Get Answers – Medicare Plans NEO

Feel lost in the maze that is Medicare? KAZ Company is here to help.

MEDICARE BASICS

ELIGIBILITY

People age 65 and Older
People under 65 who:
- Are on Social Security Disability (At least 24 months)
- Have ALS (Amyotrophic Lateral Sclerosis) and are entitled to Social Security
- Have Kidney Failure and are entitled to Social Security

ELECTION PERIODS

This is when you are allowed to enroll or switch your Medicare Plans

YOUR INITIAL ENROLLMENT PERIOD (IEP):
Extends Three (3) months before and three months after yourt initial eligibility month giving you a 7 month window.

ANNUAL ELECTION PERIOD (AEP):
OCTOBER 15 – DECEMBER 7
When Medicare Enrollees can change their current Advantage Plan or Prescription Drug Plan.

SPECIAL ELECTION PERIOD (SEP):
Some individuals may also qualify for a special election period depending on their circumstances.

Hospital, Skilled Nursing, Hospice
Deductibles and Co-Pays
Receive at 65, if paid into for 40 Quarters

Medical: Doctor Visits, Labs, Tests…Etc.
Deductibles and coinsurance (80/20% plan)
Pay monthly from Social Security

Medicare Advantage Plans
Co-pays
Maximum out-of-pocket

Prescription Drug Plans
Formulary
Tiers
Penalty for not joining when eligible

MEDICARE SUPPLEMENTS

ADDITIONAL COVERAGE BEYOND ORIGINAL MEDICARE

Reduce deductibles, co-pays and coinsurance
Standardized plans A-N
Offered through Insurance Companies
Freedom to choose any doctor or hospital in the United States
DOES NOT INCLUDE Prescription Drug Plan

MEDICARE ADVANTAGE PLANS

Helps cover hospital costs, doctor’s visits and other medical services
May include built-in Medicare prescription drug coverage
Plan Premiums not based on age or health
Combine ALL BENEFITS and services in one plan
Combine in two different options:
1. Health Maintenance Organizaions (HMO’s)
2. Preferred Provider Organizations (PPO’s)

Medicare Advantage Eligibiliy –

Enrolled in Medicare Part A & Part B
Live in the service area
DO NOT have End Stage Renal Disease (ESRD)

MEDICARE PART D

PRESCRIPTION DRUG PLAN

Stand alone plan or with Advantage Plan
Formulary
Network Pharmacies
Offered through private insurance companies
Premium / Co-Pay / Deductible

SPEAK WITH ONE OF OUR AGENTS TODAY!

For more information or to talk to one of our Licensed Insurance Agents please call our office at:

216-901-9300

Or use our convenient online form by selecting the button below: