Episode Transcript
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0:02
Welcome to Money Matters , the podcast
0:04
that focuses on how to use the money you
0:06
have , make the money you need and
0:08
save the money you want .
0:10
Now here is your host , Ms Kim
0:12
Chapman . Welcome to another
0:15
edition of Money Matters . I am your host
0:17
, Kim Chapman . Are you , or someone
0:19
you know , new to Medicare and want to better
0:21
understand the basics ? Well , today
0:23
, hopefully , we will make Medicare seem
0:25
a little bit easier . My guests
0:27
today are John Stockwell and Jennifer
0:30
Lindsey , with Stockwell Insurance . They're
0:32
here to explain the ins and outs just
0:34
really the basics so that you or your
0:36
loved one can be a little bit more comfortable
0:38
as you transition into
0:40
this new experience . So welcome
0:43
, John and Jennifer . Thank you for having us .
0:44
Yes , thank you , Kim .
0:46
All right . So , John , give us a little bit about
0:48
your history . You have Stockwell
0:50
Insurance . What do you do ?
0:52
I'm a resident of Batrush , Louisiana
0:54
. I've been licensed in insurance business
0:56
since 2005 . I
0:59
dove into Medicare 2011
1:02
. So this is my 12th year . We
1:04
help about 2,000 clients locally
1:06
. We have a local office on Perkins
1:09
near Blue Bonnet , very easy to get to
1:11
. We also do home visits
1:13
and office visits as well .
1:15
Okay , and Jennifer , what is your ?
1:17
role , my role . I am an administrative assistant
1:19
for John , as well as licensed agent . Also
1:21
, I am licensed to help sell Medicare
1:24
life insurance . We also do group
1:26
insurance as well .
1:28
Well , I tell you I definitely want
1:30
to learn today . I mean , I still have a little
1:32
time left , just had a birthday and it's
1:34
amazing because you know , one minute it
1:37
seems like retirement and Medicare
1:39
is a lifetime away and the next thing you
1:41
know , it's like , okay , it's time , Maybe I sit up
1:43
and pay attention . So let's just kind of cover
1:45
the basics . What is Medicare ?
1:47
So Medicare , it is the national insurance
1:49
program . It provides health coverage for
1:51
senior citizens who and it
1:53
was originally started just for seniors who
1:56
may be like lacking that proper health insurance
1:58
coverage . It's administered through the Social
2:00
Security Administration and regulated
2:02
through CMS , which is the center of Medicare
2:05
and Medicaid services .
2:06
So who is eligible for Medicare ? Who out
2:08
there should be listening and really paying attention
2:10
to what we're discussing today .
2:13
Anyone 65 and older is eligible , as
2:15
well as some individuals with
2:17
certain disabilities also may qualify . You
2:20
do have to live in the US continuously
2:22
for five years and be a US citizen , and
2:24
if you are disabled , you could
2:27
qualify if you have a 24-month qualification
2:29
disabled period .
2:30
Okay , and how would one even find out if
2:32
they're not 65 , what would
2:34
be the process of them even trying to find
2:37
out if they qualify for a disability ?
2:39
So for somebody that is disabled
2:41
it has to be a government mandated
2:44
disability . Typically you have
2:46
to have an attorney involved . That's a pretty
2:48
tedious process . Once
2:50
you get approved , you can start drawing
2:52
a Social Security benefit and
2:54
for 24 months is your time
2:57
period , from the time you are deemed
2:59
disabled by the government to the time you
3:01
can start your Medicare .
3:03
And you hit that magical age 65
3:06
, but I've seen the books and that's
3:08
what really makes me concerned . It's like it looks
3:10
like an encyclopedia when it comes
3:12
to Medicare . So really , how early
3:14
should somebody start really planning and
3:16
learning about Medicare , the ins and outs
3:18
, because I feel like if I don't understand it at 55
3:21
, how much more am I going to understand it when it's
3:23
time at 65 ?
