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Medicare advice needed.......It's time....

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Medicare advice needed.......It's time....

Old 10-04-2020, 03:19 AM
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Default Medicare advice needed.......It's time....

Well I'll be 65 in Feb.. I understand that I am supposed to sign up for Medicare within a certain time frame. Here is where I am confused......I know I need part A and B....I know I will need supplemental Insurance...That's All I know. I am getting a ton of Supplemental Insurance offers in the Mail, I did talk to a Very informative Lady about a month ago that was selling it. She said something about if I did NOT sign up with in a certain time frame , the Supplemental would cost more?. Also If I did NOT sign up for Medicare in a certain time frame I would be penalized?

I am on My Wife's Health Insurance at this time and She will be working maybe 4 more yrs. Can I stay on Her Insurance and sign up for Medicare in a few yrs. and NOT get Penalized?
Any Supplemental Insurance You can recommend and or stay away from! I will tell Ya', All this is Brain overload to Me!! I need all the help I can get! Thanks Guys!!!
Old 10-04-2020, 03:33 AM
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f you are already collecting some form of Social Security (either retirement benefits or disability benefits) when you become eligible for Medicare, you will be automatically enrolled in both Part A and Part B. ...

Note, employer health insurance plans typically require that you enroll in Medicare when eligible because then they become the supplemental insurance and medicare the primary. So better check with your wife's plan on that.

Just be wary of any advice from those selling insurance, they have a vested interest and may not provide complete information. Nor is the information I offered to be taken as gospel, its what I experienced.. You need some local advice, maybe from a financial planner. My employer gave seminars of all this and provided much help.

Last edited by ZZ71; 10-04-2020 at 03:57 AM. Reason: revise and extend remarks
Old 10-04-2020, 03:47 AM
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Forgot to add..I am still working and hope to for another 2 yrs.Full Retirement age..


"Some private/employer health insurance plans require that you enroll in medicare when eligible because then they become the supplemental insurance and medicare the primary. So better check with your wife plan on that."


Good Point!!!
Old 10-04-2020, 04:15 AM
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My employer health plan (state funded) required that if you were already retired, like I was. I took an early out at 55 yr. I worked 30 yrs for state gov't, DOT.
Old 10-04-2020, 05:03 AM
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I would suggest speaking to a Medicare advisor. A broker for MANY plans/providers. DON’T speak to anyone that represents one provider.
Old 10-04-2020, 05:19 AM
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My wife, the one that said we should get a boat, is an independent broker of Medicare supplements, part d drug plans, and medicare advantage coverage.

My advice

Work with a medicare specialist that works with a variety of companies. Ask them how many clients they have. The devil is in the details. The more you do it, the more you know the details and the details are critical. A specialist will know the right questions to ask. Both medicare supplement and medicare advantage pay commission to the broker. You are not going to get a cheaper price by going one distribution channel versus another. Why do it over the phone with United Health/Aetna/Mutual of Omaha company rep when you can do it with one person that handles all 3. And maybe see them when you are at the grocery store.

My wife has a 3 step process when somebody needs to sign up for Medicare ( which you may not have to because it seems like you have "credible coverage")

Complete a factfinder.
meeting to discuss options at which point she presents a couple options
clients go home and decide which way they want to go.


Last edited by rural62; 10-04-2020 at 05:24 AM. Reason: didn't complete
Old 10-04-2020, 05:29 AM
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Originally Posted by rural62 View Post
My wife, the one that said we should get a boat, is an independent broker of Medicare supplements, part d drug plans, and medicare advantage coverage.

My advice

Work with a medicare specialist that works with a variety of companies. Ask them how many clients they have. The devil is in the details. The more you do it, the more you know the details and the details are critical. A specialist will know the right questions to ask. Both medicare supplement and medicare advantage pay commission to the broker. You are not going to get a cheaper price by going one distribution channel versus another. Why do it over the phone with United Health/Aetna/Mutual of Omaha company rep when you can do it with one person that handles all 3. And maybe see them when you are at the grocery store.

