MEDICARE

Who is Eligible for Medicare?

Available to those age 65 and older:

Who are entitled to monthly Social Security benefits. 

Spouse also entitled.

Widow or widowers whose spouse was entitled to monthly Social Security benefits.

Available to those who have been entitled to Social Security disability benefits for at least 24 months.

The retirement age for Social Security is increasing until it reaches age 67.

Age 65 remains as the starting date for Medicare.

Those with End Stage Renal Failure.

Questions to consider regarding your choice in Medicare coverage:

What if I want the power to choose my own Doctor?

How will deductibles and copayments be paid and by whom?

What if I need Long Term Care?

What coverage do I have on a cruise ship?

What coverage do I have outside of the U.S.?

Like most health insurance plans, Medicare has deductibles and certain co-payment features for benefits and services received. Payments including copays, coinsurance, deductibles, and other allowable medical payments are to be made either by you, a Medicare Advantage Plan, a Medicare Supplement Plan, or a Special Needs Plan. There are many options that can be confusing. We can walk you through your Initial Enrollment, Special Enrollment, and Open Enrollment Periods, and we at Ogle Insurance are here to help when policy and claims questions arise.

When choosing where to acquire Medicare insurance from, consider that we are independent and not beholden or captive to any insurance company. Utilizing our services does not cost a penny more than dealing directly with any carrier. What does make a difference is that we will help you when you have questions about claims, comparisons to other products and carriers, or need answers regarding your policy. We prepare suggestions based on your personal situation, circumstances, and experience.

What are the "Parts" of Medicare?

Part A – Hospital Insurance

  • Helps cover inpatient care in hospitals
  • Helps cover skilled nursing facility, hospice, and home health care

Part B – Medical Insurance

  • Helps cover doctors’ services and outpatient care
  • Helps cover some preventive services to help maintain your health and keep certain illnesses from getting worse
  • Parts A and B are often referred to as "Original Medicare"

Part C – Medicare Advantage Plans

  • A health coverage choice run by private companies approved by Medicare
  • Includes Part A, Part B, and usually additional benefits

Part D – Prescription Drug Coverage

  • Helps cover the cost of prescription drugs
  • Only available through private insurance companies approved by Medicare

Parts E–N Medicare Supplemental Coverage or "MediGap"

  • If you are already in a Medicare Advantage plan, you cannot purchase additional coverage through a Supplemental Medicare plan. 
  • Every Medigap policy must follow federal and state laws designed to protect you, and it must be clearly identified as "Medicare Supplement Insurance." Insurance companies can sell you only a "standardized" policy identified in most states by letters.
  • All policies offer the same basic benefits, but some offer additional benefits so you can choose which one meets your needs.
  • You must have Medicare Parts A and B and keep paying your Part B.
  • Some Supplemental plans offer a Foreign Travel benefit..

Not sure which Medicare plan to pick? Contact us at 972-709-6060 today for more information.

Medicare Advantage Plans and Prescription Drug Plans

What is a Medicare Advantage Plan?  Basically you are agreeing to allow an insurance carrier to handle your medical insurance needs. Your residence determines plans offered and their cost - typically only for Parts A and B.  Many Medicare Advantage plans offer additional coverage for Prescription Drugs - Part D. 

 

Medicare Advantage carriers are competing for your business and many offer gimmicks to get you to choose them.  There is quite a lot of information to share on these plans including their networks of service providers (hospitals, physicians, etc.). 

If you want to better understand Medicare Advantage and/or Medicare Supplements, please let us know – our first meeting is educational and will cost nothing. Our customers are friends because we respect and take care of them. Call us at 972-709-6060 today!

Medicare Supplement (Medigap) Insurance Plans.

 

Medicare Supplement plans are designed to provide benefits for the "gaps" in Medicare. 

These plans have been around since 1965, the advent of Medicare coverage for seniors.  In the early days of Medicare Supplements, each carrier designed their own plans for agents to sell.  Because of the multitude of offerings of these designed plans, choices became confusing as to what was best, and most importantly what was best for the client. 

 

All Medicare Supplement plans must at least meet minimum standards set by the government. By having standardized plans, seniors are able to choose coverage that best fits their personal needs.

 

Allow us to help find a plan that meets your pocketbook and Medicare needs!

If you are interested in Medicare coverage, or any healthcare information, please call us @ 972-709-6060 or use the Contact form and we can answer your questions.

Contact Us Today!

(972) 709-6060

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