3:25
It's definitely never too early to start planning
3:27
and getting some general information when it comes to
3:29
Medicare . The more you know , the better prepared
3:31
you'll be as far as when
3:33
you do start to get to that 65th
3:35
birthday , you do have an actual open enrollment
3:38
period . That is a seven-month window
3:40
. You have three months before
3:42
you turn 65 , your birth month and
3:44
three months following your birth month as well as your
3:46
birth month . So the better prepared
3:49
you are , the more proactive you can be
3:51
as far as trying to decide your Medicare options
3:53
.
3:54
So if I have private insurance , do
3:56
I need Medicare ?
3:58
So if you're on a group plan
4:00
that is credible coverage you
4:02
do not have to take Medicare . Yet
4:04
Now most people that have paid into the system
4:06
qualify for Medicare Part A automatically
4:09
, with no premium . So you can go
4:11
ahead and apply for Medicare Part A , which covers
4:13
inpatient hospital care , and
4:16
you'll just be double covered . You'll have your group
4:18
policy and if you go in the hospital
4:20
you also have Medicare Part A to help pick up those
4:22
costs .
4:23
Okay , Now part
4:25
A , and I've heard part B , C , D
4:27
, all the way to Z . Can you maybe break down a little
4:29
bit those different parts ?
4:31
Yes . So part A , that's going to be typically
4:33
covering some of your hospitalization cost
4:36
, and then you do have part B , which
4:38
would be covering more of your medical cost
4:40
or doctor visits , treatment plans
4:42
, diagnostic testing , and
4:46
then you do also have part D , which
4:48
is your prescription drugs , and part
4:50
C , which would be a Medicare Advantage
4:52
plan and that's kind of an all in one plan
4:54
where you can also decide whether you want dental
4:56
vision , hearing , just
4:58
different benefits like that . To roll it all into one
5:01
plan for you .
5:03
And so of course we know the word cover is pretty
5:05
broad , so maybe can you give us a better explanation
5:07
. Would there be deductibles
5:10
, or is you know ? How would I know you
5:12
know ? Can I rest assured that ? Hey , if I have part
5:14
A and I go in the hospital , what would I
5:16
have to come out of pocket ? Or would I have to come out of pocket
5:18
anything , or is it going to vary from individual
5:21
to individual ?
5:22
So for Medicare part A , if you
5:24
have just original Medicare and you do
5:26
not have a Medicare supplement plan or
5:28
Medicare Advantage plan , you do have a deductible
5:31
that covers the first 60 days After
5:33
today 60 , you have a per day
5:36
copay at the hospital . For
5:38
part B , you have a small deductible
5:40
and once you hit your deductible you pay
5:42
20% of the rest of your charges . There
5:45
is no maximum amount of pocket on original
5:47
Medicare . That's what's always beneficial
5:49
to look at some options like a Medicare supplement
5:52
plan or Medicare Advantage
5:54
plan . So there is a stop
5:56
loss there . Once you hit a certain
5:58
max out of pocket you don't have any more out of pocket
6:00
cost for your Medicare .
6:02
And does that vary from person to person or what
6:04
is that amount ?
6:05
So it does depend on the plan , not
6:07
technically person to person , unless you
6:09
do have Medicaid . If you have full
6:11
Medicaid benefits and Medicare
6:14
, we can get you a plan with
6:16
zero dollar co-payments , no max out of
6:18
pocket . There's a lot of more fringe benefits when
6:20
you do have a low income .
6:22
And what about the cost for Medicare
6:24
?
6:24
So Medicare Part A if
6:27
you put in your 40 quarters , there
6:29
is no premium there . And Medicare Part
6:31
B this year is $164.90
6:35
, is the base premium . That can be
6:37
reduced based on your income and it can also
6:39
be increased based on your income
6:41
. So I'll just do a little tidbit
6:43
here . If you're a single person and
6:45
your income was above $97,000
6:48
two years prior to
6:50
getting on Medicare , you're going to have
6:52
to pay extra money . If it
6:54
was above $194,000 as a married couple
6:57
, there's going to be income related
6:59
adjustment there as well and it can
7:01
be pretty substantial . It's a stair step
7:03
and it can get above $600
7:05
per month extra that you would be
7:07
paying for your Medicare Part A , B
7:10
and D , depending on your income .
