Medicare Explained (2023 and 2022 Updates!)
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- Опубліковано 23 лип 2024
- www.abtinsuranceagency.com | (888) 465-9728 | email stephanie@abtinsuranceagency.com | Medicare Explained for 2023 and 2022, Part A, Part B, Part C (Medicare Advantage) and Part D, also Medigap and Medicare Supplements Explained. Medicare in 2023:
How to enroll in Medicare: • Medicare Sign Up | How...
Delaying Part B? How to Enroll in Medicare When You Retire: • Working Past Age 65, H...
IRMAA Appeal Form - www.ssa.gov/forms/ssa-44-ext.pdf
Understanding Medicare Part D - • Medicare Part D Explai...
Best Medigap Plans for 2022 - • Best Medicare Suppleme...
Understanding Medicare Advantage Plans - • What is Medicare Advan...
Why are Medicare Advantage Plans $0/month? - • "Free" Medicare Advant...
Excellent, your chart is so clear for the choices. That helps me to set my direction on my searches. Thanks again!
Excellent video, great job in explaining the basics!
Fabulous job on the content and explanation. Your delivery style is very calm and reassuring as well.
Excellent content and presentation. Thank you!
Stephanie you are The Best I have ever heard explain this complicated subject. You are Thorough . I hope to talk to you before the signup
Thank you Mike!
Plan A and B. Pay a premium to who and how.
Lol
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Very helpful presentation. Thank you!
Thank you. I work at a company that provides health insurance to a few hundred thousand people, and didn't know some of this.
What a clear and concise explanation of Medicare! I'm 63 and just starting to look at the process. Your video will be a great help to many. We'll likely be calling you in the future. Thanks indeed!
So happy to hear that!
This video was so helpful. You have a great organization and a great attitude. It was very clear.
Excellent!!!
Be calling you soon.
Thanks🤗
Wow thank you so much for this information and for your services to help us sign up.
Wow! That made the most sense of anything I've watched so far! Going to watch your other videos. I'm coming up on 65 in less than 5 months and have no idea what I'm doing so far. But I'll learn. Especially with good videos like this.
Thank you SO much for this compliment. Please call anytime - we would love the opportunity to help! 888-465-9728
I like the big cola raise I was supposed to get this year but medicare premium took it all and then some (like they always do) so now I'm at the federal poverty line.Thanks medicare and our compassionate, empathic govt.
Absolutely right thats why the government did what they did on the cola were are worse off now then we were before. All of us elderly people are going to be left to just dye cause we won’t have any money to buy groceries and can’t afford none of our medicine And economy price are out of site. What are us low income people going to do now?How are we to pay for food and everything just im been low income for 14 years doing with out necessities!!!!! Rent is going up also like everything I’m-scared to death I guess you’re are better off not living less worried. Who brought all this upon us. Sorry im elderly with major medical problems. Please respond if you have and information of what all i said. No family no body living by my self . God Bless Us All 🙏🙏✝️✝️
Choosing your agency was the best gift I gave myself for turning 65! I am enjoying catching up on your videos- I learn something new with each one. Another big thank-you Stephanie! -Maria in NC
Thank you!!!
What sucks about Medicare for me is I have only been paying $1 for Blueshield under Covered CA. Now I have to pay $170 for Medicare. Ridiculous to think I can all of a sudden pay almost $200 more a month for insurance. Plus a supplement? This makes me sick…
We hear that a lot. Many people coming from an ACA plan are shocked at their premium increase.
Congratulations Tom & Kalpa on your pregnancy news, children are a gift from God in heaven. It's good to see the love from your families, and friends.
I think one good reason to NOT GET a supplemental (medigap) plan is because it would encourage doctors to prescribe more expensive or unnecessary procedures because they won't cost the patient. I want there to be "skin in the game" so I can squeal bloody murder with authority against medical adventurism.
Absolutely right I’ll join in this isn’t a joke by far ✝️✝️✝️
Disability automatically enrolled me. I'm hear to learn. Glad I found your videos
Me too!
