Search Results

Michael T. Braden, August 28, 2024 CARING FOR AGING PARENTS Picture of Mother and Son Holding Hands with the caption "When It's Time To Care For Aging Parents" Poster HELPING LOVED ONES AND FAMILY MEMBERS WITH THEIR MEDICARE Often, as we get older, we are not fully aware of what shape our parents are in. We have been busy with our lives, and honestly, most people are not aware of the changes their parents are constantly grappling with. There comes a time when we need to care for them, in the same loving manner they cared for us growing up. Providing Care for aging parents and other family members is what this article is all about. How to care for aging parents and help them understand Medicare. There is a lot of information, and your interest and involvement mean a lot to your parents. It will also help you understand how Medicare works, which will be helpful in the future. HOW YOU CAN PROVIDE CARE FOR AGING PARENTS, AUNT, UNCLE, GRANDPARENT(S) WITH THEIR MEDICARE OPTIONS For many people , the worst part of retirement is in the beginning, starting about 3 months after they turn 64, when their mailbox begins filling up weekly with advertisements from anyone and everyone associated with Medicare and especially Medicare Advantage plans. During this time , most consumers are amazed and a little confused by the concept of Medicare, and many have no idea where to turn to start their research on the subject of Medicare. Most of our clients report that the entire process is confusing and overwhelming. For this reason, we at Braden Medicare advise everyone to call 2-3 local Medicare Brokers and get to know them. Ask questions and decide who you believe you might enjoy working with. Brokers never charge for their services and are equipped and licensed to sell both Medicare Supplement and Medicare Advantage plans. They truly are a one-stop shop for all things Medicare. Another suggestion we always make is to ask each potential client if they have a Son, Daughter, Niece, or Nephew who might assist them in their search. At some point, every Medicare Beneficiary should have a relative who understands the process and who is also familiar with the plan you choose. You may not think it is essential at the time, but having a well-versed Medicare expert who understands your plan is invaluable . They can help with research and are often the ones to inform caregivers about your plan, your doctors, and your future care wishes . HOW TO CARE FOR AGING PARENTS IF YOUR RELATIVES ALREADY HAVE A MEDICARE PLAN AND WANT TO SHARE THAT INFORMATION WITH A FAMILY MEMBER, TRY THESE STEPS TO HELP GET YOU STARTED: The first step is to determine which Medicare Plan they have. There are three ways you can do this. First, ask them to show you the Medicare card they use when they see a doctor. If it is the red, white, and blue card with their Medicare number and the start dates for Parts A & B, they have Original Medicare. If they show you a card from an insurance company with HMO or PPO designations, it is a Medicare Advantage Plan. Second, they should have a free mymedicare.gov account that provides a history of their medical care and prescriptions. It will also show which insurance they are using. If they have never set this up on the www.medicare.gov website, you can assist them in setting one up. Lastly, you can call 1-800-MEDICARE. The Medicare representative will need your parent's permission to speak with you. They should be able to answer all your questions about your parents' plan. This is important because once you set this up , you will always be able to assist your parent/relative whenever you need to speak with anyone at Medicare. And do not be nervous when calling ; Medicare has done an excellent job training its customer service agents, and they are as courteous as they are helpful. Encourage your parents/relatives to stay socially engaged with friends, neighbors, and family members. Please encourage them to participate in community activities and maintain a strong support network. The worst ailment for an aging adult is the feeling of loneliness and depression. If your relative has a Medicare Advantage plan , you may want to consider switching to a Medicare Supplement plan soon . There is less confusion and far less out-of-pocket costs with Medicare Supplement/Medigap plans. Call us if you need help understanding your options, and we can work with you to choose the best plan for your family member. Medicare Advantage health plans may change or be eliminated from year to year. Try to find an Independent Medicare Broker close to you and set up a consultation once you know which plan your relative/parents are enrolled in. Medicare Advantage Plans and Medicare Part D Prescription Drug Plans should be reviewed annually, during the Medicare Annual Enrollment Period (AEP) from October 15th to December 7th . Make a list of all of your parents' or relatives' Prescription Medications. Review them, including the frequency and strength of their medicines. Also, be sure to ask what each medication is for so you can learn more about their care . Please make a list of all their Doctors, Dentists, and Other Healthcare professionals. Email or leave your name, address, and contact information with each Doctor's office. Then, when you get a chance , call the Doctor's office and introduce yourself. They can then call your family members to verify that you are acting on their behalf as needed. Consider whether you’ll need to or be able to help your parents financially, how much, and for how long. Typically, adult children are not financially obligated to pay for their parents’ care. SPECIFIC THINGS TO FOCUS ON WHEN YOU ARE LEARNING ABOUT MEDICARE? Assess the medical needs of your aging parents or other family members and help care for them . Consider their ongoing health conditions, whether they are currently taking prescribed medications, whether they have been advised to undergo tests or screenings soon, and whether any surgical procedures have been recommended by their doctors. EVERYONE HAS 3 CHOICES TO CHOOSE FROM WHEN IT COMES TO HOW THEY WANT TO RECEIVE THEIR MEDICARE BENEFITS. ORIGINAL MEDICARE, MEDICARE ADVANTAGE, OR ORIGINAL MEDICARE WITH A MEDIGAP PLAN. DID YOU KNOW THAT MANY MEDICARE BENEFICIARIES HAVE LESSER COVERAGE THAN THEIR CHILDREN WOULD WANT THEM TO HAVE? Medicare Advantage plans are known for adding benefits not covered by Original Medicare. If they currently have a Medicare Advantage plan, obtain a copy of the Summary of Benefits so you can easily understand the benefits and how they work. This is very important because most Medicare Advantage Plans divide benefits by Quarters, so a $2,000 Dental benefit is likely $500 per quarter, with benefits not rolling over to the next quarter. WHEN YOU IN CHARGE OF CARE FOR AGING PARENTS, FOCUS YOUR EFFORTS ON UNDERSTANDING THESE ITEMS: What are the health benefits offered/included with their current plan? What can they afford? Are they struggling financially? What health concerns do they have? What health issues are anticipated? As your parents or loved ones age, will they likely require caregivers? Do they have any Life or Long-Term Care Insurance that could assist them later, if necessary? Will they have solid insurance if they have cancer, diabetes, or are hospitalized? Not all Medicare Plans are created equal, so this is another good reason to schedule a call with a local, independent Medicare Broker. Do they have proper drug coverage? The right drug plan is essential. Prescription drugs can be costly. Remember, they can change plans every year at no cost if necessary, but you can only do this at certain times of the year. Can they see any doctor who accepts Medicare (with Original Medicare Parts A & B and/or Medigap), or are they limited to in-network providers ? If they have a Medicare Advantage Plan (Medicare Part C), they must see only physicians and go to hospitals and clinics in their plan's network. Do they already have a long-term relationship with a physician, and does the physician participate in their plan? If so, this is costing them money because they are going out of the Network for care. UNDERSTANDING WHY IT IS SO IMPORTANT NOT TO MISS ANY OF THE MEDICARE DEADLINES! Medicare has specific enrollment periods that must be met. If a Medicare beneficiary misses these deadlines without qualifying for a special enrollment period and without creditable coverage, they may face permanent late enrollment penalties. Enrolling on time also allows your elderly parents access to preventive services, screenings, and vaccinations at no cost. Delaying enrollment could leave your aging parent without health insurance, exposing you to potentially high medical costs and creating further health issues. During your initial enrollment period (IEP) for Medicare, everyone is guaranteed one-time acceptance into Medicare Supplement (Medigap) policies, regardless of pre-existing conditions. If you miss this period, you might face more stringent medical underwriting requirements and could be denied coverage or charged higher premiums. Some Medicare plans, like Medicare Advantage and Medicare Part D Prescription Drug plans, have specific annual enrollment periods. If your aging parents miss these periods, they might have to wait until the next enrollment period to make changes or enroll in a different plan. CAN PEOPLE DELAY THEIR MEDICARE ENROLLMENT, OR DO THEY HAVE TO ENROLL AT AGE 65? Aging parents can often delay enrolling in Medicare without penalties in certain situations, such as having employer-sponsored health coverage while actively working. Such insurance is considered a “creditable” alternative to Medicare. WHAT DO I DO IF MY AGING PARENTS CAN NOT AFFORD MEDICARE? LOOK INTO LOW-INCOME PROGRAMS Depending on their financial situation, their parents may qualify for Medicaid, a government program that provides healthcare coverage to low-income individuals and families. Medicaid coverage and rules vary by state. MAYBE CONSIDER MEDICARE SAVINGS PROGRAMS Some states offer Medicare Savings Programs that help cover Medicare premiums, deductibles, and coinsurance for individuals with limited income. LOOK INTO COVERAGE AND PROGRAMS PROVIDED BY SOCIAL SECURITY If your parents have limited income and resources, they might qualify for SSI, a federal program that provides financial assistance to elderly and disabled individuals. You will likely need to call your local Social Security office to schedule an in-person appointment . ASSISTANCE TO HELP LOWER PRESCRIPTION DRUG COSTS Some programs offer assistance with the cost of prescription medications. Medicare’s Extra Help program helps with Part D prescription drug costs. OTHER CHARITABLE/NOT FOR PROFIT ORGANIZATIONS Many nonprofit organizations provide financial assistance, other resources, and support to seniors for healthcare expenses. WHERE IS THE BEST, SAFEST, AND MOST RELIABLE PLACE TO FIND INDEPENDENT INFORMATION ABOUT MEDICARE? 1-800-MEDICARE       This toll-free number provides assistance and information about Medicare. STATE HEALTH INSURANCE ASSISTANCE PROGRAM (SHIP)        Each state has a SHIP that offers free assistance to Medicare Beneficiaries. MEDICARE & YOU HANDBOOK       Medicare provides this publication, available in print and online. You can download the Medicare And You Handbook or call 1-800-Medicare and request a copy be sent to you. NON-PROFIT ORGANIZATIONS  Organizations such as AARP (American Association of Retired Persons) provide information and resources for seniors, including guidance on Medicare and other healthcare coverage. OTHER GOVERNMENTAL AGENCIES  Agencies such as the Social Security Administration can provide information on Medicare enrollment and eligibility. IF YOU ARE STILL UNSURE OF HOW TO PROCEED, WE ARE HERE TO HELP Here at Braden Medicare, we are always available to speak with anyone who has questions or needs advice regarding Medicare and other insurance issues. We are dedicated to being your friend and neighbor. We are happy to provide anyone who contacts us with free advice. Our goal is to keep as much money as possible in the pockets of our clients and their families. Medicare Supplement and Medicare Advantage carrier in the state. Our goal is to treat everyone we meet with kindness and respect. We have the hearts of teachers and the tenacity of prosecutors, and we treat everyone as we would any member of our own family. We appreciate you reading our Blog, and we look forward to assisting you with any questions you may have, now or in the future. You can reach us at mike@bradenmed-icare.com , by visiting our website at www.bradenmedicare.com , by calling us at (480) 225-1393, or by faxing Braden Medicare Insurance at (480) 422-9062.

