Rockaway Medicare Advisors

Medicare Advisors in Rockaway – New Jersey

Are you turning 65 soon? Or are you considering switching your Medicare plan? Our Medicare Advisors in Rockaway can help you navigate the complex Medicare system and find a plan that fits your needs. Best of all, our services are free of charge. We serve clients across the state, Rockaway included. Check out our blog about the cost of Medicare.

Medicare and Parts of Medicare

Medicare is a federal health insurance program that provides coverage to Americans over 65 or with certain disabilities. It consists of four parts:

• Part A (hospital insurance): covers inpatient hospital care, skilled nursing facility care, hospice care, and some home health care services.
• Part B (medical insurance): covers doctor visits, outpatient services, preventive care, and medical equipment.
• Part C (Medicare Advantage): provides an alternative way to receive Medicare benefits through private insurance companies.
• Part D (prescription drug coverage): helps pay for prescription drugs.

Medicare eligibility and enrollment in Rockaway

To be eligible for Medicare, you must be a U.S. citizen or a permanent legal resident who has lived in the U.S. for at least five years and meet one of the following criteria:

• You’re 65 or older
• You have a ALS or End-stage renal disease (ESRD)

If you’re turning 65, you can enroll in Medicare during your Initial Enrollment Period (IEP), which starts three months before your 65th birthday and ends three months after. If you miss your IEP, you can enroll during the General Enrollment Period (GEP) between January 1 and March 31 each year, with coverage starting on July 1. Residents of Rockaway can also seek assistance from the Social Security office located at 201 Stockton St.

Health insurance in Rockaway

In addition to Medicare, residents of Rockaway can also choose from a variety of health insurance plans to supplement their coverage. The Affordable Care Act (ACA) offers plans through the Health Insurance Marketplace that cover essential health benefits, such as preventive care, emergency services, and prescription drugs.

Hospital Indemnity plans and Critical Illness Plans are also available to cover unexpected medical expenses that may not be covered by traditional health insurance. Contact a licensed insurance agent for more information about the health insurance options available in Rockaway.

Health insurance plans and benefits

Health insurance plans can vary in their benefits and costs. Some plans may offer lower premiums but higher out-of-pocket costs, while others may have higher premiums but lower deductibles and copayments.

It’s important to consider your healthcare needs and budget when selecting a plan.

Some health insurance plans may also offer additional benefits, such as wellness programs, telemedicine services, or vision and dental coverage.

FAQ

1. Can I enroll in Medicare if I’m still working?

Yes, you can enroll in Medicare even if you’re still working. However, if you have health insurance through your employer, you may want to consider delaying enrollment in Part B to avoid paying extra premiums.

2. Do I need a Medicare supplement plan?

Medicare supplement plans, also known as Medigap plans, can help cover some of the out-of-pocket costs of Medicare, such as deductibles, coinsurance, and copayments. Whether you need a Medigap plan depends on your healthcare needs and budget.

3. What is the Medicare Advantage Open Enrollment Period?

The Medicare Advantage Open Enrollment Period (OEP) occurs each year from January 1 to March 31. During this time, Medicare beneficiaries who are enrolled in a Medicare Advantage plan can switch to another Medicare Advantage plan or switch back to Original Medicare with or without a Part D prescription drug plan. You can only make one change during the OEP, and any changes made during this time will take effect on the first day of the following month after you enroll. It’s important to review your coverage and make any necessary changes during the OEP to ensure that you have the right plan for your healthcare needs.