For a Live Insurance Quote Call
Toll Free (877) 777-7055
For a Live Insurance Quote Call
Toll Free (877) 777-7055
We pride ourselves on our attentive service to our clients and our reputation for designing the best possible plan coverage. In fact we go so far as to guarantee no other agency can find you more comprehensive coverage for less premium. Please feel free to contact us at 1-877-777-7055 or fill out our health insurance quote form.
Senior Health Plans and Medicare Eligibility
Initial Election Period- 3 months prior to the month you turn 65 or your disability month, the month of, and 3 months following unless your birthday is the first day of the month.Annual Election Period- November 15- December 31. You can make plan enrollments and disenrollment’s in the Medicare Advantage and Part D programs. The effective date is January 1.Open Election Period- January 1-March 31. You can make one Medicare Advantage plan enrollment or disenrollment as long as there is not a Part D program addition or deletion. The effective date is the first date following the month of your plan change.
Special Election Period- This is a year round 63 day election period which accommodates such events as moving out of a Medicare Advantage plan service, a Medicare Advantage plan leaves Medicare, or a beneficiary leaves a group health plan and enters Medicare past age 65.
Medicare Supplement Plans
A Medicare Supplement Insurance policy, also called a Medigap plan is private insurance that pays in varying degrees based upon a standardized letter grid of coverage ( A-N) that all insurance companies have to follow. The combination of certain plans will generally pay 100% of the Medicare approved amounts for health care costs and pay Part B medical excess charges. Plans are guaranteed renewable as long as premiums are paid. Your open enrollment period is the guarantee issue period starting from the first day of your 65 birthday month for 6 months. During this period you can not be denied coverage for pre-existing conditions. If you have had creditable non-Medicare health insurance past age 65, move out of a Medicare Advantage plan’s service area, or your Medicare Advantage plan leaves Medicare, you will have special guarantee enrollment rights, which last for 63 days past the date your health coverage ends
Medicare Advantage Plans (Part C)
Private Insurance that provide insurance for hospital and medical services in the form of HMO’s, PPO’s, and Private Fee For Service. These plans sometimes include prescription drug coverage. These plans pay instead of Medicare and work differently than Medicare Supplements, as the government pays private insurance companies to administer Medicare. It is important to check with provider network and plan acceptance. These Plans have guarantee issue with no underwriting; no pre-existing conditions, and requires no physical exam. A beneficiary must live in the plan’s service area. Plans, benefits, and premiums can vary by your county of residence. Plan changes are subject to the appropriate Medicare election periods.
Medicare Part D (Prescription Drug Coverage)
Private insurance that provides prescription drug benefits. These benefits are subject to the same requirements set forth by the Department of Medicare and Medicaid, including the donut hole, formularies, and tiers of prescriptions. Enrollment is not required; however, a penalty can occur for not having creditable prescription coverage during Medicare eligibility. Low-income subsidy benefits are available, where premiums, copayments, and the donut hole on prescriptions are reduced or eliminated.