Photograph of Tillman Braden Junior, Who Dedicated His Life and Service To The United States Of America and Is Proudly Resting AT Arlington National Cemetery ### Exciting Medicare Options for Veterans and Their Families! As the proud son of a dedicated Air Force father, who is honored to rest at Arlington National Cemetery, I want to express my heartfelt gratitude to every veteran and their families. Thank you for your unwavering commitment and the tremendous sacrifices made in the name of freedom. Your service is something many take for granted, and today, I want to highlight the wonderful health options available to you! Here’s a photo of my dad, Chief Master Sergeant Tillman Braden Junior—a true hero. Navigating Medicare can be a little daunting, but it’s crucial for veterans and their families to understand how it works alongside VA health benefits. To truly maximize the fantastic healthcare options you’ve earned, you must enroll in Medicare Part B. This is important for anyone with VA Benefits, CHAMP VA, TRICARE, or TRICARE FOR LIFE. Why is this necessary? Simply put: Medicare serves as the National Health Plan for all Americans aged 65 and older, operating as the primary payer with your VA benefits covering any costs that Medicare doesn’t. This thoughtful structuring allows for more accessible healthcare options, especially for those who may not live near a military base or VA facility. Access to local hospitals and clinics can make a huge difference in your care! Veterans have the flexibility to choose between Original Medicare (Parts A & B) and Medicare Advantage (MA) plans. If you select Original Medicare, your VA benefits provide a safety net, covering the 20% of approved Medicare expenses after the annual Medicare Part B deductible of $233 for 2022. Alternatively, if you decide to dive into a Medicare Advantage plan, they typically cover 80%, with your VA benefits taking care of the remaining 20%. Many popular Medicare Advantage providers even offer plans tailored specifically for veterans! Most of these plans operate as PPOs, giving you a wider selection of doctors and access to a nationwide network. What about prescription drug coverage? You can breathe easy! Thanks to the exceptional VA Prescription Drug Program, you won’t need to worry about selecting a plan that provides separate prescription coverage—your VA benefits are already top-notch! Now, you might be wondering which plan is truly the best fit for you. The key is to find the option that suits your unique lifestyle and family needs. For instance, if you love your gym membership, Medicare won't cover that expense, but many Medicare Advantage plans do! This means more savings and opportunities for you to stay healthy and active. Additionally, if you’re already enjoying TRICARE Dental and Vision benefits for $37 a month, many MA plans come with dental, vision, and hearing benefits built right in—potentially leading to even more savings! Of course, it’s important to be aware of some differences between Medicare Advantage plans and Original Medicare. Here are three considerations to keep in mind: 1. **Choice of Providers**: With Original Medicare, you have the freedom to visit any doctor or hospital across the country that accepts Medicare, without being limited to a specific network. 2. **Hospital Networks**: If you have your heart set on a prestigious facility like the Mayo Clinic, it’s essential to know that they do not accept Medicare Advantage plans in Arizona, which may limit your options. 3. **Billing Process**: If you opt for a Medicare Advantage PPO plan, understand that providers are required to bill both the insurance company and your VA benefits. However, this doesn’t always happen seamlessly. If your provider fails to bill both, you may need to submit your bill to Wisconsin Physicians Services for reimbursement within 30 days. For more information and guidance, I highly encourage you to explore resources on the VA website, the TRICARE For Life website, and the TRICARE website. One of the best steps you can take is to directly speak with a benefits representative from your VA plan before making any commitments. Discuss the plan you’re considering, and get clarification on how your VA benefits integrate with it. This way, you can avoid any unexpected surprises down the line! Thank you once again for your service, and I hope this information empowers you to make informed decisions about your healthcare options. Your bravery and dedication deserve nothing but the best!

Michael T. Braden August 28, 2024 GENERAL MEDICARE INFO The Medicare Annual Enrollment Period (AEP) runs from October 15th through December 7th every year. A REMINDER FOR THE FALL MEDICARE ANNUAL ENROLLMENT PERIOD THAT HAPPENS EVERY YEAR FROM OCTOBER 15th - DECEMBER 7th. THE MEDICARE ANNUAL ENROLLMENT PERIOD Well, it is time to stock the pantry with Orville Redenbacher's Microwave Popcorn and Hot Chocolate, as we are only 4 weeks away from the Medicare Commercial blitz that kicks off the Medicare Annual Enrollment Period. I know most Medicare Beneficiaries understand what they can do and what tasks to complete during the Annual Enrollment Period (AEP), which begins on October 15th and continues for a specified duration. Tasks to complete during the Annual Enrollment Period (AEP), which starts on October 15th and continues for a specified duration.through December 6th each year. Hopefully, this article is a quick read and full of timely information, serving as both a reminder and a call to action where applicable. Enjoy.................................... WHAT EVERY MEDICARE BENEFICIARY SHOULD DO DURING THE MEDICARE ANNUAL ENROLLMENT PERIOD 1. Read the Annual Notice of Change Letter (ANOC) or the Annual Notice of Change packet you will receive beginning in September. This letter explains any changes to your Medicare Part D Prescription Drug Plan for the new year, starting on January 1st. That way, you know what the premiums will be if you make no changes. MEDICARE ANNUAL NOTICE OF CHANGE LETTER (ANOC) 2. Everyone should have a list of their Prescription Medications. If there have been any new medications or any that you no longer need to take, adjust your list accordingly. I suggest that everyone send a copy of their Prescription Medication list to their Medicare Broker or Medicare Agent at least every other year to ensure they have the best plan at the lowest cost, including both the premium and the costs of their drugs. Also, please include the name of your preferred pharmacy that is convenient for you to use. This matters when comparing plans. 3. If you have a Medicare Advantage Plan, please update the list of any Doctors you see regularly. This is the most crucial factor if you plan to stay with Medicare Advantage, because not every Doctor is associated with every plan. 4. Try to make a list of everything you have spent out of pocket for your healthcare during the year, so you have an idea of how much you have spent. Do not worry about including your Medicare Part B premium; everyone must pay it, whether they have Original Medicare or a Medicare Advantage plan. 5. Once these tasks are completed, you really should call or email your Medicare Broker or your Agent and ask them to compare what the cost would be for you to have a Medicare Supplement Plan G and Original Medicare. Compare that amount with your out-of-pocket expenses to date, and determine the current monthly premiums. This is especially helpful if you have not checked rates in years. DIFFERENCES BETWEEN A MEDICARE AGENT AND A MEDICARE BROKER This is probably the best time of year for us to illustrate the differences between a Medicare Broker and a Medicare Agent: A Medicare Insurance Agent is typically considered captive.   This means they usually represent only one or two Insurance companies and are licensed and accredited . Some agents can only offer Medicare Advantage or Medicare Supplement Plans from their company; not every agent offers both. A Medicare Broker is duly licensed and contracted to offer plans from multiple insurance companies that provide Medicare Insurance. It takes a lot more time, effort, and experience to become a licensed broker. For example, an Agent may be contracted with Devoted Health and Humana. Using Braden Medicare as an example, we are contracted with AARP, Allstate, Aetna, Amerigroup, Anthem, Aflac, Ace Medicare Supplements, Bankers Fidelity, Banner Health, BCBS, Cigna, Capital Life, Devoted Health, Gold Kidney, Globe Life Life Insurance, Humana, ING, Lasso, Manhattan Life, Medico, Mutual of Omaha, Nassau, National General, Philadelphia Life, Republic Life Insurance, Royal Arcanum, United American, United Healthcare and United States Fire Insurance. We offer every Medicare Part D Plan in Arizona and are licensed in Florida, Indiana, Iowa, Nevada, New Jersey, New Mexico, Ohio, Pennsylvania, Texas, and Wisconsin. THINGS YOU CAN DO DURING THE ANNUAL ENROLLMENT PERIOD You can change your Medicare Part D Prescription Drug Plan or keep your current plan for the coming year, provided it is still available and remains the best option for you. If you have Medicare Advantage, you can continue with the same plan for the next year if yours is still available, or you can switch to a new plan entirely. If , after comparing your out-of-pocket expenses, you decide you have more control, better coverage, and the freedom to see any doctor and go to any hospital you desire, you can disenroll from Medicare Advantage and return to Original Medicare. If you decide to return to Original Medicare, you will need to pass underwriting to purchase a Medicare Supplement policy. It is a good idea to ensure you are accepted by the new plan before contacting your Medicare Advantage plan to cancel. NOTE: Any changes made will not take effect until January 1st, and the last day to make changes that will take effect on January 1st is December 7th. This is always the busiest time of the year for Medicare. So, it is best to make your decisions sooner rather than waiting until the end. Plus, you will feel more comfortable if you have all of your new ID Cards and Plan details in your Wallet/Purse before the end of the year. WHAT HAPPENS IF YOU MISS MAKING YOUR CHANGES BEFORE THE MEDICARE AEP DEADLINE ON DECEMBER 7th? If you get tied up or distracted and you do not meet the deadline of having your changes in by December 7th, here is what happens: You will have the same Medicare Part D plan you had last year, and you must keep it for all of 2024 unless you qualify for an SEP (Special Enrollment Period). If you want to change your Medicare Advantage Plan to a new plan, you have to wait until January 1st - March 31st during the Medicare Open Enrollment Period. Then you can make changes for the coming year. If you have a Medicare Advantage plan and want to switch to Original Medicare and get a Medicare Supplement, you will not be able to do so until next Fall, unless you qualify for a Special Enrollment Period (SEP) during the coming year. WHAT IF YOU DECIDED NOT TO DO ANYTHING DURING THE ANNUAL ENROLLMENT PERIOD (AEP)? If you already have an Original Medicare and a Medicare Supplement plan in place, you do not need to do anything. With a Medicare supplement , you can change your Medicare Supplement company anytime throughout the year. You will need to pass underwriting, but for 80% of applicants, that is straightforward . You can check premium rates at any time of the year. If you have Original Medicare with or without a Medicare Supplement or Medigap plan, your current Medicare Part D Prescription Drug Plan will be your Medicare Part D Prescription Drug plan for the coming year. You cannot change Medicare Part D Drug Plans in the middle of a plan year without qualifying for a Special Enrollment Period. If you have a Medicare Advantage Plan that includes Drug coverage and you do not make any changes, you will continue in the same plan for the coming year. However, if that plan is no longer available in your area, you will be dropped . You cannot join a new plan until the Open Enrollment Period (Jan - March), and coverage will not start until April 1st. STILL HAVE QUESTIONS? I think it is safe to say that if you have a rapport with your Medicare Agent or Medicare Broker, you should feel comfortable calling them at any time of the year . But sometimes people move or leave the business and do not stay in touch. If you or anyone you know ever finds themselves without a Medicare Broker/Agent, please call us or have your friend or relative call us anytime. We will always make time to chat with anyone, answer their questions, and help point them in the right direction. If we cannot help them, we will refer them to a licensed professional in their area. As a reminder, you will never be charged a penny for receiving help or advice from an independent, licensed Medicare Broker. Anyone can visit us at www.bradenmedicare.com anytime, 24 hours a day. You can find out just about anything you need to know about Medicare, Medicare Advantage, and Medicare Prescription Drug plans 24/7. You can email me anytime at mike@bradenmedicare.com or reach me directly at (480) 418-7968. We are also Certified Medicare Specialists. We care about our clients, are passionate about the service we provide, and speak Medicare fluently!

