Frequently Asked Questions (FAQ)

Below are some frequently asked questions.  Don't hesitate to reach out to us with any other questions you may have.  We're always here to help!


How do I know if i'm ellible for extra help with my prescriptions?

People with limited incomes may qualify for extra help to pay for their prescription drug cost.  If eligible, Medicare could pay for seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and coinsurance. Also, those who qualify will not be subject to the coverage gap, which is also known as the donut hole or a late enrollment penalty. There are so many people eligible for these savings and don't even know it.  You can contact your local Social Security office, or call Social Security at 1-800-772-1213.  You can also apply for extra help online at http://www.socialsecurity.gov/prescriptionhelp


Why do I need to review my coverage every year?

You cannot assume your coverage isn't changing.  Every year, your Advantage Plan insurer and prescription drug plan provider by law must alert you if anything is changing in your coverage.  Your Advantage Plan insurer or carrier will send you an Annual Notice of Change that will list your coverage for the current year and compare it side by side with your coverage for the upcoming year.  Your Annual Notice of Change or ANOC tends to be a very thick book loaded with information.  Do not ignore this book though.  This is were a trusted adviser can review your ANOC and help you make a decision to stay with your current plan or if there is another plan that will work better.  


When can I make changes to my Medicare?

There are different election periods that will open up the availability to make changes in your Advantage Plan or prescription drug plan.  The most common time is during the Annual Election Period or AEP.  AEP is from October 15th to December 7th every year.  Any changes made during AEP will go in effect on January 1st.  This is the time to review your current coverage and make any needed changes. 

Your Initial Election Period or IEP is the election period for when you are new to or aging into Medicare.  The IEP or Initial election period is a 7 month window of time. It consist of the 3 months before your birth month, your birth month and the 3 months after your birth month during the year that you turn 65.

There is also Special Election Periods that you may be eligible for  throughout the year. There is many different situations that generate Special Election Periods.  The most common are if you move or if you lose employer coverage.  You also have a Special Election Period every month of the year if you are receiving any assistance with prescription drug coverage through Medicare or if you are receiving benefits from Medicaid along with benefits from Medicare.