BETTER UNDERSTAND MEDICARE AND GET THE RIGHT CARE FOR YOU!

You’re eligible for Original Medicare (Parts A and B) if:

You’re at least 65 years of age (even if you still work)

You’re a U.S. citizen or a legal resident who has lived in the U.S. for at least 5 consecutive years

You’re under 65 and qualify due to a disability or other special circumstance

Initial Enrollment Period (IEP) If you’re enrolling in Medicare for the first time, you have an IEP that begins 3 months before and ends 3 months after you turn 65. It begins and ends 1 month earlier if your birthday is on the first of the month. You may enroll in Part A, Part B or both. You may also choose to enroll in a Medicare Advantage plan (Part C) or a prescription drug plan (Part D). Although you are not required to enroll in Part D, there is a penalty of 1% of the average monthly premium for each month you delay enrollment.

Annual Enrollment Period (AEP) Oct. 15 – Dec. 7 You can add, drop or switch your Medicare coverage.

Medicare Advantage Open Enrollment Period (OEP) Jan. 1—Mar. 31 If you’re a Medicare Advantage plan member, you may disenroll from your current plan and either switch to a different Medicare Advantage plan one time only or go back to Original Medicare during this period.

Special Election Period (SEP) You may be eligible to change your Medicare Advantage (MA) plan due to special circumstances, like being diagnosed with a qualifying chronic health condition, moving to new area, qualifying for Extra Help, or retiring and losing your employer coverage

Cost! How much will you pay for premiums, deductibles, coinsurance and copayments?

Coverage! Does the plan include prescription drug coverage or other additional coverage?

Network! Do your doctors, hospitals, pharmacies and other providers accept the plan?

Convenience! Are you required to submit claim forms and other paperwork? Can you get prescriptions by mail?

Health history!  How often have you needed care in recent years? Do you have a chronic condition requiring ongoing care?

Health future! Your health may change. Consider what your future medical needs may be.

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