Search Results

Michael T. Braden August 25, 2025 MEDICARE 101 WHAT IS MEDICARE You may find yourself asking, What is Medicare? Medicare is a federally run health insurance program for Americans aged 65 and over or those who meet specific eligibility criteria. In this article, we take a closer look at the Four Parts Of Medicare. Picture of a Wooden Dice with Question Marks on all sides and a Heading "What Do The 4 Parts Of Medicare Cover? Medicare consists of four parts. However, additional options are available for those who want a higher level of coverage. Medicare can be confusing if you are not adequately educated. That is where we come in. Below, we review the four parts of Medicare and how they work together to provide healthcare coverage. DEFINITION OF MEDICARE Medicare is defined as federal health insurance for people 65 or older, those younger than 65 with disabilities, and those with amyotrophic lateral sclerosis or end-stage renal disease. Original Medicare, consisting of Part A and Part B, is the original Medicare program. These parts are inpatient hospital coverage and medical coverage, respectively. Additionally, Medicare Part C and Part D provide benefits to help Medicare resemble group or employer coverage. Medicare Part C may include dental or vision coverage, whereas Medicare Part D provides prescription drug coverage. Medicare is the most widely used health insurance program for individuals aged 65 and older. If you are nearing eligibility, it is essential to understand what Medicare is and how its four parts work. However, Medicare does not cover everything. You may need to enroll in additional plans to obtain full coverage. THE FOUR PARTS OF MEDICARE WHAT IS MEDICARE PART A? Braden Medicare: What Is Covered Under Medicare Part A Poster Medicare Part A is inpatient hospital insurance. This part of Medicare covers some of your hospital, inpatient nursing facility, and hospice costs. When you enroll in Medicare Part A, you are responsible for paying a per-occurrence deductible and daily copays after meeting the deductible. For most, Medicare Part A has a $0 monthly premium. You qualify for a zero-premium if you have worked at least ten years paying Medicare tax in the United States. Otherwise, you must pay a monthly premium. This premium can be as high as $518 per month in 2025. WHAT IS MEDICARE PART B? Medicare Part B is medical insurance. This part of Medicare covers your doctors’ visits, procedures, and treatment while you are in the hospital. Part B of Medicare covers two types of services: preventive and medically necessary. Additionally, Medicare Part B covers durable medical equipment that may be needed to manage health conditions. Braden Medicare: What Does Medicare Part B Cover Poster Medicare Part B requires you to meet an annual deductible before you receive coverage. Once you meet your deductible, Medicare Part B will cover 80% of your cost, and you are responsible for the remaining 20%. There is no maximum out-of-pocket amount for Medicare Part B, which means there is no cap on your costs. Unlike with Medicare Part A, you must pay your Medicare Part B premium every month, regardless of how long you paid Medicare taxes while working. The standard monthly Medicare Part B premium for 2025 is $185.00. However, this may be higher depending on your adjusted gross monthly income. Medicare Part B covers all of your healthcare outside of the hospital. This includes physician visits, physical therapy, laboratory tests, durable medical equipment, and other related expenses. Medicare Part B has an annual deductible of $257 in 2025. After you meet the deductible, all of your remaining Part B costs are covered by Medicare. Please refer to the chart below to see what is covered under Medicare Part B. WHAT IS MEDICARE PART C? Medicare Part C is otherwise known as Medicare Advantage. Private insurance companies that are approved by Medicare offer Medicare Advantage plans. If you enroll in Medicare Part C, it will become your primary coverage over Original Medicare. Braden Medicare: What Is Medicare Part C Poster Medicare Advantage plans combine Medicare Part A and Part B coverage with additional benefits to provide you with an all-in-one plan. However, carriers offering these plans have the authority to choose the co-payments, deductibles, and maximum out-of-pocket limits. Additionally, Medicare Part C may provide coverage for hearing, vision, and dental care, as well as transportation and gym membership. These benefits are not available with Original Medicare. Medicare Part C plans have low premiums – many at $0. However, even with a low monthly premium, you may still incur higher costs with Medicare Part C due to its high out-of-pocket limits and cost-sharing requirements. Additionally, you will still need to pay the Medicare Part B deductible when you have Medicare Advantage coverage. WHAT IS MEDICARE PART D? Medicare Part D is a prescription drug coverage option. This part of Medicare helps cover the costs for medications your physician may prescribe for you to take at home. Private insurance companies approved by Medicare offer Medicare Part C plans. If you have Original Medicare, it is essential to enroll in a Medicare Part D plan to receive prescription drug coverage. If you delay enrollment in Medicare Part D and do not have creditable drug coverage, you may need to pay the Medicare Part D penalt y in the future. The average Medicare Part D plan in 2025 costs $46.50 per month. However, plans are available for as low as $5 in some areas. It is crucial to obtain drug coverage, as we never know when we will require medications to maintain our health. Braden Medicare Medicare Part D Explained Poster ARE MEDICARE SUPPLEMENT PLANS PART OF MEDICARE? Medicare Supplement (Medigap) plans are not an official part of Medicare. However, they are made to be secondary to your Original Medicare coverage. Medicare Supplement plans are federally standardized to match specific criteria. Thus, the same policy, regardless of the carrier, must provide you with the same benefits. Typically, there are 12 standardized Medicare Supplement plans available in most states. However, not every option may be available to you. You must ensure that you meet the qualifications before enrolling. Each plan has its own set of benefits to help you cover your healthcare costs. Because Original Medicare covers only 80% of your costs, Medigap plans fill the coverage gap. Keep in mind that if you enroll in Medicare Part C, you cannot enroll in a Medicare Supplement. Therefore, it is crucial to compare all available coverage options to ensure you select the most suitable one for your needs. Like Medicare Part C, Medicare Supplement plans have a monthly premium that must be paid to maintain coverage. Monthly premium prices can range from $50 to $450, depending on the plan. WHAT IS NOT COVERED BY ORIGINAL MEDICARE? The four parts of Medicare do not cover everything. Medicare Part C can cover many benefits that Original Medicare does not. Services not typically covered by Medicare include: Hearing aids and hearing exams Most dental care/dentures Long-term custodial care Routine eye exams/glasses Cosmetic surgery Acupuncture Routine foot care If you have Original Medicare, you can still enjoy most of these services by enrolling in a stand-alone plan to cover the benefits you desire. MEDICARE ELIGIBILITY & ENROLLMENT IN MEDICARE Not everyone can obtain Medicare coverage. You must meet specific criteria to be eligible for the federal health program. You must meet at least one of the following: Age 65 or older Receive Social Security Disability Income (SSDI) for 24 months. Diagnosed with ALS or ESRD Additionally, you must be a U.S. citizen for at least 5 years. Many people automatically enroll in Original Medicare upon turning 65. Braden Medicare How To Enroll In Medicare Poster However, you may need to enroll in Medicare through the Social Security Administration. If you are not receiving Social Security benefits when you enroll in Medicare, this will be the case for you. You should enroll as soon as you become eligible to avoid future late enrollment penalties. ARE YOU NEW TO MEDICARE? If you are new to Medicare or recently eligible for the federal health program, you should begin by enrolling in Original Medicare. Braden Medicare IEP Poster Typically, those new to Medicare will enroll in Original Medicare upon their 65th birthday. Around this time, you get an Initial Enrollment Period when you can enroll in Medicare Part A and Part B. Remember, enrollment in Original Medicare coverage is not mandatory when you are first eligible – or ever. However, if you do not enroll or have creditable coverage in the meantime, you must pay a penalty if you eventually enroll in Original Me dicare. For most, Medicare Part A has a $0 monthly premium. If you work at least ten years in the U.S., paying Medicare taxes, you will not owe a Medicare Part A premium as long as you have this coverage. On the other hand, Medicare Part B requires a premium for all participants. In 2024, the base Medicare Part B premium is $174.70; it increases to $185.00 in 2025. However, this may increase with your income. Higher earners may need to pay a higher Medicare Part B premium. On the other hand, those with lower incomes may qualify for assistance programs that partially or fully cover their Medicare Part B premium. ABOUT MEDIGAP/MEDICARE SUPPLEMENT PLANS After you enroll in Original Medicare, you have the chance to pair this coverage with a Medicare Supplement plan. Medicare Supplement plans pay secondary to Original Medicare, filling coverage gaps and covering out-of-pocket costs. When you are new to Medicare, you may not understand all the costs associated with Original Medicare. These costs change annually, so it is essential to stay as up-to-date as possible. Braden Medicare Medigap Poster Medicare Part A requires you to pay a per-occurrence deductible and per-day copayments when you stay in the hospital past the allowed number of days. Meanwhile, you must pay an annual deductible and a 20% coinsurance on Medicare Part B. This is where Medicare Supplement (Medigap) plans can provide significant help. These plans help alleviate out-of-pocket costs, making your healthcare more affordable. When you are new to Medicare, you receive a Medicare Supplement Open Enrollment Period . This means that you can enroll in any Medigap plan, regardless of your pre-existing conditions. Your open enrollment window for Medigap is unique to you, but it only lasts six months. Once it is over, you can still enroll in a Medigap plan at any time; however, you will need to undergo medical underwriting. Therefore, it is essential to enroll in a Medicare Supplement plan as soon as you become eligible. It may be your only opportunity. Once you have a Medigap plan, you can receive care from any health professional who accepts Original Medicare. Because benefits are standardized, your carrier does not impact the doctors you can visit. Additionally, you will never require a referral to see a specialist. ABOUT MEDICARE ADVANTAGE PLANS Braden Medicare: What Is Medicare Advantage Poster If you choose not to enroll in a Medicare Supplement plan, the next best option is a Medicare Advantage plan. However, you cannot enroll in both plan types simultaneously. You must only choose one. Medicare Advantage , also known as Medicare Part C, is a comprehensive Medicare plan that offers additional benefits beyond Original Medicare. These benefits may include dental, prescription, hearing, vision, and transportation coverage, as well as gym memberships and other benefits. Enrolling in a Medicare Advantage plan often incurs no additional monthly cost. However, you must still pay your Medicare Part B premium each month. Additionally, these plans frequently have higher maximum out-of-pocket limits. These limits can be as high as $10,000 or more if you go out of network. This coverage type is often more restrictive than Medicare Supplement plans, so more clients tend to enroll in a Medigap plan to save money over time. WRAPPING THINGS UP Hopefully, you now feel more familiar with the different parts of Medicare and what each includes. We understand it can be overwhelming and confusing at first, so we’re here to help you find the information you or your loved ones need. Not only are we an online Medicare learning resource, but we can also help you find the best rates for the above types of coverage! Braden Medicare Business Card For Michael Braden Please don't hesitate to contact us if you have any questions.

