We have the experience and the knowledge to guide you through the Medicare maze. We’ve worked with your employer in the past helping them with the important decision on what health insurance programs to offer. Now let us help you with:
Medicare Supplemental Plans
Medicare Advantage Plan
Medicare Prescription Plans
Q: “DO I NEED TO REGISTER FOR MEDICARE IF I AM STILL COVERED BY MY COMPANY’S HEALTH PLAN?” A: You need to check with your company’s health plan. Their plan may revert to a Medicare supplement when you turn 65. This also depends on how many employees your current employer has working for them.
Q: “WHEN DURING THE YEAR, SHOULD I ENROLL WITH THE SOCIAL SECURITY ADMINISTRATION?” A: Typically, you should sign up for Medicare about three months before you turn age 65. This allows time for your records to be fully activated prior to your birth date.
Q: “MEDICARE HAS DIFFERENT PLANS, A, B, C AND D. WHAT IS THE DIFFERENCE?” A: These letters represent the different parts or plans in Medicare:
Part A is Hospital Insurance that the government pays.
Part B is Medical Insurance for visits to doctors that you must pay monthly to be enrolled.
Part C is the HMO/PPO type of non-government private plan, called “Medicare Advantage” that you must pay for monthly.
Part D is the prescription drug insurance for which you must pay monthly.
Q: “WHAT IS THE DIFFERENCE BETWEEN TRADITIONAL MEDICARE, THE NEW MEDICARE ADVANTAGE PLANS, AND THE MEDIGAP PLANS?” A: The traditional Medicare plan is a government program whose benefit amounts are set by the government program. Physicians accepting Medicare patients are also agreeing to accept the Medicare benefit amounts as their payment. Seniors can choose their own doctors and hospitals with traditional Medicare.
MedicareAdvantage works either like an HMO, where you use assigned doctors and hospitals, or a PPO, where you select from a list of pre-approved doctors and hospitals. Although subsidized by government payments, these are private plans that set their own rules.
Today, most seniors still select the traditional Medicare program. Some will supplement it with a private Medigap policy which provides coverage for the few things that Medicare doesn’t cover. The coverage provided by these policies is strictly formalized by Medicare, i.e. F-level coverage from two different companies must provide identical benefits.
ACG specializes in Group and Individual Health Insurance Product, Medicare Supplemental Insurance, Medicare Rx Products. We work with AARP, Group and Individual Disability, Life and Long Term Care Insurance Policies. ACG consults to HR executives and Small Business Owners. We are proficient in all aspects of the Patient Protection Affordable Care Act of 2010 (PPACA or ACA). We are licensed in New York, New Jersey, Connecticut & Florida.
734 Walt Whitman Rd, Suite 404, Melville, NY 11747 • p: 631.448.7677 • f: 631.448.7673