Understanding Medicare Eligibility in Illinois, Indiana, and Wisconsin
Medicare is a program administered by the Centers for Medicare and Medicaid that offers health insurance to people 65 and older.
When approaching or reaching 65 years of age, you can register for Medicare Parts A & B online or at your local Social Security Office. In order to purchase either a Medicare supplement plan or Medicare Advantage plan, both components must be obtained: Medicare Parts A and B.
Turning 65 and Medicare
Whether you are still working or have retired, becoming eligible for Medicare is a significant milestone. Now is the time to review your benefits and take appropriate action.
Employers typically provide drug and medical coverage to their employees. If you have employer-based benefits and continue working past 65, Medicare Part B coverage may not be required; however, if you accept Medicare Part B but defer enrollment until after age 65, it’s often wise to accept Medicare Part B and defer enrollment until you retire for good.
An independent Medicare broker like a member of the ChicagolandMedicare.com team can assist you in understanding all your options and selecting a plan that meets your individual requirements.
People turning 65 may be encouraged to enroll in Medicare Advantage Plans. These plans offer a cost-effective, comprehensive solution including prescriptions and hospital stays. Furthermore, they provide transportation as well as stipends which cover any out-of-pocket expenses. Chicagoland Medicare agents can assist you in selecting the most suitable plan.
Signing Up for Medicare Parts A and B in Indiana, Illinois and Wisconsin
If you don’t already have Medicare, you can sign up for it when you’re 64 at your local Social Security office or online. In order to do so, please bring proof of your birth certificate, identity and citizenship.
When you sign up, you’ll then need to purchase additional Medicare insurance coverage to supplement and fill in the gaps Original Medicare doesn’t cover.
You can remain “Bare-with-Medicare” and simply add an additional standalone prescription drug plan to Original Medicare Parts A and B.
However, most people purchase additional medical coverage on top of Original Medicare Parts A and B and D in order to save money and improve their healthcare coverage.
Purchase a Medicare Advantage Plan
When signing up for Medicare, you have two choices: Original Medicare or a private Medicare Advantage plan.
Many people opt for a Medicare Advantage plan because it is simpler to understand and use. You may also get prescription drug coverage and vision coverage included in a Medicare Advantage plan, with some even providing allowances towards over-the-counter supplies.
Some Advantage plans offer a $0 premium, which can save you money.
Medicare Advantage plans have a limited network of providers, so you cannot see other physicians or hospitals. Some procedures may need prior authorization as well.
To determine if Medicare Advantage is suitable for you, speak to an independent insurance agent like one of the professionals here at Chicagoland Medicare. They can assist in determining if this type of plan will benefit your lifestyle.
Purchasing a Medicare Supplement Plan in Illinois, Indiana and Wisconsin
Medicare Supplement (Medigap), also referred to as Medigap plans, are private insurance policies that cover out-of-pocket medical expenses that Original Medicare does not cover. They are standardized across almost every state; thus, almost all supplemental insurers offer the same basic policy.
In order to purchase a Medicare Supplement Plan, you must have Medicare Parts A or B as well as an independent Medicare Part D plan.
If you wish to “consume” your Medicare coverage by purchasing a Medigap or Medicare Supplement plan, it is recommended that you purchase one within six months after reaching 65 and enrollment into Medicare Parts A and B. In this way, any pre-existing conditions won’t prevent coverage being denied.