The Medicare Experts Company has been helping people with Medicare for the last 16 years. It is an honor to work with people that have so much life experience.
The Medicare Experts Company has been helping people with Medicare for the last 16 years. It is an honor to work with people that have so much life experience. As a brokerage we are focused on finding the right plan that fits your needs. We are not product salesmen. We all want a plan that has our Doctors, Medication and Dentists for the lowest cost possible. It takes many hours of certifications, training and studying to be of value to our clients. We are prepared for the challenge and invite you to call, text email or drop by our Henderson office located conveniently in the same business center as the local social security office in Henderson.
Medicare is a federally administered health insurance program providing health coverage to nearly 55 million Americans above the age of 65. Medicare also provides coverage to other individuals who are eligible due to certain disabilities, or permanent kidney failure, or amyotrophic lateral sclerosis (Lou Gehrig’s disease). The program helps with the cost of health related expenses, but it doesn’t cover all medical expenses. Long-term care is not covered by Medicare.
Inpatient Hospital Care
Skilled Nursing Services
Hospice Care
Doctors' Visits
Outpatient Hospital Services
Durable Medical Equipment
Physician - Administered Drugs
Medicare Advantage Plans, Which Combine Parts A & B
May Cover Vision, Dental And Hearing
Prescription Drug Coverage
You have choices for how you get Medicare coverage. If you choose to have Original Medicare (Part A and Part B) coverage, you can buy a Medicare Supplement Insurance (Medigap) policy from a private insurance company. Supplements cover some of the costs that Medicare does not, like deductibles and coinsurance.
The Centers for Medicare and Medicaid Services (CMS) is the federal agency responsible for the Medicare program. But the Social Security Administration processes your application for enrolling in Original Medicare.
A Person who has been a U.S. citizen / legal resident for at least five consecutive years and is at least one of the following :
If you are over the age of 65, and you are a U.S. citizen or permanent resident, you are eligible for Part A. And it won’t cost you anything per month if one of the following applies:
If you don’t meet these requirements, you may be able to get Medicare Part A by paying a monthly premium.
If you are eligible for Medicare Part A at no cost, you can enroll in Medicare Part B by paying a monthly premium. If you have higher income, you may be required to pay a higher Part B premium.
If you are not eligible for Part A at no cost, you can buy Part B without having to buy Part A if you are age 65 or older and you’re one of the following:
When you understand the basics of Medicare, you will quickly learn that there isn’t a “one size fits all” plan. We are here to educate you about all your choices.
Choices include:
Original Medicare includes:
Decide if you need additional coverage. You can choose 2 options:
Option 1 : Add one or both of the following to Original Medicare
Option 2 : Choose a Medicare Advantage plan
Contact us to learn more. Our professional and experienced agents want to help you be successful in choosing you're Medicare options.
Beginning May 3, 2022, Wellcare will discontinue VBE for all enrollment types, with the exception of Dual-Eligible Special Needs Plan (DSNP) and Chronic Condition Special Needs Plan (CSNP) enrollments. However, effective May 3, 2022, VBE admin payments will increase to $125 for each DSNP & CSNP enrollment!
The Centers for Medicare & Medicaid Services (CMS) issued a final rule for the Medicare Advantage and Part D prescription drug programs that will improve experiences for dually eligible beneficiaries and provide greater transparency for the MA and Part D programs.
View a fact sheet on the final rule at: https://www.cms.gov/newsroom/fact-sheets/cy-2023-medicare-advantage-and-part-d-final-rule-cms-4192-f
You might be surprised by how many of your potential clients are impacted by IRMAA. So, here is your reminder to brush up on IRMAA and the 2022 IRMAA thresholds!
Income-Related Monthly Adjustment Amount, or IRMAA, is the additional cost Medicare Beneficiaries pay on Medicare Part B and D Premiums when their modified adjusted gross income is above a certain threshold. It is guaranteed that no matter who your client is, they are trying to save money on healthcare costs. The downside for most beneficiaries is that IRMAA is calculated based on their earnings reported on their IRS tax return from two years ago. So, you must be prepared when a client calls you to discuss their concerns regarding their Medicare payments.
Last month, Health and Human Services Secretary Xavier Becerra instructed CMS to reassess this year’s standard premium, which jumped to $170.10 from $148.50 in 2021. Since then, pressure from officials continues to increase after Medicare's preliminary decision to cover the costly Alzheimer’s drug, Aduhelm, only for a limited group of beneficiaries – which would greatly reduce Medicare's spending.
While reducing the premium would be unprecedented, there's a chance that Medicare Part B premiums for 2022 could be reduced.
The No Surprises Act creates important new federal protections against surprise medical bills – a leading cause of affordability concerns for consumers. The federal government estimates the NSA will apply to about 10 million out-of-network surprise medical bills a year.
In January, HHS announced that insurance companies and group health plans would be required to cover the cost of 8 FDA-approved over-the-counter at-home Covid tests per covered individual per month.
The goal is to expand Americans’ access to free testing. But the administration is facing criticism because the coverage requirement doesn't apply to Medicare or Medicaid plans.
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