Annual Enrollment is Coming! October 15– December 7, 2021
MEDICARE MADE EASY
Help Finding the Medicare Supplement Insurance Plan That May Be Right for You Is Just Down the Street I’m William R Gay, a local licensed insurance agent/producer located right here in North East & Central Florida, and Authorized to Offer AARP® Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company (UnitedHealthcare).
Personal Attention Where It Counts If you’re considering a Medicare supplement plan, I may be able to help guide you in finding a plan that may be right for you. Together, we’ll review your personal insurance needs and what matters most to you. I’ll discuss how these plans may help you manage your out-of-pocket costs. Some plan highlights include: Competitive rates. Choice of plans available. Plans that carry the AARP name have been carefully evaluated and selected as meeting the high service and quality standards of AARP. You’ll have someone right here in your community who may help you with your plan choice, from start to finish.
I’m just a local phone call away. Contact me today to learn more!
William R Gay
Licensed insurance agent/producer contracted with UnitedHealthcare 386-846-4190 bill@suncoastlegacyadvisors.com New Smyrna Beach, Fl 32168 AARP endorses the AARP Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company. UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. AARP does not employ or endorse agents, brokers or producers. Please note that you must be an AARP member to enroll in an AARP Medicare Supplement Insurance Plan. Insured by UnitedHealthcare Insurance Company, Horsham, PA (UnitedHealthcare Insurance Company of New York, Islandia, NY for New York residents). Policy Form No. GRP 79171 GPS-1 (G-36000-4).
In some states, plans may be available to persons under age 65 who are eligible for Medicare by reason of disability or End-Stage Renal Disease. Not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed insurance agent/producer may contact you. THESE PLANS HAVE ELIGIBILITY REQUIREMENTS, EXCLUSIONS AND LIMITATIONS. FOR COSTS AND COMPLETE DETAILS (INCLUDING OUTLINES OF COVERAGE), CALL A LICENSED INSURANCE AGENT/PRODUCER AT THE NUMBER SHOWN.
FY10032ST Not affiliated with or endorsed by any State or the U.S. Government or the Federal Medicare/Medicaid Program. Calling the number above will direct you to a Licensed Insurance Agent.
NM
WELCOME ANNUAL ENROLLMENT RUNS FROM OCTOBER 15TH THROUGH DECEMBER 7TH. I would like to offer you an annual review to make sure that your current medical needs are being served by the plan in which you are currently enrolled. Changes may have occurred in your plan or in your medical needs. Start with a quick phone call or email! Do not become complacent with your current plan or you may be overpaying or leaving benefits on the table that other plans are offering. Make sure we take the time to shop your benefits. Plans change from year to year and so do you. 2022 Plan information will be released on October 1st. What I would need from you is the following: 1. A list of your current doctors and prescrip- tions. I would need to know the names of the drugs that you are taking, the dosages, and the frequency, along with which pharmacy you prefer. 2. I would also like to know how you are doing. Is your plan working for you or would you like to make a change? Are you satisfied with the coverage and care you have been receiving? Remember, sometimes you may be happy with the plan that you have, but it may change going into next year.
Social Security check. COLA announcement comes in October. I will have the information available at our annual review. I represent the following insurance companies giving you the best choices available in our community: Humana, United Health Care/AARP, Aetna, Cigna, Transamerica, Silver Script, Coventry, CarePlus, Ascension Complete, Health First Health Plans, Advent Health Advantage, BCBS, and WellCare. Sun Coast Legacy Advisors is here to help you through the process. Email or Call to schedule your appointment today.
