Frequently asked questions

A: The Medicare Annual Election Period (AEP) runs every year from October 15 to December 7. During this crucial window, Medicare beneficiaries can review, change, or enroll in Medicare Advantage, prescription drug plans, or switch back to Original Medicare. At Perfiniti, we’re passionate about guiding you through this period with confidence and clarity. Since we represent multiple carriers, you’re never limited to a single option—we help you compare a wide range of plans tailored to your health needs and budget. Our enthusiastic team ensures you make informed decisions to maximize your coverage and benefits. Don’t wait—reach out to Perfiniti early in the AEP to get personalized assistance and secure the best Medicare plan for your health journey!

Medicare is a federal health insurance program primarily for people aged 65 and older, although it also covers certain younger individuals with disabilities and those with End-Stage Renal Disease. Medicare is divided into four parts: Part A covers hospital insurance, Part B covers medical insurance, Part C (Medicare Advantage) offers an alternative to traditional Medicare via private insurers, and Part D offers prescription drug coverage. At Perfiniti, we specialize in Medicare and Marketplace coverage, representing multiple carriers to provide you with comprehensive options that best fit your needs. Our team of experts can help you navigate through the complex world of Medicare, ensuring you understand your benefits and help you choose the right plan without being limited to one carrier or product. We strive to make the process as seamless and stress-free as possible, so you can focus on your health and well-being. Contact us today to find the perfect Medicare solution tailored to you!

At Perfiniti Insurance, we make your transition to Medicare seamless. If you're receiving Social Security benefits before turning 65, you'll usually be automatically enrolled in Medicare Part A and Part B, provided you have enough work credits. You'll get your Medicare info and card about 3 months before your 65th birthday. However, not everyone is automatically enrolled. Our team can check your enrollment status and help with any additional steps. We work with multiple carriers to offer a wide range of coverage options tailored to your needs. If you have concerns or haven't received your Medicare info, contact us at 888.885.8361 for personalized assistance.

It depends on whether your group coverage is comparable to or better than Medicare. Our licensed agents will compare pricing, coverage, deductibles, co-payments, coinsurance, and the flexibility of choosing your doctors. We'll also consider if other members are on your group policy, as this can affect premiums. In some cases, once you leave group coverage, you may not be able to return. Let us help you make an informed decision.

Medicare Supplement Insurance, also known as Medigap, is designed to cover the gaps left by Original Medicare (Parts A and B). This can include costs such as copayments, coinsurance, and deductibles that aren't covered by Medicare. At Perfiniti Insurance, we specialize in guiding you through the complexities of Medicare coverage. Since we represent multiple carriers, we can offer you a wide array of plan options to ensure you find the coverage that meets your healthcare needs and budget. Our team is enthusiastic about helping you navigate these choices with confidence and ease, ensuring you're not limited to just one carrier or product. Let us help you find the Medicare Supplement Insurance plan tailored to your unique situation.

The most common difference between HMO and PPO plan is that by having an HMO plan, one must use the network provided by the insurance company. If the HMO enrollee decides to seek care outside of the plans network, he/she will pay out of pocket costs to the maximum Medicare allowed amount. Having a PPO will allow you to seek care at any provider that accepts Medicare. However, you may pay more out of pocket for not using the plans “preferred” network.

The Medicare Part D Late Enrollment Penalty (LEP) is a fee added to your Part D premium if you go without creditable prescription drug coverage for 63 days or more after your Initial Enrollment Period (IEP) ends. This penalty can increase your monthly cost and is calculated based on the number of months you did not have Part D or other creditable coverage. Perfiniti is here to help you navigate your Medicare options and avoid these costly penalties. By assessing your situation early and offering coverage from multiple carriers, we ensure you get the right prescription drug plan tailored to your needs without any gaps in coverage. Contact Perfiniti today to secure your health and financial well-being with our expert Medicare guidance at 888.885.8361.

As with any insurance we purchase, we have it for the "what if" reasons. Furthermore, Medicare will charge a penalty for not enrolling in a prescription drug plan; so long you are eligible to enroll.

A: Yes, with a Medicare Part D plan offered through Perfiniti, you will typically have co-pays for prescription medications. These co-pays vary depending on the specific plan you choose, the tier of the medication, and whether you use preferred pharmacies within the plan’s network. Perfiniti works with multiple carriers to help you find a Part D plan that balances coverage and costs, ensuring you understand your out-of-pocket expenses, including co-pays, deductible amounts, and coverage phases. Our experts guide you through plan options so you can select coverage that fits your prescription needs and budget effectively.

A: Medicare Advantage Enrollment Periods are specific times when you can enroll in, switch, or make changes to your Medicare Advantage plan. The Initial Enrollment Period occurs when you first become eligible for Medicare, allowing you to select a Medicare Advantage plan. The Annual Election Period (October 15 to December 7) lets you join, switch, or drop Medicare Advantage plans for the next year. Additionally, the Medicare Advantage Open Enrollment Period (January 1 to March 31) allows current enrollees to make one plan change or revert to Original Medicare with or without a prescription drug plan. Understanding these periods is crucial to ensure continuous and optimal coverage. At Perfiniti, we specialize in Medicare and Marketplace insurance and work with multiple carriers, giving you access to a wide range of plans tailored to your health needs and budget. Our professional team guides you through each enrollment period, helping you compare plans, understand benefits, and make informed decisions to maximize your coverage.