Michael T. Braden August 24, 2025 MEDICARE SUPPLEMENT PLANS WHICH MEDICARE SUPPLEMENT PLAN IS BETTER, PLAN N OR PLAN G Inside this article, we focus on the differences between the two most popular Medigap Plans in the US, Medigap Plan G and Medigap Plan N. Braden Medicare Insurance Poster Showing a Full Comparison Between Medicare Supplement Plan G and Medicare Supplement Plan N When comparing Medigap Plan N and Plan G, both offer substantial coverage; however, Plan N has higher out-of-pocket costs. Plan G typically has higher premiums than Plan N, so you want to decide whether you want higher monthly premiums or if you prefer to reduce monthly premiums and pay copayments for specific doctors and emergency room visits. With Plan G, excess charges are fully covered, but with Plan N, you could be responsible for an additional 15% if you see a provider who charges more than the Medicare-approved amount. · When it comes to Medicare Supplement Insurance (Medigap), there are 10 standardized plans and two High Deductible Medigap plans available. Each plan covers specific healthcare costs not included in Original Medicare (Parts A and B). Among these plans, Medigap Plan G and its fellow high deductible version have exploded in popularity since Plan F and High Deductible F went away for newer beneficiaries. Medigap Plan N gained popularity as one of the most sought-after options due to its comprehensive coverage and affordability. However, differences between the G and N can affect your healthcare expenses and your decision about which is more suitable for you. In this article, we’ll compare Medigap Plan G vs Medigap Plan N to help you decide what best suits your needs. MEDIGAP PLAN G OFFERS THE MOST COMPREHENSIVE COVERAGE AVAILABLE WITH PREDICTABLE COSTS Since Original Medicare does not cover all your healthcare services and leaves you with out-of-pocket costs, many beneficiaries purchase additional insurance, such as a Medigap plan, to help with cost-sharing. Medigap Plan G receives praise for its comprehensive coverage. It is a top choice for individuals seeking high financial protection against healthcare expenses. One notable aspect of Medigap Plan G is that it does not cover the Medicare Part B deductible. In layperson’s terms, Plan G pays after Medicare A and B pay, except for the Part B deductible. In 2025, the Part B deductible is $257, meaning you’ll need to pay this amount before Plan G covers your Part B expenses for the year. However, once you pay the deductible, you’ll be covered 100% by Medicare and Plan G for all approved services, leaving you with predictable, minimal out-of-pocket expenses. THESE ARE ITEMS COVERED UNDER MEDICARE SUPPLEMENT PLAN G Medicare Part A Deductible:  Plan G covers the Medicare Part A deductible ($1,676 in 2025), which is the cost you’d typically pay out of pocket before your Medicare benefits kick in. Medicare Part A Coinsurance and Hospital Costs:  Plan G covers Part A copays and coinsurance, and an additional 365 days after Medicare benefits have been used. Medicare Part B Coinsurance and Copayments:  Since Part B pays 80% for approved services, Plan G pays the remaining 20% Part B coinsurance and copayments. Plan G ensures you have little to no out-of-pocket costs for outpatient services like doctor’s visits. Plan G covers the first three pints of blood needed for a medical procedure. If skilled nursing care is needed, Plan G pays the coinsurance for care received in a skilled nursing facility. Plan G covers the coinsurance or copayments for hospice care under Medicare Part A. MEDICARE SUPPLEMENT PLAN N GIVES YOU COST SAVINGS WITH GREAT COVERAGE While Plan G is considered more comprehensive, Medigap Plan N offers a more budget-friendly option for those who prefer to trade a few additional out-of-pocket costs for a lower premium. WHAT IS COVERED BY PLAN N: Like Plan G, Plan N covers coinsurance, deductibles, and additional hospital expenses under Medicare Part A, as well as hospice care, skilled nursing facility care coinsurance, and the first three pints of blood for a medical procedure. Plan N also covers the remaining Part B coinsurance, but you will be responsible for some small copayments in addition to the Part B deductible. THINGS NOT COVERED BY PLAN N: Medigap Plan N has a few cost-sharing features that set it apart from Plan G. Let’s look at what costs you can expect to pay with Plan N: Part B Deductible: You are responsible for paying your Medicare Part B Calendar Year Deductible, which is $257 in 2025. Part B Excess Charges:  Plan N does not cover Part B excess charges. These charges can occur if your healthcare provider charges more than the Medicare-approved amount. In this case, a provider can charge up to 15% more than the allowed amount, and you would be responsible for paying these excess charges yourself. Outpatient Copays: While Plan N offers cost savings by offering lower monthly premiums than Plan G, it also incurs out-of-pocket expenses when visiting healthcare providers. For certain office visits, you may be charged a copay of up to $20; for emergency room visits, a copay of up to $50 may apply. However, for many beneficiaries, these costs are manageable, and the savings on monthly premiums make Plan N an attractive choice. HOW TO CHOOSE WHICH PLAN IS BEST FOR YOU BETWEEN PLAN N AND PLAN G BRADEN MEDICARE INSURANCE 2025 MEDICARE SUPPLEMENT COMPARISON CHART All lettered Medigap plans are standardized, no matter the carrier you choose. Each letter plan has the same medical benefits, regardless of which carrier you choose. REMEMBER THESE KEY FACTS WHEN MAKING YOUR DECISION: Budget:  Plan N may be more budget-friendly if you prefer lower monthly premiums. However, you will share some costs when you receive medical services. Predictable Costs:  Suppose you value predictability in your healthcare expenses and don’t want to worry about copayments or the Part B deductible. In that case, Plan G offers comprehensive coverage with virtually no out-of-pocket costs once you meet the Part B deductible. Part B Excess Charges:  If you want complete protection against Part B excess charges, Plan G covers them. If you live in a state that prohibits Part B excess charges, Plan N could be the choice for you. Rate Increases: Premium increases for Medigap plans are inevitable, but rate changes will vary by carrier. When selecting a carrier, consider the company’s rate-increase history and financial rating. Choose a carrier stable enough to manage claims and one that won’t dramatically increase your premium after one year. DETERMINATING FACTORS Ultimately, the best Medigap plan for you depends on your circumstances and preferences. You should carefully assess your healthcare needs and budget before making a decision. Medigap Plan G and Plan N each offer unique advantages. The choice between them comes down to your financial priorities and healthcare requirements. As a Medicare broker, we can provide expert guidance when comparing Plan G vs Plan N in your area. We strive to make the decision-making process more straightforward. Call us today, and we’ll be happy to help! Approximately 93.7% of all doctors accept Medicare’s fee structure, meaning they accept Medicare. The main subset of doctors who do not accept Medicare are most typically: Pediatricians Psychiatrists Psychologists Naturopathic Doctors Homeopathic Doctors WRAPPING THINGS UP If you prioritize comprehensive coverage and want to minimize out-of-pocket expenses, Plan G may be a better fit. Plan N often has lower monthly premiums compared to Plan G, so if you’re comfortable with sharing some costs like copayments, Plan N may be a better option for you. You can always call your Doctor's office to ask whether they charge Copays for Medicare Supplement Office Visits and how much they charge. Many doctors never charge for this. There are 12 Different Codes Doctors can use for a Copay, which is why it can range from $0 to $20. Over time, Medigap Plan N has had slightly lower premium increases than Plan G. Perhaps the most challenging thing to forecast is what you expect to want for your Healthcare 10, 15, and 20 years from now. If you want the most predictable costs over time, Plan G may be a good choice. However, if you prefer to save $300-$400 per year now, Plan N may be a better value over time.

Michael T. Braden August 25, 2025 MEDICARE ENROLLMENT YOUR FIRST 90 DAYS WITH MEDICARE Getting comfortable with Medicare can feel overwhelming, but knowing what steps to take in your first 90 days can make a significant difference in how well your benefits work for you. Whether you’re just turning 65 or transitioning from employer coverage, this Medicare starter guide breaks down what you should do in the first three months to set yourself up for success. FAMILIARIZE YOURSELF WITH THE MEDICARE INITIAL ENROLLMENT PERIOD (IEP)  The first step in your Medicare education is to understand your Initial Enrollment Period . This is the seven-month window that begins three months before your 65th birthday, your birth month, and the three months after. Enrolling during your IEP means you will avoid late-enrollment penalties and coverage delays . If you’re not sure whether you qualify for automatic enrollment in Medicare or need to sign up manually, it’s essential to check with Social Security or Medicare directly. Some individuals, especially those who continue working past age 65, may delay Part B to avoid paying unnecessary premiums while covered by an employer plan. However, timing is everything. If you miss your IEP and don’t have creditable coverage, you could face a permanent penalty added to your monthly premium. Understanding the IEP not only protects your wallet but also helps ensure a smooth transition into Medicare coverage. CONFIRM WHEN YOUR MEDICARE COVERAGE STARTS After enrolling, it’s crucial to confirm your Medicare start date. You’ll receive a red, white, and blue Medicare card in the mail, which indicates when your coverage begins. This date varies depending on when you enroll in the IEP. Keep this card in a safe place, but also consider making a copy for your records. You can check your enrollment status and coverage start date by creating a Medicare.gov account if you haven’t already. Your coverage start date determines when you can begin using your Medicare benefits. Enrolling during the first three months of your IEP will typically allow your coverage to start on the first day of your birthday month. However, if you wait until your birthday month or the months following, the start date may be delayed. Knowing exactly when your benefits begin ensures you’re covered when you need care, allowing you to schedule doctor visits and obtain prescriptions without interruption. ENROLLING IN THE BEST PLAN FOR YOU Once you’re enrolled in Parts A and B, the next step is determining how you want to receive your benefits. You have two primary options: stick with Original Medicare , which allows you to visit any provider and any hospital in the US, or choose Medicare Part C , also known as Medicare Advantage, which bundles hospital, medical, and often drug coverage into one plan.   Your decision should be based on your current and future healthcare needs, your preferred doctors and hospitals, and your financial situation. Original Medicare offers more flexibility and nationwide access to providers, but it lacks out-of-pocket maximums and comprehensive drug coverage. On the other hand, Medicare Advantage plans often include additional benefits, such as dental, vision, and wellness programs, but may require use of a specific provider network. Carefully compare plan benefits, premiums, provider access, and additional services to determine which path best aligns with your lifestyle. ENROLLING IN ADDITIONAL COVERAGE Original Medicare doesn’t cover everything. To help fill the gaps, many new beneficiaries explore supplemental coverage options, such as Medigap/Medicare Supplement Plans, which cover out-of-pocket costs like deductibles, copayments, and coinsurance. If you choose Original Medicare, you may also want to enroll in a standalone Part D plan for prescription drug coverage. Your six-month Medigap Open Enrollment Period is a critical window that begins when you’re both 65 and enrolled in Part B. During this time, you have guaranteed issue rights, meaning you can enroll in any Medigap plan available in your state without medical underwriting. After this window closes, you may be denied coverage or charged higher premiums due to your health conditions. Similarly, enrolling in Part D when first eligible helps avoid lifetime late enrollment penalties and ensures your medications are covered from the start. Braden Medicare Insurance Initial Enrollment Period Poster For Medicare UNDERSTANDING WHAT MEDICARE COSTS One of the most important things to understand is that Medicare is not free.  While Part A is usually premium-free if you’ve paid Medicare taxes for at least 10 years, Part B has a standard monthly premium ($185 in 2025) that can vary based on your income. Medicare Advantage and Part D plans may also have premiums, copays, and deductibles that vary by plan and carrier. Additionally, Medigap premiums vary by plan and state of residence. Beyond premiums, it’s essential to understand your potential out-of-pocket costs, including deductibles, coinsurance, and copayments. Original Medicare doesn’t cap these expenses, which is why most Medicare beneficiaries add a Medicare Supplement (Medigap) plan to bolster Original Medicare.    Medicare Advantage plans do have a yearly out-of-pocket maximum, but costs can vary significantly depending on whether you stay in-network. Reviewing your income-related premium amounts (IRMAA), if applicable, and budgeting for recurring healthcare costs will help prevent unexpected expenses and ensure your financial health stays on track alongside your physical health. GETTING COMFORTABLE WITH YOUR NETWORKS If you choose a Medicare Advantage plan, you’ll likely be required to use a network of doctors, specialists, and hospitals. It’s essential to understand the rules of your plan. HMO plans typically require referrals and have strict network restrictions, while PPO plans offer more flexibility with out-of-network care, albeit at a higher cost. If you stick with Original Medicare, you can visit any provider nationwide that accepts Medicare. During your first 90 days, review your plan’s provider directory to confirm that your current doctors are in the network. You should also identify nearby specialists and hospitals that accept your coverage. Establishing care with a primary care physician early helps coordinate preventive services, manage chronic conditions, and keep your records up to date. If you need a new doctor, consider scheduling meet-and-greet appointments to ensure the provider is a good fit. This proactive approach helps you feel confident and supported in your healthcare decisions from the beginning. Understanding your MOOP is vital.  MOOP is an acronym used to describe your Maximum Out-of-Pocket Expense with Medicare Advantage.  Each Plan will have an MOOP, meaning that you are responsible for all Co-Pays and Co-Insurance until you reach your plan's designated MOOP.  After that, your plan will cover all remaining costs for the remainder of the calendar year. MOOP values vary by plan, but the nationwide average is over  $5,700. HOW TO COMPARE MEDICARE PLANS Cost is essential to everyone, especially when we retire, and healthcare costs are not for the faint of heart.  How can you compare Original Medicare and Medicare Advantage plans when they are fundamentally different? First, let's examine Original Medicare with either a Medicare Supplement/Medigap Plan N or Plan G. I am using these two plans as examples because they are the two most popular available and are used by over 95% of Medicare recipients.     Braden Medicare Insurance Highway Sign Poster Showing The Option To Choose To Enroll In Original Medicare Or Enroll In A Medicare Advantage Plan   Beneficiaries choose one of these two Medicare options: Medicare Supplement premiums vary by state.  Arizona’s Medigap premiums are among the lowest in the nation.  Also, men will always pay $10 to $20 more than women for coverage. Discounts matter, so if you live at the same address as anyone 60 or older, you will receive a Roommate Discount of 6-20%. For example, let’s say a 65-year-old man chooses Original Medicare and adds a Medigap/Medicare Supplement Plan G (Plan G typically costs $30 more per month than Plan N).  His premium will be approximately $150 per month, totaling $1,800 per year. His Medicare Part B Annual Deductible is $257. His total costs for the year will be $1,800 plus the Part B Deductible of $257, for a total of $2,057. Now, Original Medicare does not include routine Dental or Vision coverage, so I would budget an additional $600 for both, bringing our total to $2,657  for the year. Additionally, Part A (Hospitalization is typically free, and his Medigap/Medicare Supplement Plan pays the $1,776 Medicare Part A Deductible. Physical and Occupational Therapy are covered under Original Medicare; Medicare Advantage does not cover these plans.  And most Medicare Advantage plans limit the number of visits to 10. Medicare Advantage HMO Plans offer the lowest-cost plans (Most plans have a $0 Monthly Premium), but they have the most restrictive networks.  Most HMO plans nationwide are known as All-In-One plans because they typically include Prescription Drug Coverage, Dental, Vision, and hearing benefits, as well as a Gym Membership. But the nationwide average MOOP of $5,700 means you will pay out of pocket $5,700 before the plan covers any expenses . That is over $3,000 more than Original Medicare with a Medicare Supplement (Medigap) plan. A few other things to consider when considering Medicare Advantage plans.  