Understanding Medicare

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Medicare is a federal health insurance program primarily for individuals aged 65 and older, as well as certain younger individuals with disabilities. It consists of different parts, each covering specific healthcare needs:

• Medicare Part A (Hospital Insurance): Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health services.

• Medicare Part B (Medical Insurance): Covers doctor visits, outpatient care, preventive services, and some home health care.

• Medicare Part C (Medicare Advantage Plans): Offered by private insurance companies, these plans combine Part A and Part B coverage, often including prescription drug coverage and additional benefits like dental and vision.

• Medicare Part D (Prescription Drug Coverage): Helps cover the cost of prescription medications.

• Medicare Supplement (Medigap): Helps pay for costs not covered by Original Medicare, such as deductibles, copayments, and coinsurance.

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How Golden Health Helps You Navigate Medicare

 

As a pharmacist-run Medicare agency, Golden Health provides a unique advantage—we not only understand insurance, but we also have in-depth knowledge of medications and healthcare needs.

 

Here’s how we assist you:

• Personalized Plan Comparisons: We evaluate your healthcare needs, preferred doctors, and medication list to find the most cost-effective plan. You can set up a free consultation today. 

• Prescription Drug Optimization: With our pharmacy expertise, we ensure your medications are covered affordably under the right plan.

• Enrollment Assistance: We guide you through the Medicare enrollment process, ensuring you meet important deadlines.

• Ongoing Support: Medicare isn’t a one-time decision—we provide ongoing assistance to adjust your plan as your needs change.

 

 

When to Enroll in Medicare

 

Understanding Medicare enrollment periods is crucial to avoid penalties and ensure uninterrupted coverage. Here are the key enrollment windows:

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• Initial Enrollment Period (IEP): A 7-month window starting 3 months before your 65th birthday, including your birth month, and extending 3 months after.

• General Enrollment Period (GEP): Runs from January 1 - March 31 annually for those who missed their initial enrollment.

• Special Enrollment Period (SEP): Available for qualifying life events, such as losing employer coverage or moving to a new coverage area.

• Medicare Advantage Open Enrollment (OEP): From January 1 - March 31, allowing changes to your Medicare Advantage Plan.

 

 

Choosing the Right Medicare Plan for You

 

Medicare is not one-size-fits-all. Choosing the right plan depends on factors like your health conditions, prescription needs, preferred doctors, and financial situation. At Golden Health, we provide a comprehensive review to match you with the best coverage options.

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• If you take multiple prescriptions, we help find the most cost-effective Part D plan.

• If you want an all-in-one plan, we explore Medicare Advantage options that fit your needs.

• If you prefer flexibility, we compare Medicare Supplement plans to minimize out-of-pocket expenses. When you set up a call, we can go over this with you based on your needs. 

 

 

Why Choose Golden Health?

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1. Pharmacist Expertise: Our background in pharmacy gives us a deep understanding of prescription coverage and medication costs.

2. Personalized Service: We take the time to understand your health needs and match you with the best Medicare plan.

3. Unbiased Guidance: We work with over 30+ insurance carriers to provide objective recommendations.

4. Lifetime Support: We’re here to help not just at enrollment, but throughout your Medicare journey. We look at your plan every year to make sure you are on the correct one with the lowest cost, to ensure your health needs are being met. Please visit our FAQ Medicare for additional questions or contact us today for a free consultation.