Area Agency on Aging better explains Medicare open enrollment (2023)

Introduction

Friday, October 19th from 9 a.m. to 4 p.m. head over to the Area Agency on Aging on Leopard and Buddy Lawrence for a clinic to help you better understand what Medicare program is right for you.

Video

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PLEASE WELCOME BY ALL THE ENROLLMENT IS OPEN.

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INDIVIDUAL NEW.

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FAQs

How do I get answers to Medicare questions? ›

Do you have questions about your Medicare coverage? 1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048.

What is the difference between Medicare Open Enrollment and Medicare Advantage Open Enrollment? ›

Medicare Annual Enrollment is when anyone who has Medicare can make coverage changes for the upcoming year, while Medicare Advantage Open Enrollment is only for people who are currently enrolled in a Medicare Advantage plan.

Is there a penalty for not applying for Medicare at age 65? ›

Part A late enrollment penalty

If you have to buy Part A, and you don't buy it when you're first eligible for Medicare, your monthly premium may go up 10%. You'll have to pay the penalty for twice the number of years you didn't sign up.

Will Medicare Part B premiums increase in 2023? ›

The Part B basic premium in calendar year 2023 is scheduled to be $164.90 per month, or about 25 percent of expected Part B costs per enrollee age 65 or older. Premiums can be higher or lower than the basic premium for enrollees who receive Part B benefits through the Medicare Advantage program.

Is the Medicare exam hard? ›

Many returning Medicare agents say AHIP is easy — once you get the hang of it. Nobody's perfect, especially when learning something new! If you get more questions incorrect than you thought you would, or if you fail your first time taking the final AHIP exam, don't fret.

What is the best source to learn about Medicare? ›

Centers for Medicare & Medicaid Services (CMS)

The Medicare & You handbook, updated annually, explains what Medicare covers, how it works, when you need to sign up and any changes to the rules.

Why are they pushing Medicare Advantage plans? ›

Many Medicare Advantage plans offer additional benefits , such as money toward dental or vision care, which isn't covered by original Medicare. About 1 in 4 people say extra benefits pushed them to choose Medicare Advantage, according to a survey by the Commonwealth Fund, a health care think tank.

What changes are coming to Medicare in 2023? ›

In 2023, the Part B standard premium is $164.90 per month, down from $170.10 per month in 2022. If you have a higher income, you may pay more . The Part B deductible dropped to $226 in 2023, down from $233 in 2022.

How do you qualify to get $144 back from Medicare? ›

To qualify for the giveback, you must:
  1. Be enrolled in Medicare Parts A and B.
  2. Pay your own premiums (if a state or local program is covering your premiums, you're not eligible).
  3. Live in a service area of a plan that offers a Part B giveback.

Is Medicare going up in 2023? ›

For 2023, the Part A deductible will be $1,600 per stay, an increase of $44 from 2022. For those people who have not worked long enough to qualify for premium-free Part A, the monthly premium will also rise. The full Part A premium will be $506 a month in 2023, a $7 increase.

How do I avoid Medicare Part B penalty? ›

But once your employer coverage is gone, the only way to avoid a penalty is to enroll in Part B during what's called a Special Election Period (SEP) . That's an 8-month period that begins when your employer coverage ends or you stop working, whichever comes first.

What will we be paying for Medicare Part B in 2023? ›

Most people pay the standard Part B monthly premium amount ($164.90 in 2023). Social Security will tell you the exact amount you'll pay for Part B in 2023. You pay the standard premium amount if you: Enroll in Part B for the first time in 2023.

What is the projected 2024 Medicare Part B premium? ›

They should also inform SSA that their anticipated 2024 AGI of $150,000 would put them below the high-income threshold and therefore only have it pay the regular Part B premium of $164.90 in 2024. The SSA requires tax returns and qualified life-changing event documentation for IRMAA reductions.

How much is taken out of Social Security for Medicare in 2023? ›

Medicare Deduction From Social Security 2023

Most people enrolled in Medicare — and receiving Social Security benefits — will have at least $164.90 deducted from their Social Security check each month in 2023. This is the monthly premium for Medicare Part B.

