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Ashford Insurance

Southlake Texas Medigap

Medigap Made Simple

Medicare Should Be Easy!

 

Making Medicare insurance coverage decisions can be confusing when comparing options and choosing a plan that best meets your needs. Fortunately, you don’t have to do it alone. Ashford Insurance is here to help you understand the Medicare basics so you can make an informed, confident plan choice.

 

Southlake Texas Medigap (Supplements)

 

Medicare coverage can be a critical component for living a healthy life in retirement, as well as for maintaining your financial independence during these years. Yet, as important as it is, Medicare does not cover the full range of healthcare expenses you may experience in your golden years.

To fill the holes that exist in Medicare, Medigap insurance can be purchased by individuals over 65 to supplement their Medicare.

A Medigap (Medicare Supplement) policy is designed to cover expenses such as copayments, coinsurance, and even deductibles—the so-called gaps in Medicare. Coinsurance is only covered after you have paid the deductible unless you select a Medigap policy that also covers the deductible.

 Medicare Supplements, also known as Medigap, are standardized by the Federal Government. They are labeled A, B, C, D, F, G, K, L, M, and N. Note: Medicare Plan F is no longer available to those who are eligible for Medicare after January 1, 2020.
 
Each standardized Medigap policy must offer the same basic benefits no matter which insurance company sells it. Cost is usually the only difference between Medigap policies with the same letter sold by different insurance companies. Plan A pays the Medicare hospital and physician coinsurance, the first three pints of blood, and 365 days of hospitalization beyond Medicare. Plans B through N provide these benefits and add more benefits such as coverage for Medicare deductibles, excess charges and limited preventive care, and foreign travel. You can only have one Med Sup plan. No one should try to sell you an additional Medsup plan unless you decide you need to switch policies.
 

Open Enrollment for Medicare Supplemental Insurance is at age 65 for all consumers, including those already receiving Medicare due to disability. The Open Enrollment period is a six-month period. For six months beginning when you are both age 65 or older and enrolled in Medicare Part B, companies must sell you any Medicare supplement plan they offer. After this limited open enrollment period, companies can pick and choose whom they will cover and how much they will charge based on your health. If you have an individual or “bank group” insurance policy, becoming Medicare eligible does not require you to cancel it and purchase a Medicare supplement. Doing so may save premium costs but it is important to compare benefits before deciding which will work best.

If you are eligible for employer retirement insurance, review the plan carefully to understand what benefits are available and how it works with Medicare. Be aware that employer plans are not standardized and are not subject to the requirements governing standardized Medicare supplement policies. Also, it is important to remember, if you leave an employer plan you may not be able to go back on it.

Some Texas residents are eligible to enroll in approved Medicare Advantage plans. These plans are offered by private insurance companies. Each year Medicare Advantage companies decide where they will offer their plans, what benefits will be offered, and what the premiums will be. Several include vision, dental, hearing, and wellness programs not covered by original Medicare. As noted earlier many Medicare Advantage Plans also offer prescription drug coverage. There are several Medicare Advantage plans available in Dallas, Tarrant, and surrounding counties. Depending on plan choice, a member may be responsible for paying co-payments for certain covered services. Most importantly, with Medicare Supplements, Medicare Advantage, and standalone Part D Prescription Drug Plans, you must continue to pay your Part A (if any) and part B Medicare premiums.

Ashford Insurance Agents

Need help? Call us for an appointment at (817) 952-3153

Ashford Insurance is an independent health insurance agency specializing in Texas & Oklahoma Medicare insurance. Ashford Insurance is here to help you understand Medicare in simple, plain terms that anyone can understand.  We specialize in helping folks who are Medicare eligible to learn about the coverage options available through the Medicare Health Insurance Program. 

Here is a partial list of the products offered by Ashford Insurance

Medicare Supplements

Ashford Insurance offers Medigap plans, also called Medicare Supplement Insurance Plans.

Medicare Advantage

Offering HMO & PPO types of Medicare Advantage Plans.

Dual Eligible Medicare Plans

Medicare Advantage for folks on Medicare & Medicaid.

Chronic Special Needs Plans

Medicare Advantage Plans for Medicare Eligible folks with certain chronic conditions.

Prescription Coverage

Medicare Part D Prescription Drug coverage.

Dental & Vision Plans

Insurance for covering dental & vision needs.

Life Insurance

Affordable life insurance providing a death benefit to beneficiaries of your choosing.

Funeral Insurance

An insurance policy that pays the costs associated with your funeral and burial.

Short Term Medical

Designed to temporarily fill coverage gaps for people in transition.

Contact Form

(817) 952-3153

M-F 8:00 – 4:00

Weekends & Evenings by Appointment

Address

 1245 Southridge Court Suite 101, Hurst, TX, 76053

* 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.