8 Reasons to talk to a Licensed Independent Insurance agent before choosing a Medicare plan.

For most seniors there is only one time a year you can makes changes to your Medicare Health Plan and that’s during the Annual Enrollment Period  A.K.A. (AEP), this is a good time to review your plan and see if it’s the best option based on your needs these are some of the things you need to consider:

  • Health: is this plan going to give me the coverage I need?
  • Doctors: Are my Doctors all in Network or am I paying more than I should to see them?
  • Prescriptions: Am I paying the least amount for my prescriptions?
  • Cost: Am I getting the best coverage for the out of pocket Cost.
    • what I consider Out of pocket cost is  Plan Premiums + deductibles + Copays + Coinsurance (typically the Percentage that you pay for services that are not covered under the copay, typically 20-30% of the cost of the service)
  • Also be aware of the Maximum out of pocket (MOOP)  this is the most you would spend in copays, deductibles and coinsurance. For medicare recipients this does not include prescriptions.

With an Independent Licensed Agent you are more likely to get a plan that fits your needs. and an agent has the ability to:

  1. Describe benefits of health care reform and how to take advantage.
  2. Explain changes to your current coverage and how much that could cost within a year.
  3. Describe benefits of health care reform and how to take advantage.
  4. Based on your needs they can match you with an Advantage or Supplement plan that offers more benefits than original Medicare or your current plan. Estimate copayments or coinsurance rates for prescriptions you currently take with new coverage.
  5. Explain mail order prescription and wellness programs offered by different companies.
  6. Help compare plans from multiple health insurance companies to find the best coverage and price.
  7. Explain other programs that you might qualify for like Extra Help.
  8. Answer questions you might have after enrollment.