What are the Benefits of Medicare?
What are the late Enrollment penalties?
Are you confused about Medicare?
If you are feeling just a bit overwhelmed by this whole new world called MEDICARE, don’t worry, you are not alone. As a Medicare advisor and as an agent we have been assisting clients for nearly forty years. We work with both medical providers and with clients, just like you, to navigate the complexity and confusion with Medicare and the various programs and plans that are available. Here are just a few of the questions most of our clients have:
How do I enroll in Medicare?
What are the Benefits of Medicare?
What doesn’t Medicare Cover?
What if I am still Working and on Employer Group Coverage
What about COBRA?
When Should I Apply?
What about my retiree pension medical benefits?
Yes, this can be a mine field and we are here to help. I encourage you to attend one of our online Medicare 101 Webinars. This will be a great start in pointing you in the right direction and answering most of your questions. We always follow up with a one on one conference call and all of this at absolutely no charge. We can do this because whatever plan is best for you they have built into the plan payment for our services. Approximately $225 for the year. No, this does not increase your premium.
So don’t travel this road alone. Allow our experienced Medicare Advisors walk you through the process.
Medicare is made up of four parts as defined below:
PART A: HOSPITAL INSURANCE
Part A covers not only your Hospital admission and services but also your care in a Skilled Nursing Facility, Hospice and Home Health. There is a per admission deductible. There is no premium.
PART B: MEDICAL INSURANCE
Part B covers outpatient medical services such as physicians, durable medical equipment, labs, and radiation. Preventative services are also included. There is an annual deductible. There is also a premium paid monthly to the Medicare Trust Fund and deducted automatically from your Social Security check. There is a penalty for late enrollment.
PART C: MEDICARE ADVANTAGE
Includes all services in Part A and Part B and may include Part D as well. Run by Medicare Advantage approved insurance companies, that comply with all Medicare regulations. They administer your Medicare benefits and may include extra supplemental benefits such as annual physicals, vision, dental, transportation and gym membership.
PART D: MEDICARE PRESCRIPTION DRUG COVERAGE
Helps cover the costs of outpatient prescription drugs. Part D is run by Medicare approved insurance companies. There is a penalty for late enrollment.
For more detailed information please click the button below.
WHAT ARE THE LATE ENROLLMENT PENALTIES WITH MEDICARE?
Part B Penalties:
In most cases, if you don't sign up for Part B when you're first eligible, you'll have to pay a late enrollment penalty. You'll have to pay this penalty for as long as you have Part B. Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn't sign up for it. Also, you may have to wait until the General Enrollment Period (from January 1 to March 31) to enroll in Part B. Coverage will start July 1 of that year.
Part D Penalties:
The cost of the late enrollment penalty depends on how long you went without Part D or creditable prescription drug coverage.
Medicare calculates the penalty by multiplying 1% of the "national base beneficiary premium" ($33.19 in 2019) times the number of full, uncovered months you didn't have Part D or creditable coverage. The monthly premium is rounded to the nearest $.10 and added to your monthly Part D premium.
The national base beneficiary premium may increase each year, so your penalty amount may also increase each year.