7:12
And I imagine of course those numbers that cost
7:14
is going to change over the year . So while maybe
7:17
$164.00 today , next year it could
7:19
be a lot higher , because things
7:21
never get cheaper , right .
7:22
Right . Yes , cms does actually
7:25
kind of recalculate that premium
7:27
based on inflation , so it can go
7:29
up each year .
7:30
So is there anything as a working
7:32
individual now that I can do to offset
7:35
the cost of Medicare ? You
7:37
know , 10 , 20 years down the line .
7:39
So , as a working individual , being
7:41
that they're looking back two years at your
7:43
income , that's something to think about
7:45
, trying to stay under that bracket
7:48
. Another thing is we do have a form
7:50
that you can fill out once you retire , stating
7:52
that you do not work anymore and
7:55
you're retired and that your income is lower
7:57
now , and that can also
7:59
reduce the cost out of pocket for your Medicare
8:01
premiums .
8:02
And what about for individuals ? You know , there are those
8:05
that hey say I don't want to retire , I'm
8:07
going to work forever and they have
8:09
coverage . What happens , or what does their
8:11
scenario look like in terms of having
8:13
to get Medicare ?
8:15
Okay , so a working individual
8:17
? As long as they have credible group coverage
8:19
, they will not have to enroll
8:22
in Medicare and they will not have any penalties
8:24
.
8:25
So they don't have to do it no , ma'am . But
8:27
if they do , is it where that premium
8:29
? I think maybe earlier we kind of talked
8:31
about this a little bit that that Medicare
8:33
of the part A would be at a zero premium
8:35
for them .
8:36
Correct , it would just be like a double , double
8:38
coverage . Right . I would always recommend enroll
8:41
it in Medicare Port A because you're not going to have to
8:43
pay anything extra to have the extra insurance
8:45
with Medicare Now Port B
8:47
. If you enroll in Port B and your
8:49
income's high , they can charge extra
8:52
money . So as long as you have credible
8:54
group coverage , I would recommend
8:56
enroll it in Port A and
8:58
delaying Port B .
9:00
Okay , so we got the A's and the B's , so
9:02
let's kind of break down the C's and the D's
9:04
.
9:04
So D would be your prescription drug plan
9:07
. You do . If you're staying with original
9:09
Medicare , which is just your part A and part
9:11
B , you do have to enroll into a separate
9:14
prescription drug plan , which would be your part D
9:16
. Or you can go with a part
9:18
C option , which would be a Medicare Advantage
9:20
, where you would have your part A , part B and part
9:22
D all covered into one plan
9:24
.
9:25
And so tell us a little bit about how beneficial
9:27
the prescription is . Just yesterday I
9:29
was listening to the news and they were talking about
9:31
a new drug coming out for
9:33
patients suffering from Alzheimer's . Of
9:35
course , the catch 22 is that to
9:38
have this medicine , they were saying , it would cost you
9:40
$26,000
9:42
a year . I not
9:44
even want to remember that I'd have to pay that much
9:46
. So how can the Medicare
9:48
part help with costs that are that
9:50
high ?
9:52
So on Medicare prescription drug
9:54
plans you do get an allowance
9:56
for your drugs and it's the total
9:58
cost of each medicine that you fill . It's
10:01
not your cost out of your pocket but the actual
10:03
drug cost . So medicine it's
10:05
$26,000 . That
10:07
would eat up your initial coverage limit
10:10
which is $4,660
10:12
. Once you exhaust the initial
10:15
coverage limit you go into an
10:17
area called the coverage gap where
10:19
you pay 25% until
10:21
your out-of-pocket cost in
10:24
the manufacturer discounts equals $7,400
10:27
and then you pay 5% . So
10:29
that's also pretty unaffordable for
10:31
a drug that's $26,000 . The
10:34
manufacturers of most name brand
10:36
drugs do offer what we call a patient assistance
10:39
program and we do help apply
10:41
for that for our clients . A lot of times
10:43
we can get the drugs sent out to you from the manufacturer
10:46
to $0 cost .
