Resources

Below you will find a list of resources that we try to keep updated. Because we’re so immersed in Medicare, we are focused on keeping up with changes and developments, and sharing our knowledge with you! If you think you know something we don’t – please share and we’ll pass it on!

2 IMPORTANT TIPS FOR MEDICARE APPLICATION

When it comes to navigating the complexities of Medicare applicHeadlineation, being prepared can make all the difference. Whether you’re about to turn 65 or you have a qualifying disability, understanding the process can help ensure a smooth experience. Here are two important things to consider:

1. When approaching the eligibility age for Medicare (65), it’s crucial to apply for Part A and Part B three months before your birthday month. This timely application ensures your Medicare coverage will move forward without any delays. If you don’t fully understand the specific services and treatments that fall under Medicare’s standard of care, you should have a conversation with your doctor.  

2. Medicare costs are actually coming down in 2023, so to get accurate and up-to-date information about the changes, consult with a Medicare professional as soon as possible. Staying informed about the updated costs can help you make informed decisions and effectively manage your health care expenses.

How to apply for Medicare:

How to set up a Medicare Drug Plan:

  • Go to Medicare.gov
  • Click on “Create an Account” and create an account for yourself
  • Enter the requested Medicare information
  • Once you’ve created an account, have a username/password, and updated your drugs – let me know

How to appeal an increase in Part B Medicare premium (IRMAA):

  • Google, SSA-POMS-IRMA Sliding Scale Table to see income and additional premiums.
  • Google, SSA-Poms-Life Changing Events to determine if you have a basis to appeal.
  • Google, Form SSA-44 to complete your appeal.
  • Google, SSA.gov-locations to find the address of your local Social Security office and fax or mail your appeal.

Clients report drug discounts:

  • GoodRX.com and Canadian Pharmacy offer Estradiol at lower prices than drug plans
    • PS: If you have found a way to save money on drugs let me know and I will pass it on!

Looking for Lower Drug Prices?

  • Talk to your doctor about getting a different & cheaper drug.
  • Talk to your doctor about working with a drug company to get a cost break.
  • See if you can find the drug at a lower price outside Medicare at:
    • If you have a UnitedHealthcare Medicare Supplement. Call 800-523-5800 and ask about their discount card- Denegra.
    • GoodRX.com
    • Rite Aid drug card.
    • Drug savings card at CVS-Target-Walgreen/SingleCare.com/rx-1-844-234-3058
    • Wellness Pharmacy (Los Gatos) 408-356-4848
    • Now RX (located in Mountain View) 650-386-5761
    • Healthwarehouse.com. Search drug options
    • Canadian Pharmacy 1-877-849-0015
    • Northwestpharmacy.com 1-866-539-5330
    • GeniusRX.com
    • SingleCare.com

If you are leaving an employer-based plan and have Part A and need to add Part B:

Go to SSA.com and follow the prompts to add Part B. If you have Part A, complete the application or download forms CMS-408 and CMS L564 at SSA.gov-complete and take them to the local Soc.Sec.  office and sign up for Part B in person.

GREAT ARTICLE / RECOMMENDATION

I’ve come upon a comprehensive article that outlines lower-priced drug options that I’m happy to send to you. Forward an email to me and I will send it along to you…or click HERE.
garymedplan@gmail.com

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