EXCELLENT
I decided to avoid Medicare advantage and stay in original Medicare with a supplemental plan
Hopefully Medicare is still around in two years when I’m 65. Thanks for the good information as always
Thank you very much, very helpful video , it has cleared all my doubts
I’m so glad to hear that!
Thank you for the easy to understand video!
Glad it was helpful!
Stephanie, thanks for all your insight. How is this for thinking about the next year 2023? beginning January 1, 2023, the plan is to start the use of Insulets Omnipod 5 closed-loop insulin pump system. Tubless as opposed to a Tandem tubed system covered under part B and current supplement. The required Dexcom CGM and be covered by Part B plus supplement. The Omnipod 5 pump system falls under Part D. It is not cheap. My question is, will it, alone under Part D, by purchasing Walmart insulin out of pocket at $73 a month, cause me to enter the donut hole sometime into 2023? I will need to get the correct Part D in October to cover the cost. My concern is as being equipment and not a drug cause the donut hole eventually. From what I understand it is considered a tier 4 cost. Do I make any sense? Thanks, Chuck Harrell
Interesting 🤔 I’m in Minneapolis MN
The advantage plan seems right.
Hello!
Thanks for your great presentation.
I am still working and have medical coverage through employer. I will be 65 in Sept. What do I need to do now, if anything? To avoid penalty charges or other issues. Thanks for your comments.
a hottie , very smart giving excellent advice! a simple conversation
Thanks a lot for your great explanation...
You are most welcome!
Stephanie, you really make sense out of a very overwhelming and complex insurance plans.
One question I have is if you sign up for Original Medicare can you change to an Advantage Plan down the road?
Thanks for your help!
Yes! Always during the Annual Election Period from Oct 15-Dec 7.
@@AbtInsuranceAgency thanks for your prompt reply!
Love Medicare!
Want to thank you for these informative videos which are clear and concise. I'll be in touch with you soon if you service Pennsylvania. I turn 65 in August.
We do! Looking forward to hearing from you.
Thank you
You’re welcome!
Im 56 and have been thinking about this stuff. Thanks for explaining it. Is there anything else that can explain this in writing?
In part A, if the hospital stay extends above 60 days then the amount which the patient has to pay is Coinsurance or Copay? I always thought it's a Copay...please clarify.
Thanks for your videos. I am learning.
I'm starting to understand the incident involving that poor elderly couple at the hospital in SA.
What should my next video be about? Leave your ideas below!
@@Illini444 yes we can help, and that is a good idea to make a video specifically about that! Our video on Medicare Advantage versus Medicare Supplement helps to explain that as well. ua-cam.com/video/6EDXHe2IKXw/v-deo.html
Should you sign up for Part D or just use discount cards like CVS single pay or, GoodRX, AARP discount…. I’ve been using discount cards which, at times is cheaper than my insurance.
@@bayareagrl4ever526 good idea. I do cover a similar topic here too - ua-cam.com/video/EgTmRW8-ay4/v-deo.html
What if you have insurance through work and it's a family plan? I will be 65 in July.
Do you know what medicare company you would recommend that all or most clinics will accept in New Jersey?
Does medicare cover panoptic lenses options ?
Why are Medicare premiums so low?
Medicare is socialized medicine for seniors. All Americans should be allowed to enroll in programs like Medicare.
Very informative. Is there a copay or deductible for a traditional Medicare with secondary? I know that there is a deductible with Medicare which the secondary will take care of. But how about the secondary itself? Does it have a copay or deductible?
It depends on the plan. For example, Medigap Plan N has copays associated with office visits and ER visits. ua-cam.com/video/FnRtRP513Yo/v-deo.html
Thank you for your informative videos! I will be auto enrolled for A&B. I don't quite understand how to sign up for a Medigap plan(s). We must use a broker? Thank you.