Choosing the right plan for the right reasons is what we at Sun Coast Legacy Advisors help our clients with. Medicare Part B premium changes have not William R.been Gay released at this time by Congress. They tend to 386.846.4190 come out in early to late December. Remember, they bill@suncoastlegacyadvisors.com can not raise your Medicare Part B premium www.suncoastlegacyadvisors.com unless there is a cost of living adjustment to your w w w.S unco astLeg acy Adv i s or s .com
Will 38 bill@suncoastlegacyad www.suncoastlegacyad
William R. Gay 386.846.4190 bill@suncoastlegacyadvisors.com www.suncoastlegacyadvisors.com
Original Medicare Over
Medicare Part A - Hospital ME D ICHospitalization A R E MA D E EA S Y | T U R N I N G 6 5
Days 1-60
1
$ 1,364 Part A
Gay 190 com com
ew
SUN COAST LEGACY ADVISORS
ABOUT US WILLIAM R. GAY Owner / Agent 386-846-4190 bill@suncoastlegacyadvisors.com Bill enjoys the challenge and complexity of working to ensure that each client has the plan that is best for them. Spending time with his family on the ski slopes, or on one of their many adventures, is why he works hard every day for his clients. Playing in the dirt, growing flowers, and tending to his garden keeps him grounded, as well as being a board member of his church. JUSTIN STAFFORD Agent 404-925-8563 justin@suncoastlegacyadvisors.com Justin has been a licensed broker for five years who specializes in health insurance for any age. He has a positive solutionseeking attitude in knowing that everyone is different, and therefore has different needs or priorities when it comes to health insurance. Developing a long term, trusting relationship with his clients is his top priority. Growing up in Georgia and Florida, he and his wife lead an active outdoor lifestyle, and he’s also a big movie buff.
uctible
ints
KAITLYN STAFFORD Agent 386-307-8627 kaitlyn@suncoastlegacyadvisors.com Kaitlyn grew up in Florida and has been with Sun Coast Legacy Advisors for over five years, where she started out specializing in Medicare. Now, she helps all ages find affordable health care. Developing strong relationships is the foundation of everything she does both professionally and personally. Outside of work she loves spending time outside in the sun and quality time with family and friends.
mo. 2
T U RNI NG 65 | MEDICAR E MADE EASY
MEG HUTSON Agent 386-316-1360 meg@suncoastlegacyadvisors.com As a licensed broker with 13 years of Medicare experience, Meg’s priority is focusing on each client’s individual needs. She believes trust and providing great customer service is what builds strong, long-term relationships. She has a passion for volunteering in the community, as well as focusing on health and wellness through nutrition, daily exercise and staying active. In her spare time, you can find Meg fishing or enjoying time on her boat with family, friends and her dog. TAYLOR MEEHAN Agent, Administrative Assistant 386-957-7851 taylor@suncoastlegacyadvisors.com As our Administrative Assistant, Taylor schedules appointments with new leads, assists with the firm’s marketing and promotes our services on our website and Facebook page. From Port Orange, Florida, she enjoys reading, yoga and going to the beach. She graduated with highest honors from Florida Gulf Coast University with a BA degree in communications, and is licensed to sell individual health plans, Medicare Advantage plans and supplemental plans. Taylor connects those who are turning sixty-five with our agents, whose goal is to help people understand Medicare, how it works and the coverage options that are available to them. To schedule an appointment with an agent, call or email Taylor at the info above.
C O N TA C T U S FO R A S S I S TAN C E: 3 8 6 -8 4 6 -4 1 9 0
Are you turning 65 or new to Medicare? Humana prescription drug plans offer affordable premiums, a large network and benefits that make your life easier, including:
• Preferred cost sharing to save you money • Medications delivered to your door • Copays and deductibles as low as $0
Call to schedule a virtual meeting with a licensed Independent sales agent Bill Gay 386‑846‑4190 (TTY: 711) BILL@SUNCOASTLEGACYADVISORS.COM
At Humana, it is important you are treated fairly. Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion. English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1‑877‑320‑1235 (TTY: 711). Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1‑877‑320‑1235 (TTY: 711). 繁體中文 (Chinese): 注意：如果您使 用繁體中文 ，您可以免費獲得語言援助 服務 。請致電 1‑877‑320‑1235 (TTY :711) 。 Y0040_GHHHXD9EN21_M
WHAT IS MEDICARE?
