Get to Know Medicare What is Triple-S Advantage Medicare is the federal government's health insurance For people over 65 years old For disabled people of any age The Medicare coverage is divided into four parts Original Medicare part a Covers hospitalization, hospice services, skilled nursing services, and home health care. part b Helps pay outpatient medical services. Also covers laboratories, ambulance services, emergencies, durable medical equipment, and diagnostic services, such as lab tests and x rays. Medicare Advantage part c Covers all the benefits of Original Medicare and offers additional benefits, such as eyeglasses, dental care, and hearing aids. In most cases, it also covers prescription drugs. Drugs part d This is the prescription drug coverage included in many Medicare Advantage plans. Medicare Advantage includes all the benefits of the original Medicare plus additional health care benefits so you can enjoy greater wellbeing. Additional benefits with Medicare Advantage Prescription Drugs DentalServices Eyeglasses Blood Pressure Monitor Alternative Medicine Wellness Programs Hearing Aids OTC Transportation Access to TeleConsulta, our 24/7 health care hotline TeleConsejo, our hotline for emotional support Get more health care for less Make it easier on your pocket with Copay $0 Fixed amount of cost-sharing with the plan Coinsurance $0 Percentage of costs shared with the plan Deductible $0 Amount you pay before the plan starts paying With Original Medicare, you pay the deductibles and coinsurancesMedicare Advantage covers those annual deductibles What you need to do to have a Medicare Advantage plan In order to enjoy the excellent benefits of Medicare Advantage (Part C), you must first be a beneficiary of Medicare Part A and B. A Part A- Hospital Insurance If you’re already receiving Social Security, you get it automatically and at no cost as soon as you turn 65 years old.If you do not have Social Security:- You must enroll 3 months before your 65th birthday.- You or your spouse must have contributed to the Social Security for 10 years or 40 quarters B Part B- Medical Insurance You must enroll during the Initial Enrollment Period, which spans 7 months: 3 months before turning 65 years old1 month – Your birthday month!3 months after the month you turn 65 years old If you do not enroll during this period: You will have to pay a late enrollment penalty fee, so your Part B premium will be higherYou have the option to enroll from January 1 to March 31, with coverage starting on July 1 Remember: You mus have A and B before C! C Parte C- Medicare Advantage Once you receive Part A and enroll in Part B, then you can become a MA plan (Part C) affiliate. These are the dates when you may enroll: Initial period Affiliation for new Medicare (Parts A and B) beneficiaries Annual Election Period (AEP) Open enrollment from October 15 to December 7 Coverage starts the January 1 of the following year Special Enrollment Period (SEP) If you have a 5-star plan For people who move to Puerto Rico If you lose your group coverage Platinum (Medicare and Medicaid) beneficiaries may change once every 3 months Open Enrollment Period (OEP) Enrollment from January 1 to March 31 Allows 1 change, within the first 3 months of the year, to another Medicare Advantage or Original Medicare plan STOP MEDICARE FRAUD Stop it now! Download El ABCDario deMEDICARE Download here
