KEMPTON FINANCIAL GRP LLC
5322 Land O Lakes Blvd
Land O Lakes, FL 34639-3411
Tel: (813) 995-2821
Veteran Owned Business Serving the Insurance Needs of Individuals, Seniors, and Businesses in Tampa Bay since 1999!
What is Medicare?
Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).
There are four parts to Medicare – Parts A, B, C and D:
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Medicare Part A = Hospital Insurance - Inpatient Hosptial Stays, etc.
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Medicare Part B = Medical Insurance - Oupatient Services; i.e. Doctor Visits, etc.
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Medicare Part C = Medicare Advantage Plans - HMO, PPO, PFFS, MSA, Costs Plans, Medicare/Medicaid
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Medicare Part D = Medicare Prescription Drug Coverage
We Help YOU Navigate
the Complexities of Medicare...
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We know firsthand that choosing the right Medicare coverage can be complicated and frustrating. To get the most affordable coverage for your specific healthcare needs, trust KEMPTON FINANCIAL GRP LLC to Help You.
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We Help You Navigate the Complexities of Medicare Advantage Plan choices in your local area and compare them to traditional Medicare.
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We Analyze plan coverage and provider options to meet your individual preferences.
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We Help You easily understand costs such as premiums, co-pays, and coverage limits
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Finally we Simplify the confusing process of enrolling in a Medicare Advantage Plan, Medicare Supplement Insurance Plan or Medicare Prescription Drug coverage.
Medicare Enrollment Periods
2022 Annual Enrollment Period (AEP)
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October 15 – December 7
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Anyone can make a change during this time
MA Open Enrollment Period (OEP)
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January 1 – March 31
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Limited to Medicare Advantage enrollees
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Can make a one-time election to leave current plan and switch to another Medicare Advantage plan or Original Medicare
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Can add or drop Part D coverage
Initial Enrollment Period (IEP)
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For people turning 65 or who are otherwise first eligible for Medicare benefits 7 month window begins 3 months before your birth/eligibility month and ends 3 months after
Special Enrollment Period (SEP)
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In certain special cases, as defined by Centers for Medicare & Medicaid Services, people may enroll in a Medicare plan outside of regular enrollment periods
You don’t need to sign up for Medicare each year. However, each year you’ll have a chance to review your coverage and change plans.
Getting Started with Medicare
Sign up for Medicare through Social Security
If you're over 65 (or turning 65 in the next 3 months) and not already getting benefits from Social Security, you need to sign up to get Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). You won't get Medicare automatically.
Apply for Medicare Online @ SSA.gov
If you already get benefits from Social Security, you'll get Medicare Part A and Part B automatically when you're first eligible and don't need to sign up. Medicare will send you a "Welcome to Medicare" packet 3 months before you turn 65. You'll still have other important deadlines and actions to take, so read all of the materials in the packet. (If you live in Puerto Rico, you'll only get Part A. If you want Part B, you need to sign up for it.)
There are 2 main ways to get Medicare coverage:
1. Original Medicare – Includes Part A and Part B. You can use any doctor or hospital that takes Medicare, anywhere in the U.S.
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If you want drug coverage, you can join a separate Medicare Prescription Drug Plan (Part D).
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To help pay your out-of-pocket costs in Original Medicare (like your 20% coinsurance), you can also shop for and buy supplemental coverage like a Medicare Supplement Insurance (Medigap) policy.
Medicare Supplement Insurance Plans (Medigap):
AARP Medicare Supplement Insurance Plans from UnitedHealthcare Insurance Company
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AARP Medicare Supplement Insurance Plan - PRESENTATION - FLORIDA
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Aetna Medicare Supplement Plans - FLORIDA
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Humana Medicare
If you don't get Part D or a Medigap policy when you're first eligible, you may have to pay more to get this coverage later. For Part D, this could mean a lifetime premium penalty.
2. Medicare Advantage – An "all in one" alternative to Original Medicare. These "bundled" plans include Part A, Part B, and usually Part D. Most plans offer extra benefits that Original Medicare doesn't cover – like vision, hearing, dental, fitness memberships, over-the-counter-items and more.
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Plans may have lower out-of-pocket costs than Original Medicare.
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In most cases, you'll need to use doctors who are in the plan's network.
Have you heard of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)?
Here is what you need to know:
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MACRA makes changes to all carriers’ Medigap policies that cover the Part B deductible for newly eligible Medicare Beneficiaries on or after January 1, 2020.
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Medicare supplement plans C and F, which cover the Medicare Part B deductible, will no longer be offered to individuals newly eligible for Medicare as of January 1, 2020, or later. This means that anyone turning 65 on or after January 1, 2020, will only be able to purchase plans C or F if they have a Medicare Part A effective date prior to 2020.
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Medicare supplement plans C and F will continue to be available for individuals eligible for Medicare prior to January 1, 2020. Therefore anyone who turns 65 before January 1, 2020 may continue to enroll in or keep plans C or F.
Plan G may be a great option for newly eligible Medicare Beneficiaries after January 1, 2020
AARP® Medicare Supplement Insurance Plan G, insured by UnitedHealthcare® Insurance Company, covers the same benefits as Plan F with the exception of the Medicare Part B deductible.
Looking for additional MACRA information?
You may also view the Fact Flyer HERE.