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FAQs

Learn the answers to the most frequently asked questions about Medicare and make an informed decision for your health

WHAT IS MEDICARE?

It is a federal Health Insurance program for US citizens and legal residents who have lived in the United States for at least 5 consecutive years,   including the 5 years prior to applying for Medicare.

WHICH ARE THE REQUIREMENTS?

  • Over 65 years of age.

  • Under age 65 if you have a qualifying disability.

  • Of any age and have been diagnosed with end-stage renal disease or amyotrophic lateral sclerosis.

THAN  DOES MEDICARE COVER?

Original Medicare has two parts:

  • Part A helps pay for hospital stays and inpatient care

  • Part B helps pay for doctor visits and outpatient care.

In 2024, the deductible is $1,632 for Part A and $240 for Part B. The typical monthly Part B premium (covering 80% of costs) is $174.70

HOW TO GET ADDITIONAL COVERAGE?

Option 1

  • Medicare Supplement Insurance Plan (Medigap)

  • Helps pay some of your out-of-pocket costs not covered by Original Medicare.

  • Medicare Part D Plan

  • Helps pay for prescription drugs.

​​​ Option 2

  • Medicare Advantage Plan

  • Part C:  Combine part A and part B into one plan.

  • Part D: Prescription drug coverage.

Medicare Advantage may offer additional benefits that Original Medicare does not provide.

These plans are also offered by private companies.

WHEN CAN I JOIN A MEDICARE ADVANTAGE PLAN?

Initial Enrollment Period  lasts 7 months. Include the month you turn 65, plus the 3 months before and the 3 months after. You can sign up for Part A, Part B, or both.  You can also enroll in a Medicare Advantage plan (Part C) or prescription drug plan (Part D). You are not required to enroll in Part D, but there is a penalty of 1% of the average monthly premium for each month that you you are late in signing up.

Annual Enrollment Period:  

  October 15 to December 7.

During annual enrollment, you can add, drop, or change your Medicare coverage.

 

Open Enrollment Period  Medicare Advantage:  

one  from January to March 31

If you're already a member of a Medicare Advantage plan, you can either disenroll from your current plan and switch to a different Medicare Advantage plan one time, or switch back to Original Medicare, during that time.

Special Enrollment Period

  • Whether  retire and lose employer coverage.

  • Whether  move out of the plan's service area.

  • You qualify for the Extra Help program.

  • If you have been  diagnosed with certain qualifying chronic health conditions.

WHAT ARE THE BENEFITS OF MEDICARE ADVANTAGE (PART C)?

  • Additional coverage for hospital stays.

  • Additional coverage of medical expenses.

  • Prescription drugs.

  • Vision and hearing coverage including glasses and hearing aids.

  • Limits on annual out-of-pocket costs.

HOW TO CHOOSE A MEDICARE PLAN (FACTORS TO CONSIDER)?

  • Your health status (Pre-existing conditions).

  • Your place of residence and your annual travel plans.

  • Your Primary Care Physician and Specialists.

  • Prescription Drugs.

  • Your budget.

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