It is recommended but not required. Feel free to all us at 888-465-9728 and we would be happy to guide you. Our service is free 🙂
QUESTION: Do supplementary plans (such as N) cover the cost of annual medical exams, which Medicare itself does not cover?
No, these plans typically only cover claims approved by Medicare.
How would I research historical rate increases for a company offering Medigap insurance?
Most Medigap companies do not make this information available to the public. This is where working with a knowledgeable independent broker can help! 🙂
Stephanie, I am going to continue working after 65 but will be enrolled in Medicare A & B with a Supplement. The $170 Plan B monthly fee from what I understand will be invoiced to me. My employer is also taking out Medicare tax out of my paycheck. Is there a way to quit the Medicare withdrawal from my paycheck since Medicare will invoice me for the $170? Just seems that it is a double dip matter if employer is still deducting a portion based on my income during the pay period. Also, if at the annual enrollment period, if I want to switch from Medicare A & B with supplemental to a Medicare Advantage Plan, are there any penalties or issues switching?
Unfortunately you will still have to pay Medicare taxes while you are actively employed. If you have a Medigap/supplement plan now and then you want to switch to a Medicare Advantage plan during the fall Annual Election Period you can, no medical underwriting. I hope this helps!
Hello Stephanie, great presentation are you licensed in Texas
Yes, I am licensed in TX and reside right here in Austin!
Stephanie, this is a very easy to understand presentation…. Thank you for that!
Are you licensed in California? I am 64 and employed, my 65 year old husband is retired. I provide our health care insurance through my job. I plan to retire at the beginning of 2023, will likely use Cobra to bridge the gap until my 65 birthday, but need to get my husband insurance. He has previously signed up for Part A.
I’ll reach out if you are able to assist.
Yes, we are licensed in CA and would be happy to help! 888-465-9728
I Have My Social Security Benefits And I Understand That I Have Been Automatically Been Signed Up
Yes, if you are collection social security benefits prior to turning 65 then the government will automatically enroll you in Parts A and B of Medicare.
@@AbtInsuranceAgency they will enroll you when you turn 65? What are options if you retire at 62 and stop receiving medical coverage through your employer?
After having insurance through an employer while working, Medicare has a difficult learning curve. This video does a great job explaining it at a high level. Thank you!
@@JoseLopez-- you would want to look into under 65 individual health insurance plan options. Visit www.abtinsuranceagency.com for more info!
So, if I understand this right. If I've been collecting social security 4 months prior to turning 65, I am automatically enrolled in Medicare A & B? My question is, does that mean I automatically will pay the $170.10/month? I don't understand.
Yes, and yes. You will see the $170.10 deducted from your social security check.
Stephanie, if you go with say a N Medigap with a specific insurance company, can you stay with N down the road but switch insurance companies if they have high rate increases.
Also, if the insurance company offers Customer service, what is the advantage of having a broker? Thank you for your help.
To switch from one Medigap company to another, even if you keep the same benefit plan, you will have to pass through medical underwriting in most states. A (good) independent broker can help you choose the best carrier that has low annual rate increase, can offer policy service year round, help you with Part D, and help you shop your Medigap plan among many carriers. I hope this helps!
Are we required to be enrolled/covered by private health insurance or ACA to enroll in Medicare? Can I enroll without any other existing coverage?
Yes, everyone is eligible for Medicare A and B at age 65 regardless of prior coverage.
I also don't understand the $1,556 Inpatient deductible. Do you mean that's how much I have money I am able to use for the first 60 days? and on the 61st day, i start to pay the daily coinsurance? if so, does that mean i pay that everyday after the 60th day?
The deductible is what you owe for the first 60 days. If your stay extends past 60 days you will owe additional daily coinsurance on top of that deductible. I hope this helps!
Thanks for sharing this information and trying to help us understand Medicare.