M
edicare is a fee-for-service health care program in which the government pays health care providers directly for services that fall under Parts A and B, also known as Original Medicare. It is available to seniors, people on social security disability, and the blind. If you are in need of coverage Original Medicare cannot provide, you can purchase a Medicare Supplement Plan, Part D Prescription Drug Plan or a Medicare Advantage Plan. Medicare is divided into four categories. This allows you to customize your personal coverage when shopping for a comprehensive policy. • Part A (Hospital Insurance): Covers hospital care, emer gency services, nursing home care, home health services and hospice. • Part B (Medical Insurance): Covers medically necessary services and supplies used for diagnosing and treating medical conditions, and preventative services for illness prevention and/or early detection. Examples include ambulance services, mental health care, outpatient procedures and clinical research. • Part C (Medicare Advantage): Combines Parts A and B and often part D as well. • Part D: Stand alone prescription drug coverage.
4
T U RNI NG 65 | MEDICAR E MADE EASY
C O N TA C T U S FO R A S S I S TAN C E: 3 8 6 -8 4 6 -4 1 9 0
THE IMPORTANCE OF MEETING WITH A BROKER
W
hat has changed? Am I paying too much for my prescriptions? Can I save money with another plan? Why dig through these muddy details when we can do it for you. Meeting with a broker is the smartest move that a person who is on Medicare could make. We might tell you that the plan you have is still the best one for you, or we might be able to show you how to get more benefits for less money.
Oftentimes, even spouses are on different plans based on their needs. If you have questions or are confused about what you will be liable for, book a meeting with an agent. The goal is to lower your potential cost as low as possible while still receiving great medical care when you need it and give you peace of mind.
A broker will do all the hard work for you by navigating the different plans and cross referencing your doctors and hospitals, which are most important. This can be tedious due to the number of plans. First, you not only have to worry about this Medicare decision when you first turn 65, but every year after as well. The plans change, you may change, or in a competitive market, there may be a new plan pop up that didn’t exist the previous year. There are 25 different Insurance Companies selling 11 different plans, plans A through N. Most counties have 15 to 25 different Medicare Advantage Plans with drug coverage, also known as Part C, and 17 other Prescription Drug Plans, Part D. We meet clients once a year during the Annual Enrollment Period (AEP) to do an annual review. It is important not to be complacent with your plan, and we will keep an eye on what changes. The AEP window runs from October 15th to December 7th. Second, we work as a fiduciary on your behalf so it’s not about one plan or one company. It’s all about you and your best interests. Consulting with friends and family is normal, but what works for your friend or family member might not be a stand out performer in the area where you live. Everyone must have the plan best suited for them… not just what they hear “on the street.”
w w w.S unco astLeg acy Adv i s or s .com
ME D IC A R E MA D E EA S Y | T U R N I N G 6 5
5
SCHEDULE OF MEETINGS 2021 Meeting with one of our brokers is simple and easy. Our services are free with no obligation.
style — so we can find what works best for you, based on your needs and wants.
I have some great news. The insurance carriers have adjusted to the current conditions we are going through and made online enrollment Fast, Secure and Easy.
We will be at the following locations throughout the annual enrollment period. Appointments are required. If you are unable to find a day that works for you or unable to leave the home, call to set up an in-home appointment. We are always willing to make home visits to make sure your needs are met.
