Medicare 101

Medicare Help and Enrollment Strategies

GolferOCMedicare helps you make the best decision when choosing your Orange County Medicare Insurance.  We bring ease to the Medicare Insurance process, allowing you to understand how Medicare works and helping you find the Medicare Insurance plan that’s right for you.

We provide free assistance so you don’t have to learn it all yourself.  We sit down with you, either in person, on the phone or via email and show you how the whole system works.

It will all become crystal clear once you sit down with us and we talk with you personally about your particular situation.

Medicare has four distinct parts

Medicare Part A

Medicare Part A covers you if you are admitted, as an “In-patient”, to a hospital, skilled nursing facility or institution.  Part A is free for most people and you are entitled to Part A if you are a US citizen and you’ve worked 40 or more quarters (your spouses working quarters apply to you if you have not worked).  Part A has a deductible and, once you’ve reached your deductible it covers you at 80%.  You are responsible for the 20%, which is why you’ll want to consider obtaining Medicare Insurance (which typically takes care of your deductibles and the 20%).

Medicare Part B

Medicare Part B is NOT free.  Most citizens pay a monthly premium of $121.80 for Part B.  But, if you make more money you may need to pay more for your Part B.

Medicare Part B covers you for all services performed outside of a hospital setting.  Think “out-patient”.  Everything from a routine MD Office Visit, Lab work, Physical Therapy, CT Scans, MRI’s, etc, etc, etc.  Part B has a deductible as well, and covers you at 80%.  You are responsible for 20%, which, again, is why you’ll want to consider obtaining Medicare Insurance.

Medicare Part C

Medicare Part C is also known as the Medicare Advantage program.  Most HMO’s you see advertised on TV are a part of the Medicare Advantage program.  Think SCAN, Blue Shield’s 65+, AARP’s Medicare Complete, etc.  These Medicare HMO’s often have ZERO premium but require that you make co-payments for certain services.  You also MUST use your Primary Care Physician for all services and he/she will give you a referral to a specialist should you need one.

Medicare Part C is NOT a requirement.  It is just a Medicare Insurance option for you to consider that will help offset the Medicare deductibles and the 20% that you would be responsible for if you did not have a Medicare Insurance plan in place.

Medicare Part D

Medicare Part D, or the Prescription Drug program, is just that.  You must obtain a prescription drug plan whether you are currently on medications or not.  The Federal Government requires all Medicare beneficiaries to obtain a Part D drug plan, otherwise you will be responsible for a “late enrollment penalty” if you fail to get a Part D plan and decide to activate one later.

There are some things to consider when deciding which plans you’ll need and which plans you won’t need.  For instance, if you are still working and your employer provides “creditable coverage” you may NOT need to get Medicare Part B OR Medicare Part D.  These are things that we can help you determine so please feel free to contact us to review your particular situation.

Medicare Supplement Insurance plans

Another insurance option to consider is a Medicare Supplement Insurance plan (rather than a Part C Medicare Advantage Plan).  A Medicare Supplement plan will often pay for most, if not all, of the balance that Medicare does not pay.  There are NO co-pays or deductibles and you can use ANY doctor in the USA, as long as that doctor accepts Medicare.

It’s hard to understand all the intricate details of Medicare and the insurances available by reading about it, which is why we offer free advise and provide Medicare education to you without obligation.  Please take advantage of our free service and schedule an appointment today.

Don’t try and tackle Medicare alone!

Contact us and let us be your guide. We provide a no obligation free consultation! We’ve been helping people just like you for over 30 years and feel confident that we can help you make the best decision for yourself regarding your Medicare Insurance needs.

Call today at (714) 729-3161.

4 Qualities To Look For In A Health Provider

Choosing the right health care provider with a better understanding of your own needs is the best decision you could make for your health and future! As you reach your mid 60’s and possibly enroll in Medicare how do you know how to choose the right health provider? It may be time for you to find a physician that is specialized in older patients. Someone that is on the same page as you regarding … [Read more...]

Fight Medicare Fraud

It has been awhile since we’ve talked about Medicare fraud, but this does not make it any less important for you to stay alert. According to a report released by congress, every year billions of  American taxpayer money was lost to fraud, waste, abuse and improper payments. That is more than 10 percent of Medicare’s total budget! The official U.S. government site for Medicare, Medicare.gov, … [Read more...]

The ABCD’s Of Medicare

Let us help make Medicare easy for you. Use this info graphic to learn about the four parts of medicare: • Part A: Hospital Insurance • Part B: Medical Insurance • Part C: Medicare Advantage • Part D: Prescription Drug Coverage … [Read more...]

The WHEN and WHAT of Medicare Open Enrollment

We talked last week about preparing for the 2017 enrollment season almost upon us. Tomorrow, October 15 is the start of open enrollment and it’s time to start thinking about the best ways to prepare for Medicare open enrollment. Let this fun infographic help you understand WHEN and WHAT you need to know about Medicare open enrollment.   … [Read more...]

Medicare vs. Medicaid

Want to know what the difference is? To begin with, these programs, Medicaid and Medicare, are similar in that they both use federal money to support citizens who may have trouble paying for health care themselves. There are a few more similarities but for the most part they are very different. Learn about the key differences with us using this info graphic. … [Read more...]

Follow Your Path To Medicare Coverage

I am 65. Now What? Use this fun info-graphic as a starting point to determine where you need to go next on your Medicare journey.   … [Read more...]

4 Things To Look For In A Health Provider

As you reach your mid 60’s and possibly enroll in Medicare how do you know how to choose the right health provider? It may be time for you to find a physician that is specialized in older patients. Someone that is on the same page as you regarding life, health and growing older. Here are four pieces of advice to help you choose the right health provider: 1. Make sure this health provider has a … [Read more...]

Protect Your Medicare Number!

You know that you should not give your social security number to a stranger. Did you know this also applies to your Medicare number? It’s an unfortunate reality that fraudsters and identity thieves are constantly increasing their efforts to get and abuse Medicare numbers from people like you. These fraud schemes often revolve around identity thieves obtaining Medicare numbers through … [Read more...]

2016 Part B Premiums

The new 2016 Part B premiums have been released! Participants can expect the average Part B premium amount to be $121.80 (possibly higher depending on your income). However, keep in mind, because there wasn't a cost-of-living increase for 2016 Social Security benefits participants collecting these benefits will pay the same Part B premium amount they paid in 2015. If you fall into one of the … [Read more...]

Tips For Choosing A Medicare Plan

You are now at that age. At 65 you can enroll for medicare for the first time. Your Initial Enrollment Period (IEP) starts three months before your 65th birthday, includes your birth month and ends 3 months after your 65th birthday. You have a total of 7 months to enroll in Medicare. But how do you know what medicare plan to choose? Choosing a medicare plan can be a complex and frustrating … [Read more...]