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Choosing Medicare Options That Are Right for You

Nearly 4.8 million Floridians are enrolled in Medicare, the U.S. health care program for people over 65. If you’re one of them, you probably know that during the Annual Enrollment Period, from now until December 7, you have the opportunity to change how you receive your Medicare benefits. Changes you make now will take effect beginning Jan. 1, 2023.

Original Medicare or Medicare Advantage

You can receive Medicare benefits in one of two main ways: Original Medicare, which is a fee-for-service health plan with two parts: Hospital Insurance (Part A) and Medical Insurance (Part B). Once you pay a deductible, Medicare pays its share of the Medicare-approved amount, and you pay your share. If you need drug coverage, you can add a separate Medicare drug plan (Part D).

The second option for receiving Medicare benefits is Medicare Advantage, also known as Medicare Part C. Medicare Advantage is provided by private insurance companies that contract with Medicare. Plans include part A, Part B and usually Part D. They may also offer extra benefits that Original Medicare doesn’t offer, such as vision or dental. The number of Medicare Advantage plan choices continues to increase—according to the Tampa Bay Times, “Floridians enrolled in Medicare will be able to choose from 627 Medicare Advantage plans compared to 583 plans in 2022.”

Considering your options

So how do you choose?

Coverage is very similar. Both options cover most medically necessary services and supplies related to care in the hospital, your doctor’s office, and other healthcare facilities. Main differences include things like doctor and hospital choice (with Medicare Advantage, you need to stay in the plan’s network for non-emergency care), whether or not you need a referral to see a specialist, and as mentioned above, whether or not some routine exams—vision, dental, hearing—are covered. Medicare Advantage plans are increasing in popularity among Medicare-eligible seniors, largely because of the added benefits available as well as the cap on out-of-pocket costs, something Original Medicare doesn’t have.

As you consider your options, think about what type of healthcare needs you’ll have over the coming year. Of course, unexpected things happen, but you may already know you’ll need to see a specific doctor, or you’ll need certain prescription drugs over the course of the year. Once you have this figured out, you can compare plans to see which one is right for you. It pays to spend some time comparing the total you’ll pay for medical care, including premiums, co-pays, and deductibles for each option.

For more in-depth information on how Medicare Advantage and Original Medicare plans compare with each other, click here.

How L & M Insurance Group can help

Sound confusing? If you’re interested in finding out more about Medicare Advantage plans, L & M Insurance Group can help. In addition, we can also help if you want to stay with Original Medicare, but you want a supplemental policy (“Medigap”) to help cover your deductibles and coinsurance costs. A supplemental policy may be cheaper for you than covering all the out-of-pocket costs on your own, especially in the event of a catastrophic illness. We represent companies that offer Medicare Advantage, Medigap, and Medicare Prescription Drug plans, including UnitedHealthcare and Aetna. We’ll be happy to help you decide if one of these plans makes sense for you. Please call us at 813-672-4100, or click here to contact us online.

For additional information on Medicare benefits and plans, please see  https://www.medicare.gov/

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Prepare Now for the Medicare Annual Enrollment Period

If you’re receiving healthcare benefits from Medicare, there are only a few chances each year to make changes to your coverage. One of those periods is quickly approaching: the Annual Enrollment Period, which runs from Oct. 15 to Dec. 7. During this time, you can:

  • Change from Original Medicare to a Medicare Advantage Plan (or vice versa)
  • Switch from one Medicare Advantage Plan to a different one
  • Join a Medicare drug plan
  • Drop your Medicare drug coverage
  • Change from one Medicare drug plan to a different one

Four Steps To Prepare you for Medicare Annual Open Enrollment Period

Step 1: Review your current plan

You should soon receive notices from Medicare detailing your current coverage and any changes that will be going into effect for the coming year. Look for an Annual Notice of Change (ANOC), and review your 2021 “Medicare & You” handbook.

Step 2: Consider your health insurance needs for the coming year

What health services do you expect to need? What medications do you take? Do you need dental, vision, or hearing coverage? Having an idea of what services you’ll need will help you decide which plan is best for you.