10:47
So , of course , when I see commercials on
10:49
TV , you know there are so many different
10:52
insurance companies that offer
10:54
Medicare services . What is the
10:56
difference ? What are the different options ? Why would I choose
10:58
your company over another company
11:01
, or this group plan over another group plan
11:03
?
11:03
So the reason we have and
11:06
do what we do here locally is we
11:08
do house calls . We'll meet you at your
11:10
house , at your work . You can come by the office
11:12
. We have a local presence here and
11:15
we take the ball from applying
11:17
for Medicare , applying for Social Security
11:19
benefits , all the way to customer service after
11:21
you enroll into a plan . We
11:24
educate you and we help you make your
11:26
own decisions .
11:27
Okay , at age 65
11:29
, you mentioned , I could do it as early as three
11:31
months before or three months after . What does the
11:33
process look like in terms of enrolling
11:36
for Medicare ?
11:37
So you would need to . Well , if you are
11:39
already drawing your Social Security
11:42
benefits , you should automatically be enrolled
11:44
into your party in Part B whenever you do
11:46
turn 65 . If you're delaying
11:48
your Social Security benefits and you would need
11:50
to proactively enroll , which can be done
11:53
through the Social Security website , through
11:55
calling Social Security or in person , you
11:57
can also visit a local agent who would
11:59
help you enroll into that process
12:01
.
12:02
And is it a lengthy process ? Is it just a simple
12:04
form that I fill out ? What ? Can you walk
12:06
us through some of the steps .
12:08
It's just a form you fill out and you do turn into
12:10
Social Security . It does take a couple weeks to process
12:12
, so that's kind of why you want to be a little proactive
12:15
and not wait until your actual 65th
12:17
birthday . Do it as soon
12:19
as you can so that way it has
12:22
plenty time to process their Social Security .
12:24
And the easiest way is
12:26
to go online to ssagov
12:29
, that's the Social Security Administration , and
12:32
if you scroll down just a little bit , you'll see
12:34
apply for benefits and you can apply for Medicare
12:36
.
12:37
And of course we've got to think about too at 65
12:40
. Most of our 65s are not very tech-savvy
12:42
, so are there options to
12:44
actually do a paper application , or is that when
12:46
that benefit would be to have you come
12:48
out to the house and help us complete those papers ?
12:51
We do it all for you . You call us , we come to
12:53
the house . I actually did one this morning . Took
12:55
me about 15 minutes . We did our Social Security
12:58
benefits and her Medicare application and
13:00
she'll be processed in approximately two weeks
13:02
.
13:03
Are there any scenarios , at least when you
13:05
reach the age 65 , that someone could be denied
13:07
from Medicare ?
13:08
If they have not worked enough quarters , they
13:10
can be denied from Medicare .
13:12
And can you elaborate on , maybe , how many quarters
13:14
that would be ?
13:15
Yes , it's 10 years . It's 40 quarters
13:17
to qualify for Medicare . You can also
13:19
draw off of a spouse that's
13:22
put in enough quarters as well .
13:23
And if I don't meet either one of those qualifications
13:26
, do I have any other options ?
13:28
You can still enroll in Medicare , but you're going
13:30
to have some very large premiums
13:32
for part A and part B .
13:34
So we talked about enrollment and
13:36
so you said three months before
13:38
, three months after . So it's not
13:40
based on January to February or
13:42
January to March , it's just three months before
13:44
I make 65 and up to three months after
13:47
I make turn 65 . Is that correct ?
13:48
Right , it's not based on a calendar year . It is
13:51
based off of your birth month , so the
13:53
month you turn 65 .
13:54
I'm missing my head , because it seems like I always see
13:56
commercials that say , hey , you're running out of time , you're
13:58
running out of time . So I thought that maybe it was just
14:01
a time span , like you know , january
14:03
to March or something like that , but
14:05
it's based specifically on your birthday .
