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Medicare Plans and Open Enrollment: Solving the Puzzle

oswaldcompanies October 30, 2019
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What is Medicare?

Medicare is the health insurance program run by the Federal Government. It is available to those 65 and older, those under 65 with certain disabilities, and those with end-stage renal disease.

If you don’t sign up when first eligible at age 65 and don’t have qualifying coverage elsewhere, you’ll pay life-long penalties for enrolling late. The Medicare health insurance program is designed to help Americans obtain access to quality and affordable health care.

Medicare is separated into “parts,” with each part covering a different aspect of medical care, such as hospital stays, doctor’s visits and prescription drug coverage. You can purchase Original Medicare, which is a Federal program, or you can purchase “parts” provided by the private sector.

When to Enroll in Medicare?

You can enroll in Original Medicare Part A and B during your initial Enrollment Period (IEP).

  • Starting three months before your 65th birthday
  • The entire month of your 65th birthday
  • Ending these months after your 65th birthday

Medicare Parts: How It Works

Medicare is divided into four “parts”:

• Part A: Hospital, skilled nursing care, hospice and home health care.
• Part B: Medically necessary doctors’ visits, outpatient surgery, clinical lab tests, physical therapy, home health care and medical equipment.
• Part C: Medicare Advantage plans. Coverage provided by private health insurance companies.
• Part D: Outpatient prescription drug coverage provided by private health insurance companies.

Assembling the Right Coverage

You can put a Medicare plan together a few different ways.

Option 1: Create customized coverage using the Original Medicare plans

Original Medicare

Option 2: Combine the parts into one plan – Medicare Advantage Plan

How to Enroll in Medicare?

What is Medicare Open Enrollment?

According to CMS.gov, every year, Medicare’s open enrollment period is Oct. 15 – Dec. 7. This period is “when all people with Medicare can change their Medicare health plans and prescription drug coverage for the following year to better meet their needs.”

Putting the Medicare Puzzle Together

Whether you’re getting ready to turn 65 or you’re already on Medicare, InsureOne Benefits, an Oswald Company, helps individuals navigate the puzzle and select the best Medicare health plan.

Choosing the right Medicare Coverage is an important decision. It’s not a “one size fits all” situation because everyone has different needs and budgets.

Call 1-800-722-7331 for one-on-one help from our Medicare Enrollment Specialists or contact our team direct.

 

Note: This communication is for informational purposes only. Although every reasonable effort is made to present current and accurate information, Oswald makes no guarantees of any kind and cannot be held liable for any outdated or incorrect information. View our communications policy.