We can meet face to face or over the phone. All appointments are one-on-one — not seminar
Call us at 386-957-7851 to schedule your appointment at one of the following locations:
6
Oct 25
Palm Bay
Panera Bread • 245 Palm Bay Road NE, W. • Melbourne, FL 32904
Oct 26
Port Orange
Panera Bread • 1781 Dunlawton Ave. • Port Orange, FL 32127
Oct 27
Palm Coast
Panera Bread • 5880 E HWY 100 • Palm Coast, FL 32164
Oct 28
St. Augustine
Panera Bread • 600 Tingle Ct. • St. Augustine, FL 32086
Nov 1
Melbourne/ Viera
Panera Bread • 2290 Town Center Ave. • Melbourne, FL 32940
Nov 2
Daytona
Panera Bread • 2400 W. International Speedway Blvd. Daytona Beach, FL 32114
Nov 3
Jacksonville West Side
Panera Bread • 4403 Roosevelt Blvd. • Jacksonville, FL 32210
Nov 4
Indian Harbor Beach
Panera Bread • 275 E. Eau Gallie Blvd. • Indian Harbor Beach, FL 32937
Nov 9
New Smyrna/ Edgewater
Dunkin Donuts • 2365 State Rd. 44 • New Smyrna Beach, FL 32168
Nov 10
Jacksonville East Side
Panera Bread • 4720 Town Crossing Drive • Jacksonville, FL 32246
Nov 11
Merritt Island
Starbucks • 75 E. Merritt Island Causeway • Merritt Island, FL 32952
Nov 16
DeLand
Dunkin Donuts • 1540 N. Garfield Ave. • Deland, FL 32724
Nov 17
Titusville
Sunrise Bread Co. • 315 S. Hopkins Ave. • Titusville, FL 32796
T U RNI NG 65 | MEDICAR E MADE EASY
C O N TA C T U S FO R A S S I S TAN C E: 3 8 6 -8 4 6 -4 1 9 0
??
THE ANNUAL ENROLLMENT PERIOD Your Questions Answered
– What is new? – What’s better, and what is worse? – What stayed the same? – What are my options? New 2022 Medicare Plan information will be released on October 1st. Between October 1st and October 15th is the best time to start contacting a member of our team so we can start to build your profile and shop your plan for next year. We can inform you of changes in your plan and review your doctors and prescriptions to make sure you are in the best plan for next year. The cost of your prescriptions could change, or the pharmacy you used last year might not be the most affordable place to pick up your prescriptions as it was last year. It could be as simple as switching to the pharmacy across the street to save hundreds of dollars throughout the year.
Your primary care doctor or your specialist might have shifted to a different network. Or, the plan you currently have will not be enough to effectively cover your medical liability for the upcoming year’s events. Regardless of your specific situation, being educated about all of your options is the key to being satisfied once you have made a choice. AEP runs from October 15th through December 7th. Do not become complacent with your current plan or you may be overpaying or leaving benefits on the table that other plans are offering. The goal is to lower your potential cost as low as possible while still receiving great medical care when you need it. If a change is made durning the Annual Election Period, the new coverage will start on January 1st of 2022.
Dec 7
Oct 15
Annual Enrollment Period October 15th –December 7 th
w w w.S unco astLeg acy Adv i s or s .com
Jan 1
New Coverage Begins January 1st
ME D IC A R E MA D E EA S Y | T U R N I N G 6 5
7
ORIGINAL MEDICARE OVERVIEW Provided by the Government
MEDICARE PART A – HOSPITAL HOSPITALIZATION Days 1-60 ............... $1,484 Part A Deductible Days 61-90 ............. $371 Per Day Days 91-150 ........... $742 Per Day SKILLED NURSING CARE Days 1-20 ............... Zero Cost Days 21-100 ........... $185.50 Per Day OTHER SERVICES Blood ...................... You pay for first three pints Hospice .................. Zero Cost
MEDICARE PART B – MEDICAL $148.50/mo. PART B DEDUCTIBLE.... $203 MEDICARE PAYS .......... 80% YOU PAY ........................ 20% No out-of-pocket maximum EXCESS CHARGE ......... 15% Doctors who do not accept Medicare Assignment Not affiliated with or endorsed by any State or the U.S. Government or the Federal Medicare/Medicaid Program.