I read on the AARP website that you can qualify for a Plan B SEP (without penalty) if you are living in another country and are covered under their “public national health service“. My wife and I are currently living in Spain where she is working. I am turning 65 this year and plan on returning to the USA in 2-3 years. Can I enroll in plan A this year and wait 2-3 years before enrolling in Plan B?
Muchas gracias!
Yes. When you do go to apply for Medicare Part B upon return you will need to submit supporting documentation. I hope this helps!
Do you also help young adults navigate the insurance mess that’s out there? My daughter has limited options thru her employer and chose a plan for this year that’s been useless and not accepted anywhere. Whne enrollment begins, she doesn’t want to make that mistake again.
Hi Stephanie! Do you need to choose your plan exactly 3 months before turning 65? The exact day or beginning of that month for Medicare to start on your birthday month. Thanks again for your help.
Also do you first get a username and password for SS and then same for Medicare. To research their website?
You can create individual log ins for both the ssa.gov site as well as Medicare.gov.
When you apply online for Medicare, you will be apply for Parts A and B only.
You do not need to select a part D drug Plan /Medicare Advantage plan on this application.
You have up to 3 months after your birth month to select a Part D drug plan or a Part C Medicare Advantage Plan, and you have up to 6 months from your Part B effective date to select a Medigap plan without medical underwriting. I hope this helps!
@@AbtInsuranceAgency thanks Stephanie! My present insurance expires end of 2022. So I should probably choose that Medigap & D in December. So I have coverage come January 2023? Right. Sorry I want to make sure I do everything correct. You’re so helpful. I know I have time, but I like to be ready early.
@@joyfulliving5157 yes, and you should be able to secure the coverage prior to Dec. for a Jan 1st start date!
@@AbtInsuranceAgency Stephanie, thank you for your promp response.
My original Medicare effective date is Jun 1 ,2022. Can I enroll part C in March, 2022? Or I have to wait until I get my original Medicare.
You must be enrolled in Parts A and B to be eligible for Part C.
since im already on SS now and dont have to enroll will medicare send me a bill when i turn 65 ?
If you are drawing social security then the premiums will come from your SS check. I talk about that more here -ua-cam.com/video/U2oRK9lQ7PA/v-deo.html
I am 64 in 2 weeks. My wife is 65 in 1 week. I work and have insurance for both of us. Company has around 55 people. What are our near term Medicare sign up requirements? The thought of penalties scares us.
As long as you are actively working with employer coverage, and your employer has 20 + employees, you can delay Medicare Part B until you retire without penalty. You can also delay Part A if you have an HSA and are making contributions, if you can you can can enroll in Part A only . I hope this helps!
What is the best supplement insurance besides plan G
G is the best. Why opt for anything but the best???
I will be needing Medicare at 65 but I’m not drawing SS benefits till 67 how does that work? Can you mention that in a video? Thanks!😀
If you are not yet drawing SS benefits then you will actively have to enroll in Medicare using the info outlined in the video. I hope this helps!
@@AbtInsuranceAgency how will the premiums be paid do I send a check? Since I’m not drawing benefits until I will be 67.
@@sophiemac7494 Medicare will send you a quarterly bill and you will pay them directly. More information here -
@@sophiemac7494 ua-cam.com/video/U2oRK9lQ7PA/v-deo.html Medicare will bill you directly via quarterly bill and you can pay them directly.
@@AbtInsuranceAgency Thank you!
If a person signs up for the Traditional Medicare plan and a year later decides that they wished they had signed up for the Medicare Advantage plan, can they change plans or are they stuck with their first choice?
Anyone on Medicare can enroll in a Medicare Advantage plan each year between Oct 15th - Dec 7th!
@@AbtInsuranceAgency Thank you for your reply! 😀And if you don't like the Advantage plan, can you switch to the Traditional plan the following year - or are you locked in to the Advantage plan until the end 🙄?
@@kellyM1001 No one would with from a Supplemental plan to an Advantage plan!
Does Part A cover dental and vision?
No, it doesn't... based on what I heard in the video.
