the prescription drug coverage). Medicare Advantage and Medicare Supplement plans (these plans fill the gaps in Original Medicare) are plans administered by private health insurance companies that follow federal guidelines. 

As you can see in the Medicare & You Guidebook, all of the Medicare Supplement plans are identical regardless of the insurance company: Each plan pays the bills exactly the same way for the same amount, and are all accepted at every Medicare provider the same way. The only difference is how each insurance company calculates the premium for the plan.

As you can see in the Medicare & You Guidebook a Medicare Advantage Plan is another way to get your Medicare coverage. These plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare. If you join a Medicare Advantage Plan, you’ll still have Medicare but you’ll get most of your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan, not Original Medicare. Most plans include Medicare prescription drug coverage (Part D). In most cases, you’ll need to use health care providers who participate in the plan’s network. Some plans do offer out-of-network coverage, but sometimes at a higher cost. Remember, you must use the card from your Medicare Advantage Plan to get your Medicare-covered services. Keep your red, white, and blue Medicare card in a safe place because you’ll need it if you ever switch back to Original Medicare.


Edward Givens

About the author

Working with me will allow you to have a healthcare plan that protects your health, your income, and your family. I'm a licensed health insurance adviser, entrepreneur, teacher, leader, and coach with 15 plus years of healthcare industry experience . I help small companies, professionals, individuals, and those eligible for medicare benefits design their healthcare plan to meet their needs and fit their budget. I'll be with you for the long haul. I'll assist you with education, selection, questions, and claims.

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