Michael T Braden August 28, 2024 MEDICARE PART D Braden Medicare Insurance's Poster Showing a Female Medicare Beneficiary Sporting a Bandaid With The Caption "Covered Vaccines For All Medicare Part B Enrollees. MEDICARE PART D COVERS YOUR VACCINATIONS The purpose of this article is not to be a statement for or against vaccines in any way, shape, or form. To deliver information, I respectfully do not care if you are pro-vaccine or anti-vaccine. Neither viewpoint is the reason why I decided to write the article. This article offers tips, tricks, and reminders to keep seniors and Medicare beneficiaries aware of the proper way to receive vaccines without incurring any costs . It's as simple as that. Everyone enrolled in any Medicare Plan must be enrolled in Medicare Part B. However, your vaccinations are paid for using your Medicare Prescription Drug Plan benefits, Medicare Part D. WHERE YOU SHOULD GO TO GET VACCINATION SHOTS As Fall slowly begins, it is a reminder to start thinking about receiving your 2024 Influenza (Flu Shot) Vaccine, and possibly others. This year, things are a little different because Medicare changed its policy and stance on covered vaccines on January 1, 2023. This new rule allows Medicare Beneficiaries to receive free vaccinations for all vaccines recommended by the CDC. During the Pandemic, nobody paid for COVID shots, and Medicare always covered Flu Shots, but there are a few more items you may not be aware of. NEW COVID BOOSTER I suggest everyone considering the new COVID-19 booster speak with their General Practitioner, Primary Care Doctor, or Nurse Practitioner before scheduling a vaccine. According to the article, both of the latest COVID-19 booster shots that were made available last month are manufactured only by Pfizer and Moderna. It is recommended that if you get a booster, get one from the same manufacturer you used for your initial COVID-19 shots. Here is the troubling part of the article for me. The Pfizer Vaccine reportedly tested only the new Booster in mice, and the Moderna Vaccine was given only to 10-50 humans in its tests. This does not mean that the new Booster released on September 12th, 2023, is unsafe. It only suggests that no company can say with certainty how effective it is , or how effective it will be against all existing and future COVID-19 variants . From everything I have read to date about the new Booster, it is purported to prevent the need for any long-term hospitalization for anyone diagnosed with COVID and to lessen the severity of the effects if you are diagnosed, which is excellent. But to be clear, this new Booster, which is virtually untested and seems to me to have been rushed to market by the Government, will not keep you from contracting COVID-19, and, sadly, it seems the Government, FDA, and CDC are rushing things unnecessarily. The only question is why? Lastly, if you are in a high-risk groupCOVID-19 for either contracting any form of COVID or due to a pre-existing condition that leaves you at higher risk for contracting COVID, definitely contact your Doctor and see what they say. I am not a Medical professional , and for the record, up until this new Booster, I have received every other COVID Booster. I have never been diagnosed with COVID-19 . I think there is more data delivered every day that suggests questioning the accuracy of claims previously made by Pfizer, Moderna, Bio-Tech, Johnson & Johnson, the FDA, the CDC, and the White House is warranted. To me , I have not read anything suggesting you would be harmed by receiving the Booster. I do not want anyone to think you are 100% protected against any of the COVID variants we have seen so far. SHINGLES VACCINE (Herpes Zoster) Shingles is a common disease—almost 1 in 3 people will get it in their lifetime. The good news is that the shingles vaccine, called  Shingrix® , is more than 90% effective at preventing shingles. RSV VACCINE A respiratory syncytial virus (RSV) vaccine protects against infection by the respiratory syncytial virus. The RSV vaccines Arexvy and Abrysvo were approved for medical use in the United States in May 2023. PNEUMOCOCCAL PNEUMONIA VACCINE Pneumococcal disease (noo-muh-KOK-uhl) causes thousands of infections every year in the United States. It’s more common in children, but it’s most likely to cause serious complications in adults. The good news is that pneumococcal vaccines can help prevent the disease. There are three types of pneumococcal vaccines (PCV13, PCV15, and PCV20). Different vaccines are recommended for people based on their age and medical status. PCV15 or PCV20  Adults 19 through 64 years old  with certain medical conditions or other risk factors who have not already received a pneumococcal conjugate vaccine should receive either: a single dose of PCV15 followed by a dose of pneumococcal polysaccharide vaccine (PPSV23), or A single dose of PCV20.  Adults 65 years or older  who have not already received a pneumococcal conjugate vaccine should receive either: a single dose of PCV15 followed by a dose of PPSV23, or A single dose of PCV20. PCV15 or PCV20  Adults 19 through 64 years old  with certain medical conditions or other risk factors who have not already received a pneumococcal conjugate vaccine should receive either: a single dose of PCV15 followed by a dose of pneumococcal polysaccharide vaccine (PPSV23), or A single dose of PCV20.  Adults 65 years or older  who have not already received a pneumococcal conjugate vaccine should receive either: a single dose of PCV15 followed by a dose of PPSV23, or A single dose of PCV20.The purpose of this article is not to be a statement for or against vaccines in any way, shape, or form. To deliver information, I respectfully do not care if you are pro-vaccine or anti-vaccine. Neither viewpoint is the reason why I decided to write the article. This article is to share tips and tricks. It's a simple reminder to keep Seniors and Medicare Beneficiaries aware of the proper way to receive vaccines at no cost . Simple as that. HEPATITIS A Hepatitis A is a severe disease that was once more common in the United States. In the 1980s, the United States saw as many as 30,000 cases a year. Thanks to the vaccine, the number of hepatitis A cases in the United States has dropped by 95%. Two vaccines protect against hepatitis A: The  hepatitis A vaccine  protects infants, children, and adults from hepatitis A The  hepatitis A and B combination vaccine  protects adults from both hepatitis A and hepatitis B HEPATITIS B Hepatitis B is a common disease in the United States. The good news is that the hepatitis B vaccine protects against the virus in more than 90% of people . 2 vaccines protect against hepatitis B:  The  hepatitis B vaccine  protects infants, children, and adults from hepatitis B  The  hepatitis A and B combination vaccine  protects adults from both hepatitis A and hepatitis B  TETANUS & DIPHTHERIA Tdap. This shot protects against tetanus, diphtheria, and whooping cough (pertussis). The CDC recommends getting a Tdap or TD booster every 10 years.  THE ONLY PLACE TO GET YOUR VACCINES FOR FREE Since January 1, 2023, when the new Medicare Vaccination coverage kicked in, the only place you can get Vaccinations for the above-listed vaccines is by going to the "Preferred Pharmacy" for your individual Medicare Part D Prescription Drug Plan. This should be the same pharmacy where you get your prescription filled. Many pharmacies allow you to walk in and proceed to the Pharmacy without an appointment . After speaking with several pharmacies, we suggest that you either enroll online on the Pharmacy Stores website or call the pharmacy to make an appointment. Please remember to bring your ID and Part D Plan card when you go. Pick up your regular prescription Medications. Effective January 1, 2025, you will be able to get your vaccine at ANY of your Medicare Part D plans "In-Network" pharmacies, not just your preferred pharmacies. WHERE THEY CAN GIVE YOU A VACCINE, BUT YOUR PART D PLAN PROBABLY WON'T PAY FOR IT ANY PHARMACY CAN GIVE YOU A SHOT. HOWEVER, THE ONLY WAY YOU WILL NOT HAVE TO PAY FOR THEM IS TO GET THEM AT THE PREFERRED PHARMACY FOR YOUR PARTICULAR PLAN! If you are at your doctor's office and they ask whether you want or need a vaccine, politely decline and go to your Part D Plan's Preferred Pharmacy . If you get vaccines at the doctor's office, they will bill you under Part B. Medicare Part D is the only way to receive these vaccines at no cost. If you are at the Grocery Store, Costco, or Sam's Club and hear an announcement that they are administering Flu Shots, do not get one . Go home and call your Preferred Part D Plan Pharmacy and make an appointment. ASK YOUR DOCTOR AND PHARMACY FOR A LIST OF ALL OF YOUR VACCINES OVER THE PAST 5-10 YEARS Most people do not remember the last time they had a Tetanus or a Pneumonia shot. Please ask your doctor and pharmacist for any records to ensure you are up to date . Pneumonia vaccines are good for 5 years. The Shingrix vaccine for Shingles is a 1-time, 2-part vaccine. Influenza Shots are every Fall/Winter. COVID-19 boosters depend on when updated Boosters become available. So please ask your Doctor or Pharmacist if you need anything, as they say, " an ounce of prevention is worth a pound of cure" . Please call us at www.bradenmedicare.com (480) 225-1393 or email me at mike@bradenmedicare.com anytime. Let us know how we can help you . Remember, anyone and everyone is welcome to ask us any question, any time.

