Ashford Insurance is an Independent Marketing Organization working with United HealthCare Medicare Solutions.
Irving Medicare Plans
Medicare Insurance Made Easy
Irving Medicare Plans
Medicare is a federal health insurance program that provides coverage for individuals who are 65 years or older, individuals under 65 with certain disabilities, and individuals with End-Stage Renal Disease (ESRD). The program is administered by the Centers for Medicare and Medicaid Services (CMS) and is funded through payroll taxes, premiums, and general revenue.
Medicare is divided into several parts, each covering different healthcare services:
1. Medicare Part A: Also known as Hospital Insurance, Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and home health care. Most people do not pay a premium for Part A, as they or their spouse paid for it through payroll taxes while working.
2. Medicare Part B: Also known as Medical Insurance, Part B covers doctor visits, outpatient services, preventive care, and medical equipment. Most people pay a monthly premium for Part B, and the amount is based on income.
3. Medicare Part C: Also known as Medicare Advantage, Part C is offered by private insurance companies that have been approved by Medicare. Part C combines Parts A and B and often includes additional benefits like prescription drug coverage, vision, and dental care.
4. Medicare Part D: Part D covers prescription drugs and is also offered by private insurance companies approved by Medicare. Beneficiaries pay a monthly premium and copayments or coinsurance for covered prescription drugs.
Medicare works by providing eligible individuals with access to necessary healthcare services. Beneficiaries can choose to receive their Medicare coverage through Original Medicare (Parts A and B) or Medicare Advantage (Part C). In both cases, beneficiaries pay premiums, deductibles, copayments, and coinsurance for their healthcare services.
Medicare also has limitations, and some services may not be covered. Beneficiaries can purchase additional coverage, such as Medigap policies, to help cover these costs. Understanding Medicare and its various parts is important to make informed decisions about healthcare coverage and costs.
Initial Enrollment Period
When you first become eligible for Medicare, you enter what is called your Initial Enrollment Period. This is a 7-month period of time beginning 3 months before your birthday month and extending 3 months after your birthday month. For example, if you were born in July, your Initial Enrollment Period would be April 1 through October 31. This is the time to enroll in Medicare (for those not enrolled automatically) or enhance coverage with additional benefits.
Important tip: If you’re looking to add additional coverage to Original Medicare, your Initial Enrollment period is the time to do it. If you delay, you may have to wait until the General Enrollment Period (Jan 1- Mar 31) of the following year and may also be charged a late enrollment penalty.
Need help? Call us for an appointment at (817) 952-3153
Ashford Insurance is an independent health insurance agency specializing in Texas Medicare insurance and has been helping seniors since 2005. Ashford Insurance is here to help you understand Medicare and health insurance in simple, plain terms that anyone can grasp. We specialize in assisting folks who are Medicare eligible to learn about the coverage options available through the Medicare Health Insurance Program.
Ashford Insurance Agents
Here is a partial list of the products offered by Ashford Insurance
* A licensed sales agent may call or e-mail as a result of completing the information to discuss Medicare Advantage, Prescription Drug Plans or Medicare Supplement Insurance.
Recent Blog Articles
Medicare, a vital federal health insurance program for seniors, plays a crucial role in providing healthcare coverage to millions of Americans aged 65 and older. While Original Medicare (Medicare Part A and Part B) offers comprehensive coverage, many beneficiaries wonder why the program can be associated with substantial costs. In this blog post, we will delve into the factors that contribute to the expenses associated with straight Medicare and shed light on the complexities of healthcare pricing within the system.