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Understanding your Medicare options can be confusing and the choices you make will affect the quality of your care in many ways. That’s why Custom Benefit Plans guides you step-by-step through enrollment and evaluating and applying for supplemental plans and prescription drug coverage.
We also provide clear, straightforward advice on what type of policies may be suitable if you have existing or complex medical needs, including suggesting ways to use multiple policies to get more comprehensive coverage at the best possible cost.
Custom Benefit Plans provides trusted, local, fee-free service to help you make the right choices for your health.
To learn more about Medicare, please read below. If you need immediate assistance please give us a call at:
Key Advantages
Because we work with all the major insurance carriers, you can be sure of having access to a full range of Medicare and senior care plans. We have no proprietary products and no minimum sales limits, so you can be confident our advice is always in your best interests.
We help guide you through every phase of the application process, and we negotiate with carriers on your behalf. You’re only one phone call away from help dealing with any Medicare coverage issue.
What You Need to Know
Medicare is a federal insurance program that provides health insurance for people 65 and older and individuals younger than 65 that may qualify due to a disability. There are four different parts to Medicare — Part A, B, C, and D. See below to learn more about each part!
Part A
Any time after turning 64 years and 9 months old
Part B and Part D
(There is no longer a Part C for new enrollees.)
Three months before you turn 65 and up to three months after your birth month.
(Enrolling after this will incur penalties.)
Open Enrollment
You can change plans between October 15 and December 7
Medicare Supplement Insurance
Pays for potentially costly expenses like co-pays and deductibles that Medicare alone doesn’t cover
Medicare Parts A and B cover about 80% of healthcare costs. Medicare Supplement Plans (often called “Medigap” plans) cover the rest. Our representatives can help you choose and customize coverage that fits your life and health circumstances. Any provider that accepts Medicare will accept your supplemental insurance. You can enroll throughout the year, and you cannot be denied coverage, even if you encounter a serious health concern.
Medicare Advantage Plans
Gives you the benefits of Medicare hospital and medical insurance, and often prescription drug coverage, too.
Medicare Advantage Plans (called “Part C” plans) combine the coverages of Parts A and B, and often Part D, as well. Our team can help you decide if a Part C plan is right for you, find local providers, compare costs, and help you understand the pros and cons of providers that are health maintenance organizations (HMOs) and preferred provider organizations (PPOs). We can also help you select plans with prescription drug options that cover your medications.
1. You must continue to pay your Medicare Part B premium. When enrolling in a Medicare Advantage plan, Medicare then gives your premium to the Medicare Advantage plan to help pay for your additional coverage.
2. Medicare Advantage has you covered. Medicare Advantage plans must cover all the services that Original Medicare covers and many offer additional benefits. Important: Hospice care is still covered under Original Medicare.
3. Joining a Medicare Advantage plan may affect your current coverage. If you have existing coverage or employer‑provided health insurance and plan to work past 65, check to see how joining a Medicare Advantage plan could affect or cancel your current coverage.
4.It’s best to use network providers. Use of network health care and pharmacy providers is typically required. Using providers outside of the network may cost you more or not be covered at all. In an emergency, you can use any provider.
5. You may qualify for financial assistance. Depending on your financial situation, you may qualify for help paying your plan premiums or Part D medications through a low income subsidy or Extra Help.
6. If you enroll in Part D late, you may pay a penalty. This is an additional amount charged by Medicare that will be added to your Part D premium if you go without Part D coverage for longer than 63 days in a row after your Initial Enrollment Period. Medicare Advantage plans that include Part D coverage meet Medicare coverage requirements.
7. A Medicare supplement insurance plan (Medigap policy) is not a Medicare Advantage plan. Medicare supplement plans are private health insurance policies and are secondary to Original Medicare. Medicare Advantage plans combine Original Medicare Parts A and B, and often Part D, into a single plan.
8. Keep your Medicare Advantage member ID card handy. Members must present their member ID card, not their Original Medicare card, when receiving services.
9. Medicare Advantage offers the same protections as Original Medicare. Even though Medicare Advantage plans are privately administered, you still have the same rights and protections as with Original Medicare.
10. You have a built-in financial safety net. All Medicare Advantage plans have an annual out‑of‑pocket maximum, that ensures you’ll never pay more than a certain amount out of pocket in a given plan year for covered medical services.
Inpatient and hospital insurance
Inpatient hospital care
Skilled nursing care
Hospice care
Some home health care
Outpatient medical insurance
Services from doctor
Outpatient care
Durable medical equipment
Preventative services
Medicare Part C (Medicare Advantage) are privately managed, federally approved Medicare plans. Part C plans combine the benefits of Part A and B into one plan and may also include:
Inpatient and hospital insurance
Outpatient medical insurance
Prescription drug coverage
Dental, vision, and hearing coverage
Wellness programs and telehealth
Medicare Part D plans provide beneficiaries with privately managed, federally approved prescription drug coverage. Medicare Part A and B don’t offer prescription drug coverage, so Part D helps:
Covers most commonly prescribed drugs
Often provides discounts in-network
Taking the Next Step
Please join us for a no obligation, educational live workshop. Our workshops are a great opportunity to ask questions, and to gather additional information. Click below and select a date that works best for you. You will be taken to a sign up page. The workshops are free to all who register.
Can’t make the live workshop? Download a previously recorded session.
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