Michael T. Braden August 28, 2024 ABOUT BRADEN MEDICARE INSURANCE A Photograph of Michael Braden's Business Card. Michael Is The Founder and Owner of Braden Medicare Insurance My wife Tami and I relocated to Scottsdale in 1985. We have lived in Chandler for the past 16 years, and I started my business in 2015 with the simple goal of becoming the best Medicare Insurance Agency you can find anywhere in America.  Where you can speak freely, express your concerns, confusions, and goals, and know that not only is someone listening, but they take your information to heart and do everything they can to meet your needs and exceed your expectations.  We believe that being honest, approachable, knowledgeable, courteous, and respectful to others goes a long way.   Medicare has often been described as confusing, difficult to understand,  and overwhelming for many people.  It is not Rocket Science, but it is different than what we have been accustomed to during our working careers.  We are here to help. We strive to simplify Medicare in plain, easy-to-understand, common-sense terms, and we never charge our clients a penny for our services or our expertise.  At Braden Medicare, we are a little bit different.  Different, how you might ask?  First and foremost, we learn about our clients by listening to them.  We like to empower them by asking them to describe what they want to achieve with their Healthcare. What do they like and what things are most important to them, and not just them, we also like to pass along information about Medicare to the rest of their family, whenever it is appropriate. And we speak Medicare fluently.  I would describe myself as relaxed. Prepared, easy to speak with, well-read, an excellent communicator, courteous, respectful, down to earth, and genuine.  I am about as far away from pretentious as you can get. I go the extra mile for people because that is what providing a service is all about to me. I love turning over every stone to help someone.  Going above and beyond is part of our everyday life at Braden Medicare Insurance. We may be many things, but the one thing we will never be is outworked! Our goal every day we wake up is to exceed our clients' expectations . When you work with Braden Medicare Insurance, you're not just getting a quote or help with one individual policy; you're getting a friend for life who will always be committed to putting your needs first and someone whom you and your family can count on and trust to look out for you and your best interests and help you in any way we can. We like to begin by asking questions, listening to you, and learning what you want your Healthcare in retirement to do for you and your family.  What are the most important things to you regarding your Medicare coverage and healthcare ? Would you like predictable costs? Do you want a plan with a limited network of Doctors?  Do you want to have a Primary Care Physician?  Do you prefer paying out of pocket for Hospital stays, limited Physical Therapy, X-rays, and MRIs, Doctor's Office Visits, or paying only to receive a referral so you can see a specialist? Do you want to navigate a lot of fine print, or would you rather be in control of your healthcare so you can go to any doctor or hospital you want ?  Where you pay a manageable monthly premium , and the only other out-of-pocket cost is . It is a $240 Deductible, which applies to the entire year.  We want to empower you to take control of your healthcare decisions .  We will present your options, then, based on your preferences, we will get to work on the options that fit them .  At Braden Medicare, Outpatient, you will always be in control. We are committed to working with you and your family so you can enjoy the rest of your life with peace of mind, knowing your friends at Braden Medicare have set you up for success and that we will always be here for you and your family whenever you or your family have questions in the future. I grew up in the Midwest, and I am proud of my roots and my commonsense Midwestern work ethic. Everyone goes through life either doing what they love or doing something they are very good at. I have always been very hands-on and have a genuine affinity for serving others.  I was taught at an early age to respect my elders.  That is why I decided to focus on Medicare and working with seniors. I saw far too many seniors being dismissed, discounted, and /or taken advantage of because of their age, and, even though I just turned 60, I wanted to change that narrative. Our goal at Braden Medicare and  www.bradenmedicare.com  is to position Braden Medicare and Braden Medicare Insurance as a beacon of light in a storm.  Someone you can identify with, someone you can grow with, someone you can understand, and trust, and most importantly , someone you enjoy working with, someone who genuinely cares about you, your family, and will do whatever they can to make you feel educated, informed,  valued, and empowered. We believe you can never have too many friends; we strive to make everyone we meet comfortable and respected.  We treat clients like friends, and we have always treated friends like family!  I'm confident you will come to know us as good people who care about others and are authentic and genuine. We are sincere and honest.  We shoot straight, and we look people in the eye when we shake their hand. We care, we treat everyone like family, and we will always do everything in our power to ensure our family is protected. Let us do the heavy lifting and remove all the rocks from your knapsack so you can move forward with the most critical time of your life.  A time when retirement means living, taking the time to do whatever you want to do. QUICK FACTS ABOUT MEDICARE THAT EVERYONE NEEDS TO KNOW Medicare is the national health insurance program for all Americans over age 65. Medicare is not free.  Medicare Part A, which covers inpatient care at a Hospital, is what we paid for through our Medicare and Social Security Taxes during our working careers. You enroll in Medicare through the Social Security Administration. Medicare Part A covers inpatient hospital stays. Medicare Part B covers all of your Out-Patient services, including Imaging, Lab Tests, Bloodwork, Preventive Screenings, and Medical Equipment. Everyone with Medicare must be enrolled in both Medicare Part A & Medicare Part B. Medicare Part C is the part of Medicare more commonly known as Medicare Advantage.  Private, for-profit Insurance companies sell Medicare Advantage plans, and there are over 4,000 Part C Plans across the United States.   THERE ARE THREE WAYS YOU CAN CHOOSE TO PARTICIPATE IN MEDICARE 1.) Original Medicare, which is a traditional 80/20 Health Plan where the government pays 80% and you pay 20%. There are no networks with Original Medicare.  You can see any Doctor and go to any hospital in America that accepts Medicare. 2.) Original Medicare with a Medicare Supplement Plan.  A Medicare Supplement /Medigap Plan F, Plan G, and Plan N will pay for all of your 20% share that the Government does not cover. Both the Mayo Clinic and Barrow Neurological Center in Phoenix accept Original Medicare, but they do not accept any Medicare Advantage plans. 3.) Medicare Part C or Medicare Advantage.  This is insurance typically offered as an HMO or PPO plan.  Private insurance companies offer them and are not part of the United States Government, unlike Original Medicare. These Plans have Networks you must use. Most HMO plans include Prescription Drug Coverage, but most PPO plans do not.  You are responsible for paying Co-Pays and Co-Insurance.  Each plan has a Maximum Out-of-Pocket Expense (MOOP).  This ranges from $2,800 - $7,500.  MA/MAPD plans will cover everything only after you reach your MOOP.  Additionally, you must choose a new plan every year. For anyone considering the Advantage plan, please take the time to read and reread both the Summary of Benefits and the Explanation of Benefits sections. We encourage you to review the Summary of Benefits and the Explanation of Benefits sections of the Advantage plan. They’re packed with valuable information for you! We encourage you to review the Summary of Benefits and the Explanation of Benefits sections of the Advantage plan. They’re packed with valuable information for you, for every Medicare plan you are considering.     WHY WE ARE BETTER THAN OTHER MEDICARE AGENTS AND MEDICARE BROKERS So, what makes Braden Medicare special?  Well, for starters, we have more plan options than just about any other Medicare Broker you will find. We work hard to maintain our relationships with all of the Insurance carriers we are fortunate to represent. Most brokers have 4-6 carriers, and most agents are associated with only two insurance companies. We offer Medicare products from 34 of the best and most trusted Insurance Companies in the United States that offer Medicare Advantage, Medicare Supplement, Medigap, and Medicare Prescription Drug plans. We believe that by providing more plans from more highly rated insurance companies, our clients benefit most from greater choice. At Braden Medicare Insurance, we know you will spend less on premiums because you are in charge and can choose the company you want to partner with. We are licensed to Market and sell every Medicare Part D Plan in Arizona. That is 28 Medicare Prescription Drug Plans. We are contracted to Market and sell every Medicare Advantage Plan from AARP/UnitedHealthcare, Aetna, Amerigroup, Banner Health, BCBS of Arizona, Cigna, Devoted Health, Humana, Gold Kidney Health, Lasso, and WellCare. Again, having the most options gives you the best opportunity to find the plan that fits you like a glove. As an Independent Medicare Broker, we are licensed and contracted to market and sell Medicare Supplement/Medigap plans from AARP, Ace Medicare Supplements, Aetna, Aflac, Allstate, Bankers Fidelity, Banner, BCBS of Arizona, Capital Life, Cigna, Globe Life Insurance, 'Humana, Manhattan Life Insurance, Medico, Mutual of Omaha, Nassau, Philadelphia Life Insurance, Royal Arcanum Insurance, United Healthcare, Royal Arcanum. All told, we are contracted with over 30 of the Top-Rated Medicare Supplement/Medigap Insurance companies in America.   MORE THINGS THAT SET US APART AND MAKE US UNIQUE From assisting clients with getting enrolled in Medicare to educating them on the Four Parts that make up Medicare.  We work tirelessly every day to help our clients achieve Peace of Mind by taking care of them and making sure they are happy with their healthcare. We plan on being a resource for them for the rest of their lives. We only represent companies with an S&P, Fitch, or Moody's Rating of B+ or higher.  We include GoodRx pricing for our clients in all Part D Drug Plan Comparisons, and we also check whether Cost Plus Drugs or Marley Drug offers lower prices than your Part D Plan. In addition to our Medicare Insurance offerings, we offer an outstanding selection of ancillary insurance products, including Dental, Vision, LTC (Long-Term Care), Final Expense, Life Insurance, Cancer Insurance, Hospital Indemnity Insurance, Under-65 Health Insurance, and Short-Term Health Plans.  We complete a Patient Information Cover Letter for every new client. It is easy to update and can be emailed or taken with you to your doctor and dentist. It contains pertinent information about the type of Medicare Plan you have. This information includes your Medicare ID, Your Address, Telephone Number, email, the name of your Part D Plan, Your Preferred Pharmacies, and the name of your Medicare Advantage/Medicare Supplement or Medigap carrier, along with Emergency Contact.   OUR MISSION STATEMENT    "To deliver unequaled service to our clients and develop and nurture long-lasting relationships by always interacting with our clients in a genuine, caring, and respectful manner".

