Page 1 - Cover Letter and Medicare Evaluation for Andrea Masters

January 21, 2022

Mrs. Andrea Masters
156 Stone Church Rd.
Ballston Spa, NY 12020

Dear Andrea:

Your Medicare evaluation is enclosed. In most cases, the estimated costs shown in the
evaluation are for the full year. That will give you an idea of your annual spending -- even
though you will be enrolled in Medicare for only nine months this year. These estimated costs
include the standard Part B and Part D premiums, but individuals with higher incomes may pay
more, as explained in the attachment to this letter.

Now that you have enrolled in Part A and Part B, you can choose your supplemental coverage.
Ideally, you should enroll in your supplemental coverage about one month before your
Medicare enrollment becomes effective. That way, you’ll receive your enrollment card(s) for
the supplemental coverage before April 1. You indicated that you would like to see comparisons
of both types of supplemental coverage. Depending on which type you choose, your enrollment
steps are as follows:

If you decide to enroll in a Medicare Advantage plan, you will need to call the plan and
let the representative know that you want to enroll effective April 1. The two Advantage
plans in your evaluation both include Part D coverage, and if you enroll in either of these
you will also be getting Part D. These plans’ enrollment phone numbers are shown on
pages 2-4 of the evaluation.

If you decide to get a Medigap policy, you’ll need to do the following:

1) Choose the Medigap plan you want (Plan G, Plan N, or another plan);

2) Look for an insurance company that has low premiums for the Medigap plan that
you want and sign up for a policy, with an effective date of April 1. The phone
numbers for the companies that sell Medigap policies are listed in Appendix B2.

3) Enroll in a stand-alone prescription drug plan (PDP). Even though you do not take
any prescription drugs, you must have Part D coverage or else you may be
subject to late-enrollment penalties.