HMO(Health Maintenance Organization)-Medical care and services given through a network of providers. These plans often include prescription drug coverage. PPO(Preferred Provider Organization)-Can receive medical cared and services inside or outside of provider...
From Dave Silver Insurance Blog
Navigating Medicare can be confusing, but the right guidance can make all the difference. Explore tips, coverage options, and important updates to help you make informed decisions about your healthcare coverage.
Medicare Advantage Solicitations
When it comes to marketing Medicare Advantage Plans to the community there a very strict marketing guidelines. If a broker or agent is not following these guidelines from the onset, it should raise a red flag. When marketing MAPD plans, agents or brokers are not...
Low Income & Medicare
If you have low income and you are on Medicare, there is help out there. I work with people all the time that have low incomes and based on their level of income they are eligible for State assistance (Medicaid). If your income is less than $1333 per month, for a...
What To Do If You Lose Your Medicare Card
If you lose your Medicare card you will need to call Medicare @ 1-800-633-4227. They will prompt you to answer a few questions before they put you through to an agent. When you speak to the agent they will ask you if you would like a “proof of Medicare” letter which...
What is Low Income Subsidy(LIS)?
This Part D benefit provides financial assistance or “Extra Help” to those people with limited incomes and assets. If you’re eligible for this benefit, your Part D premiums, deductibles and co pays can be wiped out or significantly reduced. With Extra Help you will...
Just Moved?
When you move to a new state or even a new county, it’s very important that you call or go online and change your address with Social Security. Their phone # is 1-800-772-1213. You want to make sure that all the mail from Social Security and Medicare gets to your new...
If You Join a Medicare Advantage Plan…
You will present the Plan’s card, instead of the Medicare card, for ALL medical care. Keep your Medicare in a safe place. DO NOT THROW AWAY. You are still in the Medicare program and still receive ALL Medicare benefits. You must continue to pay your Part B premium You...
Medicare High Deductible Plan F
An option under Medicare Supplements are called “Select” plans for Supplement Plan C and Plan F. These plans are called C Select or F Select, depending on the plan. These plans work the same as the a regular C and F plan. There is one major difference. With the...
Medicare Advantage Election Periods
I speak with people all the time who are confused or just don’t know if and when they can change their Medicare Advantage Plans or get out of their Medicare Advantage Plans . So here it is: Initial Enrollment Period(IEP)– The IEP is 3 months before, the month of and 3...
The Coverage Gap (Donut Hole)
This is a part of Medicare that most people do not understand. When you have a prescription drug paln either through a Medicare Advanatge plan or through a stand alone Part D drug plan that you purchase, you have coverage limits. In 2015 you are covered for the first...
My Client Lives In 2 States
I visited with a client today who just moved to Florida but still maintains a residence in Indiana. The gentleman is aging into Medicare in March of this year, 2015. When meeting with him he had a lot of questions, as you can imagine. The one thing that he said that...
Be Careful With “Select” Plans
An option under Medicare Supplements are called “Select” plans for Supplement Plan C and Plan F. These plans are called C Select or F Select, depending on the plan. These plans work the same as the a regular C and F plan. There is one major difference. With the...
Be Aware of Changes
When you have either a Medicare Advantage Plan or a Stand-Alone Part D prescription drug plan, you need to know that these plans can and do change year to year. Each year, around September, you will receive a Annual Notice of Change (ANOC) and Evidence of Coverage...
Objectivity is Key When Determining Coverage
When it comes for you to determine you coverage under Medicare you should speak to an adviser that represents many plans, especially when it comes to selecting a Medicare Advantage Plan. Objectivity is key. You want someone who is familiar with the plans in your...
Time to save on your Medicare Supplement
Did you know the Medicare Supplements, also known as a Medigap policy, have been standardized from company to company. What this basically means is a Plan F with one company offers the same exacts benefits as a Plan F from another company. Most people I speak with are...