8
T U RNI NG 65 | MEDICAR E MADE EASY
C O N TA C T U S FO R A S S I S TAN C E: 3 8 6 -8 4 6 -4 1 9 0
MEDICARE COVERAGE ADDITIONAL OPTIONS Two Ways to Get Additional Coverage
ORIGINAL MEDICARE A & B: $148.50/mo. + One Option Below
Medicare Supplement
Medicare Advantage
PRIMARY – Medicare • Any Doctor • Any Hospital • No Network • No Referrals
PRIMARY – Private Insurance SECONDARY – Medicare • Medicare pays plan to manage your care • Zero to Low Cost per Month: $148.50 + 0 = $148.50
SECONDARY – Medicare Supplement / Medigap • Standardized coverage • Only difference is the price • Coverage from company to company is the same PLANS A-N: $70-$180/mo. PLAN G • Pay only your Part B Deductible • No Co-pays FITNESS MEMBERSHIP PART D - RX DRUG COVERAGE • Plan Premiums: $13-$50/mo. • Drug Co-pays • Formularies differ from plan to plan
Part B Reduction Plans which will reduce the cost of your Medicare: $148.50 - ?? = Lower Cost Network Based Plans • HMO - Referrals Needed • PPO - No Referrals • Doctor and Hospital Co-pays • Annual Out-of-Pocket Maximum: $ 3,000–$6700 Part D - Drug Coverage Included Additional Benefits: • Fitness Membership • Dental and Vision • Over the Counter Benefits
Not affiliated with or endorsed by any State or the U.S. Government or the Federal Medicare/Medicaid Program.
w w w.S unco astLeg acy Adv i s or s .com
ME D IC A R E MA D E EA S Y | T U R N I N G 6 5
9
MEDICARE PART B PREMIUM REDUCTION M
edicare Part B has a monthly premium that is charged by the federal government; in 2021 the Medicare Part B premium was $148.50 per month.
Is this right for you? That is the question. Everyone is always looking for the same thing in their insurance coverage. We all want the best insurance for the least amount of money.
Your Medicare Part B premium is either withheld directly from your social security check or Social Security will send you a quarterly invoice for payment.
Things to think about before enrolling in a Medicare Part B reduction Medicare Advantage Plan.
One of your two coverage options for Medicare is to choose to receive care through a Medicare Advantage Plan, also know as Medicare Part C. If you decide to receive care through a Medicare Advantage Plan, Medicare become your secondary insurer, with your Advantage Plan being your primary insurer. There are many Advantage Plans that now offer a reduction in your Medicare Part B premium as part of the benefits that they provide. So yes, it is possible for Medicare to cost you less than the standard rate of $148.50 per month.
• Does the plan include my doctors? • What is the Out-of-Pocket Maximum of the plan? • What are my prescription co-pays on the plan? • What type of plan is it – HMO vs. PPO? • What are the co-pays for doctors and hospitals? Let one of our agents see if a Medicare Advantage Plan with a Part B reduction is right for you. We can show you how this plan may differ from the plan that you are currently enrolled in.
Oftentimes, Medicare Advantage Plans offer Part B reduction of between $70 to $100 per month, reducing your Medicare monthly cost by half to two-thirds of the standard rate charged by the federal government.
MEDICARE PART B MEDICAL $ 148.50/mo.
10
TURNI NG 65 | MEDICAR E MADE EASY
=
MEDICARE PART C ADVANTAGE PLAN –$100.00/mo.
MONTHLY TOTAL $ 48.50/mo.
C O N TA C T U S FO R A S S I S TAN C E: 3 8 6 -8 4 6 -4 1 9 0
MEDICARE SUPPLEMENT VS MEDICARE ADVANTAGE
T
he differences between a Medicare Supplement and a Medicare Advantage plan is often a topic of conversation when approaching the choice between the two. Occasionally, it is not really a choice and after a quick conversation with a broker, you will understand why you will be better off with one or the other depending on your specific circumstances. Here are a few questions to ask yourself before meeting with one of our brokers:
• What will your budget allow your monthly premium to be? • Does working within a network bother you? • Do you have doctors you want to keep if your network changes? • How often do you go to the doctor? • Do you have any major surgeries on the horizon? A Medicare Supplement or Medigap policy covers the cost left over by original Medicare. These plans are secondary to Medicare. Medicare is your primary insurer. Having Medicare as your Primary insurer allows you freedom of choice. You can see any doctor that takes Medicare, go to any hospital, no networks and no referrals. Medicare Supplements follow federal and state laws designed to protect you. For that reason, the coverage from company to company providing supplements are the same; the only difference is price. Plan G from one company to the next is exactly the same plan but at a different cost. You will need to add Part D, a stand-alone prescription drug plan. With a Medicare Supplement and Drug plan, you will carry around three different cards: your Medicare card, your supplement card and your Part D card. Your supplement and part D do not have to come from the same company.
