Supplement Medigap Plans are by state and Advantage Plans including PDP Plans are by Zip Code in each County in both Indiana & Ohio
You need to have your Medicare Card 1st! For Supplements, or Advantage Plans: You need to be Eligible for Part A and Enrolled into Part B. Aging into or Qualifying for Medicare Rules at age 65: You have a 7 month window for your Initial Enrollment: 3 months prior to your birth month, (This is the best time to sign up), Your Birth Month and up to 3 months after your birth month. OR being disabled on Social Security Income for 24 months. You may choose to work past the age of 65, which you can but you need to have what Medicare considers to be "Credible Coverage" that is as good as what Medicare offers.
PDP: You need to have your Medicare Card - Be eligible for Part A and/or Enrolled into Part B. There is a Penalty for not signing up for Part D when it was 1st available to you if you did not have qualifying prescription insurance, "Credible Insurance". The highest percentage of the populace that I meet with could not afford the Medications they need without a Drug Plan.
If you are 65 & do not receive your Medicare Card, you need to contact Social Security to enroll or obtain a coy. Call them at 800-772-1213 or enroll on-line at www.socialsecurity.gov .
You can still work after you turn 65. Many employers offer credible coverage to their employees. There is a penalty for not taking Part B, when it was 1st offered to you. There are time limits when your credible coverage ends. You need to sign up for Part B before the time limit to avoid a penalty.
Starting in April 2023, states will have the ability to resume the Medicaid Redetermination process after three years of being paused due to the COVID pandemic. States can begin to initiate the redetermination process as early as February 1, 2023, and disenrollment's can be effective as early as April 1 if adequate notice is given to the enrollee. Each state will set the date for when redetermination will start.
*Approximately 15 million individuals will be at risk of losing Medicaid coverage. *Anyone who is no longer eligible for Medicaid will be disenrolled.
*Make sure you check your mail carefully for any mailings from your state Medicaid.
UPDATE: I have been receiving calls since April 2023, from many people regarding their Medicaid being cancelled with no notification. These people found out when SSA deducted 2 months of their part B premium from their monthly check, or they found out when they went to a medical appointment. Please, if you know someone on Medicaid, ask them to go to their local Medicaid office as soon as possible to inquire when their redetermination date and month is. Too many people are blind sighted by a loss in funds they rely on to have a place to live, eat, visit their doctor, and obtain their medicines.
Medicare by itself only pays an average of 80% of eligible costs. (Part A & Part B) most people pay for part B premium - Low income individuals may qualify for help paying their part B premium (Some people pay for part A)
An accident or serious illness could cost you thousands to hundreds of thousands of dollars.
Pre-Covid the # 1 reason for Bankruptcy filings was due to Medical Bills the consumer could not pay
A Medicare Supplement policy (LETTER PLAN ), covers many out-of-pocket medical expenses Original Medicare does not cover. You can go to any facility that accepts Medicare in the U. S. With a Supplement: Most citizens that work for 10 years qualify for Part A, You Pay for your Part B, Your Supplement Premium and Part D Premium if you also want Prescription Drug Coverage.
Yes, that is 3 payments, Every Month. The Supplement "Medi Gap" is only Guaranteed Issue when you are first eligible for Medicare.
You need to have your Medicare Card. If you want a Drug Plan, “Part D” there is a separate monthly premium. This is in addition to your Part B premium, and your Supplement premium.
That is 3 payments monthly, if you want a Supplement "MediGap" plan and a PDP Prescription Plan.
There is a Penalty for not signing up for Part D when it was 1st available to you if you did not have qualifying prescription insurance, "Credible Insurance". The highest percentage of the populace that I meet with could not afford the Medications they need without a Drug Plan.
There is a penalty for not taking Part B, when it was 1st offered to you.
If you want a Drug Plan, “Part D” there is a separate monthly premium. This is in addition to your Part B premium.
You can use Original Medicare that covers on average 80% of Medical Costs and buy a PDP plan. You must qualify for Part A and be eligible for Part B.
There is a Penalty for not signing up for Part D when it was 1st available to you. Or if you did not have qualifying prescription insurance, usually through an employer.
The highest percentage of the populace that I meet with could not afford the Medications they need without a Prescription Drug Plan.
Many Advantage Plans combine Medical and Prescription Drug Costs for a $0 to low monthly premium. Many also offer extra benefits like hearing, dental, vision, transportation plus more benefits depending on the plan, state, zip code, and the county you live in.
You need to be Eligible for Part A and Enrolled into Part B.