Michael T. Braden August 28, 2024 GENERAL MEDICARE INFORMATION Photo Of Braden Medicare Insurance's Medicare In Reader's Digest Form Article You may be wondering: What is Medicare? Medicare is the National Health Insurance Program for Americans aged 65 and over or those who meet particular eligibility criteria. 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. Here at Braden Medicare Insurance, it is almost an oxymoron to say the words Medicare and Reader's Digest Form in the same sentence. That is simply because Medicare is so broad and complex that it is challenging to encapsulate the concepts in a book, let alone a chapter, and have them make sense . In this article, we have done our best to present the condensed Reader's Digest version of Medicare. We hope you find the article helpful and worthwhile. DEFINING MEDICARE MEDICARE IS THE NATIONAL HEALTHCARE PLAN FOR UNITED STATES CITIZENS 65 AND OLDER + THOSE WITH A PERMANENT DI Medicare is defined as federal health insurance for people 65 or older, those younger than 65 with disabilities, and those with ALS or end-stage renal disease. Original Medicare, Parts A and B, makes up Original Medicare. These parts are inpatient hospital coverage and medical coverage, respectively. Medicare Part C and Medicare Part D provide benefits to help Medicare resemble group or employer coverage. Medicare Part C may include dental or vision coverage, while Medicare Part D covers prescription drugs . Medicare is the most widely used health insurance for people over 65. So, if you are nearing eligibility, it is essential to understand what Medicare is and how the four parts work. However, Medicare does not cover everything. Often, you may need to enroll in additional plans to receive full coverage. MEDICARE PART A MEDICARE PART A COVERS ALL OF YOUR IN-PATIENT COSTS + HOSPICE Medicare Part A is inpatient hospital insurance. This part of Medicare covers some of your hospital, inpatient nursing facility, and hospice costs. Remember that Medicare Part A does not cover any of the treatments or procedures you receive while in a hospital or skilled nursing facility. This part of Medicare covers only the facility cost. When you enroll in Medicare Part A, you are responsible for paying a per-occurrence deductible and daily co-pays 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 reach $505 per month in 2024. MEDICARE PART B PART B COVERS ALL OUT-PATIENT SERVICES 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 both preventive and medically necessary services. Additionally, Medicare Part B covers durable medical equipment you may need to manage health conditions. 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; therefore, there is no cap on your costs. Unlike Medicare Part A, you must pay your Medicare Part B premium, regardless of how long you paid Medicare taxes while working. The standard monthly Medicare Part B premium is $174.70 in 2024. However, this may be higher, depending on your monthly adjusted gross income. MEDICARE PART C = MEDICARE ADVANTAGE PLANS WHAT IS COVERED BY MEDICARE PART C Medicare Part C is otherwise known as Medicare Advantage. Private insurance companies approved by Medicare offer Medicare Advantage plans. If you enroll in Medicare Part C, it will become your primary coverage over Original Medicare. Medicare Advantage plans combine Medicare Part A and Part B coverage with additional benefits to provide you with what is often referred to as an All-In-One Plan. However, carriers offering these plans set their own co-payments, deductibles, and maximum out-of-pocket limits. Medicare Part C may cover dental, vision, and hearing care, as well as transportation to doctors' appointments and gym memberships. These benefits are not available with Original Medicare. Medicare Part C plans have low premiums, and many HMO plans have $0 premiums. But, even with the low monthly premium, you may spend more with Medicare Part C because of high out-of-pocket limits and cost-sharing. Additionally, you will still need to pay the Medicare Part B deductible when you have Medicare Advantage coverage. MEDICARE PART D = PRESCRIPTION DRUG COVERAGE MEDICARE PART D Medicare Part D is prescription drug coverage. 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 your enrollment in Medicare Part D and do not have creditable drug coverage, you may need to pay the Medicare Part D penalty  in the future. The average Medicare Part D plan in 2024 costs $34.70 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. MEDICARE SUPPLEMENTS & MEDIGAP ARE THE SAME THING 10 HEALTH CARE BENEFITS OFFERED IN MEDICARE SUPPLEMENT & MEDIGAP PLANS 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. There are 12 available standardized Medicare Supplement plans in most states. However, not every option may be available to you. You must ensure you meet the qualifications before enrolling. Each plan offers benefits to help you cover your healthcare costs. Since Original Medicare covers only 80% of your costs, Medigap plans cover the remaining 20%. Most popular plans will cover your entire 20% share, which is the portion left over from Original Medicare. Remember that if you enroll in Medicare Part C, you cannot enroll in a Medicare Supplement. That is why it is essential to compare all available coverage options to ensure you choose the best one for you. Like Medicare Part C, Medicare Supplement plans have a monthly premium you must pay to maintain coverage. Monthly premiums range from $50 to $450, depending on the plan. ITEMS NOT COVERED BY ORIGINAL MEDICARE WHAT MEDICARE DOES NOT COVER The four parts of Medicare do not cover everything. Medicare Part C can cover many benefits that Original Medicare does not. NOTE: THESE SERVICES ARE TYPICALLY NOT COVERED BY ORIGINAL MEDICARE:  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. ENROLLING IN MEDICARE THE THREE WAYS TO SIGN UP FOR MEDICARE Not everyone can obtain Medicare coverage. You must meet specific criteria 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 at age 65. 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 . WHAT TO DO IF YOU ARE NEW TO MEDICARE WHEN DOES MEDICARE START If you are new to Medicare or recently became eligible for the federal health program, you should begin by enrolling in Original Medicare. 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. There is no requirement to enroll in Original Medicare. However, if you do not enroll or have creditable coverage in the meantime, you must pay a penalty if you eventually enroll in Original Medicare. 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 involves a premium for everyone. In 2024, the base Medicare Part B premium was increased to $174.70. However, this can increase based on 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. WHAT TO DO IF YOU ARE NEW TO MEDICARE AND INTERESTED IN MEDICARE SUPPLEMENT PLANS? HOW DO MEDICARE SUPPLEMENTS WORK 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 and fill the gaps in coverage and 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 up to date. Medicare Part A requires you to pay a per-occurrence deductible and per-day co-payments 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 help significantly. These plans relieve you of 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, but you will need to undergo medical underwriting. Thus, it is crucial to enroll in a Medicare Supplement plan as soon as you are eligible. It may be your only opportunity. Once you have Medigap, 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. WHAT TO DO IF YOU ARE INTERESTED IN A MEDICARE ADVANTAGE PLAN? 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 (Medicare Part C) is an all-in-one Medicare plan that provides 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 comes at no additional monthly cost. However, you must still pay your Medicare Part B premium each month. Additionally, these plans usually 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 enroll in a Medigap plan to save money over time . 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 coverage types listed above! WRAPPING THINGS UP ABOUT MEDICARE IN READER'S DIGEST FORM. To receive an online premium comparison, call us at the number above. Or, complete a request on our Contact Braden Medicare Page  to find a policy or plan near you. We never charge for our services, and it would be our honor to assist you with all your Medicare needs. ALWAYS AVAILABLE WHENEVER YOU NEED US We help hundreds of Medicare Beneficiaries every year. We would be happy to answer any questions you have about Medicare, Signing Up For Medicare, Original Medicare, The Four Parts That Make Up Medicare, Medicare Advantage, Medicare Special Needs Plans, Medicare Part C, and IRMAA. Please feel free to visit our website, email us, or call us. We are always happy to make new friends, and we genuinely love to help people!

Michael T. Braden August 28, 2024 MEDICARE LINGO WHY DOES MEDICARE SEEM LIKE A FOREIGN LANGUAGE? When I first began looking into the possibility of starting my own Medicare brokerage, I was struck by all of the Medicare Jargon and Lingo that did not seem to exist anywhere else, except in the wonderful world of Medicare. I can picture my Sicilian grandmother (Angeline) saying, What in the sam-hell is that supposed to mean? The more you see and hear specific phrases, especially Medicare terminology, the more you will remember them. Medicare is like riding a 10-speed Schwinn Bicycle for the first time; it took a little bit of getting used to, but you quickly figured it out. It is the same with Medicare: when so many things are being hurled at you at once, it seems daunting and overwhelming, but do not let it get to you. I hope reading these terms will help everyone become a little more in tune and a lot less intimidated by the Big Bad Wolf we affectionately refer to as Medicare. As you get used to the Phrases, Terms, and the overall "Lingo" of Medicare, these charts may help you. The 1st chart contains common Medical Terms, and the 2nd and 3rd charts are specific to Medicare. Photo Of Braden Medicare Insurance's Common Medical Terms Poster Photo Of Braden Medicare Insurance's Frequently Used Medicare Acronym Chart, Part 1 of 2 Photo Of Braden Medicare Insurance's Medicare Acronym Poster, Page 2 of 2

Michael T. Braden December 20, 2024 IRMAA & MEDICARE IRMAA IS THE INCOME-RELATED MONTHLY ADJUSTMENT AMOUNT THAT THE SSA ATTACHES TO HIGH-WAGE EARNERS BRADEN MEDICARE INSURANCE ARTICLE ABOUT IRMAA This  ALL ABOUT IRMAA ARTICLE  is meant to educate you on what IRMAA is as it relates to Medicare. IRMAA is an acronym for  I ncome- R elated- M onthly- A djustment- A mount. This is an additional Fee that high-wage earners are required to pay for their Medicare Part B and Medicare Part D to pay on Part B and Part D premiums.    The Medicare IRMAA is based on the income on your tax return two years prior.  IRMAA charges apply to eligible Medicare beneficiaries, whether they have Original Medicare or Medicare Advantage.  You can appeal the Medicare IRMAA if you think a mistake has been made or your circumstances have changed.     WHAT IS IRMAA? IRMAA is calculated on a sliding scale. When calculating whether IRMAA charges apply to you, Medicare uses the adjusted gross income amount you reported on your IRS tax return from two years before the current year.  Determining whether IRMAA charges apply to you,  Medicare uses the adjusted gross income amount you reported on your IRS tax return from two years before the current year. Calculating whether IRMAA charges apply to you, Medicare uses the adjusted gross income amount you reported on your IRS tax return from two years before the current year. IRMAA is a surcharge on Medicare premiums for Medicare Part  B  and Part D Prescription Drug plans. It applies only to Medicare beneficiaries who have a modified adjusted gross income above $97,000 ($103,000 in 2024) for an individual return and $194,000 ($206,000 in 2024) for a joint return. If your earnings are below this threshold, IRMAA doesn't apply to you.   HOW DOES THE GOVERNMENT CALCULATE IRMAA IRMAA is based on your income and is calculated on a sliding scale. When calculating whether IRMAA charges apply to you, Medicare uses the adjusted gross income amount you reported on your IRS tax return from two years before the current year.   2025 IRMAA BRACKET CHART     2025 Braden Medicare RWB IRMAA Brackets   MEDICARE PART B IRMAA EXPLAINED BY BRADEN MEDICARE INSURANCE If the Part B IRMAA applies to you, the amount you owe will be added to your Part B premium, which is $164.90 per month in 2023 ($174.70 in 2024) for most people. For 2023, beneficiaries whose 2021 income exceeded $97,000 (individual return) or $194,000 (joint return) will pay a premium amount ranging from $230.80 to $560.50, depending on income. In 2024, the thresholds are $103,000 and $206,000 based on 2022 income, and premiums range from $244.60 to $594.   HOW WOULD I BE NOTIFIED IF IRMAA APPLIES TO ME? You won't need to make any inquiries to determine whether you owe IRMAA. Social Security will contact you by mail. When you sign up for Medicare, you'll initially be charged the standard Part B premium and the premium your Part D plan charges until Social Security receives your income data from the IRS. Then, if your income is high enough for IRMAA to apply, Social Security will mail you a predetermination notice. This notice will explain that IRMAA will use, how this determination was made, and how to proceed if any of this information is in error or your situation has changed. After sending out the predetermination notice, Social Security will mail you an initial determination notice informing you that you owe IRMAA on your Part B and Part D (if applicable) premiums. This notice also explains how the determination was made and outlines what to do if you believe it is incorrect . If you receive an initial determination notice, keep it in a safe place.   HOW DO I PAY THE IRMAA SURCHARGE? IRMAA isn't part of your health insurance plan premium, and if you have Medicare Advantage or Medicare Part D, you won't pay the IRMAA directly to your insurance company. If you're receiving retirement benefits from Social Security and already have your Medicare Part B and Part D (if applicable) premiums deducted from your Social Security payment, you don't have to take action if you owe IRMAA. Your IRMAA will automatically be deducted from your Social Security benefit. The same applies if you receive Railroad Retirement Board benefits — your Part B IRMAA and Part D IRMAA are typically deducted from your payment. If you don't have any Medicare premiums deducted from your Social Security payment or Railroad Retirement Board benefits, you'll receive a bill for your Part B and Part D IRMAA.   CAN I APPEAL IRMAA DESIGNATIONS?   HOW TO APPEAL MEDICARE IRMAA ADJUSTMENTS BRADEN MEDICARE INSURANCE'S GUIDE TO APPEAL IRMAA DECISIONS   If you receive a notice that you owe IRMAA and feel it isn't correct, you've got the right to appeal. To do so, contact the Social Security Administration to request that your initial IRMAA determination be reconsidered. This can be done by calling 800-772-1213 or in writing. To qualify for a change in IRMAA determination, you'll have to show that your tax return was either out of date or inaccurate for one of these reasons, according to HHS.gov :    The IRS data contained an error.  The IRS sent outdated data, and you'd like them to use more recent information.  A beneficiary filed an amended tax return for the year in which the Social Security Administration made the IRMAA decision.  Your income has recently decreased significantly due to one of these life-changing events: the death of a spouse, marriage, annulment or divorce, reduction or loss of work, loss of income from income-generating property, and reduction or loss of certain types of pension income.   If you have additional questions about Medicare, visit www.medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).