Typically, you need to stay within your network.  Your plan is generally only sound in the county where you live, but you are covered for Emergency care out of network.  Cancer Treatments have a 20% Co-Insurance with every Medicare Advantage plan. If you are hospitalized, the average daily inpatient cost is $300 for the first 7 days. Medicare Advantage Plans: Most plans offer some coverage for routine Dental, Vision, and Hearing Care.  These benefits have been shrinking over the last three years, and although insurance companies advertise $1,000 in Dental Coverage, they do not disclose that it is actually limited to $250 per quarter.   For vision care, services provided by an ophthalmologist are typically covered by Medicare, but not by an optometrist . In Arizona, the Mayo Clinic, Mayo Hospital, and Barrow’s Neurological Center accept Original Medicare, but they do not  accept any Medicare Advantage plans. Lastly, this really is important; Medicare typically covers anything that a Doctor who accepts Medicare’s Assignment deems is a “Medically Necessary Procedure”.  While Medicare Advantage plans can require you to get two, three, or more second opinions, they are not obligated to approve anything. PRESCRIPTION DRUG PLANS 99% of all Medicare Advantage plans provide coverage for Prescription Medications; However, you are still responsible for the costs of your prescriptions.  And there are many Stand-Alone Medicare Part D Prescription Drug Plans for those who prefer Original Medicare.  These plans can range from a monthly premium of $0 to $89.  Everyone is different, and sometimes more expensive plans can save you the most money overall.  We always conduct a comprehensive comparison to find you the lowest combined premium and medication costs each year. The maximum OOP (Out-Of-Pocket) costs anyone will pay for their total prescriptions for the year is $2,000 ($2,100 in 2026). PREVENTATIVE SCREENINGS Medicare emphasizes preventive care and offers a range of services at no cost to you. Within the first year of having Part B, you’re entitled to a “Welcome to Medicare” visit—a one-time preventive appointment to establish a health baseline. You should also schedule additional covered services, such as annual wellness visits (starting in year two), cancer, diabetes, and heart condition screenings, and immunizations for flu, pneumonia, and COVID-19. Taking advantage of preventive services not only keeps you healthier but also saves money over time by detecting issues early. Make a checklist of what you’re eligible for and work with your primary care provider to complete necessary tests or vaccinations. Many preventive services have specific timeframes and eligibility guidelines, so staying on top of your Medicare calendar ensures you don’t miss valuable benefits. Use this time to establish a care routine that supports long-term wellness.      SETTING UP AN ACCOUNT ON THE MEDICARE WEBSITE Setting up your Medicare.gov account is a crucial step in managing your benefits effectively. With your account, you can view your claims and coverage, track preventive services, print a new Medicare card, and update your contact information. This portal simplifies your Medicare experience and puts essential tools at your fingertips. A Medicare.gov  account also allows you to compare plans, manage prescription drug costs, and keep track of your plan’s network and formulary updates. If you ever change coverage, this account will be indispensable for ensuring a seamless transition. During your first 90 days, take the time to become familiar with your portal’s features. Whether you’re managing your own care or assisting a spouse, being digitally connected to your benefits helps you stay informed and proactive about your health coverage. Top of Form   WRAPPING THINGS UP The first 90 days after enrolling in Medicare are critical for making smart decisions about your healthcare. By understanding your enrollment window, confirming your start date, choosing the right plan, and setting up your Medicare.gov account, you’ll ensure a strong start. Please don't hesitate to contact us if you have any questions. We are here to help, and our services are provided at no charge, including our time and expertise.  This includes during the enrollment process and for the next twenty years. Braden Medicare Insurance Business Card For Michael Braden

Michael T. Braden, August 25, 2025, Medicare News MEDICARE CHANGES FOR 2026 Well, we made it through another year, and I hope you and your loved ones are safe and healthy.  With Fall and the Annual Enrollment Period (AEP) coming up on October 15 th , I thought this was a great time to say hello, check in, and relay some highlights of the 2026 Medicare Plan Year.   Thankfully, there are not nearly as many new concerns as last fall, but I think it's still good to share the information.  The most significant nationwide trend is that healthcare costs continue to rise rather than level off. We have seen that MOOP amounts continue to increase, along with Medicare Advantage, Part B Premiums, Part B Deductibles, Medicare Supplement Premiums, and Medicare Part D Deductibles .   We’re inviting you to receive a complimentary, full policy review, including a fresh look at your Medicare Part D Prescription Drug Plan, especially in light of the changes to Medicare Part D beginning January 1, 2025.    HERE ARE THE ESTIMATED COST CHANGES FOR THE 2026 MEDICARE PLAN YEAR   Medicare Part B Costs are increasing by an estimated 11.6% from $185 to $206.50 each month!  That is the most significant increase since 2022. The Part D Deductible maximums are increasing from $595 - $615. It looks like there will be even fewer Part D plans to choose from in 2026. All Medicare Part D plans will have a Maximum Out-Of-Pocket threshold of just $2,100, which means that no Medicare beneficiary will pay more than $2,100 for all of their Prescription Drugs in 2026.  The Annual Medicare Part B Deductible is projected to increase 12% to $288.     Medicare Advantage plans are receiving an increase from the Government, but not as substantial as they had hoped.  We anticipate that most MOOPs will continue to increase , while the “Extra Benefits” used to entice clients will continue to be trimmed down.  CIGNA will have the best Dental Benefits in 2026, followed by BCBSAZ.     For everyone with a Medicare Supplement (Medigap) plan, companies are still being greedy, given the increases they implemented in 2024 and 2025 .  We could be in for more of the same in 2026, but hopefully no more double-digit increases. I suggest that everyone review their Premiums and compare them to those of other companies.  You can switch plans 365 days of the year if you have a Medigap/Medicare Supplement plan. There is nothing better you can do to mitigate premium increases than to get your premiums as low as possible, as soon as possible.   Social Security Benefits are expected to increase by 2.7% in 2026.   Did you know that Medicare Part A will cost approximately $518 in 2026 for individuals who have not worked for at least 40 quarters? And that there are currently 67.3 million Medicare beneficiaries and 74.3 million Social Security beneficiaries in the US?   2026 will be the first time we see how well Congress did negotiating the prices of the ten most-prescribed brand-name medications. It appears that they've made significant progress, with many prices reduced by 38% to 79%. Eliquis is now down to $221, and overall, CMS estimates that Americans will pay $ 3.7 billion less for these 10 drugs in 2026.   PROJECTED IRMAA BRACKETS FOR 2026 Photograph Of Braden Medicare Insurance Projected 2026 IRMAA Brackets

Navigating the world of Medicare drug coverage can feel overwhelming. With numerous options and complex terms, selecting the right plan is crucial to managing your healthcare costs effectively. This guide will help you understand Medicare Part D plans, what to look for, and how to choose coverage that fits your needs. Medicare Part D Logo Understanding Medicare Drug Coverage Basics Medicare Part D is a federal program that helps cover the cost of prescription drugs. It is offered through private insurance companies approved by Medicare. Unlike Original Medicare (Part A and Part B), which does not cover most prescription drugs, Part D provides this essential benefit. When you enroll in a Medicare Part D plan, you pay a monthly premium, and in return, the plan helps pay for your medications. However, not all plans are the same. They differ in premiums, formularies (the list of covered drugs), copayments, and pharmacy networks. Key Components of Medicare Part D Plans Premiums : The monthly fee you pay to have the plan. Deductibles : The amount you pay out-of-pocket before the plan starts to pay. Copayments and Coinsurance : Your share of the cost for each prescription. Formulary : The list of drugs covered by the plan. Pharmacy Network : The pharmacies where you can fill your prescriptions at the plan’s negotiated rates. Understanding these components helps you compare plans effectively. Picture Of Prescription Medication Bottles On The Shelf In a Pharmacy How to Evaluate Medicare Drug Coverage Options Choosing the right Medicare drug coverage means looking beyond just the monthly premium. Here are practical steps to evaluate your options: 1. Review Your Current Medications Make a list of all the prescription drugs you take regularly. Please check whether these medications are included in the plan’s formulary. Some plans may not cover certain drugs or may require you to pay higher out-of-pocket costs. 2. Compare Costs Look at the total cost, including premiums, deductibles, and copayments. A plan with a low premium may have high copayments, which could cost you more over time. 3. Check Pharmacy Networks If you have a preferred pharmacy, ensure it is in the plan’s network. Using out-of-network pharmacies can lead to higher costs or no coverage. 4. Consider Extra Benefits Some plans offer additional perks like mail-order services, medication therapy management, or coverage for vaccines. 5. Use Online Tools Medicare’s official website offers a Plan Finder tool that allows you to enter your medications and compare plans based on your specific needs. Understanding Coverage Phases in Medicare Part D Medicare Part D plans have different coverage phases that affect how much you pay for your medications throughout the year. Initial Coverage Phase After you meet your deductible (if your plan has one), you pay a copayment or coinsurance for your prescriptions, and the plan covers the rest. Coverage Gap (Donut Hole) Once your total drug costs reach a specific limit, you enter the coverage gap. During this phase, you may incur higher out-of-pocket costs, but recent changes have significantly reduced them. Catastrophic Coverage After you spend a certain amount out-of-pocket, catastrophic coverage kicks in. You pay only a small coinsurance or copayment for the rest of the year. Understanding these phases helps you anticipate expenses and choose a plan that minimizes costs for each phase. Tips for Choosing the Right Medicare Part D Plan Selecting the best plan requires careful consideration. Here are actionable recommendations: Start Early : Review and compare plans during the Annual Enrollment Period (October 15 - December 7) to avoid penalties. Check for Plan Changes : Formularies and costs can change yearly, so reassess your plan annually. Consider Your Health Needs : If you expect changes in your medication needs, choose a plan with a broad formulary and flexible coverage. Seek Professional Help : Use resources like State Health Insurance Assistance Programs (SHIPs) for free counseling. Avoid Late Enrollment Penalties : Enroll when first eligible to prevent paying extra premiums later. By following these tips, you can find a plan that balances cost and coverage effectively. What to Do After Choosing a Plan Once you select a plan, it’s essential to stay informed and proactive: Keep Track of Your Medications : Notify your plan if your prescriptions change. Use Your Plan’s Resources : Take advantage of mail-order pharmacies or medication management programs. Monitor Your Spending : Keep receipts and track your out-of-pocket costs. Review Annually : Plans change, so review your coverage every year during the enrollment period. Taking these steps ensures your Medicare drug coverage continues to meet your needs. Choosing the right Medicare Part D plans is vital to managing your healthcare expenses. By understanding the basics, evaluating your options carefully, and staying engaged with your coverage, you can make informed decisions that protect your health and your wallet.

Michael T. Braden August 25, 2025 Medicare Supplement DOES THE NAME OF THE MEDIGAP COMPANY MATTER This is a question we receive from our clients frequently every week. Most people are familiar with household names like Aetna, AARP, UnitedHealthcare, BCBS, Cigna, and Humana. Still, these companies make up only a small share of those that offer Medicare Supplement/Medigap plans nationwide. Braden Medicare Insurance Poster About Arizona Medicare Supplement Plans DOES THE NAME OF THE MEDIGAP COMPANY MATTER Medicare Supplement Insurance Carriers do not have the same clout that you are used to with all of your Health Insurance plans in the past, before enrolling in Medicare. FOR EXAMPLE: All bills from all providers are sent to Medicare. Medicare, and only Medicare, decides which bills will be paid. Every Medigap/Medicare Supplement Carrier must pay their percentage once Medicare Pays. In fact, Medicare sends a note to each Medicare Supplement Carrier how much they owe, and then they send the payment to the provider. If a Medicare Supplement Carrier goes out of business or stops offering Medicare Supplement/Medigap plans, CMS (Medicare) steps in and provides each policyholder with a 6-Month Guaranteed Issue Rights Special Enrollment Period to enroll in any plan without answering health questions. If you find a great rate with a Medigap carrier you haven't heard of, you can still trust them, because Medigap plans are standardized and must offer the same coverage across all 50 States. You can use the company's financial ratings (such as A.M. Best, Moody's, and Standard & Poor's) to assess its economic strength and compare it with other carriers. It is essential to verify if you qualify for any available discounts. Your Broker can help you with that. Watch out for some companies like AARP and CIGNA that offer competitive initial rates, but their discounts drop 1-2% a year, so at the end of nine years, you are no longer getting a monthly premium discount. This is another reason why it just makes good common sense to work with a local Independent Medicare Broker in your area. Compare the length of time each company has been offering plans in your state. In 1990, Medicare standardized all Medigap plans. This means the Summary of Benefits is the same across all Plan G, Plan N, Plan F, and similar plans in each state. The only difference could be the rates and discounts each company offers in each state where it operates. It is up to them to decide whether they provide any additional benefits, such as Fitness Club Memberships. Most Medicare Supplement plans do not include a complimentary health club membership. Many offer options to join a club for an additional monthly fee of approximately $35. QUITE OFTEN YOU WILL GET DEEPER DISCOUNTS AND LOWER PREMIUMS WITH OTHER LESSER-KNOWN COMPANIES Think about it – if you are a big company like CIGNA or Humana and you run a lot of television ads to market your products, someone has to pay for that. Costs are generally passed on to policyholders through insurance premiums. Smaller brands have lower recognition but likely spend far less on advertising. This means you can often secure competitive rates on a policy from a lesser-known insurance company. MEDICARE HAS THE FINAL WORD ON WHAT BILLS ARE PAID. YOUR SUPPLEMENTAL CARRIER HAS NO PART IN THE DECISION-MAKING PROCESS. If Medicare covers 80% of a claim, your Medigap company MUST pay the remaining 20%. They can’t decline to cover these expenses, so we rarely run into slow-pay issues with Medicare insurance companies. They pay their bills as soon as Medicare pays its share, and they receive the remainder. You need not worry that just because you haven’t heard of a company, they aren’t reliable. That said, I am always shocked and amused that many intelligent people will pay $300 more per year for a name-brand company. If your friend has a Medicare supplement that pays well and on time, that’s generally not because the insurance company is excellent. It’s due to the simple fact that Medicare claims are passed on for payment to your Medigap company like clockwork. Paying on time is an industry expectation.  If you have an opportunity to save on premiums by choosing one of these off-brand insurance companies, give it a try. There is little risk involved as long as the company has decent ratings. Here at Braden Medicare, we happily offer quotes from over 40 of the best and highest-rated companies in America. WRAPPING THINGS UP Please keep an open mind when evaluating quotes from each carrier. There are well-known insurance companies and those that are less well-known; however, all Medigap plans are standardized, and carriers must offer the same coverage. To compare insurance carriers, consider their financial rating to assess their reliability. Work with an Independent Medicare Broker in your area to ensure you are maximizing your discounts. Since Medicare determines what will be approved, you shouldn’t have any issues with your Medigap carrier.