Advantage Plans have been Guaranteed Issue.
Advantage Plans vary from county to county within each state and in some instances by specific zip code depending on where you live. Some plans combine Hospital, Doctors, and Prescription Drug Coverage. Some plans are Hospital and Doctors only. Not all doctors choose to participate in every Advantage plan. A doctor could accept 3 plans with the same carrier but not the other 4 plans offered in your county for that same carrier.
Doctors can leave any plan throughout the calendar year. Each year, plans, prescription drugs and carrier benefits change, as do costs.
Every year I take Federal Medicare training, test out, then take specific courses, and test out for each carrier that I write advantage plans for. Additionally, I complete 24-Credit Hours of training and tests every two years to comply with Indiana Insurance Training Requirements
AEP October 15th Through December 7th 2020Open Enrollment for specific changes to Advantage Plans:
Open Enrollment for specific changes to Advantage Plans & Original Medicare: Open Enrollment is from January 1st through March 31st.
What Can You Do During Open Enrollment
Switch from Original Medicare to a Medicare Advantage Plan, or Switch from a Medicare Advantage to Original Medicare & add a Part D Plan (penalty may apply See Below), Switch from one Medicare Advantage plan to another Medicare Advantage Plan, Enroll in a Part D Prescription Drug Plan for the first time. If you are outside of “When you are/were 1st eligible": (a late enrollment penalty may apply) The late enrollment penalty (also called the “LEP” or “penalty”) is an amount that may be added to a person’s monthly premium for Medicare drug coverage (Part D). A person enrolled in a Medicare plan may owe a late enrollment penalty if they go without Part D or other creditable prescription drug coverage for any continuous period of 63 days or more after the end of their Initial Enrollment Period for Part D coverage.
You may not be getting all of the benefits through your current Medicare plan and may not know what you are eligible for. There are new plans, costs, inclusions, exclusions and different prescriptions drugs every year that you should be aware of. You may be missing out on benefits you are eligible to receive through new plans offered. Some Prescription costs may be cost prohibitive through one plan and more affordable on another.
One of the 1st things I do when I sit down with clients every year is going over their current prescriptions. Every year the formularies (what drugs are listed on every specific plan) and the costs of those prescriptions because the costs can and often change. You will need to check every medicine every year to make sure it is on the plan formulary you choose, what tier it is on, and what the cost is.
If you are on Medicaid and Medicare both, you may be missing many benefits. There are Special enrollment periods for Dual Special Needs Plans throughout the year. Your income determines if it meets the critera for being a Medicaid Beneficiary in your state. Each state has its own base monetary limit.
The Annual Enrollment Period (AEP) is from October 15th through December 7th. These plans have an effective date of January 1st, the following year.
The Open Enrollment is from January 1st through March 31st.
I work tirelessly to stay informed about the latest changes in the healthcare markets. This requires Federal Medicare Training, training with every Carrier through which I write Advantage Plans, PDP Plans, and training through the ACA "Affordable Health Care" nicknamed Obama Care for Family and Individual Plans. I can provide you with the information that is current for each Annual Enrollment Period, and for those Special Enrolment Periods.
Did you know if you click on certain websites your information will be sold to SEVERAL agents and companies that will start calling you, sending emails, texts, and may knock on your door even if that is not compliant with CMS (Centers for Medicare Services). Unfortunately, people have become prey, and become victims from telemarketers, SPAM Email’s, clicking on the wrong web site, and other unscrupulous tactics.
Examples of Bait & Switch are “benefits you may be missing”, have you received your free food card, have you received your free Life Alert, do you have free transportation, free dental & vision, no cost hearing aids and more. Too often unsuspecting people end up with no policy or not the right policy for them. Please, don't fall for the Bait & Switch tactics. When you can't or don't want to shop local in your, area, call me: Carla J Mattingly, I can help you with plans in Indiana & Ohio, Phone 260-517-8182.
“Carla J Mattingly does not work directly for Medicare, CMS, or any government program, but is a Broker for Insurance Carriers,” that offer Medicare Plans, and Individual & Family plans through Exchanges in Indiana & Ohio “Marketplace”. This is a solicitation for insurance by licensed Broker Carla J Mattingly. This website strives to present educational material and options to anyone regardless of the basis of race, religion, national origin, color or sex.
"New CMS Ruling"
I/We do not offer every plan available in your area. Currently in Indiana & Ohio, I/We represent: AARP United Helath Care, Aetna, Anthem Elevance, Cigna, Humana, & Wellcare which offer several plans each & products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.”