MEDICARE SUPPLEMENT INSURANCE
A solid long-term solution to your Medicare Decision
- Several plans to choose from with A+ rated companies
- A variety of plan choices to fit your budget and your medical needs
- Innovative plans with unique features
- Low-cost high deductible plans
- Riders that provide more than what Medicare requires
- Assistance finding an RX plan that is best suited for the medications you take
- Sign up during your Initial Eligibility Period to take advantage of Early Enrollment discounts
WHO ARE THEY BEST SUITED FOR?
- Those who want the most flexibility in choosing their Doctors, Specialists, and Hospitals
- Those who want access to Specialists without referrals
- Those who travel frequently
- Snowbirds who have residences in more than one state
PRO’S
- You can keep original Medicare A&B
- Open to any provider who contracts with Medicare
- Referrals to specialists is NOT required
- Some plans cover excess charges for Non-Medicare providers
- You are covered anywhere in the United States
- Some plans include Foreign Travel
CON’S
- There is a monthly premium – but you can pick a plan that fits your budget
- You will have to purchase a separate RX plan
MEDICARE ADVANTAGE PLANS
WHO ARE THEY BEST SUITED FOR?
- People under 65 who have Medicare A and B due to disability
- People who are eligible for AHCCCS and are on Medicare A&B (Dual plan eligibility)
- Individuals who can’t afford, or don’t want to pay for Medicare Supplement Insurance
- Individuals who want a plan that includes the RX coverage
- Individuals who don’t plan to spend extended time outside their service area
PRO’s - Many include your RX coverage
- Many are $0 premium or low premium
- Some plans offer extra benefits not generally included with Original Medicare
CON’s - These are primarily network-based plans with providers in your county only
- Many $0 plans require referrals to specialists
- Coverage generally does not extend outside the U.S.
- Plan features, copayments, and Providers may change from year to year
- Copayments are required for most services
- Annual out of pocket spending limits are as high as $2800-$6700 per year
WHEN DO I START LOOKING and WHEN CAN I ENROLL?
When you are new to Medicare:
- Make an appointment about a year before you turn 65 or before you retire, so you can review options and plan for costs and cost savings
- Up to 6 months before or within 6 months after your 65th birthday or your Part B effective date for a Medicare Supplement plan
- Three months before through 3 months after your 65th birth month or Part B effective date you can enroll in a Medicare Advantage plan
Other eligibility periods outside of initial enrollment”
- During Annual Enrollment each year (10/15 – 12/7) you can change, drop or add a Medicare Advantage plan
- During Annual Dis-enrollment each year (1/1 – 2/14) you can drop your Medicare Advantage plan and apply for a Medicare supplement plan
- Any time you may change your Medicare Supplement plan (you may be subject to health Underwriting)
- When you move to Arizona and will lose your coverage from your current plan due to the move
- Within the first 12 months of participation in a Medicare Advantage plan