Michael T. Braden August 26, 2025 MEDICARE SUPPLEMENTS WHAT IS THE BEST MEDICARE SUPPLEMENT PLAN FOR YOU Choosing the right Medicare Supplement plan is a crucial decision, especially for those new to Medicare, who face 10 different plans. This can understandably lead to many questions and doubts. After reading this article, we hope you will feel more confident about the enrollment process and trust that the plan you choose is the best fit for your needs and budget—meaning it is the right plan for you. Braden Medicare 2025 Medicare Supplement Side-by-Side Comparison Chart The right Medicare Supplement plan provides you with access to all of your doctors and fills in the gaps left over from Original Medicare. You can rest easy knowing that any doctor/provider who accepts Medicare is obligated to accept your Medicare Supplement Insurance, regardless of what company you choose to partner with. If you are married, most couples find comfort and confidence in having the same plan, even if it is not with the same career. The best thing and oftentimes the hardest thing to do is to look into the future and determine what you want to have in your Health Plan 10-20 years from now. A lot of things can happen, and sometimes life can deal you a setback that makes it impossible to change plans down the road. It has always been our practice to consider your risk tolerance and monthly cost to determine which plan is best for you from the outset. Remember, once you have a Medigap/Medicare Supplement policy, you own that policy. No one can take it away from you unless you have been more than 90 days past due on your premium. For example, if you choose a Plan N and later want to switch to a Plan G, you can do so any day of the year; however, you will be subject to underwriting and health questions. Before you get nervous, about 80% of all Underwriting cases are approved, but there is a chance that you could be turned down in the future, so choose wisely in the beginning. The best Medicare Supplement plan is the one that gives you access to your chosen providers and covers the gaps in Medicare that you are most concerned about paying for. It also offers a competitive monthly premium compared to other plans in your area. Often, when someone is new to Medicare, they feel overwhelmed by the many choices. In this post, we’ll walk you through a series of simple questions you can ask yourself that will help lead you to the best Medicare supplement plan for you. In this article, we’ll focus on Medicare supplement plans, also known as Medigap plans. If you are unsure of the disparities between the different types of Medicare plans, read about the differences between Medicare supplements and Medicare Advantage plans , and return to this page afterwards. WILL YOUR DOCTOR ACCEPT YOUR PLAN? As long as your doctor accepts Original Medicare , they will take any Medicare supplement plan . It doesn’t matter if that is a Medico Medicare supplement or a Humana Medicare Supplement. The chances that your doctor accepts Original Medicare are very good. HAVE A QUESTION, OR WANT TO VERIFY IF ANY DOCTOR/PROVIDER ACCEPTS MEDICARE? Call the Doctor or provider you want to see, whether you are looking for a new provider or if you have seen them before, you were enrolled in Medicare, and ask them if they " Accept Medicare ", 93.7% of the time you will hear a yes. The leading providers who do not accept Medicare's Assignment (Assignment refers to Medicare's fee schedule)are Psychiatrists, Psychologists, Naturopathic Doctors, Homeopathic Doctors, and Pediatricians. WHAT ARE THE BEST COMPANIES TO PARTNER WITH? Often, our clients ask us who offers the best Medicare supplement plans based on financial ratings or customer service. This will vary by state, as not all carriers do business in every state. Some of the carriers that offer popular Medicare supplement plans are: Medico Mutual of Omaha Humana BCBS Manhattan Life CHUBB Insurance Aetna AARP Med Mutual Protect IS ONE COMPANY BETTER THAN THE OTHER? We give all Medicare supplements an A+ for claims payment. Before enrolling in Medicare , customer service played a significant role in your decision-making. Still, since Medicare is the primary payer, you will likely have little to no interaction with your Medigap carrier. This is because Medicare determines which charges are legitimate and what is covered. Then, Medicare pays the 80% it owes to your doctor/provider. Then they notify your Medicare Supplement company to pay their 20% share, after verifying that your Annual Part B deductible has been met for the current Calendar Year. Your Medicare Broker/Agent will always be more helpful than a nameless, faceless customer service representative at your insurance carrier. We work with all the top Medicare supplement plans in every market. We can help you determine which option makes the most sense based on the data and financial information we have on all carriers. WHAT IS YOUR TOLERANCE TO RISK We work with clients of all shapes and sizes. Many have had to assist their aging parents and have often seen the high cost of healthcare up close and personal. Ed, one of our clients, relayed his experience and costs when his wife was diagnosed with Breast Cancer. Even with his Employer Group Health Insurance, the amount of money they paid for the Chemotherapy and Radiation treatments alone would choke a horse. For Ed, when he and Alice (his wife of 38 years) became eligible for Medicare, their primary concern was ensuring they were covered so they never had to worry about the bills. What is the best option for us? It turns out that Original Medicare and a Medigap Plan G were right for both of them. The definition of Insurance is that Insurance is a cost you pay to have someone else assume the risk and payment for you if anything bad happens. Premiums are your commitment to eliminate the chance of catastrophic loss. We have found that when a couple is married, each partner typically wants the best possible plan and coverage for their spouse and is often willing to accept a less comprehensive policy for themselves. However, we have always believed that when couples share the same plan type, it is much easier for them to understand and manage it, especially when they are caring for one another. Ask yourself how much risk tolerance you have, and that should lead you to one choice or the other. This is how we identify the best Medicare supplement plans for our clients. WHICH IS THE BEST PLAN FOR YOUR BUDGET? Living on a fixed income is more complicated than most people think. You are still subject to inflation, like everyone else, but the income you receive from Social Security and your investments must last for the rest of your life. Sometimes this single factor will decide for you. For a person turning 65 and living in Arizona, the monthly cost of a Medicare Supplement Plan G can range from around $145. This amount varies depending on factors such as zip code, gender, age, household discounts, and other considerations. Still, we will use this amount as an example. If your budget includes $1,800 per year for medical insurance, then a Medicare Supplement Plan G provides excellent coverage. If spending $1800/year leaves you with very little for life’s other expenses, you might be more comfortable with Plan N, or even a High-Deductible Plan G. Remember, you can ask your local, Independent Medicare Broker for help with any of these questions. They will do all the heavy lifting for you, but ethically, they should never make decisions on your behalf. And, if you ever feel a broker is getting too pushy, stop working with them. Pick up the phone, call 2-4 local brokers, and conduct interviews with them. You will find one that meets your needs and aligns with your values. Braden Medicare 2025 Medicare Monthly Cost Breakdown Worksheet GET THE BEST MEDICARE SUPPLEMENT PLAN FOR YOU, NOT THE BEST PLAN FOR YOUR NEIGHBOR Too often, people take and accept advice from anyone, including their neighbor, a coworker, someone on Facebook, or Nextdoor, among others. There is nothing wrong with advice, but you have the final say on what you will act on. Everyone is different, with their own unique priorities and goals. There is no one-size-fits-all solution for health insurance. Your first homework assignment is to examine both Medicare Advantage plans and Medicare Supplement plans and compare their features. Your broker will be happy to explain how you can do that and walk you through the process. Once you have determined whether you are TEAM Medicare or TEAM MEDICARE ADVANTAGE, you can start learning more about all of the plans available in your area. Medicare Supplements are available statewide where you live, but Medicare Advantage plans are typically located only in the county where you live. . Lastly, at some point, you may need a Family Member to assist you and oversee your care. This is typically a Son, Daughter, Niece, or Nephew. We encourage you to invite them into the process of choosing the right Medicare Plan for you. It makes them feel like an even bigger part of your lives, and they will always have your best interests at heart, ensuring you receive the best possible care. WRAPPING THINGS UP All providers that accept Medicare must accept your Medigap plan. Consider the carrier rating, monthly premium, and risk tolerance to determine the best Supplement plan for your needs. Monthly premiums will increase, not necessarily every year, but whenever your partner (the carrier) decides to implement a change, it is usually a cost-of-living adjustment. Increases are never based on your individual claims or history. By law, if your insurance partner thinks they need to increase their Plan G premiums, they are obligated to increase the premiums by the same percentage for every Plan G policyholder in your state. Braden Medicare Insurance Business Card For Michael Braden If you have any questions or need someone to bounce a few ideas off, please feel free to give us a call. We are always willing to help our friends and neighbors. And remember, we have never charged anyone a penny over the last 10 years for our help, services, or knowledge and expertise.

Michael T. Braden August 3rd, 2024 MEDICARE NEWS WHAT IS MEDICARE “EASY-PAY” AND WHY YOU SHOULD USE IT? Medicare Easy Pay is an excellent tool that every Medicare Beneficiary should use. MEDICARE'S EASY BUTTON If you signed up for Medicare but are not yet receiving Social Security Income, Medicare will bill you for your Medicare premium. If you are eligible for premium-free Medicare Part A, you will be billed quarterly. However, for many Americans, quarterly billing is not ideal. Most people we work with prefer automatic monthly billing, so it is one less thing for them to worry about. In this article, we’ll review how to sign up for Medicare Easy Pay for safe automatic monthly Medicare premium payments. Once you start receiving Social Security benefits or Railroad Retirement benefits, Medicare premiums will be automatically deducted from those payments. But until then, you may be better off paying Medicare online by using Medicare’s automatically deducted monthly payment system called Easy Pay, than hoping not to miss a Medicare bill in the mail. If you did not work enough quarters to qualify for Premium Free Medicare Part A, or if you are a High Wage Earner who has been assessed with an IRMAA surcharge, you will be billed for these each month. Everyone else will receive their Part B Premium invoices quarterly. Your first bill may include additional months to “round up” to a calendar quarter. Either way, there is an easier way to make Medicare payments. Medicare Easy Pay automatically deducts your Medicare payments from your bank account. You can use either a checking account or a savings account. It’s safe, easy, and hassle-free. With this guide, we’ll explain all the features that come with signing up for Medicare Easy Pay as well as how easy it is to set up and manage a Medicare Easy Pay account. READER'S DIGEST SUMMARY How to understand Medicare Easy Pay for automatic deduction of Medicare premium payments from your choice of bank accounts (either a savings account or a checking account). Enroll and update information easily, switch banks, or cancel Easy Pay service as needed. Approved Medicare Payment Methods include mailing a check to Medicare, Online Bill Payments using your Banking Account Information, Medicare’s Easy-Pay program, and paying your bill online at www.medicare.gov. ALL ABOUT EASY PAY & MEDICARE Please take advantage of Medicare Easy Pay, a complimentary service that makes paying for your monthly CMS Medicare premiums effortless by directly deducting them from your bank account. Pay Medicare premiums automatically. Never worry about missed payments or handling paper bills again. This helpful system handles all premium expenses on time, so you can rest assured that everything is taken care of. To qualify for Medicare Easy Pay, Medicare beneficiaries must be enrolled in both Medicare Part A and Medicare Part B plans. EASY PAY DEFINED The Social Security and Railroad Retirement Board's full retirement ages no longer match Medicare eligibility dates. As people start Medicare years before collecting retirement income, a gap arises between when Medicare monthly payments begin and when they can be automatically deducted from Social Security retirement benefits. This creates a window where Medicare premiums and payments are manually processed. Manually processed billing is costly and very inconvenient. Unfortunately, Medicare Easy Pay does not work with Railroad Retirement Board payments. You will need to mail those payments manually. For more details on RRB payments, call 877-772-5772. With Medicare Easy Pay, monthly Medicare premiums will be automatically deducted from a bank account designated as a savings or checking account. This ensures monthly premium payments are not missed, and coverage remains up to date without incurring late fees. Signing up with Medicare Easy Pay couldn’t be simpler. You can start automatic payments by signing up online through our online submission process or by mailing in a paper application form. Please note that it may take approximately 8 weeks for automatic payments to begin coming out regularly. Please continue making manual payments until you get a notification of activation for your new Medicare Easy Pay account. PAYMENTS USING THE MEDICARE EASY PAY SYSTEM Medicare Easy Pay automatic payments offer a convenient way to pay Medicare Part B premiums from a checking or savings account. Medicare Easy Pay does not apply to fees for private insurance products, such as Medicare Supplement Insurance or Medicare Advantage plans. Additionally, this service does not cover expenses for medications obtained under the Part D prescription drug coverage. An alternative form of payment is required to cover these costs. CAN YOU SET UP & MANAGE YOUR MEDICARE EASY-PAY You’re ready to sign up for Medicare Easy Pay. The process is straightforward. Please fill out and submit the Authorization Agreement form for Preauthorized Payments to your local Medicare Premium Collection Center. The official name of this form is CMS Form SF-5510. You can easily download this online, and it is also available in our Virtual Filing Cabinet at www.bradenmedicare.com. The waiting time can be between six and eight weeks before it’s approved. Then you’ll have effortless access to manage automatic payments and update your account information, including changing banks or canceling service altogether. To ensure a smooth transition to Medicare Easy Pay, it is crucial to understand