Navigating the Medicare Maze

Author

AIS Medicare & More

Posted on

Jul 21, 2020

Book/Edition

Colorado - Western Slope

Medicare can seem like a confusing web of options. Many seniors choose to rely on licensed agents for help navigating an average of 24 plans available to choose from each year. Its important to keep in mind that an agent may not be contracted with all insurance companies offering plans in your area. Working with a local agent that is licensed to represent multiple carriers is ideal. With plans changing from year to year there could be a better choice for you in terms of cost and coverage. Your agent should check whether your doctor, hospital, preferred pharmacy and other providers are considered in network. Also, some Medicare agents focus on selling only supplemental insurance, or Medigap. Those policies help you with copays, deductibles and other out-of-pocket expenses, and can only be paired with original Medicare. While this might be the option for you, you wont know if your agent doesnt check. Work with an agent that represents both Medicare Advantage and Medigap plans to be aware of your options.

There are federal and state laws governing agents who sell Medicare plans, which prohibit things such as them showing up uninvited at your house or trying to lure you with a cash offer. They also cannot legally charge you a fee to process your enrollment, as agents are compensated through commissions from the insurance carriers they represent. Make sure you are working with a licensed agent. Unlicensed volunteers can cause you issues if they help you choose and enroll in a plan and there is a mistake. They arent held accountable like a licensed agent would be, because it appears as if you enrolled on your own, rather than with assistance. They may not receive the same training as licensed agents or be aware of plan nuances and features, because they do not receive carrier to agent communications. If you feel you enrolled in the wrong plan, contact an agent to see if you qualify for a special enrollment period to correct the situation. Your agent should be well-versed in Medicare matters and be able to assist you in applying for Medicare Savings Reimbursement, Extra Help and pharmaceutical assistance programs.

Editors Note: This article was submitted by Jolynn Allen. Jolynn is an Agency Principal with AIS Medicare & More, and may be reached at 970-651-1551 or by email at alleninsuranceservices@comcast.net

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