Navigating Medicare can be overwhelming due to the many coverage options, rules, and enrollment periods involved. That’s where a licensed Medicare agent can make a big difference. An agent helps clients understand their choices, compare plans, and select the coverage that best fits their healthcare needs and budget. Whether it’s Original Medicare, Medicare Advantage, Part D prescription drug plans, or Medicare Supplement (Medigap) policies, an agent provides personalized guidance and support throughout the decision-making process. By working with an experienced agent, clients can feel more confident and informed as they choose the Medicare plan that’s right for them.
Turning 65 in the next year or planning to retire later? Medicare basics and potential costs can be reviewed to help set expectations. For those still working, a comparison between current group insurance and Medicare options may assist in making an informed choice. If enrollment in Medicare is the next step, alternative plans can then be reviewed, as described in the next section.
A review of current health needs can help determine whether an existing plan provides appropriate coverage. It's important to assess whether all entitled benefits are being received and if there may be opportunities to reduce prescription drug costs. Some plans may offer additional benefits not included in the current coverage. Available options can be researched, and assistance with enrollment can be provided if needed.
Enrollment in both Medicare and Medicaid may qualify an individual for special Medicare Advantage plans that provide enhanced medical benefits beyond those offered by Medicaid alone. Many who are eligible for these plans may not be aware of their options. Eligibility can be reviewed, plans compared, and enrollment support provided as needed.
Support is available for veterans and their spouses who are enrolled in Medicare Part A and Part B. In many areas, $0 monthly premium plans may be available, offering broad provider networks along with additional benefits such as dental, vision, hearing, fitness memberships, and more. Some plans may also include a Part B premium reduction, depending on the location.
Social Security provides Extra Help with prescription drug costs for those who qualify, potentially reducing expenses related to medications. Eligibility is determined based on income and financial resources. The program may cover the monthly Part D prescription drug premium and eliminate any late enrollment penalties. Assistance with the application process is available.
A variety of ancillary plans are available to enhance Medicare coverage and reduce out-of-pocket costs. These plans may include Hospital Indemnity, Cancer Diagnosis, Dental, Vision, and Hearing coverage options.