Which insurance exam is the hardest? ›

Each insurance licensing exam presents its own challenge. Between Life and Health, students say that the Health insurance exam is the more difficult. Health insurance policies are simply more complicated than life insurance policies. The Property insurance exam is easier than the Casualty insurance exam.

What questions are asked in a Medicare exam? ›

Aside from the Health Risk Assessment, your provider will likely ask about your medical and family history, update your current prescriptions, take measurements (height, weight, blood pressure, etc.) and more.

What is a well woman exam for Medicare? ›

Medicare Part B covers a Pap smear, pelvic exam, and breast/chest exam once every 24 months. You may be eligible for these screenings every 12 months if: You are at high risk for cervical or vaginal cancer. Or, you are of childbearing age and have had an abnormal Pap smear in the past 36 months.

Who is the best person to talk to about Medicare? ›

Call 1-800-MEDICARE (1-800-633-4227) to talk with a customer support representative about your Medicare questions and concerns—or visit the Medicare.gov website to start a live chat. TTY users should call 1-877-486-2048. The Medicare Support Hotline is available 24/7, except for some federal holidays.

What insurance goes best with Medicare? ›

Best Medicare Advantage Plans of 2023
  • Best Overall: AARP / UnitedHealthcare.
  • Best for Additional Drug Coverage in the Gap: Aetna.
  • Best Value Plans: Blue Cross Blue Shield.
  • Great for Nationwide Coverage: Humana.
  • Best for Customer Satisfaction: Kaiser Permanente.
  • Lowest Cost: Cigna.

What is the most used Medicare plan? ›

AARP/UnitedHealthcare is the most popular Medicare Advantage provider with 28% of all enrollment. Plans are well-rated and have affordable premiums and add-on benefits, a valuable combination that could account for AARP/UHC having the largest number of Medicare Advantage enrollees.

Who is the largest Medicare Advantage provider? ›

UnitedHealthcare is the largest provider of Medicare Advantage plans and offers plans in nearly nine out of every 10 U.S. counties. UnitedHealthcare also partners with AARP, insuring the Medicare products that carry the AARP name.

Is Medicare Advantage better or worse? ›

For many seniors, Medicare Advantage plans can work well. A 2021 study in the Journal of the American Medical Association found that Advantage enrollees often receive more preventive care than those in traditional Medicare. But if you have chronic conditions or significant health needs, you may want to think twice.

Is it worth switching to a Medicare Advantage Plan? ›

Medicare Advantage plans can be full of extra benefits like prescription drug coverage, dental, hearing, and vision coverage. Another advantage of a Medicare Advantage plan is a mandatory out-of-pocket maximum. A possible disadvantage of a Medicare Advantage plan is you can't have a Medicare Supplement plan with it.

What changes are coming to Medicare in 2024? ›

How Is the Medicare Part D Benefit Changing in 2024? In 2024, costs in the catastrophic phase will change: the 5% coinsurance requirement for Part D enrollees will be eliminated and Part D plans will pay 20% of total drug costs in this phase instead of 15%.

What is the out-of-pocket maximum for Medicare in 2023? ›

In 2023, the MOOP for Medicare Advantage Plans is $8,300, but plans may set lower limits. If you are in a plan that covers services you receive from out-of-network providers, such as a PPO, your plan will set two annual limits on your out-of-pocket costs.

What is the out-of-pocket limit for Medicare Part D in 2023? ›

The Medicare Part D true (or total) out-of-pocket (TrOOP) threshold will bump up to $7,400 in 2023, a $350 increase from the previous year. The true (or total) out-of-pocket (TrOOP) threshold marks the point at which Medicare Part D Catastrophic Coverage begins.

Why do some zip codes get more Medicare benefits? ›

Zip Codes and Original Medicare Benefits

Original Medicare, or Medicare Parts A and B, is not affected by what zip code you live in. Traditional Medicare benefits are the same for everyone who is enrolled in the program.

Who qualifies for an extra $144 added to their Social Security? ›

To qualify for a Medicare giveback benefit, you must be enrolled in Medicare Part A and B. You must be responsible for paying the Part B Premiums; you should not rely on state government or other local assistance for your Part B premiums.

