Will a Medicare Advantage plan cost me more if I have a pre-existing condition or if I smoke?
The short answer is no. Medicare Advantage plans are not allowed to medically underwrite, which means they cannot charge you more or decline your coverage for any pre-existing condition. They also cannot charge you more if you are a smoker. In fact, they are not allowed to ask you any health questions when you are […]
Are covered benefits and cost-sharing requirements under Medicare Advantage plans the same thing?
Covered benefits and cost-sharing for Medicare Advantage plans are two very different things. Covered benefits are a list of specific services, tests, etc., that are covered by your Medicare Advantage plan. All Medicare Advantage plans must cover at a minimum the same benefits provided by Original Medicare Parts A & B. They also frequently include […]
I received a notice that my Medicare plan is not being offered next year. What do I need to do?
If you received a notice from your insurance company that the plan you are enrolled in is not being offered next year, you will be given options to switch to a new plan. If you are enrolled in a Medicare Advantage or Part D plan that is being eliminated, you will receive a notice from […]
Can immigrants enroll in Medicare?
Those that are new immigrants to the United States are not eligible for Medicare. Only residents of the United States (citizens, permanent residents) are eligible for Medicare. If an immigrant is a permanent resident for five years and has continuously resided in the United States for that entire time, they can purchase coverage once they […]
I’m about to sign up for Medicare, but my income is over $100,000/yr. Will I pay higher premiums?
Yes, you will likely pay higher Medicare premiums with an income over $100,000 per year. If you’re signing up for Medicare and your income exceeds $109,000 as an individual or $218,000 as a married couple, you’ll pay higher premiums in 2026 due to IRMAA, the Income-Related Monthly Adjustment Amount. Medicare uses your tax return from […]
I did not sign up for Part B Medicare when I first became eligible, but want to now. Is that possibl
Yes, you can still enroll in Medicare Part B even if you missed your initial enrollment period. Medicare offers a General Enrollment Period from January 1st through March 31st each year where you can sign up for Part A or Part B if you weren’t enrolled when first eligible. However, there’s an important cost consideration. […]
Is there a lifetime limit on how often I can switch Medicare Advantage and Medicare Part D plans?
There is no lifetime limit on how many times you can switch Medicare Advantage or Part D prescription drug plans. Your ability to change plans depends on enrollment periods and qualifying events. During the Annual Election Period from October 15 through December 7, you can change plans with coverage starting January 1. The Medicare Open […]
I live alone and dont have a computer. How can I learn about Medicare drug plans and Medicare Advant
Living alone without a computer doesn’t prevent you from learning about Medicare drug plans and Medicare Advantage options. Working with a local independent insurance agent who specializes in Medicare is the most popular approach. These agents can meet with you in person or by phone, work with multiple insurance companies, and help you select the […]
If I like the coverage I have under the original Medicare, do I need to make a change?
The short answer is no. If you like Original Medicare, you don’t have to make any changes. However, it would be wise to talk to an independent agent who is an expert in Medicare to ensure that original Medicare is the most appropriate choice for your specific situation. At a minimum, you should also consider […]
Do I have to get a Part D (Rx coverage) Medicare plan?
You are not required to enroll in a Medicare Part D prescription drug plan. However, without Part D or other creditable prescription drug coverage, you’ll be responsible for the full cost of most prescription medications. Additionally, delaying enrollment may result in a late enrollment penalty if you choose to sign up later. The late enrollment […]