Michael T. Braden August 27, 2024 BRADEN MEDICARE INSURANCE Braden Medicare Insurance's Privacy Policy Photo From The BradenMedicare.com Website. OUR BRADEN MEDICARE PRIVACY POLICY Protecting your private information is our top priority. This Privacy Statement applies to https://www.bradenmedicare.com and the Braden Medicare Insurance Agency, outlining our data collection and usage practices. For this Privacy Policy, any references to Braden Medicare Insurance and the Braden Medicare Insurance Agency encompass https://www.bradenmedicare.com, Braden Medicare, and Braden Medicare Insurance Services. The Braden Medicare website is recognized as Insurance Informatics.   COLLECTION OF PERSONAL INFORMATION The Braden Medicare Insurance Privacy Policy protects anonymous demographic information, which is not unique to you, such as your: - Age - Gender - Race   We do not collect any personal information about you unless you voluntarily provide it. However, you may be required to provide personal information when you choose to use certain products or services.  These may include:   (a) registering for an account;  (b) entering a sweepstakes or contest sponsored by one of our partners or us;  (c) signing up for special offers from selected third parties;  (d) sending us an email message;  (e) submitting your credit card or other payment information when ordering and purchasing products and services.    To that end, we will use your information for, but not limited to, communicating with you regarding services and/or products you have requested from us. We may also collect additional personal or non-personal information in the future.   SHARING OF INFORMATION WITH THIRD PARTIES Braden Medicare does not sell, rent, or lease its customer lists to third parties. Braden Medicare may share data with trusted partners to help perform statistical analysis, send you email or postal mail, provide customer support, or arrange for deliveries. All such third parties are prohibited from using your personal information except to provide these services to Braden Medicare, and they are required to maintain the confidentiality of your information.   Braden Medicare may disclose your personal information, without notice, if required to do so by law or in good faith belief that such action is necessary to:    (a) conform to the edicts of the law or comply with legal process served on Braden Medicare or the site;  (b) protect and defend the rights or property of Braden Medicare; and/or  (c) act under exigent circumstances to protect the personal safety of users of Braden Medicare, or the public.   AUTOMATICALLY COLLECTED INFORMATION Braden Medicare may automatically collect information about your computer hardware and software . This information may include your IP address, browser type, domain names, access times, and referring website addresses. This information is used for the operation of the service, to maintain the quality of the service, and to provide general statistics regarding the use of the Braden Medicare Insurance website.   USE OF COOKIES The Braden Medicare website may use "cookies" to help you personalize your online experience. A cookie is a text file placed on your hard disk by a web server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you.   One of the primary purposes of cookies is to provide a convenience feature to save you time. The purpose of a cookie is to tell the Web server that you have returned to a specific page. For example, if you personalize Braden Medicare pages or register on the Braden Medicare site or services, a cookie helps Braden Medicare recall your specific information on subsequent visits. This simplifies recording your personal information, such as billing and shipping addresses . When you return to the same Braden Medicare website, the information you previously provided can be retrieved, so you can easily use the Braden Medicare features that you customized.   You can accept or decline cookies. Most Web browsers automatically accept cookies, but you can usually modify your browser settings to decline cookies if you prefer. If you choose to decline cookies, you may not be able to fully experience the interactive features of the Braden Medicare services or websites you visit.   LINKS This website contains links to other sites. Please be aware that we are not responsible for the content or privacy practices of such other sites. We encourage our users to be aware when they leave our site and to read the privacy statements of any other site that collects personally identifiable information.   SECURITY OF YOUR PERSONAL INFORMATION Braden Medicare secures your personal information from unauthorized access, use, or disclosure. Braden Medicare uses the following methods for this purpose: SSL Protocol When personal information (such as a credit card number) is transmitted to other websites, it is protected using encryption, such as the Secure Sockets Layer (SSL) protocol.   We strive to take appropriate security measures to protect against unauthorized access to or alteration of your personal information. Unfortunately, no data transmission over the Internet or any wireless network can be guaranteed to be 100% secure. As a result, while we strive to protect your personal information, you acknowledge that: (a) there are security and privacy limitations.     Inherent to the Internet, which are beyond our control; and (b) security, integrity, and privacy of any information and data exchanged between you and us through this Site cannot be guaranteed.   RIGHT TO DELETION Subject to certain exceptions set out below, on receipt of a verifiable request from you, we will: • Delete your personal information from our records; and • Direct any service providers to delete your personal information from their records.   Please note that we may not be able to comply with requests to delete your personal information if it is necessary to: • Complete the transaction for which the personal information was collected, fulfill the terms of a written warranty or product recall conducted in accordance with federal law, and provide a good or service requested by you, or reasonably anticipated within the context of our ongoing business relationship with you, or otherwise perform a contract between you and us; • Detect security incidents, protect against malicious, deceptive, fraudulent, or illegal activity; or prosecute those responsible for that activity; • Debug to identify and repair errors that impair existing intended functionality; • Exercise free speech, ensure the right of another consumer to exercise their right of free speech, or exercise another right provided for by law; • Comply with the California Electronic Communications Privacy Act; • Engage in public or peer-reviewed scientific, historical, or statistical research in the public interest that adheres to all other applicable ethics and privacy laws, when our deletion of the information is likely to render impossible or seriously impair the achievement of such research, provided we have obtained your informed consent; • Enable solely internal uses that are reasonably aligned with your expectations based on your relationship with us; • Comply with an existing legal obligation; or • Otherwise , use your personal information internally in a lawful manner that is compatible with the context in which you provided the information.    CHILDREN UNDER THE AGE OF 13 Braden Medicare does not knowingly collect personally identifiable information from children under the age of thirteen. If you are under the age of thirteen, you must ask your parent or guardian for permission to use this website.   EMAIL CONFORMATION From time to time, Braden Medicare may contact you via email to provide announcements, promotional offers, alerts, confirmations, surveys, and other general communications . If you would like to stop receiving marketing or promotional communications via email from Braden Medicare, you may opt out of such communications by clicking the Unsubscribe Button on Marketing Emails.   CHANGES TO THIS STATEMENT Braden Medicare reserves the right to change this Privacy Policy from time to time. We will notify you of significant changes to how we handle personal information by sending a notice to the primary email address associated with your account, by placing a prominent notice on our website, and/or by updating our privacy information. Your continued use of the website and/or Services available after such modifications will constitute your: (a) acknowledgment of the modified Privacy Policy; and (b) agreement to abide and be bound by that Policy.   CONTACT INFORMATION Braden Medicare welcomes your questions or comments regarding this Statement of Privacy. If you believe that Braden Medicare has not adhered to this Statement, please get in touch with Braden Medicare at:   Braden Medicare Insurance Agency, 3412 W Monterey Street, Chandler, Arizona 85226   Email Address:  mike@bradenmedicare.com   Fax Number: (480) 422-9062 Telephone Number: (480) 225-1393

Michael T. Braden, August 27, 2024 BRADEN MEDICARE INSURANCE Braden Medicare Insurance Services was established in 2015.  Below, we wanted to share a little more about Michael Braden and Braden Medicare Insurance Services. Photograph of Michael T. Braden, the owner of Braden Medicare Insurance in Chandler, Arizona. I was born at WPAFB in Dayton, Ohio, and spent two years there , then 4 years in Fairbanks, Alaska, before moving to Indianapolis, where I grew up.  I am proud of my Midwestern roots and the values instilled in me. I believe there is something different about those of us who possess a Midwestern work ethic. I moved to the Valley with my wife, Tami, in 1986.  After a distinguished career in the Food and Beverage Industry, I decided to change careers . I was not sure exactly what direction I wanted to take, but I knew I wanted to provide a service to others and that I had to find something I was passionate about.  I had a long-time friend and mentor who has been in the Medicare Insurance Industry for nearly 30 years and he (Clay Perry) said to me   "This business isn't easy and it is not for everyone but it is rewarding and you have the knowledge and personality to be successful, not only that I think you will genuinely enjoy the relationships you will make and you will be able to help and teach people which I know is your passion"   Clay's words resonated with me, that is how I am wired, I care about the relationships, I can't fake it, I have always been proud and honored to serve others.  So, I began soaking up as much knowledge as possible about Medicare, including Medicare Advantage Plans, Medicare Supplements/Medi-Gap Insurance, Prescription Drug Plans, Retirement, Social Security, and Long-Term Care.  Clay was a huge help and a great source of knowledge for me . I miss his wit, his wisdom, and his friendship . Unfortunately, Clay had some serious Health Issues in 2018 , and he passed away unexpectedly on  January 6th, 2019.  Per his wishes, I took over his business and promised to look after his clients.  Life is beautiful, every day is a gift, and I love what I do.  You will find that we genuinely enjoy helping people and educating them about Medicare . We do our best to advise and guide them so they can make the best decisions for themselves and their families moving forward. I am available any time of the day you need me, but fair warning, I answer my phone and emails every day that ends in "Y", so please, please never feel bad about calling, texting, or emailing me anytime.  That is all part of my commitment to you and to my business. Even though we are based in Arizona, we are honored to serve great people in Indiana, Iowa, Florida, Nevada, New Jersey, New Mexico, Ohio, Pennsylvania, and Wisconsin, and become a trusted friend and confidant that you can lean on and someone you can always count on to be there whenever you need us. Those are the values I grew up with and was raised with. That is how I choose to run my business.   We were all raised to be humble, kind, friendly, approachable, and easy to talk to.  We care about our clients and view them not just as friends, but as an extension of our family. We adhere to the philosophy that friends will do whatever they can to help each other because that's just what friends do and that's what friends are for................... Your Healthcare is essential to you and your family, and it is important to us.     Michael Braden is the President and Owner of Braden Medicare Insurance Services and https://www.bradenmedicare.com . You can reach Michael at mike@bradenmedicare.com or by calling him directly at (480) 225-1393 anytime. Picture of Michael Braden's Childhood Home in Indianapolis, Indiana

