Are you turning 65?
Are You Looking for a Plan that Fits Your Budget with More Benefits?
Reliable Medicare Plans in Alton, IL
Located in Alton, IL, M Erney & Associates is known for providing personalized Medicare and Supplement plans to our valued clients. As you approach or are over the age of 65, finding the right Medicare plan is vital. We understand that the variety of options available can be overwhelming, and it’s our goal to bring clarity and confidence to your decision-making process. We take the time to understand your specific health and financial needs, offering insights and recommendations that are not just informed but are also personalized to your unique circumstances.
Each choice you make impacts your well-being, and we are committed to supporting those decisions with expert advice and effective solutions. We invite you to connect with us to explore and choose a Medicare plan that aligns with your individual needs.
Reliable Medicare Plans Alton, IL
Medicare Enrollment
in Alton, IL
Your Initial Enrollment Period (IEP) is a critical time that spans three months before to three months after your 65th birthday month. It’s the perfect opportunity to enroll in Medicare Part A, Part B, or evaluate the options for a
Medicare Advantage or Prescription Drug Plan. Another vital period is the Annual Enrollment Period (AEP), which runs from October 15th to December 7th every year. This period provides a chance to assess and modify your Medicare plans to better align with your evolving health needs. Special circumstances, such as relocating or significant changes in health, can also open doors for modifications during the Special Election Period (SEP), ensuring your coverage adapts to your specific needs and situations.
Contact M Erney & Associates in Alton, IL for guidance through these enrollment periods.
Knowing Your Medicare options
in Alton, IL
Grasping the intricacies of Medicare options is essential for making choices that best suit your healthcare needs. For Alton, IL residents, M Erney & Associates is a reliable resource for in-depth understanding and assistance.
Original Medicare is overseen by the federal government and is composed of Part A and Part B, each presenting unique benefits. Part A is centered around covering costs related to hospital and inpatient care. Eligibility for premium-free Part A depends on the duration you’ve contributed to Medicare taxes; those with 40 or more quarters of contributions are exempt from premiums. Contributors of 30-39 quarters incur a $274 premium, while those with less than 30 quarters are charged $499. This plan shoulders 80% of hospital costs.
Part B, on the other hand, caters to outpatient services and doctor visits. For 2023, the standard premium is set at $164.90, although adjustments can be made depending on your 2021 income. Like Part A, it also accommodates 80% of medical expenses, offering comprehensive coverage when combined with Part A.
Reach out to M Erney & Associates to delve into your options and formulate a healthcare plan that meets your medical and financial requirements.
Frequently Asked Questions
If your Medicare card was lost, stolen, or destroyed, you can request a replacement online at Medicare.gov. You can print an official copy of your card from your online Medicare account or call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048) to order a replacement card to be sent in the mail.
If you already get Social Security benefits, you do not need to sign up for Medicare. We will automatically enroll you in Original Medicare (Part A and Part B) when you become eligible. We will mail you the information a few months before you become eligible.
Because you must pay a premium for Part B coverage, you can turn it down. However, if you decide to sign up for Part B later, your coverage can be delayed and you may have to pay a late enrollment penalty for as long as you have Part B coverage.
Residents of Puerto Rico or foreign countries will NOT automatically receive Part B. They must elect this benefit. If you don’t get Social Security benefits and are not ready to apply for them yet, you should sign up for Medicare three months before your 65th birthday. The easiest way to apply for Medicare is by using our online application or you can make an appointment by calling us at 1-800-772-1213 (TTY 1-800-325-0778), 8:00 a.m. – 7:00 p.m., Monday through Friday.
You can voluntarily terminate your Medicare Part B (Medical Insurance). However, you may need to have a personal interview with us to review the risks of dropping coverage and for assistance with your request. To find out more about how to terminate Medicare Part B or to schedule a personal interview, contact us at 1-800-772-1213 (TTY: 1-800-325-0778) or visit your nearest Social Security office. If you send us a request to terminate your Part B and then change your mind, you must send a request to cancel the request of termination before the date that Part B ends.
