9/3/2019
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Medicare
Healthmatch Advocacy “Putting the Pieces Together“
Medicare changes
No cost program with free cremation
HOW DO I SELECT A PLAN? You have many choices, the most common are: a. Original Medicare — Part A and B b. Prescription Plan c. Medicare Supplement
A lot changed in Medicare this year with more coming in 2020. • A new Open Enrollment was introduced to allow switching from HMO to HMO or PPO to PPO plans between Jan.1 and March 31. • Opioid measures were introduced to help manage the recognized crisis. • New Medicare Cards were issued. • Announcement that Plan C and F (Medicare supplement) are no longer available to individuals eligible for the first time January 2020 and beyond. • More PPO plans offered, some with $0 monthly premium. HIGHLIGHTS OF PUBLISHED CHANGES FOR 2020 • Prescription plans with deductible can increase from $415 to $435. • Entry into the medicine coverage gap (donut hole) starts at $4,020 up from $3,820. • Coverage gap closes at $6,350 up from $5,100. • Member pays 25% of the cost in the gap (brand name and generics). • More PPOs coming. • Dental, vision, hearing and more. . . NOTE: The Annual Notice of Change is sent to all current plan holders by early October each year. This notice shows the year-to-year changes (side-by-side format). Read this! Many, many plan holders place this notice in the to-be-read pile of mail received during the Annual Enrollment Period (Oct. 15-Dec. 7), but don’t take the time to study it. This is an important document and it’s a quick read. Here is a Snapshot of the Medicare parts and how they work, and how you access them. Medicare is available to individuals under 65 after a Social Security disability of 24 months and for individual 65 and older. There are four parts to Medicare. Part A: Pays for hospitalization costs (no monthly premium, if the 40 quarters of Social Security contribution is meet). Part B: Pays for physician services, lab and X-ray services, durable medical equipment, and outpatient and other services (a monthly standard premium applies) — 2020 premium will be announced around the time Social Security changes are made public. This year’s standard premium is $135.50. Part C: Medicare Advantage Plans (like HMO or PPO) are offered by private companies approved by Medicare (some plans required no additional monthly premium). Part D: Assists with the cost of prescription. HOW DO I APPLY FOR MEDICARE? 1. If you are already receiving Social Security benefits, you will automatically receive your card about 3 months before your effective date. Coverage always starts on the first day of month. 2. If you are turning 65 and do not receive Social Security benefits, you can apply online with www.ssa.gov or in person at your Social Security Administration Office 3 months before your 65th birthday.
YOU CAN BENEFIT HUMANITY WE CAN HELP
Do you want to receive the highest level of care? Call Us. 520-836-7735 I am a long time RN pledging to protect your rights as a patient. As an Independent Advocate, responsible only to you, I provide: • Advocacy • Empowerment • Care Navigation • Insurance Coordination
Or
Medicare Advantage Plan (HMO/PPO) with/or without prescription coverage.