Michael T. Braden, August 27, 2024 BRADEN MEDICARE INSURANCE Photo of a 64-year-old female sitting on her couch and researching the cost of Medicare using her smartphone. MEDICARE COSTS AT A GLANCE How much Medicare will cost in 2025 is an excellent question, but there are too many variables to predict the cost for each Medicare beneficiary. That is because healthcare is personal; what works best for John may not be what Mary needs. That is why there is a dizzying abundance of options and combinations. Listed below are the basic healthcare costs for people with Medicare. Suppose you want to see and compare costs for specific health care plans. For exact cost information (like whether you've met your deductible, how much you'll pay for an item or service you got, or the status of a claim), visit www.medicare.gov.   PART A PREMIUM Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A). If you buy Part A, you'll pay up to $525 each month in 2024. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $475. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $264. Part A hospital inpatient deductible and coinsurance you pay: $1,676 deductible for each benefit period.  A Part A Benefit Period consists of 90 days.  If you have Original Medicare or a Medicare Advantage plan, you can expect to incur this cost.  However, this deductible is covered by most Medicare Supplement plans. Days 1-60: $0 coinsurance for each benefit period Days 61-90: $419 coinsurance per day of each benefit period Days 91-150 and $838.00 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime) Beyond 151 days, you pay 100% for 365 Days. THE MEDICARE LATE ENROLLMENT PENALTY: If you don't purchase it when you're first eligible, your monthly premium may increase by 10%. (You'll have to pay the higher premium twice the number of years you could have had Part A, but didn't sign up.)   PART A COST IF YOU HAVE ORIGINAL MEDICARE Note: All Medicare Advantage Plans must cover these services. If you're in a Medicare Advantage Plan, costs vary by plan and may be either higher or lower than those in Original Medicare. Review the "Evidence of Coverage" from your plan. HOME HEALTH CARE $0 for home health care services. 20% of the Medicare-approved amount for Durable Medical Equipment (DME). HOSPICE CARE   $0 for hospice care. You may be required to pay a co-payment of no more than $5 for each prescription drug and similar products for pain relief and symptom control while at home. In the rare case your drug isn’t covered by the hospice benefit, your hospice provider should contact your Medicare drug plan to see if it's covered under your Part D (Medicare Prescription Drug Coverage). You may need to pay 5% of the Medicare-approved amount for inpatient respite care. Medicare doesn't cover room and board when you receive hospice care in your home or another facility where you live (such as a nursing home). IN-PATIENT HOSPITAL STAY   $1,632 deductible for each benefit period. If you have Original Medicare or a Medicare Advantage plan, you can expect to pay this amount.  However, this deductible is covered by most Medicare Supplement plans. Days 1–60: $0 co-insurance for each benefit period. Days 61–90: $419 coinsurance per day of each benefit period. Days 91-150: $838 coinsurance per day. From Day 151 onward, you will pay 100% of the Costs for 365 Days. Note: You pay for private-duty nursing, a television, or a phone in your room. You pay for a private room unless it's medically necessary. MENTAL HEALTH IN-PATIENT STAY   $1,676 deductible for each benefit period. If you have Original Medicare or a Medicare Advantage plan, you can expect to incur this cost.  However, this deductible is covered by most Medicare Supplement plans. Days 1–60: $0 co-insurance for each benefit period. Days 61–90: $419 coinsurance per day of each benefit period. Days 91 and beyond: $838 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime). Beyond lifetime reserve days: all costs. 20% of the Medicare-approved amount for mental health services you get from doctors and other providers while you're a hospital inpatient.   Note: There's no limit to the number of benefit periods you can have when you get mental health care in a general hospital. You can also have multiple benefit periods when you get care in a psychiatric hospital. Remember, there's a lifetime limit of 190 days. SKILLED NURSING FACILITY STAY   Days 1–20: $0 for each benefit period.   Days 21–100: $209.50 coinsurance per day of each benefit period. Days 101 and beyond: all costs. PART B PREMIUM The standard Part B premium amount for 2025 is $185.00. The annual Part B deductible and coinsurance is $257 for 2025. After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and durable medical equipment (DME). MONTHLY PREMIUM FOR MEDICARE PART B   The standard Part B premium amount in 2024 was $174.60; the projected 2025 Part B premium is $185.00.  Everyone who has enrolled in Medicare Part B must pay this monthly premium, and it is typically deducted from their monthly Social Security Benefits.   Everyone pays this monthly Medicare Part B premium whether you are participating in Original Medicare (Medicare Part A and Part B), a Medicare Advantage (Medicare Part C Plan), or if you enroll in a Medicare Supplement or Medigap Plan. Most people pay the standard Part B premium amount. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you'll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium. MEDICARE PART B LATE ENROLLMENT PENALTY In most cases, if you don't sign up for Part B when you're first eligible, you'll have to pay a late enrollment penalty. You'll have to pay this penalty for as long as you have Part B. Your monthly premium for Part B may increase by 10% of the standard premium for each whole 12-month period during which you could have had Part B but didn't enroll . Additionally, you may need to wait until the General Enrollment Period (from January 1 to March 31) to enroll in Part B. Coverage will begin on July 1 of that year. Note: All Medicare Advantage Plans must cover these services. If you're in a Medicare Advantage Plan, costs vary by plan and may be either higher or lower than those in Original Medicare. Review the "Evidence of Coverage" from your plan. COSTS FOR MEDICARE PART B PART B ANNUAL DEDUCTIBLE The Annual Part B Deductible in 2025 is just $254 Photo of Braden Medicare Insurance's 2025 Monthly Cost Estimate for Medicare For the Calendar Year. Most doctor services (including most doctor services while you're a hospital inpatient) Outpatient Therapy Durable Medical Equipment, aka DME. LAB SERVICES     You pay $0 for Medicare-approved services. HOME HEALTH SERVICES   $0 for home health care services. 20% of the Medicare-approved amount for Durable Medical Equipment (DME).  MEDICAL SERVICES You pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and Durable Medical Equipment (DME).   OUT-PATIENT MENTAL HEALTH SERVICES   You pay nothing for your yearly depression screening if your doctor or healthcare provider accepts the assignment. 20% of the time for visits to your doctor or other healthcare provider to diagnose or treat your condition. The Part B deductible applies. If you receive services in a hospital outpatient clinic or department, you may be required to pay an additional co-payment or coinsurance to the hospital. PARTIAL HOSPITALIZATION FOR MENTAL HEALTH SERVICES You pay a percentage of the Medicare-approved amount for each service you get from a doctor or certain other qualified mental health professionals if your health care professional accepts assignment. You also pay coinsurance for each day of partial hospitalization services provided in a hospital outpatient setting or community mental health center, and the Part B deductible applies. OUT-PATIENT HOSPITAL SERVICES   You usually pay 20% of the Medicare-approved amount for the doctor or other health care provider's services. For services that can also be provided in a doctor’s office, you may pay more for outpatient services you get in a hospital than you’ll pay for the same care in a doctor’s office. However, the hospital outpatient co-payment for the service is capped at the inpatient deductible amount. In addition to the amount you pay the doctor, you’ll also usually pay the hospital a co-payment for each service you get in a hospital outpatient setting, except for certain preventive services that don’t have a co-payment. In most cases, the co-payment cannot exceed the Part A hospital stay deductible for each service. The Part B deductible applies, except for certain preventive services. If you get hospital outpatient services in a critical access hospital, your micropayment may be higher and may exceed the Part A hospital stay deductible.   PART C PREMIUM (MEDICARE ADVANTAGE) Part C monthly premium varies by plan.  MEDICARE SUPPLEMENT PLAN aka MEDIGAP PLANS MONTHLY PREMIUM Each Plan Letter has the same coverage levels across the US, but premiums vary by plan and state . Medicare Supplement Policies have always been considered the plans that offer the best coverage.  The plans offer different levels of coverage. Although they do not include any Prescription Drug Plans, you can see any doctor anywhere in the USA as long as they accept Medicare, and about 94% of physicians accept Medicare. The most popular Medicare Supplement plans over the past 5 years have been Plan F, Plan G, and Plan N.   