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The ABC's and D of Medicare

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Insurance Center of New England's Beyond Benefits is providing this reference as general information only.  It is not intended to be legal advice. 
Volume IIIOctober/2011
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With numerous people in the workforce continuing to work at or after age 65, there are many questions about the choices you have to make in regards to Medicare. 

 

Medicare is a federal health insurance program for people 65 years of age or older.  Many people get Medicare confused with Medicaid.  Medicaid is a state and federal program that provides coverage for people with a limited income.

Medicare has Many Parts

Part A

  

If you qualify for Medicare and you are age 65, you are eligible for Part A.   You must enroll in Part A at least 3 months prior to your 65th birthday.  

 

Part B

Part B is optional until you are no longer working and have no access to a employer sponsored health plan.  It primarily covers your office visits, outpatient hospital care and more.  The monthly premium that changes from year to year is relatively low.  There is a penalty if you do not enroll in Part B when you stop working or lose your medical plan.  The penalty is equal to 10% of the monthly rate.

 

Part C

Part C is also optional.  C is typically referred to as Medicare Advantage which provides health plan options like an HMO.  These plans cover ALL Medicare Part A and Part B benefits.  Medicare Advantage may also offer additional benefits such as vision, hearing, dental and wellness programs.   You are eligible to enroll in a Medicare Advantage plan if you are entitled to Part A and enrolled in Part B and live in the Medicare Advantage Plan's service area.   
 
 

Part Dmedicine

This prescription offering is also an option.  Medicare offers prescription drug coverage through private companies.  There are two ways to get Medicare Part D coverage: 1. Stand alone Prescription Drug plans and 2.  Medicare Advantage Part D.

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Another consideration at age 65 is if you are still actively working and covered on a Qualified High Deductible Health plan with a Health Savings Account (HSA) and enrolled in Medicare Part A or applied for Social Security benefits, you can no longer be eligible to contribute to the HSA.  You still may remain enrolled in the health plan.

Insurance Center of New England, Inc. is a regional independent insurance agency providing full-service commercial and personal insurance protection and group employee benefits programs.  Based in Agawam, MA as Insurance Center of New England, Inc. and in Gardner, MA as Heritage Insurance Agency, we have satellite locations in Chelmsford, Danvers,
Boston, Fitchburg, Lowell, Orange and Winchendon.