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You can qualify for Medicare plans during a special enrollment period if you are turning 65, new to Medicare, moving or losing coverage. During the fall Annual Enrollment Period you can join, switch or drop your Medicare plan.

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What is Medicare?

Original Medicare is a government-run healthcare program for people 65 and older, those with specific disabilities, and those with end-stage renal disease (ESRD). 

Original Medicare won’t cover all of your healthcare costs. You’ll be responsible for out-of-pocket expenses and other services such as long-term care. What you pay in premiums for the different parts of Original Medicare or supplemental insurance varies.

In some cases, you may pay no monthly premium. In others, you may pay more depending on your income.

You have several ways to set up your Original Medicare coverage. You can choose Original Medicare, add additional benefits and coverage with Medicare Supplement and Part D prescription drug coverage or go with an all-in-one Medicare Advantage plan from a private insurance company.

Explore all of the Medicare plan options:

Original Medicare Part A (Hospital Insurance) 

• Inpatient care in hospitals 
• Skilled nursing facility care 
• Hospice care 
• Home health care

Original Medicare Part B (Medical Insurance) 

• Services from doctors and other healthcare providers 
• Outpatient care 
• Home health care 
• Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment) 
• Many preventive services (like screenings, shots or vaccines, and yearly “Wellness” visits) 

Part C (Privately owned Medicare also known as Medicare Advantage)

• Alternative to Original Medicare for your health coverage.
• Includes Part A and Part B
• HMO or PPO networks may be available;
• Possibly additional benefits or services.

 Part D (Drug Coverage) 

• Helps cover the cost of prescription drugs.
• Plans that offer Medicare drug coverage (Part D) are run by insurance companies that follow the rules set by the Centers of Medicare & Medicaid Services (CMS).

Medicare Supplement (also known as Medigap plans)

• Private Insurance companies sell Medicare Supplement insurance or Medigap plans (Plans A-N) to fill “gaps” in Original Medicare (Parts A and B) coverage, including expenses like deductibles, copays, and coinsurance.

How to Sign-up for Medicare Plans?

Most people should apply for Original Medicare in the seven-month Initial Enrollment Period (IEP) surrounding their birthday. 

• The Annual Enrollment Period runs from October 15 through December 7 annually. 
• Suppose you don’t sign up for Medicare when first eligible and don’t qualify for an exception. In that case, you can enroll in Medicare Part A and/or B during the Open Enrollment Period (OEP), which runs from January 1 to March 31 each year. You may have to pay a higher Part A and/or Part B monthly premium for late enrollment. 

Most Individuals need to sign up for Medicare Part A, hospital insurance, and Medicare Part B, medical insurance when they reach 65. You can do so online or through your Social Security Office.

You can sign up for Part D, prescription drug coverage, change Medicare Advantage plans and switch between Original Medicare and Medicare Advantage during the appropriate open enrollment periods.

What is Medicare?

Original Medicare is a government-run healthcare program for people 65 and older, those with specific disabilities, and those with end-stage renal disease (ESRD). 

Original Medicare won’t cover all of your healthcare costs. You’ll be responsible for out-of-pocket expenses and other services such as long-term care. What you pay in premiums for the different parts of Original Medicare or supplemental insurance varies.

In some cases, you may pay no monthly premium. In others, you may pay more depending on your income.

You have several ways to set up your Original Medicare coverage. You can choose Original Medicare, add additional benefits and coverage with Medicare Supplement and Part D prescription drug coverage or go with an all-in-one Medicare Advantage plan from a private insurance company.

Explore all of the Medicare plan options:

Original Medicare Part A (Hospital Insurance) 

• Inpatient care in hospitals 
• Skilled nursing facility care 
• Hospice care 
• Home health care

Original Medicare Part B (Medical Insurance) 

• Services from doctors and other healthcare providers 
• Outpatient care 
• Home health care 
• Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment) 
• Many preventive services (like screenings, shots or vaccines, and yearly “Wellness” visits) 

Part C (Privately owned Medicare also known as Medicare Advantage)

• Alternative to Original Medicare for your health coverage.
• Includes Part A and Part B
• HMO or PPO networks may be available;
• Possibly additional benefits or services.

 Part D (Drug Coverage) 

• Helps cover the cost of prescription drugs.
• Plans that offer Medicare drug coverage (Part D) are run by insurance companies that follow the rules set by the Centers of Medicare & Medicaid Services (CMS).

Medicare Supplement (also known as Medigap plans)

• Private Insurance companies sell Medicare Supplement insurance or Medigap plans (Plans A-N) to fill “gaps” in Original Medicare (Parts A and B) coverage, including expenses like deductibles, copays, and coinsurance.

How to Sign Up for Medicare Plans?

Most people should apply for Original Medicare in the seven-month Initial Enrollment Period (IEP) surrounding their birthday. 

• The Annual Enrollment Period runs from October 15 through December 7 annually. 
• Suppose you don’t sign up for Medicare when first eligible and don’t qualify for an exception. In that case, you can enroll in Medicare Part A and/or B during the Open Enrollment Period (OEP), which runs from January 1 to March 31 each year. You may have to pay a higher Part A and/or Part B monthly premium for late enrollment. 

Most individuals need to sign up for Medicare Part A, hospital insurance, and Medicare Part B, medical insurance when they reach 65. You can do so online or through your Social Security Office.

You can sign up for Part D, prescription drug coverage, change Medicare Advantage plans and switch between Original Medicare and Medicare Advantage during the appropriate open enrollment periods.

Participating sales agencies represent Medicare Advantage [HMO, PPO and PFFS] organizations [and stand-alone PDP prescription drug plan] that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.

We do not offer every plan available in your area. Currently we represent [insert number of organizations] organizations which offer [insert number of plans] products in your area. Please contact Medicare.gov, 1–800–MEDICARE, or your local State Health Insurance Program to get information on all of your options. The number of organizations represented and number of plans offered may vary depending on state and plan availability.

PLEASE NOTE: Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. 

The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. 

Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.

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