MEDICARE PART C or MEDICARE ADVANTAGE MONTHLY PREMIUMS FOR MEDICARE ADVANTAGE PLANS The Part C monthly premium varies by plan. Deductibles, Co-payments, & Coinsurance: The amount you pay for Part C deductibles, co-payments, and/or coinsurance varies by plan.  MEDICARE PART D (PRESCRIPTION DRUG COVERAGE)   The Part D monthly premium varies by plan (higher-income consumers may pay more). Compare costs for specific/individual Part D plans.   If you are taking little or no prescription medications and are looking for a stand-alone PDP, they can be found starting at approximately $15 per month.   You can change your Prescription Drug plan every year during the Fall Annual Enrollment Period (AEP), so there is no reason to purchase a more expensive plan until your needs change. Deductibles, Co-payments, & Coinsurance: DRUG COVERAGE ) MONTHLY PREMIUM The Part D monthly premium varies by plan (higher-income consumers may pay more).   If your annual income is less than $91,000 as an Individual or less than $182,000 if married and filing jointly, you will pay only your plan premium.  If, however, your income exceeds these figures, you will pay a monthly penalty in addition to your monthly Plan Premium. You or your Agent can refer to the exact cost from the  www.medicare.gov  website. PART D LATE ENROLLMENT PENALTY  You may owe a late enrollment penalty if, for any continuous period of 63 days or more after your Initial Enrollment Period is over, you go without one of these: A Medicare Prescription Drug Plan (Part D) A Medicare Advantage Plan (Part C) (like an HMO or PPO) or another Medicare health plan that offers Medicare prescription drug coverage Credible Prescription Drug Coverage In general, you'll have to pay this penalty for as long as you have a Medicare drug plan. The cost of the late enrollment penalty depends on how long you went without Part D or creditable prescription drug coverage. PART D DEDUCTIBLES, CO-PAYS & CO-INSURANCE The amount you pay for Part D deductibles, co-payments, and/or coinsurance varies by plan.    HOW TO CALCULATE YOUR TOTAL COSTS FOR MEDICARE (HEALTHCARE) Cost For Medicare Part A (Usually $0)  +  Your Medicare Part B Premium which is $174.60 for 2024  +  Your Annual Part B Deductible of $240  +  Cost of your monthly Medicare Advantage or Medicare Supplement Premium ($90 - $130) and your Medicare Part D Monthly Premium ($35-$45 Average Cost in Arizona)  = Your Monthly Cost for Healthcare.  Individuals differ in their needs and the level of protection they believe best suits them .  As a ballpark estimate, a fair monthly budget for someone new to Medicare will be around $320-$330 per month.  This figure includes your Monthly and Annual Medicare Part B premiums, your Medicare Supplement Plan N or G premium, and your monthly Medicare Part D (Prescription Drug Plan) premium .  This figure does not take into account any medications you may be taking.   MEDICARE PART A PREMIUM Medicare Part A is the portion of Medicare that covers hospitalization. This is what we have all paid in Medicare and Social Security taxes over our working careers. Most people who have worked at least 10 years full-time will not be subject to this premium.  If you are a stay-at-home spouse who did not earn enough to meet the 40 creditable hours requirement, you may still be entitled to Part A at no cost because of your spouse's work history.  If you have any questions, you can find answers to most by setting up your Social Security Profile/Account at www.ssa.gov or by contacting your local Social Security office.   MEDICARE PART A DEDUCTIBLE Although Medicare does not have deductibles as we have become accustomed to, there is a Part A deductible that everyone new to Medicare should be aware of.  Anytime you are admitted to the Hospital and you stay overnight, there is a Medicare Part A Deductible of $1,676.  This deductible is valid for 60 days. If you are admitted to the hospital again after 60 days, you will be charged another deductible. Although $1,676 is very expensive, it is slightly less than the average daily cost of a Hospital stay in the US. There is good news , however: if you choose a Medicare Supplement plan, most Medigap plans cover 100% of the Part A Deductible.  If you select a Medicare Advantage Plan, you will have a low to $0 premium each month; however, Medicare Advantage Plans will not pay for the Part A Deductible.   MEDICARE PART B ANNUAL DEDUCTIBLE The annual Part B Deductible is a charge that everyone must pay, regardless of the type of Plan they have.  If you enrolled in Medicare Part B, you will have an Annual Deductible of $257 for 2025.   This means that for the first $257 in covered healthcare expenses each Plan Year, you will pay out of pocket.  This can include Part A, Part B, Part C , or Part D.  After you have met the $257 Deductible, Medicare will begin paying its 80% share for covered Services (Medicare Part A & Medicare Part B), as will your Medicare Part D Prescription plan.    MEDICARE PART B MONTHLY PREMIUM Medicare Part B is the part of Medicare that covers your Doctors' Bills, Office Visits, Lab Work, Diagnostics such as X-rays, MRIs , CT Scans, etc. For 2025, the Monthly Part B premium is $185.00.  EVERYONE who is enrolled in Medicare must pay this amount; unfortunately, it is non-negotiable. It does not matter if you have Original Medicare (Medicare Part A and Part B), A Medicare Advantage Plan (Medicare Part C), or Original Medicare with a Medigap (Medicare Supplement) plan.  Most people have this charge automatically deducted from their monthly Social Security check.  If you defer receiving your Social Security Benefits for a few years, you can set this up as an automatic charge to your Checking or Savings Account, a monthly charge to a Credit Card, or you can be billed directly by Medicare each quarter.   MEDICARE PART B ADDITIONAL CHARGE Most people will not pay any additional charges for their Monthly Medicare Part B Deductible.  But if you are a high-wage earner, you may be subject to paying an additional Part B charge.  This is based on your Income and salary.  Social Security and Medicare have access to your IRS Tax Records.  Medicare and Social Security will notify you if you are facing any of these additional charges.   MEDIGAP PLAN G MONTHLY PREMIUM In this section , I present the charge for Medicare Supplement/Medigap Plan G, as it is the most comprehensive and has the highest monthly premium among Medicare Supplement plans . If you did not choose to have a Medicare Supplement, you should use this section for your Medicare Advantage Monthly Premium if you have one. In Arizona , a new male Medicare beneficiary will pay $130- $150 per month for Plan G, and a new female Medicare beneficiary will pay $95-$110 per month for Plan G.   MEDICARE PART D MONTHLY PREMIUM Medicare Part D is the part of Medicare that covers prescription medications.  The lowest monthly premium in Arizona is $7.50, and the highest is $105 .  These are just the Part D Monthly Premiums and do not include the cost of any medications.  I used an average of $30 to create the worksheet.  Once you have decided on a Part D Plan, you can use the exact cost figures.   THE BOTTOM LINE COSTS IF YOU CHOOSE A MEDICARE ADVANTAGE PLAN You will likely spend $185.00 per month as long as your plan includes a Prescription Drug Plan . However, you will be responsible for all office copayments, and you will pay your 20% share of all Medicare-approved charges throughout the year.  All Medicare Advantage Plans include MOOP (Maximum Out-of-Pocket) expenses.  This will range from $3,000 to $8,500 annually, depending on your plan.  You will have to use your plan's network of Doctors and Hospitals whenever you need treatment or services.   THE BOTTOM LINE: IF YOU CHOOSE ORIGINAL MEDICARE WITH A MEDICARE SUPPLEMENT PLAN Most new Medicare Beneficiaries will pay around $345 per month for a Medicare Supplement Plan G to go with Original Medicare and a Medicare Part D Prescription Drug plan.  Plan G is the best and most comprehensive Medigap plan available.  With a Plan G Medicare Supplement, they will cover 20% of all costs you are responsible for.  There are no copayments and no out-of-pocket expenses, aside from prescription medications. You can see any doctor and use any hospital in the United States.  There are no MOOP expenses. Basically, your MOOP is the total cost of your monthly premiums , which will be around $1,740 per year + the $257 Medicare Part B Annual Deductible. REMEMBER TO ITEMIZE YOUR TAXES Once you turn 65, you can deduct 100% of your Healthcare Costs on your taxes each year. The only requirement is to use the "Long Form" and itemize your Deductions. Anything you pay for Premiums, Deductibles, Prescriptions, OTC Supplies, Doctor Visits, Hospital Costs, Physical Therapy, Occupational Therapy, and In-Home services is 100% Deductible.

Michael T. Braden, August 28, 2024 OUR INSURANCE PARTNERS Corporate Office Downtown Skyline Featuring Some Of The Top Medicare Insurance Companies In America AT BRADEN MEDICARE INSURANCE, WE ARE PROUD TO PRESENT YOU WITH OUR MEDICARE INSURANCE PARTNERS At Braden Medicare Insurance , we are proud to partner with the best Medicare Insurance providers in America. We are honored and grateful to represent these outstanding companies in 2024 and 2025.  Since we are based in Arizona, we are contracted to offer any Medicare Advantage and/or any Medicare Part D Prescription Drug Plan from the companies below.  We believe in the power of choice, and we are proud to offer every Medicare Part D Plan available in Arizona, along with the most popular Medicare Advantage Plans sold in Arizona.  In addition to Arizona, we also offer our services to Medicare Beneficiaries in Florida, Indiana, Iowa, Nevada, New Jersey, New Mexico, Ohio, Pennsylvania, Texas, and Wisconsin. If you reside in any of these states, please call us directly to discuss the specific plans available in your area.  There are just too many plans available across the US to offer every plan in every state. We believe that to be the best Medicare Broker, you need to be associated with the best companies. AARP MEDICARE ADVANTAGE PLANS FROM UNITED HEALTHCARE   ACE MEDICARE SUPPLEMENT AETNA AFLAC AMERICAN FAMILY INSURANCE AMERIGROUP ANTHEM HEALTHCARE BANKERS FIDELITY BANNER HEALTHCARE BCBS OF ARIZONA CIGNA MEDICARE  DEVOTED HEALTH GLOBE LIFE GOLD KIDNEY HEALTH PLANS HUMANA   LINCOLN NATIONAL LUMICO MANHATTAN LIFE MEDICO MUTUAL OF OMAHA NASSAU LIFE INSURANCE PACIFIC LIFE INSURANCE PHILADELPHIA INSURANCE REPUBLIC AMERICAN INSURANCE ROYAL ARCANUM INSURANCE SILVER SCRIPT BY CVS UNITED HEALTHCARE UNITED STATES FIRE INSURANCE WELLCARE WELLPOINT WISCONSIN PHYSICIANS LIFE INSURANCE Medicare Insurance does not include Long Term Care Insurance (LTC), Life Insurance, Final Expense Insurance, Dental Insurance, or Vision Insurance.  If you need assistance, we have strong relationships with Ameritas, Delta Dental, TDA Dental, Unum, and many others. We would be honored to help you with any/all of your insurance needs. If you have any questions or would like more information about Braden Medicare Insurance or General Medicare questions, please complete the Contact Us page or email Michael Braden directly at mike@bradenmedicare.com