KENTUCKY'S BIRTHDAY RULE FOR MEDIGAP POLICY HOLDERS EFFECTIVE JANUARY 1, 2024

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    • Home
    • About
    • Medigap Quick Quote
    • Shop & Enroll
    • The A,B,C's & D
    • News & Resources
    • FAQ's
  • Home
  • About
  • Medigap Quick Quote
  • Shop & Enroll
  • The A,B,C's & D
  • News & Resources
  • FAQ's

YOUR INDEPENDENT MEDICARE PLAN ADVISOR

As an independent insurance agent serving the greater Kentuckiana area, my focus is Medicare health plans & my mission is to give you the utmost confidence in your Medicare plan decisions. I work with the top-rated insurance companies providing  Medicare Supplement (Medigap) plans, Medicare Advantage, Prescription Drug Plans and Special Needs plans in Kentucky & Indiana. Contact me to request competitive plan quotes, tailored to your specific needs. 

        

No cost or obligation for my services, ever.


If you are turning 65, the best time to connect with me is at least 6-9 months before your 65th birthday, you do not want to risk any penalties or gaps in your health care coverage. If you plan to work past 65 and remain under your employer's health plan, you will have a special enrollment period to sign up for Medicare, without penalty, when you retire.  

Be sure and download my 'Turning 65 Medicare Checklist' - the download button for the checklist is located at the bottom of this page.


There will never be a charge for my services for you, which include: 


  • Assistance in determining whether to stay in Original Medicare & add a Medicare Supplement policy (Medigap) or go with a Medicare Advantage plan (Part C). This decision will lead to additional questions & considerations, depending on your choice. 
  • Medicare Supplement Insurance (Medigap) Quotes & Enrollment
  • Medicare Advantage Plan Quotes & Enrollment
  • Unbiased Insights on Your Plan Options
  • Support Year-Round, including assistance with claim denials/appeals
  • Checking Your Eligibility for Medicare Savings & Special Needs Programs.
  • Annual Review of Your Medicare Plan Changes.

Click Here To Schedule A Call or Request A Quote

MEDICARE SUPPLEMENTS (MEDIGAP)

If you are enrolled in Medicare Part A & Part B, you can apply for a Medicare Supplement Insurance policy (also referred to as 'Medigap') at any time. These policies cover "gaps" in the coverage of Original Medicare, e.g. copays, coinsurance and deductibles.  There are no networks with Medicare supplements, so you have the freedom to go to any doctor or hospital in the U.S. that accepts Medicare, which is currently over 98%. 


I'll provide you with competitive quotes from the top insurance companies in the state, their rate-increase histories & each company's financial rating - all important factors when you are making a Medicare supplement policy decision. 


Remember, the lowest premiums & guaranteed issue for Medicare supplement policies occur when you are first eligible for Medicare, this is referred to as your 'initial enrollment period'.  Your initial enrollment period begins three months before the month you turn 65 and ends three months after your birth month.  

MEDICARE ADVANTAGE PLANS - PART C

If you are enrolled in Medicare Part A & Part B, you can join a Medicare Advantage Plan, sometimes referred to as 'Part C'.  Medicare Advantage plans are Medicare-approved private health plans that offer an alternative to your Original Medicare Part A & B. 


Medicare Advantage plans offer low or no premiums to beneficiaries open to using the plans guidelines & network of providers. These plans typically include extra benefits, such as prescription drug coverage, vision & dental preventative care. 


Most every county in Kentucky & Indiana has a number of top-rated Medicare Advantage plans to choose from. We'll research the best plans available in your area based on your needs, review the differences in coverages & networks, ensure plan networks include your medical providers & a drug formulary (Part D coverage) to cover your prescriptions. 


Medicare Advantage plan networks, costs & coverages, etc. typically change annually. We'll review your plan towards the end of every year for any upcoming changes & determine if you want to keep it or switch to another plan that better suits your needs in the new year. 

SPECIAL NEEDS PLANS

Special Needs Plans (SNP) enroll people who are entitled to Medicare & have certain healthcare needs or who also have Medicaid. Special Needs plans are a type of Medicare Advantage plan & most come with $0 premiums, copays, and deductibles. You may be eligible for a SNP if:


  • You qualify for Medicare Parts A and B (Original Medicare)
  • You live in a plan’s coverage area
  • You meet the eligibility requirement for one of the 3 types of plans:

 1) Dual Eligible  2) Chronic Condition   3) Institutional

Contact me to discuss eligibility criteria & the SNP plans available in your area.

PRESCRIPTION DRUG PLANS - PART D

Medicare Prescription Drug Plans, also known as Part D, are optional outpatient prescription drug benefits for people with Medicare. You can choose to enroll in a Part D drug plan to supplement your Original Medicare coverage or if your Medicare Advantage plan does not include an outpatient prescription drug plan. These plans cover a wide range of prescription drugs & pay for a significant amount of their costs.  Starting in 2025, the maximum annual out-of-pocket cost for prescription drugs is capped at $2,000  


In general, you can only change your Part D plan during Medicare open enrollment, which is October 15 through December 7th each year. Plans will change their pricing & drug formularies every year, so you will have to shop & compare your options during this time or just contact me to request a competitive comparison of the Part D plans available to you that meet your prescription needs.


Even if you do not currently take prescription drugs, you should consider signing up for a Part D plan when you are first eligible, due to a government late enrollment penalty if you join past your initial eligibility window without maintaining credible prescription drug coverage. 

DENTAL, VISION & HEARING COVERAGE

You can combine dental, vision and hearing benefits into one organized insurance plan. Many plan benefits include no waiting periods for routine dental exams, cleanings, preventive vision & hearing exams. Contact me to review the highly rated & cost-effective plans available in Kentucky & Indiana.

FOR DOWNLOAD

1_Turning 65 A MEDICARE CHECKLIST_HGrp (pdf)

Download

2024.01.24 Medicare Supplement Enrollment Changes (pdf)

Download

IRA_2025_Part D update (pdf)

Download

IRMAA 2025 Surcharges (pdf)

Download

 By submitting a message, you acknowledge a licensed insurance agent may contact you by email or a phone call

to discuss Medicare Supplement Insurance, Medicare Advantage Plans or Prescription Drug Plans


CMS REQUIRED DISCLAIMER

We do not offer every plan available in your area.  

Any information we provide is limited to those plans we do offer in your area.  

Please contact Medicare.gov or 1.800.MEDICARE  or your local State Health Insurance Program (SHIP) 

to get information on all plans and options available.



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