14:07
It is based on your birthday . Now there are other
14:09
enrollment periods . If you decide that
14:11
you are going to continue to work and you
14:13
are covered by an employer group plan
14:15
once you leave that employer group plan
14:18
, then you do have other enrollment options
14:20
you have when leaving your employer
14:22
group plan . You actually have an eight month period
14:24
to enroll into a Medicare program once you leave
14:27
that plan .
14:28
And what happens if I don't enroll .
14:30
If you don't enroll you will be faced with some penalties
14:32
. For part B , you can be faced
14:35
with a 10% penalty In part
14:37
D , your prescription drug , if you don't enroll into
14:39
that . It's also a penalty that gets calculated
14:41
every month .
14:42
So are there any exceptions to that rule ? Because , again
14:44
, I imagine at age 65 , that's when we
14:46
start to forget a couple of things
14:48
here and there . So are there any
14:50
waivers ? If you can , just you
14:53
know , have a good explanation for not filling
14:55
it out .
14:55
So for to , I guess , wave
14:58
a penalty , you would have to have low income
15:01
. That's pretty much the only way
15:03
to get those penalties waived . If you
15:05
just don't have credible group coverage
15:07
, you're just enrolling two
15:09
years later , haven't had any insurance
15:12
, you'll have penalties there . You'll have the
15:14
10% penalty per year for Medicare
15:17
part B , and that you pay that
15:19
the rest of your life , and then for
15:21
part D , your drug , it's 1% per
15:23
month that you do not have the drug coverage
15:25
and that is also paid the rest of your life
15:27
. So to get a penalty waived
15:30
it would be low income . It's
15:32
the only way we can really get that done .
15:35
Okay , so we've covered the things
15:37
like the majors the part A hospitalization
15:39
. Part B your
15:41
doctor visits . Part D
15:44
prescriptions . So C
15:46
, fill in a gap for me .
15:48
So your part C . Well , you do have
15:50
an option . If you want to stick with original
15:52
Medicare , which would be your part A and your part B
15:54
, and then adding a prescription drug , you
15:56
can also do what's called a supplement plan
15:59
, or metagap some call it , and
16:01
that is just adding a little bit additional
16:03
coverage to kind of fill in those gaps that
16:05
may not be covered through your part A or part
16:07
B . But you also have an option
16:09
of doing a Medicare Advantage plan , and
16:11
that's going to just be one plan
16:13
geared towards whatever fits
16:15
your needs . You can also add dental vision
16:18
, hearing , and just have one particular
16:20
plan that covers all of those benefits all
16:22
in one .
16:23
So I wouldn't have an A , B , C or
16:25
D , it would be one plan
16:27
, just be called the plan , and then
16:29
it would cover all of my needs . Right it
16:31
would be your plan . Okay
16:34
, well , that sounds a little bit better , because it sounds really
16:36
really complicated when you hear A , b , c
16:38
, b , all these different parts . How often
16:41
do the rules for Medicare change ?
16:43
They typically change . If any changes
16:45
are made , it's done annually and it usually starts
16:47
at the beginning of that next calendar year
16:49
.
16:50
And what happens if you're on a plan and
16:53
it becomes too much of a financial burden
16:55
? What are your options then ?
16:58
You can always reevaluate different plans . There's
17:00
different enrollment periods . Every
17:02
year you have an annual enrollment period
17:05
where you can make changes to the specific
17:07
plan . You might be on Different
17:09
things change in life as far as your income
17:11
status , different medical needs , so
17:14
that's something that can always be reevaluated
17:16
and changed at particular times in the year .
17:19
Well , you've definitely made it sound easy , so I'm
17:21
still just picturing this big encyclopedia
17:23
. What pieces are we missing ?
17:25
So if you read through that entire Medicare
17:28
handbook it's a few hundred pages
17:30
, probably 150 pages long . It's
17:33
just really elaborating what
17:35
we're simplifying . So you read
17:37
through there and it's more wordy
17:39
. We try to keep it simple and easy and we
17:41
try to do the hard work for you and
17:44
we try to condense it to make it make
17:46
sense . Okay .
