Signing Up For Traditional Medicare

Signing Up For Traditional Medicare

Step 1:  When approaching your 65th birthday, find out if you need to sign up for Medicare Part A and B, or if it will happen automatically.

Step 2: Decide if you want Part B benefits.

Step 3: Decide if you want coverage for the 20% that Medicare Part A and B does not cover. 

Step 4: Decide if you want Medicare Part D, Prescription Drug Coverage.

Step 5:  Seek the guidance of a Licensed Medicare Insurance Agent.

Enrollment Periods

-Initial Enrollment Period (IEP)

7 month window starting 3 months before and ending 3 months after your 65th birthday month


-General Enrollment Period (GEP) Jan. 1st through Mar. 31st.  Coverage begins July 1st


-Special Enrollment Periods (SEP)

  Lose group coverage

  Change in residence

  Gain, maintain or lose Medicaid or Extra Help 

  Enter, reside, or leave nursing facility

  Many others...




When to Sign Up?

If you're already receiving Social Security Payments, you will be automatically enrolled in Medicare Parts A and B starting the month you turn 65.  If you need to delay, you'll have to send your Medicare card back, declining Part B coverage.

If you aren't receiving Social Security, you will need to sign up for coverage, and can start the process 3 months prior to your 65th birthday during IEP.

Can I Delay Enrolling?

Many people delay enrolling at age 65, because they are still working and covered under group insurance.  However, if your employer has fewer than 20 employees and you continue working, you may be required to sign up for Medicare.  Check with your benefits administrator to see what their requirements are for individuals that are eligible for Medicare, as this could help you avoid potential benefit disruptions.

Where to Enroll in Medicare A & B?

You can enroll in Medicare Part A and B in person at the Social Security office, over the phone by calling Social Security, or online through the Social Security Administration Website.

Original Medicare

Part A Hospital Insurance with only 80% Coverage of Medicare approved services.

Part B Medical Insurance (outpatient and doctor visits) with only 80% Coverage of Medicare approved services.


EXTRAS-ORIGINAL MEDICARE

-Welcome to Medicare Physical (done within 12 months of Part B start date)

-Annual Wellness Visit

-Preventative Services

    -Bone Mass Measurements

    -Cardiovascular Disease Screenings

    -Cancer Screenings    

    -Colonoscopies

    -Diabetes Screenings

    -Mammograms 

     Many others



Medicare Supplement (Medigap) & Stand Alone Prescription Drug Coverage

You must be enrolled in Medicare Part A and Part B (Medicare pays for it's share (80%) of covered costs first).


Medicare Supplement Plans help fill the "gaps" in Original Medicare, like co-payments, co-insurance and deductibles.


Some Medicare Supplement Policies cover medical care when you travel outside the United States.


You must also enroll in a Stand Alone Prescription Drug Plan

Medicare Advantage (Part C)

Part A Hospital Insurance with 100% coverage of Medicare approved services

Part B Medical Insurance (outpatient and doctor visits) with 100% coverage of Medicare approved services

Part D Prescription Drug Insurance


EXTRAS-MEDICARE ADVANATAGE

Original Medicare PLUS*

-Dental

-Vision

-Hearing

-Fitness

-Transportation

-Chiropractic 

-Acupuncture

-Annual Physical

-Post Discharge Meals

-Telemedicine

-Over the Counter Supplies

Many more...


Part B Premiums

What You Pay To Medicare, Calculated By Your Annual Income 

Part D Premiums

What You Pay To Medicare, Calculated By Your Annual Income 

Part B deductible & coinsurance


Part B annual deductible:

In 2022, you pay $233 for your Part B deductible. After you meet your deductible for the year, you typically pay 20% of the Medicare-approved amount.

Late Enrollment Penalty:

In most cases, if you don't sign up for Part B when you are first eligible, you'll have to pay a late enrollment penalty.

Our History


Part D Deductibles, copayments, and coinsurance:

The amount you pay for Part D deductibles, copayments, and/or coinsurance varies by plan.  

Late Enrollment Penalty:

You may owe a late enrollment penalty if, for any continuous period of 63 days or more after your Initial Enrollment Period is over, you do not have creditable coverage.


Do you need help enrolling, want a free quote, or have a question?

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