Medicare 101 

Medicare Health Insurance is typically for people who are 65 and older; however, people with certain health conditions or disabilities may be eligible before their 65th birthday.

There is NO COST or Obligation for our professional services and you will never pay more for the cost of your insurance by utilizing our services. Your insurance cost will be the same as purchasing it directly from an insurance Provider. That’s the law!

A

B

C

D

Medicare Part A covers inpatient hospital stays, skilled nursing care, hospice, and home health care.

Medicare Part B covers outpatient services, such as doctor visits, preventative tests, therapy, and even medical equipment. 

Medicare Parts A & B

(Original Medicare)

is provided by and managed

by the government

Medicare Advantage Plans - Part C are provided and managed by private insurance companies. These plans are regulated by the government to provide equal or better coverage than Parts A & B. Many Advantage Plans cover prescription drugs & offer additional benefits.

Medicare Prescription Drug - Part D coverage is provided and managed by private Insurance companies

Working With Us Can Benefit YOU!

  1. We can recommend plans that participate with the Doctors and Specialists you want to see.

  2. We can calculate your total out-of-pocket costs for the prescription drugs you currently take based on any drug plan available to you.

  3. We can help you Weigh Costs vs. Benefits…  How can you pay the lowest cost to get the benefits you need and want.

ENROLLMENT PERIODS

During  YOUR SPECIFIC  Enrollment Period, we can help you enroll in Part A and Part B.

There are many important enrollment periods that can affect your eligibility for benefits.   When you work with Landis Financial Advisor’s AHIP Certified Medicare Insurance Advisors, they are committed to keeping you on track to avoid missing important deadlines.

Initial Enrollment Period -

This is your 7 month window to sign up for Medicare Parts A & B. It begins 3 months before the month of your 65th birthday and ends 3 months after the month of your birthday.

The Annual Election Period (Oct 15th—Dec 7th)

You may switch your Medicare Advantage Plan or Medicare Part D Prescription Drug Plan during this period each year. If you choose, you may also  switch from a Medicare Advantage Plan to Original Medicare or vice versa.

BEFORE YOU DO ANYTHING, CONSULT US

Avoid making irreversible mistakes.

Avoid being subject to penalties.

Contact Us Today 717-208-6990

MEDICARE COVERAGE

Original Medicare generally covers 80% of most acute medical needs. However, it can still leave you with substantial out-of-pocket expenses if you experience a catastrophic illness or repeated medical expenses. There is no limit to what you may have to pay.

Medicare Advantage Plans - Part C - Medicare Advantage Plans are also offered through private insurance companies approved by Medicare.  These plans are different from a Medicare Supplement Plan, but does provide coverage for approved Medicare Part A and Part B services. In addition, many of the Medicare Advantage Plans we offer even include Medicare Part D - Prescription Drug coverage.  Some of these plans also have additional benefits like routine vision, dental, and hearing coverage as well as gym and fitness facility memberships. There are an overwhelming number of plans to choose from. Our advisors will take time to educate you regarding your various options. Based on your needs and budget we will make recommendations to help you get the benefits you want at the lowest cost.

Prescription Drug Plans - Part D - Prescription Drug coverage is not included under Part A or Part B of Original Medicare.  If you have Original Medicare or purchase a Medicare Supplement, our knowledgeable Medicare Insurance agents will offer guidance to also help you choose a Medicare Part D Prescription Drug Plan.  We represent an array of companies that offer stand-alone Medicare Part D Prescription Drug Coverage. To avoid incurring a permanent penalty, you will need to maintain creditable prescription drug coverage after your initial election coverage period whether you take prescription drugs or not.

Medicare Supplements – Part E - Medicare Parts A and B, also known as Original Medicare, is managed by the Federal Government and generally covers about 80% of your health care services.  There are “gaps” that original Medicare does not cover like certain co-payments, coinsurance, and deductibles. There is no limit to your out-of-pocket costs with Original Medicare. You may want to meet with our licensed Medicare insurance agents to assist you in purchasing a Medicare Supplement Plan (Medigap policy) through a private insurance company to help pay for health care costs not covered by Original Medicare such as co-payments, co-insurance, deductibles. If you travel, we can help you purchase a Medicare Supplement Plan that will provide healthcare for emergencies while outside the USA.

  • We are Independent…representing many of the industry’s top-rated insurance companies. Our AHIP Certified Advisors assess each client’s needs individually and research available plans to match the benefits they desire to the more competitively priced plans within the marketplace

AHIP CERTIFIED

All of our Medicare Insurance Advisors are AHIP Certified by the Federal Government. This extensive annual certification holds our advisors to a higher level of knowledge, committed to upholding CMS* guidelines and regulations, as well as preventing fraud, waste, and abuse. *CMS - the Centers for Medicare & Medicaid Services (CMS) is the agency within the U.S. Department of Health and Human Services (HHS) that administers the nation's major healthcare programs.

We are one of the largest writers of Medicare in the county,* serving over 1,700 Medicare Insurance clients as well as remaining in the top 20 of 450 actively producing Medicare agencies in Pennsylvania for 2017, 2018 & 2019

 

*based on placing in the top 20 of 450 actively producing Medicare agencies in PA for 2017 & 2018 & 2019.

EVENTS   |   BLOG   |   NEWSLETTERS

Securities and Advisory services offered through LPL Financial, a Registered Investment Advisor, Member FINRA/SIPC. The LPL Financial Registered Representatives associated with this site may only discuss and/or transact securities business with residents of the following states: PA, CA, CO, CT, DE, FL, IL, KY, MD, ME, MI, MT, NC, NJ, NM, NY, OH, TN, TX, VA

This Material contains only general descriptions and is not intended as any financial or tax advice. They may not take into account your personal characteristics such as budget, assets, risk tolerance, family situation or activities which may affect the type of insurance that would be right for you.  In addition, state insurance laws and insurance underwriting rules may affect available coverage and its costs. 

 

 

LPL Service Center (800) 877-7210 x6835

 

© 2020 Landis Financial Advisors, Inc.