17:48
So I have a couple of myths because , again , you know I
17:50
walked into this session with a lot of myths
17:52
about Medicare that you've already cleared up
17:54
, but there are a couple more . So it says Medicare
17:57
plans are only available through the federal
17:59
government .
18:00
So Medicare is offered
18:02
through the federal government . The extra
18:05
insurance policies , such as drug
18:08
plans , which is your part D , medicare
18:10
supplement plans and Medicare Advantage
18:13
plans , which is your part C , those
18:15
are offered through private insurance companies
18:17
, but they are regulated by the federal government
18:20
. Okay , all right .
18:22
It says Medicare covers all of your expenses
18:24
. All is such a subjective
18:27
word right .
18:28
So Medicare does cover all
18:30
of your medically necessary expenses
18:32
. They do not cover cosmetic
18:35
. They do not cover hearing
18:37
, dental or vision . Those are extra benefits
18:39
that you can pick up with a Medicare Advantage
18:42
plan or , if you do go with a Medicare
18:44
supplement plan and a standalone
18:46
drug plan , you can pick up a individual
18:49
vision , dental or hearing plan
18:51
.
18:52
So I have a question Do the supplement
18:54
so that vantage plans and because they're offered
18:56
by different insurance companies , will that what's
18:59
offered vary from company to company
19:01
? Or would it just be the cost that varies from company
19:03
to company ?
19:04
So it's not only the cost . Each plan
19:06
has their own co-payments , their
19:08
own benefits , their own allowances
19:11
, so you do have to shop around and
19:13
make sure , first of all , that your doctors and
19:15
your prescriptions are covered . Each
19:17
plan has their own network of doctors , so
19:19
it's very important . These are the first two things we ask
19:22
when we're evaluating a client
19:24
is what are your doctors , what
19:26
medicines are you taking currently ? And
19:28
we go from there and it kind of weeds out
19:30
some of the plans right off the bat .
19:32
Okay , here's another myth If your spouse
19:35
is enrolled in Medicare , you are automatically
19:37
enrolled too .
19:38
No , medicare is an individual
19:41
plan by the government , so each person
19:43
has their own Medicare plan . So if your
19:45
husband is making 65 and you're 58
19:47
, you do not qualify for Medicare
19:49
yet you have to qualify either through age
19:52
or disability .
19:53
Now it says Medicare will notify
19:56
me when it's time to enroll .
19:59
Medicare does send out some paperwork . Most
20:01
of it gets thrown away , and that's because you're
20:03
going to get paperwork from 200
20:06
different entities wanting your business
20:08
. They make the marketing
20:10
very similar to what Medicare official
20:13
mail looks like . So you got
20:15
to really keep your eye out and make sure it's from
20:17
ssagov , which is Social Security
20:19
, or CMSgov or
20:22
Medicaregov . If it doesn't say
20:24
those three things , or one of those three
20:26
things on the front of the envelope
20:28
, you need to disregard it , unless
20:31
you are looking for somebody to help you .
20:34
So are you able to maybe even explain
20:36
what type of Medicare fraud is out there ? As you
20:38
mentioned , you want to make sure you're looking for something
20:40
that's specifically Medicaregov . What
20:43
type of fraud should I listen to especially
20:46
our seniors be looking for
20:48
or be aware of so that they're not scammed ? What type
20:50
of scams exist ?
20:51
So there is an endless
20:54
list of fraudulent
20:56
activity that goes on . First and foremost
20:58
is the phone calls . You're going to get
21:00
somebody calling you saying they have a better
21:03
plan for you . They're not going to look
21:05
up your doctors or your meds and they're just going to
21:07
enroll you in next month or
21:09
whatever month they enroll you for . If your
21:11
doctors aren't on there and you go see
21:13
them , you're going to get bills and you will be responsible
21:15
. So make sure you do not do
21:18
business on the phone and if you
21:20
do , make sure they're checking everything
21:22
and doting eyes and crossing the T's
21:24
. The second one they have phishing
21:26
emails and ads on Facebook
21:29
, so you need to be very careful . If
21:31
you click it's called clickbait you click on
21:33
there , they'll collect your information
21:35
. Sometimes they'll enroll you without your permission
21:37
. And the third is through
21:39
the mail . That's another big one . They're
21:41
going to send mailers out and if you fill out one
21:44
of the response cards , they
21:46
can get you that way as well . It's
21:49
always best to have somebody local that you
21:51
know and trust , that has a building
21:53
in town that you can go to , and
21:56
you just have a local contact
21:58
.