My wife has a 3 step process when somebody needs to sign up for Medicare ( which you may not have to because it seems like you have "credible coverage")

Complete a factfinder.
meeting to discuss options at which point she presents a couple options
clients go home and decide which way they want to go.
what state are you in?
Old 10-04-2020, 08:13 AM
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If you're covered by employer health insurance and employer has more than 20 employees, you can delay Medicare part B without penalty. If you are covered by both an employer plan and Medicare, the employer plan is PRIMARY if greater than 20 employees otherwise Medicare is primary. In my mind, there is no reason not to sign up for part A as there is no premium for it. You can sign up for part A and not part B. Once you lose employer coverage, you have a limited time to sign up to avoid penalty.
Old 10-04-2020, 08:18 AM
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Originally Posted by usernamewastaken View Post
I would suggest speaking to a Medicare advisor. A broker for MANY plans/providers. DON’T speak to anyone that represents one provider.
This is the ticket. My wife just through this and I will in six months. A good advisor will even take into account what drugs you need and other medical needs.
Old 10-04-2020, 08:34 AM
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www.medicare.gov might also be helpful with some of your questions.
Old 10-04-2020, 12:48 PM
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Here's some of what I just went through doing this.

Your window for signing up for Medicare is 3 months before but no more than 3 months after your 65th birthday. I signed up early and my Medicare kicked in the 1st of Sept, the month in which I turned 65 (no, your birthday doesn't really matter). I also investigated a Supplemental with BlueCross/Blue Shield of AZ. They were very helpful and made sure my doctor was in network. Went over Part D coverage (prescriptions) in detail with them. Be advised that most supplements (at least here in AZ) ONLY COVER THE COUNTY IN WHICH YOU LIVE. Mine being Maricopa. However, if I traveled to Alabama to see family and got sick, that would be out of network, which wasn't an outrageous co-pay, but yes higher. The supplement also lets me see ANY doctor or specialist WITHOUT a referral from my PCP.

Costs - Medicare Parts A+B cost $433 a quarter this year. Most people just have it deducted from their Social Security, but like you, I'm not at full retirement age yet and plan to keep on working for a few more years. (The collecting/when your SSI is a whole different conversation) They sent me a bill and I paid it. A few weeks later, I got a return Fed check for that amount and a letter saying my costs were being covered by Medicaid. Apparently, being unemployed and uninsured since March due to COVID and being covered by our state's ACHHS program put me in the broke and empty pocket category. I didn't have to prove a thing financially and no, I'm certainly not gaming the system because I am trying to find another job and get my sorry ass back to work. I didn't make any of those decisions; the Fed did.

Supplement was quoted at $59 a month, but I've never been billed. Instead, I get a separate invoice for $10.20 a month to cover the Part D. Goes up to $15.20 Jan. 2121. But nearly all prescriptions are $0 or $1.30. Even 90 day supplies. That shocked me being so low, but there you have it.

All was done online, very easy to do. The Supplement was done via phone, also easy enough. Also, Be aware that you can change Supplements during open enrollment every year. If you get one and don't like it, you can cancel and get a new one the following year. But the key thing is to register and get your Part A and Part B immediately! These are not easy to change if you miss your eligibilty dates.

Anyway, I actually used my Medicare for the first time for a complete physical in Sept. Didn't cost me a penny. Well, at least now... but considering I've been paying for it my whole working life, well happy days I actually made it!

Anyway, that's my personal experience.

Old 10-04-2020, 06:25 PM
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Default Medicare advantage

If you are healthy check out medicare advantage. There is no extra cost. Deductibles are higher though that's why I say use it if you are healthy. Comes with prescriptions but deductibles can be high. I am 69 and in good health. Sup plan would cost $150.00 per month so I put that aside for deductibles. So far after 4 years I am still putting away the $150.00 per month and I have not spent a dime out of it yet. There are people who are professionals who can advise you and they charge you nothing. Insurance Co's pay their fee's.
Old 10-04-2020, 10:52 PM
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Originally Posted by johnb48 View Post
If you're covered by employer health insurance and employer has more than 20 employees, you can delay Medicare part B without penalty. If you are covered by both an employer plan and Medicare, the employer plan is PRIMARY if greater than 20 employees otherwise Medicare is primary. In my mind, there is no reason not to sign up for part A as there is no premium for it. You can sign up for part A and not part B. Once you lose employer coverage, you have a limited time to sign up to avoid penalty.
This.
Once you turn 65 you have to sign up for Part A. If you fail to do so you may end up having to pay a penalty.
Part B has a premium. If you have insurance you can wait till your insurance expires, for most people after they retire, then sign up for Part B within 30 days. Fail to do that and you can still sign up but your premium will be higher for life.

l am still working and reading but still on the hunt for a supplemental policy when I lose my insurance.


