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Are You Currently Enrolled in Medicare Parts A & B?

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What is Medicare Parts A & B?

Medicare Parts A & B is a federally-run Medicare coverage program that covers basics, like medical and hospital services. You must have both Parts A & B to move forward with Medicare Advantage or Medicare Supplement plans.

How do I get Medicare Parts A & B?
Around your 65th birthday, you may be automatically enrolled in Medicare Part A. To get Medicare Part B, you must call your local Social Security office and actively enroll.

If you are under 65, you may still be eligible for Medicare if you have a disability.

Medicare Part A coverage:
This is a federally-run Medicare coverage program that covers various types of hospital services and procedures. There is usually no premium required for Medicare Part A.

Medicare Part B coverage:
This is also a federally-run Medicare coverage program that covers various medical needs and services. Premiums normally accompany Medicare Part B, as well as deductibles and copayments.

Important: You must have the basics of Medicare – both Parts A & B – before you can explore Medicare Advantage and Medicare Supplement options.

What are Medicare Supplement Plans?

Medicare Supplement plans can provide you with additional Medicare coverage to fill in gaps from Medicare Parts A & B. These supplemental plans help cover out-of-pocket expenses.

Who should get Medicare Supplement Plans?

Medicare Parts A & B have proven to be important coverage for many eligible individuals. Unfortunately, Medicare Parts A & B does not cover everything, including certain out-of-pocket expenses, including deductibles, copayments, and coinsurance.
Many low-income individuals can get help with these out-of-pocket expenses through Medicaid. For all other Medicare enrollees, Medicare Supplement plans can help address these health-related costs.

Medicare Supplement plans help cover many of these out-of-pocket costs, and they are offered by private health insurance companies and regulated by the federal and state governments.

What are Medicare Advantage plans?

Medicare Advantage plans are offered by private insurance companies and must cover the same benefits as Medicare Parts A & B. Many Medicare Advantage plans may offer low copayments and cover benefits and services not covered by Medicare Parts A & B.
Some plans may also include prescription drug coverage. These plans are referred to as Medicare Advantage with Prescription Drug (MAPD) coverage.

What are the Different Types of Medicare Advantage Plans?

  • Medicare Health Maintenance Organizations (HMOs)
  • Preferred Provider Organizations (PPO)
  • Private Fee-for-Service Plans (PFFS)
  • Medicare Special Needs Plans (SNP)

A specific Medicare Advantage plan’s service area determines who is eligible to enroll in that specific plan. Aside from Special Needs Plans, which can be limited in their enrollment of certain group of beneficiaries, plans are required to allow all eligible Medicare beneficiaries residing in a plan’s service area to enroll.

Are you eligible for Medicare Advantage?

Once you have Medicare Parts A & B, you typically will be eligible to enroll in a Medicare Advantage plan. You must choose a Medicare Advantage plan in your service area.

What is Medicare Prescription Drug Coverage?

Medicare Prescription Drug coverage – also known as Medicare Part D – provides individuals with the prescription drug coverage that fits their needs and budget.

Everyone with Medicare Parts A & B has the option to choose a Medicare Prescription Drug plan. To get Medicare Part D, you must join a plan run by a private insurance company approved by Medicare. Each Prescription Drug plan can vary in cost and drugs covered.

Who is eligible for Medicare Prescription Drug Coverage?

Only individuals who do not already have creditable prescription drug coverage and who do have Medicare Parts A and/or B can get Medicare Part D.

People who are eligible for Medicare who also have creditable prescription drug coverage can generally keep that coverage without a penalty; they can then decide to enroll in Medicare Prescription Drug plan at a later date.

However, if you do not have creditable prescription drug coverage and you do not get Medicare Part D when first eligible, you may be required to pay a late enrollment penalty once you do decide to get a Prescription Drug plan.

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GoHealth is a licensed and certified representative of Medicare Advantage [HMO, PPO and PPFS] organizations [and stand-alone prescription drug plans] with a Medicare contract.  Enrollment in any plan depends on contract renewal.   •   This information is not a complete description of benefits. Contact the plan for more information.   •   Limitations, copayments and restrictions may apply.   •   Benefits, premiums, and member cost-share may change on January 1 of each year.   •   You must continue to pay your Medicare Part B premium.   •   A Private Fee-for-Service plan is not Medicare supplement insurance. Providers who do not contract with our plan are not required to see you except in an emergency.   •   This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.   •   Medicare has neither reviewed nor endorsed this information.   •   Not connected with or endorsed by the U.S. government or the federal Medicare program.   •   Humana Inc. and its subsidiaries (“Humana”) do not discriminate on the basis of race, color, national origin, age, disability, or sex. English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call Toll Free: 1-877-493-9307 TTY Users: 711 Hours: 7 days a week 8 a.m. – 8 p.m.  •   Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al Toll Free: 1-877-493-9307 TTY Users: 711 Hours: 7 days a week 8 a.m. – 8 p.m.  •   繁體中文 (Chinese): 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 Toll Free: 1-877-493-9307 TTY Users: 711 Hours: 7 days a week 8 a.m. – 8 p.m   •  Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and in some states to those under age 65 eligible for Medicare due to disability or End Stage Renal disease.   •   Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.   •   Legislation: If you are already a member of a Medicare Advantage plan, you are not allowed to purchase a Medicare Supplement policy. You also cannot have prescription drug coverage under a Medicare Supplement policy and a Medicare Part D plan at the same time.    •    Y0040_MULTIPLAN_GHHJQU7EN_ACCEPTED  •   Last Update 9/26/2018