by: Tom Diehl

You have a seven month “window” to apply for Medicare as you approach your sixty-fifth birthday. You can apply three months before your birth month, during your birth month and up to three months after your birth month. You will apply for Medicare Part B and pay a relatively small premium. This can be accomplished by visiting the Medicare web site, Medicare.gov or by calling the Social Security office at 800-772-1213. Part B relates to medical treatments outside of a hospital setting. You are usually automatically eligible/enrolled for Part A when you turn 65, and this does not require an application on your part. Medicare Part A covers hospital in-patient services. There is no monthly premium for Part A.

Many people want additional benefits beyond the standard coverage that is included in Parts A and B Original Medicare. This is available as Part C either through an optional Medicare Supplement, often called Medi-gap or a “Gap” plan, or through a Medicare Advantage plan (MA). Medicare Advantage plans and Medi-gap plans are offered by private insurance companies (not through the government.) You can also purchase a stand-alone prescription drug plan (Part D) with your Medi-gap plan or choose a Medicare Advantage plan which includes prescription drug coverage (MAPD).  There will be another premium charged by your insurance company for Parts C and D, if chosen.

Before choosing a Medicare Advantage plan, it is important to consider your options. There are several major insurers in our area who offer Medicare Advantage plans. A few examples are Humana, Blue Cross Blue Shield and UnitedHealthcare. These MA plans may be either PPO, HMO, PFFS or other types. Not all doctors will be associated with all plans, so ask your doctor which plans’ networks he is in.

Another potential factor to consider is your prescription drug needs. There are different levels of coverage available for various rates, so keep this in mind before you choose a specific drug plan.  A licensed, independent insurance agent who is Medicare-certified can assist you in comparing all of your options. There is no fee for their services!

Tom has been a licensed independent insurance agent in Dripping Springs since 2003. There are no fees for his assistance in finding the best plans for his client’s specific situation, and free quotes can be generated the same day. Contact Tom@AustinHealthPlans.com or call 512-535-3556.