Step 3: Compare your current coverage with other available options

You should compare your current coverage with other available plans including deciding whether Original Medicare or a Medicare Advantage Plan will work better for you. If you’re happy with your current plan, you don’t need to do anything. But if you decide you’d like a change, now is the time to make that change. There are a few differences between Original Medicare and Medicare Advantage Plans, so you can read this medicare packet for more information.

Step 4: Contact us!

If you’ve decided that a Medicare Advantage Plan is the way to go, or you need to purchase Medicare Supplement coverage (“Medigap”) to complement your Original Medicare, L & M Insurance Group can help. We know sorting through Medicare information can be confusing, but our agents can help you make sense of it all.

Medicare Benefit Package Options

Healthcare can be a significant expense during retirement. Choosing the right Medicare benefits package for you can help ease that financial burden. We represent companies that offer Medicare Advantage, Medicare Supplement, and Medicare Prescription Drug plans. For more information, give us a call at 813-672-4100 or contact us online. For additional information on Medicare benefits and plans, please see https://www.medicare.gov/.

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Medicare Annual Enrollment: It’s Time to Review Your Coverage Options

If you’re enrolled in Medicare, the annual fall Medicare annual enrollment period (Oct. 15- Dec. 7) is the perfect time to review your Medicare coverage options to see if they are still right for you. If you currently have original Medicare and would like to try a Medicare Advantage plan, or if you’d like to change Medicare Advantage plans, this is also the time to do it. Any change you make will take effect beginning Jan. 1, 2021.

A quick reminder: Medicare Advantage plans combine Part A (hospital coverage), Part B (medical coverage), and usually Part D (prescription drug coverage) of original Medicare. The plans, offered by private insurance companies approved by Medicare, may also contain additional coverage, such as vision or dental.

To help you decide which option is best for you, think about what medical services and treatments you need—do you take prescription medication, or need vision or dental care, for example? What about specialized care or physical therapy? Once you know what types of benefits you need, you can compare plans to see which one is right for you.

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If you need help deciding which Medicare Advantage plan or Medicare Supplement is right for you, please call us at 813-672-4100

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Due to COVID-19, another increasingly popular Medicare Advantage plan benefit you might want to consider is “telehealth”—the ability to consult with medical professionals virtually without leaving your home. More and more plans are offering this now.

Whether you are signing up for Medicare Advantage for the first time, or are considering renewing your current plan, here are some things to consider:

  • Are your doctors and preferred hospital part of your plan’s network of providers?
  • What will your out-of-pocket costs be? Can you afford the co-pays and deductible?
  • Do you need vision and dental benefits?
  • Does the plan cover you when you’re away from your primary residence? This is an important consideration for “snowbirds,” because some plans only offer emergency coverage if you’re away from home.

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Staying with original Medicare but concerned about out-of-pocket costs? Ask us about a Medicare Supplement (“Medigap”) plan.

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Medicare coverage can be confusing, so if you’d like to talk to a local agent, L & M Insurance Group is here to help. Let us work with you to find the Medicare option that best fits your situation. We offer plans from Aetna, UnitedHealthcare and others.  Please call us at 813-672-4100, or click here to contact us online.

For more information on Medicare benefits and plans, please see https://www.medicare.gov/

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Just Married? Time to Review Your Insurance Coverage

Now that you’ve opened the presents and returned from your honeymoon, it’s time to consider some of the changes getting married will bring to your financial life. For instance, if you haven’t done so already, you should review, compare and consolidate your insurance policies. Good news—you may get a discount just for being married, because many insurance companies consider married people a better risk than single people.

Review your existing coverage

Car insurance

Compare your car insurance policy limits and coverage. It may be less expensive to combine all your vehicles onto one policy because you will be eligible for a multi-car discount. Get a quote from each of your car insurance companies to see which is the better deal. If you change policies, make sure new coverage goes into effect before the old coverage is cancelled so you don’t have a lapse in coverage.

