July 27, 2024
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Linking Northern and Central NJ, Bronx, Manhattan, Westchester and CT

Medicare Goes Well Beyond Open Enrollment

(Courtesy of Medicare Done) “I am calling since I’m a friend of your grandmother, but honestly I’m all set,” Charlene told me cheerfully. “I took care of Medicare when I joined the program at 65, and I don’t think it is worth the hassle of relooking at things. Besides, it’s not open enrollment time.” Well, after a quick chat, we were able to secure the same Medigap Supplement plan Charlene was on with a $750 annual savings. We also chose a new drug plan that had a significantly lower monthly cost and lower medication costs. Supplement plans are not bound by open enrollment, and due to a winter storm in her area, Charlene had a special enrollment period to switch her prescription drug plan.

Charlene is not alone. In the realm of healthcare, understanding the intricacies of Medicare coverage is crucial for individuals seeking comprehensive and affordable care. However, it is not uncommon for clients who believe they are well-versed in their Medicare choices to be unaware of the true extent of their coverage and the associated costs. The cost aspect of Medicare is often misunderstood. Clients may believe they have secured an affordable plan, only to be blindsided by premiums, deductibles and copayments that were not thoroughly understood at the outset.

Addressing these misconceptions becomes a crucial part of my role as I guide clients through the nuances of Medicare expenses to ensure they have a clear understanding of their financial obligations.

Adding complexity to the landscape is the annual emergence of new companies and charters within the Medicare space. The ever-evolving nature of the healthcare industry requires individuals to stay informed about changes in plans, coverage options and associated costs. New players entering the Medicare arena can offer innovative plans, but clients must carefully navigate these options to determine whether they align with their specific healthcare needs.

Another common confusion that comes up is the difference surrounding Medicare Supplement Plans, with clients often favoring Plan F due to its reputation for comprehensive coverage. However, the reality is more nuanced. While Plan F does cover the Medicare Part B deductible, it tends to be significantly more expensive than Plan G, which covers everything Plan F does, with the one exception of the Part B deductible. In most cases, clients could save more money by opting for Plan G and paying the deductible out of pocket.

Whether you are just joining Medicare or have been on the program for a while and would like a no-cost, no-obligation review, we are here for you. Reach out today. Call 248-919-8193 or email [email protected].

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