MEDICARE BENEFITS

Review and compare Medicare plans with our help.

Speak with a licensed insurance agent and find the Medicare Supplement plan that fits your doctors, your budget and your area — at no cost to you.

Medigap Coverage

Cover the gaps Original Medicare leaves behind.

Deductibles, coinsurance and copayments add up fast. A Medicare Supplement plan keeps those out-of-pocket costs predictable — and lets you keep your own doctor.

Turning 65

Enroll once. Get it right the first time.

Your Medigap open enrollment window only comes around once. We walk you through eligibility, timing and plan letters in plain English.

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MEDICARE COVERAGE

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How the parts of Medicare fit together

Original Medicare covers a lot — but not everything. Here is what each part does, and where a Medicare Supplement plan picks up the costs left behind.

“Original” Medicare

Parts A + B
  • 80% coverage on most outpatient expenses, after deductible
  • Does not cover most prescription drugs
  • No routine dental, hearing and/or vision coverage

Sign up through Social Security

Prescription Drug Coverage

Part D
  • Works alongside Original Medicare or plans that don’t already include drug coverage
  • Helps pay for your prescriptions, but may have copays and deductibles
  • No dental, hearing and/or vision coverage

You generally pay a plan premium in addition to your Part B premium

Medicare Advantage

Part C
  • Typically lower co-pays for in-network doctors and hospital coverage
  • Some plans include prescription drug coverage
  • Care is usually limited to the plan’s provider network
  • Cannot be paired with a Medicare Supplement plan

Some plans may have a low or $0 monthly plan premium

Timing matters

When can you enroll in a Medicare Benefits ?

Medigap has one window that works differently from every other Medicare deadline. Knowing where you sit on this line can change what you pay — and whether you qualify at all.

3 months before 65

Your Initial Enrollment Period opens

Seven months long — the three months before your 65th birthday month, that month, and the three after. This is when you sign up for Part A and Part B.

The month you turn 65

Part A and Part B can begin

Enroll early in the window and coverage usually starts the month you turn 65. Wait until after, and your start date gets pushed back.

The one that matters 6 months from your Part B start

Medigap Open Enrollment

During these six months an insurer cannot turn you down or charge you more because of your health. No medical questions. This window opens once and does not come back.

After the 6 months

You can still apply — with conditions

In most states insurers may then use medical underwriting, which can mean a higher premium or a declined application. Some states and situations are exceptions.

Note: October 15 – December 7 and January 1 – March 31 are the annual windows for Medicare Advantage and Part D — not for Medicare Supplement. Medigap runs on your own Part B date, which is why two people the same age can have completely different deadlines.

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