21:59
So if I do find that I was scammed and we'll talk
22:01
, we'll go with the first one that you mentioned that
22:03
maybe I enrolled in it and
22:05
then I found out later that
22:07
my doctors weren't covered . How difficult
22:10
or how easy is it to undo that
22:12
and maybe get into a more legitimate plan
22:14
that is customized to the doctors
22:16
that I want to see and the medication that I'm
22:18
on ?
22:19
It's a pretty tedious process . First
22:22
of all , if you do get scammed in
22:24
that regard , the first thing you want to
22:26
do is call Medicare and
22:29
file a complaint that's the first
22:31
thing and tell them that you were misled . We
22:33
can also help with that process
22:36
. We can also help you get into the correct
22:38
plan . Here in Louisiana we
22:40
do typically have what we call a special
22:43
election period for disaster , either
22:45
rain related , hurricane related
22:47
, wind related , and so throughout
22:50
the year we do have certain time
22:52
periods where we can change your plan , and
22:55
this year it's been pretty much the whole
22:57
year and last year as well . So
22:59
if you give us a call we can look
23:01
it up and see if we can put you back
23:03
on the correct plan . Also , with
23:06
the advantage plans , if
23:08
somebody enrolls into an advantage
23:10
plan that does not cover their doctors
23:12
and their medications , like they were told over
23:15
the phone or through the mail or through an email
23:17
, we can go ahead and get
23:19
that taken care of for you for the next month
23:21
with a five star rated Medicare
23:24
Advantage plan . So there are a couple
23:26
options in town where Medicare
23:28
has rated the plan a five star and
23:31
that gives them a 12 month ongoing
23:33
election period . So you
23:35
can enroll in those plans anytime during
23:37
the year . There's no set enrollment
23:39
period there .
23:41
What would you say are the best resources
23:43
for somebody that's listening but they still want
23:45
to learn more ? What are some good , legitimate
23:48
resources that are available for
23:50
people to learn more about their options
23:52
for Medicare ?
23:54
So , for Medicare , if you want to go
23:56
online and do research , you have Medicaregov
23:59
, and you also have Social Security
24:01
, which is the ssagov
24:04
. We're always available to answer questions
24:07
. We're very knowledgeable . We have
24:09
quite a few agents here in town that
24:11
are ready to assist .
24:13
Do you recommend any type
24:15
of webinars , or do
24:17
you even offer , you know , for example
24:20
, a workshop where seniors could go and learn more
24:22
?
24:22
So every Wednesday at our local office
24:24
on Perkins Road we do a seminar
24:27
at 10 o'clock in the morning , and that's every Wednesday
24:29
and it's ongoing .
24:31
Okay , good information , All
24:33
right . A couple more myths I want to go over before
24:35
we wrap up . This one says I can't
24:37
sign up for Medicare because I have poor
24:39
health , which I imagine . When you become a senior
24:41
, you have something pre-existing
24:43
by that time .
24:45
So with a pre-existing condition , when
24:47
you're getting on Medicare , there are no health
24:50
questions asked . With a Advantage
24:52
Plan going forward
24:54
, there are no health questions asked . With
24:57
a supplement plan a Medicare supplement if
24:59
you don't enroll during your initial
25:01
election period , you have a six month window
25:04
with no health questions . After that , a
25:06
Medicare supplement plan can underwrite
25:08
you and ask health questions .
25:10
Or Medicare . This is another one . Medicare Advantage
25:13
Plans and Medicare Supplement
25:15
Plans are the same thing .
