Medicare FAQs

Here are some of our frequently asked questions. For additional information, please reach out to us to schedule a consultation.

A: Provided you’ve met the work-related eligibility criteria, you can start enrolling in Medicare up to 90 days before the month you turn 65.

A: Medicare does not offer spousal or dependent coverage; it is designed for individuals. If your spouse is also turning 65, they can enroll in Medicare on their own, starting 90 days before their 65th birthday month.

A: Medicare does not offer coverage for spouses or dependents; it is meant for individuals only. If your spouse is 65 or older, they can sign up for Medicare on their own, starting 90 days before their 65th birthday month.

A: Part A of Medicare is usually automatic and provided at no cost when you turn 65. However, Part B is not automatic unless you’ve already begun receiving Social Security benefits before turning 65. If you haven’t started Social Security benefits, you will need to actively enroll in Part B and pay the associated premiums.

A: Yes. However, you will not have prescription coverage, and you will face unlimited exposure to those costs due to the gaps in Original Medicare.

A: Typically, you can keep your current doctors, but it’s important to confirm that they accept Medicare, as not all do.

A: Yes, Medicare covers up to 100 days in a nursing home, but only after you’ve had a qualifying three-day hospital stay.

A: No, a retiree plan usually works alongside Medicare, providing additional coverage that complements Medicare’s primary benefits.

A: Part D is the prescription drug plan that Medicare introduced in 2006.

A: In addition to significant coverage gaps, you may also incur penalties from Medicare. For Part B, the penalty can be 10% of your premium for each full 12-month period you were without coverage. For Part D, you could face a penalty of up to 1% of the national average premium for each month you went without coverage.

A: Part C is also known as Medicare Advantage. It can be referred to as MA, MSA, or MA-PD if it includes prescription coverage.

A: WE WILL ASSIST YOU ON SIGNING UP AND REVIEWING YOUR PLAN OPTIONS. YOU MAY MAKE A DECISION VISITING ONLINE SSA.GOV OR A LOCAL SOCIAL SECURITY OFFICE IN PERSON. APPLYING WITH SEGUROMIO.NET MY INSURANCE AGENCY, YOUR AGENCY WE ACCESS YOUR NEED, YOUR NEED CHOOSES PLAN.

A: This Medicare term refers to previous coverage being at least as comprehensive as Medicare’s. It is usually relevant for Part D to avoid incurring a penalty.

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Not affiliated with the U.S. government nor the federal Medicare program.

DISCLAIMER: We do not offer every plan available in your area. Currently, we represent 10 organizations in CT, FL, NJ, PA  which offers products in your area.

Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options.

We are not associated, endorsed nor authorized by the Social Security Administration, the Department of Health and Human Services, the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov .
 
Medicare is health insurance that’s generally applicable to people who are:
-65 or Older
-Have a Disability
-Have End-Stage Renal Disease (ESRD)
-Have ALS, also known as Lou Gehrig’s disease
also known as permanent kidney failure –
  We also serve people without MEDICARE eligible for OBAMACARE (Affordable Care Act) and STATE Plans where applicable and we are Licensed in, offering and providing Plans to INDIVIDUALS (including Underaged and 26 Plus) and FAMILIES.

“Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare.”

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