w w w.S unco astLeg acy Adv i s or s .com
A Medicare Advantage Plan, also known as “Part C” or “MAPD Plan.” is an option available where a private company is paid by Medicare to manage your health care. This does not mean you lose Medicare. Medicare becomes your secondary and the private company becomes your primary insurer. Going with a Medicare Advantage plan does not mean that you are settling for less. There is no degradation in coverage; all Medicare Advantage plans have to cover what Medicare A and B cover. An Advantage plan requires that you have to work within a network. Most often there are HMO and PPO style plans. On an Advantage plan you only incur cost if your incurred care. Meaning, if you go to the doctor or hospital, then you will have a co-payment. The advantage of an Advantage plan is that it provides you with an Out-of-Pocket Maximum. Thus giving you a cap to your liability. Oftentimes, Part D prescription drug coverage is included in these plans. So your doctor, hospital, and drug coverage is all inclusive within one plan. An Advantage plan requires you to keep your Medicare Part B (Medical) premium current, but has either zero or a low monthly premium. Part B reduction is also available to reduce the cost of medicine. The main difference between a Supplement and Advantage Plan is form and function. Supplements have no network where advantage plans do. Supplements have the cost frontloaded in the form of a monthly premium. You are going to pay for coverage every month regardless if you need it or not, but when you do you may pay very little. An Advantage plan has its cost backloaded in the form of a copay. This is a variable cost system where your cost will vary from month to month as you manage your health. Choosing the right plan depends on your needs and wants. Let us help you in making the right decision. MED IC A R E MA D E E A S Y | T U R N I N G 6 5
11
ANNUAL ENROLLMENT VS OPEN ENROLLMENT There is a big difference between Annual Enrollment and Open Enrollment. The first big difference is when they take place. Annual Enrollment runs from October 15th to December 7 th. Open Enrollment runs from January 1st to March 31st.
to March 31st, you can make a one-time change to another Medicare Advantage Plan. Your new coverage will start the first of the next month. So if you make a change on February 17th your new plan will start on March 1st. Remember, you can only make one change during this period. If you have a Part D prescription drug plan or a Medicare Supplement Plan, you can not make a change durning this period. You also have the option to drop your Medicare Advantage Plan and pick up a stand-alone drug plan Part D to go with your Original Medicare if that is the best option for you. You might need to make a change due to the following factors: • Not Happy with your current Advantage Plan. • You find a plan with better benefits. You discover your doctor or pharmacy is now out of network. • Went with a new Advantage Plan for the new year and want your old plan back.
During Annual Enrollment you can make a change to any Medicare plan, Medicare Supplement, Medicare Advantage Plan, and/or a Medicare Prescription Drug Plan (Part D). You may make as may changes as you like durning this period, the last choice being the one that will take effect on January 1st. Open enrollment is only available for those people that are enrolled in a Medicare Advantage Plan. During the period that runs from January 1st
12
TURNI NG 65 | MEDICAR E MADE EASY
Talk with one of our agents today to go over your current plan to see if we should make any changes to your plan during Annual Enrollment, October 15 th –December 7 th, with your new coverage starting January 1, 2022. Always know that if you do have an Advantage Plan, or changed your Advantage Plan during AEP, that you can make a one-time change during Open Enrollment to another Advantage Plan.