the steps required during enrollment, as well as how to modify data or terminate coverage. These details must not be overlooked when preparing with Medicare Easy Pay. THE EASY-PAY ENROLLMENT PROCESS The first step in registering for Medicare Easy Pay is to download and complete the SF-5510 Authorization Agreement form, then mail it off with any relevant documentation attached. Address your envelope to “Medicare Premium Collection Center” at P.O. Box 979098, St. Louis, Missouri 63197-9000. Meanwhile, continue making Medicare premium payments as usual until you receive confirmation that your enrollment has been accepted; a “This Is Not A Bill” statement from Medicare showing how much money was automatically deducted from your account every month. HOW YOU CAN UPDATE YOUR INFORMATION It is essential to keep your Medicare Easy Pay details up to date. To change or update any banking info, you should deliver an Authorization Agreement for Preauthorized Payments document to the Medicare Premium Collection Center by U.S. postal mail. Alternatively, if it’s more convenient, visit your online Medicare account and pick “My Premiums“. There, you’ll find “See or change my Medicare Easy Pay.” Submit the short form there as well. Please note that processing may take 6–8 weeks. CAN YOU EVER CANCEL YOUR EASY PAY ENROLLMENT? Suppose you wish to make a change to your bank account details or end the Medicare Easy Pay service. In that case, there are two options: call the Centers for Medicare & Medicaid Services (CMS) or use the Medicare Premium Collection Center. Accessing your personal Medicare record and navigating to ‘My premiums’ will allow you to make any necessary changes online. PAYMENT OPTIONS & PROTECTING YOUR ACCOUNT INFORMATION When it comes to paying Medicare premiums, you have several choices. There are no fees for using Medicare Easy Pay, and your information is kept secure by their robust security measures. Alternatively, if one-off payments or credit card transactions suit you better, that flexibility is also available. You can pay your Medicare premiums online through your Medicare account; however, please note that this service is only available for monthly premium payments, not medical bills. Overall, these payment systems provide peace of mind, enabling those enrolled in Medicare to manage their affairs with ease and confidence. HOW MUCH DOES EASY-PAY COST? Sign up for Medicare Easy Pay and gain access to a free, convenient payment service that automatically deducts your monthly premiums from either your checking or savings account. This saves you time and helps you avoid potential late fees or coverage gaps from manual payments. If you choose to pay Medicare online with a credit card for one-off transactions, be aware of potential fees charged by banks and card issuers. Ensure you confirm these before selecting your preferred payment method. IS MEDICARE’S EASY-PAY SAFE? Using Medicare Easy Pay through a savings account or checking account, you can be certain that your monthly payments are handled securely and quickly. This service is backed by the federal government’s robust security protocols, which protect personal and financial information associated with these transactions. MAKING SENSE OF MEDICARE BILLS AND STATEMENTS It is essential to be familiar with your Medicare bills and statements to manage healthcare costs effectively. In this section, we will explain the different types of Medicare invoices and guide you on how to interpret them effectively each month. We’ll also cover steps for dealing with rejected payments that may occur. By being familiar with these documents, you can more easily identify issues or irregularities, enabling appropriate remediation. Medicare beneficiaries receive various types of bills, such as the Medicare Premium Bill (CMS-500), which outlines your premiums for Part A (if applicable), Part B, and Part D. The other two critical documents sent to individuals are the Explanation of Benefits (EOB), which details how Medicare processed a claim, and the Initial Enrollment Questionnaire, which provides information on Medicare coverage. They will also get a notification called Medicare Summary Notice (MSN). This notifies them of the services used and the payment details Medicare has made for those services. DECIPHERING THE MEDICARE MONTHLY STATEMENT Every 3 months, Medicare Part A and B beneficiaries receive a Medicare Summary Notice (MSN), which itemizes payments made for covered services. Carefully reviewing this MSN can help you confirm that charges are accurate, enabling corrections if needed. Reviewing your monthly statements will also help you identify discrepancies between the MSN statement and your records, ensuring the correct coverage amounts have been paid. WHAT DO YOU DO ABOUT ANY REJECTED PAYMENTS? If your Medicare Easy Pay transaction is declined, it’s essential to resolve the issue promptly to avoid coverage disruption. Upon receiving notice of a failed payment attempt, you will receive correspondence from Medicare asking that an alternate form of payment be used. Staying proactive and informed about rejected payments ensures continued access to health services covered by Medicare, while also tracking any outstanding money owed for healthcare expenses. OTHER PAYMENT ALTERNATIVES FOR MEDICARE For those who prefer an alternative to Medicare Easy Pay for making premium payments, various options are available. These options include mailing a check or money order, paying online through your bank, or paying via the Medicare.gov website. All these payment methods should be carefully evaluated to determine which is best suited to one’s needs and preferences before selection. In this section, we will outline each alternative method in more detail, enabling individuals to make informed decisions about their premium payments. ONLINE USING A BANK ACCOUNT Using an online banking system for bill pay is a convenient way to ensure that Medicare premiums are paid in full and on time. Your bank will provide encryption, protecting your data at the same level of security you already enjoy with other online services you use. It may also be simpler than ever, as it can seamlessly integrate with your existing financial management process without requiring any additional effort on your part. With a straightforward setup inside your bank account for recurring payments, those associated with Medicare won’t require manual processing anymore! PAYING THROUGH THE MEDICARE.GOV WEBSITE Payment of your Medicare bill is available through multiple options. You can access your Medicare account on the website to manage premium payments, view payment history, and ensure continuous coverage by logging into medicare.gov, selecting ‘My premiums’, then clicking ‘payment history’. With this option, you can send a check or money order in the mail as well as take advantage of online banking services for making quick payments directly from banks with ease, all giving you different ways of paying off that Medicare bill promptly while having complete visibility over its progress, along with previous transactions too! Selecting the type that best suits your needs will make it much easier to handle any future bills. EASY PAY FAQS' HOW DO YOU SET UP EASY PAY WITH MEDICARE? Setting up Medicare Easy Pay is straightforward. You can complete and submit the short online form at medicare.gov or print it and mail it in with your authorization. Once you have set up this account, managing your payments will be easy moving forward. IS EASY PAY SAFE AND SECURE? Medicare Easy. Pay has various safeguards in place, including encryption technology, to protect customers’ personal information. Medicare encourages users to regularly monitor their bank accounts and ensure that only the predetermined payment amounts are processed each month, so they can be confident their transactions are secure when using this service. WRAPPING THINGS UP By taking advantage of Medicare Easy Pay, you can take charge of your Medicare premium payments easily and effortlessly. With automatic deductions set up for the payment method that suits you best, this invaluable tool enables a secure way to ensure timely payments and keep your healthcare coverage up to date. All necessary resources are available; please familiarize yourself with them today. By putting control over these premiums in your hands, you'll free up time for other matters, such as actively managing your health and well-being.

Michael T. Braden August 29, 2025 Medicare Part B MEDICARE PART B EXCESS CHARGES EXPLAINED A significant trend we have observed over the past three years is the growing interest in Medigap Plan N as an alternative to Medigap Plan G, whose premiums have increased consistently during the same period. Part of these increases is due to the simple fact that Healthcare costs continue to rise; they never go down. This has been exacerbated by many insurance companies capitalizing on their own greed, as well as the fact that, over the last three years, everything has been blamed on inflation. Braden Medicare Poster "What Are Medicare Part B Excess Charges" WHAT ARE MEDICARE PART B EXCESS CHARGES Doctors and other healthcare providers may choose whether to participate in the Medicare program. Providers who participate with Medicare agree to charge you only the Medicare-approved amount for their services. In essence, they agree to accept the Medicare amount as payment in full for covered services. This is also referred to as “accepting Medicare assignment.” Medicare Part B Excess Charges are an additional amount you could be charged if a doctor does not accept Medicare Assignment. Medicare assignment occurs when a doctor does not accept the amount that Medicare will pay for a service. If you are responsible for Part B excess charges, a doctor can charge you 15% above what Medicare pays them. If you’ve been shopping for Medigap plans, you may have discovered that a couple of them (Plan G and Plan F) cover something called “ Part B Excess Charges.” If you’re not sure what excess charges are, you’re not alone. Fortunately, they’re a relatively rare occurrence for most Medicare beneficiaries. Nonetheless, it’s essential to understand how Part B excess charges work and how they might affect your out-of-pocket healthcare expenses. Here’s what you need to know. WHAT IS MEDICARE ASSIGNMENT When a provider accepts Medicare assignment rates, it means that the provider won’t bill you above the Medicare-allowable rate by a participating provider. Providers who don’t participate in Medicare can bill you up to 15% more than the Medicare allowable amount at their discretion. This additional amount is considered a Part B excess charge. You will have to pay it out-of-pocket unless you have a Medigap plan that includes benefits for Part B excess charges. Braden Medicare Insurance Poster About Avoiding Excess Charges There are other advantages to choosing a participating provider, aside from avoiding Part B excess charges, if you have Medicare: They agree to collect only your Part B deductible and/or coinsurance amount at the time of service. Most wait until Medicare has paid its share to bill you. Nonparticipating providers may collect payment in full up front. They must submit your claim to Medicare on your behalf and at no cost to you. Nonparticipating providers, on the other hand, may not bill Medicare, so you have to file a claim yourself to get reimbursed. HOW CAN MEDICARE PART B EXCESS CHARGES AFFECT YOU Suppose you see a nonparticipating dermatologist for the removal of a few suspicious moles. If the Medicare allowable charge for this procedure is $400, the dermatologist could bill you $460. Assuming you’ve met your Part B deductible already, your out-of-pocket costs for the procedure would be $140. This is your 20% coinsurance amount of $80 plus the 15% Part B excess charges of $60. With a participating provider, your out-of-pocket expenses would be just $80. Note that excess charges do not  go towards your Part B deductible. Statistics suggest that as many as 95% of primary care providers accept assignment. A slightly smaller number of specialist physicians also take it. Not all nonparticipating providers will add Part B excess charges if you don’t have a Medigap plan, so you may only rarely see Part B excess charges. That said, however, there is no limit on the number of times a nonparticipating doctor can add excess charges to your bill. So, if you regularly see a provider who doesn’t accept assignment, you could easily pay hundreds of dollars in excess charges each year. Also, if you see a doctor who accepts Medicare assignment, but Medicare doesn’t take the claim for the service billed, the doctor can charge you more than Medicare’s approved price. However, if an Advance Beneficiary Notice (ABN) isn’t signed, you may not be responsible for these charges. Note that ABNs are not required for services never covered by Medicare. WHAT IS THE BEST WAY TO AVOID GETTING HIT WITH MEDICARE PART B EXCESS CHARGES? The easiest way to avoid excess charges is to use physicians who accept Medicare assignment. You will never be billed more than Medicare allows for your healthcare services. It’s always a good idea to ask your doctor if they accept assignment before you make an appointment. Don’t forget to ask the same question of any Medicare provider, such as lab facilities and home health care companies. You can also find providers in your area that participate with Medicare using the Medicare.gov physician locator tool. Of course, you can also avoid paying excess charges out-of-pocket by buying a Medigap plan that pays them for you. Currently, both Plan F and Plan G include this benefit. SOME STATES HAVE MADE IT ILLEGAL TO CHARGE MEDICARE BENEFICIARIES FOR PART B EXCESS CHARGES Some states have taken matters into their own hands when it comes to protecting seniors against excess charges. The following states passed laws prohibiting healthcare providers from charging Medicare beneficiaries anything higher than the Medicare allowable rate: Connecticut (for QMB beneficiaries only) Minnesota Ohio Pennsylvania Rhode Island Vermont Massachusetts New York People in these states might also consider Medigap Plan N , which has similar benefits to Plan G . One big difference is that Plan N does not cover excess charges, so the premiums for Plan N are lower. If you live in a state that doesn’t allow excess charges, Plan N might appeal to you. Remember that when you are out of state, you must ask the assignment question of providers. This means that if you have Plan N and live in a state that does not allow excess charges, but you see a provider in another state that does, you would be responsible for paying the provider . WRAPPING THINGS UP Most Doctors (About 93.8%) accept Medicare Assignment. The biggest group of providers who do not accept Medicare's Fee Schedule or Medicare's Assignments are Psychologists, Psychiatrists, Pediatricians, Homeopathic doctors, and Naturopathic doctors. If a doctor does not accept Medicare Assignment, they can charge you 15% above what Medicare pays them. Part B excess charges are not standard but may apply in emergencies. Medigap Plan F and Plan G cover excess charges for you. Every Medicare Beneficiary should develop the habit of verifying that any new doctor, provider, or healthcare professional they are seeing or with whom they are making an appointment accepts Medicare. All it takes is a quick phone call to the provider's office; ask whether they accept Medicare, and if they say yes, you know you are covered and will have no surprise "Excess Charges" to worry about.