Medicare Part B premiums vary based on beneficiary’s income and can change each year. For current rates visit the Medicare Cost site. Each year, Social Security sends a letter to people collecting Social Security benefits (and those who pay higher premiums because of their income) stating each person’s exact Part B premium. You can get details at Medicare.gov or by calling 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048).
If you have Medicare Part A, but you did not enroll in Medicare Part B during your Initial Enrollment Period (IEP), you may sign up during the General Enrollment Period (GEP), or you may qualify for a Special Enrollment Period (SEP). The annual GEP runs from January 1 to March 31, with coverage starting the month after you enroll. You may have to pay a late enrollment penalty for not signing up when you were first eligible. Those with group health plan coverage through an employer or spouse may qualify for an SEP.
In most cases, if you don’t sign up for Medicare when you’re first eligible, you may have to pay a higher monthly premium.
More information on Medicare late enrollment penalties:
Part A Late Enrollment Penalty (Medicare.gov)
Part B Late Enrollment Penalty (Medicare.gov)
Part D Late Enrollment Penalty (Medicare.gov)
You may have health insurance coverage under a group health plan based on your or your spouse’s current employment. In this case, you may not need to apply for Medicare Part B at age 65. You may qualify for a Special Enrollment Period and be able to delay signing up for Medicare Part B without a late enrollment penalty. Coverage based on current employment does not include COBRA (Consolidated Omnibus Budget Reconciliation Act), Retiree health coverage VA (Veterans Affairs) health coverage, or Individual health coverage (such as through the Health Insurance Marketplace). Find out how your coverage works with Medicare at Medicare.gov or contact your employer or union benefits administrator.
States must help pay some of the Medicare costs for beneficiaries who have limited income and resources. Under these programs, states help pay for Medicare Part A and Part B premiums, deductibles and copayments. Some of these programs also pay additional Medicare expenses for elderly and disabled people. To find out if you are eligible for state help, contact your local medical assistance office. A representative can tell you the specific requirements and help you apply. For more information see (Medicare.gov).
Some people with higher income may pay a larger percentage of their monthly Medicare Part B and prescription drug costs based on their income. We call the additional amount the income-related monthly adjustment amount. Visit Medicare Premiums: Rules For Higher-Income Beneficiaries to see if the adjustment amount applies to you.
Medicare is a health insurance program for people age 65 or older. Some younger people are eligible for Medicare including people with disabilities, permanent kidney failure and amyotrophic lateral sclerosis (Lou Gehrig’s disease or ALS). Medicare helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care.
Original Medicare included:
Part A—Hospital insurance helps pay for inpatient care in a hospital or limited time at a skilled nursing facility (following a hospital stay), and some home health care and hospice care.
Part B—Medical insurance helps pay for doctors’ services and many other medical services and supplies that the hospital insurance does not cover.
Other parts of Medicare are:
Part C—Medicare Advantage plans are offered by private companies and approved by Medicare. These plans generally help you pay the medical costs not covered by Original Medicare.
Part D—Prescription drug coverage helps pay for prescribed medications.
TRICARE is the health care program serving military service members, retirees, their families and survivors worldwide.
More Information: TRICARE and Recent Changes In The Law
Signing up for Medicare Part B may provide you with additional service and location options.
If you don’t sign up for Part B when you are first eligible, you may have to wait to sign up, which will delay your coverage, and you may also have to pay a late enrollment penalty for as long as you have Medicare Part B.
Visit Medicare.gov for more information.
Meet Mike Erney
My name is Mike Erney. I am a local Independent Insurance Broker licensed in Illinois and Missouri. I specialize in the senior healthcare market and have helped hundreds of individuals with their Medicare plan options and decisions.
I am contracted with most carriers that have plans available in your area. My mission is to help anyone newly eligible for Medicare or those wanting to review their current plan to insure they are receiving the best benefits available for their specific situation and needs.
Let me help you make Medicare easy…Call today!