We Decode the ABCs
(and Ds) of Medicare
(and Ds) of Medicare
So you can get back to the good stuff
Trying to understand Medicare can feel like learning a foreign language.
You turn 65 and bam—you’re expected to be an expert in insurance. But with every acronym, form, and phone call, you become even more confused than when you began.
You can try reading all the articles. You can ask your neighbor. But talking to someone who actually knows the system—and takes the time to walk you through it—makes a world of difference.
If you’re ready for clear, pressure-free Medicare guidance, talk to one of our local advisors.
New To Medicare?
What is Medicare?
Medicare is a federal health insurance program for:
- People 65 or older
- Younger individuals with disabilities (such as End-Stage Renal Disease or ALS)
What is the enrollment timeline?
Initial Enrollment Period starts 3 months before your 65th birthday and ends 3 months after.
Pro Tip: Missing it can result in late penalties or coverage gaps.
What’s not covered?
- Long-term care
- Dental
- Vision
- Hearing aids
- Most routine foot care
That’s why many people choose supplemental coverage (like a Medigap or Medicare Advantage plan) to fill in the gaps.
Ready to start exploring your Medicare options? Schedule a free consultation with an agent today!
Switching Plans
Timing Matters
Unfortunately, you can’t switch your Medicare plan whenever you want—here are the specific windows:
Medicare Annual Enrollment Period (AEP): Oct 15 – Dec 7
You can switch Medicare Advantage or Part D plans.
Medicare Advantage Open Enrollment: Jan 1 – Mar 31
You can switch Medicare Advantage plans or go back to Original Medicare.
Coverage is Subject to Change Year to Year
Keep in mind that even if you like your current plan this year, it might not be the best fit next year. Here’s what may change year to year:
- Premiums
- Copays
- Prescription drug formularies
- Network providers
- Extra benefits (like dental, vision, hearing)
Check Your Medications and Doctors
Not all plans cover the same drugs or work with the same providers. So before you switch, it’s important to ask yourself:
- Is my doctor in-network?
- Are my prescriptions covered, and how much will they cost?
Consider Total Cost, Not Just Premiums
Some plans look cheap upfront, but higher copays and deductibles can cost more in the long-term. Before switching, make sure you consider:
- Premiums
- Out-of-pocket max
- Specialist visits
- Hospital stays
- Drug costs
You Don’t Have to Navigate It Alone
While researching on your own—or even asking friends—can be helpful, nothing compares to working with our licensed experts who’re trained to guide you through the Medicare maze with clarity and confidence.
Here’s how a CVIG agent can help:
Review current coverage
Compare new plan options
Identify savings or better benefits
Prevent coverage gaps or late penalties
Let’s explore your plan options together.
Helping a Loved One
with Medicare
Medicare Is Not One-Size-Fits-All
There are different types of Medicare plans, and not all cover the same things. The main options include:
Pro Tip: Your loved one may need extra coverage depending on their health, income, and lifestyle.
Medicare Doesn’t Cover Long-Term Care
This surprises many caregivers. Medicare does NOT cover:
Pro Tip: Families must plan ahead and explore options like long-term care insurance, Medicaid, or veterans’ benefits.
- Assisted living
- Nursing homes (except short rehab stays)
- 24/7 home care
Enrollment Windows Are Crucial
Know your loved one’s Initial Enrollment Period (around their 65th birthday) and Annual Enrollment Period (Oct 15–Dec 7). Missing a deadline can result in:
- Coverage delays
- Gaps in care
- Permanent late penalties
Their Doctors & Medications Might Not Be Covered
Not all plans cover all doctors, hospitals, or prescriptions. Before switching or enrolling in a plan, confirm:
- Are their current doctors in-network?
- Are their medications covered?
- What will they pay out of pocket?
You May Be Able to Act on Their Behalf
To speak to Medicare or their insurance carrier directly, your loved one must fill out an authorization form (like a HIPAA release or Medicare’s “Authorization to Disclose Personal Health Information”). If your loved one has diminished capacity, power of attorney (POA) or legal guardianship may be required to manage decisions. We recommend calling us when you’re with your loved one, even if you’re authorized to speak on their behalf.