Michael T. Braden August 29, 2025 Medicare Supplements HOW TO SAVE MONEY ON YOUR MEDICARE SUPPLEMENT PLAN Yes, you can save money on your Medicare Supplement. In comparison, plan. When it comes to healthcare in retirement, every dollar counts. Medigap or Medicare Supplement policies are an excellent way for many to protect themselves from catastrophic loss if you or your spouse is ever dealt a bad hand. The good news is that there are several strategies you can use to reduce your costs without sacrificing the coverage you need. Below, we break down simple ways to save money on Medicare Supplement plans while still protecting your health and your wallet. Photo of a Compass with the Tagline of Medicare Supplement Guide..........................How To Really Compare Them. Braden Medicare Insurance How To Compare Medicare Supplements Guide Poster IT IS IMPORTANT TO UNDERSTAND HOW YOUR PREFERRED MEDIGAP PLAN WORKS SO YOU CAN BETTER UNDERSTAND IT AND COMPREHEND WHAT YOU ARE PAYING FOR Before you can save money, it’s essential to understand precisely what expenses Medicare Supplement plans cover and how they work. These plans help cover costs not covered by Medicare Part A and Part B, such as deductibles, coinsurance, and copayments. Your premium is based on several factors, including the plan letter you choose, your age, location, your tobacco use status, the insurance company offering the coverage, and more. Some plans may include extra benefits, while others focus strictly on core coverage. By knowing what you’re paying for, you can avoid buying more insurance than you truly need. This step is essential if you’re comparing options like Medicare Supplement Plan F, Plan G, and Plan N . While all three provide strong coverage, their cost differences can be significant. If you rarely visit the doctor, Plan N may make sense, while frequent healthcare users may save more with Plan G. ALWAYS COMPARE RATES FROM MULTIPLE MEDIGAP COMPANIES One of the biggest mistakes Medicare beneficiaries make is assuming all Medigap plans cost the same. While benefits are standardized, monthly premiums vary wide ly by insurance company. For example, two carriers may offer identical Plan G policies, but one could cost $40–$60 more per month. Over the course of a year, that adds up to hundreds of dollars in unnecessary spending. By comparing quotes from multiple companies, you can ensure you’re not overpaying. Working with a knowledgeable insurance agent lets you compare multiple carriers at once, saving time and money while giving you peace of mind that you've found the best deal. MAKE SURE YOU ARE ENROLLING AT THE RIGHT TIME. IF YOU SNOOZE, YOU MAY LOSE Timing plays a significant role in determining your coverage cost. Your initial enrollment period for Medicare Supplement insurance begins when you are both 65 and enrolled in Medicare Part B. During this six-month window, you can enroll in any Medigap plan without answering health questions or undergoing medical underwriting. However, some carriers allow you to enroll up to six months before your Part B enrollment date to lock in even more cost savings. If you miss this period, carriers can require underwriting, and pre-existing conditions may increase your premiums or even prevent you from enrolling. To save money long term, take advantage of your guaranteed issue rights  by applying during this period. Even if you’ve already passed your initial enrollment period, there may still be times when you qualify for guaranteed issue protections. For example, if you lose employer coverage or your Medicare Advantage plan leaves your service area, you may have another chance to enroll without health questions. IT MAKES SENSE TO COMPARE DIFFERENT PLANS, SO YOU UNDERSTAND ALL OF YOUR MEDICARE SUPPLEMENT OPTIONS Not all Medigap plans are created equal. Some, such as Medigap Plans F, G, and N, are the most popular because they balance affordability and coverage. Plan F:  Covers all out-of-pocket costs, but is only available if you were eligible for Medicare before January 1, 2020. Plan G:  Often considered the best value, it covers everything except the Part B deductible. Plan N:  Typically has lower premiums than Plan G, but includes copayments for certain services. HDG (High Deductible Plan G) is a popular option for some individuals. You pay a higher deductible before your Supplement coverage kicks in, but in years with few or no claims, you may come out ahead in the long run. When choosing a plan, consider your current health, how often you see a doctor, and the level of financial protection you’re comfortable with. Choosing the right plan upfront can prevent unnecessary switching later. UNDERSTAND WHAT DISCOUNTS YOU QUALIFY FOR Many carriers offer household discounts if you and your spouse or another Medicare-eligible household member enroll in plans with the same company. These discounts can range anywhere from 5% to 20% off your monthly premium. But beware : some of the most popular plans start with an 11% Discount, but they use a declining deductible, so after 9 years, you receive no discount at all. Even if your spouse doesn’t need as much coverage, you may still benefit from the familiarity and confidence that you both have the same plan, which usually benefits you by applying through the same carrier. Over time, these discounts can add up to hundreds of dollars in annual savings. This money can be redirected to prescriptions, dental care, or other retirement expenses. SHOP AND SWITCH WISELY AND COMPARE PLANS EVERY 2-3 YEARS Just because you have a plan now doesn’t mean you’re locked in forever. Rates can increase over time, and what was once a good deal may no longer be the most affordable option. Shopping around every two to three years ensures you’re still getting the best price for the coverage you need. However, switching is not always straightforward. Outside of your initial enrollment, you may be subject to medical underwriting. This is why it’s essential to evaluate your health and options before making a change. Remember that keeping your base premium as low as possible is the key to saving money over time. WHY WORKING WITH AN INDEPENDENT, LICENSED MEDICARE BROKER MAKES THE MOST SENSE One of the simplest ways to save money on Medicare Supplement insurance is to work with an independent broker. Unlike agents who represent a single company, independent brokers represent multiple carriers. This means they can provide unbiased comparisons, help you find discounts, and guide you toward the best plan for your needs and budget. Here at Braden Medicare Insurance Services, our licensed agents specialize in helping seniors navigate the complex world of Medicare, so you don’t have to do it alone. We shop the market for you, explain your options clearly, and make sure you feel confident in your decision. WHAT TO LOOK FOR WHEN COMPARING CARRIERS Instead, focus on overall value. Look at what each plan covers, how it fits your health needs, and the company’s reputation for customer service. A slightly higher premium may save you money in the long run if it means fewer unexpected costs. Remember, healthcare is an investment in your future. Choosing a plan with reliable benefits, financial stability, and a trusted carrier can help protect your health and your finances for years to come. WRAPPING THINGS UP Saving money on a Medicare Supplement plan is all about being informed, comparing options, and making informed choices. Whether it’s enrol ling at the right time, taking advantage of household discounts, or working with an independent broker, you have options to keep your healthcare costs under control. Essential. If you have questions and are unsure what to do or whom to contact, please feel free to text, email, or call Braden Medicare Insurance Services anytime. We are committed to serving our clients with expertise.

Michael T. Braden, July 11, 2024, Medicare Advantage ARE ALL MEDICARE ADVANTAGE PLANS BAD Medicare Advantage plans are not for everyone. But are they terrible? When you enroll in coverage, several factors should be considered, including costs, availability, and the plan's network. Braden Medicare's Poster Of The Disadvantages Of Medicare Advantage Plans Many seniors turn to Medicare Advantage plans as an alternative to traditional Medicare, as healthcare costs continue to rise nationwide. However, despite the promises of these plans, they often entail drawbacks that are frequently overlooked . Medicare Advantage plans may include additional benefits such as prescription drug coverage, vision, dental, hearing aids, and possibly a free gym membership . Yet, people often complain about or criticize these plans. So, what are the disadvantages of Medicare Advantage? WHY ARE MEDICARE ADVANTAGE PLANS BAD? Misinformation and a lack of understanding can lead to Medicare Advantage nightmares. We are here to help clarify the issue. Medicare Advantage plans are not bad in every situation. However, they are certainly not a good fit for everyone. You should only enroll in Medicare Advantage coverage if it is the best fit for your unique situation. Below, we clarify why these seemingly too-good-to-be-true plans have a less-than-stellar reputation and answer the much-anticipated question of why Medicare Advantage plans are evil. WHY DOCTORS DON'T LIKE MEDICARE ADVANTAGE It is no secret that some physicians have expressed concerns about Medicare Advantage plans . If you ask your doctor how they feel about Medicare Advantage plans, the answer may surprise you. There are several reasons physicians do not favor Medicare Advantage Plans. These include: Strict network of providers The financial structure of the plans Prior authorization is typically required for services. If you are on the fence about enrolling in a Medicare Advantage plan, it is essential to weigh the pros and cons from your physician’s perspective. However, not all physicians share this view; some may encourage Medicare Advantage plans if they believe it is in their patients' best interests . THEY USUALLY HAVE STRICT PROVIDER NETWORKS Physicians may have a variety of reasons for disfavoring Medicare Advantage plans. One reason is that these plans often have smaller networks of doctors and hospitals than traditional Medicare, which can limit the number of available providers. This can be frustrating for doctors who want to provide the best possible care for their patients by offering referrals, but are constrained by the limitations of the plan. When a Medicare Advantage plan offers a limited network, receiving a referral to the best specialist may be more difficult than anticipated. HOW MA/MAPD PLANS ARE DESIGNED The average physician is not a fan of Medicare Advantage because these plans shift patients’ financial risk to physicians . The Medicare Advantage plan carrier will pay your doctor a set amount of money upfront based on a diagnosis. So, the only way the physician will make a profit is if they stay under budget. This encourages doctors to provide cost-effective care that may create pressure to prioritize cost over care. The complex billing and reimbursement process for Medicare Advantage plans is also a common source of frustration for physicians . In addition to needing to stay under budget when providing care, Medicare Advantage plans often have different payment structures and rates than traditional Medicare, which can make it difficult for doctors to understand how they will be paid for their services. DEALING WITH PRIOR AUTHORIZATIONS Another reason doctors may not favor Medicare Advantage plans is that they often require prior authorization for specific treatments or procedures. This means that doctors must get approval from the insurance company before they can perform specific tests, procedures, or treatments. Obtaining prior authorization can be time-consuming and delay the delivery of care, which can be frustrating for both the physician and the patient. THE GOOD, THE BAD, AND THE UGLY OF MEDICARE ADVANTAGE PLANS Not all aspects of Medicare Advantage plans are bad. If the benefits match your needs both medically and financially, there can be some drawbacks to Medicare Advantage plans. SOME POSITIVE THINGS ABOUT MEDICARE ADVANTAGE PLANS ARE Additional benefits: Medicare Advantage Plans often offer extra benefits that Original Medicare does not cover, such as dental, vision, and hearing care. Some plans may also include fitness and wellness programs, transportation, and other services. Lower costs: Medicare Advantage Plans may offer lower out-of-pocket costs than Original Medicare and impose annual limits on out-of-pocket expenses, which can help individuals budget for healthcare expenses. Prescription drug coverage: Many Medicare Advantage Plans also include prescription drug coverage, which can be more affordable than purchasing a separate Part D plan. Overall, if the benefits are best for you, Medicare Advantage Plans may not be entirely bad. However, it is essential to understand the overall costs associated with your plan, your benefits, and the network restrictions you must comply with when receiving care. DISADVANTAGES OF MEDICARE ADVANTAGE PLANS There are several reasons beneficiaries may perceive Medicare Advantage plans unfavorably . Some policyholders may identify disadvantages, whereas others may be satisfied with their Medicare Advantage coverage. Based on who you ask, the answer to this question varies. Overall, the most common complaint we hear about Medicare Advantage plans concerns their restrictive provider networks and high out-of-pocket costs. Even without a low or zero-dollar monthly premium, most beneficiaries spend more out-of-pocket on a Medicare Advantage plan than they would through a Medicare Supplement plan. THE BIGGEST DISADVANTAGES OF MEDICARE ADVANTAGE PLANS Coverage does not travel with you. The small network of doctors High out-of-pocket costs Plan benefits change annually The constant need for referrals and approvals You should carefully consider your priorities before enrolling in a Medicare Advantage plan. By doing so, you can make an informed decision about your healthcare and ensure you receive the best possible care. MA/MAPD (MEDICARE ADVANTAGE PLANS) DO NOT TRAVEL WITH YOU Another disadvantage of Medicare Advantage plans is that coverage does not travel with you, which can be particularly problematic for seniors who enjoy traveling or who spend part of the year in a different location. When you enroll in a Medicare Advantage plan, you are typically limited to a specific geographic area. If you travel outside this area, you may be covered only for emergency care . SMALL PHYSICIANS NETWORKS Provider networks are another significant disadvantage of Medicare Advantage plans, not only for the doctors but also for you as an enrollee. Medicare Advantage plans often have narrow provider networks, which can limit access to care. In some cases, you may have to travel long distances to see a provider within your network who can care for your needs. This can be especially difficult for individuals with mobility impairments or who rely on public transportation. Moreover, even when you can find a provider within your network, the quality of care may not be optimal. Medicare Advantage plans are known for incentivizing providers to offer lower-cost care, which can result in lower-quality care or limited treatment options. HIGH OUT-OF-POCKET COSTS One of the primary reasons why Medicare Advantage plans are problematic for some is their high costs. While these plans may offer lower premiums than traditional Medicare, they often entail additional fees that can quickly accumulate . For example, many Medicare Advantage plans can have high deductibles, which means you must pay a certain amount out-of-pocket before their coverage kicks in. In addition, these plans may also have higher copayments and coinsurance for certain services, such as hospital stays or outpatient procedures. Additionally, you may be subject to paying higher costs if you receive care from a provider who is out of your plan’s network. ANNUAL PLAN BENEFIT CHANGES & ENROLLING EVERY YEAR Annual changes to Medicare Advantage plan benefits can create uncertainty, limit access