C O N TA C T U S FO R A S S I S TAN C E: 3 8 6 -8 4 6 -4 1 9 0
MEDICARE, MEDICAID WHAT IS THE DIFFERENCE? MEDICARE is a health insurance program that comes from the federal government. MEDICAID is a health insurance program that comes from the State of Florida. Medicaid is for those individuals and couples that have limited resources: income and assets. There are multiple programs available to people with limited resources. We help people find out if they could qualify for the following benefits: • Medicaid Additional health insurance in addition to your Medicare. • Medicare Saving Program A program from the State of Florida that will pay for Medicare. • Extra Help A program from Social Security to help with Prescriptions Drug Cost. As of April 2021, Medicaid is available for those individuals in Florida that have monthly income below $1,469 and less than $7,970 in assets. Medicaid is also available for couples that have a monthly income of less than $1,980 and assets less than $11,960. Medicaid is a program that is run by the department of Children and Family. One of our agents can help you enroll to see if you could qualify for extra benefits. If you qualify, one may either qualify for partial or full medicaid. Qualifying gives you a special enrollment to choose a new plan that might be better designed for your needs.
of-pocket costs of Medicare prescription drug coverage. It will also pay for Part D’s premium up to a state-specified benchmark amount. Depending on the beneficiary’s monthly income and asset amount, one may either qualify for partial or full Extra Help. In order to be eligible for Extra Help, the beneficiary’s monthly income must fall within certain parameters. In 2021, the limit is up to $19,320 annual income for singles and $26,130 for couples. Ask one of our agents today about qualifying for extra benefits through Medicaid or Extra Help.
Extra Help, also known as Part D Low Income Subsidy (LIS), is a federal program that comes from the Social Security Administration to assist those with limited means of income in paying for their prescription drugs. The assistance pays either some, or most, of a portion of the outw w w.S unco astLeg acy Adv i s or s .com
MED IC A R E MA D E E A S Y | T U R N I N G 6 5
13
HISTORY OF MEDICARE M
edicare was passed into law on July 30th, 1965 at a public ceremony in Independence, Missouri by President Lyndon B. Johnson. President Harry S. Truman was presented with the nations first Medicare Card. Truman was known as the “Daddy of Medicare.” Medicare services started one year later in July of 1966, covering more than 19 million Americans. In 1972, President Nixon extended coverage to the long term disabled. Medicare Advantage, or Medicare Part C was started in 1997 bringing private insurance plans into the market place. Medicare Part D prescription drug coverage was signed into law in 2003 and took effect in 2006. In 2016 there were over 57 million people on Medicare.
Here is a timeline of several Medicare and insurance-related milestones: 1945:
President Truman calls for a national health insurance program for all. Legislators on Capitol Hill don’t act. He asks again in 1947 and 1949. Bills are introduced but die in Congress.
1961:
A task force convened by President John F. Kennedy recommends creating a national health insurance program specifically for those over 65. In May 1962, Kennedy gives a televised speech about the need for Medicare.
1964: President Johnson calls on Congress to create Medicare. 1965:
Legislation creating Medicare as well as Medicaid (health care services for certain low-income people and others) passes both houses of Congress by a vote of 70-24 in the Senate and 307-116 in the House. President Johnson signs the Medicare bill into law on July 30 as part of the Social Security Amendments of 1965.
1966: When Medicare services actually begin on July 1, more than 19 million Americans age 65 and older enroll in the program. 14
TURNI NG 65 | MEDICAR E MADE EASY
1972: President Richard M. Nixon extends Medicare eligibility to individuals under age 65 who have long-term disabilities or end-stage renal disease. 1997: Private insurance plans — originally called Medicare+Choice or Part C, later re named Medicare Advantage — begin, giving beneficiaries the option of choos ing an HMO-style Medicare plan instead of the traditional fee-for-service Medicare program. 2003: On Dec. 8, President George W. Bush greatly expands Medicare by signing the Medicare Modernization Act, which es tablishes a prescription drug benefit. This optional coverage, for which ben eficiaries pay an additional premium, is called Medicare Part D. 2006: On Jan. 1, Medicare Part D goes into ef fect and enrolled beneficiaries begin re ceiving subsidized prescription drug coverage.
