Medicare Handbook

Contents
CHAPTER 1: How and When to Sign up for Medicare (Initial Enrollment
Period)………………………………………………………………………………………………………..1
CHAPTER 2: Terms ………………………………………………………………………………….4
CHAPTER 3: 4 Parts of Medicare Original Medicare ………………………………..7
CHAPTER 4: Advantage Plans vs. Medigap Plans…………………………………….9
CHAPTER 5: Only 4 Medigap Plans are worth it…………………………………….12
CHAPTER 6: Enrollment Periods……………………………………………………………15
CHAPTER 7: Prescription Drug Plans (“Part D”)……………………………………18
CHAPTER 8: Vision, Dental, and Hearing Plans …………………………………….20
CHAPTER 9: Pricing of Medigap Plans…………………………………………………..22
CHAPTER 10: Average Costs of Medigap Plans……………………………………..25
CHAPTER 11: Trial Rights (Very Important) ………………………………………….27

CHAPTER 1:
How and When to Sign up for Medicare
(Initial Enrollment Period)
his section serves as a detailed guide for individuals aged 64 and
older, elucidating the crucial steps in the Medicare enrollment
process. Special considerations are extended to those under 65 and
disabled.
Getting Started
1.1 Initiating the Process
The first step emphasizes initiating the Medicare enrollment process
through the Social Security Office rather than directly through
Medicare. By choosing this route, individuals ensure that they navigate
the complexities of Medicare with the assistance and guidance of the
Social Security Administration.
1.2 Scheduling an Appointment
Planning ahead is key. Readers are encouraged to schedule an
appointment with their local Social Security Office 4-6 months before
their 65th birthday. This strategic timeline allows for a smooth
transition into Medicare and ensures that any potential issues or
questions are addressed in a timely manner.
1.3 Enrollment Options
Enrollment can be done through the Social Security Administration’s
official website, ssa.gov, or via a phone call. This flexibility
accommodates different preferences and accessibility needs, providing
individuals with options suited to their convenience.
T
2
Automatic Enrollment for Social Security Beneficiaries
1.4 Seamlessly Transitioning
Social Security beneficiaries aged 62-64 receive automatic enrollment
in Medicare Part A and B. This means that as individuals approach
their 65th birthday, the Medicare coverage seamlessly begins, aligning
with their existing Social Security benefits.
1.5 Example Scenario
A practical example is presented to illustrate the automatic enrollment
process. If an individual turns 65 on June 13, 2023, and has been
receiving Social Security benefits since the age of 62, their Medicare
coverage initiates on June 1, 2023. This timeline clarification aids in
better understanding the seamless transition from Social Security to
Medicare.
Postponing Medicare Part B
1.6 Strategic Decision-Making
Individuals with existing, cost-effective medical coverage at the age of
65 are given the option to postpone enrolling in Medicare Part B. The
provision is particularly beneficial for those covered under employerbased insurance with 20 or more employees.
1.7 Importance of Postponing
The narrative underscores the significance of this strategic decision,
emphasizing that it ensures the preservation of initial enrollment status
for Medicare Supplement and Part D plans. This means individuals can
delay Medicare Part B without facing penalties, ensuring they can
maintain comprehensive coverage without unnecessary financial
burdens.
3
In summary, this chapter guides individuals through the initial steps of
the Medicare enrollment process, providing insights and strategic
considerations to make informed decisions tailored to their unique