to needed care, and increase out-of-pocket costs for policyholders if not properly reviewed. When you enroll in a Medicare Advantage plan, you agree to a set of benefits and costs for a specific period of time. However, insurance companies may make changes to the plan each year, such as to the cost-sharing structure, the drugs covered, or the in-network providers . These changes can make it difficult for patients to adjust to new requirements, find alternative treatments, and access needed care. If a plan increases copays or deductibles, it may be more difficult for patients to afford needed care or adhere to their treatment plans. Therefore, patients should review the details of their plan annually and consider alternatives if the changes are not favorable to their health needs or budget. MOST HMO PLANS REQUIRE REFERRALS TO SEE A SPECIALIST Medicare Advantage plans often require you to obtain referrals from your primary care physician before seeing a specialist or receiving certain medical services. This can be a frustrating and time-consuming process, as you must complete this additional step before you can receive the care you need. In some cases, you may also need to obtain prior authorization from your insurance company before receiving certain medical services or treatments. This can result in delays or denials of care, which can be especially problematic for patients with severe or urgent health needs. NO MEDICARE ADVANTAGE PLAN IS FREE A big misconception about Medicare Advantage plans is that they are free. However, this is far from the truth. When you enroll in a Medicare Advantage plan, you are still responsible for paying the Medicare Part B premium and cost-sharing. So, unfortunately, while you may have a zero-dollar premium plan, there is no such thing as a free Medicare plan. The main reason why Medicare Advantage carriers can offer low to zero-dollar monthly premium plans is that Medicare pays the private companies providing the plans to take on your health risk. However, not all Medicare Advantage plans have low premiums . Medicare Advantage carriers make their plans look attractive to entice beneficiaries to enroll. Then, Medicare pays the carrier a fixed monthly amount to provide coverage to each enrolled beneficiary. WHAT MOST AGENTS AND MEDICARE ADVANTAGE COMPANIES DO NOT WANT YOU TO KNOW Medicare Advantage plans often offer extra benefits that you won’t find with Original Medicare or a Medicare Supplement plan. These benefits include dental, vision, and hearing care , prescription drug coverage, gym memberships, and more. However, these additional benefits can cause issues when paying for the services. Often, beneficiaries face disappointment when they pay more than they budgeted for when utilizing the additional benefits. Although their Medicare Advantage plan provides coverage, they are almost always faced with high out-of-pocket expenses and a low maximum benefit . Plus, once you exceed a certain amount of coverage for most additional benefits, you are responsible for 100% of your costs. And if that was not bad enough, no one tells you that the additional benefits are divided into four quarters, so your $1,000 Dental Allowance is only $250 per quarter. Very few plans roll over unused amounts to the next quarter. No one tells you that you must pay $295- $400 per day for the first seven days if you are admitted to the hospital. There are very few rehabilitation facilities in the network.NetworkCare Advantage members are required to pay out-of-pocket for a facility that is preferred or the closest to them. However, Medicare Advantage plans may be appropriate in certain situations. If you are on a limited budget and cannot afford the monthly premiums for a Medicare Supplement plan, then a Medicare Advantage plan with sufficient coverage for your health needs is a good deal. IS ENROLLING IN A MEDICARE ADVANTAGE PLAN A SOUND INVESTMENT? Medicare Advantage plans are undoubtedly worth the zero-dollar premium. However, it is your choice to determine whether the coverage is appropriate for you and your budget. The value of a Medicare Advantage plan depends on your location, healthcare needs, budget, and preferences. For some, a Medicare Advantage plan may be a sound financial investment. If you do not regularly attend doctors’ appointments and are in excellent health, you could end up getting more out of the plan than you put in. However, if a health concern eventually arises, this is when the investment could flop. Medicare Advantage plans are good until they are no longer suitable for you. IF I ENROLL IN A MEDICARE ADVANTAGE PLAN NOW, I CAN ENROLL IN A MEDICARE SUPPLEMENT PLAN LATER, RIGHT? If you enroll in a Medicare Advantage plan now, you may be able to cancel your Medicare Advantage plan and enroll in a Medicare Supplement (Medigap) plan  in the future. To do so, you will have to wait until the Annual Enrollment Period , a Special Enrollment Period , or the Medicare Advantage Open Enrollment Period  to make changes. It is essential to note that most beneficiaries will receive only one Medicare Supplement Open Enrollment Period in their lifetime. This is your only opportunity to enroll in a Medigap plan without answering health questions. In addition to answering health questions, you may already have a circumstance that could deny you acceptance for a Medicare Supplement Plan. Some of these items are having had stents implanted, having a Defibrillator, being diagnosed or taking COPD Medication, receiving care from a Pain Clinic, Having been diagnosed with Chronic Arthritis or SPinal Stenosis, taking more than 50 Units of Insulin daily, having ESRD, Having had surgery in the last 2-3 years, having more than two overnight stays in a hospital in the past year. There are many more , and each carrier has its own Underwriting Guidelines. Still, here at Braden Medicare, we advise anyone who may want a Medicare Supplement plan later to start with one. We have seen too many bad things happen to good people. BRADEN MEDICARE INSURANCE POSTER OF A BIRD IN THE HAND IS WORTH TWO IN THE BUSH If you miss this one-time opportunity to enroll, you will have to answer health questions should you wish to enroll in a Medicare Supplement plan in the future. This means the carrier may deny your application based on pre-existing conditions. Thus, it’s essential to understand which coverage is best for you and enroll in that coverage the first time. WILL YOU PAY MORE WITH A MEDICARE ADVANTAGE PLAN OR A MEDIGAP PLAN? Although many people are initially put off by the higher monthly premiums of Medicare Supplement plans, your out-of-pocket costs each year could be higher on a premium-free Medicare Advantage plan. When you compare your total costs on each plan, you may be surprised at how much you will spend out-of-pocket on copayments, coinsurances, and deductibles. Typically, your MOOP (Maximum-Out-Of-Pocket) amount is the most you can spend, and most Medicare Advantage plans have MOOP amounts well over 5K per year. With a Medicare Supplement plan, you have a low Annual Part B Deductible of $257 (In 2025) + the cost of your premiums. For most people, this is between $1,500 - $3,000 per year. There is value in having predictable expenses, rather than paying out-of-pocket for services, as you must with Medicare Advantage plans. Remember that your actual spending will depend on which Medicare Supplement plan you choose and the amount of care you receive throughout the year. Those who visit the doctor only once annually may spend less under a Medicare Advantage plan. However, if a significant health concern arises, you will always pay less with a Medicare Supplement plan. Lastly , an important point to remember is that every Medicare Advantage plan has a 20% Copayment for all chemotherapy and Radiation Treatments, which can add up quickly. These services are covered under Original Medicare and a Medicare Supplement Plan C, F, G, or N . IS HAVING A MEDICARE ADVANTAGE plan right FOR YOU? Understanding whether a Medicare Advantage plan is right for you can depend on several factors. Most importantly, you’ll need to be sure that the plan you choose to enroll in meets your needs, both medically and financially. With all the downsides, why are they pushing Medicare Advantage plans so often? This may be because a Medicare Advantage plan could be your best option. To ensure a Medicare Advantage plan is right for you, you will need to: Evaluate your healthcare needs:  Look at your current healthcare needs and consider any potential changes in the future. Make a list of your prescription drugs, doctor visits, and any other healthcare services you anticipate needing in the coming year. Compare plan options:  Use the Medicare Plan Finder tool to compare the costs and benefits of different Medicare Advantage plans available in your area. Look at the premiums, deductibles, copayments, and coverage limitations. Consider your budget:  Evaluate your budget and determine how much you can afford to spend on healthcare costs each month. Remember that Medicare Advantage plans often have different fees for different services, so it’s essential to consider all the potential costs. Review plan networks:  Ensure that the plan you are considering includes your current doctors, hospitals, and other healthcare providers in its network. Understand plan benefits:  Review the additional benefits that the Medicare Advantage plan offers, such as dental, vision, or hearing services, as well as wellness programs, gym memberships, and other perks. Speak with a licensed Medicare agent:  Consult with a Medicare expert to help you understand your options and make an informed decision. Ultimately, the decision to enroll in a Medicare Advantage plan depends on your unique healthcare needs and budget. By taking the time to research and compare different plans, you can find the one that is best for you. By following these steps, you will be able to determine if a Medicare Advantage plan is right for you. We encourage all of our clients to invite their children, Nieces, Nephews, Cousins, or Grandchildren to be part of the decision-making process. After all, they will only want the best for you, and more importantly, they might be taking care of you and acting on your behalf later, so it just makes good sense to involve them early on. HOW DO MEDICARE ADVANTAGE PLANS MAKE MONEY? Medicare pays carriers that offer Medicare Advantage plans through a bidding process. The carriers submit their bids based on per-enrollee costs for medical services covered by Original Medicare . Suppose the bid exceeds the benchmark amount. In that case, the enrollee will pay the difference as monthly premiums ; thus, some Advantage plans have a zero-dollar premium, whereas others have a monthly premium. But the most significant way they make money is from the Government. Medicare pays Medicare Advantage companies $12K per year for each Medicare beneficiary enrolled in one of their plans, for assuming the risks associated with your care. This is where most of the money comes from for all of their commercials and advertising. Medicare Advantage plans have always been notorious for running out the clock in the 4th quarter. What do I mean by that? You have to sign up for a new Medicare Advantage plan every year, so if your Medicare Advantage Insurance carrier wants to, they can have you get 2nd, 3rd, and 4th opinions for anything they want, to delay paying out for a procedure, knowing that you will have a new plan beginning January 1st. AT THE END OF THE DAY, ARE MY PLANS GOOD OR BAD Depending on your situation, a Medicare Advantage plan may not be the best option for you. However, different circumstances warrant different plan types. Ultimately, it is crucial to know what to expect from these plans – regarding price and coverage – and become educated on which options are affordable to you and provide the coverage you need. When determining if a Medicare Advantage plan is bad or good for you, you should thoroughly compare all plans available to you. Then, you can choose which plan best fits your needs and which ultimately fits your budget. This is the best way to determine which plan type is best for you. Remember, everyone’s situation is different, so what works best for you may not work best for your spouse or neighbor. What is the Biggest Downside to Medicare Advantage Plans? One of the most common complaints we hear about Medicare Advantage plans is the lack of flexibility and high out-of-pocket costs for services. Although these plans often offer low monthly premiums, they are usually accompanied by high deductibles and out-of-pocket expenses. In some cases, you may be better off paying a higher premium to have lower overall costs in the end. However, cost is not the only downside to Medicare Advantage plans. The lack of network availability in some areas is another significant downside to Medicare Advantage plans. For some, the importance of seeing whichever doctor you prefer is a deal breaker. However, if you enroll in a Medicare Advantage plan, you may not be able to have this option. In Arizona, the Mayo Clinic, Mayo Hospital, and Barrow Neurological Institute do not accept Medicare Advantage plans but do accept Original Medicare. This is true for most teaching hospitals nationwide. IF YOU ARE HELL BENT ON HAVING A MEDICARE ADVANTAGE PLAN, DO YOUR RESEARCH...... The worst Medicare Advantage plan for you is one that is not suitable for your needs and budget. If you enroll in a plan that is not right for you, you could be stuck with subpar coverage, high costs, and doctors that you do not prefer. If you decide that a Medicare Advantage plan is best for you, it is essential to still research which Medicare Advantage plan is best for you. Not all Medicare Advantage plans offer the same benefits. Thus, understanding your plan is key to a prosperous future with your healthcare plan. WRAPPING THINGS UP We always recommend that every Medicare Beneficiary work with a Licensed, Independent Medicare Broker. It costs you nothing but can save you the most time, and Brokers inherently know more than you will learn; they do this for a living. They have access to more plans, and choice does equate to value. As an example, you might think you are just going to get a Humana Medicare Advantage plan, fine, your choice, but if you call Humana, they can only recommend Humana plans ; they cannot recommend any other company's plans. You may think you are saving money, but you are actually costing yourself by not working with an expert. If you are considering enrolling in a Medicare Advantage plan but are hesitant, we are here to help you make an informed decision. The key to obtaining the best coverage for you is researching plans in your area and becoming educated on your options. Whether you believe a Medicare Advantage plan is right for you or wish to explore Medicare Supplement plans, we are available online, by telephone, email, or text. Our only goal is to provide a service and to do our level best to ensure that each of our clients finds the right plan that meets their needs and those of their families. There is no one-size-fits-all plan for Medicare. However, with over 40 carriers, we know we can offer you more choices from more companies than any other agent or broker. It's another reason why we say that we treat clients like friends, and we always treat friends as members of our family. Braden Medicare Insurance Business Card For Michael Braden