Which Medicare Advantage plan adds money back to Social Security? ›

If you pay your Part B premium through Social Security, the Part B Giveback will be credited monthly to your Social Security check. If you don't pay your Part B premium through Social Security, you'll pay a reduced monthly amount directly to Medicare.

How much will Part B go up in 2023? ›

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $164.90 in 2023, a decrease of $5.20 from $170.10 in 2022.

Will Medicare be cut in 2023? ›

Physicians are facing a 2% cut in Medicare payment in 2023, and 2024 will bring at least a 1.25% cut.

What income level triggers higher Medicare premiums? ›

Medicare Part B premiums

But you will pay higher rates if you reported earnings of more than $97,000 on your individual 2021 tax return or more than $194,000 on a joint return. For instance, individuals who made $100,000 in 2021 will pay $230.80 per month for Medicare Part B in 2023.

Who pays more for Medicare Part B? ›

If we determine you're a higher-income beneficiary, you'll pay a larger percentage of the total cost of Part B based on the income you normally report to the Internal Revenue Service (IRS). You'll pay monthly Part B premiums equal to 35%, 50%, 65%, 80%, or 85% of the total cost, depending on what you report to the IRS.

Can I skip Part B of Medicare? ›

to get Medicare later, you'll have to pay a monthly late enrollment penalty for as long as you have Part B coverage. The penalty goes up the longer you go without Part B coverage. If you have to pay a penalty for Part A, you'll pay it for twice as long as you go without Part A coverage.

Why would you lose Medicare Part B? ›

You fail to pay premiums

However, Medicare Part B, which covers medical services like doctor visits and medical devices, usually attracts a premium. This means that if you fail to pay your Part B premium, you will lose your Medicare benefits. If you fail to pay your Part B premium, you will lose your Medicare benefits.

Can Social Security office answer questions about Medicare? ›

We provide general information about the Medicare program and can help you get a replacement Medicare card. Notify us timely of address changes, name changes, and deaths. Social Security enrolls you in Original Medicare (Part A and Part B).

Do you have to answer health questions for Medicare Advantage plans? ›

It is not always mandatory to answer Medicare Supplement underwriting eligibility questions when you enroll in a plan. However, it is common to need to go through medical underwriting. Sometimes, like during your Open Enrollment Period, you receive a waiver for health question requirements.

How do I access Medicare statements? ›

Log into (or create) your Medicare account and select "My account settings." Under the "Email and document settings" section at the top of your account homepage, select "Edit" next to Medicare Summary Notices (MSNs). Under "How do you want to get your MSNs?" select "Electronically" then "Save Changes."

What is the Medicare Part B deductible for 2023? ›

2023 Part B deductible—$226 before Original Medicare starts to pay. Visit Medicare.gov/plan-compare to find and compare plan premiums.

What is the best phone number to reach Medicare? ›

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

Are there disadvantages to a Medicare Advantage plan? ›

Medicare Advantage offers many benefits to original Medicare, including convenient coverage, multiple plan options, and long-term savings. There are some disadvantages as well, including provider limitations, additional costs, and lack of coverage while traveling.

Can you be declined for Medicare Advantage plans? ›

Generally, if you're eligible for Original Medicare (Part A and Part B), you can't be denied enrollment into a Medicare Advantage plan. If a Medicare Advantage plan gave you prior approval for a medical service, it can't deny you coverage later due to lack of medical necessity.

Can you get kicked off a Medicare Advantage plan? ›

Yes, a plan can choose to disenroll a member who fails to pay plan premiums after proper notice and the plan's grace period. Disenrollment for failure to pay plan premiums is optional for each plan, so it's important for the member to know the rules for that plan.

What is the name of the statement that Medicare patients receive every 3 months? ›

"Medicare Summary Notice" (MSN)

How many years should you keep Medicare statements? ›

CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the cost report. And if you're a Medicare managed care program provider, CMS requires that you retain the patient records for 10 years.

How often do you get Medicare statements? ›

The Medicare Summary Notice, also called an MSN, is a report of doctor visits, services or supplies billed to Medicare in your name. It is mailed every 3 months and is also available online.

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