• Our work is licensed inspected and accredited • Available 24/7
https://mail.google.com/mail/u/0/?tab=mm#label/Susan+Dahlberg?projector=1
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ORIGINAL MEDICARE/MEDICARE SUPPLEMENTS If you want complete choice of providers that accept Medicare, then search out the Medicare Supplement Plan that is best for you. Medicare Supplement plans help to pay the 20% cost that Medicare doesn’t cover. And, you will want to select a prescription drug plan. This option will include a premium for: a) Medicare Supplement; b) Prescription plan and c) Part B premium. NOTE: there is a 1% penalty for not enrolling in a prescription plan when first eligible (if you do not have creditable coverage). MEDICARE ADVANTAGE If your decision is a Medicare Advantage plan (HMO/PPO), then confirm that your doctor(s) and other providers are included in the plan. And finally, check to see if your medicine is covered and at what cost. Check again each Annual Enrollment Period (AEP) October 15th to December 7th. This option may be at no extra premium to you. Additionally, many Medicare Advantage plans offer extra benefits, such as: over-the-counter no-cost mail order purchases of covered items (which save you money); fitness benefits at no or low costs; virtual non-emergency doctor appointments; gift card rewards for fitness assessments; and free meals after your hospital stay. WHEN CAN I SELECT A PLAN? You can select your Medicare Advantage or Prescription plan up to 3 months before the effective date, the month of or up to 3 months after your effective date. Medicare Supplement Plan plans can be selected up to 6 months before your effective date. It’s a good idea to learn all your options before making a decision. Your mailbox will be filled with offers when you are first eligible and during the Oct. 15-Dec. 7 Annual Enrollment Period (AEP). People have told me sometimes 10-12 different offers are received daily for the 4-5 months before your effective date. Make an informed decision that fits your needs. WHERE CAN I GET HELP, IF I NEED IT? • You can attend a no-sales education/information session • You can contact the Area Council on Aging in your area • Contact Medicare directly • You can contact Medicare brokers that offer the plan in your area. n
2230 E Magnolia Street Phoenix, AZ 85034 (480) 940-1310 (800) 229-3244 ResearchForLife.org
Owned and operated by Carolyn Bennett BSN, RN, BCPA
Dr. Woods
Dr. Assadi
$ 59
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(Reg. $231) Offer expires in 30 days. Includes exam, cleaning (prophylaxis) & x-rays. New Patients Only. Advertised fee is the minimum fee, subject to clinical need. One or more of the following ADA codes may reflect the treatment rendered under this offer. D0150, D0330, D0272, D0210, D1110.
Sadaf Assadi, DMD | William G. Woods, DDS General Dentists We accept most insurances! Sadaf Assadi, DMD | William G. Woods, DDS General Dentists • Nitrous Oxide • Bone Grafting We accept most insurances! • Smile Makeovers • Dental Implants • Mouth & Night Guards • Oral Cancer Screening
General Dentistry for Entire Family • Invisalign ® Clear Aligners • Cold Sore Treatment • Dentures • Emergency Dental Care • Whitening • Root Canal Therapy • Extractions (including wisdom teeth) • Veneers • Same Day Crowns • Mouth & Night Guards • Smile Makeovers • Nitrous Oxide • Oral Cancer Screening • Dental Implants • Bone Grafting 11019 -OR- -OR- Take-Home (Reg. up to $199) Offer expires in 30 days. With completed new patient exam, cleaning (prophylaxis) & x-rays. New Patients Only. Advertised fee is the minimum fee, subject to clinical need. One or more of the following ADA codes may reflect the treatment rendered under this offer. D9975. $ 1 Whitening 11019
Gloria Smith is an Independent Insurance Broker, main office in Maricopa, and meeting locations in Arizona City, Peoria, and Tucson. Licensed in Arizona, California, Nevada and Washington.
44555 W Edison Rd, Ste A Located on SW corner of Edison & 347 near Big O Tires W Edison Rd 347
$ 1
44555 W Edison Rd, Ste A Maricopa, AZ 85138 We are located on the Southwest corner of Edison and 347. Right in front of the Big O Tires.
Emergency Exam
Culver’s
Big O Tires
347
(Reg. $98) Offer expires in 30 days. Includes emergency exam, necessary x-rays & consultation for new patients. Advertised fee is the minimum fee, subject to clinical need. One or more of the following ADA codes may reflect the treatment rendered under this offer. D0330, D0272, D0140, D0220, D0230.
(520) 463-4067 EdisonFamilyDentalCare.com 011019 EdisonFamilyDentalCare.com Call Today! 520-208-6248
For more information or to register for a free information session offered by Gloria, contact her at 520-568-6750, 877-542-5520 or gloria@gloriadsmith.com. Space is limited. Reserve your space. i
Offers not to be applied toward account balances or dental services already delivered and not in conjunction with any other offers, discounts or reduced-fee plans. Services provided by an Arizona licensed general dentist.
Dr. Woods
Dr. Assadi
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New Resident Guide 2020 | InMaricopa.com/NewResidentGuide
InMaricopa.com/NewResidentGuide | New Resident Guide 2020
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