Page 56 - November 2023 Issue.indd
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above numbers for a free and safe   Know that Advantage is not original
                                               enrollment period.                Medicare. Original Medicare is run by
                                                                                 the federal government and includes
               Spot                            Federally funded program designed to   purchases a Supplemental, or “Gap”,
            Senior          Extra Help (Low Income Subsidy) is the               “A”,” B”, & “D”. Generally, one also
                                               keep Medicare prescription drug costs
                                                                                 policy through private insurance
                                               down.  It caps the cost of generic and
                                               Brand-named drugs and prorates the   providers to pay for the “A” Hospital
                                                                                 coinsurances and “B” 20% copays
                    Senior Moments             cost of the annual Part D deductible   associated with original Medicare.
                     by Mary Moran             and monthly Part D premium.  Th ose   Those who have worked for 10 years,

              410-479-2535 or 410-490-3078     who receive Extra Help will receive an   or 40 quarters, do not pay a premium
                                               “Evidence of Rider” notice from the   for part “A” (admitted patient hospital
            With fall comes Open enrollment! It   plan they are enrolled in. Th is Evidence   coverage).  The monthly premium for

            began October 15th and runs through   of Rider letter must be taken to the   Part “B” (all outpatient medical care)
            December 7th. The clock is ticking,   pharmacy as proof that one is receiving   generally comes off the top of one’s
            folks!  Contact Mary Moran for forms   Extra Help. Otherwise, they will pay the   monthly social security benefit. The
            to simplify the process for you!   full plan price for their medications.  coverages for some services and certain
                                                                                 drugs covered under “B” expanded
            Open Enrollment is the opportunity   For those whose income is too high for   in 2023, and more expansions will be
            for Medicare beneficiaries in original   Extra Help, now is the time to sign up   added in 2024.   Part “D” (prescription

            Medicare to do the annual checkup on   for the Maryland Senior Prescription   drug coverage) establishes a set
            their current prescription drug plan   Drug Assistance program and get up   monthly premium for the year. The
            for changes in 2024. It is important   to $75 per month paid toward your   “D” premiums change each year. Th e
            to evaluate your medication tiering   prescription drug premium!
                                                                                 “D” premium for original Medicare
            changes, premium and drug cost                                       coverage is paid from one’s Social
            changes, and pharmacy statuses since   Medicare Advantage is health coverage
                                               which is contracted out to Private   Security Check, can be paid directly to
            these all change every year.

                                               Health Care Systems by CMS, the   the plan by the beneficiary, or is paid
            Anyone who needs assistance and    Center for Medicare and Medicaid   through Extra Help or SPDAP.
            information about their current and   Services.  Advantage is what you see   Advantage is run by private health
            future drug plan options, the state’s   being heavily advertised on television,   care companies who want your
            SPDAP program, federally funded    radio, the internet, and is what fl oods   business and spend a ton of money
            Extra Help, alternative health care   your mailboxes with paper advertising   nationally advertising the perks of these
            through Medicare Advantage, or     in the Fall. They largely refer to   corporate plans. Because it is a national
            enrolling in Original Medicare and   themselves only as Medicare, which   advertising blitz, the information is
            Medicare Savings Plans, should call   can cause confusion for those seeking a   generally not specific to local coverage,

            your local SHIP, Mary Moran, at the   way to cut Medicare costs and increase   so one must be very careful when
                                               coverage.
                                                                                 deciding to go with Advantage. Know
                                                                                 that Advantage coverage is based on
                          TURNING 65?                                            regional territories. Most Advantage

                                                                                 plans only cover certain counties, and
               Confused about all the Medicare Terms & Options?                  it is most successful in highly populated
                                                                                 areas. Since Caroline County is rural,
                                   Let Me Help You!
                                                                                 you must be sure the plan will actually
                                                                                 deliver the advertised coverage in the
                                                                                 county you live in. It is very important
                          Anthony Insurance Services                             that beneficiaries contact each and every

                                                                                 one of your doctors, local diagnostic
                          Ann M. Anthony                                         facilities, and hospitals of choice, to
                                                                                 confirm that they accept the plan you

                                                                                 are considering.
                    Specializing in Medicare Supplemental Plans,
                  Medicare Advantage Plans, Medicare Part-D Plans,               Most, but not all, Advantage plans
               Dental and Vision, Long Term Care, and Life Insurance             include prescription drug coverage.
               Call Ann Today for an Appointment 410-708-0899 • anthonyins17@gmail.com  There is usually a separate monthly
                           22850 Fleming Road, Denton, MD 21629                  premium for the drug coverage within

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