C O N TA C T U S FO R A S S I S TAN C E: 3 8 6 -8 4 6 -4 1 9 0
Learn what’s new TURNING 65 OR NEW TO MEDICARE?
with your Medicare Advantage plan for 2021
If you have Medicare questions, I can help Looking for better Medicare Advantage and prescription drug plans? Now is the right time to review your current Medicare coverage—and maybe strengthen it. Let’s make sure you have the benefits you really want in 2021. Sometimes the help you need is finding the right answers to your questions and sometimes it’s finding the right plan for your needs. It's always about putting you first.
Call a licensed independent sales agent William Gay 386‑846‑4190 (TTY: 711) bill@suncoastlegacyadvisors.com
Applicable to Humana Gold Plus/H1036-044. For accommodations of persons with special needs at meetings call 386-846-4190 (TTY: 711), 8 a.m. – 8 p.m., seven days a week. At Humana, it is important you are treated fairly. Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion. English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1‑877‑320‑1235 (TTY: 711). Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1‑877‑320‑1235 (TTY: 711). 繁體中文 (Chinese): 注意：如果您使 用繁體中文 ，您可以免費獲得語言援助 服務 。請致電 1‑877‑320‑1235 (TTY :711) 。 Y0040_GHHHXDHEN21_C
Check out the AdventHealth Sunsaver Plan! • $0 premiums and primary care copays • No referrals to see a specialist • No deductibles on medical or prescription benefits • Emergency and urgent care worldwide • Large provider network throughout Central Florida • Silver&Fit® gym membership • Dental and vision allowance • NEW! Hearing allowance, Virtual Health and Over-the-Counter benefits
Visit myAHplan.com for more information Call now to discuss your Medicare options with a licensed insurance agent: William R. Gay 386-846-4190 bill@suncoastlegacyadvisors.com www.suncoastlegacyadvisors.com
AdventHealth Advantage Plan is administered by Health First Health Plans. Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in AdventHealth Advantage Plans depends on contract renewal. Y0089_EL9082AH_M Accepted 02262021
Health Plans
Not affiliated with or endorsed by any State or the U.S. Government or the Federal Medicare/Medicaid Program. Calling the number above will direct you to a Licensed Insurance Agent.
Medicare Advantage Plans
$0
Copay on more than 100 prescription drugs Premiums Primary care copays Deductibles on medical and prescription
PLUS
NEW NEW
Increased vision, hearing and dental allowances Over-the-Counter allowances
Visit myHFHP.org for more information.
Call now to discuss your Medicare options with a licensed insurance agent:
William R. Gay 386.846.4190 bill@suncoastlegacyadvisors.com www.suncoastlegacyadvisors.com
Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in Health First Health Plans depends on contract renewal. Y0089_EL9081_M Accepted 02262021 Not affiliated with or endorsed by any State or the U.S. Government or the Federal Medicare/Medicaid Program. Calling the number above will direct you to a Licensed Insurance Agent.
LET US HELP YOU WITH YOUR
MEDICARE CHOICE • Our services are FREE. • We offer all options available. • Our recommendations are based on YOUR needs and wants, not the insurance carrier, as they all pay the same commission. • We maintain our relationship with you year over year. • As your needs and wants change, or if the plans change, our recommendations may change. • Companies offered:
• United Healthcare
• BlueCrossBlueShield
• Aetna
• Humana
• SilverScript
• Care Plus
• Health First
• Coventry
• Ascension Complete
• Cigna
• Advent Health
• Florida Blue
• Transamerica
• WellCare
• Florida Health Care Plans
Call Now to Discuss Your Medicare Options with a Licensed Insurance Agent William Gay William R.R. Gay
William R. Gay 386.846.4190 386.846.4190 386.846.4190 bill@suncoastlegacyadvisors.com bill@suncoastlegacyadvisors.com bill@suncoastlegacyadvisors.com www.suncoastlegacyadvisors.com www.suncoastlegacyadvisors.com www.suncoastlegacyadvisors.com Not affiliated with or endorsed by any State or the U.S. Government or the Federal Medicare/Medicaid Program. Calling the number above will direct you to a Licensed Insurance Agent.
Original Medicare Overview