I’ll help you to learn how Medicare works, and the pros & cons of Original Medicare vs Medicare Advantage Plans.
Timing is everything in Medicare
- Turning 65 soon? The best time for us to begin a conversation is about 12 months before your 65th birthday. That way there is plenty of time, and no need to rush.
- Receiving SSDI? (Social Security Disability Insurance) Folks who have received 24 months of SSDI payments may qualify for Medicare, regardless of age.
- Already started Medicare? An annual review is helpful because changes can occur every year regarding 1) doctor networks in Medicare Advantage plans, 2) drug plan formularies, and 3) premiums for Medicare Supplement Plans.
- Over 65 and covered in a group plan or COBRA? Your enrollment window varies, depending on various factors including whether or not your Part A and B are active. Ask your HR dept for advice.
- Already enrolled in a Medicare Supplement Plan? In California, you can switch to any other carrier’s equal or lesser value plan, guaranteed issue, during the 30 days following your birthday. Applications submitted at other times can result in a rate up or decline due to preexisting conditions.
Helpful Medicare Publications
Visit https://www.medicare.gov/Publications/ and type in the name of the publication you wish to access. Below are names of some common publications.
- Medicare & You
- Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare
- Your Guide to Medicare’s Preventive Services
- Your Medicare Benefits
- Medicare and Other Health Benefits: Your Guide to Who Pays First
- Medicare Hospice Benefits
- Your Guide to Choosing a Nursing Home
- Your Guide to Medicare Prescription Drug Coverage
Disclaimer: Aquarius Insurance Services, LLC and Michael Grodsky do not work for, and are not representatives of, Medicare or any governmental agency.