Medicare Professional and U.S Army Veteran: Jason Kirschner
Please Call me directly with questions, advise or for an appointment : (941)740-0928
Medicare enrollment periods refer to specific times during the year when individuals can enroll in or make changes to Medicare coverage. There are several enrollment eligibility periods for different parts of Medicare.
Initial Enrollment Period (IEP). This is the 7-month period around your 65th birthday when you can enroll in Medicare for the first time. It includes the 3 months before your birthday, the month of your birthday, and the 3 months after your birthday.
Annual Enrollment Period (AEP): This is the period from October 15th to December 7th when you can make changes to your Medicare Advantage (Part C) or Medicare Prescription Drug (Part D) plan.
General Enrollment Period (GEP): This is the period from January 1st to March 31st when you can enroll in Medicare Part A and/or Part B if you didn't enroll during your IEP.
Special Enrollment Period (SEP): This is a period outside of the regular enrollment periods when you can enroll in or make changes to your Medicare coverage due to certain life events, such as moving to a new area, losing employer-sponsored insurance, or becoming eligible for Medicaid.
Medicare Advantage also known as Part C Plans
Learn how a Medicare Part C Plan can work for you. As an alternative to Part A and Part B, Part C helps you gain the benefits of both programs.
Medicare Advantage and Medicare Part C are considered the same program. Many include the convenience of having both the drug benefits and health facility care coverage within a single plan. Depending on your needs and preferences, this may be a better alternative for you than the option of enrolling into a Medicare Prescription Drug Plan, which is an entirely different program for the purpose of covering prescription drugs. There may also be extra benefits included, such as dental coverage, health wellness programs, and routine hearing and vision check-ups, depending on the plan details. These are benefits Original Medicare does not include. Medicare Advantage plans are offered by private insurance companies. All of these companies are contracted with Medicare. The Medicare Advantage plans provide most of the same coverage that an Original Medicare plan would cover, Part A and Part B. This doesn’t include hospice care in Part A, however. To be eligible, you must be within the service area of the Medicare Advantage plan you want to enroll in. First, you have to be enrolled in Part A and Part B.
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Health maintenance org. (HMO)
This type of MA plan typically requires you
to see only in-network providers and get referrals
from a primary care doctor. -
Preferred provider org. (PPO)
In most cases, on this type of MA plan,
you'll pay less if you use in-network doctors. Referrals
from a primary care doctor are not required. -
Private fee-for-service (PFFS)
On this type of MA plan you may go to any
Medicare-approved doctor, hospital or provider that
accepts the plan's payment, accepts the terms and
conditions and agrees to treat you--but not all providers
will. -
Special Needs Plan (SNP)
This type of MA plan has a benefits package
designed for people with special healthcare needs.
Examples of groups served include people who have both
Medicare and Medicaid, reside in nursing homes, and/or
have certain chronic medical conditions
Stand-alone Medicare prescription drug plans (Part D)
Medicare prescription drug plan (PDP) The stand alone drug plan adds prescription drug coverage to original Medicare and some other Medicare plans.
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Medicare Supplement
Standardized plans that can be bought with varying coverage options to help supplement your Original Medicare plan. While an MA plan takes the place of Original Medicare, a Medicare Supplement plan is simply added on to Original Medicare. Medicare Supplement plans have no provider networks and help pay some of the costs that Original Medicare does not pay. Medicare supplement plans cannot be held with an MA plan.
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Dental
Stand-alone Dental plans are available at varying levels of coverage at in-and out of network providers.
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Vision
Stand-alone Vision plans are available at varying levels of coverage at in-and out-of-network providers.
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We may not offer every plan available in your area. Any information
we provide is limited to those plans we do offer in your area.
Please contact Medicare.gov or 1-800-MEDICARE to get information on
all of your options.
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