The Medicare Annual Election Period (AEP) runs October 15th to December 7th and is the time you can make changes to your plans that become effective January 1st of the following year. This time period allows you to make the following changes to your plan: - Switch Medicare Advantage Plans (MA or MAPD) - Switch from Original Medicare to a Medicare Advantage Plan - Switch from a Medicare Advantage Plan to Original Medicare - Join a Medicare Part D Prescription Drug (PDP) plan - Switch from one Medicare Part D Prescription Drug (PDP) plan to another - Drop a Medicare Part D Prescription Drug Plan (PDP) Members currently enrolled in a Medicare Advantage Plan or Medicare Prescription Drug Plan will receive the Annual Notice of Change (ANOC) prior to the enrollment period. This document outlines any changes the insurance carrier will make to the plan for the following year. It is very important to review this document. If you are satisfied with the plan changes there is nothing to do and you will be enrolled in that plan for the following year. If you have questions or want to explore other options call a Perfiniti Licensed Agent at 888.885.8361 TTY: 711.
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.
At Perfiniti Insurance, we know that understanding Medicare Supplement Plan pricing can be confusing. Insurance companies use three main methods to set these costs: Community-rated, Issue-age-rated, and Attained-age-rated. 1. Community-rated: Everyone pays the same premium, regardless of age. Premiums may increase due to inflation but not age. 2. Issue-age-rated: Premiums are based on your age when you first buy the policy. Younger buyers pay less, and premiums generally don't increase with age. 3. Attained-age-rated: Premiums are based on your current age, starting lower but increasing as you get older. This can be cheaper initially but may become more expensive over time. At Perfiniti, we work with multiple carriers to offer you a variety of options, ensuring you get the appropriate plan for your health needs and budget. We're here to help you navigate these pricing structures and make your Medicare journey smooth and beneficial.
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.
At Perfiniti, we understand that choosing the right Medicare coverage can be overwhelming, but we're here to simplify it for you. A Medicare Advantage plan (MA or MAPD), often called Part C, is an all-in-one alternative to original Medicare. These plans are offered by private insurance companies and include Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). Most Medicare Advantage plans also offer additional benefits like vision, dental, hearing, and even prescription drug coverage, which are not covered by original Medicare. Think of it as a bundled package offering comprehensive coverage with potentially lower out-of-pocket costs. In contrast, a Medicare Supplement plan, also known as Medigap, is designed to work alongside your original Medicare coverage. Medigap policies help pay some of the healthcare costs that original Medicare doesn’t cover, such as copayments, coinsurance, and deductibles. These plans are also offered by private companies but do not typically include additional benefits or prescription drug coverage—you'd need to purchase a separate Part D plan (PDP) for that. Medigap provides you with the freedom to see any doctor or specialist who accepts Medicare, giving you more flexibility. So, if you’re looking for all-inclusive coverage with extra perks, a Medicare Advantage plan might be the right choice. However, if you prefer the freedom to choose any Medicare-approved provider and need help covering gaps in original Medicare, a Medigap plan could be more suitable. At Perfiniti, we represent multiple carriers and can help you navigate your options to find a plan tailored to your needs. Let us help you make an informed decision with enthusiasm and expertise all at no cost to you!
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.
Yes, even with a Medicare Part D plan, you may still have co-pays for prescriptions. The amount varies based on the medication tier, pharmacy, and your specific plan. For example, generic drugs usually have lower co-pays than brand-name medications. At Perfiniti, we work with multiple carriers to find the lowest plan for your needs, minimizing your out-of-pocket costs. Contact us to help you navigate your Medicare Part D options and make informed decisions.