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Ashford Insurance

About

Ashford Insurance is an Independent Marketing Organization working with United HealthCare Medicare Solutions.

Fort Worth Texas Medicare Insurance Plans

Ashford Insurance

Medicare Insurance Made Easy

817-952-3153

Fort Worth Texas Medicare Insurance Plans

Medicare Made Simple: Understanding the Basics

Medicare is the federal health insurance program primarily for Americans 65 and older. It also covers certain younger people with disabilities and those with End-Stage Renal Disease (ESRD). Understanding the fundamentals of Medicare is crucial as you plan for your healthcare coverage.

The Parts of Medicare

  • Part A (Hospital Insurance): Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people receive Part A premium-free if they or their spouse paid Medicare taxes for a sufficient amount of time while working.

  • Part B (Medical Insurance): Part B provides coverage for doctor’s visits, outpatient care, medical supplies, and preventive services. There is a monthly premium for Part B that is based on your income.

  • Part C (Medicare Advantage): These plans are offered by private insurance companies and provide an alternative to Original Medicare (Parts A and B). Medicare Advantage plans typically include additional benefits like vision, hearing, dental, and prescription drug coverage.

  • Part D (Prescription Drug Coverage): If you decide to enroll in Original Medicare, you’ll want to consider a standalone Part D plan. These plans help reduce the cost of prescription medications.

How to Enroll in Medicare

Your Initial Enrollment Period (IEP) is a 7-month window around your 65th birthday. It is highly recommended that you enroll during this period even if you have employer-sponsored coverage. Otherwise, there can be penalties if you enroll later. You can sign up for Medicare through the Social Security Administration website (‘www.ssa.gov’) or by calling 1-800-772-1213.

Costs and Additional Considerations

Medicare has costs associated with it, even if you qualify for premium-free Part A. These costs include:

  • Deductibles: Amounts you may have to pay before Medicare begins to cover certain services.
  • Coinsurance: A percentage of the cost you pay after meeting the deductible.
  • Premiums: Monthly payments, particularly for Parts B, C, and D.

Getting Help

Navigating Medicare can be complex. There are helpful resources available:

  • Medicare Website: Visit https://www.medicare.gov/ for official information.
  • State Health Insurance Assistance Programs (SHIPs): SHIPs provide free, local counseling on Medicare. Find your local SHIP at https://www.shiphelp.org/.
  • Licensed Insurance Agents: Agents like Ashford Insurance who specialize in Medicare can provide personalized guidance and recommendations for your specific needs.

Key Takeaway: Medicare is a valuable program offering health insurance to millions of Americans. Understanding the basics and getting the right information will help you maximize your benefits and make confident choices about your healthcare.