News & Articles Category: Medicare

Medicare Part B provides services including tests, shots, and screenings. These preventive measures provide a snapshot of your health and well-being. Coverage also includes counseling that helps seniors make more informed decisions with lifestyle choices.

Tests

One-time “Welcome to Medicare” preventive visit

Diabetes

Glaucoma

Prostate and colorectal cancer screenings

Pelvic Exams

Pap Smears

Bone mass measurements

Sexually transmitted infection testing

Yearly wellness visit

Flu, Hepatitis B, and Pneumococcal shots

Screenings

Multiple cancers

Hepatitis C

Diabetes

Depression

Obesity

Alcohol

Cardiovascular

HIV

Counseling

Alcohol

Obesity

Sexually transmitted infections

Tobacco use cessation

Nutrition therapy

 

 

 

 

 

 

 

References:

https://www.medicare.gov/coverage/preventive-and-screening-services.html

MUC17-2016-BCBS

News & Articles Category: Medicare

If you’re turning 65 in Illinois soon, you will be able to enroll in Medicare, a federally funded program that provides hospital and medical insurance to seniors. For most, enrollment is automatic. Transitioning to Medicare can be confusing. Take a few minutes to become familiar with the coverage and cost of Medicare.

Part A

Part A is free for most people as long as you receive Social Security or Railroad Retirement benefits, you don’t need to do anything and your Medicare card will be sent to you by mail.

Part B

A Part B premium will be deducted from your Social Security payments each month. In 2024, the standard premium is $174.70

Enrollment

When you first become eligible, you enter what is called your Initial Enrollment Period. This is a 7-month period of time beginning 3 months before your birthday month, and extending 3 months after your birthday month. This is the time to enroll in Medicare or enhance coverage with additional benefits. If you delay, you may have to wait until the General Enrollment Period (Jan 1- Mar 31) of the following year and may also be charged a Part B late enrollment penalty.

Additional Benefits

Medicare covers much of your health care, but it doesn’t cover everything. It’s up to you to decide if you want to supplement coverage with additional benefits. Understanding your options will make it easier. Medicare Advantage (Part C) enhances Medicare by delivering all of your Parts A, and B, coverage and extra benefits. You are responsible for paying a monthly premium as well as the Part B premium. Medicare does not provide coverage for prescription drugs. Two ways to get benefits, join a Part D plan, or a Part C plan that already includes prescription coverage.

 

 

 

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References:

https://www.medicare.gov/sign-up-change-plans/get-parts-a-and-b/when-sign-up-parts-a-and-b/when-sign-up-parts-a-and-b.html

https://www.medicare.gov/supplement-other-insurance/medigap/whats-medigap.html

Cost of Part B: https://www.medicare.gov/your-medicare-costs/part-b-costs/part-b-costs.html

MUC47-2017-BCBS

News & Articles Category: Medicare

Medicare is divided into parts, which are differentiated by letters of the alphabet. If you will be turning 65 shortly, take some time to understand Medicare Part A and B what it covers, and the costs involved.

Part A

Part A provides hospitalization coverage, including hospital stays, skilled nursing facility care, home health care (skilled nursing, physical therapy), and hospice care. For most individuals, Part A is free, there is no charge for coverage as long as you meet a few requirements. As long as you are a permanent resident of the United States and you or your spouse paid Social Security taxes while employed, enrollment is automatic. There are deductibles and co-insurance that you are responsible for.

Not Covered

Private room

Personal care items (shampoos, toothpaste, etc.)

Television, phone charges

First three pints of blood

24-hour home care

Meals and homemaker services not related to treatment

In-home personal care (bathing, dressing, etc.) 

Part B

Part B covers expenses that are necessary to treat or prevent a disease or condition. Fees that occur outside of room and board while in the hospital are those related to diagnostic testing, preventative care, and supplies needed to diagnose or treat. Fees for visiting the doctor are also included. Part B also provides coverage for many tests and screenings. The standard monthly premium for 2024 is $174.70 (or higher depending on your income). Most people who get Social Security benefits pay this amount.

Not Covered

Elective and cosmetic surgery

Alternative medicine – acupuncture, homeopathy

Vaccinations and immunizations

Prescription and Non-Prescription drugs

General dental work, dentures

Long term care

Hearing aids and exams for fitting

Eye examinations for prescribing glasses

Out-of-Pocket

There are out-of-pocket costs associated with Medicare, deductibles, coinsurance, and copays. Many seniors choose to supplement coverage to cover costs. You do not have to accept Part B, and you may opt-out by signing the back of your card and returning it by mail. If you are still working and receiving coverage from your spouse or through an employer, accepting Part A, but delaying Part B may make sense.

Enrollment

Typically, the best time to enroll in Part A and B Is when you are first eligible, during your Initial Enrollment Period. Unfortunately,  If you do not qualify for Part A and need to enroll for Part B and miss your enrollment, you may have to wait until the General Enrollment Period, Jan 1-Mar 31, with coverage starting on July 1. 

Penalty

if you don’t enroll in Part B at this time, you will be responsible for a penalty for each 12-month period you were eligible for but didn’t enroll. A 10 percent penalty will be reflected in your premium and will continue for as long as you receive benefits. If you have coverage through your spouse, you may delay enrollment without a penalty. You may be eligible for a Special Enrollment where you won’t be charged a penalty. If you are subject to the penalty, in addition to a premium increase, you may have to wait until January (General Enrollment Period) to enroll for coverage that begins in July. The monthly rate for Part B is based on your income.

Effective Dates

In the event you have not enrolled automatically and choose to enroll in Medicare yourself, effective coverage dates vary based on the month you sign up. If you sign up during your Initial Enrollment Period (the 7 months beginning 3 months before your 65th birthday and ending 3 months after your 65th birthday) effective start dates are shown below.

The same month you turn 65, coverage begins 1 month after you enroll.

1 month after you turn 65, coverage begins 2 months after you enroll.

2 months after you turn 65, coverage begins 3 months after you enroll.

3 months after you turn 65, coverage begins 3 months after you enroll.

 

 

Get a Quote

 

 

 

 

 

 

 

 

 

References:

https://www.medicare.gov/sign-up-change-plans/decide-how-to-get-medicare/whats-medicare/what-is-medicare.html

https://www.medicare.gov/sign-up-change-plans/get-parts-a-and-b/when-how-to-sign-up-for-part-a-and-part-b.html

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