Jefferson Medicare Advisors

Jersey Insurance Medicare Advisors are here to help you navigate the complex world of Medicare. Our office in Jefferson, Jersey, offer free-of-charge consultations to help you understand your options and find the right plan for your healthcare needs.

Medicare and Parts of Medicare

Medicare is divided into four parts: Part A, Part B, Part C, and Part D. Part A covers hospital stays, skilled nursing facility care, hospice care, and home health care. Part B covers doctor visits, outpatient care, and medical supplies. Part C, also known as Medicare Advantage, is a combination of Part A, Part B, and sometimes Part D benefits. Part D covers prescription drugs. Each part has its own coverage and costs, so it’s important to understand them all when choosing the right plan for you.

Medicare eligibility and enrollment in Jefferson, Jersey

To be eligible for Medicare, you must be 65 years or older, or have a disability or end-stage renal disease. You can enroll in Medicare during your Initial Enrollment Period, which is a seven-month period that starts three months before your 65th birthday month and ends three months after.

If you miss your Initial Enrollment Period, you can enroll during the General Enrollment Period from January 1 to March 31 each year, but you may have to pay a penalty. You can also enroll during the Annual Enrollment Period from October 15 to December 7 each year, or during a Special Enrollment Period if you qualify.

Health insurance in Jefferson, Jersey

If you’re not eligible for Medicare or need additional coverage, there are other health insurance options available in Jefferson, Jersey. You can purchase plans through the Affordable Care Act (ACA) marketplace, which offers a variety of plans with different coverage and costs. You can also consider Hospital Indemnity plans, which provide fixed cash benefits for specific medical services, or Critical Illness Plans, which provide a lump sum payment if you’re diagnosed with a serious illness.

Health insurance plans and benefits

Each health insurance plan has its own benefits and costs, so it’s important to compare them carefully. ACA plans offer different levels of coverage, including Bronze, Silver, Gold, and Platinum, with higher premiums for more comprehensive coverage. Hospital Indemnity plans and Critical Illness Plans provide additional coverage for specific medical events but may have more limited benefits than traditional health insurance plans.

FAQ

1. What is the difference between Original Medicare and Medicare Advantage plans?

Original Medicare is a fee-for-service program run by the federal government that includes Part A (hospital insurance) and Part B (medical insurance). Medicare Advantage plans, also known as Part C, are offered by private insurance companies and often include additional benefits like prescription drug coverage, vision, dental, and hearing benefits.

2. When can I enroll in Medicare for the first time?

You are eligible to enroll in Medicare when you turn 65 or if you have a disability. The Initial Enrollment Period (IEP) starts three months before your 65th birthday and ends three months after. If you miss your IEP, you may still be able to enroll during the General Enrollment Period, which runs from January 1 to March 31 each year.

3. Can I change my Medicare coverage after I enroll?

Yes, you can change your Medicare coverage during the Annual Enrollment Period (AEP), which runs from October 15 to December 7 each year. During this time, you can switch from Original Medicare to a Medicare Advantage plan or vice versa, switch between Medicare Advantage plans, or join, drop, or switch prescription drug plans.