SAMPLE_Medicare Information

Costs, Eligibility, and Other Important Information

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Medicare

Medicare, run by the Centers for Medicare & Medicaid Services, helps pay for inpatient hospital care, nursing care, doctors’ fees, drugs, and other medical services and supplies to people age 65 and older, as well as to people who have been receiving Social Security disability benefits for two years or more.

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Eligibility

  • You are age 65.
  • You are a U.S. citizen or permanent resident who has lived in the U.S. for at least 5 years.
  • You have worked and paid into Social Security for more than 10 years or your spouse is Medicare eligible.
  • You or your spouse is a government employee who did not pay into Social Security but paid Medicare taxes.
  • If under 65 and entitled to Social Security disability benefits for at least 24 months.
  • If under 65 with Lou Gehrig’s disease.
  • If under 65 with permanent kidney failure requiring dialysis or transplant.
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50

States Served

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100+

Professional agents

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40+

Years in Medicare

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50+

Insurance plans offered

Cost Based on Income

File an Individual Tax ReturnFile a Joint tax ReturnFile Married & Separate Tax ReturnsYou Pay Each Month for Part B (in 2024)You Pay Each Month for Part D (in 2024)
$103,000 or less$206,000 or less$103,000 or less$174.70your plan premium
above $103,001 up to $129,000above $206,001 up to $258,000not applicable$244.60$12.90 + your plan premium
above $129,001 up to $161,000above $258,001 up to $322,000not applicable$349.40$33.30 + your plan premium
above 161,001 up to 193,000above $322,001 up to $386,000not applicable$454.20$53.80 + your plan premium
above 193,001 up to 499,999above $386,001 up to $749,999above $103,001 up to $396,999$559.00$74.20 + your plan premium
greater than $500,000greater than $750,000greater than $397,000$594.00$81.00 + your plan premium

Social Security

If you’re already receiving Social Security benefits, you will automatically be enrolled in Medicare Part A & Part B when you turn 65. Otherwise, you will have to sign up yourself. You can enroll: online, by calling Social Security at 1-800-772-1213 (TTY users 1-800-325-0778) Monday through Friday from 7AM to 7PM, or in-person at your local Social Security office. You can complete your application up to 4 months before you want your retirement benefits to start. If you would like assistance in enrolling in Medicare one of our Senior Account Managers will help to make sure you get enrolled in the right parts of Medicare – call our office for assistance 1-888-467-4811.

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The Coverage Gap

Donut Hole

The “Donut Hole” is the period of coverage when you and your carrier reach a defined out of pocket expense. This is known as the “Coverage Gap.” When you are in the “Donut Hole” you will pay more than your plan’s agreed percentage for Prescription Drugs. Please refer to the chart on the left for specific coverage information for 2024.

This is intended as a basic reference guide, all information is subject to change. We recommend contacting one of our senior account managers for more information regarding your situation.

Medicare Publications

A Quick Look at Medicare

Publication No. 11514

This brochure provides basic information about how Medicare works.

Medicare & You 2024

Publication No. 10050

Coverage decisions, rights and protections, and answers to FAQ.

Learning What Medicare Covers & How Much You Pay

Publication No. 11472

A guide to learning what Medicare covers and how much you’ll pay.

Enrolling in Medicare Part A & Part B

Publication No. 11036

This booklet explains how to enroll in Medicare Parts A & Part B.

Are You Having Trouble Paying for Prescription Drugs?

Publication No. 11318

This publication explains the temporary gap period in the DMEPOS Competitive Bidding Program starting January 1, 2019.

4Rs for Fighting Medicare Fraud

Publication No. 11610

The factsheet provides some easy ways to fight Medicare fraud.

Are You Up-To-Date on Your Preventive Services?

Publication No. 11420

An easy-to-use checklist of Medicare-covered preventive services.

Medicare & Home Health Care

Publication No. 10969

This publication gives an overview of Medicare”s covered preventive services.

Medicare and Hospice Benefits: Getting Started

Publication No. 11361

This brochure explains the basics of hospice benefits.

Medicare Coverage Outside the United States

Publication No. 11037

Information about Medicare coverage when traveling outside the U.S.

Medicare Rights & Protections

Publication No. 11534

This booklet lists the rights of people with Medicare.

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