Senior couple with insurance agent representing Medicare and Happy business woman discussing Happy young couple representing life insurance and Older happy couple with Medicare and Connecticut Health Insurance

ENROLLMENT IS NOW OPEN

2017/10/15 11:40:09

Closes:  December 7th

Getting more coverage out of your Medicare Plans require understanding Medicare.

Being fully informed on your Medicare options is the best way to save on your healthcare costs.  Thus, Diversified Group Services, Inc. will break it all down for you and help find a plan that saves you the most on premium, while serving your unique healthcare needs and budget.

What is Medicare?

What is Medicare?

Medicare is the federal health insurance program for people who are 65 or older. Accordingly, the different parts of Medicare help cover specific services:

Medicare Part A (Hospital Insurance)
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

Medicare Part B (Medical Insurance)
Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services. Most people will pay a standard Part B premium which varies depending on income.

Reviewing Your Medicare Options - What You Should Know

First and foremost, your original Medicare does not cover all of your healthcare costs.  In other words, at least 20% of the cost for outpatient care will come from your own pocket.  However, you can offset these costs and fill in the gap with a Medicare Advantage Plan or a Medicare Supplement Plan (Medigap).  Additionally, Medicare Part D Plans add prescription drugs to your coverage.

Medicare Plans are regulated by the government.  However, the coverage and premiums for Medicare Advantage, Supplements and Part D Plans can vary greatly.  Specifically, it depends on geographic location and most importantly, by carrier.

If you are thinking of changing your Medicare Plan to an Advantage or Supplement Plan, you must act during the open enrollment period and already be enrolled in Original Medicare.  Accordingly, see Eligiblity and Enrollment Period below.

To help you be prepared, you should review your current Medicare plan, including any change notices for the coming year.  Then, if you are not sure about your current coverage, you can always check your Medicare and/or other insurance cards, and call the numbers listed on them for more information.

Medicare Plans We Offer - Medicare Advantage, Medicare Supplements & Part D Plans

Based on your unique healthcare needs, Diversified Group Services, Inc. will help you compare all of your Medicare coverage options, including premiums, deductibles, physician and other care providers, as well as pharmacy networks, and any travel coverage offered.

Following is an overview of the Medicare Plans we offer:

Medicare Advantage Plans

These Medicare Plans are Part C of Medicare and are offered by private carriers.  They replace your original Medicare Parts A and B, as they are rolled into one plan. Much like regular insurance, you can select different plan types, such as a Health Maintenance Organization (HMO), or a Preferred Provider Organization (PPO), or a Medicare Medical Savings Account Plan. Premiums will vary, based on coverage, carrier and geographical location. Advantage Plans include may include prescription drug coverage, and sometimes offer other supplemental coverage, like dental or vision. 

Medicare Supplement Insurance Policies

These Medicare Plans offered through private carriers and work in conjunction to complement your original Medicare Parts A and B. They cover some, if not all, of the expenses that Part A and B do not cover, like co-pays, deductibles and other excess charges. There are many different types of Medicare Supplement policies available, yet they are regulated so the benefits for these various policies are all the same regardless of the carrier. However, premiums can vary greatly among carriers. Ultimately, the best supplement plan is one that is purchased from a quality carrier, has a low premium and leaves you with the least or no out of pocket expenses.

Medicare Part D

Part D adds prescription drug coverage to Original Medicare and is offered through private insurance companies that are contracted and approved by Medicare – premiums vary between carriers. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans.

Eligibility - When You Can Sign Up For Medicare

To sign up for Medicare Parts A, B, or Supplement, Advantage, or Prescription Drug Plans, most people will have an Initial Enrollment Period which is a 7 month period around the time they turn age 65. This period begins 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.

When Can I Change My Medicare Coverage?

Once  your Initial Enrollment Period is over, if you wish to change or purchase Advantage and Supplement Plans, you must act during the annual open enrollment period of October 15th through December 7th.  

If you miss the deadline, you still may be able to enroll in a plan outside of the open enrollment period, however you will need a qualifying event to be eligible.

Following are the special circumstances in which one may qualify to enroll outside of the enrollment period.

  • You are turning 65
  • You move to a new area that is not in your current plan’s service area
  • Recently moved back to the US
  • You lose your current coverage (either Group or Medicaid)
  • You now need a SNP (Special Needs Plan) or you no longer need a SNP

To help you be prepared, you should review your current plan, including any change notices for the coming year.  If you are not sure about your current coverage, you can always check your Medicare and/or other insurance cards, and call the numbers listed on them for more information.

Our Medicare Partners

Why Choose Us

When it comes to the complex Medicare system, experience, knowledge and access to resources matters.  Since 1986, Diversified Group Services, Inc. has represented  Connecticut’s top Medicare insurers to bring our clients options that fit their unique healthcare needs and circumstances.

Request A Free Needs Analysis and Quote

Additional Resources

Additional Coverage You May Be Interested In

Final Expense

Final expense insurance is designed to help protect your loved ones from the financial burden of funeral costs related to your passing.

Long Term Care

Long-term care encompasses a wide array of services that fall under two general categories – skilled care and personal care.

Living Benefits

Living Benefits is a type of life insurance to help people to receive care and pay for chronic or terminal illness that precedes death.