25:17
No , they're not the same thing . Like we
25:19
said , medicare Advantage is going to kind
25:21
of cover all of your Part A , part B
25:23
and Part D costs into one particular
25:26
plan . A supplement plan
25:28
just kind of fills in those gaps . That's separate
25:30
from your Part A , part B and Part D
25:32
. It's a separate plan that just kind
25:34
of helps fill in some gaps that may not have been covered
25:36
.
25:37
Just to piggyback on , jennifer a supplement
25:40
plan is a secondary insurance
25:42
, so you would have Medicare as your primary
25:44
and a supplement plan is a small deductible
25:47
and then covers everything at
25:49
100% that is covered under original
25:51
Medicare . An Advantage Plan
25:53
is a Medicare replacement plan
25:55
, so Medicare would pay the Advantage
25:58
Plan and whatever private insurance
26:00
company you choose for your Advantage
26:02
Plan would administer your
26:04
doctors and your hospitals and your
26:07
drugs . They're your go-to . Now You're
26:09
not going to be dealing with Medicare
26:11
at that point . You'd be dealing with your private insurance
26:13
company .
26:14
So I'm a planner by nature , always looking
26:16
ahead , planning . Is there
26:19
a point where somebody can come in , let's say
26:21
well before 65 , let's just say at age
26:23
60 , just to sit down and look and say
26:25
, okay , if I were
26:27
turning 65 tomorrow , what would
26:30
it look like for me , so that they can kind of
26:32
plan for the future in terms of what
26:34
their Medicare costs would look like if
26:36
they want to start preparing for supplement
26:39
insurance ? Or is an advantage plan going
26:41
to be right for them ? Is that something that
26:43
you would even recommend , or is that
26:45
even an option ?
26:46
We do that often . We sit down with folks
26:48
that are not Medicare eligible and
26:51
just kind of do a what-of scenario
26:53
and that way whenever they
26:55
get eligible , they kind of already know
26:57
what plan's going to work best for them .
26:59
And is there a particular age that you even recommend
27:01
that ? I mean , would it , is it only worth
27:03
it if you're really really close to 65
27:06
, or would somebody 60 or 55 even benefit
27:08
, just to give them a real good general idea
27:10
of what's to come ?
27:12
I think 55 is a little bit early , but
27:14
60 to 63 is a good time
27:16
to really start thinking and gathering information
27:19
.
27:19
Okay , well , I want to thank you guys
27:21
for joining me . Please let our listeners
27:23
know if they want to learn more information
27:26
or maybe be able to attend one of those
27:28
Wednesday sessions . How can they reach ?
27:30
you . Yes , so our office
27:32
is located on Perkins Road and a
27:34
phone number that can be reached is 225-400-4300
27:38
.
27:39
And is there a website ?
27:40
We do have a website . It's wwwstockwellinccom
27:45
.
27:46
And our physical address is 10859
27:50
Perkins Road , Sweet Sea
27:52
, Baton Rouge , Louisiana , 70810
27:55
. All right .
27:56
Well , thank you , john . Thank you , jennifer . I
27:58
think I feel a little bit better , but thank God
28:00
I've got a little bit more time , so you
28:02
won't see me for a while . Yes , very good
28:04
, all right , thank you .
28:05
You're very welcome , thank you .
28:12
As you just heard , there is an unlimited set
28:14
of resources available for you to learn about Medicare
28:16
, but here are some key tips that you want to take
28:18
away . Start planning early
28:21
. Remember you can enroll up to three
28:23
months before your 65th birthday
28:25
. If you're still
28:27
confused , consider attending one
28:29
of those free online or in-person classes
28:32
to learn more about the ABCs and
28:34
D of Medicare . You can
28:36
always talk to your Benefits Administrator
28:38
, but be sure to compare your coverages
28:40
. And finally , check out neighborsfcuorg
28:44
For slash financial education to
28:46
learn more on how to use the money you have , make
28:49
the money you need and save the money you
28:53
want .
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