Old 10-05-2020, 03:05 AM
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Appreciate the info. Guys ! Still have to digest all this. Keep it coming.. I will have some more questions..At Work now..
Old 10-05-2020, 03:29 AM
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Originally Posted by DJF View Post
If you are healthy check out medicare advantage. There is no extra cost. Deductibles are higher though that's why I say use it if you are healthy. Comes with prescriptions but deductibles can be high. I am 69 and in good health. Sup plan would cost $150.00 per month so I put that aside for deductibles. So far after 4 years I am still putting away the $150.00 per month and I have not spent a dime out of it yet. There are people who are professionals who can advise you and they charge you nothing. Insurance Co's pay their fee's.
Be careful of any Advantage plan as the participation of in network drs and facilities is a lot less and a lot dependent on the area in which you live. We settled on a BCBS Supplemental plan. It's more expensive but the coverage more than makes up for it.

Order this booklet and read. https://www.medicare.gov/pub/medicare-you-handbook . Page 72 has the plans and coverage in a chart. Once you understand that, then go shopping.
Old 10-05-2020, 03:36 AM
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Originally Posted by airbrush View Post
Be careful of any Advantage plan as the participation of in network drs and facilities is a lot less and a lot dependent on the area in which you live. We settled on a BCBS Supplemental plan. It's more expensive but the coverage more than makes up for it.

Order this booklet and read. https://www.medicare.gov/pub/medicare-you-handbook . Page 72 has the plans and coverage in a chart. Once you understand that, then go shopping.
.......Yea, I don't want to be limited to what Doctors I can go to..
And would rather not have to get Referrals if possible. I have been spoiled with My Wife's Health Insurance which I am on.
Old 10-05-2020, 03:53 AM
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At the beginning, we had a Humana Advantage program that was a nightmare. The doctor pool was low and ever-changing. During a coverage year we actually had dr's dropping out of the program (dr's kept dropping out as they claim to never get paid). The nearest approved facility for a standard mamogram for wife was 45 miles when we had plenty of radiology facilities within 5 miles. Sure, they continued dr's coverage for the year they dropped out but then you were out of network after that. Sure you could appeal the radioloogy thing, but who wants to have to do that on an ongoing basis. Did I mention, Humana sucked?

One thing to understand - Advantage Plans coverage comes BEFORE Medicare. Supplemental Plans coverage occurs AFTER Medicare. That makes a giant difference in the way Medicare pays.
Old 10-05-2020, 04:11 AM
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Here we go.

part a, free for those that have insured status. Hospital coverage.

part b, $144.60 a month, for those with insured status, same price. Outpatient care.

sign up for Medicare three (3) months before, the month of, three months after your birth month. If you have work coverage and you forgot to sign up after age 65, call SSA, you could be ok without penalty. If your born on the first of the month, your birth month is the previous month.

no work coverage, forget to sign up (living overseas) for part b. You may have some penalties. No biggy for part A.

spouse coverage at work, i.e. large GHCP. Your ok too.

Old 10-05-2020, 05:05 AM
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Originally Posted by airbrush View Post
Be careful of any Advantage plan as the participation of in network drs and facilities is a lot less and a lot dependent on the area in which you live. We settled on a BCBS Supplemental plan. It's more expensive but the coverage more than makes up for it.

Order this booklet and read. https://www.medicare.gov/pub/medicare-you-handbook . Page 72 has the plans and coverage in a chart. Once you understand that, then go shopping.
Anout the only thing I know about this stuff is my mom has BCBS, can see any dr she wants and pays very little out of pocket. Over the past 7 years she has been through various treatments at some of the top hospitals in the country.

I do know she pays a hell of a lot more than $450 a quarter.
Old 10-05-2020, 07:20 AM
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Personally, I would avoid any "medicare advantage" plans. I was on one for a year and I paid out the wazoo in copays and out of network doctors etc.

I'm currently on AARP supplement, G thru United Healthcare. It's fantastic and I pay zilch in copays and there is no "network".

P.S. I joined AARP just to get the supplement then dropped my membership.

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