Michael T. Braden August 31, 2025 MEDICARE NEWS THE MEDICARE ANNUAL ENROLLMENT PERIOD IS FAST APPROACHING. ARE YOU READY? It's Almost Time For The Medicare Annual Enrollment Period. The Medicare Annual Enrollment period runs from October 15 through December 7th. The Medicare AEP (Annual Enrollment Period) runs from October 15th through December 7th every year. During AEP, about 48 million Medicare Beneficiaries will make at least one change to their Healthcare portfolio for the 2026 Plan Year. The Medicare Annual Enrollment Period (AEP) occurs each fall. During the AEP, Medicare beneficiaries can change their current Medicare Advantage Plan, change their Stand-Alone Medicare Part D Prescription Drug Plan, leave Medicare Advantage and return to Original Medicare, or leave Original Medicare and choose a Medicare Advantage plan for the coming year. All changes made during the AEP will begin on January 1st, 2026. Medicare Annual Enrollment is an opportunity to review your current coverage and assess your needs. Furthermore, for those who missed their chance to enroll in Medicare Part D when first eligible, this is the only time to enroll each year. Reviewing your needs at least once a year is always a good idea, and the Fall Enrollment Period is an ideal opportunity. Below, we review the AEP enrollment period, including its timing, operation, and how to utilize it effectively.   THE MEDICARE AEP DEFINED   During the Annual Enrollment Period, you can change your Medicare Part C and Part D plans for the upcoming year. Subsequently, it could also affect your Medicare Supplement plan if you choose to enroll in a Medicare Advantage plan. The Medicare Annual Enrollment Period happens each fall and allows you to ensure you are enrolled in the right coverage year after year. The way in which you are covered for your healthcare expenses is essential for several reasons. There are different options for different people, and considering you can’t have both a Medicare Advantage plan and a Medicare Supplement (Medigap) plan simultaneously, it’s essential to know your options. If you have a Medicare Supplement Plan, there is nothing to do during the Annual Enrollment Period. Medigap/Medicare Supplement plans automatically renew each month you own your policy. You can check rates and change your Medigap plan at any time during the year. You will most likely need to answer Health questions, and your application will be subject to the Underwriting process with your Insurance partner. However, for 7 out of 10 people, the process is straightforward.   IS THE ANNUAL ENROLLMENT PERIOD FOR MEDICARE THE SAME EACH YEAR?   The Medicare Annual Enrollment Period, also known as the Fall Enrollment Period or Open Enrollment Period, occurs annually from October 15 to December 7. During these AEP dates, you can make changes to your Medicare elections for the upcoming year during this enrollment period. This annual Medicare enrollment period is an opportunity to review and update your Medicare elections to better fit your lifestyle, healthcare needs, and budget. If you are unhappy with changes you made in the past or with your current plan, the Medicare Fall Open Enrollment Period is the time to address them for the following year.   COMPARING THE ANNUAL ENROLLMENT PERIOD TO THE MEDICARE ADVANTAGE OPEN ENROLLMENT PERIOD   AEP stands for Medicare Annual Enrollment Period,  and OEP stands for Medicare Open Enrollment Period . Depending on the context, OEP can refer to many other Medicare enrollment windows . The difference between Medicare AEP and OEP is that there are multiple Open Enrollment Periods available through Medicare. Depending on your coverage type, you can make adjustments. For example: If you’re talking about the AEP, then you can make changes to your current Medicare Advantage or Part D plan. Those referring to the Medicare Advantage Open Enrollment Period can only make changes if they’re already enrolled in a Medicare Advantage plan. If you’re referring to your Medicare Supplement Open Enrollment Period , then you can enroll in a Medicare Supplement plan (Medigap) without having to answer any health questions. It’s essential to note that you can enroll in a Medicare Supplement plan at any time during the year. The only difference is that if you do it outside your open enrollment window, you’ll have to answer Medicare Supplement underwriting questions . The number of changes you can make during an OEP depends on which Open Enrollment Period you’re referring to: If you’re making changes to your Advantage or Part D plan during the AEP, you can make as many changes as you want. The last change you make will take effect on January 1st of the following year. If you’re referring to your Medigap OEP, you can also make as many changes as you want. However, the plan you choose last is the one you will be enrolled in and is effective on the 1st of the following month, or as soon as your Part B is active. Additional changes within the 6-month window become effective on the 1st of the following month. If you’re talking about the Medicare Advantage Open Enrollment Period, you can only make one change during this enrollment window. Choose wisely the first time. Medicare enrollment windows can be confusing, but help from a licensed insurance agent can make the process easier. WHAT IS THE BEST WAY TO COMPARE PRESCRIPTION DRUG PLANS   Approximately 23 million Americans are enrolled in a Medicare Part D drug plan. Thus, it is essential to review and compare Medicare Part D prescription drug plans  annually during the Medicare Annual Enrollment period, as plans undergo annual changes. As Medicare Advantage plans , Medicare Part D coverage also does not stay consistent year after year, and it is crucial to review your plan changes. This way, you can compare other policy options and double-check that you have the right coverage for your needs. Common reasons you may want to switch drug plans are: Changes in premium Changes in the drug formulary Change in preferred pharmacy Any of the above changes could significantly affect how you use your Medicare Part D plan. This means that a plan better suited to your needs may be available. However, you may not be aware of these changes unless you review and compare your plan. The Medicare AEP dates are the perfect time to do this. Each year, the company that manages your Medicare Part D plan must send you an Annual Notice of Change document in September. This document outlines any changes to your current policy that will take effect next year. Reading and understanding these changes is necessary, as they directly affect your coverage. Prescription drug prices have been increasing at an average annual rate of 31.6%. Some medications can experience extreme inflation and have been known to increase by over 500% within a year. This is obviously a significant concern for anyone taking prescription medications, and the exact reason you’ll need to use your Annual Enrollment Period to ensure you are covered. However, to combat this extreme price increase, Medicare has implemented the prescription drug rebate rule , which penalizes companies with significant cost increases for their medications.   WHAT IS THE BEST WAY TO COMPARE DIFFERENT MEDICARE PLANS DURING THE ANNUAL ENROLLMENT PERIOD   Like Medicare Part D , your Medicare Advantage plan will see changes in networks, coverage, and out-of-pocket costs yearly. Between October 15 and December 7 each year, you can enroll in a Medicare Advantage plan  for the new year. Your plan will change annually, so it is wise to keep it up to date. The best way to understand your plan changes is by reviewing the Annual Notice of Change . However, another plan may be more suitable for your needs, so you and your agent should review all available plans to ensure you get the right coverage moving forward.   IS IT POSSIBLE TO SWITCH BACK TO ORIGINAL MEDICARE DURING AEP?   The Medicare Annual Enrollment Period is not the time for you to enroll in Medicare Part A  or Medicare Part B  (Original Medicare). To be eligible for the Annual Enrollment Period, you must already be enrolled in Original Medicare. If you are new to Medicare and need to enroll in Part A or B, you must do so during your Initial Enrollment Period  or General Enrollment Period . If you already have Original Medicare and want to purchase a Medicare Supplement plan, you can still enroll. However, you will face medical underwriting and may be denied coverage if you do not have a guaranteed issue right.   WHAT CHANGES CAN SOMEONE MAKE DURING THIS AEP?   During the Medicare Annual Enrollment Period, you can: Switch from Medicare Advantage to Original Medicare Enroll in a Medicare Advantage plan. Change from one Medicare Advantage plan to another. Enroll in a Medicare Part D plan. Change from one Medicare Part D plan to another Disenroll from a Medicare Part D plan If you plan to switch from a Medicare Advantage plan to Original Medicare and wish to enroll in a Medicare Supplement plan, you can do so during this time. You can also pick up a Medicare Part D Prescription Drug Plan to replace your coverage through your MAPD  once you switch to Original Medicare. But remember that you must pass the Medicare Supplement underwriting eligibility questions  to enroll in a Medicare Supplement plan. Therefore, it is crucial to work with an agent to enroll in the right policy tailored to your healthcare needs, thereby avoiding a lapse in coverage. HOW DO I SWITCH OVER TO HAVING A MEDIGAP PLAN (MEDICARE Supplement PLAN) DURING AEP?   You can enroll in a Medicare Supplement plan  at any time. However, you cannot have Medicare Advantage and Medicare Supplement coverage at the same time. Therefore, you must have a valid disenrollment period for your Medicare Advantage plan before picking up Medigap coverage. Fortunately, the Annual Enrollment Period is a valid disenrollment period for Medicare Advantage. When you switch to a Medicare Supplement plan, you must undergo medical underwriting. A carrier can deny issuing you a Medicare Supplement policy based on your pre-existing conditions. If you believe you may not qualify for a Medigap plan, having a Medicare Advantage plan in mind is essential to avoid a lapse in coverage. Often, licensed agents can help you find a plan with a carrier that will accept your pre-existing condition. However, that is not always the case with more severe health conditions.   ANY CHANGES YOU MAKE DURING THE ANNUAL ENROLLMENT PERIOD WILL TAKE EFFECT ON JANUARY 1, 2026   If you make changes to your Medicare coverage  during the Annual Enrollment Period, these changes will go into effect on January 1 of the following year. During the Fall Open Enrollment Period, you can make as many changes as you wish. However, the most recent change will be honored. For example, if you switch from a Humana Medicare Advantage plan to an Aetna Medicare Advantage plan during the Fall Open Enrollment Period for Medicare, and later decide to change to a Cigna Medicare Advantage plan, the Cigna plan will take effect on January 1.   IF I CHANGE MY PLAN DURING THE AEP AND I END UP NOT LIKING THE NEW PLAN, WHAT CAN I DO? Suppose you enroll in a Medicare Advantage plan during the Annual Enrollment Period. In that case, you will have the chance to change your plan during the Medicare Advantage Open Enrollment Period. This is a separate period from January 1 to March 31, independent of AEP Medicare. During this time, you can either switch back to Original Medicare or enroll in a new Medicare Advantage plan. If you switched from a Medicare Supplement plan to a Medicare Advantage plan for the first time, you would have a trial right for 12 months that allows you to switch back to your Medicare Supplement plan. Because the changes you make during the Fall Open Enrollment Period don’t take effect until January 1 and will affect your healthcare for the entire year, getting them correct is imperative. You can still change your Medicare Advantage coverage, but especially for Part D coverage, you’ll need to get it right, as you’ll have to wait until the fall to make changes.   YOU DO NOT HAVE TO CHANGE COVERAGE, BUT YOU SHOULD COMPARE PLANS TO MAKE SURE YOU HAVE ALL OF THE BENEFITS YOU NEED   You should consider changing your coverage during the Annual Enrollment Period because plans change annually, and a new option may fit your needs better than your current plan. The only way to know is by reviewing your options each year. Some changes that occur to Medicare Advantage and Medicare Part D plans include: Premium Increases Changes To Provider Networks Prescription Drug Formulary changes Changes In Benefits Changes With Prescription Drug Pharmacy Networks To avoid surprises, conduct due diligence by reviewing your plan and those in your area during the Fall Enrollment Period.   PREPARING FOR THE AEP (ANNUAL ENROLLMENT PERIOD)   It is crucial to have a plan when approaching the Annual Enrollment Period. It is never too early to prepare. If you wait too long, contacting an agent may become difficult, and you may miss your opportunity to change plans. To have a successful Annual Enrollment Period, you should follow these steps to get the most out of the Medicare open enrollment dates and your healthcare coverage next year. Braden Medicare Insurance' Let's Chat About Your AEP Choices' Poster   DOUBLE CHECK TO ENSURE YOU ARE ELIGIBLE TO MAKE CHANGES   If you are newly eligible for Medicare or have delayed coverage for any reason and do not yet have Medicare Part A and B, this is NOT your enrollment period. You will not be eligible to make changes during the Fall Open Enrollment Period unless you are within your Initial Enrollment period or are eligible for a Special Enrollment Period . In this case, you must wait until the General Enrollment Period. However, remember that if you delayed Medicare Part D coverage for any reason and didn’t have creditable coverage, but wish to enroll, this is also your opportunity. You’ll be eligible to sign up for a Part D plan during the Medicare Annual Enrollment Period, but you’ll have to pay a penalty on top of your premium.   YOU NEED TO DECIDE IF YOU ARE HAPPY WITH YOUR CURRENT PLAN AND COVERAGE   When deciding on your coverage during the Medicare Annual Enrollment Period, you must take a deeper look at your current coverage and determine if there are any changes you would like to make. If you can find a plan with these changes, it may be the right decision to enroll. However, no changes are necessary if your current plan is still working for you.   YOU MUST MAKE YOUR CHANGES FOR THE 2026 PLAN YEAR BEFORE DECEMBER 7, 2025   The most critical step in the process is connecting with a licensed insurance agent who specializes in the plans you want to enroll in. Often, an agent may be able to help you find plans that you were not aware of, help you save money, or recommend plans that are right for your needs. You can also save time in comparing coverages and premiums. Everyone has different needs and variables, including location. Therefore, it can be challenging to identify the right plan without some guidance. Working with an agent is crucial to ensuring you receive the coverage you need at the lowest possible price in a fraction of the time.   HOW DO I FIND OUT IF MY PLAN OR BENEFITS ARE CHANGING FOR NEXT YEAR?   Understanding whether or not you’ll experience changes in your coverage is critical for AEP Medicare. You can work with a licensed agent to understand your options and changes to your coverage, but if you have Medicare Advantage or Part D, you will be notified in advance. Braden Medicare Insurance ANOC (Annual Notice Of Change) letter Poster. In September, you should receive a letter from your Medicare Advantage or Medicare Part D carrier that includes the Annual Notice of Change. The Annual Notice of Change will inform you if your premium, copays, pharmacy networks, or drug formulary changes in the upcoming year. After reviewing the document, you may decide to stay with your current plan or seek a new policy that better suits your needs. Even if your current plan does not make significant changes, reviewing other options during the Fall Enrollment Period helps ensure you are still receiving the right coverage for your needs.   WRAPPING THINGS UP   Whether you are a seasoned veteran of the Annual Enrollment Period or this is your first time going through it, Medicare need not be confusing or overwhelming. If you do not already have a Medicare Broker, please get in touch with Braden Medicare Insurance. We offer a free, no-obligation plan review for Medicare Advantage, Medicare Part D Prescription Drug, and Medicare Supplement/Medigap plans at any time of year. Please complete an online request form, call, email, or text us at your convenience. We will get back with you as soon as possible. Braden Medicare Insurance Business Card For Michael Braden