Homeowners or renters insurance

If you’ve been living separately, you may have both been carrying homeowners or renters insurance. You should be able to cancel one policy if you no longer own or rent that second home, but make sure the policy you’re left with is appropriate for your needs. 

For example, you may need to increase your personal property limits now that all your belongings are under one roof. You may also need special coverage for high value items like your wedding and engagement rings, high-end electronics, or expensive wedding gifts.

And remember to officially add your spouse to your policy!

Health insurance

Now that you’re married, you have a limited time to enroll in a new health plan or join a spouse’s plan—usually 60 days. If either or both of you have employer-based plans offering spousal benefits, you’ll want to compare these three scenarios: you each keep your current plan; you join your spouse’s plan; your spouse joins your plan. Ask questions about monthly premiums, deductibles, and other out-of-pocket costs. If you don’t have health insurance through work, you can buy or change your coverage through your state or federal exchange. See healthcare.gov for more details.

Life Insurance

Consider buying life insurance—even if neither of you have children. The death of one partner could lead to financial difficulties for the surviving spouse if you have bills or a mortgage one person can’t afford on their own.

One more thing: be sure to update your beneficiaries and emergency contacts.

Need help? We’ve got you covered!

Feeling overwhelmed? Don’t be! Your friendly L & M Insurance Group agent can help you make sense of it all. Whether you’re an existing client or a new one, we will be happy to help you sort through your options. As an independent agency, we represent many financially sound insurance companies and will help you make the best choices for your financial situation. Call us today at 813-672-4100, or email us for a car, home, renters, health, or life insurance quote.

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How We Can Help With Medicare Coverage

Be Ready For Medicare Annual Election Period

Once you become eligible for Medicare at age 65, you have some decisions to make. Will original Medicare Part A and Part B be sufficient for your health insurance needs? What about Medicare Advantage (also known as “Medicare Part C”), prescription drug coverage (“Part D”), or Medicare Supplement (Medigap) insurance?

Now is the time to evaluation your Medicare coverage to see if it meets your needs, since we’re about to enter an annual election period (AEP). Between Oct. 15 and Dec. 7, eligible people may sign up for Medicare Advantage or make other changes to their Medicare coverage.  Once this period is past, you’re more limited in the changes you can make in your health insurance plans. 

Medicare Advantage and Medicare Supplement Plans

L & M Insurance Group offers both Medicare Advantage and Medicare Supplement plans. We represent Aetna, UnitedHealthcare, and other companies.

Medicare Advantage, or Medicare Part C, is a different way to receive your Medicare benefits. Under original Medicare, the government pays for your benefits when you get them. Medicare Advantage plans are offered by private insurance companies approved by Medicare. The government pays these companies to cover your Medicare benefits. There are different types of Medicare Advantage plans, including those operating as Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs). Some Medicare Advantage plans offer benefits original Medicare doesn’t, such as vision or dental. Plan benefits can change from year to year.

As with any type of insurance, there are advantages and disadvantages to choosing a Medicare Advantage plan over original Medicare. Please call our office at 813-672-4100 to speak to an agent who will help you decide if a Medicare Advantage plan is right for you, and which plan offers the best coverage for the best price.

Medicare Supplement, or Medigap, insurance helps pay certain out-of-pocket costs not covered by your original Medicare benefits, such as co-payments, coinsurance, or deductibles. Medigap policies are standardized and must offer the same basic benefits, but some policies offer more benefits than others. These policies can only be purchased by people who have original Medicare.

Helping You find the Right Medicare Coverage

When deciding on health insurance for your retirement, you’ll want to think about what your healthcare needs will likely be, and compare premiums, deductibles, and co-payment requirements in order to decide which plan offers the best coverage at the lowest price.  L & M Insurance Group can help you find the best Medicare Advantage or Medicare Supplement plan to suit your needs. Just give us a call at 813-672-4100. For more information on Medicare benefits and plans, please see https://www.medicare.gov/