What you need to know about Medicare when turning 65

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Congratulations! You have (or are about to) hit a major birthday milestone. Village Health Partners knows you are overwhelmed with all the information you’re receiving about Medicare, so here’s a short guide on what you need to know to make the transition into Medicare easy.

Start looking into Medicare early
There are many changes that come with turning 65, and early planning will make the transition smoother! Your first-time enrollment period when you turn 65 runs for 90 days before and 90 days after your exact birth date. Village Health Partners suggests exploring your Medicare options six months before your birthday to give you all the time you need to get the questions you have answered.

Does your doctor accept Medicare?
Your Village Health Partners provider wants to continue seeing you, and an important factor in deciding what plan is right for you is finding out what plans your current physician accepts! Being able to continue your relationship with your primary care provider is extremely valuable, so it’s important to make sure you can continue seeing them by having an insurance plan that is in network. To see what Medicare plans your Village Health Partners provider accepts, click here.

What happens if you missed your enrollment period?
If the three months following your birthday have already passed, don’t worry! Medicare Annual Enrollment period runs October 15 through December 7 and allows you to select the plan that’s best for you for 2020.

The different parts of Medicare

Trying to learn the ABC’s (and D) of Medicare can be confusing. Here’s what each part means for your overall healthcare coverage.

Original Medicare (Parts A + B):

Part A – This is the most basic coverage you can get and is required by law (but can be covered through private options as well).
The good news is that this is free healthcare plan if you or your spouse paid Medicare payroll taxes for at least 10 years! The bad news is that Part A does not provide much coverage and mostly covers hospital stays.

Part B – Part B is a supplemental plan and in order to have Part B Medicare coverage, you need to have Part A. Part B covers some doctors visits and diagnostic screenings. This part comes with monthly premiums and can have co-payments, out-of-pocket expenses and deductibles.

Medicare Drug Coverage

Part D – Part D is supplemental prescription drug coverage. In order to add this part, you have to first have Parts A and B! Part D also has monthly premiums, co-pays, out-of-pocket expenses and deductibles on top of the Part B expenses.

Medicare Advantage

Part C – Medicare Advantage plans are private supplemental coverage. When you opt into a Medicare Advantage plan, your plan pays for the Parts A and B coverage, so you don’t have to pay for it separately! This plan is essentially an all-in-one plan and covers everything from Parts A and B and includes prescription drug coverage (similar to Part D), gym memberships, dental and vision care and more.
Medicare Advantage plan monthly premiums can range from $0-$73.

Village Health Partners encourages you to consider Medicare Advantage plans because of the benefits that are included to help you live a healthier life.

If you want information about your plan options for next year, you can speak to one of the licensed Medicare specialists partnered with Village Health Partners by calling (214)964-0214 or emailing [email protected]. These specialists will work with you to make sure they find the right fit for you!

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.