I am 66 on Medicare and have supplemental with Mutual of Omaha. Will either pay for cataract surgery if I need it?
Yes, Medicare should pay first and your supplemental is secondary.
Thank you. I just heard on one of your videos. Good to know
So glad I went through your agency
Does Part B premium adjusted yearly?
Yes
Question: most Medicare UA-cam videos tend to favor an assortment of Medicare Advantage plans probably because they receive a small compensation when they sell those plans - so my question is, does Medicare pay you folks to sell Medicare Plan B and supplemental plans, or do you also promote Medicare Advantage plans?
We sell Medicare Advantage plans and Medicare Supplement plans and get paid a commission on sales for both types of plans.
We help people with the best plan for THEIR needs.
@@AbtInsuranceAgency Another Question: If Medicare makes all the decisions on claims, where the Medicare supplement insurance has no say in what is covered or what is not covered, as long as our doctors determine it is medically necessary - then the question is, does it matter which medicare broker we buy the supplemental plans from?
@@mikefa5891 do you mean which broker you buy from or which insurance company?
Here's a question everyone should ask all insurance companies...if they say they give free services and feds r covering it's not free how much r u paying? They send u in a circle and cant answer.. so wheres money going we can go to doctors to get seen...why slow people down! How much r we paying? Gaslighting why? Nothing is free we r paying so how much? Doesn't make sense to have insurance companies do a doctors job....so how much!
Smart as a wip. Still as beautiful as ever 🥰
Are you licensed in Kentucky?
Yes, we are!
Are you licensed in MASS? Thanks!
Unfortunately that is one of the only states we don’t work in currently.
@@AbtInsuranceAgency Thanks for reply.
Can hawaii residents benefit from this Medicare I'm 68 years old
Yes, Medicare is available to anyone in the US age 65 +
I've been trying to get my Korean wife enrolled through Medicare. However, since I am a retired service member in Korea and my wife is Korean they said I have to go through the US Embassy in the Philippines. I started in March 2021 and some of the delay was sending certified mail to Manila. I did that through a military postal service. It took a month to get to Manila, the Philippines and sat there for 3 months due to a lock down. Finally around October the Medicare section in Manila said all the correct paper work was done and was sent to the US for processing.
My wife still hasn't received anything and now it has been 11 months and 2 weeks since we have started. I contacted Medicare in the US but they said I have to check with the US Embassy in the Philippines. However, the US Embassy says they have to wait for Medicare to finish in the US.
Talk about lazy, worthless and incompetent people. As a retired US Army service member, I was proud to serve my country. My only regret is that we also serve and protect those who could care less about us.
Medicare what a joke, my question is what happened with all the money that was taken from my pay Check for so many years and on top of that they want to take more money from my social security after I retire. Medicare should be free period. When I retire sayonara amigos i will leave the country an never come back.
Please Lower The price of all Brands of Medicare 🙏 & Other Medical Assistance 🙏 Programs Now 500,000 % Thats too much $$ 500,000%
🙋 Promo'SM.
Medicare should be abolished. Seniors should pay for their healthcare.
My mother worked in the textile industry for over about 33 years and it is literally back breaking work. It destroyed her spine and hands after 7 surgery's she was completely disabled. The nature of these jobs most often you only end up making minimum wage, it is like a waitress everyday day you the opportunity to make a lot of money but that only works if others feel like it.
So my mother did what you are supposed to do. Go to work every day, work as can. Her prize disability.
If she didn't get SSDI how should pay for the insurance?
@@Adam-uo2mc SSDI is not Medicare.
@@richardargst157 Right, however if a person is on SSDI they will be on Medicare. If you have enough savings and/or income for private insurance you would not qualify for SSDI.
@@Adam-uo2mc Medicare is socialized medicare care for the elderly.
@@richardargst157 Your time is going to come and THEN you appreciate the benefits of Medicare which by the way you currently pay for if you are working. That's why you must have 40 quaters of working history to qualify, it's not socialized medicare for anyone!